RESUMEN
Myocardial infarction (MI) is also known as heart attack. Acute myocardial infarction can be diagnosed when there was prolonged chest discomfort, appearance of Q wave in the electrocardiogram. Echocardiography is extremely valuable in assessment of cardiac performance. This study was done in the department of medicine, medical college Jabalpur M.P between the periods of 1992-1993. Total 40 patients (30 male and 10 female) within age group of 31-80 years who have myocardial infarction were selected for this study. The result of this study shows that the Myocardial infarction occurs earlier in male as compared to female, Hypertension was found in about one third and hypercholesterolemia in more than 50% of study population, 80% of males patients were chronic smoker, Anterior wall infarction 25 patients (62%) is the most common type of myocardial infarction followed by combined, inferior, subendocardial wall infarction. In conclusion it can be said that diagnosis of myocardial infarction, established by characteristic history, clinical findings, blood biochemical analysis and electrocardiographic changes, can be correlated with echocardiography.
RESUMEN
Background: This study deal with the Excision without primary closure treatment of Pilonidal Sinus and it’s genderincidence. It might play an important role during treatment of Pilonidal sinus. Methods: This study was done in the Department of Surgery, Government medical college Ambikapur and Mahamaya Hospital Ambikapur, C.G. India. This study was done on 25 Pilonidal sinus patients and entire patient underwent Excision without primary closure procedure under the general or spinal anaesthesia and antibiotic were administered intravenously. The data was displayed in tabulated form. Results: The present study was done on 25 Pilonidal sinus patients, which include 24 [96%] male and 01 [4%] Female. Incidence of male Pilonidal sinus disease is more compare to female i.e. 24:1 out of which maximum number of male patients i.e. 15[60%] showed in age group of 16-25year followed by 26-35year i.e. 08 [32%] and minimum number of patients exhibited in age group 36-45year i.e.01 [4%] .female pilonidal sinus patients 01 [4%] exhibited in age group 26-35 year . In this study primary pilonidal sinus disease i.e. 12 patients cure between 15-21 days followed by of 06 patients 07-14 days, 05 patients 22-28 days and 02 patients cure between 29-35 days. There were no Recurrent Pilonidal sinus patients studied and 1 patient have a post-operative complication respectively. Conclusion: The present study revealed that Excision without primary closure Treatment of Pilonidal Sinus is a simple procedure having minimum recurrence rate, short healing time, short or no hospital stay and rate of complication is low. Hence, this studies useful for Clinicians, Surgeon for proper clinical diagnosis and treatment of disease.
RESUMEN
Background: This study deal with the morphology of spleen regarding to shape, notches, and fissure on superior, inferior and diaphragmatic, visceral surface and compared with different study done previously. Methods: This study was done in the department of Anatomy, Chattishgarh Institute of Medical Science, Bilaspur, C.G. India. The study was done on 50 formalin fixed human middle age cadaveric spleen. The spleen was observed grossly and photograph was taken. The data was displayed in tabulated form. Results: The present study was done on 50 formalin fixed human cadaveric spleen, out of which 23(46%) spleen showed wedge shape, 19 (38%) spleen showed tetrahedral shape, 8(16%) spleen showed triangular shape. Among 50 spleen 35 (70%) exhibit notches on the superior border ,4(8%) exhibit notches on the inferior border, 6 (12%) exhibit no notches on either border of spleen, 5(10%) exhibit notches on the both border of spleen, 3 (6%) having fissures on the diaphragmatic surface of spleen . Notches on the superior border are commonly observed but it varies between 1 to 6 and in majority of spleen, it exhibits 1-3 notches respectively. Conclusion: This study provide knowledge about shape, notches, fissures of spleen hence this study useful for clinicians, surgeon, anatomist, radiologist for proper diagnosis and treatment of disease.