iosr-JDMS   Volume-23 ~ Issue-3 ~ March 2024

Abstract: In december 2019 in wuhan, china, a new type of coronavirus emerged, named by the world health organization as sars-cov-2, causing the disease covid-19. In a short time, this virus spread and caused the biggest pandemic of the 21st century. Due to this pandemic scenario, numerous researches were carried out on sars-cov-2, concluding that this virus is an enveloped rna virus with a genome consisting of a single-stranded positive-sense rna molecule. Work was carried out on the development of vaccines against covid-19, with the coronavac, astrazeneca/oxford, pfizer/biontech and janssen vaccines being approved in brazil. However, a portion of the population questions how these vaccines work and whether there really are more benefits than harm to their application. This article aims to analyze......

Keywords: covid-19; vaccination; ribeirão preto

[1] Edouard Mathieu, Hannah Ritchie, Lucas Rodés-Guirao, Cameron Appel, Charlie Giattino, Joe Hasell, Bobbie Macdonald, Saloni Dattani, Diana Beltekian, Esteban Ortiz-Ospina And Max Roser (2020) - "Coronavirus Pandemic (Covid-19)". Published Online At Ourworldindata.Org. Retrieved From: 'Https://Ourworldindata.Org/Coronavirus'
[2] Galhardi, Cláudia Pereira Et Al. Fake News E Hesitação Vacinal No Contexto Da Pandemia Da Covid-19 No Brasil. Ciência & Saúde Coletiva [Online]. 2022, V. 27, N. 05, Pp. 1849-1858. Disponível Em:
<Https://Doi.Org/10.1590/1413-81232022275.24092021 Https://Doi.Org/10.1590/1413-81232022275.24092021en>. Epub 04 Maio 2022. Issn 1678-4561.
Https://Doi.Org/10.1590/1413- 81232022275.24092021.
[3] Maciel, Ethel Et Al. A Campanha De Vacinação Contra O Sars-Cov-2 No Brasil E A Invisibilidade Das Evidências Científicas. Ciência & Saúde Coletiva [Online]. 2022, V. 27, N. 03 , Pp. 951-956. Disponível Em: <Https://Doi.Org/10.1590/1413-81232022273.21822021>. Epub 11 Mar 2022. Issn 1678-4561. Https://Doi.Org/10.1590/1413-81232022273.21822021.
[4] Prefeitura Municipal De Ribeirão Preto [Internet]. Www.Ribeiraopreto.Sp.Gov.Br. /Saude/Boletim-Novo-Coronavirus-Covid-19
[5] Seis Fatos Sobre A Ômicron, A Variante Mais Transimissível Da Covid-19. Instituto Butantan, 2022. Disponível Em: Https://Butantan.Gov.Br/Noticias/Seis-Fatos-Sobre-A-Omicron-A-Variante-Mais-Transmissivel-Da-Covid-19.

Abstract: Background: HSP is named after Henoch and Schönlein, but William Heberden 1st described this disorder in the early 1800s.1 Major difference is that IgA vasculitis with nephritis occurs in children aged below 15 years, and IgA nephropathy is seen in patients aged above 15 years. IgA vasculitis with nephritis patients present with various extrarenal symptoms, but IgA nephropathy patients present with hematuria. Histology findings in IgA vasculitis with nephritis show capillary staining and glomerular injury more compared to IgA nephropathy. Environmental, genetic factors, and antigenic factors contribute to the cause of IgA vasculitis. And there was an association with HLA haplotypes......

Keywords: Henoch scholein purpura, IgA nephropathy, Haematuria, End stage renal disease, Vasculitis

[1] Trnka P. Henoch-Schönlein Purpura In Children. J Paediatr Child Health. 2013 Dec;49(12):995-1003. [Pubmed] [2] Rajasekaran A, Julian Ba, Rizk Dv. Iga Nephropathy: An Interesting Autoimmune Kidney Disease. Am J Med Sci. 2021 Feb;361(2):176-194. [Pmc Free Article] [Pubmed] [3] Selvaskandan H, Shi S, Twaij S, Cheung Ck, Barratt J. Monitoring Immune Responses In Iga Nephropathy: Biomarkers To Guide Management. Front Immunol. 2020; 11:572754. [Pmc Free Article] [Pubmed] [4] Sestan M, Jelusic M. Diagnostic And Management Strategies Of Iga Vasculitis Nephritis/Henoch-Schönlein Purpura Nephritis In Pediatric Patients: Current Perspectives. Pediatric Health Med Ther. 2023; 14:89-98. [Pmc Free Article] [Pubmed] [5] Reamy Bv, Williams Pm, Lindsay Tj. Henoch-Schönlein Purpura. Am Fam Physician. 2009 Oct 01;80(7):697-704. [Pubmed]

