A prospective observational study was conducted on patients attending gynecology OPD of a tertiary care teaching hospital between April 2016 and March 2018. The sequence has been mentioned in the flowchart below (Figure 1). Written informed consent was taken from all the participants before inclusion into the study. A thorough history including detailed personal and past medical history was taken, and then general and systemic examination was carried out. 120 patients coming with complaints of discharge per vagina and/or abnormal uterine bleeding along with clinical features of chronic cervicitis, cervical erosions, lacerations or leukoplakia were selected for the study. Women with growth over the cervix strongly suggestive of malignancy; women on hormonal therapy; pregnant and puerperal women; women with bleeding at the time of examination; and women with unsatisfactory colposcopy were excluded. For Pap test, 2 cervical smears per patient were prepared using the Ayer’s spatula and cytobrush. The smears were
Objectives: (1) To evaluate the various causes of unhealthycervix in Kashmiri women. (2) To assess the utility of colposcopy and cytology in detecting the various causes of unhealthycervix. (3) To correlate the findings of cytology and colposcopy with each otherand with histopathology. Methodology: 200 women attending gynecology OPD with clinicallyunhealthy cervix were subjected to evaluation by liquid- based cytology, colposcopy and directed biopsyand the findings were noted. Results: Majority of women were in the age group of 30-39 years. Commonest complaint was vaginaldischarge in 50% cases followed by menorrhagia in 19.5% women18% had abnormal discharge in 50% cases followed by menorrhagia in 19.5% women, 18% had abnormal LBC findings with 11% women had LSIL, 5.5% had HSIL, and 1.5% had squamous cellcarcinoma (SCC). 32.5% had abnormal women had LSIL, 5.5% had HSIL, and 1.5% had squamous cell carcinoma (SCC). 32.5% had abnormal colposcopic findings, 21% had low grade lesion and 11.5% had high grade lesion. In our study, on correlating LBC findings with histopathology, out of 8.5% women with ASCUS on LBC, 4% had positive histopathological findings. Out of 5% patients with LSIL on LBC, 3.5% were having positive histopathologicalfindings. Out of 3% patients with HSIL on LBC, 1.5% were positive on histopathological examination. On correlating colposcopic findings with histopathology, 5.5% patients which appeared normal on colposcopic evaluation had dysplasia on histopathology, 15.5% women with low grade lesion on colposcopy had
Neerja B et al, studied evaluation of adjunctive tests for cervical screening in low resource settings and found presenting complaint was vaginal discharge in 80 women, irregular vaginal bleeding in 13 women and post coital bleeding in one woman. Unhealthycervix was seen on speculum examination in 38 women and prevalence of biopsy-confirmed high-grade and low-grade SIL did not differ within the different age groups: three cases of HSIL and one of LSIL were found in the age group of < 40 year and the majority (9/15) of HPV positive women belonged to the age group of < 40 years. 8 Post coital
4. Rebours V, vullierme MP, Hertic o, maise F, Hammel p, Rusznewki p, Levy R.Smoking and the course of recurrent acute and chronic pancreatitis a dose dependent relationship pancreas 20 R nov:4(18)1219-4..This article has quoted that intake of tobacco accelerates the severity of chronic pancreatitis in a dose dependent fashion apart from intake of alcohol. Our study also supports the same view in that the incidence of smoking and alcoholism was higher in patients having pancreatitis.
Background: In present study colposcopic evaluation of unhealthycervix was donr and it’s correlation with Papanicolau smear in screening of Cancer cervix. Objective of present study was to critically evaluate the sensitivity and specificity of PAP smear with that of Colposcopy in screening of Cancer Cervix in women with unhealthycervix. Methods: 100 women with clinically unhealthycervix on naked eye examination and / or abnormal symptoms attending Gynaecology Out patient department in 2 years period were subjected to PAP smear, Colposcopy, biopsies under Colposcopic guidance and findings correlated with Histopatholgy at Govt. Medical college, Aurangabad, Maharashtra. India. The sensitivity and specificity of PAP smear with that of Colposcopy in screening of Cancer Cervix was evaluated.
Similar study by Shalini et al showed the mean parity was 4.2 in patients with invasive cancer. Kushtagi and Fernandez showed the prevalence of CIN was significantly higher in parity of more than 2. Vaidya showed more positive cases of CIN were found with parity more than 4. This might be attributed to hormonal and nutritional changes that occur in pregnancy, immuno suppression during pregnancy, and cervical trauma during vaginal delivery (Becker et al and Adadevoh et al).
Serum Soluble Flt-1: sFlt-1 is a truncated splice variant of the membrane bound Flt-1. This splice variant circulates freely in the serum, where it binds and neutralizes VEGF and PIGF, preventing interaction with their biologically active transmembrane receptor (66). Several studies have reported sFlt-1 levels to rise as early as 5 weeks before the onset of PE. sFlt-1 levels are correlated directly with severity of disease and inversely related with the onset of clinical symptoms mainly hypertension and proteinuria (13,17, 67). sFlt-1 use however, would be improved if used in conjunction with other serum biomarkers such as PIGF instead (sFlt/PIGF ratio) as sFlt has a drawback of low sensitivity despite its high specificity (68). A study by Boucoiran et al, found sFlt to have a 90% specificity and 25% sensitivity (69). These findings are further supported by Myatt et al, with an 80% specificity and 21% sensitivity as well as various other studies (17, 35, 37, 70, 71).
