Prevailing practice patterns in keratoconus among Indian ophthalmologists

Objective: The past few years have seen a rapid advancement in the management of keratoconus (KC). However, there is no prescribed standard of care for the management of KC. This study evaluated the prevailing practice patterns among Indian ophthalmologists in the diagnosis and treatment of KC via an online survey. Methods: This was a survey?based cross?sectional study in which a questionnaire (Supplement 1) was created. Questions pertaining to the practicing experience, setting of practice, and training background were asked in addition to the investigations done and decision making in KC management. Responses were collected via Survey Monkey (Survey Monkey, Palo Alto, California, USA) and statistical analysis performed using R software (4.1.3). Results: The survey was answered by 273 ophthalmologists. Pentacam was the most used topographer (195 users), followed by Orbscan (41 users), Sirius (34 users), and Galilei (3 users). The lowest limit of pachymetry for performing collagen crosslinking (CXL) was 400? for most practitioners. More than half the respondents (50.55%) did not perform photorefractive keratectomy (PRK) or intracorneal ring segment (ICRS) implantation in a suitable patient. Accelerated 10?minute protocol (9 mW/cm2 for 10 minutes) was the most commonly (54.21%) used for CXL, followed by Dresden protocol (3 mW/cm2 for 30 minutes) (36.63%). When a patient was unsuitable for CXL, 55.31% surgeons advise contact lens (CL) trial, 35.16% surgeons advise keratoplasty, 26.74% surgeons perform stromal augmentation, and 7.69% surgeons advise spectacle correction. Corneal scar was the most common indication (49.45%) for performing keratoplasty. Conclusion: Topography remains the most used diagnostic modality for initial diagnosis. Optical coherence tomography and epithelial mapping are increasingly being used for early diagnosis of KC. Not all ophthalmologists were comfortable performing ICRS or PRK. When patients are unsuitable for CXL, CL trial remains the most frequently advised option followed by keratoplasty.

Evaluation of Rice Varieties (Oryza sativa L.) on the Basis of Physiological and Morphological Traits

The investigation entitled “Evaluation of rice varieties (Oryza sativa L.) on the basis of physiological and morphological traits” was conducted during the Kharif season, 2019-2020 at the field of Student’s Instruction Farm, Acharya Narendra Deva University of Agriculture & Technology, Kumarganj, Ayodhya. Nine elite rice genotypes were shown in RBD with three replications, and morphological data were recorded. i.e., Plant height (cm), tiller number per plant, ear bearing tillers per plant, dry weight per plant(g), number of grains/plant, test weight(g), grain yield per plant. The plant height was, plant dry weight and number of tillers per plant obtained maximum in Sambha Sub-1 in comparison to other genotypes.

Effect of Nano Zinc Oxide Seed Treatment on Physiological Growth and Biophysical Traits and Seed Quality of Soybean [Glycine max (L.) Merrill]

The field experiment was conducted at Seed Technology Research Center, Department of Plant breeding and Genetics, JNKVV-Jabalpur Kharif-2021. Growth analytical attributes studies indicated superior performance of seed treatment with nano-ZnO @500mg L-1 for LAI @60 DAS (days after sowing), @70 DAS, @80 DAS, LAD, CGR, RGR and BMD w.r.t. 24.26%, 21.39%, 28.50%, 12.09%, 21.42%, 20.17% and 20.56% enhancement over control. Varietal studies revealed superior performance of variety JS 20-116 for LAI, LAD, CGR, RGR and BMD. Biophysical parameters studies revealed superior performance of seed treatment with nano –ZnO @500mg L-1 for chlorophyll content index and energy interception with 5.19% and 26.51% enhancement over control respectively. With respect to variety superior performance of variety JS-20-116 for chlorophyll content index and energy interception. Seed quality parameters studies indicated superior performance of seed treatment with nano–ZnO @500mg L-1 for final plant stand, germination, and seed vigour index I and seed vigour index II with respect to 29.16%, 14.11%, 26.40% and 21.43% enhancement over control. With respect to variety, superior performance of variety JS-20-116 for final plant stand, and seed vigour index I and seed vigour index II and JS 20-34 for seed germination. This results justifies that the seed treatment with nano formulation in the form of ZnO @ 500mg L-1 will improve growth analytical attributes, physiological efficiency and seed quality of the soybean. Hence the seed treatment with nano-ZnO @500mg L-1 is recommended to farmers for maximum productivity, physiological efficiency and sowing seed quality.

