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Volume-10 (2011);
Issue 2 (April-June)
Published on July 30, 2011
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2011;2-1
Editorial |
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Balgir RS.
Health Informatics,
Sustainable Health Care Development
and Malnutrition in India.
Health informatics aims at studying the principal computer applications
related to technology in developing human health care and solving the
existing problems to facilitate efficient management. It helps in decision
making process, hospital administration and system management and in
catering the needs of clients/patients and doctors. However, the inadequacy
of skilled manpower, resources and economy are the major hurdles to
exploit the full potential of the technology and medical health facilities.
Malnutrition and related causes are adversely affecting the nation from
several angles. An integral approach would be able to mitigate the human
sufferings.
Key Words:
Health informatics;
Health care; Sustainable development; Malnutrition. |
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2011;2-2
Original Article |
Young SD.
Recommendations
for Using Online Social Networking Technologies to Reduce Inaccurate
Online Health Information. |
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Abstract: This short report highlights patients' increasing use of the
Internet and online social networking technologies to seek health
information, and the consequences
of gaining information from sites with biased or inaccurate
health information. Reflecting on the utility of online social networking
technologies for reaching large audiences, practical advice is listed for how health providers can use these technologies to improve the quality of health information that patients receive over the Internet. We recommend that health providers use online social networking technologies to communicate with patients and health
information consumers and direct them to reputable sources with accurate
health information. We outline the steps to this approach.
Key words: Online social networking
technologies; Online sources of health information; Practical advice |
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2011;2-3
Original Article |
Nanjunda DC.
Functioning
of Primary Health Centers in the Selected Tribal
Districts of Karnataka-India: Some Preliminary Observations. |
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Abstract: The study was intended
to find how the Primary Health Centers in the Selected Tribal Districts
of Karnataka-India are functioning
and to reveal their problems and prospects. Cross-sectional,
Observational study was done in a total of 35 PHCs, randomly selected from the
three tribal dominant districts of Karnataka (Mysore, Chamaraja Nagar
and Kodagu). A total of 35 medical and 50 para-medical staffs were interviewed
with pre tested questioners. For qualitative data, 100 tribal beneficiaries
were selected (50 men, 50women). Data was collected through open-ended questionnaires using interviews, matrix
method and focus groups study and data analyzed using SPSS software.
The study found that non availability of essential fundamental facility,
ill-mannered behavior of the staff, and absence of adequate man power,
were some of the major reasons why tribals have negative perceptions
about the PHCs. Further, this study has shown that there is a need of policy change regarding working style of PHCs.
Key words: PHC; Health; Medicine; Tribal |
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2011;2-4
Original Article |
Tambekar DH, Shirsat SD, Bhadange DG.
Drinking
Water Quality Deterioration in Households
of Students with High Illness Absenteeism. |
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Abstract: Objective:
School and household lacked safe drinking water and thus school absenteeism
rates were high among students with poor water quality. So we assessed
fecal contamination of drinking water in households of students with
high illness absenteeism and evaluate the factors for non-potability. Method:
Drinking water samples (100) were collected from household water container of
50 students for fecal contamination. Results: A
total of 40 (80%) family’s water was potable before use, out of which
40% became non-potable after use. Factors responsible for reduction
in potability were water withdrawal without handwashing up to (56%),
poor domestic hygiene (56%), dipping hands in water (55%), placing water
dipper on lid (52%) and no washing of container (0%). Socio-economic
condition also had impact on water potability. Conclusion:
Water quality deterioration occurs by multiple factors like improper
storage, unhygienic habits of water handling and circumstances. Results
focused on the need
for further protocols for safe and hygienic storage of water.
Key words: Tribal health;
Household water quality; fecal contamination; Storage-handling; Hygiene;
Illness absenteeism |
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2011;2-5
Original Article |
Srivastava DK, Mishra A, Mishra S, Gour N, Bansal M, Mishra S,
Adhikari P.
