A rare case report on complete cervical agenesis with vaginal atresia and suspended didelphys uterus with hematometra and left haematosalpinx

Congenital uterine malformations are deviations from normal anatomy resulting due to defective fusion of Mullerian ducts or the paramesonephric ducts in the developing embryo. These anomalies may be isolated or in combination with urological abnormalities. The mean prevalence of female congenital malformations in general population is up to ⁓ 7%. Patients with these anomalies usually present during pubertal age due to absence of onset of menses, cyclical abdominal pain, or in reproductive age group as infertility or recurrent pregnancy loss depending upon the degree of malformation. Cervical agenesis is a rare Mullerian anomaly with an incidence of 1 in 80,000 females. It represents 3% of all uterine anomalies. It is rarely associated with a functioning uterus (4.8%). Cervical agenesis is often associated with vaginal atresia (less than 50%). It is important to classify these anomalies for easy diagnosis and plan appropriate preoperative treatment

Interesting rare case of recurrent puerperal uterine inversion: a case report

Uterine inversion is a rare obstetric emergency that may lead to severe haemorrhage, shock and eventually death. The incidence of uterine inversion varies from one in 2,000-20,000 deliveries. Recurrent uterine inversion is still rare with no exact reported incidence so far. We report a case of a near miss patient, 28 years old primiparous with complete uterine inversion with atonic postpartum haemorrhage and shock, managed by manual repositioning and tamponade insertion which got corrected. Patient had recurrent uterine inversion twice in the puerperal period on 5th and 7th postpartum day. A new approach to management was taken. Rather than going for laparotomy, vaginal manual correction followed by intrauterine tri-way foley catheter insertion was done. Gradual deflation was done leading to final permanent correction. Uterine inversion is a rare but potentially deadly complication post vaginal delivery. Mortality and morbidity can be reduced by rapid recognition and immediate replacement. For recurrent inversion prolonged intrauterine balloon placement may be needed in rare cases

Comparison of the conventional CMAC and the D-blade CMAC with the direct laryngoscopes in simulated cervical spine injury—a manikin study

AbstractBackgroundCMAC videolaryngoscope has recently been introduced for videoscope guided intubation. The aim of our study was to compare and evaluate the efficacy of the conventional blade and the angulated D blade of the CMAC videolaryngoscope with the direct laryngoscopes in simulated cervical spine injury patients on the airway manikin.Materials and methodsFollowing power analysis, 33 resident doctors were enrolled to perform endotracheal intubation using all the 4 different laryngoscopes namely the Macintosh laryngoscope, McCoy laryngoscope, conventional CMAC videolaryngoscope and the D blade of the CMAC videolaryngoscopes on the airway manikin in simulated cervical spine injury. The demographic variables of the resident doctors were recorded. The outcomes measured included vocal cord visualization (Cormack–Lehane grading), time taken to intubate, number of attempts for successful intubation and optimizing maneuvers required.ResultsThe use of indirect videolaryngoscopes resulted in better glottic visualization in comparison to the direct laryngoscopes (CL-I) in 20/33 (60.6%) in the Macintosh group, 24/33 (72.7%) in McCoy group, 30/33 in (90.9%) in Vlc group and 32/33 (96.9%) in Vld group. The time taken to intubate averaged to 15.54±2.6 in Macintosh group, 18.90±4.47 in McCoy group, 20.21±7.9 in Vlc group and 27.42±9.09 in Vld group. The 1st attempt intubation success rate was 84.8% (Macintosh), 72.7% (McCoy), 90.9% (Vlc) and, 78.7% (Vld).ConclusionsThe overall performance of the conventional CMAC blade proved to be the best when compared with the D-blade CMAC, Macintosh blade and the McCoy blade for intubation in simulated cervical spine patients by anesthesia residents

An Efficient Approach for Secure Message Dissemination with HDL based Wireless Control Protocol over VANET

