Delayed Manifestation of Transurethral Syndrome as a Complication of Transurethral Prostatic Resection

Metabolic encephalopathy as a part of ‘transurethral syndrome’ is an immediate complication following transurethral resection of prostate. It occurs during or few hours after the surgery. However, delayed manifestation of this complication is rare. It is also possible that pretreatment with diuretics can exaggerate this problem by predisposing the patient to electrolyte abnormalities. Here we present a report of such a patient who manifested with neurological complications six days after the prostate surger

Comparison of Induction Therapy Using Antithymocyte Globulin and Using Basiliximab for Live Donor Kidney Transplant Recipients: A Single Centre Prospective Cohort Study

Objective: Acute rejections (AR) have a negative impact on long-term graft survival and are the major predictor of chronic rejection. Induction therapy is used to reduce AR and prevent delayed graft function (DGF). Antithymocyte globulin (ATG) and basiliximab are mainly used for this purpose. In this prospective, cohort study, we analysed and compared the safety and efficacy of ATG and basiliximab in induction therapy for live donor kidney transplant recipients.Methods: Graft survival, AR-free survival, renal function, DGF and tolerability were compared in patients who underwent live-donor transplantation between January 2014 and August 2014 at Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.Results and Discussion: A total of 85 live-donor kidney transplant recipients who enrolled were followed up for 12 mo. The incidence of AR was greater in the basiliximab group, as compared with the ATG group (25.6% versus 7.1%, p <0.05). The incidence of antibody treated AR was also greater (18.6% versus 2.4 %, p < 0.05). Patient survival rate and graft survival rate were 95.2% and 92.9% in the ATG group, respectively, compared with 90.4%and 90.7% in the basiliximab group, respectively. The incidence of adverse events was higher in the ATG group compared with the basiliximab group (71.4% versus 48.3%, p<0.05).Conclusion: The incidence of AR and antibody-treated AR was significantly higher in the basiliximab group than in the ATG cohort. However, ATG was associated with significantly higher incidence of adverse events and leucopenia than basiliximab. Both the strategies were achieved similar patient and graft survival

Pregnancy Outcomes in HIV-Infected Women: Our Experience at a Tertiary Health-Care Center, Ahmedabad, Western India

Background: HIV prevalence has been increasing among pregnant women in many regions within the country. Illiteracy, early marriage, violence and sexual abuse against women are the major socioeconomic reasons for their vulnerability to HIV infection. Estimating the HIV seroprevalence in a low risk population such as pregnant women provide essential information for monitoring trend of HIV in general population and assist in prevention from mother to child transmission.  Methods: This study is a retrospective computer based data analysis, conducted at Sheth V.S. General and Sheth C.M. Hospital, Smt. N.H.L Municipal Medical College, Ahmedabad, a tertiary health care center in Gujarat, India between January 2012 to December 2019. This study includes 68330 pregnant women who attended antenatal clinic or directly admitted in labor room in emergency. Blood sample collected after pretest counselling and informed consent, tested for HIV antibodies as per NACO guidelines. HIV sero-positive mothers and babies were managed at ART center of our institute according to latest guidelines of the same. Results: Out of 68330 pregnant women, 166 found to be HIV-positive with seroprevalence rate of 0.24%. Majority of seropositive women (49.4%) were in the age group of 25-30 Years. Out of 150 live births, 3 babies were found to be HIV sero-positive result at 18 months and were managed with ART according to latest NACO guidelines. Conclusions: Mother to child transmission of HIV infection during pregnancy, delivery or breast feeding is responsible for more than 90% of pediatrics AIDS. Proper antenatal screening, interventions and preventive strategies during pregnancy, delivery and breastfeeding will bring down the mother to child transmission of HIV. A multidisplinary team approach to management involving an HIV physician, experienced obstetrician, and neonatologist are essential to optimize maternal and fetal outcome

Management Of Bilateral Temporomandibular Joint Ankylosis With Micrognathia And Obstructive Sleep Apnea Syndrome Using Interpositional Arthroplasty And Distraction Osteogenesis – A Case Report

Temporomandibular joint (TMJ) Ankylosis posses many problems like inability to open the mouth, poor oral hygiene, difficulty in eating proper food, unaesthetic appearance due to growth retardation and in severe cases difficulty in breathing specially during night depending on the time of occurance of injury. If the TMJ Ankylosis occurs the early stage of life it affects both the form and function of the patient. One of the most common treatments used to treat temporomandibular joint (TMJ) ankylosis is interpositional arthroplasty (IPA). When patients come with severe mandibular dysplasia either orthognathic surgery or distraction osteogenesis (DO) can be considered. Simultaneous IPA with DO has been used by many surgeons correct TMJ ankylosis associated with facial asymmetry/micrognathia as as it enables them to simultaneously reconstruct the neocondyle and correct facial malformations eliminating the need for second surgery. Here we have narrated a case of an young male patient suffering from bilateral TMJ Ankylosis with micrognathia treated by simultaneous IPA and DO and regular follow up was done.   &nbsp

