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Volume-10 (2011);
Issue 1 (January-March)
Published on Apr 15, 2011
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2011;1-1
Editorial |
Kakunje A.
Stress Among Health
Care Professionals - The Need for Resiliency |
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This Article |
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2011;1-2
Original Article |
Dongre AR, Deshmukh PR, Garg BS.
Health Needs of Ashram Schools in
Rural Wardha. |
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Abstract: Objective:
To assess the health needs for health promoting Ashram schools in rural
Wardha. Methods:
It was a cross sectional study was undertaken in 10 Ashram schools,
using qualitative (SWOT analysis, Transect walks and Semi-structured
interviews of teachers) and quantitative (Survey) methods. Hemoglobin
examination of all children was done by using WHO hemoglobin color scale.
Anthropometric measurements such as height and weight of each child
were obtained. Physical activity score for each child was calculated.
The manual content analysis of qualitative data was done and the quantitative
data was entered and analyzed using Epi_info (version 6.04d) software
package. Results:
Out of 1287 children examined, 724 (56.3%) were boys and 563 (43.7%)
were girls. About 576 (44.8%), 213 (16.6%), 760 (59.1%) children had
untrimmed nails, dirty clothes and unclean teeth respectively. More
girls had (31.6%) lice infestation than boys (18.2%). Eighty six (6.7%),
75 (5.8%) and 110 (8.6%) children had scabies, fungal infection and
multiple boils on their skin respectively and 158 (12.3%), 136 (10.6%)
and 66 (18.3%) children had dental caries, wax in ears and worm infestation
respectively. Notably, 988 (76.8%) children had iron deficiency anemia
which was significantly more among girls (81.9%) than boys (72.8%).
About 506 (39.3%) children consumed any tobacco product in last one
month. About 746 (57.9%) children were classified to have sedentary
physical activity. Among 774 children (>12 years), 183 (23.6%)
and 34 (4.4%) children felt lonely ‘sometime’ and ‘most of the
times’ respectively. About 398 (94.3%) boys and 342 (97.2%) girls
did not know the modes of transmission of HIV/AIDS. Conclusions:
In conclusions, there was high prevalence of risk factors for both communicable
and non-communicable diseases in Ashram school environment. This dictates
the urgent need for teacher driven, need based and school based intervention
that can screen and identify potentially preventable health conditions
among underprivileged Ashram school children.
Key words: Ashram school; Personal hygiene; Morbidities, Tobacco consumption; Physical
activity; Health promoting schools |
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This Article |
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2011;1-3
Original Article |
Sharma MK, Gour N, Walia DK, Goel NK, Agarwal N.
Nutritional Status
of Households of Rural Field Practice Area of a Tertiary Care Hospital
in India. |
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Abstract: Introduction:
In the world as a whole there appears to be a shift from under-nourishment
towards over-nourishment making more and more children, adolescents,
adults and even elderly to be overweight and obese. Objectives:
Study aimed to find out the age and sex wise commonness of over-weight
& obesity amongst the families of an overtly different socio-economic
environment and its trend in the members of one type of families.
Materials & Methods: The undergraduate medical students are
supposed to maintain record of individual health (including height &
weight) of their own family as well as that of the allotted family.
The data collected (record maintained ) by students was utilized to
calculate Body Mass Index (BMI). Results: Out of total 291 subjects
(males 168; females 123) in students own family 28.9% (28.0%; 30.1%)
were overweight and 5.9% (6.0%; 5.7%) were obese. The similar figures
for 262 subjects (males 143 & females 119) in the allotted families
were 20.2% (18.5%; 20.2%) and 6.5% (4.2%; 8.4%) respectively. The respective
percentages of under nourished individuals were 18.6 (17.9; 19.5) and
35.5 (37.8; 32.8). Thus over-nutrition was more common amongst the members
of students own families (34.8% vs. 26.7%) and under-nutrition was more
common amongst the members of allotted families (35.5% vs. 18.6%) For
the years 2000-2003, BMI amongst individuals of students own families
the under-nutrition in the age group of 15-24 years amongst males increased
from 15.9% to 32.9% and over-nutrition from 13.6% to 20.5%. There was
no case of overweight and obesity up to the age of 34 years in the previous
analysis which was 2.6% in the present analysis Previous results
demonstrated overweight to be more common in males (32.4% Vs. 24.4%
in females) and obesity being more common females ( 6.3% Vs. 2.6% in
females). Conclusion: Males are increasingly becoming prey of
malnutrition (adolescents for under-nutrition and adults & elderly
for over-nutrition. More studies covering larger samples are required
to be conducted on a more frequent basis.
