ORIGINAL RESEARCH ARTICLE | Jan. 30, 2019
Cyto-Histopathological Correlation in Palpable Malignant Breast Lesions
Kanika Makkar, Kulwant Singh, Swaran Kaur, M. K. Garg, Deepti Agarwal, Prerna Mahajan
Page no 16-20 |
10.21276/sjpm.2019.4.1.5
This study represents correlation of five needle aspiration cytology with histopathology at the cytology department of
khanpur Kalan Medical college during 3 year period only the cases where subsequent histology diagnosis was available
were analyzed. All the aspirations were performed by the pathologists. Out of the total of the 89 cases cytological
diagnosis was malignant in 35 cases (39.32%). Two cases were false negative. There were no false positive case in the
study. A sensitivity Rate of 94.5% and specificity of rate 100% was obtained for malignancy. Positive and negative
predictive value for the diagnosis of malignancy was 100% and 94.7% respectively. accuracy of the test was 97.26%.
FNA specific diagnosis showed an overall agreement of 98.5% for malignant lesions. All these result compare favorably
with the best reported in literature. All these factors help the clinicians in the management of malignant breast lesions.
ORIGINAL RESEARCH ARTICLE | Jan. 30, 2019
Allergic Versus Non-Allergic Sinonasal Polyps; A Diagnostic Study Using Multi-Slice Non-Contrast Computed Tomography and Histopathology Results
Abdulkhaleq Ayedh Binnuhaid, Sultan Abdulwadoud Alshoabi
Page no 59-63 |
10.36348/sjm.2019.v04i01.013
Background: Chronic rhinosinusitis (CRS) is inflammation of the nasal cavity, and paranasal sinuses (PNS) persists for over three months. CRS can be differentiated into CRS with nasal polyps (CRSwNP) or without (CRSsNP). Aim: to determine the allergic cause of sinonasal polyps using the radiological findings of multi-slice Non-contrast computed tomography of the paranasal sinuses (NCCT-PNS) and histopathology results. Materials and Methods: A total of 41 patients with sinonasal polyps were involved in this study. Multislice NCCT-PNS for each patient was taken in coronal sections. Radiological diagnoses were made. Surgical samples were taken after Functional endoscopic sinus surgery (FESS). Histopathological results were collected. Comparison between the NCCT-PNS and histopathology results was made. Statistical analysis was done using the SPSS program. Results: Out of 41 patients involved in this study, 14 males and 27 females. The mean age was 37.4146 ± 16.65. Polyps predominantly were affecting the nose and paranasal sinuses together (p<0.001). Polyps were predominantly bilateral (p<0.001). Sinonasal polyposis was the most commonly diagnosed (58.5%) on CT (p<0.001). Allergic polyps were the most common type of polyps (p=0.003). No significant relationship between gender and allergic or non-allergic causes of polyps (p=0.32, OR= 1.7, 95% CI 0.460-6.280). No significant relationship between gender and specific cause of polyps (p=0.779) except in fungal cause that is more in female. Conclusion: Allergic polyps are the most common type in chronic rhinosinusitis with nasal polyps (CRSwNP). CRSwNP affects female twice as male. Most cases of CRSwNP are bilateral and involve the nose and paranasal sinuses
ORIGINAL RESEARCH ARTICLE | Jan. 30, 2019
Evaluation of Helicobacter pylori Antigen Detection from Stool Samples for Diagnosis in Acid Peptic Disease Patients
Dr. Anuradha K, Dr. Chandini MR, Dr. Bharathi Muniyappa, Dr. Dinesh HN, Dr.N.Vadiraj
Page no 1-4 |
10.21276/sjpm.2019.4.1.1
Helicobacter pylori infection is a widespread problem all over the world. It is the major cause of peptic ulcer disease and
gastric carcinomas. Among the various methods available in clinical practice are histopathology, rapid urease test (RUT),
cultureand PCR carried on gastric biopsy samples.Non-invasive diagnostics like stool antigen detection are available for
rapid diagnosis and treatment follow up. The purpose of the study was to validate antigen detection of H.pylori from
stool specimen and also to compare the test with that of rapid urease test and histopathology. This cross sectional case
study was conducted on 260 subjects with symptoms of acid peptic disease who underwent endoscopic examination and
not on non steroidal anti-inflammatory drugs or proton pump inhibitors. Gastric biopsy specimen and the stool samples
were collected from patients with mucosal changes. Biopsy sample was subjected for Histopathological examination and
Rapid urease test. Stool Antigen detection test was performed by immunochromatography method. Among the 260 study
subjects stool antigen detection was positive in 184(70.7%) of the study population. H.pylori was detected by Rapid
Urease test in 225(86.5%) of the patients while Histopathological examination identified H.pylori in 230(88.46%) by
Haematoxylin and Eosin (H&E) staining and 235(90.38%) by Giemsa staining respectively. The sensitivity, Specificity,
Positive predictive value and negative predictive value of Stool antigen detection when compared to Biopsy results were
78.29%, 100%, 100% and 32.89% respectively. The non invasive tests like stool antigen tests for H.pylori could be used
as a routine diagnostic tool in the microbiology laboratory. The lower sensitivity of the stool antigen detection in
comparison to histopathology and RUT is the drawback that has to be overcome.
