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- Confessions in Essence: The Power of Observation, Acknowledgement and Pure Enlightenment
Confessions NOT Rare but Confessing RARITY Itself : Background In our department of anesthesiology there has been informal discussion forum called "Confessions" regarding difficult anesthetic scenarios where no patient harm had occurred (defined here as near-hit-near-miss {NHNM} incidents). These confession sessions are currently held only among the anesthesiology resid..
- Claustrophobia, Panic Attacks and Caffeine Intolerance may NOT be associated with Diastolic Dysfunction: A Pre-Echocardiogram Questionnaire-Based Pilot Study
Abstract: Background: Diastolic heart dysfunction may explain the enigmatic pathophysiology of panic attacks and related disorders like claustrophobia, subjective/objective intolerance of heated enclosed environments and caffeine intolerance/allergy that can be sometimes indistinguishable from panic attacks symptomatically. Obje..
- Understanding Problems and Failures in TSFDP
Abstract: Fixed prosthodontic treatment in the form of teeth supported fixed dental prosthesis (TSFDP) is hugely a popular treatment in many countries. The treatment usually helps in restoration of missing natural tooth or teeth by way of crown preparation of potential existing natural teeth called abutments which shall be cover..
- Study of Addictions and nutritional deficiencies in street children in Pune
Abstract : OBJECTIVE. : To study nutritional deficiencies and addictions in street children . DESIGN : Cross sectional study . SETTING. : This study was conducted in street children in and around Pimpri , Pune by Department of Paediatrics Dr. D. Y . Patil medical college Pimpri ,Pune . PARTICIPANTS : 204 street children between 1..
- Safety and effectiveness of inhaled analgesia for labour pain
Abstract : Labour pain is one of the most sever pains in the life of women. It is multifactorial and affected by both psychological, many biochemical and physiological factors. Many methods are used to manage labour pain which are divided into pharmacological and non-pharmacological methods. Inhaled analgesia, as part of the phar..
- Stress symptoms among students in an elementary school in Kashan, Iran
Abstract: Background Some people think that children’s world is full of games and free from any tension. However, children might feel mental and emotional pressure due to different stressors. Therefore, this study was conducted to assess the stress symptoms among students in elementary school in Kashan, Iran. Methods A cross s.. - To compare efficacy of 3% saline administered by pressure driven nebuliser Vs ultrasonic nebuliser in patients of Bronchiolitis
Abstract : OBJECTIVE: To compare efficacy of pressure driven nebuliser vs ultrasonic nebuliser in management of Bronchiolitis using 3% saline as nebulising solution . DESIGN: Prospective randomised control trial . SETTING: Tertiary care teaching hospital in Pune . PARTICIPANTS: 75 children with clinical diagnosis of Bronchiolitis..
- Liver Functions as a marker of severity of disease in children with Dengue fever
Abstract : Objective : To study liver function in dengue infection and to correlate it with the severity of disease . Follow up liver function studied at discharge . Design : prospective cross sectional study. Methods: Fifty patients admitted with clinical diagnosis of dengue at D. Y. Patil medical college Pune were included and ..
- Across wrist external fixation for distal radius fractures in adults
Abstract: Distal radius fractures , closed or open , are common upper limb injuries . Many classifications help understand them from different perspectives including correlations and comparisons between various management modalities , their outcome , complications etc . Over a period of 5 years 32 adults with 35 distal radius fr..
- Immediate and early injuries associated with traumatic posterior hip dislocation: A retrospective study.
Abstract: Traumatic dislocation and fracture-dislocation of the hip is an orthopaedic emergency. A delay in recognition and reduction leads to grave complications and morbidity. We undertook a retrospective stu..
- A Rare Case of Hepatitis E Induced Viral Thyroiditis
Abstract : We report a one of its kind case of a 26-year-old Gentleman, who had initially presented to our hospital with acute symptoms of viral hepatitis. Initial laboratory studies done revealed an elevated liver function test with an elevated Anti-HEV serology and thus the patient was diagnosed and managed for Viral Hepatitis ..
- Bilateral Total Hip Arthroplasty in a case of unusual presentation of fibro Cartilagenous Dysplasia of Bilateral Proximal Femur
Abstract: Fibro cartilagenous dysplasia is a variant of fibrous dysplasia in which extensive cartilage differntiation is seen.Fibrous dysplasia is an anomaly in skeletal development accounting approximately 5 t..
