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Medicine and Dentistry >
Medicine and Dentistry (General)
Panacea Journal of Medical Sciences
Editor in chief:Suresh Chari
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Secondary Abdominal Pregnancy Following Rupture Of Rudimentary Horn: A Case Report
Author:Romi Bansal, Savita Somalwar
Volume: 6 | Issue no: 2-2016 | Pagination: 113-114
Ruptured rudimentary horn is a life threatening obstetrical emergency where the diagnosis is either missed or delayed. We report a case of 21 years old Gravida 2 Para 1 Live 1 with previous vaginal deliverywho presented with acute abdominal pain with clinical diagnosis of ruptured ectopic pregnancy, posted for emergency exploratory laparotomy. Laparotomy revealed ruptured rudimentary horn pregnancy with fetus in the abdominal cavity. Excision of rudimentary horn was done which was noncommunicating.
A Case Of Asymptomatic Aortic Aneurysm With Saber Sheath Trachea, Incidental Findings
Author:Babaji D Ghewade, Smaran Cladius, Swapnil Chaudhari, Ulhas S Jadhav
Volume: 6 | Issue no: 2-2016 | Pagination: 110-112
Aortic dissection is a potentially fatal condition in which there is a tear in the wall of aorta. The ?saber-sheath? trachea can be found in patients with chronic obstructive pulmonary diseases (COPD), but is rare in non COPD patients. Occurrence of these two conditions in a same patient is uncommon. Here we report a case of 75-year old male, known systemic hypertensive patient since 3 years, who came to Respiratory Medicine OPD for fitness for prostatectomy, found to have dissecting aortic aneurysm on CT angiogram with saber sheath trachea. Early diagnosis of this condition, followed by appropriate treatment avoided potential complications in the patient
A Case Of Primary Eyelid Tuberculosis: A Rare Entity
Author:Sudipta Chakrabarti, Senjuti Dasgupta, Supriya Sarkar
Volume: 6 | Issue no: 2-2016 | Pagination: 107-109
Ocular tuberculosis may affect virtually any intraocular tissue and ocular adnexa and usually manifest in the form of conjunctivitis, scleritis, episcleritis, corneal phlycten, interstitial keratitis, granulomatous uveitis, orbital granuloma, panophthalmitis, and optic nerve involvement. However, primary eyelid tuberculosis is an extremely rare condition with only sporadic cases having been previously reported. Such a rare case identified in a 65 year old female is being reported here. Prompt diagnosis and institution of therapy are required in case of eyelid tuberculosis to avoid the serious consequences that occur in untreated cases.
Spontaneous Monochorionic Quadramniotic Pregnancy: A Case Report
Author:Rasika Pise, Sulabha Joshi
Volume: 6 | Issue no: 2-2016 | Pagination: 104-106
Quadruplet pregnancy is very rare. All these pregnancies are multizygotic pregnancies. Spontaneous monochorionic quadruplet pregnancy is extremely rare, quoted incidence being 1 in 15 million. One such case is reported here where a primigravida, who conceived within one year after marriage spontaneously, remained uninvestigated till 24 weeks was then diagnosed as triplet pregnancy.
Galactocele Of Accessory Breast: Usg And Elastographic Imaging: A Case Report
Author:Suresh Phatak, Akshat Shukla, Neeraj Patange, Mohiuddin Marfani Ghulam
Volume: 6 | Issue no: 2-2016 | Pagination: 102-103
Ectopic breast tissue can be found in various locations in body. We present a case report of a galactocele of accessory breast in axilla with sonographic and elastographic imaging findings.
Evaluation Of Results Of Combined Phacoemulsification And Pars Plana Vitrectomy
Author:Vinita Ramnani, Saroj Gupta, Gajendra Chawla, Vijay Kumar Ramnani
Volume: 6 | Issue no: 2-2016 | Pagination: 96-101
The cataract and vitreoretinal disease commonly coexist in the elderly population and the presence of cataract hampers visualization in vitreoretinal surgery, thus concurrent removal of cataract helps in better visualization of retina during vitreoretinal procedures. With expanding indications of vitrectomy the need for vitreoretinal surgeries are increasing. The present study is carried out to assess the results of combined phacoemulsification with intraocular lens implantation and pars plana vitrectomy in eyes having coexisting vitreoretinal disorders with significant cataract. It is a prospective, non-comparative, consecutive, interventional study. Total 80 patients were operated for combined phacoemulsification with IOL and PPV from January 2011 to December 2013. All new cases of vitreoretinal disorders with significant cataract were included, whereas high risk diabetic retinopathy cases where two sequential surgeries were done and previous failed vitrectomy cases were excluded from study. Sixty seven followed up patients were analyzed for anatomical attachment of retina and visual acuity gain. Total 80 patients between 23 to 78 (mean age 54.22) years, 37 female and 43 male with significant operable cataract and variety of vitreoretinal disorder were operated. Out of 67 cases visual acuity improved in 43 (64.18%), deteriorated in 8 (11.94%), remained unchanged in 16 eyes (23.88%) and the anatomical attachment of retina was achieved in 59 eyes (88.06%). Postoperative complications were inflammation in 7 (10.45%) eyes and posterior capsular opacification (PCO) in 8 (11.94 %) eyes. Combined phacoemulsification with IOL and PPV is convenient, economical, single step method for treatment of coexisting cataract and vitreoretinal disorders. Phacoemulsification performed at the time of vitreoretinal surgery helps better visualization of posterior segment and facilitates surgery without added risk of complications
Lifestyle Disease Risk Behaviour Among Medical Students In Central India
Author:Meenal Vinay Kulkarni
Volume: 6 | Issue no: 2-2016 | Pagination: 92-95
Lifestyle related disease risk factors are mainly implicated for increased burden of cardio-vascular diseases. The risk factors are increasing among adolescent and adult population. As medical students are future physicians, it is essential to assess lifestyle disease risk behaviour among these students. So this study is carried out to find out lifestyle disease risk behaviour related to nutrition, exercise, smoking, alcoholism, sleep etc. among students in a medical college and to find out association between sex of student and risk behaviour. A cross sectional study was conducted among 120 medical college students using a predesigned pretested self-administered questionnaire. Questionnaire consisted of socio-demographic data and detailed information related to lifestyle disease risk behaviour. Only 9.62% students reported consumption of adequate intake of fruits. Frequent consumption of fast food and carbonated drinks was reported by 41.67% and 26.67% medical students. 67% students were not doing regular exercise and 58% were not involved in sports activity. 35% students were spending more than 2 hours in sedentary activity. 15% students were smokers and 23.33% were alcoholic. More than 45% students had duration of sleep less than 8 hours and irregular pattern of sleep. Involvement in sports and physical activity was found less among female students while smoking and alcoholism was common among male students. It was found to be statistically significant. Unhealthy lifestyle disease risk behaviour is prevalent among medical students. Health education sessions should be conducted and students should be motivated to adapt healthy lifestyle practices.