An Assessment
of Knowledge and Practices Regarding Tuberculosis in the Context of RNTCP
Among Non Allopathic Practitioners in Gwalior District. |
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Abstract: Introduction:
India has the highest TB burden accounting for one-fifth of the
global incidence with an estimated 1.98 million cases. Non- allopathic
practitioners are the major service providers especially in rural and
peri-urban areas, treating not just patients of diarrhea, respiratory infections and
abdominal Pain but also of tuberculosis. Objectives: To assess the knowledge
of sign and symptoms of TB and its management as per the RNTCP
guidelines and to assess the practicing
pattern regarding tuberculosis. Material
& Methods: The
present was carried out among the registered non allopathic practitioners
providing their services in Gwalior District during the study period.
A total of 150 non allopathic practitioners of various methods from
both government and private sectors were interviewed using a pre-designed,
pre-tested semi-structured questionnaire. The
information was collected on the General profile of the participant,
knowledge about signs and symptoms of TB and its management, practices
commonly adopted in the management and their views on involvement of
non allopathic practitioners in RNTCP programme. Result: The
average score of government practitioners was 7.3 compared to 4.6 by
private practitioners. There was a statistically significant difference
between the two group on issue related to the management of TB patients
as per the RNTCP guidelines. Government
practitioners relied mostly on sputum examination for diagnosis and
follow up compared to private practitioners who chose other modalities
like X-ray, blood examination for this work. Conclusion: There
is a gap in knowledge and practices of practitioners of both the sectors.
Some serious efforts were required to upgrade the knowledge of non allopathic
practitioners if the government is serious about controlling tuberculosis
in India.
Key words: Non allopathic
Practitioners; RNTCP; KAP |
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2011;2-6
Original Article |
Sabu KM, Remya A, Binu VS, Vivek R.
Knowledge, Attitude and Practice on
Blood Donation among Health Science Students in a University campus,
South India. |
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Background: The major part of
demand for blood in India has been meeting through voluntary blood donations.
The healthy, active and receptive huge student population is potential
blood donors to meet safe blood requirements. However, there is a paucity
of studies on awareness and attitude among health science students on
voluntary blood donation. Objective: The objective of this study
was to determine the knowledge and attitude about blood donation among
health science students. Methods: A cross-sectional study was
conducted among 410 health sciences students from different streams
in a University campus of South India through a structured survey questionnaire
in the year 2009. Results: The overall knowledge on blood donation
was good, but majority (62%) of students never donated blood. Knowledge
level was found highest among allied health science (53.1%) and lowest
among pharmacy students (20.7%). ‘Feeling of medically unfit’ and
‘never thought of blood donation’ were the major reasons for not
donating blood. A significant association was observed between different
streams of students and levels of knowledge and attitude about blood
donation. Conclusion: This study elicits the importance of adopting
effective measures in our campuses to motivate about voluntary blood
donation among students.
Key words: Knowledge; Attitude;
Voluntary blood donation; Health Science; Students
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2011;2-7
Original Article |
Amrutha Kumari B, Deepa S,
Venkatesha D.
Blood Transfusions:
Are They Life Saving or Transfusing
Infections? |
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Abstract: Introduction:
There is a risk of 1 - 2 per 1000 recipients receiving contaminated
blood with viral, bacterial and parasitic agents. TTI’S are the most
commonly encountered complications in transfusion medicine. The objective
of the study was to determine the seroprevalence of TTI’s among blood donors,
who represent healthy population at large. Materials & methods:
A total of 33,658 blood units were received from voluntary and replacement
donors over a period of 5 years. Surface antigen of HBV and antibodies
to HIV and HCV were determined using ELISA. Syphilis was detected using
TPHA test. Results: 947 (2.81%)
blood units tested positive for HBV, HCV, HIV and / or syphilis. Overall
prevalence was HBV – 1.77%, HCV – 0.13%, HIV – 0.63% and Syphilis
– 0.28%. Nine (0.03%) donors had coinfections. Conclusion: The
screening of blood donors is the corner stone in assuring the safety
of blood transfusion.
Key words: Transfusion Transmitted Infections; HBV; HCV; HIV; Syphilis |
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2011;2-8
Original Article |
Dixit S, Deepa R, Bhagwat AK, Mehto AK, Chouhan AS, Nema A, Upadhyay
A, Solanki A.