- The effect of pharmacological management on the recovery of patients with acute low back ache
Abstract: Background: Back pain affects about 40% of people at some point in their lives. Medications are recommended for the duration that they are helpful. The symptoms of low back pain usually improve within..
- The risk factors for hypertension among medical and dental students at a private medical college: Findings from a cross-sectional study
Abstract : Background: Prevalence of hypertension in medical students in Nepal is not well defined. Risk of hypertension depends on life style, which is the result of person’s knowledge and practice adopted at a young age. This study aims to determine the risk factors of hypertension among first and second year medical and dent..
- Socio-demographic Determinants of Anti-Retroviral Therapy Adherence in South Africa: A Systematic Review from 2009-2014
Abstract : Background: South Africa has the highest number of people on ART in the world and the number is increasing especially with the upward review of CD4 for the initiation of ART in positive persons. Considering this increasing number, there is increased effort to ensure adherence to ART. Despite this, the adherence of Sout..
- Human Cartilage Glycoprotein 39(HC-gp39) sits on the Nucleus of the Human Life:Dislodging Sudden Cardiac Death. Dedicated to the Memory of Nwakaibie Gladstone N. OFODILE
Abstract: There is now abundant evidence that atherosclerosis is a chronic inflammatory disease that develops as a consequence of entrapment of oxidized low-density lipoprotein (LDL) in the arterial intima and its interaction with components of both innate and adaptive immunity. Emerging body of evidence supports the notion that..
- Understanding Triple Negative Breast Cancer
Abstract : Triple Negative Breast Cancers (TNBCs) are distinct breast malignancies that are characterized by the lack of clinically relevant expression of estrogen-, progesterone- receptors (ER/PR) and HER2/neu ..
- Uterine rupture; case report and review of literature
Abstract : Uterine rupture is an obstetric catastrophe that is associated with high maternal and perinatal mortality rates. Its incidence is high in developing countries. Uterine rupture may be silent and obscure but requires immediate surgical intervention and its occurrence can result in severe maternal morbidity. We report a c..
- Bilateral ectopic pregnancy: case report and review of literature
Abstract : Ectopic pregnancy represents 2 % of all first trimester pregnancies. Bilateral tubal pregnancy is the rarest form of ectopic pregnancy. The estimated incidence is 1 in 725 to 1 in 1580 of all ectopic pregnancies. Totally, more than 200 cases of bilateral tubal ectopic pregnancy have been reported in the literature to d..
- Evaluation antibacterial activity in vitro of the ethanol extract from the peel fruit of Syzygium cumini (L.) - Skeels
Abstract: Antimicrobial activity of medicinal plants has been searched in several species worldwide. The aim of this study was to evaluate antibacterial activity in vitro of the ethanol extract from the peel fruit of Syzygium cumini (L.) - Skeels. To this end, were used four bacterial strains standard American Type Culture Colle..
- Impact of hygienic caring of the umbilical cord in the prevention of neonatal tetanus
Abstract: Background: Neonatal tetanus (NNT) remains among the leading causes of deaths among neonates in the developing countries with a recorded 130,000 neonatal deaths in 2004. In addition to immunizing pregnant women with 3 doses of tetanus toxoid vaccine, hygienic delivery of the newborn and caring of the umbilical cord are..
- Modeling Gout or Gouty (Acute) Arthritis in Biomedical and Biochemical Infophysics
Abstract: Gout or gouty (or acute) arthritis is one of the most painful diseases experienced by humans. The gouty patients are estimated more than 10 millions in the world. Recent clinic trials have demonstrated the manual therapy or massage (joint mobilization) is significantly more effective than the control treatments for pat..
- Association between bariatric surgery and tooth decay: a literature review.
Abstract : The obesity and overweight affects together, an estimated one-sixth of the world population. At first, the treatment is behavioral and clinical, however, these treatments become difficult due to low patient compliance across the long time needed to obtain more meaningful results. Bariatric surgery then emerged as a pla..