Abstract: Background: cognitive impairment and dementia are frequently seen in the end stage renal disease (esrd) population who were on maintenance hemodialysis. It negatively affects daily functioning ability, poorly affects health-related quality of life, and non-adherence to hemodialysis therapy. Saint louis university mental status exam (slums) can be a better cognitive impairment detecting tool than the mmse.as per our knowledge, no studies were done using the slums tool for the maintenance hemodialysis (mhd) population to analyze cognitive impairment.......

Keywords: cognitive impairment, maintenance hemodialysis (mhd), slums, esrd

[1] Gesualdo Gd, Duarte Jg, Zazzetta Ms, Et Al. Cognitive Impairment Of Patients With Chronic Renal Disease On Hemodialysis And Its Relationship With Sociodemographic And Clinical Characteristics. Dement Neuropsychol. 2017;11(3):221-226.
[2]
Manjula Kurella Tamura, Kristine Yaffe. Dementia And Cognitive Impairment In Esrd: Diagnostic And Therapeutic Strategies. Kidney Int. 2011; 79(1): 14–22.
[3]
Bugnicourt, Jean-Marc, Godefroy, Olivier, Et Al. Cognitive Disorders And Dementia In Ckd: The Neglected Kidney-Brain Axis. Journal Of The American Society Of Nephrology 24(3): P 353-363, March 2013.
[4] Gela D, Mengistu D. Self-Management And Associated Factors Among Patients With End-Stage Renal Disease Undergoing Hemodialysis At Health Facilities In Addis Ababa, Ethiopia. Int J Nephrol Renovasc Dis. 2018;11:329-336.
[5] Song Mk, Ward Se, Bair E, Et Al. Patient-Reported Cognitive Functioning And Daily Functioning In Chronic Dialysis Patients. Hemodial Int. 2015;19(1):90-99..

Abstract: Bilateral multilocular large epididymal cysts are a rare entity with few cases reported in the literature. Epididymal cysts are mostly found in middle-aged men with or without symptoms. We present the case of a 40-year-old man with asymptomatic bilateral scrotal swelling, which was clinically diagnosed as bilateral epididymal cyst. On investigations, an ultrasound of the scrotum revealed bilateral epididymal cysts with normal testes. Intraoperatively, it demonstrated bilateral huge epididymal cysts for which the patient underwent excision of bilateral epididymal cysts. Postoperatively, the patient is doing well on follow-up. Thus, it is concluded that when the epididymal cyst is larger than 1-2 cm and does not involute with time or is symptomatic, surgery is indicated.

Key Word: bilateral epididymal cyst, multilocular

[1] Arora Bk, Arora R, Arora A. A Randomised Study Of Management Modalities In Epididymal Cyst. Int Surg J. 2019;6(2):340-344.
[2] Fernández-Ibieta M, Villalon-Ferrero F, Ramos-García Jl. Benign Scrotal Tumor In A Pediatric Patient: Epididymal Cyst. Case Rep Urol. 2018; 2018:1-3.
[3] Posey Zq, Ahn Hj, Junewick J, Chen Jj, Steinhardt Gf. Rate And Associations Of Epididymal Cysts On Pediatric Scrotal Ultrasound. J Urol. 2010;184(4):1739-1742.
[4] Ushida H, Hayashida H, Kim Cj, Park Ki, Okada Y: Bilateral Synchronous Multilocular Epididymal Cysts: A Case Report. Jpn J Urol. 1999, 90:692-695. 10.5980/Jpnjurol1989.90.692 5. Akin Y, Sarac M, Basara I, Yucel S, Kazez A: Bilateral Epididymal Cyst In 14-Year-Old Boy: A Case Report. J Health Sci. 2014, 4:68-71. 10.17532/Jhsci.2014.150
[5] Boscarelli A, Bellini T: Epididymal Cyst In Children. Eur J Pediatr. 2021, 180:2723-2729..

