ABSTRACT
Background: Polycystic ovarian syndrome (PCOS) also known as hyperandrogenic anovulation syndrome or Stein – Leventhal syndrome is an endocrine disorder, characterized by anovulation, oligomenorrhea, amenorrhea, features of androgenic hormone excess (hirsutism, acne, alopecia, seborrhea) and insulin resistance. The global prevalence ranges from 2.2% to 26%. Methods: A prospective observational study was conducted from December 2015 to December 2016 in Department of Obstetrics and Gynecology at Pt. Jawahar Lal Nehru Memorial medical college and associated Dr. Bhim Rao Ambedkar memorial hospital, Raipur (C.G.) after obtaining permission of ethical committee of the institute to evaluate the effect of myoinositol and metformin on clinical profile in patients of polycystic ovarian syndrome. 70 women were included in the study who received a combination of myoinositol 600mg and metformin 500mg (twice a day) for 3 months for the management of PCOS. Prior to the start of the therapy, a detailed history and baseline investigations were recorded. Cases were reassessed at the end of three months of therapy for evaluation of change in clinical and hormonal profile.Results: 90.09% (63/70) cases showed improvement in the menstrual complaints. Spontaneous onset of menses occurred in all the cases presented with amenorrhea, in nearly 90% within 2 months of start of treatment. Regularization of cycles was observed in nearly 50% of patients with infrequent menses. Amongst all the cases with cutaneous manifestations, maximum improvement was seen in cases of acne (4/6) i.e. 66.66%. 25% (5/20) patients with infertility conceived during the study period.Conclusions: Myoinositol with metformin in combination has resulted in significant improvement in the clinical profile with reduction in individual drug dosage in cases with PCOS.
ABSTRACT
Aim of this prospective study is evaluation of role of computed tomography to detect & determine the cause, type, severity and etiopathogenesis of hydrocephalus in pediatric age group. Study was conducted in the department of Radiodiagnosis, Pt. J.N.M. Medical College, Raipur (C.G.). 50 consecutive cases of hydrocephalus in pediatric age group were evaluated by CT Scan. Pediatric cases who were having large head, convulsion, sign of raised intra–cranial tension, neurological deficit and evidence of ventriculomegaly by USG were taken for the study. Result – Out of 50 cases of hydrocephalus, majority of cases were less than 5 years of age (78%). The male to female ratio was 3:2. Maximum cases were of acquired type (62%) followed by congenital type (38%). In acquired type, infective lesions were predominant with 22 case (44%) and 9 cases (18%) were of neoplastic variety. Meningitis was commonest cause of hydrocephalus in acquired Varity. In congenital hydrocephalus, Aqueductal stenosis was the commonest cause (73%), followed by 4 cases (21%) of Dandy–Walker malformation and 1 case (5%) of type II Arnold Chiari malformation. Out of 50 cases there were 14 cases (28%) of communicating type and 32 cases (62%) were non–communicating and 4 cases (8%) cases of dandy walker cyst. Moderate degree of hydrocephalus were predominating being 50%. Conclusion: Computed Tomography is a valuable tool with very high diagnostic sensitivity and it helps for early detection of hydrocephalus with its cause and severity with precision.
ABSTRACT
Background: The aim of our study was to analyse the hospital data on AECOPD in patients with special reference in males and female cases, the pathogens involved, antibiotic susceptibility pattern. Methods: 107 patients (72 males, 35 females) aged between 45 and 85 years were included in the study. A detail history was elicited and complete examination was done. The sputum specimen was collected using sterile sputum cups and subjected to Gram’s stain, culture and biochemical reactions. Results: Our study shows 44 positive sputum cultures out of total 107 cases. Out of 107 cases 67% were males and 33% were females. The predominant clinical feature observed in our study was cough with expectoration, exertional dyspnoea and production of mucopurulent sputum. The prevalence of Gram negative bacteria was 55% and Gram positive bacteria was 45%. Klebsiella pneumoniae was the commonest bacteria isolated (38%) followed by Staphylococcus aureus (18%). The drug sensitivity reveals that 79.55% of the isolates were sensitive to amikacin followed by 68.18% sensitive to amoxyclavulinic acid and 54.55% of the isolates were sensitive to ciprofloxacin. Conclusions: In a developing country like India AECOPD is more common in adults more than 55 years of age due to smoking habits and high indoor pollution. This leads to a major impact on the quality of life of patients with the condition. They are a major cause of hospital admission and health care utilization.
ABSTRACT
In a screen for calcium-regulated gene expression during growth and development of Dictyostelium discoideum we have identified an asparaginyl tRNA synthetase (ddAsnRS) gene, the second tRNA synthetase gene identified in this organism. The ddAsnRS gene shows many unique features. One, it is repressed by lowering cellular calcium, making it the first known calcium-regulated tRNA synthetase. Two, despite the calcium-dependence, its expression is unaltered during the cell cycle, making this the first D. discoideum gene to show a calcium-dependent but cell cycle phase-independent expression. Finally, the N-terminal domain of the predicted ddAsnRS protein shows higher sequence similarity to Glutaminyl tRNA synthetases than to other Asn tRNA synthetases. These unique features of the AsnRS from this primitive eukaryote not only point to a novel mechanism regulating the components of translation machinery and gene expression by calcium, but also hint at a link between the evolution of GlnRS and AsnRS in eukaryotes.