International Journal of Medical and Biomedical Studies

Canine Fossa Abscess-Induced Bullae Formation: A Case Report

Puspita Rahardjo Putri, Ester Handayani Lodra — Thu, 11 May 2023 00:00:00 -0400

Introduction: Canine fossa abscess is an odontogenic infection originating from the upper jaw teeth, specifically from the premolar or canine. This abscess needs to be treated properly because it can be life-threatening. Canine fossa abscess that induces the formation of bullae is rare.

Case Report: A 55-year-old male complained of a lump under his eye that contain clear fluid after previously undergoing abscess drainage through intraoral access and teeth extraction that caused the canine fossa abscess. The lump was in the form of a ruptured bullae lesion and reappeared. The treatment performed was incision through extraoral access, postoperative bandage, and antibiotic medication. The result showed that the bullae disappeared. The prognosis, in this case, is ad bonam.

Conclusion: Canine fossa abscess cases can be life-threatening. Complications that arise, such as bullae, are rare but it is important to know the causes, treatment, and management. It is crucial for dentists to be aware so that they can determine the treatment when such cases occur.

Keywords: Fossa Canine Abscess, Drainage, Bullae

To Assess the Maternal and Perinatal Outcome with Isolated Oligohydramnios in Third Trimester of Pregnancy

Fri, 19 May 2023 00:00:00 -0400

Introduction: Oligohydramnios is described as a condition with decreased amniotic fluid volume relative to gestational age. Oligohydramnios is most commonly defined as an amniotic fluid index (AFI) ? 5 cm or the largest vertical pocket measuring ? 2 cm. Isolated oligohydramnios (IO) refers to the presence of oligohydramnios without fetal structural and chromosomal abnormalities, without fetal growth restriction, without intrauterine infection and in the absence of known maternal disease.

Aim: To study was to analyse the maternal and fetal outcome in isolated oligohydramnios in third trimester of pregnancy.

Method: This is prospective hospital based observational study which was carried out in department of obstetrics and gynaecology, S.P. Medical College, Bikaner for a period from June 2021 to May 2022. This study included 100 pregnant women, who fulfill inclusion and exclusion criteria, out of which 50 pregnant women with 28 completed weeks of gestation who had singleton pregnancy with cephalic presentation and Amniotic Fluid Index (AFI) < 5 cm enrolled as study cases while 50 pregnant women with AFI > 5 cm were in control group.

Results: Majority of the patients were in 21-30 years of age in both groups. Majority of patients in both groups were illiterate, unbooked, belonged to rural area and were from lower middle socioeconomic status; hence both groups were comparable in this regards. In our study in group A out of 50 patients, 33 (66%) had LSCS and 17 (34%) patients delivered by vaginal route and group B out of 50 patients, 43 (86%) patients delivered by vaginal route and only 7 (14%) patients had for LSCS. NICU admission in group A was 14 (28%) and in group B 3(6%) respectively.

Conclusion: C-Section rates were more common in group A compared to group B. NICU admission rate were more in group A (40%) compare to group B (14%). In Isolated oligohydramnios more babies had APGAR<7 at 1& 5min.

To Compare the Rescue Analgesia used in Post-Operative Period of Dexmedetomidine and Clonidine as an Adjuvant to Intrathecal Bupivacaine in Patients Undergoing Total Abdominal Hysterectomy

Dr. Rupesh Choudhary, Dr. Rahul Sharma, Dr. Ankita Jamwal, Dr. Divya Drishti — Sat, 06 May 2023 00:00:00 -0400

Background: Spinal block is the first choice for lower abdominal surgeries. Bupivacaine is the most common local anaesthetic used but has a shorter duration of action. Many adjuvants have been used to improve the quality of analgesia till postoperative period. In this study, we used ?2-agonists.

Methods: A prospective randomized single blind study was conducted in the Department of Anaesthesia IGMC SHIMLA at Kamla Nehru state hospital.

Results: Injection PCM 1gm was used as rescue analgesic if VAS ?4 was achieved in any patient. In Group C 10 patients received Inj PCM as compared to 8 patients in Group D. One patient in each group received 1 dose, 5 in Group C and 2 in Group D received 2 doses and 4 in Group C and 5 in Group D received 3 doses of Inj PCM in 24 hrs postoperative period. (p=0.693).

