iosr-JDMS   Volume-23 ~ Issue-11 ~ November 2024

Abstract: Bacground: Burn injury is one of the most severe traumas a person can experience and a life threatening state in which all of the main integrating systems in the body are affected. Burn injury is the globally occurring health problem leading to high disability, disfigurement & dependency. Objectives: Assessment of Quality of life of burn injury patients. Study design: Longitudinal study Study Settings: Burn & Plastic Surgery ward, Deptt of Surgery, B R D Medical College, Gorakhpur Study Period: March 2024 to October 2024.....

1. Understand the feelings of sufferer.
2. Allow the patient to do things whatever he/she wants.
3. Don't take the anger or other feelings personally.
4. Encourage the patient to resume interest or activities as early as possible.
5. Psychosexual counselling of spouse should be done.

Abstract: Background: Intraosseous cavernous hemangioma is exceptionally located in the mastoid. This benign tumor, which arises from the intrinsic vascularization of the bone, develops slowly over many years and remains generally asymptomatic. Case presentation: A 53-years-old female patient presented to the out-patient clinic of ENT-HNS department of Avicenna Military hospital of Marrakesh, with 10 years history of slow growing retro-auricular mass with no other complains. Clinical examination revealed a hard and painless mass located on the right mastoid process , fixed to deep mastoid fascia......

Keywords: intraosseous cavernous hemangioma, mastoid, mastoidectomy, external radiotherapy.

[1] Corr P. Multiple Calvarial Haemangiomas. Australas Radiol 2000;44:118—20.
[2] Peterson DL, Murk SE, Story JL. Multifocal Cavernous Hemangioma Of The Skull: Report Of A Case And Review Of The Literature. Neurosurgery 1992;30:778—81.
[3] Heckl S, Aschoff A, Kunze S. Cavernomas Of The Skull: Review Of The Literature 1975—2000. Neurosurg Rev 2002;25: 56—62.
[4] Wyke BD. Primary Hemangioma Of The Skull, A Rare Cranial Tumor. Review Of The Literature And Report Of A Case, With Special Reference To The Roentgenographic Appearances. Am J Roentgenol 1949;61:302—16.
[5] Ajja A, Oukacha N, Gazzaz M, Akhaddar A, Elmostarchid B, Kadiri B, Et Al. Cavernous Hemangioma Of The Parietal Bone. A Case Report. J Neurosurg Sci 2005;49:159—62.

Abstract: Background: Epidural anaesthesia is preferred technique for the patients undergoing lower abdominal surgery, owing to its ability to provide perioperative anaesthesia as well as postoperative analgesia. Ropivacaine has emerged as a possible replacement of Bupivacaine because of its favorable clinical profile. Neuraxial adjuvants augment the action of local anaesthetics and allows reductions of anaesthetic and analgesic requirement. Aim: Comparison of onset and duration of sensory-motor block, and any adverse effect of Epidural block of 0.5% ropivacaine (2mg/kg) versus 0.5% ropivacaine (2mg/kg) with clonidine (0.75microgram/kg).......

Keywords: Total abdominal hysterectomy, Epidural anaesthesia, Ropivacaine, Clonidine

[1] Mcclellan Kj, Faulds D. Ropivacaine: An Update Of Its Use In Regional Anesthesia Drugs. 2000; 60:1065–93.
[2] Landau R, Schiffer E, Morales M, Savoldelli G, Kern C. The Dose-Sparing Effect Of Clonidine Added To Ropivacaine For Labor Epidural Analgesia. Anesth Analg. 2002; 95:728–34.
[3] Gabriel Js, Gordin V. Alpha 2 Agonists In Regional Anesthesia And Analgesia. Curr Opin Anaesthesiol. 2001; 14:751–3.
[4] Saravana Babu M, Verma Ak, Agarwal A, Tyagi Cm, Upadhyay M, Tripathi S. A Comparative Study In The Post-Operative Spine Surgeries: Epidural Ropivacaine With Dexmedetomidine And Ropivacaine With Clonidine For Post-Operative Analgesia. Indian J Anaesth. 2013; 57:371–6.
[5] Hayashi Y, Maze M. Alpha2 Adrenoreceptor Agonists And Anaesthesia. Br J Anaesth. 1993; 71:108–18.

