Correlation between Ultrasound Features and Histopathological Findings in Adnexal Masses – A Study in a Tertiary Care Center in Central India

Background: Ovarian cancer has emerged as one of the most common malignancies affecting women in India. Amultidisciplinaryapproach is needed for the optimal management of patients presenting with adnexal mass wherein the radiologist and thepathologist play an important role in assisting in clinical decision-making. The present study is done to correlate the ultrasoundfindings with the histopathological findings and to study the whole spectrum of adnexal masses.Methods: This is a prospective observational study carried out on 60 patients with adnexal masses and pre-operative ultrasoundassessment and who underwent surgical resection of their masses in a tertiary care center.Results: The pre-menopausal age group was more frequently affected than post-menopausal age group. A large number ofadnexal masses were of ovarian origin. The incidence of neoplastic adnexal masses is much higher than the non-neoplasticmasses. Among the neoplastic adnexal masses majority were ovarian tumors. The incidence of benign ovarian tumors is higherthan malignant tumors. Among the malignant tumors, serous cystadenocarcinoma was the most common tumor. Majorityof the ovarian tumors diagnosed by ultrasonography (USG) as purely cystic in architecture were proven benign tumors onhistopathology. Of the solid-cystic tumors, 50% were benign, and 50% malignant on histopathology solid architecture of thetumors was the least common, and the majority were malignant. USG diagnosis of adnexal masses revealed a sensitivity of94.4%, specificity of 83.3%, positive predictive value of 70.8%, and negative predictive value of 97.2%.Conclusions: USG is a sensitive and specific modality in pre-operative diagnosis of the malignant nature of lesions. Thepresence of solid component in an ovarian mass was a highly accurate predictor of malignancy.

Swasth Saarthi Abhiyan for public transport drivers, filling fuel at Indraprastha gas limited stations in Delhi and National Capital Region

Background: A public transport driver (Saarthi) if sick thinks twice before taking a day off. The community health department (CHD) of a tertiary care hospital started a ‘Swasth Saarthi (healthy drivers) Abhiyaan’ (SSA) for the public transport drivers (PTDs) for one year. The objectives of the study were to conduct 220 health check-up camps at selected compressed natural gas (CNG) stations in Delhi and National Capital Region; to improve health awareness and early detection of diseases in drivers and getting treated at base hospital.Methods: A cross-sectional study carried out from 15th March 2017 to 14th March 2018 at 36 Indraprastha Gas Limited (IGL) stations for all public transport drivers coming to IGL stations. Health camps conducted were - general health camp at IGL stations, NCD camps at community health department and clinical camps at the base hospital.Results: A total of 408 camps were held in which 14,945 drivers came for health check-up. The PTDs with Eye problems 5981 (40%), over-weight 5315 (35.56%), tobacco/gutka chewing 4687 (31.36%), drinking 3734 (24.98%), smoking 3616 (24.20%), obesity 1655 (11%), hypertension 1433 (9.59%) and diabetes 1057 (7.07%). Health awareness was improved through health education. Surgeries for cataract 20/155 and sleep apnoea 4/122, and de-addiction drugs for 15 drivers of ‘addiction’ were started at base hospital.Conclusions: The health check-up camps under SSA revealed that a large number of public transport drivers are at risk of various health related disorders. Innovative programme like ours is good to reduce “Treatment Gap” and is a step towards achieving Universal “Health for All”.

Global end‑diastolic volume an emerging preload marker vis‑a‑vis other markers - Have we reached our goal.

A reliable estimation of cardiac preload is helpful in the management of severe circulatory dysfunction. The estimation of cardiac preload has evolved from nuclear angiography, pulmonary artery catheterization to echocardiography, and transpulmonary thermodilution (TPTD). Global end‑diastolic volume (GEDV) is the combined end‑diastolic volumes of all the four cardiac chambers. GEDV has been demonstrated to be a reliable preload marker in comparison with traditionally used pulmonary artery catheter‑derived pressure preload parameters. Recently, a new TPTD system called EV1000™ has been developed and introduced into the expanding field of advanced hemodynamic monitoring. GEDV has emerged as a better preload marker than its previous conventional counterparts. The advantage of it being measured by minimum invasive methods such as PiCCO™ and newly developed EV1000™ system makes it a promising bedside advanced hemodynamic parameter.

Simulation‑based transthoracic echocardiography: “An anesthesiologist’s perspective”.

With the growing requirement of echocardiography in the perioperative management, the anesthesiologists need to be well trained in transthoracic echocardiography (TTE). Lack of formal, structured teaching program precludes the same. The present article reviews the expanding domain of TTE, simulation‑based TTE training, the advancements, current limitations, and the importance of simulation‑based training for the anesthesiologists.

Concomitant hypo-hyperdontia: Report of two cases.

Concomitant hypo-hyperdontia is a rare condition of coexisting missing teeth and supernumerary teeth in the same subject. Its etiology is still not exactly known. Permanent dentition is usually affected. Presented here are two uncommon cases of bimaxillary concomitant hypo-hyperdontia during the mixed dentition period. Early diagnosis of the condition and multidisciplinary approach for management of such cases is recommended.

Dens evaginatus of anterior teeth (talon cusp) associated with other odontogenic anomalies.

Depending on tooth location, usually, dens evaginatus describes an anomaly of posterior teeth and talon cusp as an anomaly of anterior teeth. From the standpoint of developmental, morphological and histological considerations dens evaginatus is a more acceptable term to use and talon cusp should be considered as a subset of dens evaginatus. It mostly occurs as an isolated finding rather than an integral part of any disorder. Two cases of dens evaginatus along with other dental anomalies are reported.