Several vehicular ad hoc network (VANET) have focused on specific techniques in perspective of IEEE 802.11p, which outlines the standard for remote access for vehicular conditions. A wide combination of employments for road security and movement profitability are relied upon to answer the desperate call for all the more sharp, greener, and increasingly secure adaptability. Regardless of the way that IEEE 802.11p is considered as the genuine standard for all over the place correspondences in vehicular condition, accomplices have starting late inquired about the usability of Long haul Development (LTE) to encourage vehicular applications. Secure correspondence among vehicle and Framework/Street side unit (V to I/R) over VANET and distinguishing exact assailant vehicle is a noteworthy test over VANET in current age. In this paper, executing productive encryption systems i.e. AES and RSA calculation and plan Equipment portrayal dialect based remote control convention in Xilinx condition. In remote control likewise incorporate ODMRP convention arrangement model for VANET simulation. Throughput, time, packet delivery ratio etc, are main parameter of this work

Histogenesis of human fetal kidney from 14 weeks to 36 weeks: a study

Background: The knowledge of fetal human Kidney morphology and developmental anatomy is very important for prenatal diagnosis of disorders such as Wilm’s tumor, hydronephroses and congenital malformation etc.Methods: The study was carried out on 40 kidneys procured from 20 spontaneously aborted fetuses (11males and 9 females) ranging from 14wks-36wks of gestation, after confirming their age through  CRL they were grouped and then processed to form slides and stained with haemtoxylin and eosin and seen under light microscope.Results: All kidneys were lobulated at early gestational age and became fused by 36 wks. Corticomedullary junction and preformed collecting tubules were seen clearly by 18wks. Well differentiated PCT and DCT were formed by 19-23 wks. Well-formed pyramids by 28 wks and medullary rays by 29 weeks were clearly distinguished. Loop of Henle developed and distinguished by 28 wks. Increased vascularity was seen by 32-36 wks. Nephrogenic zone and undifferentiated mesenchyme decreased and matured glomeruli increased by 36 wks.Conclusions: The present study gave emphasis to the development of each component in medulla and cortex of kidney. 

Pharmacognostical analysis of different parts of Cyperus rotundus L.

Medicinal plants have been used as chief antidotes for the cure of numerous diseases since time immemorial. To investigate the quality assurance and authentication of medicinal plants, pharmacognostical, physicochemical and preliminary phytochemical studies of the different parts (root, stem and flower) of Cyperus rotundus were carried out. Present study deals with WHO (World Health Organization) recommended methods, fluorescence, phytochemical characteristics for standardization of plant parts by using a soxhlet apparatus in order of increase polarity. The extracts were subjected to qualitative phytochemical screening using standard procedures. Phytochemical investigation led to the revelation of the presence of enormous kinds of primary and secondary metabolite’s as protein, carbohydrate, phenole, flavonoid, alkaloid, terpenoid, and saponin, etc., in trace, moderate and high amount in various extracts of different parts of experimental plant. It was concluded that the plant is rich in phytochemicals with significant pharmacological applications that may supply drugs for modern medicines and can be valuable for the therapeutic index. Information obtained from these studies help in determining the antioxidant capacity and contributes to the predominant group of bioactive components which can be used as markers in the identification and standardization of this plant as a herbal remedy

An Unusual Case of Ameloblastoma arising from Dentigerous Cyst

Ameloblastoma is a benign odontogenic neoplasm that frequently affects the mandible. The term “ameloblastoma” includes several clinicoradiological and histological types. Apart from the most commonly encountered clinicopathologic models, there are few variants, whose biological profile is unknown or not elicited. Among these types, unicystic ameloblastoma is the least encountered variant of ameloblastoma. Unicystic ameloblastoma refers to those cystic lesions that show clinical, radiographic, or gross features of a jaw cyst, but on histologic examination show a typical ameloblastomatous epithelium lining the cyst cavity with or without luminal and/or mural tumor proliferation. Ameloblastoma has been reported to arise from a dentigerous cyst on rare occasions. In this paper, a case of ameloblastoma arising from epithelium of a dentigerous cyst is presented in light of the histopathologic findings, providing evidence for  ameloblastomatous change in the preexisting cyst in a 40-year-old female