Road Rage Menace: A Cross-sectional Study to Assess Driver Anger Level in Public
Motor Vehicle Drivers in a City in Central India. |
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Abstract: Introduction: Road rage and
aggressive driving is a prevalent condition in today’s society due
to motorists’ frustrations during heavy traffic volumes. Objective:
This study was done to assess the level of anger amongst the drivers
of public transport vehicles in Indore, using Driving Anger Scale (DAS
by Deffenbacher et. al.) and various factors affecting it. Material and
Methods: A cross-sectional study was conducted among 135 drivers of
Public transport vehicle drivers (Star bus, City-van and star cab drivers)
in Indore to assess their anger level using Driving Anger Scale. The
participants were required to record the amount of anger they would
experience in response to each item in the scale (1=not at all angry,
2=a little angry, 3=some anger, 4=much anger, 5=very much angry). Results: The mean DAS score
in Indore was found to be 3.013 and in the three organizations namely
Star bus drivers, City van drivers and Star cab drivers was 2.92, 3.08
and 3.04 respectively. The DAS score of drivers with respect to
the 6 sub-scales were: hostile gestures (Star bus -3.42,City van -3.67,Star
cab -3.38), slow driving (Star bus -2.73,City van driv-2.78,Star cab-3.17),
traffic obstructions (Star bus-2.85,City van -3.25,Star cab-3.18), discourtesy
(Star bus -3.23,City van-3.33,Star cab -3.25)and police presence (Star
bus -2.15,City van -1.99,Star cab -2.78), illegal driving (Star bus -3.04,City
van -3.14,Star cab -2.89). The DAS scores of the drivers did not vary
significantly with age group, experience, and educational qualification. Conclusion: Though DAS scores
did not vary between the three groups of drivers, however average level
anger for various given circumstances commonly found in
the Indian traffic scenario was on the higher side.
Key words: Driving Anger
Scale; Road rage; Aggressive driving |
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2011;2-9
Original Article |
Preetha R, John SM.
Comparison of Ankle Proprioception
Between Pregnant and Non Pregnant Women. |
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Abstract: Pregnant women report falls especially
during their third trimester. Physiological changes along with ligament
laxity can affect the joint proprioception in this population. This study was
conducted to compare the ankle proprioception
between pregnant and non pregnant women. Thirty pregnant and 30 non pregnant women
were included in the study and the position of ankles were recorded by a digital
camera placed 60 cms away from the feet of the subject. UTHSCSA Image tool
software version 3.0. was used to measure the difference between the initial and
the final angle. The median repositioning error in the
pregnant group was 11.6 (7.6, 12.4) degrees and the median repositioning error in the non-pregnant
group was 4.2 (2.1, 6.3) degrees. There was a statistically significant difference in
ankle joint proprioception between pregnant and non pregnant
women.
Key words: Pregnancy; Ankle proprioception;
Falls; Repositioning error |
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2011;2-10
Original Article |
Ugwuja EI, Ejikeme BN, Ugwu NC, Obidoa O.
A
Comparative Study of Plasma Trace Elements (Copper, Iron and Zinc) Status
in Anaemic and Non-anaemic Pregnant Women in Abakaliki, Nigeria. |
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Abstract: For a comparative
study of plasma copper, iron and zinc between anaemic and non-anaemic
pregnant women, data for anaemic (n = 223) and non-anaemic (n = 126)
pregnant women drawn from a cohort of 351 pregnant Nigerians recruited
at gestational age of ≤ 25 weeks for the study of impacts of trace
element status on pregnancy outcomes were analysed. With the exception
of plasma copper which was significantly (p < 0.05) higher in anaemic
women in comparison to the non-anaemic women (10.11 ± 10.15 vs. 8.68
± 7.92 µmol/l), plasma iron and zinc were lower (p > 0.05) in the
former. While plasma copper, iron and zinc concentration were not correlated
with maternal haemoglobin concentration, plasma zinc significantly correlated
negatively (r = -0.141, p < 0.05) with plasma copper. It is thus
concluded that anaemia in pregnant women in this population may partly
be due to a combination of trace element deficiencies and their interactions
with each other. While interventions should go beyond improving intakes,
more research is desired to clearly define these interactions.
