Superficial myofibroblastoma of the genital tract: a case report of the imaging findings

Superficial angiomyofibroblastomas are mesenchymal tumours that occur in the genital tract and are well described pathologically. This case report reviews the imaging appearances and highlights the MRI findings, which have not been previously described. We describe the occurrence of this lesion in a vaginal cyst, which to the authors’ knowledge, has also not been previously described. The histological findings are also presented here. Introduction Mesenchymal tumours of the female genital tract are well described pathologically but the imaging findings are less well documented. We present a case of an unusual mesenchymal tumour of the female genital tract, highlight the key sonographic and MRI findings and summarise the current diagnostic and management approach. Clinical history A 50-year-old female presented with a history of prolonged menstrual bleeding and right iliac fossa discomfort. Her past medical history of note included endometriosis, a partially septate uterus and two previous lower segment cesarean sections. She had no allergies and denied any relevant drug history such as tamoxifen or hormonal therapy use. Imaging findings Initial pelvic ultrasound demonstrated normal uterus and ovaries, but detected a 13 mm vascular soft tissue nodule in a 28 × 20 × 25 mm cystic lesion in the left posterior vaginal fornix (Figure 1). The differential diagnosis at this time included a cervical or high vaginal polyp or an endometrioma, although the solid vascular component was unusual for the latter

Isolation of Lupeol from the Stem Bark of Leptadenia hastata (Pers.) Decne

Dried stem bark powder of Leptadania hastata was subjected to maceration with methanol to afford crude methanol extract, which was partitioned with n-hexane, ethylacetate, chloroform and n- butanol to afford different their respective fractions. Extensive phytochemical screening of the n-hexane fraction using column chromatography resulted to the isolation of a white solid substance. The substance was identified as of lupeol using IR, 1D \u2013 NMR, 2D \u2013 NMR data and by comparison with reference spectral data

Isolation of lupeol from the stem bark of Leptadenia hastata (Pers.) Decne

Dried stem bark powder of Leptadania hastata was subjected to maceration with methanol to afford crude methanol extract, which was partitioned with n-hexane, ethylacetate, chloroform and n- butanol to afford different their respective fractions. Extensive phytochemical screening of the n-hexane fraction using column chromatography resulted to the isolation of a white solid substance. The substance was identified as of lupeol using IR, 1D – NMR, 2D – NMR data and by comparison with reference spectral data. Keywords: Leptadenia hastata, Isolation, Lupeol, 1D – NMR, 2D – NM

Customer satisfaction in Indian hospitals: moderators and mediators

While underscoring the importance of customer (patient) satisfaction in fostering efficient delivery of healthcare services, researchers from the developed world explored the whole gamut of influencing factors, ranging from empathy of physicians and hospital infrastructure to courtesy of paramedical staff and hospital image. The hospitals in the developing world present distinct business models and service quality variations that warrant context-specific examination. In the Indian healthcare system, patients are always accompanied by their attendants who perform a plethora of functions, including facilitating the execution of physicians' recommendations. In many Indian hospitals the presence of an attendant is perceived more as an institutional norm than a personal convenience. The purpose of this article is to investigate the moderators and mediators in the context of healthcare service quality from the perspectives of patients and their attendants in India. The study employs a questionnaire-survey approach to obtain the perceptions of patients and attendants. The study reveals that attendants play an indispensable role in Indian context. Attendants provide physical and mental support to patients, which results in patients' satisfaction with the hospital's services. Further, attendants, by supplementing hospital activities, serve as a bridge between service providers and patients. The attendants have been found to subordinate their own personal comfort levels to the care provided by the hospital to the patients. The current research is the earliest study that explicitly addresses the role of attendants in the context of healthcare service delivery in India.info:eu-repo/semantics/publishedVersio