iosr-JDMS   Volume-21 ~ Issue-10 ~ Oct. 2022

Abstract: Minimal access surgery as a modality of treatment for various gynecological conditions is rapidly gaining grounds in the recent years. Although laparoscopic surgeries are widely performed, very few surgeons are performing Minimal Port Laparoscopic Hysterectomy. In this study, we have evaluated the safety and benefits of MINIMAL PORT LAPAROSCOPIC HYSTERECTOMY (MPLH). Minimal Port Laparoscopic Hysterectomy is Total Laparoscopic Hysterectomy (TLH) performed with using minimal ports i.e. only two operative ports at surgeon side and one Camera port. This new technique uses lesser number of ports, thus further reduces morbidity. Conventional......

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Abstract: The purpose of this research was to evaluate the physiology of normal swallowing utilizing current developments in real-time magnetic resonance imaging (MRI). As a result, ten young healthy volunteers were subjected to real-time MRI and flexible endoscopic swallowing evaluations (FEES) with thickened pineapple juice as an oral contrast bolus. MRI movies were captured at approximately 25 frames per second in sagittal, coronal, and axial orientations during successive swallows. Inter-measurement variance was investigated, as well as comparisons between real-time MRI and FEES. Real-time MRI could detect twelve separate swallowing events (start time, end time.....

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Abstract: Background:Compound wound management around the lower-third of the leg, and foot is a challenge faced by a majority of surgeons. There are many possibilities for coverage of defects in these regions such as skin graft, reverse muscle flap with skin graft, reverse fascial or adipofascial flap with skin graft, reversed flaps using a major artery and cross leg flap. Methods: Prospective study was carried out at our institute, compiling data for 02 years. At total of 20 patients with compound defect over the lower third of leg and foot were included in this study. Patients with diabetic ulcers, venous ulcers and neuropathic and trophic ulcers were excluded from our study. Results: We performed fasciocutaneous reverse sural artery flap in 20 patients, out of which 08 were used for reconstruction of lower third leg defects, 09 for foot defects and 03 for heel defects. Six patients underwent prior flap delay as the flap dimensions mandated.....

Keywords: Reverse sural artery flap; lower third leg defects; fasciocutaneous flap; ischemic preconditioning; vascular delay; delay phenomenon

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Abstract: Background: Teleradiology and digital imaging forms an integral part of the telemedicine concept. Teleradiology is becoming a mature technology because of advances in imaging technology, database design and communications infrastructure and capabilities. Increasing use of Digital imaging reflects the changing world of clinical practice, service delivery and technology. Objective: The aim of this study was to assess the utilization of Digital imaging and teleradiology among Radiographers and Radiologist and to also assess the available infrastructure in place at hospitals within Kaduna metropolis. Also to bring the attention of medical bioengineers to collaborate with the information technologist engineers within.....

Keywords: Digital imaging, Teleradiology, e-Health, Knowledge,Hospital, Nigeria

[1]. uffermann, W. F., Chetlen, A. L., Sharma, A., Colucci, A. T., Dequesada, I. M., Grajo, J. R., … Sherry, S. J. (2013). Mobile Computing for Radiology. Academic Radiology, 20(12), 1495–1505. https://doi.org/10.1016/j.acra.2013.09.009
[2]. Bargale, S., Ardeshana, A., Patel, N., Karri, A., Sikligar, S., & Tailor, B. (2017). Assessment of Digital and Conventional Radiographic Practice amongst the private dental practitioner of Vadodara City. Int. J Oral Health Med Res, 3(6), 27–30. Retrieved from www.ijohmr.com
[3]. Binkhuysen, F. H. B., & Ranschaert, E. R. (2011). Teleradiology : Evolution and concepts. European Journal of Radiology Journal, 78, 205–209. https://doi.org/10.1016/j.ejrad.2010.08.027
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[5]. Blaya, J., Holt, B., & Fraser, H. S. F. (2008). Evaluations of the Impact of eHealth Technologies in Developing Countries : A Systematic Review Methods. usa.

Abstract: Background:Sepsis is defined as a 'life-threatening organ damage as a result of dysregulated host immune response" (Singer, M., et al 2016) represented by increasing of patients'sequential organ failure assessment score by 2points or more. According to CDC approximately 1.7 million adults develop Sepsis each year leading to 2.7 lac deaths annually. Globally it is estimated 31.5 million sepsis and 19.4 million cases of severe sepsis with 5.3 million deaths annually. Sepsis is a very serious illness but can be particularly devastating for the elderly aged > 65years and is 13 times more likely to be hospitalized compared to adults < 60years. Sepsis and septic shock can result from infection anywhere in the body such as pneumonia, influenza or UTI.As per report on the medical certification of death 2015......

