Monteggia fracture-dislocation with intercondylar fracture of the ipsilateral humerus: a new type III Monteggia equivalent

2016-10-06T18-09-02Z
Source: The Southeast Asian Journal of Case Report and Review
Dr.Aakash Mugalur, Dr.Binoti A Sheth.
Monteggia fracture dislocations are rare but complex injuries usually involving a fracture of the ulna and dislocation of the radial head. Monteggia Fracture dislocations are associated with other concomitant injuries in the ipsilateral upper limb. However, ipsilateral distal intercondylar fracture of the humerus and Monteggia fracture dislocation in adults are very rare with only 4 cases described in literature till date. We presented an exceptionally rare case of type III Monteggia fracture dislocation with intercondylar distal humerus fracture with posterior interosseous nerve palsy. The patient was treated with open reduction and internal fixation with post operative physiotherapy. The posterior interosseous nerve palsy recovered without any operative intervention. The patient had good functional outcome with no disability. We consider it to be a type III Monteggia equivalent adding to the expanding list of equivalent lesions.


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Unintentional household poisoning due to rodenticide in a child

2016-10-06T18-09-02Z
Source: The Southeast Asian Journal of Case Report and Review
Nisreen A Rahman, Vinod A Chaudhari, Bhawana A Badhe, Kusa K Shaha.
Introduction: The household poisoning is a major problem in India, and the awareness of these poisons among the people is meager and sometimes they ignorant and careless regarding these poisons. The various types of rat killer or rodenticides used in household, and their improper usage and safety may pose serious health issues. The rat killer poisoning with phosphide, warfarin, and superwarfarin are increasing day by day. Case report: A three years old boy unintentionally consumed rat killer paste, when his mother was out of the house. He had complaints of nausea and vomiting, and he admitted in a primary health care center. Then he was referred to tertiary care center and during the treatment he developed the features of acute renal failure and hepatotoxicity due to the rat killer poison and succumbed on a second day of admission. The features of rat killer poison that is zinc phosphide were evident on thorough autopsy examination, clinical findings, and ancillary examinations. Discussion: There is a need for proper preventive and treatment strategies to reduce the number of exposures, morbidity and mortality due to household poisons including rat killer poisons. In medical practice identifying the rat killer poisoning cases, their proper management, and its medicolegal aspects are very important.


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Subcutaneous zygomycosis presenting as soft-tissue ‘tumour’ over scapula – case report and review of literature

2016-10-06T18-09-02Z
Source: The Southeast Asian Journal of Case Report and Review
Tarun Bali and Malhar N Kumar.
Subcutaneous zygomycosis due to Basidiobolus ranarum is endemic in India, especially in Southern India. This is a case report of animmunocompetent manual labourer who presented with a painless swelling overlying the left scapula. Preoperative imaging studies suggested the possibility of cavernous haemangioma. Excision biopsy was performed and gross as well as histopathological assessment showed it to be a fungal lesion (entomophthoromycosis). Culture of the affected tissue yielded B. ranarum. The patient was treated with potassium iodide and itraconazole and the lesion healed completely in 2 months.


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Adenomyoepithelioma of breast : report of a rare case

2016-10-06T18-09-02Z
Source: The Southeast Asian Journal of Case Report and Review
Dr Reena kouli.
Benign adenomyoepithelioma of the breast is a rare tumor characterized by biphasic proliferation of both an inner layer of epithelial cells and a prominent peripheral layer of myoepithelial cells. This entity may rarely progresses to a more malignant state or gives rise to metastasis. Accurate diagnosis and close follow up is essential for proper treatment of these tumors. We report a 15 year old girl who presented with large lump in the breast which was clinically mistaken for a giant fibroadenoma of breast. No nodes were palpable. On gross examination, a large lump 11x11x8 cm was noted which was well circumscribed, solid on cut section. On histopathologic examination the diagnosis of adenomyoepithelioma was made which was further supported by immunohistochemistry findings.


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Spontaneous neonatal rectal perforation: A case for primary closure

2016-10-06T18-09-02Z
Source: The Southeast Asian Journal of Case Report and Review
Anjali Verma.
Spontaneous perforation of the gastrointestinal tract in the neonate is rare. When it occurs it usually involves the stomach or the ileocaecal region. Perforation of the rectum in the neonate is usually caused by instruments being passed into it. We are hereby reporting a rare case of idiopathic rectal perforation and was successfully managed by primary closure.


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Laparoscopic resection for gastric neuroendocrine and stromal tumors: a single-center prospective study

2016-10-06T03-54-04Z
Source: Medicine Science | International Medical Journal
Aziz Ari, Kenan Buyukasik, Cihad Tatar.
In stomach, the majority of the endocrine system neoplasm is situated in the corpus or the fundus, constituting a collection of non-functioning, enterochromaffin similar cell, and proper differentiated carcinoid. The golden standard in gastric GIST and NET is always operational removal whenever possible. In this study, we aimed to exhibit our outcomes by experience on laparoscopic resection of GIST and NETs, each one in the stomach. The current study was prospectively designed in our hospital to assess the likelihood and the safeness of the laparoscopy for individuals with GISTs and NETs, between January 2012 and 2014. Partial gastric resection was applied to eleven individuals (6 males /5 females) who were clinically determined as stomach-located GIST and NETs. The mean value of the tumor diameter was 4.2±1,36 cm (range: 2.5-6.8, median:4.3 cm). Tumor locations were around the fundus (n:2;%18.1), the antrum (n:3;%27.3), and the corpus (n:6; %54.5). The mitotic counts of the tumors were found to be 10/50 HPF in 2 patients. All 7 GISTs were c-KIT (CD117), DOG1 or CD34 positive (n:7). All 4 NETs were both Synaptophysin and Chromogranin positive. The main presenting symptom was abdominal pain (n:6, %54). In this article, the results supported that the laparoscopic way on the treatment of gastric GISTs and NETs is a secure and profitable selection for individuals if treated properly.


