A STUDY OF EATING BEHAVIOR DISORDER IN SCHOOL AND NON–SCHOOL GOING ADOLESCENT

Background : Eating disorder is serious condition related to persistent eating behavior that negatively impact one's health, emotion, and ability to function in important area of life. To study eating Aims: behavior disorder in school going and non-school going adolescents. This study was conducted from 2019 among a adolescents Material and methods: aged 11–19 years selected from Government & private school and school going children from Madhav dispensary pediatric OPD and non-school going from slum, street, shops, hotels, garage in the city of Gwalior M.P. The survey interview will be structured to cover five questionnaries components, assessing. Community based cross-sectional study. 375 school & 375 non-school going childre STUDY DESIGN: SAMPLE SIZE: n. Statistical analysis: SPSS software. Total No. of male 273 (72.8%) and fem Results and conclusion: ale 108(27%) school going and 230(61.3%) male and 145(27.2%) female in non school going. In school going alcohol abuse cases 8 (2.1%) and no female and 7 male (1.8%) and 60 female (4.3%) in female of non school going. 1 case of Bulimia Nervosa in male and 7 female (1.8%) in school going while non school 5 male (1.3%) and 5 female (1.3%). In school adolescent maximum number of adolescents in late group who have suffered of alcohol abuse, bulimia nervosa, panic attack, alcohol tried and cigarette smoking, heard about alcohol abuse & cigarette smoking by peers, desired to weight gain is also more common in males, while in females anorexia nervosa, bulimia nervosa, depression, alcohol tried, cigarette smoking, heard about alcohol abuse & cigarette smoking by peers and desire to lose weight were reported significantly. In Non-school going adolescent in both middle and late female were using more alcohol then male and in bulimia nervosa was equal in both males and females, anorexia nervosa was common in females and panic attack were more in males

Primary renal hydatid disease: an unusual case report and review of literature

Hydatid disease is caused by Echinococcus granulosus; a parasitic infestation commonly affecting liver and lung. Isolated renal involvement is rare. Unusual locations, absence of specific diagnostic tests and varied clinical and radiological presentations may pose a diagnostic challenge. High index of suspicion of this disease should be kept for any spaceoccupying lesion in the kidney. Early pre-operative diagnosis in combination with medical and surgical treatment may prevent dreaded complications. This case is presented here due to its rarity and to highlight the gross, microscopic, and radiological features of isolated renal hydatid disease

Leiomyosarcoma, a Nonurothelial Bladder Tumor: A Rare Entity With Therapeutic Diversity

A 22-year-old young woman presented with dysuria and lower urinary tract symptoms that had persisted for 6 months. She was diagnosed with a tumor near the bladder neck. Transurethral resection was done under anaesthesia. The histopathological examination with immunohistochemical staining showed the tumor to be a low-grade leiomyosarcoma. Adjuvant chemoradiation was given, and the patient has been doing well for 12 months of follow-up. Nonurothelial tumors of the bladder are rare and consensus is lacking regarding their definitive treatment. Furthermore, little is known about the natural history and prognosis of this type of bladder sarcoma. We present a minimally invasive treatment for this relatively rare tumor in which bladder preservation was achieved with no evidence of local or distant recurrences during the follow-up to date.

Leiomyosarcoma, a Nonurothelial Bladder Tumor: A Rare Entity With Therapeutic Diversity

A 22-year-old young woman presented with dysuria and lower urinary tract symptoms that had persisted for 6 months. She was diagnosed with a tumor near the bladder neck. Transurethral resection was done under anaesthesia. The histopathological examination with immunohistochemical staining showed the tumor to be a low-grade leiomyosarcoma. Adjuvant chemoradiation was given, and the patient has been doing well for 12 months of follow-up. Nonurothelial tumors of the bladder are rare and consensus is lacking regarding their definitive treatment. Furthermore, little is known about the natural history and prognosis of this type of bladder sarcoma. We present a minimally invasive treatment for this relatively rare tumor in which bladder preservation was achieved with no evidence of local or distant recurrences during the follow-up to date.

Tricholithobezoar: An Unusual Late Complication of Neourethral Reconstruction in Aphallia

An 18-year-old man born with aphallia had undergone phallic reconstruction in childhood followed by total urethral reconstruction with a buccal mucosal graft and groin-based pedicle (Singapore) flap urethroplasty at 13 years of age. The patient presented with obstructive voiding symptoms lasting 6 months followed by acute urinary retention. The results of a voiding cystourethrogram showed a filling defect in the distal urethra that had been reconstructed by use of the skin flap. On urethroscopy, a 3 cmx2 cm sized tricholithobezoar was seen in the distal urethra. Pneumatic lithotripsy followed by bulbar urethrolithotomy was performed in the same operation to extract the bezoar. The remaining hairs were mechanically epilated. The patient has been doing well for 6 months of follow-up.

Ventral bulbar augmentation. a new technical modification of oral mucosa graft urethroplasty for stricture of the proximal bulbar urethra

Complication rates with ventral onlay technique of oral mucosa graft urethroplasty have been attributed to the poor ventral support for the graft. We herein describe a new technique which overcomes these problems and also discuss the short-term follow-up. In a prospective study conducted between January 2006 and June 2008, 13 patients with proximal stricture of the bulbar urethra underwent ventral bulbar augmentation. In this technique, the graft was sutured only to the bulbar urethra and the rest of spongiosal tissue was closed superficially. Longitudinal incisions were given in the partial depth of the bulb, adjacent to the suture line and were sutured together over the first suture line. The mean follow-up period was 16.4 months [range, 6 to 30 months]. Two of the patients developed restricture; one at the proximal anastomosis of the graft with native urethra and one at the distal anastomosis. Remaining 11 patients have satisfactory postoperative uroflow rates and are doing well. The success rate at the last follow-up was 84.6%. This technique exploits the local bulbar anatomy by successfully moving the lateral bulbar tissue medially, below the ventrally placed mucosal graft. This results in a thicker ventral bulbar platform which provides enhanced support to the graft

Andropause in Indian men: a preliminary cross-sectional study

The purpose of this study was to determine the frequency of androgen decline in the aging male [ADAM] in a group of Indian men working in the health sector. A free medical health checkup camp was organized for the male workers aged between 40 and 60 years employed in surgical departments of our hospital. Of 180 listed male workers, 170 attended this camp 157 eligible men participated in the study. After clinical history and systemic inquiry, the participants were requested to complete the Saint Louis University's ADAM questionnaire, and their serum levels of free and total testosterone were measured. Symptomatic andropause was found in 106 men [67.5%] on the basis of their responses to the questionnaire, of whom 41 [38.7%] had low serum free testosterone levels and 32 [30.2%] had low serum levels of total testosterone. Fifty-one men were asymptomatic according to the questionnaire and in this group, 11 [21.6%] had low serum free testosterone levels and 6 [11.8%] of these had low total testosterone levels. The frequency of andropause was 33.1% on the basis of low serum free testosterone levels and it was 26.1% when both symptoms and low serum free testosterone levels were taken into account. In our study, the high frequency of symptoms related to ADAM was unusual. This might be due to the nature of the questionnaire itself. Serum free testosterone measurement may be a better single test for diagnosis of hypogonadism than serum total testosterone measurement