bluuebunny/crossref_metadata_2025 huggingface dataset:
Research of opportunities for the ecosystem approach to career planning by students at the State University of Management
Authors: Krasnov E. V. , Rudoy A. D. , Semenov I. V. , Sumarokova E. V.
Published: November 2024

The article presents the results of studying the possibilities of an ecosystem approach to career planning by students at the State University of Management (hereinafter referred to as SUM). At first, the gap between the level of practical training of graduates of Russian universities and the requirements of employers has been actualised. Then, the need for joint efforts of all interested labour market participants to create conditions for students’ conscious planning of career growth at all stages of education is emphasised. The experience of intra-university cooperation using the STC (student team consulting) method between the marketing department and practical training department in 2022–2023 has showed that solving this problem involves integrating, on an ecosystem basis, activities for the study of professional academic disciplines, project-based learning, practical training, and employment. As an experiment, 6 student consulting teams have solved a set of interrelated tasks, including the creation and ongoing maintenance of the Career Centre page in the VK social network, advertising campaigns and interviews at “Career Day in Transport and Logistics”, surveys on the employment of graduates and assessment of student satisfaction with practical training, analytical review of the labour market in Russia in 2020–2023 with a report at the All-Russian scientific and practical conference, examination of 5 ideas for marketing research projects in the field of career planning by students of the SUM with testing in social networks and assessments of the influence of actors in its ecosystem. In conclusion, based on the results of the research, the directions for the ecosystem approach to career planning by students at the SUM are formulated.
Transformation of trading patterns in global agricultural markets
Authors: Stroev V. V. , Smirnov E. N.
Published: November 2024

The article analyses the key aspects of changes in international agricultural trade patterns, with the main emphasis on the analysis of modern factors shaping the agricultural market situation. The analysis of international trade is conducted in the context of the need to ensure food security and counteract various exogenous shocks (decreasing crop yields, escalating geopolitical conflicts, food crises). This analysis has allowed us to formulate the main determinants that will have a decisive impact on international agricultural trade in the future. It has been established that as a result of international trade, global demand for agricultural land has decreased, and imports are increasingly used by developing countries to solve food security problems. It is shown that geopolitical restrictions and climatic shocks are a key factor influencing global supply chains and changing patterns of international trade in agricultural raw materials and food. The uncertainties that have arisen make it difficult to adequately forecast global flows of agricultural exports and imports, while the current agricultural policies of countries around the world remain virtually unchanged. In prospective studies of international agricultural trade, considerable attention should be paid to issues of supply stability.
Justification of the approach to identifying promising managers for project management
Authors: Kazymov I. M. , Kompaneets B. S.
Published: November 2024

The article deals with problems of project management in the context of a shortage of human resources at enterprises in the real sector of the economy as well as with promising areas of development to improve the efficiency of project management. The necessity of conducting work on preliminary analysis and selection of candidates is noted, with consideration to individual characteristics and expected goals. Within the framework of the tasks set for the study, the authors have shown the possibility of a three-factor evaluation of candidates to achieve results sufficient from the practical point of view in terms of choosing the most promising candidate from the available staff, and the possibility of obtaining a reasoned decision on the need to involve an external manager for the project implementation in the absence of the required competencies in the company’s staff of the. A brief overview of the methodological framework of management is given, which allows solving the problem of a reasonable approach to the recruitment for appointment to situational positions. It is shown that based on the developed approach, reasonable and strategically correct management decisions can be made. It can be used at enterprises in the real sector of the economy when making decisions on the appointment of project managers to improve the efficiency of work to achieve the goals stated in the project as well as for educational purposes to form decision-making skills and evaluate candidates for leadership positions.
DeepRFQC: automating quality control for P-wave receiver function analysis using a U-net inspired network
Authors: Sabermahani Sina , Frederiksen Andrew
Published: November 2024

This paper introduces DeepRFQC, an automated method for quality control in P-wave receiver function analysis. Leveraging a U-Net inspired deep learning model, which has previously shown promise in denoising and phase detection, DeepRFQC efficiently distinguishes usable from noisy receiver functions. We examine a Proterozoic Trans-Hudson Orogen dataset from northern Canada, including seismic events from 1990 to 2023, which is expanded for training purposes by data augmentation techniques. With 1,508,449 trainable parameters, the DeepRFQC model attains a commendable 96.6% validation accuracy, on a test dataset from the X5 seismic network; tests on stations from different tectonic environments indicate that the model is effective even in environments very different from the training set. Validation through the H-κ stacking method shows consistent and plausible results. As manual quality control is a major bottleneck in receiver-function processing, automated methods such as this one will allow for efficient examination of large data sets.
Tracheal Bronchus: A rare congenital anomaly of the Tracheobronchial Tree
Authors: M. Devareddy Mallikarjun , M . Kulkarni Akhil , L. Kulkarni Muralidhar , M. Kulkarni Bhagyavathi , Gulate Vineta , V. Kulkarni Suhasini , Muniraju Shailaja , Chirag Rajendrakumar. Shah
Published: November 2024

A rare case of tracheal bronchus diagnosed by CT imaging of an infant presenting with recurrent pneumonia and failure to thrive has been reported.
High Risk Basal Cell Carcinoma
Authors: C. Inamadar Arun , Palit Aparna
Published: November 2024

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Rare Case of Sirenomelia:A Variant of Monopodia
Authors: Mallapur Ashalata , Doddamani Usha , Ugale Mahesh
Published: November 2024