Abstract: Urinoma is peripelvic extravasation of urine seen as a sequel of urinary trauma or stones. Urinoma is very rare in pregnancy. Urinoma can present as acute abdomen in pregnancy. Herewith, we are presenting a case of urinoma in pregnancy who presented to niloufer hospital, hyderabad at 12 weeks of gestation. We are describing how regular antenatal checkups, multidisciplinary approach throughout antepartum, intrapartum and postpartum period helped us in delivering a healthy baby together with keeping the mother in good health. Hence, prompt followup during antepartum, intrapartum and postpartum period using multidisciplinary approach helped in preventing adverse events.

[1] Maternal Urinoma During Pregnancy. Norichika Ushioda Et All. J Obstet Gynaecol Res. 2008 Feb;34(1);88-91
[2] Perinephric Urinoma Following Spontaneous Renal Rupture In The Third Trimester Of Pregnancy: A Case Report And Brief Review Of The Literature. Chen Y, Et Al. Bmc Pregnancy Childbirth. 2019. Pmid : 31852454
[3] Kramer Rl. Urinoma In Pregnancy. Obstet Gynecol 1983; 62: 26s-28s
[4] 4)Noe Hn, Raghavaiah Nv. Spontaneous Peripelvic Extravasation Of Urine During Pregnancy. South Med J 1980; 73: 809-810.
[5] 5)Hamoud K, Kaneti J, Smailowitz Z, Kroll D, Barki Y. Spontaneous Perinephric Urinoma In Pregnancy. Int Urol Nephrol 1994; 26: 643-646.

Abstract: Background:- The purpose of this study is to explore the diagnostic utility of colistin broth disk elution (CBDE) as a simple and reliable method of colistin susceptibility testing .OBJECTIVE:- This study was conducted to determine the colistin susceptibility testing of MDR Klebsiella pneumoniae by CBDE method in our pediatric super-speciality hospital.Introduction:- Colistin (polymyxin E) is a polymyxin antibiotic that is prescribed as an agent of last resort for the treatment of multidrug-resistant (MDR.....

Keywords: multidrug-resistant,colistinbrothdiskelution

[1] Simner Pj, Bergman Y, Trejo M, Roberts Aa, Marayan R, Tekle T, Campeau S, Et All. Two-Site Evaluation Of The Colistin Broth Disk Elution Test To Determine Colistin In Vitro Activity Against Gram-Negative Bacilli. J Clin Microbiol.2019 ;57(2):1163-81.
[2] Procop, Gary W. The Enterobacteriaceae .Koeman's Color Atlas And Textbook Of Diagnostic Microbiology.7thed.Jonathan Joyce, Philadelphia: Wolters Kluwer Health :2017;269-72.
[3] Apurba Sankar Sastry, Sandhya Bhat K. Enterobacteriaceae, Essentials Of Medical Microbiology , Chapter 29 ,1 307, Co- Editor Anandjanagond, First Edition: 2016, Nation Rl, Li J, Cars O, Couet W, Dudley Mn, Kaye Ks, Et Al. Framework For Optimisation Of The Clinical Use Of Colistin And Polymyxin B: The Prato Polymyxin Consensus. Lancet Infect Dis. 2015; 15:225–34.
[4] Nation Rl, Turnidge Jd, Milne Rw, Coulthard K, Rayner Cr, Et Al. Colistin: The Re-Emerging Antibiotic For Multidrug- Resistant Gram-Negative Bacterial Infections. Lancet Infect Dis. 2006; 6:589– 601.
[5] Koch-Weser J, Sidel Vw, Federman Eb, Kanarek P, Finer Dc, Eaton Ae. Adverse Effects Of Sodium Colistimethate. Manifestations And Specific Reaction Rates During 317 Courses Of Therapy. Ann Intern Med. 1970; 72:857–68

Abstract: Background: The Foramen magnum is an important landmark present at the base of the skull. The vital structures passing through it are medulla oblongata, meninges, anterior and posterior spinal arteries, vertebral arteries, and spinal accessory nerves. The foramen magnum dimensions are important because there may be compression of the structures during meningiomas, achondroplasia, and herniation. Hence thorough knowledge of foramen magnum is required. The development of a particular shape of the foramen magnum is explained based on embryology data. It may be caused.....