ORIGINAL RESEARCH ARTICLE | Jan. 30, 2019
Inappropriate Use of H2 Receptor Antagonists & PPIs in Geriatric Patients Admitted to Tertiary Hospital
Dnyanesh N Morkar, Pooja Motimath
Page no 69-73 |
10.36348/sjm.2019.v04i01.015
Introduction: Since the introduction of H2 blockers and PPIs they have become one of the most commonly prescribed classes of medications in the world. These drugs are often misused and overused, which may have significant implications in the elderly. Aim: To study prevalence of irrational use of H2 blockers and PPIs in geriatric population. Methods: A retrospective study over six months period was conducted from February 2017 to Auguest2017 at a tertiary care hospital. The clinical data of total 137 patients admitted for one or more concurrent disease are included in the study. Results: In this study out of 137 patients, 102(74.4%) cases were on H2 receptors antagonist and 34(24.8%) were on PPIs which were irrationally prescribed. Mean age of the patients was 68.9 ±11.9 years. Out of 137 patients 103(75.1%) were male and 34(24.4%) female. Concurrent drugs prescribed were Antiplalets 19(13.8%) cases, CCBs 12(10.4%), ferrous sulphate13 (8.7%), steroids 10(7.2%), Digoxin 4(2.9%), Warfarin 2(1.4%), phenytoin 2 (2.9%). Conclusion: Irrational use of H2 receptor antagonists and PPIs in elderly increased with advanced age, increase in number of medications, multiple diagnoses and increased length of hospitalization. Effects and interactions were commonly encountered in many cases. Acid suppression drugs are initiated or continued for prolonged periods of time, without sufficient evaluation of the need for therapy. Proper Guidelines for physicians and counseling for the patients is required in order to reduce overuse and to prevent long term adverse effects of the drugs
ORIGINAL RESEARCH ARTICLE | Jan. 30, 2019
Endometrial Biopsy in Abnormal Uterine Bleeding: An Effective Tool in Minimizing Unnecessary Hysterectectomies
Dr. Gitika Hyanki, Dr. Prabhat Pant, Dr. Ghazala Rizvi
Page no 21-25 |
10.21276/sjpm.2019.4.1.6
Introduction: Abnormal uterine bleeding is the most common presentation amongst women of all age groups attending
the gynecology OPD. The etiology of AUB varies depending on the age group. Histopathological study of endometrial
biopsies by light microscope is considered the gold standard for diagnosing the endometrial pathology of AUB. Aims &
Objective: The aims and objective of this study is to determine histopathological patterns seen in endometrial biopsies of
women who presented with AUB. Material and methods: The study was carried out in the Department of Pathology in
Government Medical College Haldwani from January 2008 to January 2018. Biopsy sections underwent proper
processing and stained with hematoxylin and eosin and were observed under microscope. Relevant patient details were
collected from departmental records. Result: Total of 505 specimens of endometrial biopsies were studied. Maximum
(47%) patients were between 36-45 years. Commonest pathology was disordered proliferative phase (20%). 11% showed
hormone related changes. Hyperplasia was observed in 7%. Endometrial polyps were seen in 2%, Endometritis was
found in 2% which included 2 cases of tubercular pathology. Endometrial carcinoma was seen in 2%. Conclusion:
Maximum patients in our study belonged to the perimenopausal age group. Disordered proliferative pattern was the most
common pathology observed. Endometrial carcinoma was seen only in post menopausal women. Endometrial biopsy
proved to be an effective tool in histopathological characterization of endometrium and can be helpful in avoiding
hysterectomy in AUB.