We aim to discuss prenatal diagnosis and pathlogical features of sirenomelia.. Abdominal ultrasonography revealed severe oligohydramnios with breech presentation and bilateral renal hypoplasia. X-ray and autopsy examination allowed catagarisation on the basis of skeletal deformity. Third trimester ultrasonographic diagnosis is usually impaired by severe oligohydramnios whereas early second trimester the amount of amniotic fluid may be sufficient to allow diagnosis. Early antenatal sonographic diaganosis is important in view of dismal prognosis.
Virtual Bronchoscopy:A Non Invasive CT Modality
Authors: Neue' 'Helvetica , . Calibri , Sans' 'Droid , . Helvetica , . Arial , . %Eastern%Expres%Highway , . Thane , Kamat %Maharashtra&country=IN">Nikhil
Published: November 2024

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Partial agenesis of Corpus Callosum with dysmorphic features
Authors: S. W Shrikant , G. D Sidhram , Chakraborty Amit
Published: November 2024

Agenesis of corpus callosum is noted sporadically and the abnormalities are in the form of delayed milestones mental retardation and dysmorphic facies musculoskeletal and genitourinary system abnormalities. Due to its rarity a case is reported.
Inguinal Swelling in Intersex (genotypically Male Livivg A Life of Female)
Authors: V Satish , BC Bhagavan , . SridharS.
Published: November 2024

A case of indirect inguinal hernia in a male pseudohermaphroditism is reported. Surprisingly the genotypic male was living a life of a female.
Chronic Obstructive Pulmonary Disease (COPD)
Authors: S. Shankar P.
Published: November 2024

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A Hospital Based Study of Prevalence of Gestational Diabetes Mellitus in an urban population of India
Authors: Jali M.V. , Desai B.R. , Gowda Shivaraj , Kambar S. , M. Jali Sujata
Published: November 2024

Across-sectional institutional-based study was undertaken to know the prevalence of Gestational Diabetes Mellitus GDM among Indian pregnant women. 325 pregnant women were screened for evidence of diabetes who were previously not known to be diabetic. They underwent 75 Gms 2hour Oral glucose tolerance test OGTT. Chi-square test was done for statistically association of variables in GDM. The results of this study indicate that bad obstetrics history obese patient on high calorie diet especially non vegetarian diet with less physical activity are highly prone to develop GDM
Efficacy and Safety of Meropenem with Clavulanic acid in the Treatment of Multi-drug Resistant and Extensively-drug Resistant Tuberculosis
Authors: Chandra Mohanty Kishor , Bendre Salil , Sarangdhar Nikhil , d Fadia Racchana
Published: November 2024

Study objectives To study the efficacy and safety of Meropenem with clavulanic acid in Extensively Drug resistant and Multi- Drug resistant Tuberculosis. Design An open labelled study. Setting A community teaching hospital cum Medical College with 400 beds in Mumbai with 40 beds for TB and Chest diseases which acts as a tertiary referral institute for several specialities. The institute also has a D.O.T. centre as well as D.M.C. accredited and managed by R.N.T.C.P. Patients and Interventions 26 patients of sputum positive pulmonary tuberculosis with culture and drug susceptibility reports of Extensive drug resistance XDR or Multi-drug resistance MDR were given Intravenous Meropenem with clavulanic acid once daily . Sputum smear was done every 15 days. Results . 21 out of 26 patients 80.8 turned sputum negative within 60 days. Sputum conversion was seen in 9.1 45.5 54.6 and 90.9 of MDR-TB patients and in 36.6 56.6 63.2 and 73.3 of XDR-TB patients at 15 30 45 and 60 days of treatment respectively. Conclusion Meropenem along with clavulanic acid was found to be successful as a additional drug in the treatment of Extensively drug resistant and Multi-Drug resistant Tuberculosis . The success rate of this therapeutic combination for early sputum conversion could be used for patients who are willing to be hospitalised and will also provide hope in the era where second line anti- tuberculosis drugs are expensive prevalence rates high and success rates low
Fat Embolism Syndrome- Current concepts
Authors: U.G Rajoor , J.C Sindhur
Published: November 2024

The subject of fat embolism is of recurring interest to those managing trauma. Even though fat embolism as a complication of bony trauma has been recognized for over 100 years still it remains diagnostic challenge for treating clinicians. There has been rapid progress in knowledge and understanding of this relatively rare syndrome over few years. Presently as a result of improvements in technology new information has been derived to reduce significantly the morbidity and mortality of fat embolism. Although rare clinicians should consider fat embolism as a cause of postoperative respiratory distress. This article covers the topic of fat embolism in general highlights the importance of clinical expertise and whatever technological aids are available to diagnose and appropriately treat this relatively rare but highly significant form of the syndrome.nbsp
Uterine Lipoleiomyoma – A Rare Entity
Authors: PJ Yaranal , K Shreesha , N Umaru
Published: November 2024

Uterine lipoleiomyoma is a rare benign tumor with incidence of 0.03 to 0.2. We report a 46-year-old female patient with uterine lipoleiomyoma. She underwent total abdominal hysterectomy with bilateral salpingo-ooporectomy for menorrhagia. The histogenesis morphology and immunohistochemistry of this lesion are discussed.nbsp
Inhalational OP Poisoning – A case report
Authors: CS Patil , SA Kora , Manjunath Raj Vinay
Published: November 2024