Key words: Anaemia; Pregnancy; Copper; Iron; Zinc; Abakaliki; Nigeria |
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2011;2-11
Original Article |
Varashree BS, Bhat GP.
Correlation
of Lipid Peroxidation with Glycated Haemoglobin Levels in Diabetes Mellitus. |
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Abstract: Reactive oxygen species are
crucial to normal biological processes; they are potentially dangerous
and are commonly referred to as prooxidants. The reactive oxygen intermediates
can cause direct cellular injury by including lipid and protein peroxidation
and damage to nucleic acid. The polyunsaturated fatty acids present
in the cells are vulnerable to free radicals causing lipid peroxidation.
Determination of Malondialdehyde (MDA) by using thiobarbituric acid
is used as an index of the extent of lipid peroxidation. This study
was done to know if lipid peroxidation correlated with the glycated
haemoglobin levels. Diabetic status was assessed by estimating fasting
blood sugar and glycated haemoglobin level while oxidant stress was
evaluated by estimating erythrocyte MDA levels. The lipid peroxidation
in erythrocyte lysates was significantly increased in diabetic individuals
compared to controls (p<0.001). The result of this study indicates
that in diabetic individuals are more prone to oxidative stress
and glycated haemoglobin is a marker in evaluating the long term glycemic
status in diabetic individuals.
Key words: Oxidative stress; Glycated haemoglobin; Lipid peroxidation; Malondialdehyde |
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2011;2-12
Original Article |
Gour N, Srivastava D, Adhikari P, Shahi A, Sharma MK, Mahajan PC.
Specialty
Preference Among Medical Students and Factors Affecting It. |
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Abstract: Introduction: Medical education
is one of the core part of educational system of any country. Medical
education requires undergraduate students to study a wide range of medical
specialties. It is often assumed that students do not make their career
preferences until after they have graduated from medical school. So
the reasons and factors responsible for preferences need to be found
out among medical students. Material
and Methods: It was a Cross
sectional study on 180 medical students to assess preference for specialty
and factors responsible. Results: Out of total
190 medical students more or less everyone (97.89%) wanted to pursue
specialization and majority of them (96.84%) wanted to pursue the same
in Medical Field(p>0.05). majority of male students were interested
to pursue their specialization in the field of medicine (37.63%), surgery
(23.65%) and pediatrics (13.97%). On the other hand female students
were more interested in medicine (24.17%), pediatrics (32.96%) and obs
& gyne (24.17%)(p<0.05). Interest, by far was found to be most
common factor (76.63%) responsible for the preference of particular
medical specialty among all four groups of students ( 1st
professional-25.27%, 2nd professional-75.92%, final professional-89.47%, interns-68.42%). Conclusion: It is thus
concluded there are many factors playing role in the specialty selection
and preference among the medical students and should be equally justified
and addressed.
Key words: Medical students;
Specialty preference |
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2011;2-13
Original Article |
Agwubike
EO, Ezeukwu AO.
Comparison of Subjective and Objective Physical Functions in Patients with Chronic Low Back Pain. |
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Abstract:
Purpose:
To compare the subjective and objective physical function scores of
patients with Chronic Low Back Pain (CLBP). Method:
A cross- sectional survey design was used. Fifty-one patients with CLBP of mechanical origin were recruited from the physiotherapy out
patient clinics of the University of Nigeria Teaching Hospital and the
National Orthopedic Hospital both in Enugu, Nigeria. The box numerical
scale, Roland-Morris Questionnaire (RMQ-24) and the Back Performance
Scale (BPS) were used to assess the present pain intensity, the subjective
and objective functional status of the participants respectively. Pearson
correlation was used to determine relationships. Multiple Regressions
were used to determine the predictors of objective function. Alpha level
was set at 0.5. Results:
The mean age and Body Mass Index of the participants were 49.04 ± 14.33
years and 26.57 ± 4.29 kg/m2 respectively. The mean Pain
Intensity, subjective disability (RMQ) and objective disability (BPS)
scores were 6.33 ± 2.09, 9.76 ± 5.14 and 6.43 ± 2.9 respectively.
