Ovarian pregnancy accounts for 2 to 3% of ectopic pregnancies. It is independent of other usual extra uterine pregnancy risk factors. Its physiopathology remains unclear; it can evolve until the second trimester or even term. The diagnosis is difficult; it is often made perioperatively and confirmed by histology. Despite the progress of medical treatment, surgery remains the best way for therapeutic management. We report a case of paucisymptomatic ovarian pregnancy successfully managed at the Moroccan Military Field Hospital in the Zaatari Camp with a literature review

Hepatitis E is due to hepatitis E virus which causes the inflammation of the liver. It is the most common type of the virus among hepatitis A, B, C and D. Hepatitis E is virus that cause the millions of the infection in year. It is more acute in the pregnant women. It is so lethal and dangerous for those women. Hepatitis E is virus that is the major cause of the illness and is a reason of the major disproportionation of the death especially in the pregnant women. Hepatitis E is a most common types among all the types of the hepatitis A, B, C and D. It is mostly found in the Asia, Northern and Central Africa. There are the many reason through which it spreads. There are the many treatments are available for hepatitis E. But some are the use of the clean water. Use the food that is clean and there is no contamination in the food.

A new field of biomedical science, known as tissue engineering, applies the principles of biology and engineering to the development of functional substitutes for tissues and organs. The influence of Keratinised Mucosa dimension around implants on the soft and hard tissue health. The purpose of this case report is to understand the importance of healthy tissue around the implants for long term success and how biomimetic materials like PRF Membrane can be incorporated in treatment plan as an important modality in selected cases.

The purpose of this study was to investigate the relationship between the Big Five personality traits and Machiavellianism on Malaysian and international university students. The sample population consisted of 755 students (352 international and 403 local students) that were selected through multi-phase clustering at a Malaysian university. The instruments used were the NEO Five-Factor Inventory (NEO FFI), Mack IV, and General Health Questionnaire (GHQ). Data was analysed by means of two-way ANOVA, correlation analysis, and regression analysis. The outcome of the two-way ANOVA showed that neuroticism, agreeableness, and overall mental health and its subscale were significantly different between male and female students. A strong correlation was found between mental health, neuroticism, and Machiavellianism in both groups. According to the regression analysis, neuroticism held the highest effect on students’ mental health in both groups.

Maxillectomy is one of the most common procedures performed by oral and maxillofacial surgeon. Various classification systems exist in literature to describe the surgical defect, left behind after maxillectomy. Success in Maxillofacial defects depends on the principles of facial harmony, retention, durability, tissue compatibility & tolerance. The Velopharynx is tridimensional muscular valve located between the oral and nasal cavities, consisting of lateral and posterior pharyngeal walls and the soft palate & controls the passage of air. Cleft palate is the most common cause of velopharyngeal insufficiency. Velopharyngeal insufficiency may take place when the velopharyngeal valve is unable to perform its own closing, due to lack of tissue or lack of proper movement. Treatment options include surgical correction, prosthetic rehabilitation & speech therapy; though optimal results often require a multidisciplinary approach for the restoration of anatomical and physiological defects. This article is a case report of the treatment procedure done for a young patient with cleft palate and velopharyngeal insufficiency.

Background & objectives: Polycystic ovary syndrome (PCOS) is the most common disorder of ovarian pathology in women of reproductive age group Insulin resistance and hyperinsulinemia may play an important role in pathophysiology of PCOS. To estimate fasting plasma glucose, plasma insulin levels, insulin resistance and lipid profile in obese and non obese female infertile women with PCOS. To study the association between insulin resistance, lipid profile and obesity in female infertility in PCOS. Methods: 30 obese infertile women diagnosed by ultrasonogram as PCOS and with a BMI> 30Kg/m2attending Gynecology OPD at Narayana medical college and hospital were taken as cases. 30 age matched non obese infertile women with a BMI<30Kg/ m2 were taken as controls. Results: In our study the fasting glucose, fasting plasma insulin values and insulin resistance was significantly elevated among cases when compared to controls (P value <0.001). The Mean ± S.D values of LDL cholesterol were elevated in cases when compared to controls (P value <0.001). Interpretation & conclusions: This clearly shows the importance of screening for dyslipidemia and insulin resistance in Indian Women with PCOS. Hence periodic monitoring of lipid profile and B.P specially for obese PCOS patients may be advised.