A Review on Remote Sensing as a Tool for Irrigation Monitoring and Management

Remote sensing has played a vital role in advancement of agriculture and is effective technical method for agriculture crop management. It is a technology which acquisite information regarding objects on earth surface as well as atmosphere from a distance without being in contact with the object. Researchers have proved its high potential with accuracy in the field of agriculture. After various experiments, the qualitative and quantitative assessment of soil, crop and atmosphere demonstrated the better understanding between the crop and its management practices. The collected spatial and temporal data via various passive and active sensors has been utilized not only for morphological study but also for monitoring the vegetation moisture content. The paper reviews about the potential studies carried out to investigate the water content in plant to make use in irrigation management. Diverse spectral reflectance indices have been mentioned from which special emphasis on NDWI has been given. It is an index which is used in remote sensing to assess the crop water status and can be utilized in efficient operation of irrigation to improve water use efficiency (WUE) in agriculture. In order to make irrigation practices more efficient by making the lab restricted irrigation scheduling methods like IW:CPE method applicable in regular practice by using remote sensing. This paper firstly identifies areas where researches and techniques have real-world application. Next, it identifies actual issues that remote sensing could address and solve with further research and its related development. All opportunities for managing agricultural water resources effectively to be explored and made successful through precision agriculture. Using the fast, impartial and reliable information offered by remote sensing is a significant difficulty in the field of water resource management.

Problems and solutions to conduct of thesis of postgraduate medical students during the COVID-19 pandemic: an insight into the students perspective / 한국의학교육

Purpose@#The coronavirus disease 2019 (COVID-19) pandemic has adversely impacted medical education worldwide. However, its impact on the postgraduate medical thesis and dissertation work is still not evaluated. Through this study, we planned to find out the problems brought by the pandemic and likely alternatives and possible solutions to thrust the academic competence of postgraduate students. @*Methods@#After obtaining institutional ethics committee approval, we sent a 13-item questionnaire to postgraduate medical students in India via various social media online platforms. Data on the impact of the COVID-19 pandemic on thesis work and alternatives/solutions to improve the research competence were collected on a Likert scale and analyzed. @*Results@#We received a total of 398 responses out of which 377 entries were included for final analysis. The majority of participants (88%) reportedly had an adverse impact on the thesis work and out of 25% of the participants who recently submitted their around 45% had to do so without achieving the estimated sample size. The 6-month departmental review for thesis progress was seen in merely 28% of participants. Possible alternatives suggested were the maintenance of log books, task-based assessment of research methodology, departmental audits, and systematic reviews. Solutions suggested for improving the research competence of students were a compulsory research methodology curriculum, a biostatistics department in each institution, permission to conduct thesis work beyond submission time, exclusive time for research work, and financial incentives. @*Conclusion@#Modification in the research aspect of the current postgraduate medical education is the need of the hour and the pandemic has enlightened us regarding the current weaknesses.

Subanesthetic intravenous ketamine vs. caudal bupivacaine for postoperative analgesia in children undergoing infra-umbilical surgeries: a non-inferiority randomized, single-blind controlled trial / 대한마취과학회지

Background@# Subanesthetic intravenous (IV) ketamine acts as an analgesic and has opioid-sparing effects, particularly for acute postoperative pain; however, its effectiveness in children is understudied. The primary aim of this study was to evaluate the non-inferiority of subanesthetic IV ketamine vs. caudal bupivacaine for postoperative analgesia in children undergoing infraumbilical surgery. @*Methods@# Children aged < 6 years were enrolled in this single-blind study and randomized to receive either subanesthetic IV ketamine (0.3 mg/kg) or caudal 0.125% bupivacaine (1 ml/kg) along with general anesthesia. Postoperative pain was assessed using the FLACC scale at 30 minutes and 1, 2, 3, and 6 h post-operation. Intra- and postoperative opioid consumption, time to extubation, postoperative vomiting, agitation, sedation, and inflammatory markers were also assessed. @*Results@# Altogether, 141 children completed the study (ketamine group: n = 71, caudal group: n = 70) The cumulative proportion of children without significant postoperative pain (FLACC score < 4) in the first 6 h post-surgery was 45.1% in the ketamine group vs. 72.9% in the caudal group (P < 0.001). More children in the ketamine group required an additional dose of intraoperative fentanyl (33.8% vs. 5.7%, P < 0.001) and postoperative tramadol (54.9% vs. 27.1%, P < 0.001). However, postoperative agitation, sedation, and other secondary outcomes were similar between the groups. @*Conclusions@# Subanesthetic ketamine is inferior to caudal bupivacaine for postoperative analgesia in children aged < 6 years undergoing infra-umbilical surgeries; however, other postoperative outcomes are similar.

