Axillary Arch (Of Langer): Incidence, Innervation, Importance

The present study was planned to find out the incidence of accessory muscle arches in the axilla of 68 upper limb (38 right and 30 left) dissections. Langer’s arch was observed in one right limb out of the 68 limbs, total incidence was 1.47%. The arch extended from the latissimus dorsi to the fascia covering the biceps brachii. The incidence is low in South Indian population (Dravidians) compared to the various other populations reported in literature. A branch from the lateral cord of brachial plexus supplied it in contrast with the previous reports. The surgical significance of this muscle is reviewe

A case of ovarian fibroma masquerading as a uterine fibroid

A case of a 37-year old patient who presented with a pelvic mass, recurrent urinary tract infection, urinary hesitancy and elevated serum CA-125 levels. A diagnosis of a large, posterior wall uterine fibroid was made on the basis of clinical examination and radiological imaging and abdominal myomectomy was planned. Intraoperative findings were a large left ovarian mass and multiple small uterine fibroids. The ovarian mass was removed and its histopathological examination findings were suggestive of an ovarian fibroma. This article highlights the unique clinical and radiological presentation of an adnexal mass as a fibroid and the non-specificity of CA-125 as a marker of ovarian malignancy

A questionnaire based survey to evaluate the usage pattern of carbapenems for sepsis management in intensive care unit

Background: Sepsis remains one of the most common critical illnesses for patients to be admitted to an intensive care unit (ICU) and has very high associated morbidity and mortality ranging from 18 to 50%. It is a well-known fact that early goal directed therapy with broad spectrum antibiotics, IV fluids and other supportive therapies improve outcome. The current study was done to know the importance of carbapenems in the management of sepsis focusing on perceived use and the clinical outcome in real time setting in tertiary care hospitals.Methods: A structured questionnaire designed to collect information on the perceived use of carbapenems, the clinical outcome, response period for clinical cure and combination antibiotic therapy preferred with carbapenem was circulated among 50 clinicians in tertiary care hospitals and nursing homes in and around Mangalore between January 2015 to March 2015.Results: Majority of doctors (>80%) felt that carbapenems a broad spectrum antibiotic administration provided good clinical improvement in hospital infections along with improvement in blood cell count and bacteriological cure.Conclusions: Our study provides an important insight regarding the knowledge, practice pattern and clinical outcome through the use of carbapenem in Sepsis management in ICU’s around Mangalore. The experience of practice patterns and clinical outcomes with carbapenem shared by doctors through this survey is similar to that in other studies

An approach to obtain specific polyclonal antisera to Xanthomonas campestris pv. cyamopsidis and its potential application in indexing of infected seeds of guar

Clusterbean seed health testing is warranted since the pathogen (Xanthomonas campestris pv. cyamopsidis (Xccy)) is seed-borne and seed-transmitted. A polyclonal antibody was developed in rabbit via subcutaneous and intramuscular injections and characterized for sensitivity, specificity and its applicability to ELISA which: (i) was sensitive in detecting as few as 102 cells ml−1 at a titre of 1:4000; (ii) was specific, since it reacted only with Xccy and not with other xanthomonads; (iii) reacted both with Xccy cells and culture filtrate, indicating that the antigenic determinant is a secretory component; (iv) was applicable and reliable in seed health testing since it reacted only with infected seeds and plant materials and not with healthy seeds and (v) a purified fraction of antibody was virulent-specific since heat-denatured and avirulent isolates were not detected. The ELISA thus developed is highly reproducible and therefore suitable for the evaluation of the potential disease status of seeds and plant health, which is appropriate for routine seed health testing

An Unusual Case of Cut-Throat Injury: a Medico-Legal Masquerade

Background: Psychological autopsy is one of the most valuable tools in equivocal deaths.Case Report: Hereby we present an unusual case of cut-throat injuries wherein an adult female was found dead in her house having single entry/exit which was locked from outside. On examination multiple incised wounds were found on the front aspect of the neck. Scene circumstances were equivocal.Conclusion: Crime scene investigation and psychological autopsy plays a vital role in differentiating suicide from homicide in all cases of equivocal deaths

Comparative study between interlock nailing and dynamic compression plating in humerus diaphyseal fractures in its functional and surgical outcome

Background: The aim of the study was to analyse compare study between interlock nailing and dynamic compression plating in humerus diaphyseal fractures in its functional and surgical outcome. Methods: The 2019 to 2022, patients were randomly divided into two groups with the help of computer-generated coded envelopes, group A (humerus diaphyseal fractures treated with dynamic compression plating) and group B (humerus diaphyseal fractures treated with interlock nailing) with 20 patients in each group. Outcomes were evaluated based on operative time, blood loss, neurovascular deficit, surgical site infection, union, shoulder stiffness, constant Murley score, Mayo elbow performance index at 1 year of follow up. Results: On radiology as non-union and union, most common study participants show union, on follow up of 1 year constant Murley score and Mayo elbow performance index was calculated and constant Murley score was more in patients treated with dynamic compression plating, shoulder stiffness was more in patients treated with interlock nailing. However blood loss was more in patients treated with dynamic compression plating. Conclusions: The result of our study shows that interlock nailing is associated with less blood loss but it is associated with decreased shoulder function postoperatively and marked shoulder stiffness which is more than patients treated with dynamic compression plating. Hence dynamic compression plating should be considered gold standard for operative treatment of humerus shaft fracture

Some aspects of heavy ion fusion-fission dynamics

Study of heavy ion induced fusion-fission reactions at near and below barrier energies has attracted a great deal of attention in recent years, due to the observations of anomalous features in the fragment angular distributions for many target-projectile systems. Additionally there are also measurements of the fragment spin distributions and time-scales of the fusion-fission reactions, which have provided important information on the dynamics of these processes. In the present paper, the emphasis would be to highlight some of the recent experimental findings and their implications on the dynamics of the fusion-fission reactions in heavy ion collisions at near and above barrier energies