Keywords: Sepsis, qSOFA, HDL(High Density Lipoprotein).

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Abstract: Background: Intrahepatic cholestasis of pregnancy (IHCP) is the most common pregnancy related liver disorder. It typically presents with troublesome itching and can lead to complications for both mother and fetus. The maternal and fetal outcomes in parturients with intrahepatic cholestasis of pregnancy have been retrospectively documented. Thus, we aimed to assess risk factors associated with IHCP as well as maternal and fetal outcome in pregnancy associated with IHCP who underwent delivery at our Zonal Military Hospital. The study was conducted during a last one year period from JAN 2021 to DEC 2021. Methods: This hospital based retrospective analytical observational study enrolled 65 subjects with IHCP and immediately next 65 normal.....

Keywords: Fetal complications, Fetal outcome, Intra-hepatic cholestasis of pregnancy (IHCP), Maternal outcome, Pregnancy

[1]. Van Wettere AJ. Histologic patterns of hepatotoxic injury. Comprehensive Toxicol. 2018;2:97-136.
[2]. Kenyon AP, Piercy CN, Girling J, Williamson C, Tribe RM, Shennan AH. Pruritus may precede abnormal liver function tests in pregnant women with obstetric cholestasis: a longitudinal analysis. BJOG. 2001;108(11):1190-2.
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Abstract: Background: GDM is defined as glucose intolerance first diagnosed during pregnancy or onset occurs during pregnancy. Diabetes and hypothyroidism are the two most common endocrine abnormalities during pregnancy. Diabetes is the most common metabolic disease associated with elevated blood glucose levels and metabolic alterations. Thyroid hormones plays an important role in glucose metabolism , growth and maturation in fetus. Materials and methods: In this case control study, 31 GDM women and 31 normal pregnant women in 24-28 weeks of gestation were included. 5 ml of venous blood was collected and analysed for thyroid profile and routine biochemical investigations. The levels of thyroid profile was analysed by using Elisa kit. Statistical analysis was done by student "t" test......

Keywords: Gestational diabetes mellitus, FT3, FT4, TSH

[1]. Zhu Y, Zhang C. Prevalence of Gestational Diabetes and Risk of Progression to Type 2 Diabetes: a Global Perspective. Curr Diab Rep [Internet]. 2016 Jan 1 [cited 2022 May 3];16(1):1–11. Available from: https://link.springer.com/article/10.1007/s11892-015-0699-x
[2]. Chudasama RK, Kadri AM, Ratnu A, Jain M, Kamariya CP. Magnitude of gestational diabetes mellitus, its influencing factors and diagnostic accuracy of capillary blood testing for its detection at a Tertiary Care Centre, Rajkot, Gujarat. Indian J Community Med [Internet].
[3]. Risk of type 2 diabetes mellitus after gestational diabetes mellitus : a systematic review and meta analysis indian j Med Res 154.july 2021,pp 62-77.doi:10.4103/ijmr.IJMR_852_18
[4]. Low Thyroid Hormone in Early Pregnancy Is Associated With an Increased Risk of Gestational Diabetes Mellitus Shuai Yang,Feng-Tao Shi, Peter C. K. Leung, He-Feng Huang,and Jianxia Fan, J Clin Endocrinol Metab 101: 4237– 4243, (2016)
[5]. Thyroid Dysfunction in Pregnant Women with Gestational Diabetes Mellitus. Safian S, Esna-Ashari F, Borzouei S. Curr Diabetes Rev. 2019 Dec 24;16(8):895–9.

Abstract: A rare case of an anomalous origin of left pulmonary artery without sling formationin a child on computed tomography pulmonary angiogram.

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Abstract: Background: Myopia is a common disorder estimated to affect approximately 1.6 billion people worldwide. It is defined as a refractive condition in which the image of a distant object is formed anterior to the retina of the unaccommodated (relaxed) eye. Objective:Evaluation of anti–vascular endothelial growth factor therapy in myopic choroidal neovascularization using optical coherence tomography angiography by detecting the changes of shape, size, and flow area. Patients and methods:The study was conducted on 20 myopic eyes (11 left, 9 right) at 20 patients who were referred to the ophthalmologic clinic, faculty of medicine, Menoufia University during the period from February 2021 till April 2022.......

Keywords:Optical coherence tomography angiography, Anti–vascular endothelial-GF, Myopic choroidal neovascularization

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