Complete Enucleation of a Complicated Solid Pseudopapillary Neoplasm of Pancreas: A Case Report

INTRODUCTION: Solid pseudopapillary neoplasm (SPN) of the pancreas is a rare pancreatic tumor, usually affecting young females. It is categorized as a low-grade malignant tumor without any specific epithelial differentiation, which can occur anywhere in the pancreas. CASE PRESENTATION: Here, we present the case of a 35-year-old lady who presented to us with abdominal pain and a pancreatic mass. She had a prior laparotomy at a different center without any specific intervention for the lump. After presenting to our center, she was managed through proper evaluation and adequate preparation for surgery. The diagnosis was challenging, and so was the surgery. We had enucleated the lesion completely. Histopathology confirmed the diagnosis of SPN. There are no signs of recurrence after two years. DISCUSSION: Patients are either asymptomatic or usually present with abdominal pain, a large abdominal lump, or some vague symptoms. A high index of suspicion is the key to diagnosis. Complete resection is the gold standard of treatment. Enucleation is also a good option in difficult cases. The prognosis after surgery is excellent. CONCLUSION: Total enucleation of the SPN of the pancreas is a reasonable alternative in selected cases when performed by experienced hepatobiliary-pancreatic surgeons

A comparative study of fatty acids profile of two Indian major carps (Gibelion catla, Hamilton, 1822 and Cirrhinus mrigala, Hamilton, 1822) using value added fish feed

Freshwater fishes are not only a major source of protein but they also possess nutritionally valuable lipids in the form of Polyunsaturated fatty acids (PUFAs), which play a crucial role in the normal growth, disease prevention, development, cardiovascular health and reproduction of human. The present study was performed to determine the incorporation rate of fatty acids profile and their composition in two common freshwater carps as Gibelion catla and Cirrhinus mrigala (in situ trial and experimental) in the different experimental time period (0 days, i.e. initial, 90 days and 180 days) by using of value added feed like flaxseed (?-linolenic acids, 51.26% – 54.94%) and soybean oil (?-linolenic acids, 7.95%-9.01%) as omega-3 supplements. To determine the specific growth pattern Length-Weight Relationships (LWRs) are analyzed where it showed positive allometric growth (b=3.20 in 90 days, b=3.11 in 180 days for Catla and b=3.18 in 90 days, b=3.1 in 180 days for Mrigala fish). The Gas Chromatography-Mass Spectrometry (GC/MS) method also confirmed that the percentages of EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) increased significantly (P< 0.05) in experimental (0.096a±0.41, initial; 5.16a±0.27, 90 days; 6.21b±0.36, 180 days Catla fish species and 0.019a±0.96 initial; 3.74b±0.37, 90 days; 3.50a±0.46 180 days for Mrigal fish species) fishes rather than controls (4.28a±0.27, 90 days; 4.36b±0.36, 180 days for Catla species and 2.24b±0.31 90 days; 2.50a±0.11 180 days for Mrigal species). Therefore, it was clearly indicated that formulated diet performed significantly to maintain the positive allometric growth as well as successive enrichment of PUFAs in experimental specimens, which is beneficial for human health as high source of protein and PUFAs as well

The Effects of Preexisting Health Conditions and Vaccination on the COVID-19 Complications

In recent years, the coronavirus pandemic disease has been more fatal in the world. The presence of several comorbidities, particularly asthma, cardiovascular problems, diabetes, and kidney disease, has been linked to a worse prognosis of COVID-19 infection. This paper examined the progression of the disease, significant health risks, effects of vaccination and COVID-19 complications rates among people with comorbidities. A cross-sectional study has been conducted with direct interviews of 1002 patients in different parts of Bangladesh following a well-organized questionnaire. This study clearly shows that pre-existing health problems are extremely high-risk factors for long-term major health complications such as shortness of breath, hypertension, loss of taste and appetite, mental depression, dementia, uncontrolled blood pressure, and sugar levels during and after recovery from COVID-19 infection. Among them, almost 70% of asthma and cardiovascular disease patients were suffering from severe health complications, including shortness of breath, hypertension, and mental health problems, after getting the COVID-19 infection. Moreover, it also revealed that vaccination can significantly reduce the severity of COVID complications up to 50% compared to unvaccinated people. The overall finding of this study can be useful for the prediction of possible ways to avoid the life-threatening risk of COVID-19 infection for people who are already suffering from various preexisting health problems

Anxiety and depression among caregivers of the children with thalassemia, attending at Thalassemia Control Unit of a Rural Tertiary Care Medical College, Darjeeling, West Bengal

