ABSTRACT
@#Introduction: Despite several techniques for corrective osteotomy in congenital radioulnar synostosis (CRUS) the published literature lacks a guide for radiographic planning and rationale for the site and level of the osteotomy. The primary objective of this study is to report a technique of radiographically controlled corrective osteotomy using the axis of rotation of the forearm in CRUS. Materials and methods: Children with CRUS underwent corrective osteotomy based on radiographic planning; the extent of rotational correction and functional outcomes were assessed at a mean of 27 months after the operation. Results: Seven forearms in six children of an average of 6.25 years were assessed for correction and functional outcomes. The average pre-operative pronation deformity was 71.5°. The average correction achieved was 64°. At follow-up, there were five excellent and two good functional outcomes. All children could perform daily tasks besides eating with hand and personal hygiene. Conclusion: Radiographic determination of the osteotomy sites by the method described is effective, consistent, and reproducible in achieving optimal functional outcomes in congenital radioulnar synostosis.
ABSTRACT
Background:Chronicsuppurative otitis media tubotympanic type is a common pathology for which tympanoplasty is done. The decision to decide the approach for tympanoplasty de pends upon multiple factors like extent of disease, site and size of perforation, size of external auditory canal and surgeon’s own expertise and preference. This study was undertaken to compare endoscopic and microscopic approach for type-1 tympanoplasty.Material And Methods:This study data was collected from 50 patients who underwent tympanoplasty in our department in our hospital from July –2017 to November 2019.Patients above 15 years of age with inactive chronic otitis media tubotympanic type operated for type-1 tympanoplasty. Pre-operative, intra-operative and post-operative data collected as per performa and evaluated.Result:Equal (25) number of cases underwent microscopic and endoscopic type-1 tympanolasty. As far as graft taken up is concern both approaches have good and comparable result. Hearing gain is almost similar in both approaches -Endoscopic approach-10.80 dB; microscopic approach-11.23 dB.Both methods do not have any major complications. Endoscopic approach has advantage of depth and angled vision. Endoscopic approach (57.2 min.) also saves surgical time than microscopic approach (89.4 min.) and comparatively good cosmetic result. Microscopic approach has upper hand over endoscopic appr oach in having two hande d surgery with magnified surgical view. Patient compliance and satisfaction is more with endoscopic approach.Conclusion:Both microscopic and endoscopic methods are excellent for type-1 tympanoplasty with advantage and limitation of each method. A careful selection of patient is necessary for endoscopic approach.
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Background:Clinical features of COVID infection are varied and sometimes non-specific. Anosmia is one such clinical feature, for which limited evidence is available.Material And Methods:Subjects were contacted via telephonic interviews and data was collected regarding their perceptions about COVID infection.Result:Prevalence of anosmia in our study was 12.8% overall but significantly more (18%) in hospitalised patients/symptomatic. More than 30% of patients were having anosmia as their first symptom. Anosmia was more in patients having co morbidities.Conclusion:Loss of smell is one of the important clinical features of COVID infection. Anosmia may be the sole or fir st symptom in COVID.
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Live worm in anterior chamber is a rare finding. We hereby report a case of ocular Angiostrongylus cantonensis, which, to the best of our knowledge, is the third case report from India. A 70-year-old female presented with the complaints of watering and foreign body sensations in right eye since 2 months. On examination, a translucent worm of approximately 15 mm length was found freely moving in anterior chamber. Patient underwent surgical removal of live worm, which was identified as A. cantonensis. Educating people regarding importance of hygiene is important for prevention of worm infestation.
Subject(s)
Adolescent , Adult , Age Distribution , Animals , Anti-Bacterial Agents/therapeutic use , Child , Child, Preschool , Female , Humans , India/epidemiology , Infant , Infant, Newborn , Leptospira/drug effects , Leptospirosis/drug therapy , Male , Middle Aged , Mortality/trends , Seasons , Sex DistributionABSTRACT
Computed tomograms of 107 patients of head trauma in the paediatric age group were evaluated. Generalised brain swelling (44%) and falx sign (44%) were the commonest findings observed in the computed tomograms. The overall mortality was 16.8% of which all except one were those with Glasgow coma scale between 3 and 7.
Subject(s)
Accidental Falls/statistics & numerical data , Child , Child, Preschool , Craniocerebral Trauma/epidemiology , Female , Glasgow Coma Scale , Humans , Incidence , India/epidemiology , Infant , Male , Sensitivity and Specificity , Skull Fractures/epidemiology , Tomography, X-Ray Computed , Wounds, Nonpenetrating/epidemiologyABSTRACT
A methanolic extract of W. somnifera root inhibited the specific binding of [3H]GABA and [35S]TBPS, and enhanced the binding of [3H]flunitrazepam to their putative receptor sites. The extract (5 micrograms) inhibited [3H]GABA binding by 20 +/- 6 per cent whereas a concentration of 1 mg of the extract produced 100 per cent inhibition. The extract (5-100 micrograms) produced 20 +/- 4 to 91 +/- 16 per cent enhancement of [3H]flunitrazepam binding. In functional studies using 36Cl-influx assay in mammalian spinal cord neurons, W. somnifera root extract increased 36Cl-influx in the absence of GABA. This effect on 36Cl-influx was blocked by bicuculline and picrotoxin; and enhanced by diazepam. These results suggest that the W. somnifera extract contains an ingredient which has a GABA-mimetic activity.