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Case Report
*Ankur Jhanwar. 1, Radheyshyam meena. 2, Neelam Sharma3, Priyanka Maheshwari4
1 MS, General Surgery, Senior Resident, 2 MS, General Surgery, Prof. & Head,Department of Surgery, Govt. Medical College, Kota (Rajasthan),India. Pin- 324001. 3 MS,Obs & Gyne,Assistant Prof,4 MS,Obs & Gyne ,Senior Resident, Department of Obstetrics and Gynecology,S.R.G. Hospital and Medical College, Jhalawar,Rajasthan,India. Pin- 326001.
Abstract:- Evisceration of small intestine through the anus has been reported to occur spontaneously and in association with trauma. We report a unique case of a 4 year old male child who sustained a penetrating injury through rectum with a traumatic evisceration of small bowel through anus while playing. There were no apparent abdominal injury on examination. Interesting photos pre and post operative are presented. He was managed successfully.
Key Words:- Penetrating injury, Transanal evisceration of small bowel, rectal tear
Original article:-
Jaspreet Kaur1, K.M.Prabhu2, L.C.Thakur3.
1Professor,H.O.D.,I.T.S. Centre for Dental Studies and Research, Delhi-Meerut Road, Murad Nagar, Ghaziabad- 201206,India.
2Professor , Department of Biochemistry, 3 Professor , Department of neurology ,UCMS & GTB Hospital, Shahdra, New Delhi, India.
Abstract:- Serum magnesium is an indispensable element for man .It is indispensable activator of over 300 enzymes in humans. Hypomagnesia (ionized form) leads to neuromuscular hyperirritability, tremors, increased vascular resistance ,coronary vasospasm and hypertension . Magnesium deficiency triggers vasoconstriction, enhances vascular endothelial injury and hence leads to atherosclerosis.The present study evaluated serum magnesium levels in transient ischaemic attack and stroke patients. Method: The study was carried on 50 diagnosed cases of acute ischaemic stroke,10 cases of TIA and 60 healthy controls(age and sex matched) Fasting blood samples were collected and assessed for serum magnesium levels. Statistical analysis was performed P value less than 0.05 were considered significant. Result: The value of serum magnesium is significantly lower in patient when compared with controls. Conclusion: Magnesium levels are significantly decreased in ischaemic stroke, though hemorrhagic stroke patients as well as patients of transient ischaemic attack also had magnesium deficiency. Magnesium deficiency predisposes atherosclerosis, the known modifiable risk factor of stroke.
Keywords:- Atherosclerosis, Diabetes mellitus, magnesium, transient ischemic attack, stroke.
Original article:-
*Narayan Shrihari1, KumudiniT.S D2, Mariraj.J3, Krishna.S3
1MD (Microbiology), Asst. Professor, 2Bact (Microbiology), Tutor, 3Professor,4 Professor and Head, Department of Microbiology, Vijayanagar Institute of Medical Sciences (VIMS), Bellary-583104,India.
Abstract:- Back ground: In recent years, fungi have been emerging more common infection in immunocompromised patients of tertiary care centers. The climate of our country is well suited for a wide varity of fungal infections. Within the limited data available, an increased incidence of invasive candidiasis, aspergillosis and zygomycosis are reported. The infection is commonly observed in patients with uncontrolled diabetes mellitus, newer technologies in medical and surgical therapies, organ transplant, use of invasive devices and broad spectrum antimicrobial agents. Objective: The retrospective analysis for a period three years was undertaken to know the prevalence of common fungal infections in a tertiary care Hospital. Material and Methods: The various clinical samples were collected from the patients presenting with clinically suspected fungal infections. The direct microscopy with potassium hydroxide (KOH) was done to visualize the presence of fungal elements and Gram staining was done for any suspected yeast infection. Fungal culture of all samples were inoculated on two different culture media; one sabourauds dextrose agar (SDA) and the other SDA with chloramphenicol and cycloheximide. Results: A total of 690 clinical samples suspected fungal etiology were included for a period of three years. Out of which corneal scraping was most common sample 478(69.28%), followed by skin scraping 105(15.22%) and nail clipping 50(7.25%). Male to Female ratio of patients is 1.56 and majority of the patients belong to age group 21-50 years. Fusarium species was the predominant fungal isolate 57(22.44%), followed by Aspergillus niger 31(12.20%), Aspergillus flavus 31(12.20%), Aspergillus species 23(9.06%), Aspergillus fumigatus 20(7.87%) and Trichophyton species 20(7.87%). Conclusion: The wet mount preparation of KOH can be used as a screening test for presumptive diagnosis of fungal infections. Laboratory confirmation should be undertaken and fungal infection must be ruled out before prescribing corticosteroids and antibacterial agents.