Background of Study: Caregivers of the children with thalassemia often experienced a life with varied degree of anxiety and depression due the chronic illness like of their children. Mothers as the main caregivers for most of the thalassemic children suffers with different forms of psychological problems. Objectives: The aim of this study was to assess the levels of anxiety and depression of the caregivers of children with Thalassemia and also to find out sociodemographic factors associated with their anxiety and depression. Materials and Methods: Descriptive cross-sectional study conducted in Thalassemia Control Unit (TCU) of North Bengal Medical College (NBMC) from December 2018 to April 2019. Complete enumeration method was used to include 136 caregivers of children (≤12 years) with thalassemia. Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) was used to assess the levels of anxiety and depression. Collected data were entered into MS-Excel and analyzed by using SPSS software program, version 22.0. Results: Mean age of caregivers was 34.3 (SD ± 1.4 years). Most of caregivers were female (89%) and had educational qualification up to primary school (45.6%). Majority (70.6%) of the caregivers were the mothers of the children. Most of the study participants (54.4%) had moderate depression followed by 30.1% with mild mood disturbances. Majority (69.9%) of the study participants had mild anxiety and 30.1% moderate anxiety. The median (IQR) of BDI score was 21(23–18) and median (IQR) of BAI score was 20(22–18). Conclusions: Early counseling, psychotherapy, appropriate treatment should be prioritized. Social support, community involvement with their full participation should be emphasized

Liver enzymes in diabetic and non diabetic subjects with clinically diagnosed hepatitis

The occurrence of liver disease and raised liver enzymes is common in diabetic patients and the increasing level of enzymes indicates the severity of hepatic injury. Very few studies have addressed this issue in Bangladesh though Bangladeshi population is very much susceptible to diabetes. This study investigated a total of 1400 diabetic patients and 100 non diabetic individuals to compare the level of liver enzymes between diabetic and non-diabetic subjects. The comparisons were made among subjects who were referred to the department of Gastro-hepato-pancreatic diseases (GHPD) of BIRDEM with the clinical diagnosis of chronic hepatitis and other gastro-intestinal disorders. The investigations included alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP) and bilirubin levels. The subjects were categorized with and without hepatitis based on these investigations. The biochemical markers (ALT, AST, ALP, bilirubin) did not differ significantly between non-diabetic male and female subjects. Neither the differences were significant between diabetic males and females though the diabetic patients had higher level of markers. In contrast, when compared between diabetic and non-diabetic subjects there were striking differences in either sex. Compared with the non-diabetic the diabetic subjects had significantly higher level of ALT (48.3 vs. 277.0), AST (42.0 vs. 213.0) and ALP (148 vs. 302) in males (p<0.005 for all). Similarly, these values were found significantly higher in diabetic females than their non-diabetic counterparts (p<0.01). For bilirubin, it was also found significant in males (p<0.001). The study revealed that the liver enzymes were found elevated in both diabetic and non-diabetic subjects who were referred with clinically diagnosed hepatitis. The enzymes were found markedly elevated among the diabetic than non diabetic patients, which indicate hepatic injury was more marked among the diabetic patients. Further study may confirm these findings. It is suggested that other socio-demographic and biophysical risk factors are important to be investigated in order to prevent increased hepatic damage among the diabetic subjects. Ibrahim Med. Coll. J. 2011; 5(2): 46-5

Electron and Positron Scattering from Precious Metal Atoms in the eV to MeV Energy Range

This article reports on the scattering of unpolarized and spin polarized electrons and positrons from 28Ni58,29Cu63,46Pd108, and 78Pt196, covering light to heavy precious metal targets. To cover the wide energy domain of 1 eV &le;Ei&le;300 MeV, Dirac partial-wave phase-shift analysis is employed, using a complex optical potential for Ei&le;1 MeV and a potential derived from the nuclear charge distribution for Ei&gt;1 MeV. Results are presented for the differential and integral cross-sections, including elastic, momentum transfer, and viscosity cross-sections. In addition, the inelastic, ionization, and total (elastic + inelastic) cross-section results are provided, together with mean free path estimates. Moreover, the polarization correlations S,T, and U, which are sensitive to phase-dependent interference effects, are considered. Scaling laws with respect to collision energy, scattering angle, and nuclear charge number at ultrahigh energies are derived using the equivalence between elastic scattering and tip bremsstrahlung emission. In addition, a systematic analysis of the critical minima in the differential cross-section and the corresponding total polarization points in the Sherman function S is carried out. A comparison with existing experimental data and other theoretical findings is made in order to test the merit of the present approach in explaining details of the measurements

Electron and Positron Scattering from Precious Metal Atoms in the eV to MeV Energy Range

This article reports on the scattering of unpolarized and spin polarized electrons and positrons from 28Ni58,29Cu63,46Pd108, and 78Pt196, covering light to heavy precious metal targets. To cover the wide energy domain of 1 eV ≤Ei≤300 MeV, Dirac partial-wave phase-shift analysis is employed, using a complex optical potential for Ei≤1 MeV and a potential derived from the nuclear charge distribution for Ei>1 MeV. Results are presented for the differential and integral cross-sections, including elastic, momentum transfer, and viscosity cross-sections. In addition, the inelastic, ionization, and total (elastic + inelastic) cross-section results are provided, together with mean free path estimates. Moreover, the polarization correlations S,T, and U, which are sensitive to phase-dependent interference effects, are considered. Scaling laws with respect to collision energy, scattering angle, and nuclear charge number at ultrahigh energies are derived using the equivalence between elastic scattering and tip bremsstrahlung emission. In addition, a systematic analysis of the critical minima in the differential cross-section and the corresponding total polarization points in the Sherman function S is carried out. A comparison with existing experimental data and other theoretical findings is made in order to test the merit of the present approach in explaining details of the measurements