DocumentsDate added
Original research article:-Surgery
YP Lamani 1*, S R Telkar1 & B V Goudar2
1Assistant Professor, 2Associate Professor, Department of Surgery, S N Medical College and HSK Hospital, Bagalkot ,Karnataka, India.
Abstract:-
The aim of this study was to evaluate the safety and efficacy of laparoscopic repair for perforated peptic ulcer. It is a better method of treating duodenal ulcer perforation when the patient's condition allows pneumoperitoneum and laparoscopy. The advantages of laparoscopic repair for perforated peptic ulcer include less pain, a short hospital stay, and an early return to normal activity. Laparoscopic technique is safe, feasible, and with less morbidity and mortality comparable to that of the conventional open technique. We performed simple closure of the perforation laparoscopically and compared the results with those obtained by open surgery.
Key words:- Duodenal perforation, Laparoscopic repair, Perforated peptic ulcer.
References:
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2. Kulber DA, Hartunian S, Schiller D, Morgenstern L. The current spectrum of peptic ulcer disease in the older age groups. Am Surg 1990; 56: 737.
3. Gilinsky NH. Peptic ulcer disease in the elderly. Gastroenterol Clin North Am 1990; 19: 255.
4. Agrez MV, Henry DA, Senthiselvan S, Duggan JM. Changing trends in perforated peptic ulcer during the past 45 years. Aust NZ J Surg 1992; 62: 729.
5. Svanes C, Salvesen H, Stangeland L, et al. Perforated peptic ulcer over 56 years: time trends in patients and disease characteristics. Gut 1993; 34: 1666.
6. Lanas A, Serrano P, Bajador E, et al. Evidence of aspirin use in both upper and lower gastrointestinal perforation. Gastroenterology. 1997;112:683–9.
Copyright © 2013 Lamani YP, Telka S R & Goudar B V. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article:-
1*Swarnkar Madhusudan ,1Sheikh A.H., 3Singh Raghuveer, 1Mulla Shakila & 3Baig Vaseem N.
1M.D. Assistant Professor,2M.D. Professor and HOD, 3M.D. Associate Professor Dept. of PSM, Jhalawar Medical College, Jhalawar, Rajasthan, India.
Abstract: Background: Data related to acceptance of methods of family planning was present but not analyzed in a scientific method so this was an effort to analyze data of a tertiary care hospital of Rajasthan,India. Methodology: This was a hospital based retrospective study and monthly reports of family Planning acceptance from April 2010 March 2012 of Jhalawar Medical College and Hospital, Jhalawar, Rajasthan, India were analyzed. Results: Highest acceptance of sterilization was found in females (99%), of Hindu religion(78% to 83%) and of general caste(~66%), in the age group of 25-29 years(52%) and having parity two (40% to 54%) with low literacy (37% to 44%) during both years. Conclusions: Acceptance of permanent sterilization is completely by females only; only 1% males accepted this method of sterilization, parity 2 females compare to higher parity and illiterate females compared to literate ones accepted this method of sterilization more.
Key words:- Family Planning acceptance, Parity, Sterilization.
References:
1.J. kihore’s. National Health Programs of India, 9th edition, century publications New Delhi; P-121.
2.Gupta, U.; Kumar, P.; Bansal, A.; Sood, M.: Changing trends in the demographic profile and attitudes of female sterilization acceptors. The Journal of Family Welfare. Sept 1996; 42(3):27-31.
3.Govt. of India (1984), Year book Family Welfare Programe in India 1983-84, Ministry of Health, New Delhi.
4.K. Park. Text book of Preventive and Social Medicine, 21st edition, Banarsidas Bhanot Publishers, Jabalpur; p- 456-71,
5.Govt. of India (2010), Family Welfare Statistics in India 2009, Ministry of Health and Family Welfare, New Delhi. 6.Family Welfare statistics in India – 2011, Statistics Divisions, Ministry of Health and Family Welfare, Government of India. p - B-31- 40.
