RESUMO
Most obturator hernias are diagnosed intraoperatively due to their vague signs and symptoms. However, they are associated with a high mortality rate mainly because of the patient's age, comorbidities, and late diagnosis. We present three cases of obturator hernia in patients admitted under our care with signs of acute intestinal obstruction. All the patients were elderly with comorbidities, and they underwent open surgery with anatomical repair of the hernial defect with or without resection of any gangrenous bowel. They were discharged in good health, and during the limited follow-up period, there has been no recurrence. We would like to emphasize that obturator hernia should be considered in the differential diagnosis when an elderly, thinly built woman presents with acute intestinal obstruction. Though the outcome of such cases depends on the clinical status and comorbidities of the patient, early diagnosis and treatment can help in reducing postoperative morbidity and mortality.
RESUMO
BACKGROUND: The industrial workers are exposed to stress and strain due to the tough nature of their duties. There is a need to incorporate simple, cost effective, and easily implementable measures in the industries to tackle this menace of stress. Yoga has been considered a suitable candidate for this job. Hence this study was undertaken to evaluate the psychological benefits of yoga in workers. MATERIALS AND METHODS: Four hundred healthy young general duty workers were enrolled for this study and made into four matched groups of 100 each. One group was given regular Yoga practice in the morning, another group was given regular physical training in the morning, third group was exposed to regular physical training in the morning and Yoga in the evening, and the last group was exposed to neither of them. All were assessed for their psychological state at base line, 4 weeks and at 12 weeks using specified scales. The findings were statistically analysed. RESULTS: Yoga was found to have more beneficial psychological effect comparable to physical training. However maximum benefit was obtained when Yoga was combined with PT. CONCLUSION: Yoga has got positive psychological benefits in general duty workers when practiced regularly. The benefits are enhanced when Yoga is combined with PT.
RESUMO
Alcoholic hallucinosis is a rare complication of chronic alcohol abuse characterized by predominantly auditory hallucinations that occur either during or after a period of heavy alcohol consumption. Bleuler (1916) termed the condition as alcohol hallucinosis and differentiated it from Delirium Tremens. Usually it presents with acoustic verbal hallucinations, delusions and mood disturbances arising in clear consciousness and sometimes may progress to a chronic form mimicking schizophrenia. One such case with multimodal hallucinations in a Defence Service Corps soldier is presented here.