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Protective effect of Nigella sativa oil against thioacetamide-induced liver injury in rats

2016-10-06T03-54-04Z
Source: Medicine Science | International Medical Journal
Kevser Tanbek, Elif Ozerol, Sedat Bilgic, Mustafa Iraz, Nurhan Sahin, Cemil Colak.
antioxidant which is known to have liver protective effects, against thioacetamide (TAA)-induced liver injury. Accordingly, we aimed to investigate the toxicity of a hepatotoxic agent, thioacetamide, compared the NSO and NAC liver preventive effects in experimental animal model. Wistar-albino rats were randomly allocated to five groups, each consisting of eight rats, and were subjected to different treatment regimens for 6 days. Alanine aminotransferase (ALT), malondialdehyde (MDA), and protein carbonyl (PC) levels decreased significantly by NSO treatment (P


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A Comparative Evaluation On Mandibular Movements Before And After Prosthodontic Treatment

2016-10-06T02-09-42Z
Source: National Journal of Integrated Research in Medicine
Dr.Sanjay Nilawar*, Dr.Amrita Pandita**, Dr.Vinod Shewale***.
: Background: The range of movements of mandible in Indian individuals was not studied to set a norm. The changes happening before and after prosthodontic treatment were also not studied. Material and Methods: The study was conducted on normal individuals and then on prothodontically treated individuals .The sample consisted of 160 normal individuals and 80 treated individuals. The normal individuals were divided into four according to age viz, Group I: 21-30yrs, Group II: 31-40yrs, Group III: 41-50 yrs, Group IV: 51-60 yrs. Similarly the treated individuals were divided into four according to type of treatment viz, Group A- Complete dentures, Group B-Removable partial dentures, Group C-Fixed partial dentures, Group D-single crowns. The morphometric and mandibular movement parameters were first measured in normal individuals and then in prosthodontically treated individuals with digital Vernier caliper directly and using putty index. Result and Conclusion: Conclusions drawn from the study are as follows A norm could be formulated both for morphometrics related to mandible and mandibular arch and for mandibular movements. The values obtained are relevant to individuals belonging to Bangalore and nearby areas. Opening and lateral movements can be measured directly in the incisal region using a pair of Vernier calipers. In order to measure the excursive movements in the posterior region and the protrusion in the anterior region, putty indices can be made which is a simple procedure that can be performed in a dental clinic. Prosthodontic treatment in general has a restrictive effect on mandibular movements. This observation has a limitation that the sample size is only 80. Mandibular movements can be reproduced in a computer using the graphic capabilities of coral draw. More precise data could be obtained if the inclusion of the treated individuals were restricted for the age. [Deshpande S NJIRM 2016; 7(4):125-131]


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Impact Of Training On Knowledge And Practices Of Nurses Regarding Hospital Infection Control In A Tertiary Care Centre

2016-10-06T00-11-39Z
Source: National Journal of Integrated Research in Medicine
R.Jyoti Chandak*, Poonam S.Loomba**,B.Mishra***,V.Dogra****.
Background and objective:Nurses provide the first-hand bedside care to the patients in a hospital thus have a direct role in hospital infection control. Thus to improve hygiene behaviour of staff, training sessions on hospital infection control is necessary. The objective of this study was to assess the impact of training on knowledge and practices regarding hospital infection control amongst nursing staff working in tertiary care centre. Method: The study included 89 nurses from different wards and I.C.U. A pre-test and a post-test was conducted with a set of 20 self designed multiple choice questions in three days session of training covering important aspects of hospital infection control. Improvement in pre-test and post test for individual candidate was assessed and statistical data analysis was done. Results: Response rate of the questionnare was 100%.The mean pre-test score was 9(S.D 3.06) while mean post-test score was 14(S.D 6.34). The difference in pre-test and post-test was statistically significant(P

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Isolation And Antimicrobial Susceptibility Pattern Of Staphylococcus Aureus.

2016-10-06T00-11-39Z
Source: National Journal of Integrated Research in Medicine
Kulkarni VL*, Kulkarni DM**, Nilekar SL***, More SR****.
Introduction- Staphylococcus aureus is one of the principal human pathogens that colonizes healthy individuals as well as causes severe infections in hospitalized patients. They have differential ability to spread and cause outbreaks in hospitals. The study was done to isolate S.aureus from various clinical samples and to know their antibiogram. Methodology- The study included a total of 312 Staphylococcus aureus strains isolated from various clinical specimens. The specimens received were processed further for identification by standard microbiological procedures like direct microscopic examination, culture and various standard identification methods. Antimicrobial susceptibility testing was done by Kirby-Bauer disc diffusion method on Mueller-Hinton agar as per CLSI guidelines. Result- A total of 312 isolates of S. aureus were obtained from various clinical samples. Male to female ratio was 1.6:1. Infection rate was more in age group 46-60 years. Staphylococcus aureus isolates were more commonly obtained from surgery department (38.78%) followed by orthopedics. All the strains were 100% sensitive to Vancomycin, Netilmicin, Linezolid and Teicoplanin. Higher resistance was noted against Penicillin(94.87%), Trimethoprim/Sulfamethoxazole(72.44%).Lower resistance was noted against Nitrofurantoin(13.33%). Conclusion- The determination of the anti-microbial susceptibility is also crucial for an optimal therapy, for epidemiological purposes and for infection control measures. [Kulkarni VL NJIRM 2016; 7(4):33-38]


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