Effect of preoperative dexmedetomidine nebulization on the hemodynamic response to laryngoscopy and intubation: a randomized control trial / 대한마취과학회지

Background@#Dexmedetomidine, an alpha-2 agonist, has been used for attenuation of hemodynamic response to laryngoscopy but not through the nebulized route. We evaluated the effects of preoperative dexmedetomidine nebulization on the hemodynamic response to laryngoscopy and intubation and examined the intraoperative anesthetic-analgesic requirements and recovery outcomes. @*Methods@#Overall, 120 ASA I & II adult patients (of either gender) undergoing elective surgeries and requiring tracheal intubation, were randomized to receive nebulized dexmedetomidine (1 µg/kg in 3–4 ml of 0.9% saline) or 0.9% saline (3–4 ml), 30 min before anesthesia induction. Heart rate and non-invasive systolic blood pressure were monitored for 10 min following laryngoscopy. @*Results@#After laryngoscopy, linear mixed effect modelling showed significantly lower trend of increase in heart rate in the dexmedetomidine group versus saline (P = 0.012); however, there was no difference in the systolic blood pressure changes between the two groups (P= 0.904). Induction dose of propofol (P < 0.001), intraoperative fentanyl consumption (P = 0.007), and isoflurane requirements (P = 0.013) were significantly lower in the dexmedetomidine group. There was no difference in the 2-h incidence of postoperative nausea and vomiting (PONV) (P = 0.612) or sore-throat (P = 0.741). @*Conclusions@#Nebulized dexmedetomidine at 1 µg/kg attenuated the increase in heart rate but not systolic blood pressure following laryngoscopy and reduced the intraoperative anesthetic and analgesic consumption. There was no effect on early PONV, sore-throat, or increase in incidence of adverse effects. Nebulized dexmedetomidine may represent a favorable alternative to the intravenous route in short duration surgeries.

Effect of preoperative dexmedetomidine nebulization on the hemodynamic response to laryngoscopy and intubation: a randomized control trial / 대한마취과학회지

Background@#Dexmedetomidine, an alpha-2 agonist, has been used for attenuation of hemodynamic response to laryngoscopy but not through the nebulized route. We evaluated the effects of preoperative dexmedetomidine nebulization on the hemodynamic response to laryngoscopy and intubation and examined the intraoperative anesthetic-analgesic requirements and recovery outcomes. @*Methods@#Overall, 120 ASA I & II adult patients (of either gender) undergoing elective surgeries and requiring tracheal intubation, were randomized to receive nebulized dexmedetomidine (1 µg/kg in 3–4 ml of 0.9% saline) or 0.9% saline (3–4 ml), 30 min before anesthesia induction. Heart rate and non-invasive systolic blood pressure were monitored for 10 min following laryngoscopy. @*Results@#After laryngoscopy, linear mixed effect modelling showed significantly lower trend of increase in heart rate in the dexmedetomidine group versus saline (P = 0.012); however, there was no difference in the systolic blood pressure changes between the two groups (P= 0.904). Induction dose of propofol (P < 0.001), intraoperative fentanyl consumption (P = 0.007), and isoflurane requirements (P = 0.013) were significantly lower in the dexmedetomidine group. There was no difference in the 2-h incidence of postoperative nausea and vomiting (PONV) (P = 0.612) or sore-throat (P = 0.741). @*Conclusions@#Nebulized dexmedetomidine at 1 µg/kg attenuated the increase in heart rate but not systolic blood pressure following laryngoscopy and reduced the intraoperative anesthetic and analgesic consumption. There was no effect on early PONV, sore-throat, or increase in incidence of adverse effects. Nebulized dexmedetomidine may represent a favorable alternative to the intravenous route in short duration surgeries.

