A rare case report: heterotopic pregnancy with ovarian ectopic pregnancy

Heterotopic Pregnancy(HP) is defined as the occurrence of intrauterine and extrauterine pregnancy simultaneously. Incidence varies from 1 in 8000 to 30,000 natural conceptions. HP is common with artificial reproductive techniques and is very rare in natural conception. A high index of suspicion is helpful in diagnosis and appropriate management. We report a case of HP in a 28-year-old woman presented with 2 and half months amenorrhoea, pain abdomen and bleeding per vagina with TAS showing intra uterine single missed abortion and ovarian ectopic pregnancy

Spontaneous heterotopic pregnancy with tubal rupture

Heterotopic pregnancy is the coexistence of intrauterine pregnancy (IUP) and extrauterine gestation. It is a rare and dangerous life-threatening condition that is difficult to diagnose and easily missed. The incidence in the general population is estimated to be 1 in 30,000. We report a case of a 24-year-old multigravida who was seen in the emergency department with a diagnosis of a ruptured ectopic pregnancy. A careful ultrasound assessment led to the diagnosis of a heterotopic pregnancy despite lack of any notable risk factors. Immediate surgical intervention with supportive measures resulted in a successful outcome. An obstetrician should keep in mind the occurrence of a heterotopic pregnancy while dealing with pregnant females. It also demonstrates that early diagnosis is essential in order to salvage the intrauterine pregnancy and avoid maternal morbidity and mortality

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

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Not AvailableTrypanosoma evansi, the causative agent of surra, is pathogenic to a wide variety of wild and domestic animals, including equines, camels, goats, sheep, cattle, buffaloes, pigs, dogs, tigers, elephants etc. The infection is mainly restricted to animals but ability to infect human beings has also been reported due to the lack of efficient apolipoprotein L 1. The parasite is mechanically transmitted by blood-sucking flies such as Tabanus and Stomoxys species. The disease has a major economic impact in tropical countries. The control of trypanosomosis may be aimed either at the fly or against the parasite. Due to difficulties in large scale fly control, trypanocides have been widely used to control the disease. However, current chemotherapeutic agents are limited in number and usually associated with severe side effects. Moreover, current therapeutic agents are far from ideal. The emergence of drug resistant trypanosomes …Not Availabl

A rare case report: heterotopic pregnancy with ovarian ectopic pregnancy

Heterotopic Pregnancy(HP) is defined as the occurrence of intrauterine and extrauterine pregnancy simultaneously. Incidence varies from 1 in 8000 to 30,000 natural conceptions. HP is common with artificial reproductive techniques and is very rare in natural conception. A high index of suspicion is helpful in diagnosis and appropriate management. We report a case of HP in a 28-year-old woman presented with 2 and half months amenorrhoea, pain abdomen and bleeding per vagina with TAS showing intra uterine single missed abortion and ovarian ectopic pregnancy

Christ siemens touraine syndrome: A rare case report

Christ-Siemens-Touraine (CST) is a rare hereditary disorder of X-linked recessive trait, characterized by abnormal development of two or more structures or tissues of ectodermal origin. The common clinical findings include hypodontia, hypohydrosis, hypotrichosis, and onychodysplasia. Although hypodontia is common, anodontia is a rare feature. Most of the patients are suffering from social rejection and consequent psychological trauma because of the facial dysmorphism and absence of multiple teeth. Oral rehabilitation is of prime importance for such patients. This article presents a case in a 5½-year-old boy presenting with altered manifestations affecting almost all the ectodermal structures like skin, hair, nails, teeth, sebaceous glands, sweat glands, salivary glands, mammary glands, and tear glands. He also had complete anodontia and dry mouth. A multidisciplinary treatment was given to the patient with the collaboration of various health professionals. The child gained confidence and was relieved from the psychological impact following the prosthetic rehabilitation

Effect of Nutrients Management Management Practices on Growth and Yield Parameters of Gobhi Sarson (Brassica napus spp. napus).

An experiment was conducted at Shivalik Agriculture Research and Extension Centre (SAREC), CSKHPKV, Kangra, Himachal Pradesh to study the response of nitrogen (N), phosphorus (P) and potassium (K) fertilizer as well as their combinations with farm yard manure (FYM), secondary and micro nutrients on growth and yield of gobhi sarson during rabi 2019-20.  The experiment consists of eleven treatments which replicated thrice under Randamized block design (RBD). Results of the experiment revealed that yield attributes like plant height, number of primary and secondary branches per plant, number of siliquae per plant, number of seeds per siliqua, and1000 seed weight were maximum in 150 per cent NPK was applied and minimum control. Seed and stover yield of mustard was significantly influenced with fertilizer application. Application of 150 per cent NPK resulted in significantly higher seed yield, stover yield as well as biological yield of gobhi sarson. Yield responses to fertilization were ranked as NPK&gt;NP&gt;NK&gt;PK, illustrating that N was the most limiting nutrient in rapeseed productivity following P and K. The seed yield (1451.2 kgha-1) and stover yield (2815.7 kgha-1) increased progressively and significantly with 150% NPK application over recommended fertilizer dose followed by application of 100 per cent NPK in combination with farmyard manure (FYM)

Raft and Ripple Model on Collective Community Actions for Health Promotion: An Experience from Sri Lanka

A community-based health promotion project was piloted in Sri Lanka, aiming to improve the growth and development of children below 5 years from 2010 to 2012 by Plan Sri Lanka in collaboration with Foundation for Health Promotion, Ministry of Health, and Rajarata University of Sri Lanka. The project covered over a 100 community settings with an approximate population of 100,000 in 2000 families. The project was facilitated by a team of grass root level healthcare workers and facilitators from the foundation for health promotion. Small group discussions with mothers of children under 5 years of age aimed at initiating collective community actions sustained by self-monitoring mechanisms that proved their effectiveness at setting level. This study is the process evaluation component of the project evaluation conducted in 2012. Focus group discussions, key informant interviews, in-depth interviews, observations, and narratives were used to collect data until the information saturation point is reached. Data were analyzed using a constant comparative analysis method to model the process. The emphasis of this model was on promoting Collective Community Action, a process in which members become engaged in social transformation with greater enthusiasm, knowledge, and skills to affect change in their communities. The inputs, the process, and the generation of collective community actions can be conceptualized by the “raft and ripple model” described in this paper