Keywords:- Candidiasis, aspergillosis and zygomycosis.
Research article:-
R.H. Krishna Reddy, N. Naga Malleswara Rao, J. V. Suman Krishna , K. Ravindhranath*
Department of Engg. Chemistry and Post Graduate Chemistry, Bapatla Engineering College (Autonomous), BAPATLA-422101, Guntur Dt., A.P.India.
Abstract:- Leaves and their ashes of Tephrosia purpurea and Solanum nigrum have been found to have affinity towards Chromium(VI) at low pHs. The sorption abilities of these plant materials have been studied with respect to various physicochemical parameters such as pH, equilibration time and sorbent concentration in controlling the Chromium (VI) pollution in waste waters adopting batch system of extractions. Conditions for maximum extraction have been optimized. With synthetic waters, % of extractions of Chromium (VI) are found to be 84.0% and 88.0% with leaves powders and their ashes of Tephrosia purpurea respectively and 100.0% with both the leaves powders and their ashes of Solanum nigrum. Fivefold excess of common cation ions present in natural waters, viz., Ca2+, Mg2+ , Cu2, Zn2+, Ni2 + and Fe2+ are found to have synergistic effect in increasing the % removal of Chromium while anions like Phosphate, SO42- and Carbonate are interfering; monovalent ions: NO3- , Chloride, and Fluoride have marginal interference. The methodologies developed are successfully applied to some real samples of industrial effluents and polluted lakes
Keywords:-Chromium (VI), pollution control, bio-sorbents, Tephrosia purpurea, Solanum nigrum.
Original article:-
S.C.Vijayvergiya1, Arvind K.Bohra1,*Purushottam Jhanwar1, Ankur Jhanwar2
1MS, Assistant Professor, Department of Orthopedics, S.R.G. Hospital and Medical College, Jhalawar, Rajasthan, India.
2MS, Senior Resident, Department of Surgery, Govt. Medical College, Kota , Rajasthan, India.
Abstract:- Background: Injuries related to agricultural equipment are a significant cause of morbidity and mortality both in high-income and low-income countries. Agricultural work is the most prevalent type of employment in the worlds. An estimated 1.3 billion workers are working in agricultural production worldwide. Agriculture related injuries are one of the common reason for hospitalization. Aim & Objective: To study the pattern of agriculture related injured patient hospitalized in S.R.G. Hospital, Jhalawar, and give a baseline for deriving effective preventive measures for the local community. Methodology: A retrospective study was done in Orthopedic unit of S.R.G. Hospital, Jhalawar over a period of three years from 2009-2011.All the data were taken from case record of patients and determined and charted in an excel sheet. Simple frequencies and percentages were derived for various variables. Result: Most cases involved males between ages of 20-39 yrs ,with a seasonal peak seen in month of October and July. There were 8.47% patients admitted in the age group of less than 20yrs and almost comparable percentage were of older age group (9.03%).Tractor was responsible for about 36% of agriculture related injuries followed by hand-operated tools and thrasher injuries (24% and 12% respectively).Most common injuries encountered were fractures (both simple and compound) about 60%.Amputation occurred in 2.02% cases.
Keywords:-Agriculture related injuries, machinery, Rollover Protective Structure (ROPS), tractors.