We have encountered a rare presentation of Inhalational Organophosphorus OP Poisoning in our hospital. A 21-year male patient was referred from PHC with a history of accidental inhalation during spraying insecticide in the field. The patient developed respiratory failure and had to be put on ventilator for respiratory support. An unusually higher dose of anticholinesterase Ach and P AM were required in the management of the 2 patient. The patient was on ventilatory support for 5 days and recovered. Such severe manifestation in a case of inhalation is very rare highlighting the need for proper prevention and management of any kind of OPpoisoning
DEVELOPING PROFESSIONAL SKILLS: Charter on Medical Professionalism
Authors: Shankar P.S.
Published: November 2024

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Basal metabolic rate, stress and different phases of menstrual cycle
Authors: N.R Hemalatha. , L Shashikala.
Published: November 2024

The present study was undertaken to find out Basal Metabolic Rate BMR in different phases of menstrual cycle the effect of stress on BMR and stress level in different phases of menstrual cycle and during BMR recording in women staying at Bangalore. The BMR was obtained serially in 40 healthy women aged 18 ndash 22 years by indirect calorimetry using Benedict-Roth apparatus in menstrual follicular and luteal phases of the menstrual cycle. The stress levels were assessed using questionnaires ndash state anxiety STAI and Bells Adjustment Inventory BAI student form in each phase. The results showed significant increase plt0.0001 in BMR during luteal phase as compared to other two phases whereas it was almost identical in menstrual and follicular phases. Stress level remained almost same throughout the cycle except for significant increase in state anxiety during menstrual phase as compared to follicular lt0.016 and luteal phases lt0.007. BMR increased with increase in stress level in each phase of menstrual cycle. Thus it can be concluded that BMR increases during luteal phase as a postovulatory phenomenon possibly mediated through hormones mainly progesterone and not due to stress factor.nbsp
Antioxidant Vitamin Status in Young Healthy Male and Female Medical Students
Authors: Begum Naziya , Gouda Vikram , . Vijayanath
Published: November 2024

Fitness is the ability of the organism to maintain the various internal equilibriums as closely as possible to the resting state during strenuous exercise and to restore promptly after exercise. The aim of the present study was to evaluate the fitness and correlate it with anti-oxidant levels of 50 male and female medical students in the age group of 18 to 25 years. Fitness was assessed by two step test Master step. The antioxidant status was assessed by the Vitamin C and Vitamin E levels in the blood. Vitamin E values were significantly different but not the Vitamin C levels. Vitamin C levels did not influence the fitness levels in the same sex but we found a significant difference between male and female young subjects. Thus it is concluded that Vitamin E levels influence the fitness state of an individual.
Paediatric Nutrition
Authors: Kanhere Sujata
Published: November 2024

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A Rare Case of Ectopic Salivary Tissue seen in Tonsillar Fossa during Tonsillo-Styloidectomy
Authors: M Naik. Sudhir
Published: November 2024

Ectopic salivary tissue in the palatine tonsil is a very rare finding and its presentation is not described much in literature. A review of the literature revealed only 3 previous reports of ectopic salivary tissue in the palatine tonsil which has been reported. Tonsillo-styloidectomy was done for Eagles syndrome and histopathologic study showed presence of ectopic salivary tissue along with squamous mucosa of the normal tonsillar tissue
A review of Complications in 577 cases of Endoscopic Endonasal Surgeries done in KVG Medical College
Authors: M Naik Sudhir , S Naik Sarika
Published: November 2024

BackgroundObjectives The complications of endoscopic endonasal surgeries are rare but can occur as grave orbital complications. Complications range from minor bleeding to major orbital complications like orbitaland periorbital hemorrhage medial rectus muscle damage and rarely optic nerve damage. DesignRetrospective study of 577 patients who underwent endoscopic endonasal surgeries for various sinus amp other endonasal diseases. SettingDepartment of ENT Head amp Neck Surgery KVG Medical College Sullia. Materials amp Methods Complications seen during endoscopic surgeries done in 577 patients were evaluated during the study period of 48 months between January 2006 and December 2010. Results 23 3.98 cases of orbital complications 16 2.77 cases of post operative bleeding and16 2.77 cases of nasal synechia were seen in our study. No neuro-ophthalmic complications were seen in our study. Conclusion Orbital complications are the commonest major complications seen in endoscopic endonasal surgeries apart from other minor common complications. Early diagnosis amp accurate treatment avoids further complications.
Russell-Silver Syndrome
Authors: L.Kulkarni Muralidhar , . Abhilasha , SS Sidramayya.
Published: November 2024

Russell Silver Syndrome is a disorder characterized by intrauterine andor postnatal growth restriction and typical facies. However the clinical picture is extremely diverse due to numerous diagnostic features reflecting a heterogeneous genetic disorder. The mode of inheritance is variable with sporadic cases also being described. We report a case of 7 months old child who presented with the typical features of Russell Silver Syndrome. It also addresses the various aspects of management of a case of RSSnbsp
Role of Yoga in Old People
Authors: Y. Aras Radha
Published: November 2024

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Leimyosarcoma of Penis – A Case Report
Authors: PJ Yaranal , K Shreesha , N Umaru
Published: November 2024

We report a 30-year-old patient with penile leiomyosarcoma. A review of the literature indicates that this lesion which is similar histologically and immunohistochemically to cutaneous leiomyosarcoma and has low-grade of malignancy. The incidence and morphology of this tumor is discussed
Diffusely Infiltrating Signet Ring Cell Carcinoma of the Esophagus in a long Segment Barrett's esophagus – A Case Report
Authors: Khandige Shreesha
Published: November 2024

