Intravenous leiomyomatosis

Intravenous leiomyomatosis is a rare benign smooth muscle tumour arising from a venous wall or a uterine leiomyoma. This case highlights that intra-cardiac leiomyomatosis should be considered as a differential diagnosis in addition to extended cancer or thrombus, in female patients, diagnosed with a right sided cardiac mass extending from the IVC. To prevent pulmonary embolism or sudden death in patients with intra-cardiac extension, complete surgical resection is necessary. One stage surgical removal has been recommended for complete resection

Prevalence of gestational diabetes mellitus and its feto-maternal outcome in Kamla Nehru state hospital for mother and child, IGMC, Shimla, India

Background: Gestational Diabetes Mellitus (GDM) is defined as carbohydrate intolerance of variable severity with the onset or first recognition during pregnancy. It is a disease entity that adversely affects maternal as well as fetal outcome. DIPSI guideline having suggested one-time plasma glucose level has emerged as a simple, practical and cheap method to detect GDM. This study was done to evaluate the prevalence of gestational diabetes using Diabetes in Pregnancy Study Group India (DIPSI) criteria and further assess its feto maternal outcome in Kamla Nehru State Hospital for Mother and Child, IGMC, Shimla.Methods: This study was conducted in 500 patients between 24 and 28 weeks of gestation, attending the antenatal OPD. These patients were given 75g oral glucose irrespective of last meal and their plasma glucose was estimated at 2h. Patients with plasma glucose ≥140mg/dl were diagnosed as GDM and the rest as control or the non GDM group. The GDM patients were followed up and treated with medical nutrition therapy (MNT) and/or insulin therapy till delivery and maternal and fetal outcomes were then noted.Results: The prevalence of GDM in this study was 6%. Maternal and fetal complications were more in the GDM patients. Vaginal candidiasis and PROM were the common maternal complications, while hypoglycemia and hyperbilirubinemia were common in the fetuses.Conclusions: GDM adversely affects the mother as well as fetus. DIPSI guideline having suggested a single plasma glucose level test has emerged as a practical and economical method to detect GDM

Intravenous leiomyomatosis

Intravenous leiomyomatosis is a rare benign smooth muscle tumour arising from a venous wall or a uterine leiomyoma. This case highlights that intra-cardiac leiomyomatosis should be considered as a differential diagnosis in addition to extended cancer or thrombus, in female patients, diagnosed with a right sided cardiac mass extending from the IVC. To prevent pulmonary embolism or sudden death in patients with intra-cardiac extension, complete surgical resection is necessary. One stage surgical removal has been recommended for complete resection

Abundance, Morphological Features, and Economic Values of Selected Tree Species in Company Graden of Saharanpur District, Uttar Pradesh, India

This study aimed to assess the abundance, morphological features, and economic values of selected tree species (Mango, Eucalyptus, and Bottle brush) within Company Garden of Saharanpur, Uttar Pradesh, India. Through systematic survey and analysis, the results showed that Eucalyptus emerged as the most abundant species, constituting 40% of the tree population. Mango trees, comprising approximately 35% of the population, were out for their economic importance and cultural significance. While their cultivation offers economic benefits, their influence on biodiversity and soil health warrants careful evaluation, particularly in the context of human cultivation practices. Bottle brush trees, though least abundant at 15%, contribute uniquely to the ecosystem by providing ornamental value and potential wildlife habitat. Their ecological contributions emphasize the importance of preserving biodiversity within the ecosystem. On the other hand, analysis of morphological and economic features highlighted the distinct characteristics of each species. Eucalyptus, with its remarkable height and girth, proves valuable for timber production and ecological functions such as erosion control. Mango trees, prized for fruit production and shade provision, play a crucial role in agroforestry contexts. While Bottle brush trees may not be extensively utilized for timber, their ornamental value and ecological contributions are noteworthy. Overall, the study provides valuable insights into the abundance, morphological characteristics, and ecological significance of tree species within the Company Garden

Relationship between histologic chorioamnionitis and genital tract cultures in pre term labour

The objective was to determine the relationship of histological chorioamnionitis (HCA) with genital tract cultures in preterm birth. Among two hundred women recruited for the study, 100 were taken as cases with gestational age between ≥28 and 37 weeks were taken as controls. Vaginal swabs were taken for culture sensitivity and vaginal smears were made for performing whiff test and heat dry gram stained smear was examined for growth of microorganisms. Histopathologic examination of the placenta was done after delivery. 49 cases and 26 controls had evidence of histological chorioamnionitis. A significant difference was observed in relation to the presence of E. coli, presence of clue cells, positive whiff test and occurrence of bacterial vaginosis in subjects with and without histological chorioamnionitis. Thus, we conclude that the presence of histological chorioamnionitis is closely related to the presence of pathogenic microorganisms in the cervicovaginal region.IMPACT STATEMENT What is already known on the subject? Histologic chorioamnionitis has been regarded to reflect amniotic fluid infection and there are studies showing an association between histologic chorioamnionitis, amniotic fluid, and subchorionic plate cultures. Nevertheless, studies of the correlation of the cervical swab cultures with intrauterine infection in preterm birth remain inconclusive. What do the results of this study add? Histologic chorioamnionitis is closely related to the presence of pathogenic microorganisms in the cervicovaginal region. What are the implications of these findings for clinical practice and/or further research? High vaginal swab cultures and gram staining of vaginal smear is useful in detecting antenatal patients who are at a higher risk for preterm labour. After detection, early intervention may be done to avoid preterm deliveries in these high-risk pregnancies