Key Word: Human skull, shape, foramen magnum, meningioma, achondroplasia

[1] Standring S, Borley NR, Collins P, Crossman AR, Gatzoulis MA, Et Al. Gray's Anatomy 40th Ed, London: Elsevier Ltd., 2008. 415,420,424,711
[2] Singh D, Patnaik P, Gupta N. Morphology And Morphometric Analysis Of The Foramen Magnum In Dried Adult Skulls In North Indian Region. Int J H Ealth Sci Res. 2019; 9(4):36-42.

Abstract: Background: Semen analysis has remained an objective, inexpensive, readily available an indispensable diagnostic tool in the evaluation of the male partners of infertile couples. This test has been standardized throughout the world through the World Health organization (WHO) by producing, editing, updating and disseminating a semen analysis manual and guidelines. Aim and Objectives...

Keywords: Male infertility, semen analysis, Azoospermia

[1] Abebe Ms, Afework M And Abaynew Y. Primary And Secondary Infertility In Africa: Systematic Review With Meta-Analysis.Fertil Res Pract 2020; 6(1): 20.
[2] Mahadeen A, Mansour A, Al-Halabi J, Et Al. Psychosocial Wellbeing Of Infertile Couples In Jordan. East Mediterr Health J 2018; 24(2): 169–176.
[3] Barratt Clr, Björndahl L, De Jonge Cj, Et Al. The Diagnosis Of Male Infertility : An Analysis Of The Evidence To Support The Development Of Global Who Guidance—Challenges And Future Research Opportunities. Hum Reprod Update 2017; 23(6):660–680.
[4] Practice Committee Of The American Society For Reproductive Medicine. Definitions Of Infertility And Recurrent Pregnancy Loss. Fertil Steril 2008; 90: 560.
[5] World Health Organization. Who Laboratory Manual For The Examination And Processing Of Human Semen,
Https://Www.Who.Int/Docs/Default-Source/ReproductiveHealth/Srhrdocuments/Infertility/Examination-And-Processing-Of-Humansemen-5ed-Eng.Pdf(2010, Accessed 10 August 2021).

Abstract: Conn's syndrome is a rare condition which is caused by increased aldosterone production with the culprit commonly being an aldosterone secreting adenoma of the adrenal gland. Conn's syndrome account for 0.05% to 2% of patients with secondary hypertension. Compared to primary hypertension, primary hyperaldosteronism causes more end-organ damage and is associated with excess cardiovascular morbidity, heart failure, stroke, non-fatal myocardial infarction, and atrial fibrillation. Cardiovascular morbidities can be mitigated by the means of simple and readily.......

Keywords: conn's syndrome, primary hyperaldosteronism, secondary hypertension, hypokalaemia

[1] Kaplan Nm. Hypokalemia In The Hypertensive Patient, With Observations On The Incidence Of Primary Aldosteronism. Ann Intern Med 1967; 66:10791090
[2] Rossi E, Regolisti G, Negro A, Sani C, Davoli S, Perazzoli F. High Prevalence Of Primary Aldosteronism Using Post-Captopril Plasma Aldosterone To Renin Ratio As A Screening Test Among Italian Hypertensives. Am J Hypertens 2002;15:896902.
[3] Conn Jw. 1955 Presidential Address. Part I, Painting Background. Part Ii, Primary Aldosteronism, A New Clinical Syndrome. J Lab Clin Med 1955; 45
[4] Higham Pd, Adams Pc, Murray A, Campbell Rw. Plasma Potassium, Serum Magnesium And Ventricular Fibrillation: A Prospective Study. Q J Med 1993; 86: 609617.
[5] Falase A. O. Akinkugbe O.O The Cardiovascular System In: A Compendium Of Clinical Medicine 3rd Ed. Spectrum Books 2007:21.

