ABSTRACT
Chondrocalcinosis and Menicial injuries are both common findings on knee X ray and MRI [magnetic resonance Imaging] respectively. When both findings coexist in the setting of a painful knee effusion, they can lead to a diagnostic dilemma which is not always easy to sort out. This case report describes such a situation
ABSTRACT
OBJECTIVE: Aim of the study is to explore through discourse analysis, the faculty interaction on the pattern of Foucault that how discourses of professionalism run and shape the mind set of the faculty in a medical school
STUDY DESIGN: Descriptive Study
MATERIAL AND METHODS: We used the Foucauldian approach to the critical discourse analysis [CDA] of professionalism in our faculty comprising all tiers of the basic and clinical teachers of Rawal Institute of Health Sciences. Each faculty uncovered three distinct discourses that have constructed what professionalism actually is
The data was collected, qualitative analysis to see the explanatory power and quantitative analysis to see the trend was performed
RESULTS: A total of 75 faculty members participated in this study. Out of 215 discursive positions taken by different tiers of medical faculty morals and attitudes were the first choice that they want to see in tomorrow's doctor alongside knowledge and skills. Only 1/3 of the participants were of the view that today's doctor should have competent communication skills
CONCLUSION: A longitudinal interdisciplinary approach should be adapted to inculcate professionalism at undergraduate medical training level with lot more emphasis on the sociological perspective
ABSTRACT
Objective: to compare the outcome of Extracorporeal Shock Wave lithotripsy and litholopaxy in treating vesicle calculi
Patients and methods: the study included total of 100 patients divided into two equal groups of Extra corporeal shock wave lithotripsy [ESWL] and litholopaxy [LL]. Study was conducted between December 2007 and November 2008.ESWL was done under analgesia only while Litholopaxy was done under general anesthesia after a single dose of pre-operative antibiotic. Chinese Lithotripter of spark gap technology was used to impact shock waves. 3500 shock wave were given in one session. Lithotripter [storz] was used for ESWL in all cases. Post ESWL and postoperatively patients underwent radiography and ultrasonography as required at 4th day of follow up to asses stone clearance
Results: the mean patient age in ESWL and LL group was 38 ±10 and 40± 10 years respectively. The male to female ratio and stone size were similar between the groups. In ESWL group 2% patients got fever, 4% had LUTS, and 4% patients visited the emergency room [ER] within 24 hours of session. In this group 36 patients visited ER, required Auxiliary procedures. While in LL group 6% patients developed fever, 8% had LUTS, and 6 % patients visited the ER. 34 patients were cleared in single procedure, 4 required repeat procedure and 10 presented with small retained particles, which ultimately required ESWL. Stone free rate after a single procedure was 76% in ESWL and 72% in LL group. Complication rate was 10% in ESWL group whereas it was 20% in LL group. ESWL is 25% cheaper than LL
Conclusions: ESWL is a better modality as compared to Litholopaxy for treating vesicle stones of 2cm or less in terms of efficacy, complications, stones clearance and cost effectiveness