Saving and early discharge of a neonate with severe meconium aspiration syndrome

Surfactant is the treatment of choice in severe respiratory distress syndrome. Intubation, administration of surfactant, extubation (INSURE) is never reported to have been used for meconium aspiration syndrome (MAS) although it is used as the standard method of delivery of surfactant for respiratory distress syndrome. This is a case report of the use of INSURE technique for severe MAS. The baby was born at term gestational age to a primigravida mother by C-section for fetal distress. The baby was vigorous with chest retractions. Hence, the baby was supported with delivery room Continuous positive airway pressure and shifted to Neonatal Intensive Care Unit (NICU). In NICU, the baby was stabilized and given surfactant using the INSURE technique. Subsequently, a chest X-ray showed clearing of lung infiltrates and drastically reduced oxygen requirement of the baby and the baby was discharged early to home.

Study of sexual maturity rating among female adolescents who have attained menarche

Background: Adolescence is an important stage in the growth and development of girls. There has been a change in sectorial trend in the onset of puberty menarche. Thus, this study is designed to study the change in sectorial trend. In this background the study has been framed with these objectives, to correlate the attainment of menarche among the subjects in relation to their mothers and to study the sexual maturity rating among the study subjects.Methods: This is a cross sectional observation study involving 70 female adolescent girls. Data was collected from study subjects admitted in the department of Pediatrics, KIMS Hospital and those visiting KIMS OPD during September 2018 to February 2019. Study Subjects were examined by the female investigator and data on anthropometry, Tanner SMR staging, and other examination findings were collected using a pretested standardized questionnaire, after taking the consent. Subjects were divided based on the age into six groups.Results: The mean age of attainment of menarche is 12.36 years and mean age at menarche in mothers was 14.18 years. In this study the earliest age of attainment of menarche is 10 years. In our study most of the subjects attained menarche between 12-13 years, which is earlier than the age of attainment of menarche in the mothers which was 14-15 years. All the subjects who attained menarche were in SMR Breast stages 3, 4 and 5 and pubic hair stages 2, 3, 4 and 5.Conclusions: There is a positive correlation between the ages of attainment of menarche in the mothers and the subjects in this study it is found that there is a positive correlation between age, weight, height and SMR Stages.

A Cadaveric Study On Lateral Thoracic Artery

Introduction: Lateral thoracic artery is one of the branches of second part of axillary artery which arises near thelateral border of pectoralis minor.Aim and Objectives: To study the variations in the origin of Lateral thoracic artery and note its pattern.Materials and methods: 54 axillae from embalmed cadavers allotted for dissection were used for the study.There were 22 male and 5 female cadavers, with ages ranging from 60 to 80 years, specimens of both sides wereused.Results: The commonest variation was common trunk for Lateral thoracic artery and Thoracodorsal Artery(9.5%).Conclusion: The study was carried out to show important variations in the branching pattern of lateral thoracicartery, in order to orient the surgeons performing reconstructive plastic surgery and modified radial mastectomy.