iosr-JDMS   Volume-21 ~ Issue-1 ~ January 2022

Abstract: We present a review of four major topics in obstetric anaesthesia, including obstetric outcomes, analgesia for labor and anaesthesia for caesarean section.

[1]. Ministerio de Salud (2012) Ley 20584: REGULA LOS DERECHOS Y DEBERES QUE TIENEN LAS PERSONAS EN RELACIÓN CON ACCIONES VINCULADAS A SU ATENCIÓN EN SALUD. In: Subsecretaría de Salud Pública, ed. Santiago, Chile.
[2]. Millicent Anim Somuah, Rebecca MD Smyth, Allan M Cyna, Anna Cuthbert (2018) Epidural versus non-epidural or no analgesia for pain management in labour. Cochrane Database Syst Rev 2018: CD000331.
[3]. Shiv K Sharma, Donald D McIntire, Jackie Wiley, Kenneth J Leveno (2004) Labor Analgesia and Cesarean Delivery: An Individual Patient Meta-analysis of Nulliparous Women. Anesthesiology 100: 142-148.
[4]. Matthew J A Wilson, Griselda Cooper, Christine MacArthur, Andrew Shennan, Comparative Obstetric Mobile Epidural Trial (COMET) Study Group UK (2002) Randomized controlled trial comparing traditional with two mobile epidural techniques: anesthetic and analgesic efficacy. Anesthesiology 97: 1567-1575.
[5]. CA Wong (2014) Epidural and spinal analgesia/anesthesia for labor and vaginal delivery. In: David Chestnut Cynthia Wong, Lawrence Tsen, Warwick D Ngan Kee, Yaakov Beilin, Jill Mhyre et al. editors. Chestnut's Obstetric Anesthesia: Principles and Practice. Philadelphia, PA: Elsevier Saunders: 457-517.

Abstract: Aims and objectives: The study compared subcuticular suture and steristrips for wound closure after thyroid surgery based on  Post operative Pain assessment  Post operative Neck mobility  Post operative Scar appearance Materials, methods and observation: A prospective, open label, randomized, comparative study is planned on patients attending General Surgery OPD ,fulfilling the inclusion and exclusion criteria over a period of 10 months after obtaining a written informed consent using a purposive sampling technique....

Keywords: subcuticular sutures, Steristripes

[1]. Hochberg J, Meyer KM, Marion MD. Suture choice and other methods of skin closure. Surg Clin North Am 2009;89:627-41.
[2]. Calabrese EJ. Historical foundations of wound healing and its potential for acceleration: dose-response considerations. Wound Repair Regen 2013;21:180-93.
[3]. Moy RL, Waldman B, Hein DW. A review of sutures and suturing techniques. J Dermatol Surg Oncol 1992;18:785–95.
[4]. Peter ME, Kenneth R. Feingold - 2005 Physiology, Biochemistry, and Molecular Biology of the Skin. 2ed. New York: Oxford University Press 1991:63–110.
[5]. Prost-Squarcioni C. [Histology of skin and hair follicle]. Med Sci (Paris) 2006;22:131-7..

Abstract: Aims & Objectives: To study the clinic-pathological spectrum of fungal rhino-sinusitis, in post-covid patients and categorize the histopathological findings. Materials and Methods: A total of 153 consecutive cases, during a period of 2 months, with a provisional diagnosis of post-covid fungal rhinosinusitis are studied. Clinical features, associated co-morbid conditions and radiological findings are recorded. The tissue samples are obtained from FESS debridements, maxillectomies and orbital exenterations. The samples are rapidly processed, manually and the tissue sections stained with H & E and PAS are studied under microscope.....