Key words: Nutritional
status; Underweight; Overweight; Obesity. |
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This Article |
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2011;1-4
Original Article |
Balgir RS.
Genetic Disease
Burden, Nutrition and Determinants of Tribal Health Care in Chhattisgarh
State of Central-East India: A Status Paper. |
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Abstract: Tribal health is an important aspect of development and progress of
the people. This study pertaining to genetic disease burden, nutritional
status and biomedical anthropological assessment with particular reference
to determinants of tribal health care has been carried out among the
four tribes, namely, Bhatra, Gond, Kondh and Paraja of Orissa residing
adjacent to the bordering districts of Chhattisgarh The population genetic
structure of a tribe is the outcome of socio-cultural practices, bio-psychological
behavior, genetic constitution, and eco-environmental conditions. Tribal
communities in India, in general and of Chhattisgarh state in particular,
are highly vulnerable to various genetic diseases, nutritional deficiencies
and unrealistic practices and lack of access to basic health facilities.
A total of 815 blood samples comprising of 166 Bhatra, 219 Gond, 254
Kondh and 176 Paraja tribes was collected randomly under aseptic conditions.
The frequency of sickle cell hemoglobinopathy (3.2-22.5%),
β-thalassemia
trait (0.5-8.5%), and G6PD enzyme deficiency (6-16%) is very high among
the tribes of Chhattisgarh. However, the prevalence of Rhesus negative
blood group is very low (0-0.6%). The frequency of hereditary hemolytic
anemia is also high among the tribals of Chhattisgarh. Both communicable
and non-communicable diseases harbor the tribal population. The nutritional
deficiencies are rampant. Tribal people are engrossed with superstitions
and have faith in traditional healers who practice magico-religious
rites along with indigenous herbal treatment for the common ailments.
Traditional folk medicine and health culture play a significant role
in shaping tribal life. These health practices differ from one tribe
to another. Unless locality specific, tribe specific and need-based
health care system is evolved which should be appropriate, acceptable,
accessible, and affordable, the true goal of health for all cannot be
achieved in India.
Key words: Tribal health;
Genetic disease burden; Nutrition; Communicable disease;
Non-communicable disease; Biomedical anthropology; Chhattisgarh |
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This Article |
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2011;1-5
Original Article |
Latha KS, Ravi Shankar BG.
Hospital
Related Stress Among Patients Admitted to a Psychiatric In-patient Unit
in India. |
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Abstract: The psychiatric patient’s
attitudes towards hospitalization have found an association between
patient perceptions of the ward atmosphere and dissatisfaction. The
aim of the study was to determine the aspects of stress related to hospitalization
in inpatients admitted to a psychiatric facility. Fifty in-patients
of both sexes admitted consecutively to a psychiatric unit in a General
Hospital were asked to rate the importance of, and their satisfaction with, 38 different
aspects of in-patient care and treatment. Results showed that the
major sources of stress were related to having a violent patient near
to his/her bed; being away from family; having to stay in closed wards;
having to eat cold and tasteless food; losing income or job due to illness,
being hospitalized away from home; not able to understand the jargons
used by the clinical staff and not getting medication for sleep. A well-differentiated
assessment of stress and satisfaction has implications for the evaluation of the quality of psychiatric care and
for the improvement of in-patient psychiatric care.
Key words: Psychiatric
hospitalization; Ward atmosphere; Patient satisfaction |
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This Article |
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2011;1-6
Original Article |
Saha D, Sinha R, Bhavsar K.