Core needle biopsy (CNB) is a part of triple assessment for preoperative evaluation and diagnosis of breast cancer as it can distinguish benign and malignant lesion, insitu and invasive cancers. In addition to its primary role in establishing histologically diagnosis it can provide prognostic information like grade and type of tumor which can influence initial therapeutic decisions. We present the result of 80 patients of palpable breast lesion who underwent for core needle biopsy followed by therapeutic surgical excision. Diagnosis of lesion along with histological typing and grading of invasive carcinoma were determined in both core needle biopsy and excision and the result compared. We observed 83.2% agreement for histological typing. There was 66 % agreement with overall grade (kappa K value-0.56),71.2% for tubule formation score 66.6% for nuclear pleomorphism,55% for mitoses (component of Bloom Richardson grading).Only 45cases of grade 1 shows concordance but 80% of grade 3 cases show concordance between CNB and surgical excision. This result is of important clinical relevance as these are the patients potentially most likely to benefit from neoadjuvant therapy. The Major problem with assessing of grading of tumor on CNB is due to under sampling of most representative areas. Hence quadrant wise sampling with increase of attempts in different directions and assistance of image guidance would improve the accuracy of CNB.

The impression materials are essential for the fabrication of stone casts and dies. The successful impression is based on the accuracy of impression material with respect to detailed reproduction and dimensional accuracy Differences in dimensional stability, wettability, and surface hardness are seen among various elastomeric impression materials. The purpose of repouring elastomeric impression material is to evaluate the accuracy of the material between different time intervals. At two different time interval with different types of die, stones poured for vinyl siloxanther elastomeric impression and additional silicone for the study to evaluate the dimensional accuracy material. The poor reproducibility, lack of surface details, and bubbles in the cast, which may lead to an inaccurate die and a poorly fitting prosthesis due to poor incompatible materials. Method: The study involves as per American dental association specification, using a stainless steel die nearly 90 impressions were taken, out of which 45 impressions were taken by each impression material, by pouring into 3 different die stones and equally subdivided into groups of 15 each. The statistical analysis was used for ANOVA test and TUKEY' POST – HOC TEST. A Computerized coordinated measuring system was used to assess various dimensions on stone cast poured from the impression of the stainless steel model. Group A, B, C: Indentium Medium poured with Ultrarock, Elite rock, Alpenrock. Group D, E, F: Monopren Transfer poured with Ultrarock, Elite rock, Alpenrock. Results: The result shows that Addition silicone yielded less accurate cast than formulated identium (vinyl siloxane ether). Conclusion: The study concluded that presence of a certain amount of variation at a time interval (15 min and 75 min) on impression repouring, henceforth indicates that when poured immediately better accuracy is seen, and newly formulated vinyl siloxane impression material yields more accurate impressions

Multilocular cystic renal cell carcinoma recently has been excluded from clear cell renal cell carcinoma (ccRCC) category and re-designated as multilocular cystic renal neoplasm of low malignant potential (MCRNLMP) and represents an extremely rare renal entity comprising <2% of all renal carcinoma and bears a low malignant potential which benefits either with simple nephrectomy or nephron sparing surgery. The pathologists need to be more cautious in diagnosing this rare entity as it mimics other diseases having reasonable prognosis. We herein report a case of MCRNLMP in an elderly patients with non-specific symptoms of 6 months duration, having a renal mass in the lower pole of the left kidney seen on computerized tomography. The final diagnosis of MCRNLMP was rendered after thorough histological and immune-histochemical evaluation. The patient was discharged after uneventful post-op duration and put up on regular follow up.