Stepwise multiple regressions showed that when all the variables were
entered only marital status was a significant predictor of objective
physical function. Conclusion:
There is no significant association between subjective and objective
functions in patients with CLBP. However, marital status (married) is
a significant predictor of objective function in CLBP.
Key Words:
Objective; subjective; Chronic low back pain; Roland-Morris; Back Performance |
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2011;2-14
Original Article |
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Bhat SS, Hegde SK, Salian S.
Potential of Mobile Phones to Serve as a Reservoir in Spread of Nosocomial
Pathogens. |
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Abstract: Objective:
The use of cellular telephones by medical personnel and the associated
nosocomial transmission of pathogens have not been thoroughly examined.
The objective of this study was to determine the incidence of bacterial
colonisation on mobile phones of Healthcare workers (HCWs) and its accompanying
resistance to commonly used antimicrobials in a medical and dental hospital
in India. Method:
A total of 204 mobile phones of HCWs from medical and dental departments
were screened. A sterile swab moistened with sterile saline was rotated
over the external surface of the phone. Swabs were cultured on 5% sheep
blood agar and MacConkey agar plates. Plates were incubated aerobically
at 37°C for 24 hours. All isolates were tested for antimicrobial susceptibility.
A questionnaire was used for data collection on mobile phone use in
hospital. Result:
99% of the phones demonstrated evidence of bacterial contamination.
64.8% of medical samples showed growth of pathogenic micro-organisms
and 37.9% showed growth of Multi drug resistant bacteria. 59.37% of
dental samples showed growth of pathogenic micro-organisms and 43.75%
showed growth of Multi drug resistant bacteria. Pathogens isolated included Methicillin-resistant
Staphylococcus aureus, Methicillin-sensitive Staphylococcus aureus,
Escherichia coli, Klebsiella pneumoniae, Acinetobacter,
Enterococcus faecalis, and Pseudomonas aeruginosa. According to
the questionnaire 40% admitted to using their phones between examination
of patients. Only 6% used disinfectants to wipe their phones. Conclusion:
This study reveals that mobile phones are commonly used by HCWs, even
during patient contact and may serve as a potential vehicle for the
spread of nosocomial pathogens.
Key words: Mobile phones; Bacterial Contamination; Nosocomial Infection |
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2011;2-15
Original Article |
Alagesan J, Ramadass A.
Effect of
Dynamic Platform Lateral Step-Up versus Stable Platform Lateral Step-Up
Weight Bearing Exercise in Hip Abductor Strengthening on Healthy Male
Volunteers - Randomized Clinical Trial. |
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Abstract: Objective
& Background: To
determine the effect of the dynamic platform lateral step-up and stable
platform lateral step-up weight bearing standing exercise in strengthening
of hip abductor. Many researchers have reported that strengthening of
hip muscles as important component especially hip abductors in lower
extremity rehabilitation program. Study Design: Single
blinded randomized comparative clinical trial.
Methodology: Sixty
five healthy college going male subjects (Age group of 18 – 24 years)
volunteered for this study. They were randomly assigned to one of the
2 groups. One group received the dynamic platform lateral step-up and
the other received stable platform lateral step-up weight bearing standing
exercise. The strength measurements were recorded using hand held dynamometer.
Results: The
results indicate that both groups had a positive effect on the outcome
measures. The strength of hip abductors in dynamic platform group
improved from a mean value (SD) of 19.47(3.59) to 26.93(3.19) and in
stable platform group from 19.07(2.32) to 22.67(2.46). Significant difference
is also observed between the two groups at p value .05. Conclusion:
The
study shows that dynamic platform lateral step-up exercise is more beneficial
than stable platform lateral step-up weight bearing standing exercise
in improving hip abductor muscle strength.
Key words: Hip
Strength; Hip Abduction; Strengthening Exercises; Dynamic Platform |
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2011;2-16
Short Review |
Mendis D, Oates J.