- Retrosternal goiter with posterior mediastinal extension surgery in a patient with superior vena cava obstruction through a classic neck incision; Case report
Abstract : Intrathoracic goiters are usually located anteriorly, in the superior or anterior mediastinum, and are termed substernal or retrosternal goiters. Posterior mediastinal goiters are rare, about 10% of all intrathoracic goiters. Patients with retrosternal goiter usually have a visible or palpable cervical mass. In additio..
- Migraineurs without nausea: how do they differ from migraineurs with nausea?
Abstract: Background: Nausea is regarded as an essential element in the diagnosis of migraine. However, some patients with migraine do not experience nausea during their migraine attacks. These patients may show different clinical features that demand different management strategies. The authors evaluated how migraineurs without..
- Effect of DNA repair deficiencies on the cytotoxicity of resveratrol
Abstract: Numerous preclinical studies have shown that the naturally-occurring polyphenol resveratrol may produce health-beneficial effects in a variety of disorders, including cancer, diabetes, Alzheimer, and cardiovascular diseases. Resveratrol has entered clinical trials for the prevention and treatment of several of these di..
- A rare injury of posterior four part fracture dislocation of shoulder following electrical injury- Did infection had role in humeral head salvage?
Abstract : Posterior dislocation of shoulder and fracture dislocations are rare injuries. Seizure disorders, high energy trauma and electrical shock are important etiologies for such injuries especially in bilat..
- Diagnostic laparoscopy for missed perforated duodenal ulcer; case report
Abstract : Perforated peptic ulcer is a common abdominal disease that is treated by surgery. Despite the use of proton pump inhibitors, perforated peptic ulcer remains a frequent surgical emergency with an average mortality rate of 5.8%. This is a report of a 77 year old Saudi diagnosed as acalculus cholecystitis and upon laparos..
- Microbiological Analysis of reconfigured rice
Abstract: In Chile, rice industry generates important volumes of by-products of low commercial value. Many of such by-products present nutritional properties similar to those of whole grains and, therefore, the main cause of their little valuation would be the form that conditions their destination. For such a reason, extrusion ..
- Prevalence of Condylar Sclerosis in Patients with Temporomandibular Disorder
Abstract: The aim of this study was to determine the prevalence of morphological changes of the condyle (Sclerosis) in patients with Temporomandibular Disorder.We have developed a retrospective epidemiological ..
- Improving esthetics to improve behavior through enhancing phonetics
Abstract : Denture characterization according to individual clinical findings has seen an upsurge in the recent decade with advances in techniques and dental materials. Increased aesthetic demands of the geriatr..
- Duality of stochasticity and natural selection shape the ecology-driven pattern of social interactions: the fall of Hamilton's rule
Abstract: Both competition and cooperation are pervasive at all levels of biological organization. Traditionally, the theory of evolution, understood as “red in tooth and claw” is challenged by the mere existence of cooperation. As a plausible explanation of this conundrum, Hamilton’s rule has dominated sociobiology for 50..
- Herpes Simplex Virus-Associated Dermatitis with Either High or Normal IgE Responded Well to Antiviral Therapy: A Study of 787 Quick-Tzanck-Test-Positive Patients
Abstract: Background: The overall age-adjusted seroprevalence of herpes simplex virus(HSV) type 1 is 62.6% and of HSV type 2 is 17%. If a test could diagnose more than HSV immunoglobin G-positive patients, at least these serologically positive patients will benefit from antiviral agents, as do patients with HSV-associated erythe..
- Inference of Ancient Black Mexican Tribes and DNA
Abstract : Background: Controversy surrounds the time period when Indigenous Mexican-African admixture occurred. Most researchers assume this admixture took place after the Atlantic Slave Trade. But, Spanish eye..
- Laboratory orientation programme - A need based training for quality reports and enhancing hospital administration
Abstract: Preanalytical laboratory errors are a major cause of laboratory errors, which can have extensive negative impact on optimal health delivery. A structured questionnaire and a specific need based training programme were created for health care professionals to reduce preanalytical errors in laboratory services. The healt..
- Pharmacologic Treatment of Resistant Depression in Psychiatric Hospital ''Ali Mihali'' and in the Center of Community of the Mental Health (CCMH), Vlora (Albania)
Abstract: Depression, as a matter of fact, is called the disease of our century, is a major problem of the public health. It causes disability and trouble to the patients and their families and concludes with t..
