{"title":"MICROVASCULAR ANASTOMOSIS: A LABORATORY DEVICE FOR HOLDING STAY SUTURES AND A NEW APPROXIMATOR CLAMP","authors":"Onal Mehmet Bulent, C. Erdinc, K. Atilla","doi":"10.32677/EJMS.2018.V03.I02.004","DOIUrl":"https://doi.org/10.32677/EJMS.2018.V03.I02.004","url":null,"abstract":"n 1973, Acland R.D. described an instrument for holding the stay sutures of a microvascular anastomosis [1]. Afterwards, this device was improved and became an unchangeable instrument in vascular anastomosis, called vascular approximators. Approximator clip is an expensive microsurgery tool that cannot be found easily in the market. But approximator clips are known to be quite useful for laboratory researchers, especially for the residents practicing in the laboratory, both technically and in terms of time (Figure 1).","PeriodicalId":363370,"journal":{"name":"Eastern Journal of Medical Sciences","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130249693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. ., A. ., S. –, Subhransu Mahapatra ., Hitesh Raj Purohit ., M. ., P. ., Bhavini Shah ., Bhavin Solanki ., Sumeeta Soni .
{"title":"A RETROSPECTIVE AUDIT OF WIDAL TESTING FOR ENTERIC FEVER IN THE CITY OF AHMEDABAD","authors":"V. ., A. ., S. –, Subhransu Mahapatra ., Hitesh Raj Purohit ., M. ., P. ., Bhavini Shah ., Bhavin Solanki ., Sumeeta Soni .","doi":"10.32677/ejms.2018.v03.i02.002","DOIUrl":"https://doi.org/10.32677/ejms.2018.v03.i02.002","url":null,"abstract":"Introduction: Widal test has been used extensively for the sero-diagnosis of Enteric fever in India, however, its accuracy and reliability are debatable. We studied widal testing and widal positivity rates in the entire city of Ahmedabad for the diagnosis of Enteric Fever. Methods We screened all 1700 possible diagnostic laboratory facilities, in Ahmedabad, in the public and private sector. We performed telephonic surveys for the initial filtering of facilities that could be conducting widal testing. It was followed by physical visits to probable facilities to confirm testing methods and preservation of reports of widal testing. We followed a systematic process for screening and selection of 23 laboratories, which conducted widal tests and had reliable data. While 14 laboratories refused to share data, data provided by three of them were inappropriate and couldn’t be used. We finally analyzed data from four large public hospitals, one private trust hospital and one corporate laboratory for variable periods in a span of 15 years (2000 – 2015). Result: The Widal testing rate was found to be 8.7% and widal positivity as 12.5% in a sample of 1.2 million clinically suspected in-patients. In 15 years, the private hospital had admitted 1/10th as many cases as all the public hospitals together. However, the widal testing and positivity rates were similar in both. We observed a lower proportion of widal positivity among children below 12 years and a disproportionate, but insignificant, gender distribution of widal positivity. Conclusion: This study indicates that the widal test, which is meant to be an initial screening test, is widely used in the city. We propose linkage of testing and reporting of widal with other more reliable and accurate tests such as Typhidot and blood culture in order to strengthen our knowledge of enteric fever epidemiology in India.","PeriodicalId":363370,"journal":{"name":"Eastern Journal of Medical Sciences","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117000393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EPIDEMIOLOGY OF FRACTURE DISLOCATIONS 1 YEAR TREND AT A PERIPHERAL HOSPITAL IN INDIA","authors":"Gurmeet Singh Sarla .","doi":"10.32677/ejms.2018.v03.i02.001","DOIUrl":"https://doi.org/10.32677/ejms.2018.v03.i02.001","url":null,"abstract":"Introduction: The epidemiology of fracture dislocations is poorly understood. In this study we aimed to evaluate the prevalence and distribution of various fracture dislocations in the department of General Surgery in a peripheral hospital in Nasik. Material and methods: Fracture dislocation cases who underwent closed reduction by a general surgeon where no orthopaedician was available at a peripheral hospital in Devlali, Nasik from January 2017 to December 2017, were recorded. The demographic details of the patients who reported to this hospital were extracted and the type and site of fracture dislocations were classified according to their age and gender groups. Results: Out of the 47 patients, 30 patients (63.82%) were male and 17 patients (36.17%) were female. The highest incidence, 13 patients (27.65%) occurred in the age group of 20-30 years. In males, the highest incidence i.e. 10 patients (33.33%) occurred in the age group of 20-30 years. In females, the highest incidence i.e. 6 patients (12.76%) occurred in the age group of 60-70 years. A total of 11 cases (23.40%), the highest incidence occurred in the month of February. 31 cases of fracture dislocation were right sided (65.95%) and 16 patients had fracture dislocation on the left side (34.04%). 14 cases (29.78%) were of fracture lower end of radius which was the most common fracture encountered. Conclusion: Fracture lower end of radius was the most common fracture encountered; males sustained higher incidence of fracture dislocations and the age group of 20-30 years was most commonly involved. In females, the highest incidence occurred in the age group of 60-70 years. Left upper limb was more commonly involved in fracture dislocations of our series. The highest incidence occurred in the month of February.","PeriodicalId":363370,"journal":{"name":"Eastern Journal of Medical Sciences","volume":"187 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125839699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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