The Application
of Airtraq (fibreoptic intubation device) to Otolaryngology. |
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Abstract: The anaesthetic
laryngoscope Airtraq is designed for the difficult airway. This disposable laryngoscope
requires minimal cervical manipulation
and unlike other common anaesthetic larynmgoscopes contains a channel
for the guidance of an endotracheal tube. This could also be used
for diagnosis and biopsy under a general anaesthetic or potentially
under a local anaesthetic in an outpatient setting for biopsies or the
removal of hypopharyngeal foreign bodies via flexible biopsy forceps
obviating the need for a general anaesthetic. Thus
Airtraq could be included in the armoury of
pre-existing direct laryngoscopes because of its virtue of minimal airway
manipulation.
Key words: Difficult intubation; Laryngoscopy |
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2011;2-17
Short Report |
Kumar K, Bhat JS, Guttedar AS.
Effect of Intensity
on Prevalence of N3 Potential in Ears with Severe to Profound Hearing
Loss. |
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Abstract: Objective of the
study: To look for the presence of N3 potential at two different
intensities in children and in adults.
Method: A total of
260 ears with severe to profound hearing loss
were studied from the participants
in the age range of 1 to 50 years, with 170 subjects in the age group
below 10 years and remaining 90 subjects
of more than 10 years. Auditory brainstem response (ABR) was recorded at two
intensities, 90 and 99dBnHL, to look for the presence of N3 potential.
Result: N3 potential was observed in 30% of the
total ears taken in the study at 90dBnHL and 38.8% at 99dBnHL. Presence
of N3 potential in children wass 45%,
which wass higher than the age group of above
10 years. When the intensity was increased there was an increase in
amplitude and a reduction in latency with better wave morphology.
Conclusion: It is
better to use higher intensity for the identification
of the N3 potential while doing ABR and thus with the
single recording, auditory assessment as well as saccular assessment can be done.
Key words: N3
potential; Auditory brainstem response; Saccular origin |
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2011;2-18
Short Report |
Ramkumar S, Rakshita
C, Elizabeth J, Mathews J, Prakash VS, Sharma R.
Coping
Ability of Medical and Nursing Students: A Cause of Concern. |
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Abstract: Background:
Medical students today are subject to a variety of stress; academic,
social, emotional or stress in the form of affliction of health during
their stay at medical school. The physiological response to these depends
on various factors including their inherent coping abilities. This study
was designed to examine the coping ability of medical and nursing students
at the time of admission to medical school. Materials and Methods:
42 medical and 34 nursing students volunteered for the study. They were
administered the BAI questionnaire and classified as good and poor adjusters
based on their score. Results:
The study revealed an unsatisfactory overall coping ability to be prevalent
among medical and nursing students. Conclusion:
This study showed that there is a need for orientation and counselling
of medical and nursing students at the start of college.
Key words: Coping ability; Counselling |
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2011;2-19
Short Report |
Mahawar P, Phadnis S, Ghosh G, Kataria OP, Dixit S.
Psychological Morbidity
in Students of Medical College and Science and
Art College Students - A Comparative
Study. |
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Abstract: Considering the importance
of quality of life in medical students we have conducted a cross
sectional & descriptive study
on screening of mental illness of 60 medical students of prefinal year and comparing it with
60 students of third
year of Science and Art College. Students were selected via
random sampling. GHQ-12 was used
as a screening tool and after obtaining scores students were graded
in 3 categories - individuals screened positive for psychological
morbidity were of Grades 2 and 3 andindividuals screened negative
for psychological morbidity were of Grade 1 and they were compared according to college, gender & residence.
Students screened
positive for psychological morbidity as per GHQ-12 were found
higher in medical college (87%) as compared to Science and Art College (45%) and a statistically significant association
was found between psychological
morbidity and medical students. Psychological morbidity was
not significantly associated with residence and gender.
Key words: GHQ -12; Medical
psychological morbidity |
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2011;2-20
Case Report |
Babu SG, Rao KAHT, Shetty SR, Castelino RL.
Binder’s Syndrome. |
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Abstract: Binder's Syndrome also known as Maxillo-Nasal Dysplasia is a developmental
disorder primarily affecting the anterior part of the maxilla and nasal
complex (nose and jaw). It is a rare disorder and the causes are unclear.