Neck Pain In Computer Users
Author:Aysha Siddiqua Kalim Khan, Mohammed Faizan
Volume: 6 | Issue no: 2-2016 | Pagination: 88-91
In the modern era of networking, technological advances, particularly, invention of computer revolutionized our way of working. Increase in industrialization and urbanization lead to increase in health issue related to it, neck pain in computer users is one of them. 59% of WRMSDs (work related musculoskeletal disorder) reported annually by IT professionals in India, out of which 30% cases are of neck pain. Sickness absenteeism due to neck pain is 41%. The prevalence of neck pain in computer users in our study was 28%. Data was collected through questionnaire and analyzed through various statistical methods. 40% of computer users have associated complaint like upper limb pain and parasthesias which are related to neck posture. The prevalence is more in females (60%). The neck pain increased with increase in age, 66% neck pain was found in people between 50 -60 years. The prevalence of neck pain was low among those who do regular exercise, in our study only 30% of computer users do regular exercise out of which only 36% develop neck pain.
Anosmia In Elderly: Predictor Of Cognitive Impairment
Author:Gaurav Kumar Yadav, Madhuri Sunil Pandharipande, Rakhi W Joshi, Mrinalini D Motlag, K. Nagpure, Pp J
Volume: 6 | Issue no: 2-2016 | Pagination: 83-87
The prevalence of olfactory impairment and cognitive impairment increases with age. Olfactory impairment has been associated with neurodegenerative diseases such as Alzheimer?s disease (AD) and Parkinson?s disease. The present study was carried out to find out the prevalence of anosmia in the elderly and cognitive impairment in the elderly along with the association of anosmia and cognitive impairment in the elderly. Present study is a hospital based, observational, case-control study, in which 100 elderly subjects (age >65 years, Males 64, Females 36, ratio 1.7:1), attending the geriatric OPD, were included as cases and 100 subjects (<65 years, Males54, females 46, ratio-1.1:1) as controls. Anosmia was assessed by Indian Smell Identification Test (INSIT), in which 10 essences were used and 1 point was awarded for correct and 0 for incorrect identification. A score of ≤ 4 indicates anosmia. All cases were subjected to thorough clinical examination and lab investigations. Cognitive impairment was diagnosed by 30 point mini-mental state examination (MMSE) where scores ≤ 23 indicates cognitive impairment. Statistical analysis was performed by using students ?t? test, chi square test p value and univariate analysis. Mean age in cases was 68.4±3.7 years and in controls is 39.4±7.9 years. Anosmia was detected in 64% of cases as compared to controls 4% (p <0.01). Mean INSIT score was significantly lower (4.02+1.88) in cases as compared to controis7.36+1.35, p< 0.01. Cognitive impairment was present in 50% of the cases and 1% control, (p<0.001). Mean MMSE score was also significantly lower in cases (20.99+5.1) than controls (27.47+1.79, p <0.001. Anosmia is found to be significantly associated with cognitive impairment in cases. Anosmia, a surrogate marker of cognitive impairment, is prevalent in elderly. Cognitive impairment is also prevalent in elderly. In elderly subjects, anosmia is associated with cognitive impairment.
Perceptions Of Blood Donation Amongst The Youth
Author:Anne Wilkinson, Rishabh S. Gupta
Volume: 6 | Issue no: 2-2016 | Pagination: 79-82
Blood donation is required constantly to replenish stocks in blood banks. Motivating relatives to donate blood in hospitals becomes a difficult job at times. Hence the youth who are the main source of our blood donors pool, need to be motivated to come forward for Voluntary blood donation. This cross sectional qualitative study is carried out to find out the reasons for youth donating or not donating blood. Youth in the age group 18-25 years both urban and rural were included. A validated questionnaire was used to interview the youth. The results were analyzed statistically. A total of 200 youth answered the questionnaire. 14% were unaware that blood could be donated, 24% of the youth did not consider blood donation to be important, and 85.5% youth had not donated blood even once. 65% of those who donated blood did so because they thought it could save lives and it was a noble act. We concluded that to increase the number of youth donors we need to spread awareness and educate our youth who are the main source of blood donors.
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