Résumé
Background: Hyperbilirubinemia is one of the common problems in neonates. The transcutaneous bilirubin (TCB) measurement is non-invasive, easy and rapid not requiring expertise and manpower. Fewer studies have been carried out to whether newer TCB measurements can correlate with serum bilirubin measurements using newer generation of transcutaneous bilirubinometer in our region.Methods: An observational cross-sectional study to compare serum and transcutaneous bilirubin measurements in newborns admitted to a neonatal intensive care unit, conducted from December 2015 to November 2017. Blood samples were obtained from neonates collected from venous sample into plain bulb and sent for analysis. For transcutaneous bilirubin measurement, the reading from forehead and sternum were taken using bilirubinometer and an average reading was taken for comparison.Results: Total 172 neonates were admitted during study period and enrolled in the study. It was observed that out of 172 patients, studied 102(59%) patients were male and 70(41%) patients were female. Out of 172 patients maximum 89(51.74%) mother have O positive blood group and only 2(1.1%) have O negative blood group. Common cause of neonatal hyperbilirubinemia was ABO incompatibility 81(48%), Rh incompatibility 11(6%), and other causes 80(46%). The mean and standard deviation of TSB for first, second and third reading were 19.21'3.44, 15.76'2.79 and 12.89'2.44 respectively. While mean and standard deviation of TCB for first, second and third reading were 18.34'2.99, 15.48'2.36 and 12.31'2.28 respectively with correlation coefficient of r=0.806513, r=0.694273, r=0.785471 respectively indicating linear relationship between two.Conclusions: There was a strong correlation between serum and transcutaneous bilirubin levels before and even after the phototherapy. As transcutaneous bilirubin estimation is non-invasive, gives quick and reproducible results. So, by using this method has potential screening value especially in the high-risk neonates to start early intervention.
Résumé
Context: The platelet rich fibrin (PRF) is second generation platelet concentrate that has been widely used and researched for stimulation and acceleration of soft tissue and osseous healing. Its continuous delivery of growth factors and proteins mimic the need of physiological wound healing and regenerative tissue processes. Aims and Objectives: The aim of this study was to evaluate the efficacy of PRF in osseous regeneration after enucleation of cystic lesions. The objectives of this study were: (1) To evaluate osseous regeneration radiographically with the use of PRF in intrabony defects after cystic enucleation. (2) To evaluate the degree of bone density in intrabony defects with the use of PRF postoperatively after 1st, 3rd, and 6th months. Subjects and Methods: 10 cases of cystic lesions were treated using PRF after cystic enucleation. Follow‑up radiographs (orthopantomogram) were taken 1st, 3rd, and 6th months postoperatively. Bone density was measured with grayscale histogram using Adobe Photoshop 7.0 software. Results: The subsequent follow‑up examinations revealed progressive, predictable, and significant radiographic osseous regeneration. Conclusion: The use of PRF in management of cystic lesions seems to be a novel therapeutic approach promoting faster osseous regeneration within 6 months postoperatively however further study is required with larger sample size and with a control group.
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Rosai Dorfman disease or Sinus histiocytosis with massive lymphadenopathy (SHML) is a benign, self-limiting disorder that commonly presents as massive bilateral and painless cervical lymphadenopathy. We present a case of a 6 year old male child who presented with cervical lymphadenopathy with no other complains and was diagnosed on fine needle aspiration cytology as a case of Rosai Dorfman disease. Patient was given low dose steroids to which patient responded well and became asymptomatic in 15 days.
Résumé
The present study was aimed at screening the phytochemical contents, antimicrobial and antioxidative activities from the aerial parts of Solanum sisymbriifolium. S. sisymbriifolium is known to be traditionally used in various kinds of ailments including pain and inflammation, some of which may be due to infection by various microbes found in our environment. Phytochemical analyses revealed the presence of phenolics, flavonoids, tannins, alkaloids and saponins in this plant. Screening for the antimicrobial activity of tissue extracts by disc diffusion assay against test microorganisms revealed the presence of antimicrobial activity, maximum activity being found in the methanolic extracts. The activity was stable against drastic thermal and pH treatments. The antioxidative activity of its aerial tissue extracts was determined using DPPH-radical scavenging method. Antioxidant activities have been implicated as agents for fighting many other diseases such as cancer that result from oxidative damages arising out of synthesis of compounds via natural metabolic routes. The study suggests the use of Solanum sisymbriifolium species for further isolation and characterization of its bioactive compounds leading to the development of new antimicrobial drugs.