ACTA MEDICA INTERNATIONAL

1

Authors: T. J. Hemnani Principal, TMMC & RC, TMU

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2

Authors: Rohit Varshney1, Gaurav Jain2 1Assistant Professor, Department of Anaesthesia, TMMC&RC., Moradabad, U.P, India, 2Assistant Professor, Department of Anaesthesia, B.H.U.,Varanasi, U.P., India

Ondansetron is an eff ective antiemetic agent widely used to control nausea and vomiting associated with malignancy and surgery. Although hypersenstivity reactions have been reported with ondansetron in connection with emetogenic chemotherapy, it has been rarely addressed under perioperative settings. Th is case highlights the need of increased awareness among anaesthesiologists regarding the allergic potential of ondansetron and emphasize for judicious administration of this drug with adequate emergency backup. Keywords: Allergy, Hypersensitivity, Ondansteron, Urticaria

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Authors: Nirmal Pangtey 1, Priyanka Chauhan2, Usha Rawat3, Geeta Jain3 1Assistant Professor, 2PG. Student, 3Professor, Department of Obs & Gynae, Government Medical College, Haldwani, Uttarakhand

Th e incidence of ovarian tumor complicating caesarean section was about 1 in 200 caesarean births while ovarian tumors complicated termination of pregnancy in 1 of 594 procedures. Any type of Ovarian mass can be encountered during pregnancy, but the most common are cystic. Because pregnant women are usually young, malignant tumors are relatively uncommon. A patient third gravida with previous 2 caesarean sections presented in an emergency with complaints of persistent pain in abdomen for last 7 days with gestational age of 35 weeks and 3 days. Emergency Caesarean section was done to deliver an alive male baby of 2.25 Kg with good Apgar score. Intraoperative fi nding was suggestive of a huge multiloculated left ovarian mass of approximately. 40×30×15 cm weighing 20 Kg with straw coloured mucinous fl uid. Up to 3 liters of fl uid aspirated before delivering the cyst out of the abdomen. Left salpingoopherectomy was done and specimen sent for histopathological examination that showed Mucinous cystadenoma of the ovary. Post operative period remain uneventful. Keywords: Complicated caesarean section, Mucinous cystadenoma, Ovarian tumor, Pregnancy

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Authors: Najmul Huda1, Asif Iqbal2, Ajay Pant3, M Julfi qar2, Nitin Kumar Agarwal2, Pankaj Gupta4 1Associate Professor, 2Assistant Professor, 3Professor and Head, 4Senior Resident, Department of Orthopaedics, Teerthanker Mahaveer Medical College and Research Centre, Moradabad U.P., India

Osteonecrosis of hip is a pathological condition that leads to collapse of the femoral head, & the need for total hip replacement (THR). Research has shown that at the cellular level there is decrease in osteoblastic activity & the local mesenchymal stem cells (MSC) population that leads to osteonecrosis of femoral head (ONFH). Cellular therapy could thus be used to improve the local cellular environment. Th is can be achieved by implanting bone marrow, containing osteogenic precursors into the necrotic lesion of the femoral head. Keywords: Cytotherapy, Hip, Osteonecrosis, Stem cells

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Authors: Alok Kumar Chaudhary1, Sanjeev Kumar Jain2 1Assistant Professor, Department of Anatomy, SGRRIM&HS, Dehradun, UK, India, 2Professor, Department of Anatomy, Teerthanker Mahaveer Medical College & Research Centre, Moradabad, U.P., India