We report a case of diffusely infiltrating signet ring cell carcinoma SRCC of the esophagus a rare and unusual adenocarcinoma of the esophagus in a long segment Barretts epithelium. Grossly tumor was a circumferential ulcerative indurated lesion in the lower esophagus extending 5 cm from gastroesophageal junction GEJ above and 1 cm into the cardia of the stomach below without involvement of the lymph nodes. The patient died soon after radical esophago- gastrectomy. Histologically the tumor was SRCC. Proximal resected edge showed tumor invasion and Barretts mucosa composed of admixture of gastric foveolar type and intestinal type with goblet cells. Esophageal SRCC with infiltrative growth is highly aggressive and has a poor treatment outcome and may need a special treatment strategy.
Epitheloid Haemangioendothelioma Liver Coexisting with Retroperitoneal Rosai Dorfman Disease– A Rare Case Report
Authors: S Permi Harish , C.N Patil , J.P Shetty , J.H Makannavar
Published: November 2024

Epitheloid hemangioendothelioma is a rare tumor of vascular origin which occurs at sites such as soft tissues liver or lung and has a highly unpredictable malignant potential. It is an intermediate entity between well-differentiated hemangioma and angiosarcoma. Neoplastic cells express factor VIII related antigen CD31 and CD34. Hepatic epitheloid hemangioendothelioma is a rare vascular tumor. The clinical course is unpredictable and different treatment modalities are offered depending on the patientrsquos conditions. Rosai-Dorfman disease originally described as sinus histiocytosis with massive lymphadenopathy is a rare histiocytic proliferative disorder with a distinctive microscopic appearance. Patients usually present with massive cervical lymphadenopathy. However other nodal sites mediastinal and inguinal are also frequently involved. The retro-peritoneum is an infrequent site of involvement.We report a case of a 41 year old man presented with recurrent pain abdomen diagnosed as epitheloid hemangioendothelioma liver coexisting with retroperitoneal Rosai Dorfman disease. He was managed symptomatically without any modalities of treatment with regular follow up every month since one year. This case highlights the diagnostic dilemma of retroperitoneal Rosai Dorfman disease which mimicked metastasis from hepatic neoplasm and its rare association with epitheloid hemangioendothelioma liver
Implementation of Health Informatics in Medical Education
Authors: T V Rao , P M Beena
Published: November 2024

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Pregnancy Complicated by Hereditary Spherocytosis
Authors: L.Kulkarni Muralidhar , . Abhilasha , M Kulkarni Bhagyavathi , Vittal Rao Suhasini , VV Vivekanand
Published: November 2024

Heriditary spherocytosis is an autosomal dominant congenital haemolytic anaemia due to abnormalities in cytoskeleton of red blood cell membrane. The management of pregnancy in a patient with hereditary spherocytosis is challenging as there are several issues involved in it. Recently we came across a woman with hereditary spherocytosis presenting with pregnancy at sixth week of gestation. We discuss in this brief communication various issues in the management of pregnancy in hereditary spherocytosis and present a protocol for the management
Hemodialysis Induced Hypoglycemia in Chronic Kidney Disease Patients
Authors: Khyalappa Rajesh , Devdikar Shrikant
Published: November 2024

A prospective and comparative study was conducted on hundred subjects selected from the patients coming to the dialysis unit eligible amp willing for the study divided in to two groups of diabetic amp non-diabetic fifty each. Quantitative data like BSL and DSL values were calculated and analyzed along with the Qualitative data like symptoms on hypoglycemia and compared interchangeably with both groups at specific intervals of time.46100 subjects showed hypoglycemia 27 diabetics 19 non-diabetics out of which 1246 11 diabetics 1 non-diabetic had symptomatic hypoglycemia whereas 3446 16 diabetics 18 non-diabetics had asymptomatic or occult. Subsequently the dialysate sugars also showed a statistically significant rise in both the groups as the blood sugar levels went down. All this concluding quantitatively that the fall in BSL values in diabetics amp non-diabetics was statistically significant in the first half of dialysis i.e. 90mins from the start of dialysis z 3.58 plt 0.05 for 30mins amp z 4.9 plt0.05 for 90mins in diabetics amp z 5.6 plt 0.05 for 30mins amp z 6.14 plt0.05 for 90mins in non-diabetics whereas even if the fall was nt significant statistically in the latter half of dialysis i.e. after 90mins amp in post dialysis samples z 0.96 pgt0.05 in diabetics amp z 1.03 pgt0.05 in non-diabetics it indicated a rise in the BSL suggestive of recovery from hypoglycemia in diabetic subjects.Quantitatively the difference in distribution of diabetes amp non-diabetes according to the presence or absence of symptoms was statistically 2 significant x 5.55 plt0.05 probably suggesting that patients undergoing dialysis should be given mid-dialysis snack to avoid hypoglycemia and its complications insulin doses should be adjusted as per dialysis scheduled days amp possibility of glucose containing dialysate solution should be explored.
Presentation of diabetic foot lesions and evaluation of the usefulness of protocols for the treatment of the diabetic foot lesions
Authors: N Biradar Ashok , B Naik BabuRajendra
Published: November 2024

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Skin Allergy
Authors: Amin (Pujary) Shital , Khatu Swapna , Nagpur Niranjan
Published: November 2024