Understanding
Job Stress among Healthcare Staff. |
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Introduction:
Job life is an important part of a person’s daily life. There are
many aspects of a job. A person may be satisfied with one or more aspects
of his/her job but at the same time may be unhappy with other things
related to the job. Objective:
To evaluate the sources of job stress (stressful aspects of work) among
the staff of a super specialty hospital & to suggest measures to
decrease level of job stress. Methodology: Descriptive study
employing 381 staff members of a super specialty hospital using a structured
personal interview questionnaire consisting of 21 sources of stress.
The hospital staff was asked to rate each item according to the extent
to which it had contributed to their stress as experienced in their
jobs in the past few months on a scale of 0 (not at all),1(a little),
2(quite a bit), 3 (a lot). A global rating of stress was also obtained.
Result: The prime sources of stress were found to be underpayment
(76%), excessive workload (70.3%), inadequate staff (48.6), & being
involved in the emotional distress of patients (46.7%). Conclusion:
The staffs of the hospital were in moderate stress due to the prime
stressors so adequate measures should be taken to alleviate these stressors.
This could be achieved through workload management, job redesign, &
by offering occupational health education
Key words: Stress; Hospital, Satisfaction
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This Article |
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2011;1-7
Original Article |
Narula R, Chaudhary V, Narula K, Narayan R.
Depression, Anxiety and Stress Reduction
in Medical Education: Humor as an Intervention. |
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Abstract: Background: In recent years there has been a growing appreciation
of the issues of quality of life and stresses involved in medical training
as this may affect their learning and academic performance. Objective
of the study was to explore the effectiveness of humor when used
as intervention in large group teaching over negative emotions amongst
students. Method: The present Interventional, Randomized control
trial study was carried out on medical students of 4th Semester
of RMCH, Bareilly, which has total 90 students. Using simple random
sampling lottery method the whole class was divided in two groups-A
and B consisting of 45 students each. Group A as control group and Group
B experimental group. In first and last lecture of both groups Dass-21
was used as measuring scale, for depression, anxiety and stress and
results were compared to see the effect of humor on these three negative
emotions. Result: Comparison of Severe and Extremely severe
Stress: In Group A 40.54% in class -1 increased to
47.54% in class- 4, while in group B initial 13.15 % was reduced to
0 % (highly significant). Anxiety: In group A, after Class 1
-57.45% increased to 61.11% after class 4, while in group B, after class
1- 23.68% reduced to 2.27% only (highly significant). Depression: In group A, after Class 1 - 40.53% & 41.66 % after class 4 (not
significant), while in group B, after class 1- 18.41% reduced to 0%
(highly significant). Conclusion: In present study humor was
found to be very effective intervention in relieving students on their
negative emotions of depression, anxiety and stress to a larger extent.
Further research would justify the use of humor as an effective teaching
aid in medical education.
Key words: Humor; Stress; Dass-21 |
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This Article |
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2011;1-8
Original Article |
Singh NS, Singh WS, Singh NS.
Identification
of factors influencing third birth transition in
Manipur. |
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Abstract: The third
birth transition has a negative impact on the national goal of fertility
replacement level (2.1) which is to be achieved by 2010. To identify
the factors influencing the demographic phenomenon, a cross sectional
as well as community based study consisting of 1397 eligible women was
conducted in the four valley districts of Manipur under cluster sampling
scheme. Analysing the empirical information through SPSS, 42% of the
study subjects transit their 3rd birth and
its major determinants could be detected to be sex preference, age at
marriage, and educational level each at 0.01 probability level of significance.
Key words: Age at marriage; Sex of previous child; Education of wife; Third child |
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This Article |
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2011;1-9
Review |
Kosgi S, Hegde VN, Rao S, Bhat US, Pai N.
Women Reproductive Rights
in India: Prospective Future. |
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Abstract: Reproductive
rights were established as a subset of the human rights. Parents have
a basic human right to determine freely and responsibly the number and
the spacing of their children. Issues regarding the reproductive rights
are vigorously contested, regardless of the population’s socioeconomic
level, religion or culture. Following review article discusses reproductive
rights with respect to Indian context focusing on socio economic and
cultural aspects. Also discusses sensitization of government and judicial
agencies in protecting the reproductive rights with special focus on
the protecting the reproductive rights of people with disability (mental
illness and mental retardation).