Conflict of interest: - Author have not declare any conflict of interest
Source of funding: - None
Copyright © 2013 Madhusudan Swarnkar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Research article:- Neurosurgery
Lakshmi K1, Santhanam R2*,& Menezes GA1.
1Department of Microbiology. 2Department of Neurosurgery. Sree Balaji Medical College and Hospital, Chennai, India (Bharath University).
Abstract:- Schwannomas are slow-growing, benign tumors derived from schwann cells, the sheath cells that envelop myelinated nerve fibers. Intraosseous schwannomas have been observed, very rarely, in sacrum. We report an intraosseous sacral schwannoma and present the clinical, radiological, histological findings with surgical management and a follow up of 4 years. A 29 year old man presented with pain in the left gluteal region radiating to legs and deteriorating locomotor function. The neurological screening examination revealed no abnormality. The lumbosacral spine X-ray was normal. However, the lumbosacral spine Magnetic Resonance Imaging (MRI) showed a lesion at the S2 level extending from the left S1-S2 to the S3-S4 foramina with scalloping of the S1 and S2 components of the sacrum. Left S1-S3 hemilaminectomy and gross total excision of the tumor was achieved. Histology confirmed an intraosseous schwannoma and the patient’s clinical outcome was good after surgery. No recurrence observed in the 4 years of follow up. Hence diagnosis of such tumor in the earlier stage needs only minimal interventional procedure with better prognosis.
Keywords:- Intraosseous sacral schwannoma, Histology, X-ray, MRI.
References:-
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3.Gordon EJ. Solitary intraosseous neurilemmoma of the tibia. Clin orthop 1976; 117: 271-82.
4.Chandhanarat Chandhanayingyong, Apichat Asavamongkolkul, Nittaya Lektrakul and Sorranart Muangsomboon. The Management of Sacral Schwannoma: Report of Four Cases and Review of Literature. Sarcoma 2008; sep 2: doi: 10.1155/2008/845132.
5.Dominguez J, Lobato RD, Ramos A, Rivas JJ, Gómez PA, and Castro S. Giant intrasacral schwannomas: report of six cases. Acta Neurochir (Wien) 1997; 139(10): 954–60. 6.Takeyama Masanobu, Koshino Tomihisa, Nakazawa, Akihiro, et al. Giant Intrasacral Cellular Schwannoma Treated With High Sacral Amputation. Spine 2001; 26(10): E216-9. 7.Guz BV, Wood DP Jr, Montie JE, Pontes JE. Retroperitoneal nerve sheath tumors: Cleveland clinic experience. J Urol 1989; 142: 1434-7.
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10.Abernathey CD, Onofrio BM, Scheithauer B, Pairolero PC, and Shives TC. Surgical management of giant sacral schwannomas. J Neurosurg 1986; 65(3): 286–95.
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Research article:-Pharmacology
Gopal Sharma1* & Tarun Vijayvergiya2
1Associate Professor, Department of Anatomy, 2Associate Professor, Department of Pharmacology, Jhalawar Medical college, Jhalawar,Rajasthan,India.
Abstract:- The nature and degree of sexual differentiation in the pelvis has long been of interest to anatomists and anthropologist. It is of practical importance to obstetricians and to those who would identify skeletal remains. The need for accurate identification of human skeletal remains has become more urgent in recent years. Because escalating crime rates have become a worldwide phenomenon, new and more accurate means of determining the age, sex and race are needed. Two hundred adult hip bones(100 males and 100 females) of known sex were obtained at random from the skeletal collection of Department of Anatomy Measurements were taken with the help of Vernier Caliper, and divider. In this study six parameters were considered including three old parameters and three new parameters. For every parameter, the mean and standard deviation (S.D) was calculated and the range noted. Demarking points were worked out from calculated ranges, i.e. mean + 3 S.D.(Singh and Potturi). The percentage of the bones identified by each demarking point in both sexes was estimated from this material. The observations were recorded. The values obtained for various parameters were compared. it is concluded that among the older criteria greater sciatic notch width was found to be the most accurate criteria by which sex could be accurately assigned to 24 right male and 22% of right female and 24% left male and 28% left female hip bone. Acetabuler diameter was found to be next best criteria by which 20% right male and 20 right female and 22% of left male and 24% of left female hip bone could be sexed accurately. Among newer criteria true pelvic height was found be the most accurate criteria by which sex could be accurately assigned to 18% right male and 16% right female and 14% left male and 12% left female bones. The present study is done to evaluate the criteria’s of sex determination from hip bone already set by Anatomist, to find out some newer criteria and to establish a more suitable combination of criterias which average researcher who may not be an anatomist should be able to use to obtain accurate results. An effort has been made to find out most dependable criteria.
