iosr-JDMS   Volume-22 ~ Issue-1 ~ January 2023

Abstract: Background: Peyronies disease (PD) is a localised penile fibrotic disease which impairs men's health physiologically and also psychologically. It is manifested by a palpable penile scar, painful erection, and deformity. Different modalities of nonsurgical treatment options exist, among which the injection of pharmacologically active agents directly into the penile plaque results in localized delivery and higher drug concentrations inside the plaque. With this rationale the study is planned to compare the effectiveness of combination of intralesional injection of triamcinolone, hyaluronidase, with daily oral vitamin E and without vit. E in the treatment of PD. Methods: Total 16 Patients with PD presenting at our OPD RIMS RANCHI from December 2020 to December 2022 were included in the study after obtaining the informed consent. They were divided into 2 groups (group A and group B)..............

Keywords: Peyronies Disease, Intralesional triamcinolone, Vitamin E, IIEF-15 score.

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Abstract: Purpose of Study and Research Objectives: 1. To aggregate data on PCR confirmed cases of SARS-CoV-2 infection to clearly identify the clinical characteristics of COVID-19 disease in different age groups. 2. To determine if there are any differences in the clinical presentation of COVID-19 in Children, Adults and Older Adults.3.To review published literature on (i) why some are more susceptible than others to severe infection and outcome (ii) what are the long term-effects of SARS-CoV-2 infection. Method: One database search (PubMed, Medline) was conducted using only PCR-confirmed cases of SARS-CoV-2 infections to collect data on the clinical manifestations of COVID-19reported from 2019-2021. Data was extracted from the results, figures and tables of studies which met the selection criteria. Studies unavailable in English, without PCR confirmed cases and which combined the symptoms of children and adults were excluded.............

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Abstract: Introduction: Appendicectomy is associated with several postoperative complications like surgical site infection, adhesive small bowel obstruction, wound dehiscence, etc. Complicationrate is 10- 19% for acute appendicitis without perforation and can reach upto 30% for perforated acute appendicitis. The low threshold for surgical intervention has increased the incidence of negative appendicectomy with unnecessary complications. Aim and Objective: To evaluate the clinical outcome of conservative management in patients of acute appendicitis and compare it with standard open appendicectomy.......

Keywords: Appendicectomy, Acute Appendicitis, Management..

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Abstract: Ileosigmoid knotting (ISK), also known as compound volvulus is the twisting of the ileum around the base of the sigmoid or vice versa [1, 2]. It is an unusual and rare cause of intestinal obstruction [3, 4]. It is a surgical emergency with very high morbidity and mortality because of its rapid progression to gangrene of the part involved [5].In this condition, loops of ileum wrap around the base of a redundant sigmoid colon to form a "knot". The knot causes intestinal obstruction and gangrene which usually presents as acute abdomen. Its incidence is higher in males in 4th decade of life and in culture where single meal is eaten. Most cases have been described in Africa, Asia and.....

Keywords: Ileosigmoid knot, volvulus, obstruction.

[1]. Sangwan M, Sangwan V, Garg MK, Mutreja J, Singla D, Gautam D. Ileosigmoid knotting: a rare case report with review of literature. J Surg Case Rep 2015;2015.
[2]. Atamanalp SS. Ileosigmoid knotting. Eurasian J Med 2009;41:116-9.
[3]. Alver O, Oren D, Tireli M, Kayabasi B, Akdemir D. Ileosigmoid knotting in Turkey: review of 68 cases. Dis Colon Rectum 1993;36:1139-47.
[4]. Lee SH, Park YH, Won WS. The Ileosigmoid knot: CT findings. AJR Am J Roentgenol 2000;174:685-7.
[5]. Mandal A, Chandel V, Baig S. Ileosigmoid knot. Indian J Surg 2012;74:136-42.

Abstract: Aims & Objectives:-
• To evaluate the importance of CT in diagnosing the presence of upper gastrointestinal pathology.
• To evaluate the nature and extent of disease in patients with known upper gastrointestinal lesions and determining the presence, location, and severity of complications associated with primary upper gastrointestinal pathology.
Material and Methods :- Study was conducted in GCS medical college, Ahmedabad and included patients with clinically suspected upper GI tract pathology..............

Key Word: Computed tomography, Duodenum , Esophagus , Stomach ,Upper gastrointestinal tract.