Key words: Reproductive rights; Mental retardation; Abortion |
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This Article |
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2011;1-10
Review |
Skaria GM.
Health Phones: A
Potential Game Changer in Health Information Management. |
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Abstract: Health
education has to be one of the most effective ways to reduce morbidity
and mortality in developing countries. We need to deliver vital messages
and information to people at the lower quarter of the society to use
changing behaviour and practices which can save and protect their lives.
It is in this context, use of mobile phones in delivering vital health
information is of significance. This article reviews few projects which
successfully use mobile phones for health information delivery.
Key words: mhealth; mobile health; health information seeking; health information dissemination |
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This Article |
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2011;1-11
Original Article |
Naveen NS, Murlimanju BV, Kumar V, Jayanthi KS, Rao K, Pulakunta T.
Morphological
Analysis of the Human Internal Iliac Artery
in South Indian Population. |
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Abstract: Objectives:
The accidental hemorrhage is common due to erroneous interpretation
of the variant arteries during surgical procedures, hence the present
study has been undertaken with reference to its morphological significance.
The objectives were to examine the level of origin, length and the branching
pattern of the human internal iliac artery in South Indian population. Methods:
The study included 60 human bisected pelvises irrespective of their
side and sex. The specimens were collected from the anatomy laboratory
and were fixed with the formalin. The branching patterns were studied
and demonstrated as per the guidelines of Adachi. Results:
The origin of internal iliac artery was at the level of S1 vertebra
in majority (58.3%) of the cases. The average length of internal iliac
artery was 37 ± 4.62 mm (range, 13-54 mm). The type I pattern of the
internal iliac artery was most common (83.5%) followed by types III
and II. The type IV and V pattern of adachi were not observed. Conclusions:
The results of this study were different from those reported by others
and may be because of racial and geographical variations. Prior knowledge
of the anatomical variations is beneficial for the vascular surgeons
ligating the internal iliac artery or its branches and the radiologists
interpreting angiograms of the pelvic region.
Key words: Anatomy; Branches; Classification; Internal iliac artery; Ligation; Variations |
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This Article |
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2011;1-12
Original Article |
Malhotra AS, Sharma R, Mehta J, Kashyap JR, Gupta V, Kapoor N,
Sachdev A.
Determination and Correlation
of Anticardiolipin Antibody with High Sensitivity C- reactive Proteins
and its Role in Predicting Short Term Outcome in Patients with Acute
Coronary Syndrome. |
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Abstract: Anticardiolipin antibody (aCL)
is considered to be an independent risk factor while high sensitivity
C reactive protein (hsCRP) is an established marker for coronary artery
disease. This study was conducted to determine levels of aCL antibodies
and hsCRP, their correlation and role in predicting recurrence of events
in patients presenting with Acute Coronary Syndrome (ACS). Sixty patients
admitted with Acute Coronary Syndrome were followed up for 7 days or
until discharge. Patients were classified into two groups as those having
experienced an ischemic event needing intervention within 7 days (Group
I) and other having an event free recovery (Group II). aCL antibody
and hsCRP levels were estimated and compared in these two groups. Twenty
age and sex matched disease free persons served as controls. The levels
of aCL were significantly higher in patients with ACS as compared to
the controls (p=0.020). However the levels of aCL in Group I (13.39±9.46
GPL-U/ml) and Group II (13.51±9.93 GPL-U/ml) were not significantly
different (p =0.838). The mean hsCRP levels were higher in cases
with an event (23.30±10.68 mg/dl) than in cases without an
event (20.60±11.45mg/dl) though
it was not significant statistically (p=0.389). aCL and CRP were
not found to be significantly correlated in causing the recurrence of
events(p=0.178). Therefore anticardiolipin antibody is an independent
risk factor which could be implicated in the pathogenesis of ACS. However
it is not significantly associated with recurrence of short-term events
in patients with ACS. Also, aCL antibody does not have significant
correlation with hSCRP in causing recurrence of events in the patients
of acute coronary syndrome.
Key words: Acute coronary
syndrome; Anticardiolipin antibodies; High sensitivity C -reactive protein;
Myocardial infarction; Composite end point |
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This Article |
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2011;1-13
Short Report |
Nayak V, Chogtu B, Adiga S, Bairy KL.