Anamalous Pancreaticobiliary Ductal Junction (APBDJ). Morbidity with ERCP ranges from 2% -8% in children and 1% -2% in adults which rises to 10% when combined with sphicterotomy and mortality estimates is estimated between 0.05-0.90%. (Lee et al., 1997; Hekimoglu et al., 2008; Prasil et al., 2001). Magnetic resonance cholangiopancreatography (MRCP) represents the current ‘gold standard’ in the imaging of CDC (Sugiyama et al., 1998). Lee and Lee et al. (1997) compared MRCP and ERCP in 46 patients with various extrahepatic biliary diseases, including choledochal cysts, found the overall diagnostic accuracy rates to be similar between the groups. Irie and associates (Irie et al., 1998) concluded in a study that MRCP is an important noninvasive diagnosticstudy for choledochal cysts but that it should not replace ERCP, especially in children. Kim et al. (1998) concluded that MR cholangiography is equivalent or superior to conventional cholangiography in the evaluation of choledochal cysts. The aim of our study was to evaluate the diagnostic accuracy of different radiological modalities in the diagnosis of choledochal cyst for better understanding of the disease and its treatment.
polymeric reagent nor the alcohol concentration. This anomalous nature of the reaction may be because the oxidant in the form of a solid supported on polymer. Therefore, the prior equilibrium, before the rate determining or the step in which actual reaction takes place giving the product does not seem to contribute to the total phase i.e. solid phase. This was observed in earlier study of benzoin oxidation by polymer suppor ted N- bromosulphonamide 18 .
Background: Trauma is a major source of morbidity and mortality, especially in people below the age of 50 years. For the evaluation of trauma patients CT scanning has gained wide acceptance in and provides detailed information on location and severity of injuries. However, CT scanning is frequently time consuming due to logistical (location of CT scanner elsewhere in the hospital) and technical issues. An innovative and unique infrastructural change has been made in the AMC in which the CT scanner is transported to the patient instead of the patient to the CT scanner. As a consequence, early shockroom CT scanning provides an all-inclusive multifocal diagnostic modality that can detect (potentially life-threatening) injuries in an earlier stage, so that therapy can be directed based on these findings.
Tanqiya is a complex process in the body by which the morbid and diseased materials are taken out of the body by way of evacuation, a complex phenomenon under certain environmental conditions under vigil of a physician with the help of various simple Unani drugs having munzij and mus'hil (concoctive and purgative) effects under a very specific set of Unani guidelines (Unani principles for this complex process) for a certain period of time depending upon the chronicity, nature of the disease and type of khilt (humor) involved therein.
In this paper, a comparative analysis is done for various compression techniques. Compression techniques for lossless compression includes huffman coding and LZW coding. LZW approach works better as the size of the file grows up to a certain amount, because there are more chances to replace identified words by using a small index number. However, it can not be considered as the most efficient algorithm, because it can not be applied for all the cases. Compression techniques for lossy compression includes DCT, DWT. Out of these, DWT is best and gives good compression ratio without much data loss.
On comparing the RPR titer with other treponemal tests performed, it was found that titer >16 gave the good prediction of positive treponemal tests. Other studies have also shown correlation of RPR or VDRL titre with treponemal tests. In our study, the sensitivity of ELISA, TPHA and PaGIA were similar and comparable. The positive predictive value and negative predictive values for PaGIA were 89.4% and 100%, respectively. In our study, treponemal assay had higher specificity than cardiolipin assay. The number of false positive samples can be reduced by using a method for screening which has higher specificity.
conservatively or surgically, restoration of anatomic configuration is the cornerstone of treating midfoot injuries and is the most important factor in predicting the functional outcome of these patients. These patients have prolonged effects on mid- to long-term quality of life after trauma, with considerable potential for long-term impaired functionality. Realistic expectations on postoperative recovery should be given. Further studies with large sample and longer study duration is necessary.
I am gratefully indebted to Prof. Dr. B. Parveen M.D., D.D., Professor and Head of Department of Dermatology and Leprology for her invaluable guidance, motivation and help though out the study. I would like to express my sincere and heartfelt gratitude to Prof. Dr. V.S. Dorairaj, M.D., D.V., Director in charge, Institute of Venereology.
For the purpose of this study, 350 Smartphone users are taken as a sample from Thane city. The study is conducted by collecting data through primary sources like questionnaires. All the data are properly classified and arranged in tabular form. Simple charts are used as statistical tool for the analysis and interpretation of the study.
There are some limitations to this study. Because this was a multicenter study, there was variability of equipment and physicians. The number of women < 35 years of age was relatively small, and the value of CEUS in those patients still needs to be studied. No other imaging modality was used, and the value of the combination of multiple imaging techniques with CEUS needs to be examined. Finally, the use of different ultrasound systems is an important limitation of this study.
This is to certify that dissertation entitled ‘Study of liver abscess and variousmodalities of management of amoebic liver abscess’ is a bonafide record of work done by Dr.DHANDAYUTHAPANI.V, in the Department of General Surgery, Thanjavur Medical College, Thanjavur, during his Post Graduate C o u r s e f r o m 2 0 0 6 - 2 0 0 9 u n d e r t h e g u i d a n c e a n d s u p e r v i s i o n o f PROF. DR.S.MOHAMMED ISMAIL M.S., and PROF. DR.G. AMBUJAM, M.S. FICS. This is submitted in partial fulfillment for the award of M.S. DEGREE EXAMINATION- BRANCH I (GENERAL SURGERY) to be held in March 2009 under the Tamilnadu Dr. M.G.R. Medical University, Chennai.
The solar energy is considered to be ubiquitous in nature, accessible & environmental friendly. As per the economy viewpoint of this renewable source of energy, this is practically used for generating power in the developing countries . For coming over the negative aspects of the atmosphere & various other issues emerged by burning of fossil fuels has gained attention of countries to opt some alternatives to meet the energy requirement . Solar energy is considered a some of the most prominent renewable source of energy possessing minimal adverse effects over environment. Most of the countries has framed SE policies in order to minimize their dependency over fossil fuels & domestic energy generation.