Key words:- Sexual differentiation, bones, demarking points.
References:
1.Arsuaga JL, Carretero JM. Multivariate analysis of the sexual dimorphism of the hip bone in a modern human population and in early hominids. Am J Phys Anthropol. 1994;93:241–57. 2.Davivongs V. The Pelvic girdle of Australian aborigine, sex differences & sex determination American Journal of Physical Anthropology. 1963; 21:443-55.
3.G.P. Pal, S. Bose & S.M. Choudhary. Sex determination from hip bone (Journal of Anatomical Society of India, 2002; 53, ( 2) :2004-07.
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5.Jana T.K., Koley T.K., Saha S.B., Basu D. and Basu S.K. Variation and Sexing of Adult Human Sacrum. Journal of Anatomical Society of India (Proceeding of the Anatomical Society of India), 1988; 37: II-III.
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9.Shalini R. Mudholkar, M.G. Tanksale and Jahagirdar Sexual dimorphism of human humerus. Journal of Anatomical Soc. of India. 1981 ;30: 3-13.
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Research article:-
Tewthanom K1*,Chaiwirattana N2, Saelim W2, Saisunee S2, Aphichartphunkawee S2, Patcharawanich N1 and Jetiyanuwat C3.
1Department of Pharmacy, 2Graduated pharmacist ,Faculty of Pharmacy, Silpakorn University, Nakhon Pathom, 73000, Thailand.
3Division of pharmacy, Thamaung hospital Kanchanaburi, 71110 Thailand.
Abstract:- Purpose: The medication error is crucial problem, which is happened in every step of Hospital service. "Medication reconciliation process" of Healthcare Accreditation Institute is the policy that a hospital should receive completed patients' medication information before get hospitalization. In Thailand, hypertension is the most prevalence of chronic disease, and has multiple drug use. Consideration of the important of this process, prospective study was performed. Its objective was to study the medication discrepacies which was happened at the physicians' admission medication orders of hypertensive patients at Thamuang Hopital Kanchanaburi, Thailand during July- August, 2009. Methods: In this study, 34 patients were included by inclusion and exclusion criteria. Computer data based and the interview were performed to complete patients’medication profiles before and during admission. The medication discrepancies were determined. Results: The results found that, inappropriate medication discrepancies is 3.15% that classify to omission error 57.14%, commission error 28.57% and difference dose, route or frequency 14.28%. Conclusion: Although, the inappropriate error is the small group of whole error, but it can be a cause of death. Therefore, it should be develop a medication reconciliation process in the community hospital setting to solve the problem. The pharmacist will play the important role to solve the problem to minimize the medication error and maximize the patients' safety.
Key words:- Medication discrepancies, Hypertensive medication, Hospital admission.
References:-
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3. Aronson JK. Medication errors: what they are, how they happen, and how to avoid them. QJM.2009;102(8): 513-21.
4. Coffey M. Medication reconciliation: Coming to a hospital near you. Paediatr Child Health.2009;14(2):76-7.
5. Coffey M, Cornish P, Koonthanam, T, Etchells E, Matlow A. Implementation of admission medicationreconciliation at two academic health sciences centres: challenges and success factors. Healthc Q. 2009; 12: 102-9.
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Gardner, B, Graner K. Pharmacists' medication reconciliation-related clinical interventions in a children's hospital. Jt Comm J Qual Patient Saf. 2009;35(5): 278-82.
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Copyright © 2013 Tewthanom K et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.