Unusual Presentation of Rare Case of Papillary Adenofibroma of Cervix in a Young Woman

Adenofibroma is an extremely rare benign biphasic neoplasm that is classified into the mixed epithelial and mesenchymal tumor group. These tumors tend to occur in postmenopausal and elderly women. We report the case of a large polypoidal mass per vagina occupying the whole pelvis in a young woman. Preoperative biopsy showed benign epithelial and mullerian mesenchymal components suggestive of mullerian adenofibroma. Total hysterectomy with bilateral salpingectomy was done. The diagnosis of papillary adenofibroma of cervix was made. The total surgery assured complete excision and permitted adequate sampling to exclude malignancy

Extracorporeal membrane oxygenation in COVID-19– Associated acute respiratory distress syndrome – Outcome and experience in a tertiary care intensive care unit – A retrospective study

Background: Extracorporeal membrane oxygenation (ECMO) has been used in patients with severe acute respiratory distress syndrome (ARDS) due to coronavirus disease 2019 (COVID-19) who fail conventional treatment. Methods: A retrospective observational study was designed in patients who underwent ECMO for severe COVID-19 ARDS in a tertiary care centre from September 2020 to July 2021. The primary outcome was to assess factors influencing clinical outcomes and survival to hospital discharge. Secondary outcomes were to assess the clinical profile and pre-ECMO features, ECMO characteristics and complications. Collected data were entered in Excel software and analysed using R software version 4.0.2 (R foundation for statistical computing, Vienna, Austria). Results: A total of 19 patients underwent ECMO. Ten patients survived and discharge. Survivors had a longer median (interquartile range [IQR]) duration (days) on ECMO, that is, 25 (7–50), compared to non-survivors, that is, 12 (1–34) (P = 0.133). We also noted that patients who survived had a longer median (IQR) duration (days) of intensive care unit (ICU) stay, that is, 41.5 (30–70), compared to non-survivors, that is, 9 (2–40) (P = 0.001). Conclusion: In our study, 52.3% of patients survived and discharge, and with ECMO outcomes for COVID-19 ARDS were at par with ECMO outcomes for non-COVID-19 ARDS despite requiring ECMO for longer duration and increased ICU length of stay

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Not AvailableYellow mosaic disease caused by tomato leaf curl New Delhi virus is very severe and causing 100 per cent yield loss under epiphytotic conditions. Chemical control of this disease is neither economical nor eco-friendly and genetic resistance is an efficient means for its management. Resistance to yellow mosaic disease in advanced inbred line IIHR-Sel-1 and IIHR-137 have been confirmed during screening experiment. A crossing programme was planned using Arka Prasan as susceptible and IIHR-Sel-1 and IIHR-137 as resistant parents. We used the F1, F2, BC1 and BC2 generations derived from the two crosses viz. Arka Prasan×IIHR-Sel-1 and Arka Prasan×IIHR 137 to study the inheritance of resistance to yellow mosaic disease. Results indicated monogenic recessive resistance to yellow mosaic disease in the genetic background of both parents which need to be confrmed through repeated experiments with large population size. These results are imperative for breeding yellow mosaic disease resistant cultivars in Lufa speciesNot Availabl