Abstract: Benign bone tumors are non-malignant neoplasms that can affect all parts of the skeletal system. Surgical treatment remains the primary approach. The first stage of surgical treatment may involve: A simple or wide excision for extraosseous tumors......

Keywords: allograft, bone bank, benign bone tumor, reconstruction

[1] Carlos Dos,Remedios Interest Of Tutogen Bone Allograft In Surgery Of Extensive Articular Enchondromas Of The Hand. About 4 Cases - 03/01/17 Doi : 10.1016/J.Hansur.2016.10.164 La Rochelle, France
[2] Delahaut Olivier Allografts In Orthopedics. Orthopedics Department. Chu Charlesroi Cube Rasme .Consilio 2013/3
[3] Francois Gouin, Vincent Creen Reconstruction Following Shoulder Resection For Bone Tumor. Author Links Open Overlay Panel Volume 101, Issue 10, November 2014, Pages 951-957
[4] Guigala. V., J.-B. Pialat B, N.Vilayphiou C, E. Deshayes D, C.Rizzo A, A.Gazarianae Bone Quality Evaluation In Allograft Hand Transplant Doi: 10.1016/ J. Main.2010 10.008
[5] Jean-Luc Raynier.

Abstract: Oral contraceptive pills are widely used for birth control, but they have been associated with various hepatic disorders. This article presents a unique case of the simultaneous occurrence of Budd-Chiari syndrome and peliosis hepatis, which is likely attributed to long-term use of oral contraception. The case involves a 38-year-old woman with a history of oral contraceptive use since adolescence who initially consulted for abdominal ascites.

[1] Dixon Ph, Wadsworth Ca, Chambers J, Donnelly J, Cooley S, Buckley R, Et Al. Acomprehensive Analysis Of Common Genetic Variation Around Six Candidate Loci For Intrahepatic Cholestasis Of Pregnancy. Am J Gastroenterol 2014;109(1):76–84.
[2] Murad Sd, Plessier A, Hernandez-Guerra M, Et Al. Etiology, Management, And Outcome Of The Budd-Chiari Syndrome. Ann Intern Med 2009;151(3):167–75.
[3] Valla D-C, Condat B. Portal Vein Thrombosis In Adults: Pathophysiology, Pathogenesis And Management. J Hepatol 2000;32(5):865–71.
[4] Schonberg La. Peliosis Hepatis And Oral Contraceptives. A Case Report. J Reprod Med 1982;27:753_6.
[5] Staub Pg, Leibowitz Cb. Peliosis Hepatis Associated With Oral Contraceptive Use. Australas Radiol 1996;40:172_4.

Abstract: Infections of the central nervous system (CNS), such as meningitis and encephalitis, are associated with high morbidity and mortality. The role of reactive oxygen species (ROS) and the inflammatory response in CNS infections is well documented. Uric acid, a natural scavenger of peroxynitrite, may play a role in reducing brain inflammation. This study aims to explore the relationship between serum uric acid levels and CNS infections to evaluate its potential as a prognostic tool....

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Abstract: "Rusty pipe syndrome" is a condition in a primiparous woman who presents with bilateral bloody nipple discharge in the early postpartum period. Its prevalence is low and can occur due to physiological condition that arises primarily in primiparous women with increased alveolar and ductal vascularization associated with the onset of lactation. Here, we report a case of a 29-year-old primiparous who presented with bilateral painless bloody nipple discharge after delivery. Her breast examination showed no signs of infection or structural changes with no symptoms other than bloody nipple discharge. Eight days after the onset of lactation, the bloody nipple discharge ceased and patient advised to continue lactation.