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Tenosynovial Giant Cell Tumour-Localised – left ankle, a rare presentation
Authors: J.N Sridharamurty , A.R Pradeep
Published: November 2024

Tenosynovial giant cell tumours TGCTs are benign soft tissue masses typically found on the flexor surface of the hand and wrist. They are more common in males of middle age. The tumours are classified as common localized type 88 and the rare diffuse type. Localised type affects the hands and feet and the tumour arises from the synovium of the tendon sheath. It is unusual for giant cell tumours to involve larger joints and to be intra-articular.The present case is a 12-year old female patient with TGCTover left ankle a rare occurrence.
Ectrodactyly-Ectodermal Dysplasia – Cleft Syndrome (EEC)
Authors: L Kulkarni Muralidhar , S.S Sidramayya , V.V Vivekanand
Published: November 2024

The Ectrodactyly- Ectodermal dysplasia-Cleft syndrome EEC is an autosomal dominant disorder with cardinal signs of ectrodactyly ectodermal dysplasia and orofacial clefts. It has been linked to chromosome 3q27 and heterozygous p63 mutations 1.We report a case of EEC syndrome in an 8-month female infant who presented with these features
Consent in MTP –A legal issue
Authors: Mudda Awati Vandana
Published: November 2024

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Sirtuins and Longevity
Authors: S Shankar P
Published: November 2024

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Bromocriptine - A Novel Therapy in Type-2 Diabetes
Authors: P. G. Raman
Published: November 2024

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Rational Drug Therapy in Geriatrics
Authors: HP Shivaprasad
Published: November 2024

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Geriatric Healthcare
Authors: M.V. Jali
Published: November 2024

An epidemiological transition is witnessed in the last one decade in India. Demographic ageing is a global phenomenon. Healthcare for Older People has becoming a major issue in many countries of the world. By 2025 the worlds population is expected to include more than 830 million people at an age of 65 and over the population of the world has stood around 6.5 billion in the dawn of 21st century and is expected to rise to 9.3 billion by 2050. Also proportion of the elderly to the total population is expected to increase from 10 percent in 2000 to 15 percent by 2025 and over 21 percent by 2050.The population growth trend of elderly in India is somewhat similar to the worlds trend. Following Population Census of India the population of elderly was only 24 million in 1961 increased to 43 million in 1981 to 57 million in 1991 and about 77 million in 2001. Further their share in the total population has also risen from 5.63 percent in 1961 to 6.58 percent in 1991. The linkage between ageing and disability is a biological fact where the risk of disability increases with increase in age. However with proper policy intervention onset of disability can be delayed. Ageing should not be treated as synonymous of disability as a large proportion of older people live with good health status and without significant mental or physical decline. This link is very important particularly for countries like India where age-structure of the total population is still predominantly young or middle aged but the age structure of disabled persons is predominantly elderly.Recent statistics related to elderly people in India according to census 2001 showed that as many as 75 of elderly persons were living in rural areas. About 48.2 of elderly persons were women out of whom 55 were widows. 7 ndash 8 of Geriatric population is confronted with Cataract Prostate Problems depression cardiovascular arthritis and adult on-set diabetes. Other lifestyle disorders like obesity hypertension stress tooth decay in addition to environmentally triggered allergic asthma water borne diseases typhoid jaundice and many more on the list. The socio-economic problems of the elderly are nowadays aggravated by factors such as the lack of social security and inadequate facilities for health care rehabilitation etc.Living arrangements of older people are influenced by several factors such as gender health status and presence of disability socioeconomic status and societal traditions. To overcome these problems and to ensure a good healthy and quality life the elderly members of the society can move a long way with the support of the family members as well as the other society members and make India a safe haven for the grown up elderly as our national treasure. This can happen only if we outline our plans as follows
Pulmonary chondromatous hamartoma- A rare case report with review of literature
Authors: Shetty K Jayaprakash , Prasad HL Kishan , S. Permi Harish , Rao Chandrika , Bhat Shubha , K Sajitha
Published: November 2024

Pulmonary chondromatous hamartoma is a common benign tumor of the lung. It is usually an incidental finding and size ranges from 1 cm to 8 cm in diameter. In routine practice malignant tumours of the lung are encountered most compared to benign tumours. We report a case of a pulmonary chondromatous hamartoma in a 53-year old male who presented with chest pain and respiratory difficulties. A circumscribed tumour measuring 6x5cms was seen in upper lobe of left lung parenchyma with specks of calcification. It was successfully treated by surgical resection and final histology was pulmonary hamartoma with predominantly chondroid and lipomatous differentiation. Following surgery patient symptomatically improved and after 1 year of follow up he is doing well without any complications.
Asymmetrical crying facies
Authors: L Kulkarni Muralidhar , R Sandeep , K Gayathri , Raghoji Chaitali , S Shitole Charudutta , Shetty Manohar , KK Sanjana , BP Nagesh
Published: November 2024

Asymmetric crying face refers to a neonate or an infant with face appearing symmetric at rest and asymmetric during crying. We report three neonates with asymmetrical crying facies ACF associated with other anomalies. There was one infant with ear anomaly and simian crease other with transverse limb defect and the third with ear anomaly and congenital heart disease. We add a note on approach to diagnosis evaluation and management.
HIV Management: Yesterday/today/tomorrow
Authors: Gilada Ishwar
Published: November 2024

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Orbital Apex Syndrome due to Mucormycosis
Authors: Sujatha Rani , Kasturi Nirupama , Nepal Nitya
Published: November 2024