Aligners vs. Braces: Choosing the Right Treatment

In recent times, there have been notable strides in orthodontic treatments, presenting a multitude of choices for individuals seeking straighter teeth and a more appealing smile. To cater to the increasing demand for aesthetic alternatives to traditional braces, researchers have developed various options. These alternatives encompass ceramic or composite braces, lingual orthodontics, and transparent aligners. Among these alternatives, Invisalign aligners stand out as custom-made, transparent, and thin plastic aligners designed to gradually reposition teeth. This survey aims to evaluate disparities in the quality of life experienced by individuals undergoing treatment with clear aligners versus those receiving conventional orthodontic care

Awareness, Knowledge and Perception Towards Denture Marking in Kheda District

Even though labeled dentures are a relatively new idea and a developing practice in urban areas, few individuals in Kheda's rural areas are aware of them. Thus, the purpose of the study was to evaluate the sample of rural Kheda population's awareness and perception of denture marking

A Case of Stress Related Insomnia and Homoeopathy

A 32 years lady came for homoeopathic treatment. The disease picture was pure because she did not take any previous treatment. Sometimes previous treatment cause complex disease picture which may create hurdles in selecting similimum. Mental symptoms like anxiety were very marked. The condition was caused by grief, anxiety and loss of dear one. On the basis of totality of symptoms diagnosis done. Repertorisation done following Robin Murphy’s Repertory. Consulting with materia medica, Calcarea carb – 1M was prescribed with monthly follow up. Three months treatment almost restored the patient’s health. Homoeopathic treatment not only treat insomnia but also treat anxiety

INDIA GAS EXCHANGE TODAY’S REALITY AND PATH AHEAD

This research aims to study structure, functioning and operational mechanism of India’s first gas exchange i.e. Indian Gas Exchange (IGX) which is a subsidiary of Indian Energy Exchange (IEX). Exploratory research is used to study and investigate conceptual framework and operational mechanism of IGX. The results of the study show that IEX has unveiled the nation’s first automated natural gas exchange trading platform called IGX for well organized and hefty Gas market and to stimulate gas trading in the country. IGX would lead India towards Gas Based Economy by designing and providing robust solution for natural gas trading and access. So far as price mechanism at IGX is concerned, it is dynamic and market driven which is based on Double-sided closed auction with uniform price mechanism. IGX plays an extremely important and fundamental role towards capitalizing a free market for gas. Clearing and Settlement system at IGX is structured and transparent. As IGX is purely electronic trading platform for natural gas which is considered as barometer of the India’s progressive policy as it integrates the entire energy value chain from gas production

A Review on Salyajanya Nadi Vrana (pilonidal sinus) with clinical approach

A Pilonidal Sinus is a common disease of the natal cleft. Pilonidal Sinus is a track which contains hairs. The incidence of the disease is calculated to be 26 per 100,000 people. Pilonidal disease has a male predominance with a ratio of 3:1. There are several methods to treat pilonidal sinus, but the recurrence rate is more in modern surgical interventions. According to Ayurveda it can be correlated to Salyajanya Nadi Vrana (pilonidal sinus), a type of Nadi Vrana (sinus). Whose etiopathology is described in Nidanasthana and treatment aspect in Chikitsasthana of Susrutha Samhita. Susrutha mentioned the application of Kshara (caustic alkali) and Ksharasutra (Seton) in the management of Nadivrana. Studies shows that by Ayurvedic treatment, it helps to reduce recurrence rate, even though Nadivrana is said to be Kricchrasadhya (difficult to cure). Hence sucessful management of this disease depends on the knowledge of pathogenesis, patients presentation and knowledge on treatment aspects

A Comparative Clinical Study on the effect of Tankana Ksharasutra and Apamarga Ksharasutra in the management of Bhagandara (Fistula In Ano)

Fistula in Ano is very common surgical condition necessitating safe treatment modality as open surgery may result anal incontinence in most of the time. Fistula-in-Ano is one such disease where ideal care delivery is still a challenge. It may be because of nature of disease, regional anatomy, hygiene, etc. Though in this disease many Ksharasutras are tried, Apamarga Ksharasutra is widely being practiced. When we go through the classics, we get reference regarding Tankana grouped into Kshara Dravyas. This Tankana is not widely practiced. Apamarga Kshara is very effective but preparation of this Apamarga Kshara is not at all a easy process. It needs burning of lot of Apamarga plants, then process including boiling etc, and at the end we get very little quantity of final product. In the other hand Tankana, as per reference, is also Kshara, cost effective and abundantly available hence this study is planned to evaluate the efficacy of Tankana Ksharasutra in the management of Fistula in Ano which is referred as Bhagandara in Ayurveda