- A Theoretical Analysis of the Etiology of Idiopathic Carpal Tunnel Syndrome
Abstract : The etiology of carpal tunnel syndrome was studied by comparing the role of genetics, sleep position and sexual intercourse as possible causes of idiopathic carpal tunnel syndrome. The etiologic potential of the three theories was analyzed using a modified version of the Bradford Hill criteria of causation. All three t..
- Modified Radical Mastectomy and Wound Drainage
Abstract : Modified Radical Mastectomy [MRM] is a commonly practised surgical procedure for management of operable breast cancer. Necrosis of skin flaps , wound dehiscence , hematoma, seroma , venous thromboembolism and infection are early complications . Late complications include lymphedema , sensory loss, shoulder dysfunction ..
- Sleep bruxism in children
Abstract : Bruxism is considered a parafunction because it does not have a functional objective, such as mastication, phonation, or swallowing. This condition is very common in children. The consequences of bruxism in children are: fracture of teeth, increased tooth sensitivity, slight or severe erosion of dental enamel, hypermob..
- Role of antibiotics and cultures in decreasing infection rate in grade III B open fractures of long bones managed with primary internal fixation
Abstract : The management of grade III open fractures remains controversial. While the time tested external fixators have their advantages of ease of application and facilitating repeated debridements in extensive uncovered open wounds, their use has been marred with pin tract infections, delayed union, non-union, joint stiffness..
- How debridement, definitive fixation and final coverage determine the infection rate in grade III B open fractures of long bones managed with primary internal fixation
Abstract : The management of grade III open fractures remains controversial. While the time tested external fixators have their advantages of ease of application and facilitating repeated debridements in extensive uncovered open wounds, their use has been marred with pin tract infections, delayed union, non-union, joint stiffness..
- Management of enterovesical fistula secondary to crohn disease
Abstract : Crohn's disease (CD) is an intestinal chronic inflammatory disease that can cause damage by contiguity of the urinary tract. Although common form is fistulizing in 35% of patients with CD, the entero-..
- Duality of stochasticity and natural selection: a cybernetic evolution theory
Abstract: Orthodox Darwinism assumes that environments are stable. There is an important difference between breeding (Darwin’s role model of evolution) and evolution itself: while in breeding the final goal i..
- Diabetes mellitus: a complete ancient and modern historical perspective
Abstract : Diabetes mellitus is one of medical conditions that have been extensively investigated. Despite these enormous developments cure for diabetes still remains virtual. The history is backdated to the Egy..
- HIV in pregnancy: Severity of maternal disease a determinant of pregnancy outcomes
Abstract : Background: The Human Immunodeficiency Virus is responsible for a global pandemic with a disproportionately higher prevalence in sub Saharan Africa. Infection with the virus in pregnancy is of particular importance given the addeed risk of mother to child transmission. Antiretroviral drugs are currently recommended for..
- Old un reduced posteromedial elbow dislocation: A rare case report
Abstract : Posteromedial elbow dislocation is a rare injury when compared to posterolateral elbow dislocations.In developing countries like India old unreduced dislocations are not uncommon due to lack of medica..
- Atypical Placement Abruption: Clinical suspicion and management
Abstract : PA is a serious obstetric complication; it is responsible for an important maternal and perinatal morbidity and mortality. Its risk factors have been identified but it is often unpredictable. The classic clinical triad is present in only a few cases. Suitable obstetric management is the key to avoid maternal and perina..
- Second trimester unruptured ectopic pregnancy: Case report
Abstract : Ninety-five percent of ectopic pregnancies occur in the fallopian tube, ampulla being the most common site. Diagnosis and exact location of ectopic pregnancy is usually easy during the first trimester..
- Ruptured ectopic pregnancy after interval tubal ligation
Abstract : Tubal sterilization is considered a permanent method of contraception because it is highly effective in preventing pregnancy and therefore failure is rare. Most often the pregnancy following sterilization is ectopic in location. In this paper, we report a case of ectopic pregnancy in a patient who underwent interval bi..
- Benign breast disorders: An insight with a detailed literature review
Abstract : The term Benign Breast Disorders can be defined as any non malignant breast condition and includes a wide range of clinical and pathological entities. A clear understanding of BBDs is needed to provide appropriate counseling for the affected individuals, initiate treatment and avoid unnecessary anxiety and follow up. T..
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