Abstract: Cone Beam Computed Tomography (CBCT) has changed the future for implant applications, providing in-depth 3D scans with much lower doses of radiation. CBCT as pre-and postoperative assessment enables clinicians to make highly accurate implant planning and placement. Unlike conventional CT scanners, this system offers several benefits, cost efficiency, compactness, and fine spatial resolution. Associated complications include removing of metal artifacts and the management of radiation dose. Continuous development is ongoing, aiming to improve image quality and dose reduction. AI in dentistry brings its transformation success with CBCT, offering more efficient diagnosis as well as personalized treatment

Keywords: Cone Beam, Computed Tomography, Dental Implants

[1]. Bornstein, M. M., Scarfe, W. C., Vaughn, V., & Jacobs, R. (2014). Cone Beam Computed Tomography In Implant Dentistry: A Systematic Review Focusing On Guidelines, Indications, And Radiation Dose Risks. International Journal Of Oral & Maxillofacial Implants, 29(Supplement), Pp. 55–77. Https://Doi.Org/10.11607/Jomi.2014suppl.G1.4
[2]. Bromberg, N., & Brizuela, M. (2023, April 19). Dental Cone Beam Computed Tomography. Statpearls - NCBI Bookshelf. Https://Www.Ncbi.Nlm.Nih.Gov/Books/NBK592390/
[3]. Brüllmann, D., & Schulze, R. (2015). Spatial Resolution In CBCT Machines For Dental/Maxillofacial Applications—What Do We Know Today? Dentomaxillofacial Radiology, 44(1), 20140204. Https://Doi.Org/10.1259/Dmfr.20140204
[4]. De Oliveira Pinto, M. G., Melo, S. L. S., Suassuna, F. C. M., Marinho, L. E., Da Silva Leite, J. B., Batista, A. U. D., Bento, P. M., & De Melo, D. P. (2021). Influence Of Field Of View (FOV) Size, Position Within The FOV, And Scanning Mode On The Detection Of Root Fracture And Observer's Perception Of Artifacts In CBCT Images. Dentomaxillofacial Radiology, 50(6), 20200563. Https://Doi.Org/10.1259/Dmfr.20200563
[5]. Dhopte, A., & Bagde, H. (2023). Smart Smile: Revolutionizing Dentistry With Artificial Intelligence. Cureus.
Https://Doi.Org/10.7759/Cureus.41227

Abstract: Infertility is a disease defined by the failure to achieve a clinical pregnancy even after 12 months or more of regular unprotected sexual intercourse. It affects 10-15 % of couples worldwide, 3.9 % in India and 11.1% in Kerala. WHO group II accounts for 85% of ovulatory dysfunction. Therefore we conducted this study to identify the potentially modifiable risk factors.......

[1] Hodin S: The Burden Of Infertility: Global Prevalence And Women's Voices From Around The World. Available From: Https://Www.Mhtf.Org [Accessed 19th August 2019].
[2] Fritz MA, Spheroff L. Female Infertility. In: Clinical Gynaecologic Endocrinology And Infertility. Eight Edition. New Delhi,India : Wolter Kluwer; 2011.P. 1137-1190. [3] Patel M, Patel N And Singh NK. Study Of PCOS And AMH In Infertile Women. European Journal Of Pharmaceutical And Medical Research. 2016;3(5):247-258.
[4] Mittal A, Yadav S, Yadav SS, Bhardwaj A, Kaur R, Singh P, Singh J. An Epidemiological Study Of Infertility Among Urban Population Of Ambala, Haryana. International Journal Of Interdisciplinary And Multidisciplinary Studies. 2015; Vol 2, No.4:124-130.
[5] Sadia S, Waqar F, Akhtar T. Characteristics Of Infertile Patients With Ovulatory Dysfunction And Their Relation To Body Mass Index. J Ayub Med Coll Abbottabad 2009;21(3):12-16. Available From: Http://Www.Ayubmed.Edu.Pk/JAMC/12 PAST/21-3/Sadia.Pdf.

Abstract: Background Endourology has relatively matured in the area of adult disease conditions but has remained largely under-developed with respect to paediatric endourology. This is mainly due to our resource-poor environment in developing countries. Cystoscopy is the endoscopic visualization of both the urethra and bladder while ureteroscopy is the visualization of the ureter. Both of these procedures are important in making a diagnosis or effecting a treatment.....

Keywords: cystoscope, paediatric, endourology

[1] Kim C, Docimosg. Use Of Laparoscopy In Paediatric Urology. Rev Urol 2005;7:215-23
[2] Dalia G, Paola M, Piergiorgio G. Instrumentation For Minimal Invasive Surgery In Paediatric Urology. Translational Pediatricsn 2016;5:
[3] Bratzler Dw, Dellinger Ep, Olsen Km Et Al. Clinical Practice Guidelines For Antimicrobial Prophylaxis In Surgery. Surg Infect (Larchmt). 2013;14(1):73-156.
[4] Bhanot N, Sahud Ag, Sepkowitz D. Best Practice Policy Statement On Urologic Surgery Antimicrobial Prophylaxis. Urology. 2009;74(1):236-237.
[5] Ramai D, Zakhia K, Etienne D, Reddy M. Philipp Bozzini. The Earliest Description Of Endoscopy. J Med Biogr. 2018;26(2):137-141.