Disadvantages Of Anabolic Steroid: A Case Study

The word steroid - we all know these are life saving drugs. Steroids have different meanings. Steroids are chemicals, often hormones that your body makes naturally. They help your organs, tissues, and cells do their jobs. Steroids can also refer to man-made medicines. We all know misuse of anything could be fatal. Nowadays anabolic steroids are very common especially in young adults going to gym for making muscles. Gym trainers are giving them steroids by saying and assuring that it will help them to build their muscle and body mass index. In some cases it can become life threatening too. Here in this article I’m going to present such case in which a young boy of just 25 years of age has taken such steroids and lands himself in deep trouble. He was healthy but the moment he joined gym, everything was ruined. He was diagnosed with AVN (Avascular Necrosis) of hip joint. AVN is a deadly pathology in which death of bone tissue occur due to lack of blood supply. Now he is not able to walk on his own and using wheel chair. So this article is basically awareness to young generation who are running behind this stuff and making their life hell.

Safety and efficacy of autologous noncultured dermal cell suspension transplantation in the treatment of localized facial volume loss: A pilot study

Background: Available options for correction of facial volume loss, such as synthetic fillers, autologous fat and cultured fibroblasts, have limitations viz. temporary effect and high cost. Aim: To assess the use of a novel technique, autologous non-cultured dermal cell suspension transplantation, for correction of localized facial volume loss due to inflammatory pathologies. Methods: It was a pilot study conducted in the Dermatology Outpatient Department, All India Institute of Medical Sciences (AIIMS), New Delhi, India. Autologous non-cultured dermal cell suspension was transplanted in a total of 10 patients, out of which 5 had predominantly dermal loss and the rest had predominantly lipoatrophy. The donor tissue from the gluteal region was digested into a single cell suspension using collagenase-1 and injected into the recipient area. The outcome was assessed subjectively by patients and investigators and objectively using ultrasonography. Cell count, viability testing and measurement of mesenchymal stem cells were also done. Results: On assessment of patients, the median improvement in the predominantly dermal atrophy group at 3 and 6 months was 70% (range: 10–90%) and 80% (range: 0–90%), respectively, and in the predominantly lipoatrophy group, 0% (range: 0–40) and 0% (range: 0–50), respectively. Mean thickness of dermis + subcutis at the baseline was 1.835 mm (range: 0.89–6.04 mm), which increased to 2.912 mm (range: 0.88–7.07 mm, P = 0.03) at 6 months. Limitations: Our pilot study has some limitations such as small sample size and heterogeneity of the recruited patients. Conclusions: Autologous non-cultured dermal cell suspension transplantation appears to be safe and effective in localized facial dermal defects because of inflammatory pathologies, but not effective in deeper defects.

Estimation of gingival blood glucose using a sensitive self-monitoring device in periodontitis patients

Background: Diabetes Mellitus is a complex disease with varying degree of systemic and oral complications. The prognosis is quite favorable if a disease is diagnosed in early stages. Since a large number of patients seek dental treatment routinely, screening procedures for early detection of subclinical cases can help in diagnosis of asymptomatic diabetes. Aim: The present study was undertaken to evaluate if gingival crevicular blood can be used for the estimation of blood glucose levels in periodontitis patients. Material and Methods: A prospective study was carried out comprising 150 patients Group A comprised of 75 subjects with gingivitis and group B comprised of 75 subjects with periodontitis. For gingival crevicular blood glucose (GCBG) level estimation, the blood was drawn onto the glucometer strip after gently probing the gingival sulcus and the readings were recorded. At the same time, blood Vijayendra Pandey, Akhilesh Chandra, Deepak Kumar, Anup Kumar Singh, Priyankesh, Alok Kumar Gupta. Estimation of gingival blood glucose using a sensitive self-monitoring device in periodontitis patients. IAIM, 2019; 6(6): 51-56. Page 52 was also collected from the index finger onto the glucometer strip for the capillary finger-prick blood glucose (CFBG) sample. Both the values were compared and statistical analysis of data was performed. Results: The mean GCBGL and CFBGL in group A was 98.43 mg/dl ± 18.62 and 103.48 mg/dl ± 13.90 respectively, while in group B it was 136.37 mg/dl ± 36.95 and 141.62 mg/dl ± 51.84, respectively. There was no statistically significant difference (p> 0.05) between the two values in both the groups. Conclusion: It can be concluded that GCBG levels are positively correlated with CFBG levels. Therefore, clearly indicating that gingival crevicular blood collected during diagnostic periodontal examination may be an excellent source of blood sample for glucometric analysis.