Introduction: Th e pelvis is most sexually dimorphic and is the fi rst bone assessed in sex determination because it is the skeletal element most aff ected by reproduction and parturition.1 Th e assessment of the pelvis is made through metric measurements as well as through the visual analysis of non-metric traits; both important aspects of the analysis. Th e best methods for determining sex from adult skeletal remains involve measurement and inspection of the hip bone that presents a number of gender-related anatomical diff erences.2 Most osteologists visually (stereoscopic) evaluate these diff erences and integrate this subjective assessment ofhip bonemorphology into their sex determinations. Th e aim of thepresent study is to visually evaluate sexual diff erences in hip bone and comparing its effi cacy with metric assessment. Methods: Th is study is done on 46 hip bones of adult individuals of known sex from museum of department of anatomy of SGRRIM&HS Dehradun and TMMC&RC Moradabad, India. All these hip bones were visually examined and under mentioned fi ve characters of the hip bone were used, (A) aspects of the preauricular surface, (B) aspects of the greater sciatic notch, (C) the form of the composite arch, (D) the morphology of the inferior pelvis, and (E) ischiopubic proportions. Results: In this study traits of the group (A) were most sexually dimorphic while traits of the group (E) were least sexually dimorphic. Conclusion: Diagnostic accuracy is excellent when the complete hip bone is available. Hip bone features used for sex determination by visual assessment seem to be fairly stable. Keywords: Hip bone, Metric and nonmetric traits

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Authors: Najmul Huda1, Pankaj Gupta2, Ajay Pant3, Asif Iqbal4, M Julfi qar5, Mohd Zahid Khan6, Nitin Kumar Agrawal7

Introduction: Th is study was aimed at analyzing the pattern of Orthopaedic injuries among patients attending the Emergency department in a tertiary care hospital. Retrospective study was conducted in the Department of Orthopaedics, Teerthanker Mahaveer Medical College & Research Centre. Methods: Th e record analysis of injured patients seen at the emergency department over a 12 months period from June 2012 to may 2013 was done. Th e data was analyzed with special reference tothepattern of Orthopaedic injuries. Results: A total of 1110 records of injured patients that attended the emergency department were analyzed. Study showed that themajority of victims were in the age group of 11-44 years (n=909, 81.89 percent). 71.09 percent (n=789) were males and 28.9 percent (n=321) were females. Road traffi c accident was the most common cause of injuries being responsible for 59.72 percent, (n=663) followed by fall from height (22.5 percent, n=247). Study revealed that the most common presentation of injuries was fracture (68.64 percent, n=762) and the most common site was lower limbs in 48.16 percent cases, (n=367). Next most common site was upper limbs (28.08 percent, n=214) followed by pelvic fracture (10.01 percent, n=77), spine fractures (8.26 percent, n=63), facial fracture (2.88 percent, n=22) & Ribs fracture (2.49 percent, n=19). Th ere were 71.65 percent cases (n=546) of simple fracture and 28.34 percent cases (n=216) ofthecompound fracture. Th ere were 3.87 percent cases (n=43), of various dislocations, shoulder dislocation being the most common. Crush injury was seen in 7.5 percent cases. Most commonly associated visceral injury wasthehead injury in 17.20 percent cases (n=191). Conclusion: Fractures were the most common pattern of Orthopaedic injuries, frequently associated with head injuries. Research in to appropriate strategies for prevention of injuries, especially RTA is required in tertiary care hospitals. Keywords: Fracture, Orthopaedic injuries, Road traffi c accidents

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Authors: M Sharma1, A Srivastava 2, SC Gupta 3

Background: Injuries are becoming major public health problem worldwide and since India is also passing through a major socio-demographic, epidemiological and technological transition; injuries are coming up as an emerging health problem. Objectives: To fi nd out prevalence of “Injuries” and role of socio demographic factors related with injuries. Material & Methods: It is a type of observational study in rural & urban area of Agra district. Th e area to be surveyed was selected by multistage stratifi ed random sampling technique. A recall period of three months for minor injuries & one year for major injuries or deaths due to injury was used. A total of 4 villages covering 2439 population and in urban area 2 mohalla & 2 slums covering 2410 population were surveyed. Data collected was entered on Fox. Pro (vs. 2.6) and analyzed by SPSS (vs. 10). Results: A total of 93 persons in rural and 142 persons in urban had major while 147 peoples in rural and 200 peoples in urban had minor injuries during the recall period. It was found that as the age increases the number of minor injuries increased from 0-35 yrs while decreased after that and maximum major & minor injuries were found in 16-35 yr age group. Regarding socio-economic class maximum injuries both major & minor were found in class IV (lower middle). Conclusions: Considering the high morbidities due to injuries focusing health education eff orts based on local epidemiology and behavioral practices is needed. Keywords: Cross sectional study, Injuries, Socioeconomic status