Key word: Fungal rhino-sinusitis, Clinico-pathological spectrum, Post COVID -19

[1]. .Farnoosh G, Alishiri G, Hosseini Zijoul SR, Dorostker R, Jalali Farahani A. Understanding the severe acute respiratory syndrome. J.Mil Med.2020,22:1-11.
[2]. A.M.Sagar.MUcormycosis. Clin.Infect.Dis; 14(1992) PP.S-126-S129.
[3]. A Werthman-hrenreidi. Mucormycosis with orbital compartment syndrome in a patient with COVID-19. Am.J.Emrg.Med;42 (2021),PP 264 e5-264e8.
[4]. P.G.Deutsch, J.Whittaker, S.Prasad. Invasive and non-invasive fungal rhinosinusitis -a review and update of the evidence.
[5]. Sravani T, Uppin SG, Uppin MS, Sundaram C. Rhinocerebral mucormycosis: Pathology revisited with emphasis on perineural spread. Neurol India 2014: 62: 383-6.

Abstract: We report a case of Recurrent Optic nerve sheath meningioma of Transitional variant in a 42 years old male, who presented with Proptosis and loss of vision in right eye. At immunohistochemistry the meningotheliomatous and fibroblastic component showed vimentin positive. Optic nerve sheath meningiomas are very rare comprising of only 1 to 2% of all the meningiomas. This case is presented for its rarity of occurrence in unusual site, in male gender and its recurrent nature.

[1]. Richard T Parker, Christopher A ovens. Optic nerve sheath meningiomas; Prevalence, impact and management strategies.Eye Brain.2018;10:85-99.
[2]. Dutton JJ.Optic nerve sheath meningiomas. Survophthalmol. 1992;37(3):167-183.
[3]. Savas P Deftereos , Georgios K Karagiannakis .Optic nerve sheath meningioma : a case report . Cases journal 2008,1:423.
[4]. Frisen L, Royt WF, Tengroth BM. Optociliary veins, disc pallor and visual loss. A triad of signs indicating spheno –orbital meningioma. Acta Ophthalmol. 1973;51(2):241-249. 5.
[5]. Saeed P,Rootman J, Nugent RA, White VA,Mackenzie IR, Koornneef L. Optic nerve sheath meningiomas . Ophthalmology. 2003;110(10):2019 -2030..

Abstract: Background: Since the onset of the Covid-19 pandemic, there is a serious need for the development of reliable, easy-to-implement, and rapid diagnostic methods that can be used in the early diagnosis of SARS-CoV-2. A rapid and convenient method based on fluorescence immunochromatographic (FIC) assay to detect the SARS-CoV-nucleocapsid antigen has been widely used in both first and second waves of Covid-19 pandemic situation in India. However, there is a need to examine the accuracy of this diagnostic method in real-time hospital practice.
Materials and Methods: Data were collected retrospectively from four hundred and thirty-two medical records out of which hundred and sixty-nine patients were found to have both Rapid SARS-CoV-2 antigen detection test and RT-PCR performed. To establish the reliability.........

Key Word: Rapid SARS-Cov-2 antigen detection assay; Covid-19; RT-PCR, India

[1]. Andrews, M. A., Areekal, B., Rajesh, K. R., Krishnan, J., Suryakala, R., Krishnan, B., Muraly, C. P., & Santhosh, P. V. (2020 ). First confirmed case of COVID-19 infection in India: A case report. The Indian journal of medical research, 151(5), 490–492. https://doi.org/10.4103/ijmr.IJMR_2131_20
[2]. Sohrabi C, Alsafi Z, O'Neill N, et al. World Health Organization declares global emergency: a review of the 2019 novel coronavirus (COVID-19). Int J Surg. 2020;76:71–6. https ://doi.org/10.1016/j.ijsu.2020.02.034.
[3]. Schoonjans F. MedCalc's Diagnostic test evaluation calculator. MedCalc. MedCalc Software; 2020. https://www.medcalc.org/calc/diagnostic_test.php accessed on 20-12-2021
[4]. https://www.cdc.gov/coronavirus/2019-ncov/hcp/testing-overview.html accessed on 24 December 2021
[5]. https://www.merillife.com/medical-devices/diagnostics/covid-19/molecular-biology/meriscreen-covid-19-antigen-detection-test accessed on 24 December 2021

Abstract: Palpable breast lump is a common presenting complaint so diagnostic evaluation is mandatory. The aim of this review paper is to study the cytomorphological patterns of palpable breast lumps and correlate the findings with histopathological examination and to find out the diagnostic accuracy of FNAC. FNAC is the first line investigation for diagnosis in resource limited settings but histopathology is more valuable for confirmatory diagnosis. According to National Institute of Cancer guidelines in 1996 FNAC of breast is classified into 5 categories that would allow clinicians to easily interpret the data. In this paper we reviewed seven published articles which met this criteria.