Conclusion: We concluded that the rescue Analgesia used in post operative period.

Evaluation of Gynaecological Problems among Adolescent Girls attending Gynaecology out Patient Department at Tertiary Care Hospital in Western Rajasthan

Dr. Kamlesh Yadav, Dr. Panki Kumari, Dr Ritu Choudhary, Dr Priti Kumari — Fri, 19 May 2023 00:00:00 -0400

Background

To evaluated various gynaecological problems among adolescent girls attending gynaecology out patient department at tertiary care hospital in Western Rajasthan

Methods

Hospital Based cross sectional study conducted on 138 adolescent girls. Study population will consist of all unmarried Adolescent girl’s age 10-19 yrs. attending outpatient department of obstetrics and Gynaecology Sardar Patel medical college Bikaner.

Inclusion criteria

All the unmarried adolescent female with age 10-19 yrs. Who come to Gynae OPD with any gynaecological complaint and willing to participants?

Exclusion criteria

Those not willing to participate and not given consent.

Age less than <10 years and more than >19 years.

To Compare the Side Effect of Dexmedetomidine and Clonidine as an Adjuvant to Intrathecal Bupivacaine in Patients Undergoing Total Abdominal Hysterectomy

Dr. Rupesh Choudhary, Dr. Rahul Sharma, Dr. Ankita Jamwal, Dr. Divya Drishti — Sat, 06 May 2023 00:00:00 -0400

Background: Addition of adjuvants to routinely used intrathecal drugs is cornerstone in safe and effective prolongation of single shot spinal block for gynecological surgery. In resource deficient countries, where epidural anaesthesia is usually not used because of cost factor, adjuvants are routinely used to prolong the effect of regional anaesthesia. Alpha 2 agonists are considered best drugs as adjuvants, but there is inconclusive data in literature about the block characteristic, dose at which to be used and side effect after use of these drugs.

Methods: A prospective randomized single blind study was conducted in the Department of Anaesthesia IGMC SHIMLA at Kamla Nehru state hospital.

Results: Hypotension was seen in 5 patients of Group C and 4 patients of Group D. Three patients in both the groups required 2 doses of Inj mephenteramine and 2 patients in Group C and 1 in Group D required single dose of Vasopressor (Inj mephentermine). (p=0.83). Five patients had bradycardia, 3 Nausea and 3 had shivering in Group C, while only 2 patients had side effects in Group D i.e one patient had bradycardia and another nausea, vomiting. (p= 0.657)

Conclusion: We observed hypotension, bradycardia, nausea vomiting and post operative shivering in our patients during the study period but there was no statistical significance achieved amongst the groups. (p>0.05).

Factors Influencing the Utilization of Maternal Healthcare Services; a Study among Gond Community of Gadchiroli (Maharashtra)

Rakhi M.Shende, Bal Rakshase — Tue, 23 May 2023 00:00:00 -0400

Background: Due to difficulties during pregnancy, childbirth, or post-partum, millions of women in the reproductive age group die or suffer severe morbidity.

Objectives; to study the pattern and factors associated with the utilization of maternal healthcare services among Gond community women of Gadchiroli

Method; this is a cross-sectional study of 104 Gondi females from Gadchiroli selected by purposive sampling method, whose ages ranged from 15 to 49 years and who had given birth in the previous year. A semi-structured interview schedule was used for data collection and analyzed by descriptive statistics and chi-square test

Results: In this study, 96.15 percent of the women interviewed had used the ANC facility to its full capacity. Despite the fact that 94.23 percent of respondents gave birth in a hospital and just 5.8% at home, the study found that 61.5 percent of respondents used PNC services at once. According to bi-variate analysis, numerous socioeconomic and demographic characteristics are linked to the maternity healthcare services among Gadchiroli's Gondi women, like visits of health workers during pregnancy, husband education, exposure to mass media, and a number of pregnancies problem faced during ANC are the important factors.

Conclusion: Overall socioeconomic development, with a focus on women's empowerment and education, can promote better utilization of maternal health services.

Keywords: Antenatal Care, Delivery Care, Postnatal Care, Gondi women.