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Abstract: Asthma is the most common chronic illness of childhood, affecting approximately 10% of children, Worldwide, the prevalence of childhood asthma and hospitalization for it are increasing.(1)
• Like many other chronic disorders, and childhood asthma is likely to have an impact on the social and emotional aspects of life of children and parents.
• Children with asthma, particularly those who are newly diagnosed and/or have poor disease control, may be less physically active than healthy children

[1]. Ducharme F, di Salvio F – Anti-leukotriene agents compared to inhaled corticosteroids in the management of recurrent and/or chronic asthma in adults and children. The Cochrane Library2008, Issue 4.
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Abstract: The authors received no financial support for the research, authorship, and/or publication of this article. Summary: The idiopathic illness known as central serous chorioretinopathy (CSCR) is characterized by a serous detachment of the neurosensory retina in the macular area. A number of risk factors have been reported to be associated with the condition including stress, steroids, pregnancy, Cushing's syndrome, hypertension, systemic lupus erythematosus, antibiotic and alcohol use, and allergic respiratory disease. We report a case of CSCR in a woman during the first trimester of pregnancy, with spontaneous resolution of symptoms after delivery.

Key Word: central serous chorioretinopathy; pregnancy; ocular manifestations.

........

Abstract: Background: - HIV-AIDS is a most common global pandemic associate with destruction of human immunity and presents with various symptoms of infection like fever, cough, dyspnoea, lymphadenopathy and skin rash. Prolonged fever is a common presenting symptom in HIV infected individual. This presentation should not be ascribed to HIV infection itself and should be vigorously investigated to find a cause. For that reason, we conducted this study to find out most common infective aetiology in patients of HIV. Methods: - It is a prospective observational study which was carried out in SMIMER Hospital, Surat, Gujarat, India over a period of 21 months from November 2020 to August 2022. It is a prospective observational study. All the HIV positive patients of age more than 12 years who admitted with fever (>=100F) are included in the study and other HIV negative patients with Fever...........

KEY WORDS: Fever, Tuberculosis, CD4 Count, Mycobacteria, HIV

[1]. Miller RF, Hingorami AD, Foley NM. Pyrexia of undetermined origin in patients with human immunodeficiency virus infection and AIDS. International journal of STD & AIDS. 1996 May 1;7(3):170-5. [2]. Holtzclaw BJ. Managing fever in HIV disease. Journal of the Association of Nurses in AIDS Care. 1998 Jul 1;9(4):97-102. [3]. Florence E, Bottieau E, Lynen L, Colebunders R. Patients with HIV infection and fever: a diagnostic approach. Acta Clin Belg. 2002;57(4):184-90. [4]. Kumarasamy N, Solomon S, Paul SJ, Venilla R, Amalraj RE. Spectrum of opportunistic infections among AIDS patients in Tamil Nadu, India. International journal of STD & AIDS. 1995 Nov;6(6):447-9. [5]. Nair SP, Moorty KP, Suprakasan S. Clinico-epidemiological study of HIV patients in Trivandrum. Indian Journal of Dermatology, Venereology, and Leprology. 2003 Jan 3;69(2):100.

Abstract: PURPOSE OF PROJECT: Anaemia in women with childbearing age affects more than 50% women, and hyperglycaemia in pregnancy is also a rampant problem for women in the Indian subcontinent. Pregnancy alters the red cell indices and so does hyperglycaemia. There thus arises the need for determining the best correlating factor of the red cell indices to detect/ grade iron deficiency in pregnant women with hyperglycaemia. METHOD USED: In women with hyperglycaemia in pregnancy, serum ferritin and RBC indices were tested and compared to find the best correlating factor for iron deficiency in these women............

Keywords: Red cell indices, MCV, MCH, MCHC, RDW, iron deficiency, hyperglycaemia in pregnancy, OGCT, best correlating RBC index, sensitivity.

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Abstract: Background: In recent years, hospital acquired infections (HAI) has emerged as the most common adverse events in delivery of healthcareCatheter Associated Urinary Tract Infections (CA-UTI) contribute 30%-40% of all the HAI and they are associated with substantially increased institutional death rates.The present study was conducted at a rural tertiary care academic hospital with an aim to study the rate of catheter associated urinary tract infection with special emphasis on its clinical and microbiological features. Materials and Methods:For the purpose of CAUTI surveillance the definitions of CDC's National Nosocomial Infections Surveillance (NNIS)systemcriteria,were used..........

[1]. Sachin C. Deorukhkar and Santosh Saini "Medical Device-Associated Candida Infections in a Rural Tertiary Care Teaching Hospital of India"Interdisciplinary Perspectives on Infectious Diseases Interdisciplinary Perspectives on Infectious Diseases Volume 2016, Article ID 1854673, 5 pages
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