About IMSEAR

Index Medicus for South-East Asia Region (IMSEAR) is an archive of selected publications in health sciences in the WHO South-East Asia Region. Materials in IMSEAR include formally published health science journals, health reports and documents.

Items in IMSEAR are organized under categories, sub-categories and collections reflecting type of materials, countries and journal titles. In addition to metadata of each item, original full text documents or links to original documents are provided whenever available, under Open Archives Initiative (OAI) framework. Items in IMSEAR can also be harvested through OAI-PMH at the base URL: https://imsear.searo.who.int/server/oai/request.

You are welcome to register yourself at the IMSEAR and subscribe to our collections to receive email alerts whenever new items are added to the collection. If you would like to include your publications in IMSEAR, please contact searolibrary@who.int at the WHO Regional Office for South-East Asia.

Thank you,

IMSEAR Working Group
WHO South-East Asia Region

 

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Caesarean section under spinal and epidural anesthesia in complete atrioventricular block without a pacemaker: a rare case report
(Medip Academy, 2023-11) Mishra, Vineet V.; Rane, Priyanka H.; Choudhary, Sumesh; Shah, Kunur N.
Complete heart block (CHB) during pregnancy is rarely encountered. Management requires a multidisciplinary approach involving the obstetrician, cardiologist, anesthetist, and neonatologist. Treatment varies from medical management to temporary or permanent pacemaker insertion. Complete atrioventricular block comprises complete absence of AV conduction - none of the supraventricular impulses are conducted to the ventricles. Perfusing rhythm is maintained by a junctional or ventricular escape rhythm. Typically, the patient will have severe bradycardia with independent atrial and ventricular rates. The incidence is 1 in 15,000 to 20,000 live births. We successfully managed caesarean section in a pregnancy with complete atrioventricular block under spinal and epidural anesthesia without a pacemaker. Asymptomatic pregnant women with congenital complete atrioventricular block can tolerate caesarean section under spinal and epidural anesthesia without a pacemaker.
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Symplastic leiomyoma: a rare clinicopatholgical diagnosis
(Medip Academy, 2023-11) Shenoy, Kavitha V.; N., Usha; Priyadarshini, Sarah Grace
Although leiomyomas are common爐his case is being reported due to its uniqueness as it posed challenges at all levels of pathological rarity and management. Symplastic leiomyoma is an unusual benign variant of leiomyoma with less likelihood of malignant transformation. In our case report we present a 28-year-old nulligravida who presented to our OPD with Fibroid uterus detected on scan and myomectomy specimen done revealed燼 rare pathological diagnosis of symplastic leiomyoma and her followup.
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Sarcoidosis presenting as ovarian mass with omental and peritoneal nodules with elevated CA 125 level; mimicking malignancy
(Medip Academy, 2023-11) Badanale, Renuka
Sarcoidosis is a systemic inflammatory disease of unknown aetiology with a variety of nonspecific clinicoradiological features making diagnosis challenging. Sarcoidosis commonly involves pulmonary and lymphoreticular systems; ovarian involvement being extremely rare. We present a case of a 50-year Indian postmenopausal female, with a history of abdominal pain and distension, referred from the peripheral hospital for management of a solid complex left adnexal mass and elevated CA 125 levels. Based on ultrasonography and contrast-enhanced computed tomography, ovarian carcinoma was a differential diagnosis. Ascitic and pleural fluid cytology and ovarian fine needle aspiration cytology (FNAC) didn抰 give any conclusive diagnosis. Hence surgical intervention was carried out. Histopathology revealed noncaseating granulomas in ovaries, peritoneum, and omentum. Tissue polymerase chain reaction (PCR) for tuberculous and nontuberculous mycobacteria was negative. Post-operatively serum angiotensin-converting enzyme (ACE) and calcium levels were elevated. These findings supported the diagnosis of sarcoidosis and the patient responded well to systemic steroids.
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ANC with acute abdomen: a case report from secondary care hospital, Western Maharashtra
(Medip Academy, 2023-11) Rathore, Nalini; Tripathi, V. B.; Dixit, Nilam
Female body undergoes numerous anatomical and physiological changes in pregnancy which make diagnosis and management of acute abdomen in pregnancy as a most challenging situation. This may lead to dilemma and delayed identification of spectrum of causes of acute abdomen in pregnancy ultimately resulting in maternal and foetal morbidity and mortality. This case was to identify the spectrum of causes, the clinical presentation and diagnostic dilemma of acute abdomen in pregnancy. We presented one of the unusual and rare cause of acute abdomen with hemoperitoneum. Patient underwent emergency laparotomy with peritoneal wash with no obvious bleeding cause but evidence pointing towards vascular tumour or sub-serosal fibroid. The diagnosis remained obscured. The dilemma was attributed to higher radiological imaging with possibility of Haemorrhagic corpus luteum and non-viable heterotopic pregnancy. The cause of bleeding could not be identified with higher imaging due to contraindicated use of contrast enhanced MRI/CT and other alternatives due to radiation exposure in pregnancy. Diagnosis and treatment of acute abdomen in pregnancy should be individualized for better prognosis. Good clinical acumen is essential for ordering early diagnosis and intervention in acute abdomen in pregnancy.
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A successful pregnancy outcome after mitral valve replacement: a case report
(Medip Academy, 2023-11) Mishra, Vineet V.; Rane, Priyanka H.; Aggarwal, Rohina S.; Shah, Kunur N.
Valvular heart disease can be acquired or congenital. Although the incidence of rheumatic heart disease is on the decline, the number of patients with congenital heart disease who survive into adulthood has grown substantially over the past 30 years. Therefore, a large number of patients with valvular heart disease will be of childbearing age. Here we presented a case of second gravida who was diagnosed with rheumatic heart disease and had undergone mitral valve prosthesis and tricuspid valve repair delivered a healthy live male baby weighing 2.250 kg.