It is an uncommon condition characterized by a retruded mid-face with
an extremely flat nose. Hereditary factors and vitamin D deficiency
during embryonic growth have been researched as possible causes. Morphological
characteristics of the syndrome are of fundamental importance for the
correct diagnosis and treatment planning of these patients. We hereby
report to you a rare case of Binder's syndrome with clinical, radiographic
features and discussed the treatment options.
Key words: Maxillo-Nasal Dysplasia; High arch palate; Hypertelorism |
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This Article |
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2011;2-21
Case Report |
Amitha K, Shariff SA, Kumar AD.
Eosinophilic Gastroenteritis Presenting as
Intestinal Obstruction
- A Case Series. |
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Abstract: Eosinophilic
Gastroenteritis is a rare disease characterized by infiltration of the
gastrointestinal tract by an increased number of eosinophils as compared
to the normal. The anatomic location and intensity of the infiltrate
decides the varied clinical symptomatology with which these patients
present. The present report deals with four cases, all presenting
with clinical signs of intestinal obstruction A laporotomy performed
revealed a stricture in the first case, superficial ulcers and adhesions
in the second case, an ileocacal mass in the third case and volvulus
formation in the fourth case. Eosinophilic gastroenteritis was confirmed
on histopathology in all the four cases. All the four patients experienced
relief of symptoms after resection. It is essential to diagnose the
disease to differentiate it from other conditions presenting as intestinal
obstruction. The cases are presented because of the rarity of occurrence
and presentation. Relevant literature has been reviewed.
Key words: Gastroenteritis; Eosinophils; Intestinal obstruction; Ascitis |
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2011;2-22
Case Report |
Jena M.
Diagnosis of Rosai-Dorfman Disease by Fine
Needle Aspiration Cytology in a Case with Cervical Lymphadenopathy and
Nasal Mass. |
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Abstract: We report a case of Rosai-Dorfman Disease, a rare non neoplastic proliferative disorder of the cells of macrophage-histiocyte
family, in a case with cervical lymphadenopathy and nasal mass diagnosed by fine
needle aspiration cytology.
Key words: Rosai-Dorfman Disease; Cervical Lymphadenopathy; Nasal Mass; Fine
needle aspiration cytology |
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This Article |
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2011;2-23
Case Report |
Vijay Shankar S, Nischal KC, Geethalakshmi U, Padmini HR.
An Unusual Melanocytic Nevus of Conjunctiva : Balloon Cell Nevus. |
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Abstract: Melanocytic
nevi are one of the most common benign tumors of the conjunctiva. The
balloon cell nevus is a rare and unusual variant of nevus of melanocytic
origin, in which more than 50% of the tumor is composed of large polygonal
cells with small nucleus and a clear to vacuolated cytoplasm. We describe
a case of balloon cell nevus in a 6-year-old child who presented with
pigmented lesion of the right eye since birth. The melanocytic nature
of these cells was confirmed by immunohistochemical study. Excision
of the tumor results in cure. This report describes a rare balloon cell
nevus of conjunctiva which to the best of our knowledge is not documented
in Indian literature.
Key words: Nevi; Balloon cell; Conjunctiva |
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This Article |
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2011;2-24
Case Report |
Sufi AR, Zargar S, Singh T.
Vogt-Koyanagi-Harada
Syndrome in a 10 Year Old Child. |
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Abstract: The Vogt-Koyanagi-Harada (VKH) syndrome is a rare systemic
disorder of uveitis, dysacousia, vitiligo, premature graying of the hair, eyebrows and eyelashes, and meningoencephalitis.
Although frequently unrecognised,VKH may affect children.
We report a case of a 10 year old girl who presented with headache and dimness of vision and was diagnosed
as papillitis on the basis of bilateral disc edema. However over the course of time developed skin changes
(poliosis,vitiligo over lower back)and depigmented patches in inferior fundus suggesting diagnosis of VKH disease.
Thus the diagnosis is difficult in the absence of extraocular manifestations.In such cases the diagnosis is based
on clinical evolution of the disease.
Key words: Vogt-Koyanagi-Harada Syndrome; Poliosis; Vitiligo; Uveitis. |
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This Article |
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2011;2-25
Case Report |
Pailoor K, Swethadri GK, Jayaprakash, Fernandes H.