Keywords: Rusty Pipe Syndrome, Bloody Nipple Discharge, Primiparous, Postpartum

[1] Merlob P, Aloni R, Prager H, Mor N, Litwin A. Blood-Stained Maternal Milk: Prevalence, Characteristics And Counselling. Eur J Obstet Gynecol Reprod Biol. 1990;35:153–7. [Pubmed] [Google Scholar]
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Abstract: Fistula in ano is an abnormal communication between anal canal or rectum and perianal skin which causes chronic inflammatory response, explained by Park's Cryptoglandular theory. Main complaint of patient is intermittent or constant discharge. There is a history of pain, swelling, recurrent abscess that ruptured spontaneously, surgically drained. DRE, proctoscopy remains main stay of diagnosis in anorectal fistulas. Surgery is mainstay, aim to cure while preserving sphincter mechanism & prevent recurrence......

[1] Nelson Rl, Abcarian H. Epidemiology, Incidence And Prevalence Of Fistula In Ano. In: Anal Fistula Edn: Springer; 2014: 1–3. [Google Scholar]
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[4] Bubbers Ej. Cologne Kg. Management Of Complex Anal Fistulas. Clin Colon Rectal Surg 2016; 29: 43–49. [Pmc Free Article] [Pubmed] [Google Scholar]
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Abstract: Introduction: The important modifiable behavioural risk factors for NCDs are tobacco use, physical inactivity, unhealthy diet and harmful use of alcohol. To reduce the burden of NCDs there is a need for awareness of the above, behavioural change and knowledge for early healthcare seeking. This study is set to identify and compare the awareness of NCDs in rural and urban adults. Methodology: This is a descriptive cross-sectional study involving a convenient sample of 100 adults each (aged between 30 to 45 years) attending the Rural Health Center and Urban Health Center of a medical college. Using a predetermined questionnaire, an overall......

Keywords: Life style diseases, NCDs, Risk factors, Behaviour change. Urban, Rural

[1] Disease Burden Initiative In India, India State-Level Disease Burden Initiative, The Institute For Health Metrics And Evaluation (Ihme), Indian Council Of Medical Research (Icmr) And Public Health Foundation Of India (Phfi), 2017. Available At Https://Www.Healthdata.Org/Research-Analysis/Health-By-Location/Disease-Burden-Initiative-India
[2] Kumar A, Gangwar R, Ahmad Zargar A, Kumar R, Sharma A. Prevalence Of Diabetes In India: A Review Of Idf Diabetes Atlas 10th Edition. Curr Diabetes Rev. 2023 Apr 13. Doi: 10.2174/1573399819666230413094200. Epub Ahead Of Print. Pmid: 37069712.
[3] Icmr, Status Of Non-Communicable Diseases (Ncds) In India, "India: Health Of The Nation's States"- Ministry Of Health And Family Welfare, 2022, Available At Https:// Www.Pib.Gov.In/ Pressreleaseiframepage.Aspx?Prid=1796435
[4] Srivasatava R, Gupta A, Chinnakali P, Prabhakaran Ao Et Al, Awareness About Non-Communicable Diseases And Role Of Nutrition Among An Urban Resettlement Population Of Delhi, The Indian Journal Of Nutrition And Dietetics, 2014, 51:429
[5] Bulus Gk, Community Awareness On Non-Communicable Diseases. Https://Www.Academia.Edu/27733189/Community_Awareness_On_Non_Communicable_Diseases?Auto=Download

Abstract: Introduction: Organ Donation & Transplantation (OTD) is of paramount importance and holds crucial place in today's era. There is no alternative to Organ Donation & Transplantation in clinical scenarios like Dilated Cardiomyopathy, Chronic Kidney Disease, Fulminant Liver Cirrhosis, etc. Today's healthcare professional students will be tomorrow's responsible healthcare service providers. This study is undertaken to know the details of Knowledge, Attitude & Practice (KAP) amongst healthcare students of Northern Maharashtra. Aim & Objectives:.....