Orbital apex syndromes may result from a variety of inflammatory infectious neoplastic iatrogenic traumatic and vascular conditions. Adetailed history with review of systems is important in narrowing the differential diagnosis.In an uncontrolled diabetic it is most commonly due to mucormycosis. Management is directed at the underlying cause and may be guided by surgical biopsy. Otolaryngologic consultation and neuroimaging confirm the diagnosis. we report a case of Mucormycosis with uncontrolled diabetes mellitus and pansinusitis that spread to the left orbital apex causing total ophthalmoplegia and its complications.
Acinic Cell Carcinoma of Nasal Cavity
Authors: D Ravi , P Vijay , Prasad M Hanumanth , N.K Balaji
Published: November 2024

Acinic cell carcinoma of nasal cavity is a rare tumor. It is primarily a neoplasm of Parotid gland. Very few cases of this tumor occurring in nasal cavity have been reported in literature. We are reporting one such case in a 50 year old woman who underwent lateral rhinotomy excision under general anesthesia and has been asymptomatic so far.
Cysts in Dermatology- Part I
Authors: D Fadia Racchana , NJ Nadkarni
Published: November 2024

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Metabolic Syndrome
Authors: P.G Raman Dr.
Published: November 2024

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Categorisation with New Regimens to Achieve the Goal of Tuberculosis Control by 2020
Authors: KC Mohanty , Sarangdhar Nikhil
Published: November 2024

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Androgen Insensitivity Syndrome – A Case Report
Authors: Talwar Prathap , Bhandiwad Ambarisha
Published: November 2024

Androgen insensitivity syndrome is a rare X-linked inherited form of male pseudohermaphroditism that occurs in phenotypically normal women with male karyotype. We report a 14-year-old girl who presented with a history of not attaining menarche and complaints of hoarseness of voice. Physical examination revealed prepubertal status of breast clitoromegaly and blind vagina. Gonads were palpable bilaterally at inguinal region. Diagnostic laparoscopy revealed absence of uterus and adnexa. The karyotype of the patient was 46XY.
Meckel Gruber Syndrome - A Rare Case Report
Authors: Begum Azra , Swamy Sudheendra , R Jyothi , . Nijlingappa , Setty Pramod , M Kulkarni Bhagyavathi
Published: November 2024

We present an interesting case of a fetus which was delivered in our hospital after antenatal detection on ultrasound examination. Clinical examination ultrasonography findings infantogram autopsy and histopathology proved it to be a case of Meckel Gruber syndrome.
Malignant Peripheral Nerve Sheath Tumour - A Case Report
Authors: Kumar V Murthy
Published: November 2024

Malignant peripheral nerve sheath tumours are rare sarcomas arising from connective tissue around the nerves. These are commonly found in brachial plexus sacral plexus and sciatic nerve. Acase of malignant peripheral nerve sheath tumour arising from superficial nerves of thigh which was difficult to diagnose on incision biopsy and histopathology was confirmed by immunohistochemistry.nbsp
A Rare Case of Primary Non-Hodgkin's Lymphoma of the Liver in HIV Seropositive Patient
Authors: HM Swamy , SC Hosakatti , Meghana Rao , Prashant Hubballi
Published: November 2024

Non Hodgkins Lymphoma NHL is the second most frequent malignancy associated with HIVAIDS. The majority of NHL associated with HIVAIDS is known to involve extra-nodal sites such as gastrointestinal tract and central nervous system. Primary NHL of liver is an uncommon neoplasm among these patients. It represents less than 1 of all extra-nodal lymphomas. Ultrasonography and computed tomography scans may be helpful in the diagnosis. Image-guided fine-needle biopsy with histopathology of the liver lesions is the gold standard for the diagnosis of hepatic lymphoma. We report a case of primary hepatic lymphoma as the initial manifestation of AIDS in a patient without any previous infection by hepatitis C or B virus presenting as multiple and large hepatic masses.nbsp
The Glycemic Excursions and their Impact on Diabetic Complications
Authors: P.G. Raman
Published: November 2024

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Robinow Syndrome
Authors: L. Kulkarni Muralidhar , S.S Sidramayya , V.V Vivekanand , M Kulkarni Akhil , C.H Srikanth , Kaur Rupinder
Published: November 2024

Robinow syndrome is a rare genetic disorder of mesomelic dwarfism with characteristic dysmorphic features. It is a syndrome of mesomelic limb shortening hemivertebrae genital hypoplasia and characteristic foetal facies.
Haemophagocytic Lymphohistiocytosis
Authors: L.Kulkarni Muralidhar , SS Sidramayya , VV Vivekanand , Desai Anish , . Hemalatha
Published: November 2024

Haemophagocytic lymphohistiocytosis is a rare macrophage related hyperinflammatory disorder characterized by highly stimulated but inactive immune response. The disease may be inherited or acquired due to infections collagen vascular disease and malignancies. The pathological hallmark of this disorder is aggressive proliferation of macrophages and histiocytes. The symptoms are due to high levels of cytokines secreted by immune effector cells which display functional defects. Recognizing the morphologic changes in the liver and the immunophenotypic feature of the infiltrate are critical for a rapid diagnosis and prompt initiation of treatment.We report a case of haemophagocytic lymphohistiocytosis as it is one of the emerging infectious diseases and review current literature.
Multiple Intracardiac Rhabdomyomas, an Antenatal Clue to the Diagnosis of Tuberous Sclerosis.
Authors: M Kulkarni Akhil , L Kulkarni Muralidhar , V Kulkarni Suhasini , K.K Sanjana
Published: November 2024

