Acute lymphoblastic leukemia with pregnancy: a rare case

Pregnancy complicated with leukemia is rare. Validated data out of which conclusions may be drawn regarding management of pregnancy with leukemia are sparse

Swyer syndrome presenting as primary infertility

Swyer syndrome was first described by Jim Swyer in 1955. It is a form of “Pure gonadal dysgenesis”. The affected female has 46, XY karyotype. A 21 year old married female came with complaints of primary infertility. On examination she has normal built with normal secondary sexual characteristics. She had normal vaginal opening with small uterus. Serum FSH was 71.54 mIU/ml. Thyroid and Prolactin was in normal range. Karyotype showed genotype of 46, XY. Diagnostic laparoscopy showed streak gonads, small uterus, and normal patent fallopian tubes. Diagnosis of Swyer syndrome was made

Scar endometriosis following caesarean section: a rare case report

Endometriosis is presence of functioning endometrial tissue (glands and stroma) outside the uterine cavity. Endometriosis can sometimes occur in previous surgical scar. Scar endometriosis is rare and difficult to diagnose. It mostly follows obstetrical and gynaecological surgeries. We present here a case report of a patient who developed scar endometriosis following a caesarean section which was dealt adequately in the subsequent caesarean section

Synthesis and x-ray structure of bicyclobutanones

Bibliography: p. 85-87Some pages are in colour

Effectiveness of Furosemide Combined with Human Albumin Versus Furosemide Alone in the Management of Edema Among Pediatric Nephrotic Syndrome Patients: An Observational Study

Introduction: Generalized edema is one of the major significant problems in nephrotic syndrome. The standard primary line of treatment for edema reduction is diuretics like Furosemide, and thiazides. Furosemide's effectiveness is hindered by hypoalbuminemia; hence co-administration of albumin may enhance therapeutic outcomes of Furosemide. The study aimed to evaluate the effectiveness of parenteral Furosemide alone and co-administered with human albumin in terms of diuretic and natriuretic effect in nephrotic children with edema. Methodology: The present hospital based observational study was conducted at a tertiary care facility, Jaipur from June 2019 to July 2020. We enrolled a total of 50 children with nephrotic syndrome and edema who were receiving two kinds of treatment. In the first group, children received intravenous Furosemide alone while in second group, 20% human albumin (1 gm/kg) along with intravenous Furosemide was given. Urine output, changes in weight and abdominal girth were noted at admission and 24 hours after treatment and laboratory parameters were also estimated. Results: There was a significant difference in mean weight loss, increase in urine output, decrease in abdominal girth, and in changes in levels of serum albumin between both the treatment groups. Non-significant difference was observed in blood urea, serum creatinine, sodium, and potassium between both the treatments. Conclusion: The co-administration of albumin and Furosemide is more effective than the administration of Furosemide alone inducing diuresis in patients with nephrotic syndrome