Keywords: Organ Donation and Transplantation, Knowledge, Attitude & Practice, OTD, KAP

[1] Jawoniyi O, Gormley K, Mcgleenan E, Noble HR. Organ Donation And Transplantation: Awareness And Roles Of Healthcare Professionals-A Systematic Literature Review. J Clin Nurs. 2018 Mar;27(5-6):E726-E738. Doi: 10.1111/Jocn.14154. Epub 2018 Jan 15. PMID: 29098739.
[2] The Lancet Regional Health-Southeast Asia. Organ Transplantation In India: Needs A Bigger Push. Lancet Reg Health Southeast Asia. 2024 Feb 9;21:100366. Doi: 10.1016/J.Lansea.2024.100366. PMID: 38361597; PMCID: PMC10866917.
[3] Girlanda R. Deceased Organ Donation For Transplantation: Challenges And Opportunities. World J Transplant. 2016 Sep 24;6(3):451-9. Doi: 10.5500/Wjt.V6.I3.451. PMID: 27683626; PMCID: PMC5036117.
[4] Figueroa CA, Mesfum ET, Acton NT, Kunst AE. Medical Students' Knowledge And Attitudes Toward Organ Donation: Results Of A Dutch Survey. Transplant Proc. 2013 Jul-Aug;45(6):2093-7. Doi: 10.1016/J.Transproceed.2013.02.135. PMID: 23953518.
[5] Symvoulakis EK, Rachiotis G, Papagiannis D, Markaki A, Dimitroglou Y, Morgan M, Hadjichristodoulou C, Jones R. Organ Donation Knowledge And Attitudes Among Health Science Students In Greece: Emerging Interprofessional Needs. Int J Med Sci. 2014 Apr 25;11(6):634-40. Doi: 10.7150/Ijms.8686. PMID: 24782654; PMCID: PMC4003550..

Abstract: Purpose: To evaluate and compare the effects of the strain-counterstrain technique and neural flossing technique on pain, neck dysfunction, cervical ROM, and postural alignment in patients with trapezitis.
Methods: A randomized controlled trial was conducted with 30 participants diagnosed with bilateral trapezitis. Subjects were randomly allocated into two groups: strain-counterstrain (SCS) and neural flossing (NF), using a convenience sampling method. Each group received a 2-week intervention (3 sessions per week, 30 minutes per session). Pre- and post-treatment assessments were made for pain, neck disability (NDI), cervical ROM, and postural alignment.......

Keywords: Trapezitis, strain-counterstrain, neural flossing, cervical range of motion, neck dysfunction, postural alignment, pain management

[1] A.Kumaresan, G.Deepthi, Vaiyapuri Anandh,And S.Prathap (2012). Effectiveness Of Positional Release Therapy In Treatment Of Trapezitis. International Journal Of Pharmacutical Science And Health Care
[2] Alagesan J, Shah Us. Effect Of Positional Release Therapy And Taping On Unilateral Upper Trapezius Tender Points. International Journal Of Health And Pharmaceutical Sciences. 2012; 1(2):13-7.
[3] Kage, V.; Gurav, G. Effect Of Neural Flossing Technique On Pain, Cervical Range Of Motion And Functional Ability In Subjects With Acute, Sub-Acute Trapezitis: An Experimental Study. Int. J. Appl. Res. 2017,3, 818–822.
[4] Choudhary, Shumaila & Hussain, Dr.Mohammed & Moscovitch, Adam & Pandi-Perumal, Seithikurippu R. & Bahammam, Ahmed. (2018). Multimodal Physiotherapy Improves Pain, Functional Disability, Sleep Quality And Health Related Quality Of Life In Chronic Mechanical Neck Pain Patients.
[5] Mulla Nm, Kulkarni P, Kumar A. Immediate Effect Of Strain Counterstrain Technique Versus Muscle Energy Technique On Upper Trapezius Tenderness In Nonspecific Neck Pain. International Journal Of Science & Healthcare Research. 2021; 6(2): 289-298.