Antenatal detection of multiple cardiac rhabdomyomas is an important clue to the diagnosis of tuberous sclerosis in the foetus. These antenatally detected cardiac rhabdomyomas undergo spontaneous resolution in majority of the case but our case lead to severe left ventricular outflow flow tract obstruction and consequent cardiac failure and death. Examination of first degree relatives for features of tuberous sclerosis TSC is mandatory for diagnosis of TSC.
Aging and Health
Authors: Shankar P.S.
Published: November 2024

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Cytological Diagnosis of Opportunistic Infections in a case of AIDS- A Case Report
Authors: Rao Madhuri , K Jayashree , M Chandrashekar , C Bharath
Published: November 2024

Life threatening opportunistic infections are common in human immunodeficiency virus HIV infected individuals. Here we present a case of a 25-year old male having multiple opportunistic infections ndash coexistent cryptococcal and tuberculous lymphadenitis with oesophageal candidiasis and the role played by Fine needle aspiration cytology FNAC in the diagnosis of Acquired immunodeficiency syndromeAIDS. Cryptococcal and mycobacterial lymphadenitis along with disseminated candidial infections are rare. The cytological diagnosis are confirmed with special stains like mucicarmine periodic acid Schiff PAS Ziehl Neelsen ZN and culture.nbsp
Mathematical Modeling for Weaning from Respiratory Support System
Authors: Raj Deepthi
Published: November 2024

The process of discontinuation of mechanical ventilation is called Weaning which needs to be carefully timed. Premature discontinuation of ventilator causes severe stress on the respiratory and cardiovascular system of a patient. Artificial Neural Network ANN is commonly referred to as ldquoNeural Networkrdquo helps in developing decision supportive system which will standardize the procedure for predicting weaning decisions. Genetic algorithm GA is used enhance the learning capability of neural network. In this work a mathematical model for predicting weaning decision is developed using mathematical model is also ANN and Genetic algorithm and verified using Matlab. The design concepts and simulation are presented.
Transient A-V dissociation and hypotension due to consumption of Ayurvedic Medicine: Vatsanabha (Aconitium ferox)
Authors: S. Laddhad Deepak , D Laddhad Sangeeta , R Sancheti Saurabh , Dinde Yogita , S Bhabad Sachin
Published: November 2024

A24 years female presented with complaints of giddiness and blackouts. On evaluation patient had hypotension and bradycardia. Admission ECG suggested complete AV dissociation. On detailed history patient revealed consumption of Ayurvedic medicine Vatsanabha for joint pain. This study impresses upon the need for complete history taking and concludes that there is need for awareness regarding the correct and observed use of any drug including alternative medicines.nbsp
Medical Training
Authors: Shankar P.S.
Published: November 2024

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Vaccination Strategies in India. Shankar PS, Agam Vora, Salil Bendre (Eds), Mumbai, Academy of Respiratory Medicine, 2013, Pages: X+180
Authors: W Kulkarni S
Published: November 2024

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Management of Missed Monteggia Fracture in Children
Authors: JN Sridharmurthy , R Yatish , HD Ranganath
Published: November 2024

Context Fracture of proximal one-third of ulna and dislocation of the proximal radio-ulna joint in the same upper limb is called Monteggia fracture- dislocation. Four clinical variants of this fracture-dislocation have been described depending upon the fracture location and direction of dislocation of the radial head. Chronic neglected radio-capitellar joint dislocation is one of the feared complications of Monteggia fractures especially when associated with fracture of the ulna bone.Aims Identification of missed Monteggia fracture in children in order to restore articular congruence and growth achieve stability good range of movement and prevention of deformity.Settings and Design Prospective study involving two children with Missed monteggia fracture.Methods and Material Two children with missed Monteggia fracture dislocations are described. Both underwent distraction angular ulnar osteotomy open reduction of the radial head stabilization of ulna with plate and screws at osteotomy site. Results Reduction of deformity and improvement in range of movements.Conclusions The radial head can be reduced satisfactorily 6 months or even longer after traumatic dislocation in children in order to restore articular congruence and growth achieve stability good range of movement and prevention of deformity
Vaccination in Adults
Authors: N.S Neki , Gupta Himanshu
Published: November 2024

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Multiorgan Failure in a Fatal Case of Paraquat Poisoning
Authors: S.Laddhad Deepak , D Laddhad Sangeeta. , R Sancheti Sairanj , T Dinde Yogita , S Bhabad Sachin
Published: November 2024

Paraquat is a highly toxic herbicide causing intense local irritation and multi-organ failure on exposure resulting in high mortality. We report a fatal case of paraquat poisoning resulting in multi-organ failure ultimately causing death in spite of aggressive intensive care and hemodialysis from a tertiary care hospital in Vidharbha Region of Maharashtra India. Paraquat is easily available in India hence the incidence of paraquat poisoning is on rise.
Non-Hodgkin'sLymphoma in Orbit - A Case Report
Authors: P Kannan , VA Rao , R Priyadarshini
Published: November 2024