Keywords: Breast, FNAC, Cytology, Correlation, Palpable lumps, Histology.

[1]. Rajshri P.Damle, Smita A.Bora, Maya S.Vasaikar The Cyto-histopathological evaluation of breast lesions in a tertiary care hospital- A two years study IP Archives of Cytology and Histopathology Research, January-March 2019;4(1):41-46
[2]. Mulazim Hussain Bukhari1, Madiha Arshad,1 Shahid Jamal,2 Shahid Bashir,3 Irfan M. Bakshi,1 and Shaharyar1 Use of Fine-Needle Aspiration in the Evaluation of Breast Lumps Volume 2011, Article ID 689521, 10 pages.
[3]. Adetola Olubunmi Daramola,1 Mosebolatan Olatokunboh Odubanjo,1 Fred John Obiajulu,2 Nzechukwu Zimudo Ikeri, 2 and Adekunbiola Aina Fehintola Banjo1Correlation between Fine-Needle Aspiration Cytology and Histology for Palpable Breast Masses in a Nigerian Tertiary Health Institution Volume 2015, Article ID 742573, 5 pages.
[4]. Prem Singh1, Manish Chaudhry1, Samal Nauhria 1, Deepika Rao2 Cytomorphological patterns of breast lesions diagnosed on fine-needle aspiration cytology in a tertiary care hospital International Journal of Medical Science and Public Health |2015|Vol 4| Issue 5.
[5]. Aamir SharifI, Tahira TabassumI, Muhammad Riaz2, Muhammad Akram3 and Naveed Munir4 Cytomorphological patterns of palpable breast lesions diagnosed on fine needle aspiration cytology in females European Journal of Inflammation Volume |8: |-8

Abstract: Using a tourniquet to produce a blood free surgical field is accepted by everyone in surgery. There is a need for information about the systemic and local effects of tourniquet use in persons of good physical status. For a proper functional state, the peripheral tissues depend on an adequate supply of oxygen and an adequate microcirculation. Tourniquet application causes increase in systemic blood pressure, central venous pressure and heart rate. When we release the tourniquet reactive anaerobic metabolites are released into the circulation which cause vasodilatation in the capillaries of the muscles. When we apply tourniquet the temperature of that particular limb falls due to absent blood supply and when it is released this cold blood enters into the general circulation .The core temperature as a result.....

[1]. Junge B, Hoffmeister H, Feddersen HM, Rocker L. Standardisation of obtaining blood samples: influence of tourniquet application on 33 constituents of blood and serum. Dtsch Med Wochenschr 1978;103:260–5.
[2]. Thompson JM. Blood collection and preparation: preanalytical variation. In: Jesperson J, Bertina RM, HaverkateF, editors. ECAT assay procedure. A manual of laboratory techniques. Dordrecht: Kluwer Academic Publishers, 1992:13–20.
[3]. McNair P, Nielsen SL, Christiansen C, Axelsson C. Gross errors made by routine blood sampling from two sites using a tourniquet applied at different positions. Clin Chim Acta 1979;98:113–8.
[4]. ECSH Expert Panel on Blood Rheology, Guidelines for Measurement of Blood-Viscosity and Erythrocyte Deformability. Clin Hemorheol 1986;6:439–53.
[5]. Connes P, Uyuklu M, Tripette J, Boucher JH, Beltan E, Chalabi T, et al. Sampling time after tourniquet removal affects erythrocyte deformability and aggregation measurements. Clin Hemorheol Microcirc 2009;41:9–15.