iosr-JDMS   Volume-7 ~ Issue-6

Abstract: Sirenomelia, Mermaid syndrome, is a very rare fatal congenital anomaly of sirenomelia sequence with fusion and atrophy of lower limbs, giving an appearance of human head and upper body with tail of a fish. The spectrum of anomalies affects primarily musculoskeletal system with severe urogenital and gastrointestinal malformations, neural tube and vertebral anomalies. It has a reported incidence of 1 in 60,000 births with unknown etiology. Depending on the degree of fusion of lower limb and development of feet sirenomelia is distinguished in 3 forms- sympus dipus, sympus monopus and sympus apus. Here we present a case of sirenomelia with sympus monopus , severe oligohydramnios and is still born. We examined the foetus in light of data from medical literature and discussed the embryological origin of such severe form of caudal dysgenesis.

Keywords: Caudal dysgenesis , Oligohydramnios, , Sirenomelia, Sympus dipus, Sympus monopus, Sympus apu, .

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Abstract: Background: Women's health has always remained neglected because of the traditional reductionist approach to women health research. A significant lacuna persists in understanding the factors influencing gynaecological morbidity as well as consequences for women's lives. Gynaecological diseases cover a range of conditions with a wide spectrum of lethality, chronicity and a substantial impact on women's quality of life. Objectives: To study the prevalence of gynaecological morbidities and its association with some socio demographic and reproductive factors among ever married women of reproductive age group Methodology: Study Design: Community based cross sectional descriptive study. Study Period: January 2011 to June 2012. Sampling Procedure: Probability proportionate sampling using 30 stage cluster sampling technique. Sample Size: 750 ever married women from 15 – 49 years age group Results: Prevalence of gynaecological morbidities was 568(75.73%). Mean gynaecological morbidities were 1.22. Majority 281(37.47%) study subjects had one gynaecological morbidity. Menstrual disorders 351(46.8%) was the most common gynaecological morbidity. There was a significant difference between the proportions of study subjects with gynaecological morbidities with respect to their age, educational status, age at menarche and duration marriage.Conclusions: There was high prevalence of gynaecological morbidities among study subjects with about 50% suffering from more than one gynaecological morbidities.

Keywords: Gynaecological Morbidities, Married women, Menstrual disorders

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Abstract:Tuberculosis has emerged as one of the most lethal disease men has faced. Inspite of presence of effective chemotherapy epidemiological data showed world wide rise in incidence especially since AIDS incidence rose steeply. There seems to be a resurgence of both pulmonary and extra pulmonary tuberculosis. The present case study depicted the comparative study of level of ADA activity with several physiological parameters and nutritional status during tuberculosis infection. The data was collected and interpreted at department of Physiology and Department of Medicine Gandhi Medical College, Bhopal.

Keywords: Tuberculosis, chemotherapy, AIDS, ADA, nutritional status

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Abstract: Introduction: The impulse for carrying out this study stemmed from the fact that there was an observational variation in responding to and conducting the management of critical incidents by residents (senior house officers) in different wards of the hospital. Following an incident where intravenous adrenaline was not available in adequate time during sudden cardiac arrest; the present study was done to objectively evaluate the access to the prototype emergency drug,adrenaline injection.Material and Method: Ten teams were sent to five different wards to simultaneously check the response of duty doctors to pick up Adrenaline injection in any form (pre-filled syringes or ampoules) at the nursing station and hand it over to the auditor. Results: The time to access the adrenaline in ampoule form was least in Accident & Emergency (24.33 ± 3.67 sec) unit while highest in Medicine ward (32.17 ± 3.66 sec). The time to access the adrenaline in pre-filled syringes was least in Accident & Emergency (19.00 ± 2.71 sec) unit while highest in Obstetrics ward (23.50 ± 1.00 sec). Conclusion: Time to access adrenaline injection was shorter in the Accident & Emergency unit but was significantly higher(p<.05) in other wards; also the access to pre-filled syringes was quicker than the ampoules.

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