Objective: The clinical characteristics and experience of rural Indian children of West Bengal with paraquat poisoning – a retro prospective analysis. Methods: The study: From June 2014 through April 2019, fourteen children with paraquat poisoning who presented to the hospital were enrolled .The collected clinical indices of these cases were and analyzed. Results: oral ingestion of paraquat were found in most of the children and the commonest route of poisoning. Different degrees of damage were found in multiple systems in their bodies. Initial therapy consists of removing the paraquat from the body (decontamination) and preventing further absorption for oral exposures by using activated charcoal followed by pulse therapy using methylprednisolone (20 mg/kg/d×3d) and Gamma globulin (total 2 g/kg divided into 3 d to 5 d)for all children in the early stage. Prednisone was then given orally for 4wk to 8 wk. The total mortality rate of the patients was 64.8% (09 of 14 patients died). Statistical differences (P<0.05) were found between the surviving and dead patients, with regard to age, plasma paraquat levels, the highest levels of alanine aminotransferase, aspartate aminotransferase, γ-glutamyl transferase, total bilirubin, direct bilirubin, indirect bilirubin, blood urea nitrogen,creatinine and pH value, the lowest levels of PaO2, PaCO2 and SaO2. Plasma paraquat level was positively related to pH value, but was negatively related to PaO2, PaCO2 and SaO2 levels. Hepatic and renal complications are encountered in admitted patients but the patients survived.However the fibrosis of the lung is one of the dreaded complications in the long run. Conclusions: There is no cure for Paraquat poisoning. In this study, pulmonary fibrosis was the primary cause of death.Treatment by administering pulse doses of methyl prednisolone and Gamma globulin seems to be effective in the early stage. However, the treatment may not reverse the development of pulmonary fibrosis. The long-term prognosis of paraquat poisoning was not optimistic.For predicting the prognosis, plasma paraquat level is significant.

Background: The posts selection and cementation helps to bond with restorative material. Hence, post retention is responsible for long span survival of endodontically restored teeth. The technique and selection of cement selected for cementation will determine the bearing effect of the post retention. Aim: The purpose of the study, evaluate and compare using 3 different techniques about the carbon fibre post push out bond strength at the coronal, middle and apical levels of extracted mandible tooth of single root. Methodology: The premolars extracted were selected about 50 and based on the technique using lentulo-spiral instrument, to the surface post, with the support of elongation tip the material was injected and divided into 3 groups the post space drilled using rely-x light polymerized. In the acrylic resin the root specimens embedded and sectioned and finally measured using Universal testing machine. The overall effort is to subject for the bond strength push out. The failure bond strength specimens were studied and evaluated using operating microscopes. Result: The Elongation tip method as well as lentulo-spiral method p (value 0.052 and 0.0089). Conclusion: Using three techniques Post hoc analysis was done to find out stress bearing capacity at coronal middle and apical levels. The comparison between lentulo-spirals and direct method, the study results such as nil difference in stress bearing capacity.

Literature Review is an outline of all the information accessible on a particular subject till date. When you choose a research topic, the initial step is towards exploration and become familiar with the past research done on the subject. Literature review can be considered as the backbone on which the research concept stands as it provides the necessary context, reliability and the necessary background to the research idea. Thus Literature review is one of the most critical parts of any research. In today’s scenario Work life balance and glass ceiling is a major concern for the women who have opted to come out of their domestic chores and have chosen to work outside. Competition and challenges in the organization demands the time of women which they actually wanted to devote to their families. This imbalance can also create Glass ceiling preventing women from climbing hierarchical ladder. Review of literature on work life balance and glass ceiling of women employees has been carried out keeping in mind the objectives of the study. The researcher has reviewed the previous literature on various aspects related to work life balance (WLB). Review on Glass Ceiling is also focused in this paper. The main purpose of this paper is to find out the gap and the need to conduct this research. The source of the study includes various Journals, reports, Books, Doctoral thesis, Internet sites and Magazines