ORIGINAL RESEARCH ARTICLE | Jan. 30, 2019
Place of Cardiovascular Magnetic Resonance (CMR) In Cardiovascular Pathology and Its Interest in Aeronautical Expertise
Fahd Bennani Smires, Houda Echchachoui, Zakaria Iloughman, Mouna Elghazi, Meryem zerrik, Mohamed Chems
Page no 74-82 |
10.36348/sjm.2019.v04i01.016
In cardiovascular pathology, cardiovascular magnetic resonance (CMR) has emerged over time as a test with single potential. This non-invasive, non-irradiating, with few contraindications, and economically reasoned examination, finds all its interest in aeronautical expertise of flight crew, in addition to first-line examinations, including electrocardiogram and echocardiography, which do not always allow to decide on the absence of underlying cardiac disease, which would have a consequent impact on the decision of aptitude either in admission or revisional visit. Through this work, we will focus on the technical aspects of CMR namely: different sequences, safety, physical principles, then its main indications according to international learned societies, and finally its interest in aeronautical expertise
CASE REPORT | Jan. 30, 2019
An Unusual Presentation of Chondroid Metaplasia in Endocervical Adenocarcinoma: A Case Report
Dr. Sushil Kumar Shukla, Dr. Neena Chauhan, Dr. Upasana Barua, Dr. Sasha Labru
Page no 26-30 |
10.21276/sjpm.2019.4.1.7
Cervical cancer is the fourth most common type of cancer in women worldwide with 85% of cases occurring in
developing countries. Endocervical adenocarcinoma is ten times less frequent than squamous cell carcinoma; the most
recent literature indicates an increase of three to four times in its incidence over the last few years. The main objective of
reporting present case is to draw attention of an unusual presentation of chondroid metaplasia in endocervical
adenocarcinoma in a 73 year old post menopausal woman because it is important to recognize the non‑ neoplastic nature
of this condition and to differentiate it from malignant counterpart of the tumor. Hence, a careful clinical and
histopathological examination is required to avoid the misinterpretation of non‑ tumor cartilaginous foci as a component
of malignant neoplasm.
ORIGINAL RESEARCH ARTICLE | Jan. 30, 2019
Spectral and Biological Studies of Manganese Complexes with Macrocyclic Ligand
Neelam Kumari, Pratibha
Page no 11-18 |
10.36348/sijcms.2019.v02i01.002
A novel family of macrocyclic complexes with tetra aza macro cyclic ligand and (X=Cl- , NO3-) have been synthesized and characterized by elemental analysis, IR, electronic, and EPR spectral studies. The molar conductance measurements of the complex in Dimethyl sulphoxide (DMSO)/dimethyl form amide corresponds to non-electrolytes for all the Mn(II) complexes except the complex with ligand LA which are 1:2 electrolyte. The spectra are consistent with the formula [MnLx2] and [Mn (LA) (H2O) 2] X2 and distorted octahedral geometry. The biological activity of these complexes was evaluated against different species of bacteria and plant pathogenic fungi and compared with different ligands.