Teaching of Critical
Analysis of Drug Advertisements to Medical Students. |
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Abstract:
Background:
Medical practitioners utilize drug promotional materials from pharmaceutical
companies as a major source of information especially in developing
countries. These promotional materials can be highly informative as
long as they are critically appraised but when they are accepted without
question, they lead to irrational prescribing. Aim :
To sensitize the students regarding WHO criteria for medicinal drug
promotion.10 and to determine the impact of teaching critical
appraisal of medicinal drug promotion to medical students. Design:
The medical students of second year were given a pre test questionnaire
to identify the violations in generic labeling, pharmacological information,
claims, relevance and references cited in the drug advertisements. Later
they were sensitized about the WHO criteria for medicinal drug promotion
and how to critically appraise a drug advertisement. This was followed
by a post test questionnaire with the same drug advertisement. Result: The
number of students answering the post test correctly was significantly
(p<0.05) more than that of pre test. Conclusion:
Education of medical students regarding critical analysis of drug advertisements
should be a part of the medical curriculum.
Key Words:
Critical appraisal; Drug advertisements; WHO criteria |
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This Article |
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2011;1-14
Short Report |
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Biswas D, Lenka PK, Roy S, Kumar R.
Study on
Gait Efficiency and Energy Cost of Below Knee Amputees
After Therapeutic Practices. |
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Abstract: An earlier
research advocated that a below knee amputee (BK) with conventional
trans-tibial prosthesis attains higher gait efficiency at lower energy
cost with therapeutic practices of proper time and co-ordination in
compare to normal subjects of similar physical parameters and quality
of life. The present study focused on comparative analysis of energy
cost and gait efficiency between a group of below knee amputees and
a control group (normal subjects without amputation) to indicate the
consistency of the earlier findings. The subjects were selected with
similar physical parameters and quality of life. Oxygen Uptake (VO2)
and Heart Rate (HR) were measured by Cosmed® k4 b2 analyzer
system. Gait efficiency (p < 0.0001) was found higher with lower
energy cost for BK amputees after therapeutic practices than control
group. The therapeutic activities contributed to efficient gait pattern
for amputees ensuring proper time and co-ordination with balance in
consistence to the earlier research.
Key words: Energy Cost; Gait Efficiency; Below knee amputee |
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This Article |
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2011;1-15
Short Report |
Nerurkar V, Dhole V, Kothari N, Bhatia S.
Pediatric Rotavirus Gastroenteritis: A 2 year Analysis to Understand
Current Prevalence in Mumbai. |
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Abstract: Many studies have established
the high prevalence of paediatric Rotavirus gastroenteritis in India.
The importance of rapid diagnosis of rotavirus infection has also been
stressed upon, to initiate prompt rehydration therapy and prevent unnecessary
use of antibiotics .We undertook a retrospective analysis of 327 paediatric
stool specimens to understand the current prevalence and seasonal distribution
of cases in Mumbai and its surrounding areas. Overall Rotavirus positivity
rate was 37.9 %, with peak positivity in winter seasons. Infections
were more common upto 2 years of age. Incidence of bacterial and parasitic
coinfections was low.
Key words: Rotavirus; Paediatric diarrhea;
Antigen detection |
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This Article |
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2011;1-16
Case Report |
Shulbha VS, Amita K, Nischal KC.
Epithelioid
Cell Histiocytoma – An Unusual Variant of Dermatofibroma at an Uncommon
Site. |
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Abstract: Epithelioid
cell histiocytoma (ECH) is a rare variant of cutaneous fibrous histiocytoma
involving primarily trunk and the extremities. It can delude the pathologist
in considering other benign non neoplastic and neoplastic lesions. Awareness
of this new entity can avert unnecessary treatment. We report a case
of epithelioid cell histiocytoma in a 40 yr old male who presented with
a painless nodular swelling over the dorsum of nose. The case is presented
here for its rarity and an uncommon site of involvement.
Key words: Epithelioid cell histiocytoma; Nose |
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This Article |
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2011;1-17
Case Report |
Nikumbh DB, Jagtap SV, Jain G, Mali RK.
