Management of haemangioma neck using sclerosing agent- a case report

Although hemangiomas are common in infancy and childhood, they are probably developmental abnormalities rather than true neoplasms. In present case we have treated a child aged 10 years with haemangioma of the right side of the Neck. After thorough investigation we posted this for intralesional infiltration of Sclerosing agent (Inj. Polidocanol 3%) in 1:3 dilution with normal saline. Approximately 2 ml Inj. Polidocanol diluted with saline was injected into the lesion. And the same procedure was repeated in three sittings after one week interval. The size and vascularity was reduced dramatically after single procedure. Patient was followed up after one and two months interval. There was no sign of any recurrence. This Procedure was chosen as it is cosmetically more acceptable, can be used for the haemangiomas at inaccessible areas where surgery is difficult, day care procedure and cost effective. Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-1, 56-59 DOI: http://dx.doi.org/10.3126/jcmsn.v8i1.6828</p

Prevalence of hypertension and associated cardiovascular risk factors in Central India

Objectives: To study the difference in the prevalence of hypertension and associated risk factors in urban and rural populations and the association of hypertension with various determinants. Materials and Methods: A community-based cross-sectional study was conducted in 48 villages and 15 urban wards of Jabalpur District of Central India. Nine hundred and thirty-nine individuals aged 20 years and above (624 from rural areas and 315 from urban areas) were included in the study. The prevalence of hypertension and associated cardiovascular risk factors was assessed in the urban and rural populations. A pretested questionnaire was used to collect data on socio-demographic, behavioral, and dietary factors. Anthropometric measurements of weight, height, waist and hip circumference, and blood pressure measurements were taken using the standard methodology. The glucose oxidase-peroxidase and cholesterol oxidase-cholesterol peroxidase methods were used to measure plasma glucose and serum cholesterol, respectively. Bivariate analysis was followed by multivariate analysis to detect the odds of getting hypertension with various risk factors for the urban and rural populations separately. Hypertension was defined as per Joint National Committee (JNC) - VII criteria. Results: The response rate was 97%. Overall prevalence of hypertension was 17%, with 21.4% in the urban population and 14.8% in the rural population. Significantly higher mean values of weight, height, body mass index (BMI), hip circumference (HC), waist circumference (WC), waist hip ratio (WHR), systolic blood pressure (SBP), fasting blood sugar (FBS), and serum cholesterol levels were mapped in the urban population in comparison with the rural population. Multivariate logistic regression analysis identified increasing age, parental history of hypertension, tobacco smoking, tobacco chewing, physical inactivity, high estimated per capita salt consumption, and BMI ≥27.5 kg/m 2 as independent predictors for hypertension in the urban population, while in the rural population, increasing age, physical inactivity, central obesity, tobacco chewing and tobacco smoking were independent predictors for hypertension. Conclusion: The prevalence of hypertension and other cardiovascular risk factors was high in both urban and rural communities. Therefore, there is a need for comprehensive health promotion programs to encourage lifestyle modification

Development of Nickel Based Multifunctional Additive &amp; Performance Evaluation of Photo Biodegradation

Nickel Based Multifunctional additive (Ni-MFA) different compositions (1, 2 &amp; 3 wt %) of Ni-MFA Electron Microscopy (SEM), mechanical properties by Differential Scanning Calorimetry (DSC). incubated in the presence of the microbes such as asspergillus dump. Both living organism were capable of degrading polypropylene. was biodegraded within 45 days, %

Effects of vesicular-arbuscular mycorrhizae on the growth and uptake of some heavy metals by oat

Today, agriculture practices by taking environmental concerns into account are of great importance. This has urged consistent cultivation and production systems to be developed and implemented. The purpose of the agriecosystem is to ensure alternatives with the concern that population of natural species is to be sustained and the likelihood hazardous effects is to be minimized. One of these alternatives is use of soil microorganisms in agriculture (Weissenhorn at al. 1995), specifically mycorrhizal fungi which can be of great importance in heavy metal availability and toxicity (Leyval at al. 1997). Thereby a natural protection management might be promoted. The objective was to investigate the possibilities of utilisation of VAM in mitigating pollution in soil. Uptake of heavy metals by plants, the effects of mycorrhiza on heavy metal absorbed by plants and mycorrhizal tolerance to heavy metals were explained. Soil samples were taken from farmers field at the depth of 0-20 cm. The sieved soil was mixed with sand (3:1) and was sterilised. Oat roots were inoculated with four species of VAM fungus and the rate of infection on the roots was determined, the test plants was local variety of oat. The different metal contents in the soil were obtained by adding aqueous solutions of ZnSO4. 7H2O ,Cu SO4. 5H2O and 3Cd(SO4). 8H2O . All treatments were applied with and without mycorrhizal inoculum and there were four replicates. Heavy metal contents increased in soil, root, stem and leaves, depending on the increased doses of Cu, Zn and Cd in both inoculated and noninoculated treatments. Infection rate was found 36 % in VAM infected oat roots. As a result of increased heavy metal application (Cu, Zn and Cd) VAM infection rate lessened [ Cu (36-21%), Zn (36-15%) and Cd (36-4%)]. Large part of the metals were retained by roots (Gildon & Tinker1983) VA mycorrhiza hindered metal movements to stem and leaves. (Graham & Fardelman 1986). The filtering property of mycorrhiza may contribute to the efforts to mitigate high levels of heavy metals in soils. Gildon, A & Tinker P.B. 1983. New Phytologist, 95: 247-261. Graham, J.H. & Fardelmann, D.1986. Canadian Journal of Botany 64:1739-1744. Leyval, C. et al. 1997. Mycorrhiza 7(3): 139-153. Weissenhorn, I. et al. 1995. Mycorrhiza 5: 245-251.vokMyynti MTT tietopalvelu

An Unusual Laryngeal Injury

Blunt injuries to the anterior neck are most commonly due to road traffic accidents but the incidence of such types of injuries are decreasing probably due to stricter laws pertaining to seat belts and drunken driving. Experience in managing such injuries is limited due to their rarity. The mainstay of management revolves around establishing and maintaining a patent airway and integrity of the spine. Here we document a case of a 25 year old male who met with a Road traffic accident while driving a motorbike and sustained a clear cut linear wound on the right side of the neck with minimal airleak due to the helmet clip. On exploration, he was found to have massive epiglottic edema, mucosal abrasions, lacerations and a thyroid cartilage fracture. The mechanism of injury was probably a combination of penetrating and blunt trauma neck. This case highlights the mechanism of laryngeal injury, its presentation and managemen

Extrahepatic portal vein obstruction and portal vein thrombosis in special situations: Need for a new classification

Extrahepatic portal vein obstruction is a vascular disorder of liver, which results in obstruction and cavernomatous transformation of portal vein with or without the involvement of intrahepatic portal vein, splenic vein, or superior mesenteric vein. Portal vein obstruction due to chronic liver disease, neoplasm, or postsurgery is a separate entity and is not the same as extrahepatic portal vein obstruction. Patients with extrahepatic portal vein obstruction are generally young and belong mostly to Asian countries. It is therefore very important to define portal vein thrombosis as acute or chronic from management point of view. Portal vein thrombosis in certain situations such as liver transplant and postsurgical/liver transplant period is an evolving area and needs extensive research. There is a need for a new classification, which includes all areas of the entity. In the current review, the most recent literature of extrahepatic portal vein obstruction is reviewed and summarized