CASE REPORT | Jan. 30, 2019
Ectopic Pancreatic Tissue Associated with Choledochal Cyst Type IV A in a 21 Years Old Female: Case Report
Dr. Sushil Kumar Shukla, Dr. Meena Harsh, Dr. Babar Rehmani, Dr. Manveer Kaur Raina
Page no 31-34 |
10.21276/sjpm.2019.4.1.8
Ectopic pancreas is an abnormal condition of embryological origin. The relationship of ectopic pancreatic tissue
associated with choledochal cyst is extremely rare condition. The most commonly reported cases of ectopic pancreatic
tissue are located in the upper GI (gastrointestinal) tract with most frequent site is stomach, followed by the duodenum
and the jejunum. The clinical implication of the presence of ectopic pancreas in the choledochal cyst is remain unclear
but it’s predicted risk for developing futher complications, especially pancreatic malignancy should always be
considered. Ectopic pancreatic tissue can be diagnosed at all ages, males are frequently associated but a higher incidence
of ectopic pancreas in the gallbladder is found in females and most incidence lies between the thirty to sixty years of life.
The purpose of the present case is to present the clinical, and histopathological features of ectopic pancreatic tissue
associated with choledochal cyst of 21 years old female. However, the basic concept of occurrence of ectopic pancreatic
tissue is contentious. To conclude, the ectopic pancreatic tissue associated with choledochal cyst may be an evidence of
its embryological association and it’s greater risk for development of further complications, especially development of
pancreatic malignancy. The present case should be considered for long term follow up as only doing cystectomy will not
provide full protection against the development of pancreatic malignancy.
CASE REPORT | Jan. 30, 2019
Extra Skeletal Myxoid Chondrosarcoma of the Left Popliteal Fossa: A Case Report
Dr. Sushil Kumar Shukla, Dr. Neena Chauhan, Dr. Sunil Saini, Dr. Tripti Aggarwal
Page no 35-41 |
10.21276/sjpm.2019.4.1.9
Extraskeletal Myxoid Chondrosarcoma (EMC) is a rare soft tissue sarcoma of uncertain differentiation characterized by
abundant myxoid matrix located in the soft tissues. It affects mainly the soft tissues of the proximal end of long bones.
EMC has a male preference, and this occurs in soft tissue area in patients who are more than 40 years old. The present
case was 63 year old female with diagnostic findings on histopathological examination with immuno–histochemical
confirmation. EMC is a rare tumor should be considered in the differential diagnosis of myxoid soft tissue neoplasm.
Therefore, a multi-modal approach, having distinct clinical, cytological, histo-pathological, immunohistochemical
features and cytogenetics analysis, must be necessary in establishing a more definitive diagnosis, which may finally lead
to a more targeted and specific treatment for patients.
ORIGINAL RESEARCH ARTICLE | Jan. 30, 2019
Influence of Headship of the Clinical Chemistry Laboratory on the Outcome of Purification of Reagent Water in Lagos Mainland, Lagos Nigeria
Isuajah Chukwuka Emmanuel, Azinge Elaine C, Nkwo Emeka Chinedu, Isuajah Chiamaka Consolator
Page no 42-47 |
10.21276/sjpm.2019.4.1.10
Distilled water is not supposed to contain > 5μg of chlorides and if it does, distillation is unsuccessful, and a repeat is
needed. The quantification of chlorides post purification of reagent grade water though serves to illustrate the success of
purification, has also been used in this study to illustrate nearness to success. A total of 50 registered Clinical Chemistry
Laboratories in Lagos Mainland of Lagos Nigeria were recruited in this cross sectional study, their reagent grade water
sampled and tested for chlorides using spectrophotometric technique. A questionnaire was also administered to ascertain
the Laboratories’ headship. In this study, significant amount of chloride was detected in all reagent water tested with
concentration range of 0.055mg/L - 38.760mg/L. Comparing the pathologists-headed laboratories with Scientists-headed
laboratories shows that there is no statistically significant difference in the outcome of water purification at 95%
confidence interval, p = 0.05, calculated t = 0.499, and critical value = 2.000. There is no significant influence on the
outcome of reagent water purification by the headship of Clinical Chemistry laboratories.