Orbital lymphomas are rare accounting for only 20 of all orbital tumors. We report a 65-year old male who presented with proptosis defective vision and pain in left eye. On examination there was relative afferent papillary defect RAPD and restricted extraocular movements in left eye. An ill-defined firm mass was felt between the supraorbital rim and eyeball on lateral aspect of orbit. CT revealed mass in the lateral rectus. Biopsy was done and histopathological examination suggested Non-Hodgkins Lymphoma NHL. We report this case for its rarity and presentation.
Irritable Bowel Syndrome
Authors: NS Neki , Mani Tamil , Gupta Himanshu , Singh Maninder , M Shah Divyang
Published: November 2024

Irritable bowel syndrome IBS is most prevalent functional gastrointestinal disorder characterized by abdominal pain and altered bowel habits in the absence of specific organic pathology. The general understanding developed that IBS was lower abdominal pain or discomfort associated with disordered defecation and often associated with relief of pain with defecation. IBS is diagnosis of exclusion. It is important to rule out organic causes. IBS is troublesome with a significant negative impact on quality of life and social functioning in many patients. Its chronic nature signs and symptoms which vary periodically from mild to severe ones have many negative effects on the quality of life for the sufferer. IBS generates significant health care costs both direct because of IBS symptoms and associated disorders and indirect because of time off work. Patients should be informed by their doctors that the nature of the disease is benign and educated on how to deal with and control symptoms of the disease. This article focuses on pathophysiology diagnostic evaluation and current treatment aspects
World Health Day- April 7: Themes
Authors: . none
Published: November 2024

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Bilateral Facial Nerve Palsy- A Rare Clinical Entity
Authors: N.S Neki , M. Shah Divyang , aninder Singh M , Soni Manish , Kant B.Bolewar Sri , M Kohle Kailash , Author : Dr. N.S. Neki Manisha   Corresponding , of Medicine Professor , Medical College & Guru Nanak Dev Hospital Govt , E-mail: drneki@gmail.com Amritsar
Published: November 2024

Bilateral simultaneous facial nerve palsy is an extremely rare clinical condition and therefore presents a diagnostic dilemma. It may occur in association with a number of neurological infectious neoplastic or degenerative disorders thereby reflecting an underlying systemic pathology. It may be the presenting symptom in many diseases. A case of 40 years old healthy male is reported here who presented with bilateral facial paralysis and normal deep tendon reflexes on examination. He was diagnosed to be a case of variant of Gullain Barre SyndromeGBS managed with symptomatic treatment and physiotherapy.
Foreign Body Aspiration in Indian Children: Analysis of 90 Cases in Tertiary Care Hospital
Authors: BP Nagesh , H Ramesh , CR Banapurmath
Published: November 2024

Objective Foreign body aspiration FBA is one of the major causes of death in developing countries. Foreign body aspiration is also a major cause of persistent respiratory symptoms in children which is commonly missed by pediatricians. Diagnostic delay may cause an increase in mortality and morbidity. We report our results and compare the relevant studies available in literature.Setting Tertiary care hospital BCHIampRC of J. J. M. Medical College Davanagere Karnataka India.Subjects Case records of 90 children diagnosed to have FBAover four and half years January 2008-August 2012 were analyzed. Of them 73.3 were males and 27.7 females. Their ages ranged from 4 months to 15 years. Clinico-radiological features types and location were studied. The data collected included age sex presenting complaints clinical signs and type of foreign body. All the children underwent rigid bronchoscopy.Results Of 90 children studied the most common radiological finding was obstructive emphysema on the same side. Nearly three fourth 74.33 were below the age of 3years. Delay in presentation ranged from 1 day to 1 year most common being 7 days. Common symptoms were cough and hurried respiration. Groundnutspeanuts and areca nut were the common foreign bodies. The common site of enlodgement of foreign body was right main bronchus 61 left bronchus 28 and trachea 4.Conclusion FBAis difficult to diagnose in children ant it can lead to mortality and morbidity. Misdiagnosis as asthma and respiratory infection can delay the definitive treatment. We suggest early bronchoscopy in suspicious cases. Clinical suspicion is the key to the diagnosis.
Giant Cell Tumor of Distal Ulna Treated by En Bloc Resection and Reconstructed by a Novel Technique
Authors: P Sureshraj , M Elango , Moses C Justin , A Murugan , Neue' 'Helvetica , . Calibri , Sans' 'Droid , . Helvetica , . Arial , text-align: justify;"> sans-serif;
Published: November 2024

Giant cell tumor GCT is a locally aggressive benign primary bone tumor accounting for 20 of all the benign primary bone tumors 1. Peak 1 incidence is between 20 and 45 years with slight female predominance. Distal end of ulna is a rare site for any primary bone tumor especially 2-4 for giant cell tumor with reported incidence of 0.45 to 3.2 in literature. Considering local aggressive nature and high recurrence 4 resection is the treatment recommended. In such cases instability of ulnar stump and ulnar translation of the carpals are known 3-6 complications causing reduced grip strength. Literature review states reconstruction with iliac bone graft and stabilisation of the ulnar stump with tenodesis using extensor carpi ulnaris. We report a 44 year old male with giant cell tumor of the distal ulna treated by en bloc resection and reconstruction of the distal radio-ulnar joint DRUJ and triangular fibrocartilage TFCC complex with proximal fibula palmaris longus graft with augmentation by extensor carpi ulnaris tenodesis and stabilisation of the proximal stump with dynamic compression plate. This newer technique of DRUJ and TFCC reconstruction with proximal fibula and palmaris longus graft following enbloc resection of the distal ulna had excellent functional results with no evidence of recurrence after seven months follow-up. This case is presented for its rarity and novelty of the technique used for the anatomical reconstruction.