A Study Of Mandibular Foramen In North Indian Population

Background: Mandibular foramen (MF), present on the medial surface of ramus of the mandible, leads to themandibular canal through which inferior alveolar nerve (IAN) and vessels transmit. IAN block is a commonanaesthetic procedure before dental and reconstructive surgeries. Surgeons usually do IAN block in their clinicsand encounter failure of block because of variable position of MF.Objective: The present study was carried out to find the most common position of MF in north Indian population.Materials and Methods: Study was done on 50 dry adult human mandibles of unknown sex and age of northIndian origin. Height was measured from the angle of the mandible to the highest point on condyloid process.Mid point of the line joining these points was noted. The position of MF was observed in relation to pre noted midpoint.Results: MF was placed below the level of mid point in 40 mandibles (80%).Conclusion: The knowledge of most common position of MF will help the surgeons to reduce the chance ofunsuccessful IAN block.

Association of Primary Inguinal Hernia with Body Mass Index in Patients of Bundelkhand Region of India

Background: Inguinal hernia is a common condition dealt by surgeons in our country. It is said to be asoociated with increasing age, male gender, smoking, connective tissue disorder and factors responsible for increased intraabdominal pressure. Development of inguinal hernia and its relation with body weight is controversial. So present study has been carried to find out relation of body mass index with development of inguinal hernia in both gender, various age groups and its association with type of inguinal hernia. Methods: This was a prospective study carried out on patients of primary inguinal hernia belonging to Bundelkhand region of India. Patients were categorized according to Body Mass Index (BMI) as normal weight (BMI=18.5-24.9), overweight (BMI=25–29.9), class 1 obese (BMI=30–34.9), and morbid obese i.e. class 2 & 3 obese (BMI≥35). Data were further classified in groups formed on the basis of BMI of patient versus age, gender of patients and type of inguinal hernia viz. direct/ indirect hernia. All the findings were tabulated and inferences were drawn followed by statistical comparison with the help of “Statistical Calculator v 4.0” using suitable test viz. chi-square test with p value <0.05 considered as significant. Results: Age groups ranging from 21 years up to 70 years had highest number of patients who were having normal weight (BMI =18.5-24.9). Among the male gender, highest number of patients belonged to BMI group of 18.5-24.9 (i.e. normal weight). Patient group with BMI of ≥ 35 (i.e. class 2 & 3 obese) had the least frequency distribution in males as well as in females. Among the patients of primary direct inguinal hernia and primary indirect inguinal hernia, patient group with BMI of 18.5-24.9 (normal weight) showed highest frequency and patient group with BMI ≥ 35 (class 2 & 3 obese) showed least frequency. Conclusion: Present study shows that in our study population, high Body mass index is not associated with high occurrence of inguinal hernia among the genders and different age groups, rather it seems to be protective for inguinal hernia

Efficacy Of Dhanyamla Sarvanga Dhara In The Management Of Obesity: An Analytical Review