Multilocular Cystic Renal Cell Carcinoma: An Unusual Gross Appearance.
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Abstract: Multilocular cystic renal
cell carcinoma (MCRCC) represents a rare variant of clear cell (conventional) renal carcinomas.
Attributable to its distinct characteristics in prognosis and its natural history, MCRCC was recognised as a
separate subtype of renal cell carcinoma in the 2004 WHO Classification of adult renal tumors. We report this
case of MCRCC from ante mortem surgical specimens, due to its unusual gross appearance and rareclinical entity.
Key words: Multilocular cystic renal cell carcinoma (MCRCC) Renal cell carcinoma (RCC) |
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This Article |
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2011;1-18
Case Report |
Mardi K, Kaushal V, Kaur N.
Tubular Krukenberg Tumor with an Occult
Primary. |
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Abstract: Tubular
Krukenberg tumor
with an occult primary can cause problems in histopathologic diagnosis, by
mimicking primary ovarian tumors. We present one such occurrence in a
32year old female who underwent surgery for bilateral malignant ovarian
tumor. Gross examination of both ovarian tumors revealed bosselated, smooth
outer surface with a few cysts on the surface. Cut surface was
grey-white to yellowish in colour with cysts filled with serous fluid
at the periphery. Microscopic examination revealed mucin laden signet
ring cells, predominantly showing tubular architecture within a
cellular ovarian stroma. The cytoplasm of these cells varied from
granular eosinophilic to pale vacuolated appearance and showed PAS and
mucicarmine positive mucin. Differential diagnosis with other primary
ovarian tumors is discussed.
Key words: Krukenberg tumors; Tubular
variant; Ovary |
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This Article |
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2011;1-19
Case Report |
Sengupta M, Naskar A, Gon S, Majumdar B.
Villar's Nodule. |
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Abstract: Villar’s
Nodule or primary umbilical endometrioma is a rare condition, with an
estimated incidence of 0.5 to 1% of all patients with endometrial ectopia.
Several aetiological theories have been proposed for its pathogenesis
with coelomic metaplasia being the favoured one and also, umbilicus
may acts as a physiological scar with a predilection for endometrial
tissue in the development of spontaneous umbilical endometriosis. Since
endometriosis remains a diagnostic and therapeutic enigma even today,
largely due to its variable presentations, we, hereby report a case
of primary umbilical endometrioma due to its rarity and unusual presentation.
Key words: Umbilical; Endometriosis |
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This Article |
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2011;1-20
Case Report |
Nikumbh DB, Janugade HB, Mali RK, Madan PS, Wader JV.
Axillary
Schwannoma: Diagnosed on Fine Needle Aspiration Cytology. |
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Abstract: Schwannomas affect mainly head, neck and flexor aspect of the limbs. Axillary Schwannoma is extremely uncommon, that
is neurogenic tumors arising from brachial plexus are rare.
We report one such rare case of a solitary axillary Schwannoma
which was diagnosed on fine needle aspiration cytology (FNAC) and subsequently confirmed by histopathological examination. Clinically
it was diagnosed as axillary lymphadenopathy and FNAC was
advised to rule out granulomatous lymphadenitis.
Key words: Schwannoma; Fine needle aspiration cytology (FNAC) |
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This Article |
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2011;1-21
Case Report |
Joshi PS, Vijay Shankar S, Sinha P.
An Unusual Case of Cervical
Tuberculosis. |
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Abstract: Tuberculosis of the cervix is a rare disease and accounts to 0.1 – 0.65% of all
cases of tuberculosis and 5 – 24 % of genital tract tuberculosis.
We present an unusual case of 40 years old lady who
presented with irregular bleeding per vagina and foul smelling white discharge
for 1 year. Per speculum examination revealed an unhealthy looking
cervix which bled on touch. A clinical diagnosis of carcinoma cervix
was made. However, cervix biopsy revealed granulomatous
lesion suggestive of tuberculosis. The patient responded to antitubercular
therapy. In women with abnormal cervical
appearance, there should be high index of suspicion of tuberculosis
cervix, especially from areas where tuberculosis is common as it can be easily
treated.
