Knowledge, attitude and practice of breast feeding at a tertiary care centre in the government medical college and hospital, Aurangabad, India

Background: Mother’s milk undoubtedly represents the best nourishment for the child during first months of life. The benefits of breastfeeding (BF) specially, exclusive breastfeeding (EBF), are well established. No artificial feed can replace breast milk, its specific nutrients and protection against diseases. All women should be encouraged to exclusively breastfeed their infants up to 6 months of age and thereafter to continue along with appropriate and adequate complementary foods, for up to 2 years of age.Methods: In the present study, we aimed to study knowledge, attitude and the feeding practices in a tertiary care centre. The descriptive study was conducted in Obstetrics and Gynecology Department of Government Medical College and Hospital, Aurangabad.Results: 200 postnatal women were included in study. Women were interviewed personally with the help of a fixed questionnaire regarding their knowledge attitude and feeding practices. 60.5% of women started breast feeding their infants within 2 hours and 100% women were feeding within 24 hours of birth. Delay in initiation was seen in women having a caesarean section. 89% received mother’s milk as their first feed. 84% were aware of its nutritive value.Conclusions: Efforts need to be made to help mother to initiate feeding early specially in caesarean section. Women need to be made aware of benefits of breast feeding and proper techniques. Health care providers and nursing staff should be encouraged to actively participate in proper counseling and training of mothers

CASE REPORT: Papillary Adenoma of Kidney- An Incidental Autopsy Finding: Report of Two Cases

Background: Renal papillary adenoma is usually an incidental finding at autopsy with an incidence of 7% to 23%. The frequency of small papillary tumours of kidney increases with age to approximately 40% of the population over the age of 65. These tumours occur morefrequently in scarred kidneys, acquired renal cystic disease and in children with von Hippel-Lindau syndrome. Case history: In this report we describe renal papillary adenoma incidentally detected during autopsies of two elderly males. Gross examination of kidneyshowed two tiny subcapsular yellowish nodules in one case and single nodule with similar morphology in the other. Microscopic examination in both the cases showed a well circumscribed tumour composed of densely packed tubules and papillae lined by small cuboidal to columnar cells with rounded uniform nuclei. However there was no nuclear atypia, mitosis or necrosis

Histopathological spectrum of lesions of tonsil- A 2 year experience from tertiary care hospital of Maharashtra, India

Background: Palatine tonsils are paired masses of lymphoid tissue which act as immunologic barrier against the entry of pathogenic agents into the respiratory and digestive tracts. Despite their protective function, tonsils are prone to infection. Tonsillitis is a common disease especially among the children. Chronic tonsillitis is a disease with repeated attacks of acute tonsillitis or a subclinic form of a resistant or poorly treated infection. Aim: To study histopathology of various lesions of tonsil. Material and Methods: We studied histopathology of 211 cases representing surgical samples from 115 patients [Tonsillectomy- 104 patients (Unilateral-08, Bilateral-96) and tonsillar biopsy in 11 patients]. Representative bits were taken from formalin fixed tonsillectomy specimens whereas biopsies were submitted entirely. Routine hematoxylin and eosin staining was done. Results: Amongst 211 cases, histopathological examination in 190 cases showed tonsillitis. The other lesions were cartilagenous choristoma in six patients, epidermal inclusion cyst in three cases and reactive lymphoid hyperplasia in one case. One case of inflammatory myofibroblastic tumour was observed. The malignancies were observed in ten cases- squamous cell carcinoma in nine cases and Non-Hodgkin lymphoma in one case

Knowledge, attitude and practice of breast feeding at a tertiary care centre in the government medical college and hospital, Aurangabad, India

Background: Mother’s milk undoubtedly represents the best nourishment for the child during first months of life. The benefits of breastfeeding (BF) specially, exclusive breastfeeding (EBF), are well established. No artificial feed can replace breast milk, its specific nutrients and protection against diseases. All women should be encouraged to exclusively breastfeed their infants up to 6 months of age and thereafter to continue along with appropriate and adequate complementary foods, for up to 2 years of age.Methods: In the present study, we aimed to study knowledge, attitude and the feeding practices in a tertiary care centre. The descriptive study was conducted in Obstetrics and Gynecology Department of Government Medical College and Hospital, Aurangabad.Results: 200 postnatal women were included in study. Women were interviewed personally with the help of a fixed questionnaire regarding their knowledge attitude and feeding practices. 60.5% of women started breast feeding their infants within 2 hours and 100% women were feeding within 24 hours of birth. Delay in initiation was seen in women having a caesarean section. 89% received mother’s milk as their first feed. 84% were aware of its nutritive value.Conclusions: Efforts need to be made to help mother to initiate feeding early specially in caesarean section. Women need to be made aware of benefits of breast feeding and proper techniques. Health care providers and nursing staff should be encouraged to actively participate in proper counseling and training of mothers

Diagnostic pitfall in a case of ductal carcinoma-in situ with microinvasion

We report a case of microinvasive carcinoma of the breast cytologically diagnosed as ductal carcinoma - in situ in an 80-year-old lady with a breast lump. Extensive sampling of mastectomy specimen showed ductal carcinoma in situ (DCIS). Many ducts showed stromal reaction - periductal sclerosis and lymphocytic infiltration-features suggestive of microinvasion. However, no definite invasion was noted histologically. Immunohistochemical study highlighted the microinvasive foci

Aggressive angiomyxoma of vulva: A case report and review of literature

Aggressive angiomyxoma is a distinctive, locally aggressive, mesenchymal tumor that preferentially involves the pelvic and perineal regions of females with a peak incidence in the 4 th decade of life. The neoplastic cells of aggressive angiomyxoma exhibit fibroblastic and myofibroblastic features and appear to be hormonally influenced. There is a strong propensity for local recurrence. The recurrence may be seen years after the initial resection; hence, long-term follow-up is required. We report a case of a 22-year-old woman with a huge pedunculated aggressive angiomyxoma arising from right labia majora

Nonbacterial Thrombotic Endocarditis in Association with Metastatic Mucin-Secreting Adenocarcinoma in Heart

Nonbacterial thrombotic endocarditis (NBTE) is characterized by the deposition of thrombi on cardiac valves in the absence of bloodstream bacterial infection. It is usually associated with advanced stage malignancy and chronic debilitating diseases. We present an autopsy case report of a 45-year-old man with NBTE in association with metastatic mucin-secreting adenocarcinoma involving the heart