Obesity consist a major nutritional health problem in developed and developing countries, which has reached epidemic proportions. It is a medical condition of excessive fat accumulation to the extent that it may have negative effect on health. Obesity are major causes of co-morbidities, including type 2 diabetes, cardiovascular disease, various cancer and other health problem like obstructive sleep apnea, osteoarthritis and depression. Obesity is most commonly caused by a combination of excessive food intake, lack of physical activity. Leptin enzyme is responsible for controlling appetite through its action on CNS, TNF alpha is also link factor between fat accumulation and metabolic disorders. The body mass index (BMI) is an internationally accepted index to estimate body weight. Taking medication like Sibutramine, Orlistat as an option for treatment of obesity can be given, because it is associated with many side effects. Bariatric surgery may be performed to reduce weight, but it is not very useful treatment. Diet, life style modification, physical activity can achieve the desired loss of body fat. In Ayurveda best treatment for Sthaulya defined by Acharyacharak and Sushruta and Vagbhatt. Dhanyamalasarvangadhara is highly effective in Vata associated with Ama and Kapha. Dhanyamla sarvanga dhara eliminates the body toxins, establishes health and tones up the joints and soft tissues. The drug will act soon as the medicine touches the skin surface. Due to Vasodilation property blood flow will increase through the area, increasing metabolism further eliminating the toxins, which will help in reducing the obesity. Dhanyamala sarvanga dhara controls the disease process and may cause long lasting relief.

Management Of Psoriasis Through Ayurveda- A Case Study

Psoriasis is one of the most common dermatologic diseases, affecting up to 1% of the world's population. It is a chronic inflammatory skin disorder clinically characterized by erythematous, sharply demarcated papules and rounded plaques, covered by silvery micaceous scale. It has poorly understood etiology and presence of 50% positive family history. Drugs used now a day are basically immunosuppressive which have severe side effects along with remission of disease as well therefore holistic approach of Ayurveda can be a better approach to such disease. Psoriasis due to its different manifestation in different types can be correlated to different types of Kustha mentioned in Ayurveda. So the case being presented here is a male patient with red demarcated patches with severe itching in armpits, groin and nipple. Material and method: The patient was administered with Virechana with Trivritaavaleha followed by Shamana drugs. Results: After Virechana there was the complete improvement in itching and redness of patches was reduced to some extent but after using Shamana drugs there was moderate reduction in all the symptoms along with mild remission. Conclusion: There is need to develop a management for psoriasis which can give benefit on a long run without any adverse effects so, Ayurvedic system of medicine could be answer to this question.

Hantavirus infection among childrenhospitalized for febrile illness suspectedto be dengue in Barbados

Emerging picture of hantavirus infection in the South America is charac-terized by greater proportion of childhood infection and wider spectrum of diseasefrom mild asymptomatic to lethal cardiopulmonary disease. Barbados is endemic fordengue and leptospirosis, both of which share clinical features with hantavirus infec-tion and in many cases neither of these diagnosis could be confirmed. We investigatewhether some of the children hospitalized with suspected dengue could indeedhave been hantavirus infections. In this prospective study children hospitalized withsuspected dengue were tested for hantavirus infection using ELISA for the IgM anti-bodies. Thirty-eight children tested positive for hantavirus infection. They presentedwith fever, headache and mild respiratory and gastrointestinal symptoms and signs.None of them had features suggestive of hantavirus cardiopulmonary syndrome.Blood count values ranged from low to normal to high for their age. There were nodeaths. Hantavirus infection is prevalent in this Caribbean country. It predominantlypresents with milder disease and is responsible for some of the nonspecific febrileillnesses in children

Management of maxillofacial injuries in bear mauling cases: a review of 20 cases

OBJECTIVES: As the craniofacial and neck regions are prime areas of injury in bear attacks, the careful management of soft and hard tissue injuries and selection of reconstructive options is of the utmost importance. This study will review the incidence and patterns of bear mauling in eastern India reported to our department and the various modalities used for their treatment over a period of 7 years. It also documents the risks of infection in bear mauling cases and the complications that have occurred. MATERIALS AND METHODS: Twenty cases were treated over the study period. Cases were evaluated for soft and hard tissue injuries including tissue loss and corresponding management in the craniofacial region. Cases were also evaluated for other associated injuries, organ damage and related complications. RESULTS: Various modalities of treatment were used for the management of victims, ranging from simple primary repairs to free tissue transfers. Simple primary repairs were done in 75% of cases, while the management of the injured victims required reconstruction by local, regional or distant flaps in 25%. Free tissue transfers were performed in 15% of cases, and no cases of wound infection were detected in the course of treatment. CONCLUSION: Knowledge of various reconstructive techniques is essential for managing maxillofacial injuries in bear mauling cases. Modern reconstructive procedures like free tissue transfer are reliable options for reconstruction with minimal co-morbidity and dramatic improvement in treatment outcomes.