ORIGINAL RESEARCH ARTICLE | Jan. 30, 2019
Bacteriophage Formulations for the Reduction of Multi-Drug Resistant E.coli in Water Sources
P. U. Megha, S. Murugan, P. S. Harikumar, T. K. Muzammil
Page no 48-57 |
10.21276/sjpm.2019.4.1.11
Production and supply of pathogen and toxic chemical free water is the preliminary aim of water treatment. The natural
killing property of bacteriophages makes them the most prominent tool in eliminating unwanted bacteria, making them
ideal candidate in water treatment research. In this study phage formulations against multidrug resistant E. coli
KP005067 were fabricated by immobilizing them in broth, activated charcoal and alginate beads. The cross section of the
phage formulation was analysed using Confocal Raman Microscope and the disinfection study was carried out in batch
and packed bed reactor. The phage formulations remained stable for almost 4-8 and 3-5 months at 4oC and 30oC
respectively. The batch reduction study using phage connoted the order of host reduction as phage-charcoal > phagebroth > phage-bead. Further more, the disinfection study using packed bed reactor showed 100 and 97% host reduction
using phage-charcoal and phage-bead respectively. At the same time, there was concomitant increase in the phage
population in the packed bed-reactor indicating that the phage formulations are highly potent in killing bacterial pathogen
in water.
CASE REPORT | Jan. 30, 2019
Chondrosarcoma of Nasal Septum-A Rare Case with Unusual Presentation
Smita Chandra, Amrita Pandey, Tamanna Sehgal, Meena Harsh, Sampan Singh Bisht
Page no 58-60 |
10.21276/sjpm.2019.4.1.12
Chondrosarcoma usually arises in the pelvis, ribs or long bones but rarely may occur in the nasal septum. The nasal
septum chondrosarcoma may extend to skull base, paranasal sinuses or orbit which is usually observed during recurrence.
Radiological examination and histopathology plays an important role for its diagnosis and to assess the grade and
extension of the tumor. Moreover, the morphological differentiation of low grade chondrosarcoma from chondroma and
other tumors like metastatic renal cell carcinoma, chordoma may pose diagnostic challenge on histopathology. It is
therefore essential to vigilantly examine the histopathological sections for subtle features for definite diagnosis of
chondrosarcoma. The present case is therefore being reported of rare tumor of low grade chondrosarcoma of nasal
septum in young female extending to skull base at initial presentation. The case also highlights the importance of close
histomorphological examination of low grade chondrosarcoma to avoid diagnostic pitfalls and the importance of repeat
biopsy if clinico-radiological suspicion is strong and thus avoiding further complications.
ORIGINAL RESEARCH ARTICLE | Jan. 30, 2019
The Effect of Academic Service Quality on Student Satisfaction Faculty of Economics and Business, University of Muhammadiyah Surabaya
Siti Salbiyah, Fitri Nuraini, Asyidatur Rosmaniar
Page no 10-22 |
10.21276/sjef.2019.3.1.2
This study aims to describe and analyze academic activities on student satisfaction Faculty of Economics and Business,
University of Muhammadiyah Surabaya (FEB UMSurabaya). The method used in this study is a survey with a
quantitative approach. Data analysis technique that is used is questionnaire. The subjects used as sample is students of
Management and Accounting Study Program FEB UMSurabaya which was elucidated by 190 students. The results
showed that 1) academic service simultaneously to student satisfaction in FEB UMSurabaya, 2) academic service which
is real evidence to student satisfaction in FEB UMSurabaya.
ORIGINAL RESEARCH ARTICLE | Jan. 30, 2019
Analysis of Factors That Affect the Yield of Sharia Bonds (Sukuk) in Companies Listed on the Indonesia Stock Exchange
Ria Mareta Sari, Nurlina T. Muhyiddin, Isnurhadi
Page no 45-53 |
10.21276/sjef.2019.3.1.6
This study aims to determine the effect of inflation, exchange rates, maturity period, bond ratings, company size, and
return on assets which are independent variables on sukuk yields as the dependent variable. This study uses a sample of
sharia-based corporate bonds listed on the Indonesia Stock Exchange (IDX) and rated by Pefindo during 2012-2016,
while exchange rate and inflation data are data published by Indonesian banks. This study uses a purposive sampling
method and the analysis technique used is the test of multiple regression analysis using the SPSS application. The results
obtained are that the independent variable of inflation, exchange rate, maturity and sukuk rating does not affect the yield
of sukuk. Whereas the independent size of the company (firm size) and return on assets have an effect on the dependent
variable of the sukuk yield.