Abstract: Background: Materials and Methods: Anemia is a global health problem. It affects almost one fourth of the world population but its prevalence is more in pregnant women and young children. It is an indicator of poor health and poor nutrition. It is associated with increased mortality and morbidity among children. If not identified and treated at this stage it will affect physical growth ,mental development, school performance and immunity during their childhood. As there is less availability of data on anemia in hospitalized infants this study has undertaken to determine the morphological patterns of anemia, it's severity and distribution according to sex among the hospitalized infants......

Key Word: Infants, Anaemia, teriary centre

[1] 1.World Health Organization. The World Health Report 2002: Reducing Risks, Promoting Healthy Life.Geneva;2002.
[2] Scholl To, Hediger Ml. Anemia And Iron-Deficiency Anemia: Compilation Of Data On Pregnancy Outcome.American Journal Of Clinical Nutrition, 1994;59:492s–500s.
[3] Leite Ms, Casdoso Am, Coimbra Jce. Prevalence Of Anemia And Associated Factors Among Indigenous Children In Brazil; Results From The First National Survey Of Indigenous People's Health And Nutrition.Nutr J. 2013;12:69.
[4] Awu C, Respirance L, Birnstein H. Screening For Iron Deficiency. Ped Rev. 2002;23(5):171–177.
[5] Singh Rk, Patra S. Extent Of Anemia Among Preschool Children In Eag States, India: A Challenge To Policy Makers. Anemia.2014;2014(4):1..

Abstract: Periodontal diseases are responsible for tissue destruction which leads to periodontal breakdown. Various destructive enzymes and inflammatory mediators are involved in destruction. Mechanical therapy along with various chemotherapeutic agents such as NSAIDS, Doxycycline, etc aids in managing periodontitis. Host Modulating agents aims to focus on the reduction of tissue destruction by modifying or decreasing the regulating destructive aspects of the host response and upregulating protective or regenerated responses.

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Abstract: Introduction : La Chine a notifié plusieurs cas d'une épidémie mystérieuse dans la ville de Wuhan, dans la province du Hubei ou plusieurs victimes étaient des vendeurs d'un marché local spécialisé dans la vente en gros de poissons et de fruits de mer. Le 31 décembre 2019, l'Organisation Mondiale de la Santé (OMS) a été informé de la présence de cas d'un syndrome grippal inhabituel qui évoluait vers une pneumonie d'étiologie inconnue dans la ville de Wuhan, dont le premier cas remonterait au 1er décembre 2019 [10]........

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Abstract: Body fluid cytology is an important diagnostic test for various malignant and benign conditions. Effusions can be caused by inflammatory, infectious, benign, neoplastic or malignant and primary or metastatic diseases. Such conditions in effusions may often have overlapping features and mimic one another both cytomorphologically and clinically, presenting diagnostic challenges1. Effusion is a pathological process Accumalation of excess fluid in the body cavity is known as effusion and clinically effusion.......

[1] Saba H, Prakash C.J, Sharmila P.S, Vinitra. K. Cytological Study Of Body Fluids For Malignancy. Trop J Path Micro 2019;5(1):43-50.Doi:10.17511/ Jopm. 2019.I1.08.
[2] A.R.Piyush "Cytomorphological Assessment Of Different Body Fluids: A 5 Year Retrospective Study!!Iosr Journal Of Dental And Medical Sciences (Iosr-Jdms), Vol. 17, No. 6, 2018, Pp 62-67.
[3] Lekha M B Et Al., Ip Archives Of Cytology And Histopathology Research, 2020.
[4] P Dharmalingam, B Sadasivan, M Mukundapai, A Nargund, S Alashetty, Indian Journal Of Pathology And Oncology.
[5] Shulbha V S, Dayananda B S, Cytology Of Body Fluids - An Aid To Primary Diagnosis. Indian J Pathol Oncol 2015;2(2):81-83