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Background & Objective: The foramen transversarium in the transverse process is the characteristic feature for cervical vertebrae and distinguish it from other vertebrae. It transmits the vertebral artery, vertebral vein and sympathetic nerves. These foramina show variations in its size, shape and number. The present study was done to find out the incidence of accessory foramen transversarium and compare it with other study. Methodology: A total 150 dried cervical vertebrae were observed macroscopically for accessory foramen transversarium in the department of anatomy. Results: Out of 150 vertebrae, accessory foramen transversarium was found in 41(27.33%) vertebrae. Among 41 vertebrae unilateral accessory foramen transversarium was found in 27(18%) vertebrae and bilateral was found in 14(9.33%) vertebrae. Conclusion: The knowledge of accessory foramen transversarium is useful for spine surgeons in surgery around cervical vertebrae. It helps radiologists in interpretation of computed tomogram and magnetic resonance image scans. It is also helpful for anatomist, anthropologist and clinicians.
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Background: The brachial artery begins as the continuation of 3rd part of axillary artery at the distal border of teres major muscle. It terminates about a centimetre below the elbow joint at the level of neck of radius into radial and ulnar arteries. Context & purpose of study: The present study was done on 30 cadavers in department of anatomy to find out any variations in division pattern of the brachial artery. Results: Variations were found in two cadavers. An unusual short segment of the brachial artery which divide at middle of arm was found in right upper limb of one cadaver. There was a high origin of the radial artery from axillary artery found in right upper limb of one cadaver. The variations can be explained on the basis of embryological development. conclusions: The knowledge of branching pattern of brachial artery is useful for physicians, surgeons, nephrologists, radiologist and interventionist in various surgical procedures and also for diagnostic and therapeutic approaches.
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Background: Metallo-β-lactamase (MBL) mediated resistance to carbapenem is an emerging threat in Pseudomonas isolates. The aim of this study is to detect metallo-β-lactamase producing isolates of Pseudomonas spp. from various clinical samples from indoor patients in a teaching hospital. Materials and Methods: Total 900 bacterial strains were isolated from different clinical samples from indoor patients. The bacterial strains were isolated and identified as per the standard guidelines. Amongst them 100 isolates of Pseudomonas were taken for the present study. All pseudomonas isolates were subjected to antimicrobial susceptibility testing by Kirby-Bauer disc diffusion method (CLSIs). In all imipenem resistant isolates of Pseudomonas spp., MBL detection was carried out by Imipenem-EDTA combined-disc synergy test (CDST). Results: Out of 100 isolates of Pseudomonas, 44 (44%) were imipenem resistant. Of these 44 isolates, 30 were producing MBL enzyme. 30 MBL positive isolate included 12 (40%) from surgical wards, 10 (33.33%) from tuberculosis ward, 4 (13%) from medicine ward, 2 (7%) from paediatric ward, 1 (3%) from urology ward and 1 (3%) from neonatal ICU. All MBL positive strains were resistant to β-lactams, aminoglycosides and fluoroquinolones. Conclusion: Prevalence of MBL producing Pseudomonas spp. is 30%. The MBL producing Pseudomonas spp. isolates were multidrug resistant. It is important to identify MBL producing pseudomonas isolates in laboratory as may cause serious infections and may cause a nosocomial outbreak.