YUVA Journal of Medical Sciences, Vol 2 (1) January 2016, ISSN 2395-6526
1. RETRIEVAL OF NEGLECTED HEAD FRAGMENT IN PATIENT WITH FEMORAL PROSTHESIS: (A CASE REPORT)
Dr Mantu Jain+ , Sanjay Kumar, Santosh Kumar**, Ritesh Runu**
Abstract: Failure to remove head fragment in treating fracture neck femur with femoral prosthesis is an iatrogenic problem and never been reported. A 55 year old male presented with left groin pain for one year following fracture neck femur left side and prosthesis surgery. X ray revealed the head piece which was lying anteriorly just at brim of pelvis with the femoral prosthesis well placed in the acetabulum. The piece was retrieved surgically and patient was relieved of pain. The purpose of the article is to highlight this rare complication.
Keywords: Dislocated head piece, complication, neglected, prosthesis surgery, retrieval
2. ROLE OF DIET AND LIFE STYLE MODIFICATIONS IN CONTROLLING HYPERTENSION (ORIGINAL ARTICLE )
Pradip Kumar Das, Eshita Das
Abstract: Hypertension or high blood pressure can cause serious damage to the arteries and afterwards uncontrolled high blood pressure increases the risk of heart disease, stroke and kidney disease. Diet and nutrition have been extensively investigated as risk factors for major cardiovascular diseases like high blood pressure, coronary heart disease and stroke Adequate evidence is available, from studies conducted within and across populations, to link several nutrients, minerals, food groups and dietary patterns with an increased or decreased risk of Hypertension. Dietary fats associated with an increased risk of Hypertension include trans-fats and saturated fats, while polyunsaturated fats are known to be protective. Dietary sodium is associated with elevation of blood pressure, while dietary potassium lowers the risk of hypertension and stroke. Regular frequent intake of fruits and vegetables is protective against hypertension. Composite diets such as DASH diets have been demonstrated to reduce the risk of hypertension. Sufficient knowledge regarding the recommendation of nutritional interventions, at both population and individual levels, for reduction of hypertension is now being used to promote healthy diets and discourage unhealthy diets. For its successful implementation in daily life requires coordinated action at all sectors like Government and International organizations, civil society and various sections of the food industry.
KEYWORDS: Hypertension, trans-fat, polyunsaturated fats, DASH diets
3. SUPRACLAVICULAR LYMPHADENOPATHY- AN EXTREMELY RARE INITIAL MANIFESTATION IN CARCINOMA CERVIX (CASE REPORT)
Ashok Kumar Padhi, Girija Shankar Mohanty
Abstract: Carcinoma of the cervix though considered as a preventable disease continues to be a significant health problem worldwide and is the second most frequent cause of cancer death in women in developing countries. Carcinoma of cervix rarely metastasis to supraclavicular group of lymph nodes and very few cases have been reported in the medical literature. Here I report one such case of cancer cervix with unusual manifestation at the time of presentation. A 40yr old lady presented toout patient department of gynaecological oncology, AHRCC, Cuttack, with complaints of irregular menstruation associated with white discharge per vagina, on & off pain abdomen and interestingly swelling in the left supraclavicular region. Cervical biopsy, FNAC of SCLN and ultrasound was done, and a diagnosis of stage IVB was made. She underwent systemicchemotherapy and pelvic irradiation (EBRT and Brachytherapy). She is reported to be disease free after one year of therapy. Though considered to have bad prognosis, stage IVB still can be treated with improved progression free interval and survival rate.
Keywords: Cervix, manifestation , gynaecological, supraclavicular , brachytherapy
4. ZIKA VIRUS- THE LATEST MUST KNOW DISEASE (ORIGINAL ARTICLE)
Murtaza Kamal, Meera Jindal
Introduction: A member of the Flaviviridae family and Flavivirus genus, Zika virus was first discovered in 1947 in the Zika forest of Uganda. Till 2007, when it had the first big outbreak in the Pacific Ocean, only 14-15 cases were documented. It is transmitted by the daytime biter aedes mosquito and it causes illness similar to mild form of dengue and symptoms disappear within a week. The much concern is a probable link between Zika fever and neonatal microcephaly by mother to child transmission. Brazil has seen an unusual surge of Zika virus over the past 2 years- possibly after the arrival of virus with World Cup travellers in 2014. Since October 2015, Brazil alone had almost 4000 cases of neonatal microcephaly. The concern is that these microcephalic babies are accompanied by incomplete brain development, which will lead to a lifetime disability.
Keywords: Zika, Flaviviridae family, aedes mosquito, Brazil
5. A COMPARATIVE STUDY OF EXTERNAL DACRYOCYSTORHINOSTOMY USING SINGLE FLAP, DOUBLE FLAP AND INTRACYSTIC IMPLANT (PAWAR) DACRYOCYSTORHINOSTOMY TECHNIQUES (RESEARCH ARTICLE)
Ratandeep Kumar Agrawal , Sharmistha Behera, Sasmita Sahoo
Introduction: Dacryocystitis is a common eye disease in ophthalmic practice. The condition is usually unilateral and occurs secondary to obstruction of the nasolacrimal duct. Patients present with watering of the eyes and swelling in the lacrimal sac area due to accumulation of mucopurulent or purulent discharge. Chronic tear stasis or secondary infection occurring in this condition can lead to acute exacerbation of chronic dacryocystitis, mucocele, chronic conjunctivitis, corneal ulcer, endophthalmitis, orbital cellulitis, lacrimal abscess and fistula.
Keywords: DCR – Dacryocystorhinostomy , Intracystic Implant , LPI – Lacrimal passage irrigation, Epiphora
6. NOT ALL LINEAR TEARS ARE BIRTH INJURIES: NON-SYDROMIC APLASIA CUTIS CONGENTIA (A CASE REPORT)
Suchismita Panda, Rishav Raj, Pradipta Mishra
Abstract: Aplasia cutis congenita is a rare disorder presenting with absence of portion of skin over localized or wide spread area. Aplasia cutis congenita affects approximately 1 in 10,000 newborns. The incidence of the nonsyndromic form is unknown. There is no racial or sexual predilection.1 Most affected babies have a single lesion. The lesions vary in size and can be differently shaped: some are round or oval, others rectangular, and still others starshaped. They usually leave a scar after they heal. When the scalp is involved, there may be an absence of hair growth (alopecia) in the affected area.1,2 The exact cause is not known.most common site is scalp and involve d in almost 85% of cases rest 15% cases involve the non-scalp like forearms,knees,both sides of trunkand neck in order of frequency.
Keywords: ACC, Aplasia Cuties, J-B syndrome, A-O syndrome
7. HURLER SYNDROME (A CASE REPORT)
Pradipta Kumar Mishra Suchismita Panda, Rishav Raj
A 5 year old male child reported to the department of Pediatrics with large head ,facial puffiness,enlarged abdomen and corneal opacity. Examination revealed that the child had stunted growth and a short neck. Shape of the head was dolichocephalic with marked macrocephaly. Coarse facial features like depressed and broad nasal bridge, flaring of both nostrils, prominent supra orbital rim bilaterally, Facial asymmetry was more marked on the right side due to diffuse swelling at angle and body of mandible. Child had an enlarged abdomen, herniated umbilicus and massive hepatosplenomegaly. Both the hands were short and stubby. There was history of delayed milestones and appeared to be disabled intellectually.