Key words: Tuberculosis; Cervix |
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This Article |
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2010;4-22
Case Report |
Sharma A, Raina R, Jaret P, Bharti V, Gargi
G, Panda P.
Primary Amoebic (Naegleria fowleri) Meningoencephalitis Presenting as Status Epilepticus. |
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Abstract: Primary
amebic meningoencephalitis (PAM) is a rare entity. Usual presenting features
are fever, headache and seizures with meningeal signs and this
disease carries high mortality rate. We present a case report of PAM
presenting as status epilepticus.
Key words: Primary
amebic meningoencephalitis; Naegleria fowleri; Status epilepticus |
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This Article |
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2011;1-23
Case Report |
Kadri R, Kudva AA, Achar A, Hegde S.
Corneal Dermoid. |
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Abstract: A 20 years old
boy presented with left corneal mass. The mass involved entire cornea
extending to the sclera. The mass had a skin like surface and protruded
outside the palpebral aperture. The eye with the mass was excised .The
histopathology report confirmed the diagnosis of corneal dermoid. This
late presentation of huge corneal dermoid extending to sclera is first
such report in the literature.
Key words: Corneal dermoid;
Keratoplasty; Cosmetic |
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This Article |
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2011;1-24
Case Report |
Bansal S, Shankar A, Gupta AK.
Undifferentiated
Carcinoma of Larynx of Nasopharyngeal Type. |
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Abstract: Undifferentiated
carcinoma of nasopharyngeal type arising in the larynx is unusual. This
type of carcinoma-which occurs almost exclusively in nasopharynx-is
very infrequent in the larynx (0.2%). Till date only 17 cases are reported
in the medical literature. We present the clinical
and histopathological findings along with the
management of one additional case of undifferentiated carcinoma of nasopharyngeal type in the larynx
which was managed successfully with radiotherapy.
Key words: Nasophryngeal type
of carcinoma larynx; Chemotherapy; Rare tumour |
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2011;1-25
Case Report |
Suma MN, Jeyachandran P, Jena M, Revadi PS.
Cervical Thymic Cysts Masquerading as Thyroid Cysts. |
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Abstract: Two interesting
cases of cervical thymic cyst are reported highlighting
the importance of this entity which can be missed preoperatively . Thymic
cysts are of two types-unilocular and multilocular.
They differ in both macroscopic as well as microscopic findings.
Histopathology helps to identify these cysts.
Key words: Cervical thymic
cyst; Unilocular; Multilocular |
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This Article |
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2011;1-26
Case Report |
Gon S, Majumdar B, Ghosal T,
Sengupta M.
Two Cases
of Primary Ectopic Ovarian Pregnancy. |
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Abstract: Primary ovarian pregnancy
is one of the rarest varieties of ectopic pregnancies. Patients frequently
present with abdominal pain and menstrual irregularities. Intrauterine
devices have evolved as probable risk factors. Preoperative diagnosis
is challenging but transvaginal sonography has often been helpful. A
diagnostic delay may lead to rupture, secondary implantation or operative difficulties. Therefore, awareness of this
rare condition is important in reducing the associated risks. Here, we report two cases of primary
ovarian pregnancies presenting with acute abdominal pain. Transabdominal
ultrasonography failed to hint at ovarian pregnancy in one, while transvaginal
sonography aided in the correct diagnosis of the other. Both cases were
confirmed by histopathological examinations and were successfully managed
by surgery.
Key words: Primary; Ovarian; Pregnancy; Transvaginal Ultrasound |
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This Article |
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2011;1-27
Case Report |
Vijay C, Mahendra Kumar KL, Manjappa CN, Deepak CD.
Posterolateral Elbow Dislocation with Ipsilateral Fractures of Head and Distal End Radius. |
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Abstract: Elbow dislocation
associated with ipsilateral fracture head and distal end radius is a
rare pattern of Injury, although it is common for elbow dislocation
and radius fractures to occur separately. We report a case of 35 year-old
male who had a posterolateral elbow dislocation with ipsilateral fractures
of head and distal end radius that underwent closed reduction and POP
application and outcome is excellent with 9 months of follow-up
Key words: Elbow joint dislocation; Radial head; Distal end radius fracture; Closed
reduction |
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This Article |
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