A centrifugal gas pump in oil mine was used at elevated temperature and sour environment. The pump was submerged in water to certain height. The body of the pump was ductile cast iron containing 9wt% Ni. The ductile cast iron microstructure of pump body at the top contains Chunky graphite. The lower part of the pump contains spheroidal graphite. The pump was subjected to vibration and salts of the sea in addition to heat. The heat reduced the graphite size (Chunky type) of the upper part of the pump while the lower part of the pump (base) was submerged in water which prevented the reducing of graphites (spheroidal type). The effect of salts on the upper part of Chunky graphite plus the vibration created connected caves and severe crack initiators. The cracks during vibration propagated in the upper part forming severe cracks net in matrix, graphites and carbides. The heat induced aging phenomena to increase the hardness of the upper part of pump.

Background: rapid and accurate diagnosis of extrapulmonary tuberculosis (EPTB) continues to be a challenge. Although culture remains the most sensitive method for confirmation of TB, the prolonged time required for culture, limit its contribution to clinical decision making. Our study aims to assess the performance of Xpert MTB/RIF test against smear and culture-confirmed cases of extrapulmonary TB. Methods: A total, 272 non-respiratory specimens (tissues, 88 (32.4%), pleural fluids, 60 (22.1%), CSF, 48 (17.6), aspirate 36 (13.2), ascetic fluid, 20 (7.4), urine, 8 (2.9), body fluid and pus 5 (1.8) each, and blood 2 (0.73) submitted to the laboratory for Mycobacteria over two-year period were comparatively investigated with the molecular-based Gene Xpert MTB/RIF assay system and conventional smear and solid culture methods. Result: The reliability indices of the Gene Xpert MTB/RIF assay are higher compared to smear. The overall sensitivity (82.1%) of the Gene Xpert MTB/RIF assay is significantly higher than smear (46.9 %). The highest Mtb positivity agreement between the Xpert MTB/RIF assay and Mtb culture was found in pus and CSF specimens (100 % [95% CI, 91.1 % to 100 %]) each, while the lowest Mtb positivity agreement was found in the ascetic fluids specimens (50% [95% CI, 44% to 58%]). The Area under the curve (AUC) of the Receiver Operator Characteristic (ROC) curve to assess the accuracy of smear was 0.737 (with 95% CI of 0.600-0.874), whereas the AUC of the ROC curve for Xpert MTB/RIF was 0.946 (with 95% CI of 0.000-1.00). Conclusion: The Xpert assay showed superior performance over the conventional smear for the rapid detection of M. tuberculosis, in (EPTB).

Staphylococcus aureus (S. aureus) has been important human pathogen responsible for wide spectrum of infection ranging from mild to severe life threatening infection. The present study was carried out to assess the prevalence and susceptibility patterns of S. aureus nasal colonization among health care workers (HCWs). This study was done at the Department of Microbiology, Bharati Vidyapeeth Deemed University Medical College and Hospital, Sangli, Maharashtra. A cross sectional study was carried out. Four hundred and fifty (n=450) HCWs were screened for S. aureus by nasal swabbing. S. aureus strains were detected by gram staining, catalase test, slide and tube coagulase test, phosphatase test and antibiotic sensitivity testing by Kirby-Bauer Method. The Z-test was also carried out to detect standard error of difference between two proportions. Of the 450 samples screened 102 (23%) strains of S. aureus were isolated. The overall carriage rate of S. aureus in our study was 23% with the highest rate being seen among the nursing staff 42(28%) and other categories of HCWs i.e. Doctors and Housekeeping staff carriage rate was same 30 (20%) but it was less as compared to the nursing staff. A high rate of resistance (>50%) was found against ampicillin, erythromycin and penicillin. The isolates of S. aureus were more susceptible (>80%) to gentamycin, cefoxitin, vancomycin, cephalexin and tetracyclin. Our study showed that nursing staff were the potential colonisers of S. aureus when compared to other clinical staff. This study documents the prevalence and colonization of S. aureus among HCWs at our institute.