B-cell Prolymphocytic Leukemia in a Young Male. |
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Abstract: B-cell prolymphocytic leukemia[ B-PLL] is a neoplasm of B prolymphocytes
affecting the peripheral blood, bone marrow and spleen. The principal
disease characteristics are massive splenomegaly with absent or minimal
peripheral lymphadenopathy and a rapidly rising lymphocyte count. Here,
we report a case of B-PLL in a 42 year old male who had come for routine
health check up.
Key words: B-PLL; Prolymphocyte; Massive splenomegaly; Immunophenotyping |
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This Article |
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2011;2-26
Case Report |
Thejaswini
MU, Vijaya Shankar, Indira, Shivakumar S.
Myxoid
Neurothekeoma of the Nipple. |
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Abstract: Neurothekeomas
are rare benign cutaneous neoplasms of nerve sheath origin. They are
primarily found in the superficial soft tissue and are also known as
dermal nerve sheath myxomas. They are commonly found on the upper extremities,
head and neck followed by trunk. Here is an unusual presentation of
neurothekeoma occurring as a polypoidal lesion of the nipple in a young
female patient.
Key words: Neurothekeoma;
Dermal nerve sheath myxoma |
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This Article |
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2011;2-27
Case Report |
Bhat V, Jena M, Santhosh KV.
Hamartoma Breast, Chondromatous
Type. |
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Abstract: This
case report describes an exceedingly rare case of hamartoma of breast
with predominantly chondroid stroma. A 45 year old lady presented with
a mobile lump in the upper outer quadrant of left breast, clinically
diagnosed as fibroadenoma. Mammography and FNAC were not done. She underwent
lumpectomy and we received the specimen measuring 7x5x3cm. Cut surface
of which revealed grey white nodule with glistening surface. Histopathologically
we found a circumscribed lesion with predominantly mature hyaline cartilage
separated by fibrocollagenous bands.
Key words: Cartilage;
Hamartoma |
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This Article |
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2011;2-28
Case Report |
Ramana KV, Rao SD, Rao R, Mohanty SK, Wilson CG.
Human Dipylidiasis: A Case report of Dipylidium caninum Infection in
Teaching Hospital at Karimnagar. |
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Abstract: Dipylidium caninum also
refered to as the double-pored tapeworm is a cyclophyllidean cestode
that commonly infects dogs and cats. Mammals act as definite hosts with
intermediate hosts being dog and cat flea, the Ctenocephalides canis
and Ctenocephalides catis respectively. The dog lice, Trichodectes
canis and human flea (Pulex irritans) also transmit Dipylidium
caninum infection. Infants and young children are at high risk of
acquiring infection. Majority of the infections are due to close association
with pet dog and cats. Humans are accidental hosts who acquire infection
by ingestion of infected dog and cat fleas. We report a rare case of
Dipylidium caninum infection in a 9 year old girl who could have
acquired infection by consuming food contaminated with infected fleas.
Key words: Dipylidium
caninum; Distribution; Pediatric age |
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This Article |
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2011;2-29
Case Report |
Jagtap SV, Nikumbh DB, Desai SR, Kshirsagar AY, Khedkar J, Chavan SH.
Unusual Large Sporadic Angiomyolipoma
Co-existing with Huge Simple Renal Cyst. |
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Abstract: Renal Angiomyolipoma (AML) is an unusual
benign mesenchymal tumor with no malignant
potential. It is composed of adipose tissue, smooth muscle and abnormal thick walled blood vessels. It can occur sporadically
or may be associated with tuberous sclerosis.
Sporadic angiomyolipoma (AML) coexisting with simple renal cyst is extremely rare and only one case reported was available in the literature.
In our case, unique combination of sporadic AML along with simple renal cyst with huge size and weight noted.
To the best of our knowledge, ours is the second case and first case from India. Due to its large size, complete nephrectomy
was the treatment of choice to avoid chances of rupture and retroperitoneal hemorrhage. Post operative was uneventful and patient
has been on regular follow up.
Key words: Renal Angiomyolipoma; Sporadic AML; Simple renal cyst |
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This Article |
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