Askin Tumor: Malignant Round Cell Tumor in Thoraco-pulmonary Region in a Young Male Child.

Askin's tumor is a rare tumor arising from the chest wall. It is known to be a subset of Ewing’s sarcoma histologically presenting as a small round blue cells. It is a highly malignant tumor with poor prognosis. 17-year-old teenager visited in our department with complaints of chest pain and swelling. Chest skiagram revealed a homogenous radio opacity in the right mid/ lower hemithorax. NECT and CECT thorax was done and was suggestive of two lesions in chest. One large lytic lesion involving the right lower ribs (6th, 7th) associated with large heterogeneous soft tissue mass on medial side. The other causing destruction of body of D8 vertebra associated with a paravertebral soft tissue mass. The diagnosis was further confirmed by biopsy of 6th rib which was suggestive of small round cell tumor.

Accessory Infraorbital Foramen And Morphometric Localization Of Infraorbital Foramen In North Indian Region.

Abstract: Background: Aim of present study was to note the frequency of accessory infraorbital foramen in north Indian population and to determine the distance of infraorbital foramen from various anatomical landmarks in adult dry human crania. Methodology: 64 adult north Indian dry human crania of unknown age and gender were analysedfor the presence ofaccessoryinfraorbital foramen and their unilateral or bilateral prevalence was calculated.Shortest distance between the infraorbital foramen from midline, pyriform margin, nasion, infraorbital margin, anterior nasal spine and frontozygomatic suture was measuredon both sides in each craniawith Vernier caliper accurate to 0.1 mm for linear measurement.Observations thus made were compiled and tabulated followed by comparison using appropriate statistical tests. Results: Prevalence of accessory infraorbital foramen is 7.81%, while bilateral prevalence of accessory infraorbital foramen is only 1.56 %, however unilaterally accessory infraorbital foramen is present in 6.25% (2.34 % on right side and 3.9 % on left side). Mean shortest distance of infraorbital foramen from midline was 34.78 ± 3.19mm, while mean shortest distance between the infraorbital foramen to the pyriform margin was 21.26 ± 2.78 mm.Mean shortest distance of infraorbital foramen to the nasion andinfraorbital marginwas 44.95 ± 4.62mm. and 6.58 ± 1.59 mm respectively.Mean shortest distance of infraorbital foramen to the anterior nasal spine and frontozygomatic suture was 36.63 ± 3.16mm.and 35.62 ± 1.98 mm respectively. Conclusion: The knowledge of the distances from surgically encountered anatomic landmarks may be of assistance in locating these important maxillofacial neurologic structures during many procedures. Understanding the location of these foramina will also assist the clinician in performing local anesthetic blocks.

A Morphological And Morphometric Study Of Right Ventricular Papillary Muscles In North Indian Region.

Abstracts: Background & Objective: Aim of present study was morphological and morphometric observation of papillary muscles of tricuspid valve of human heart. Methodology: This study was carried out in 36 human (24 males and 12 females) heart from adult cadavers, which were dissected according to standard technique. All papillary muscles were observed for their shapes, numbers and dimensions in centimeters. Data were tabulated and statistical comparison were done using “chi square” and “z” test. Results: The average length of anterior, posterior and septal papillary muscle was 1.42 ± 0.29 cm, 0.94 ± 0.23 cm and 0.18 ± 0.08 cm while average breadth of anterior, posterior and septal papillary muscle was 0.41± 0.12 cm, 0.29± 0.09 cm and 0.11± 0.01 cm respectively. The anterior papillary muscles presented 1 head in 27.78% and 2 heads in 25%, while posterior papillary muscles presented 1 head in 27.78% and 2 heads in 25%. All the septal papillary muscles presented with 1 head. Single anterior papillary muscle was found to be 97.22% while posterior papillary muscle was found to be single in 72.28% and double in 27.78. Septal papillary muscle was found to be single in 25% cases and absent in 38.89% cases. Conclusion: Data obtained from this study might be helpful for reparative surgical procedures of tricuspid valve.