Online Journal of Health and Allied Sciences

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https://imsear.searo.who.int/handle/123456789/151077

Chief Editor: B. S. Kakkilaya
ISSN: 0972-5997

Frequency: Quarterly

Language: English

Open Access Peer-reviewed journal

Web site: https://www.ojhas.org/

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Now showing 1 - 20 of 112

Do All Children with Epilepsy have Behavioural Problems? A Multivariate Risk Factor Analysis.
(Light House Polyclinic, 2025-03) Nayak, S; Mathur, M; Jain, AK; Agrawal, H; Bhargava, R; Gupta, A; Tripathi, N
Objective: To identify independent risk factors and their odds ratio for behavioural problems in children with epilepsy. Methodology: This cross-sectional study involved children with epilepsy and matched controls. Epileptic children over 6 years old were selected through nonprobability sampling. Children of the same age and gender who visited the pediatric outpatient department for minor ailments served as controls. Behavior was assessed using the Child Behaviour Checklist (CBCL). Pearson’s correlation examined the relationship between behavioral problems, seizure onset age, frequency, and drug therapy duration. Multiple logistic regression after adjustment for confounders like age, gender, maternal education, and socioeconomic status was done. The independent risk factors for behavioral issues in epileptic children were identified and odds ratios calculated. Results: Among 100 children with epilepsy and 100 controls, 44% of epileptic children had behavioral problems versus 20% of controls (P=0.001). Behavioral scores were significantly higher in epileptic patients across all CBCL domains (P<0.001). Only the anxious/depressed domain showed differences between children receiving anti-epileptic monotherapy versus polytherapy (P=0.025). Longer seizure duration (OR=2.4), longer antiepileptic therapy duration (OR=1.8), and higher seizure frequency (OR=2.1) independently predicted behavioral problems in children with epilepsy. Type of seizures (generalized tonic-clonic versus partial) did not predict behaviour problems (OR=0.8). Conclusion: Behavioral problems are not universal among children with epilepsy. Increased seizure frequency and duration are independent risk factors for these issues.
Pancreatic Ganglioneuroma in the Elderly: A Rare Case in a 65-Year-Old Woman.
(Light House Polyclinic, 2025-03) Prabhu, S; Hansika, N; Khandelwal, S; Acharya, A; Suvarna, N; Monappa, V; Kumar, NAN
Ganglioneuromas are rare benign tumors with favorable prognosis. Pancreatic ganglioneuromas are particularly uncommon, with only a few cases reported in the literature. Preoperative diagnosis can be challenging due to nonspecific radiological findings, difficult Fine needle aspiration (FNA) access, or inadequate sampling caused by the fibrous nature of the lesion. Surgical resection, followed by histopathological examination, remains the standard treatment approach. Herein, we report the case of a 65-year-old woman who presented with abdominal pain. Computed tomography (CT) suggested a diagnosis of lymphangioma or mucinous cystadenoma, but the final histopathological diagnosis confirmed the lesion to be ganglioneuroma. Hence, histopathology plays a significant role in accurate diagnosis of these lesions. Notably, to the best of our knowledge, this is the second reported case of pancreatic ganglioneuroma in the elderly population.
Medication Administration Error and its Associated Factors Among Nurses in a Tertiary Hospital, Southeast Nigeria.
(Light House Polyclinic, 2025-03) Omotola, NJ; Madu, OT; Egbuonu, EF; Israel, CE; Opara, HC; Ugwu, CC
Errors in the administration of medications can have serious consequences and put patients' safety in danger Despite this, there remained a dearth of information on this topic in the south-east of Nigeria. This study aimed to identify the frequency, types, and factors linked to medication administration errors (MAE) among nurses working in tertiary institutions in south-eastern Nigeria. This cross-sectional study surveyed a total of 251 Nurses. The data were collected with a questionnaire and analysed using descriptive and inferential statistics. The mean and standard deviation were used for the 4-point scale items that assessed the influencing factors on MAEs and a mean (M) >2.5 was judged to be an influencing factor. Chi-Square test/Fisher's exact test were used to test for significant association between demographic characteristics and medication administration error at a 5% level of significance. The findings revealed that most (86.5%) of the respondents had administered medications incorrectly. The major nurse-related MAEs were a misidentification of drugs (2.71 ±1.00) and poor drug storage (2.70 ±0.90) were the major institutional factors. No significant association was found between medication administration error and the demographic characteristics: age (p = .376), gender (p = .647), rank (p = .067), working experience (p = .141), and highest academic qualification (p = .373). There is a high occurrence of MAEs among the nurses in this study. As a result, it should be a top priority to regularly provide training on medication safety procedures and updates on new guidelines.
Paediatric Primary Testicular Follicular Lymphoma : A Diagnostic Challenge.
(Light House Polyclinic, 2025-03) Suhana, A; Narayanan, AV; Nayanar, SK; Jithin, TK; Gopakumar, KG
Primary testicular follicular lymphoma (PTFL) is a unique extra-nodal variant of follicular lymphoma. It is commonly seen in children and young adults. They lack evidence of the BCL2 translocation, thus biologically differ from nodal follicular lymphoma. This report presents a case of PTFL in a 5-year-old boy characterizing, the clinical presentation and pathological features. The true incidence of PTFL is unknown owing to its rarity; nevertheless, about 25 cases have been reported in the literature so far. This would be one among the few cases reported worldwide of primary follicular lymphoma of the testis.
Predictors of Workplace Violence in Indian Hospitals: A Cross-Sectional Survey of Nurses.
(Light House Polyclinic, 2025-03) Srivastava, S; Kumar, A; Pandurangan, H
Background: Workplace violence is a common phenomenon among health care workers. Nursing staff with shift duties tend to spend longer duration in hospital premises and hence are at higher risk. Objective: To assess the extent, perpetrators, mitigation strategies, reporting of WPV and predictors of workplace violence among nurses. Methods: A multicentre hospital based cross sectional survey among 511 nurses using a standard questionnaire was done. Descriptive and Logistic regression was used for analysis. Results: Among 511 participants 169 (33.1%) had experienced it wherein almost all (97.5%) experienced verbal violence, 75 (44.4 %) physical violence and 55 (32.5%) sexual violence. Perpetrators of violence in (26%) were patient’s relatives. Majority 153 (90.5%) expressed regular training of healthcare workers as mitigation strategy. A significant association using chi square was obtained between demographic variables as Age (?2= 13.181, p=0.04), Gender (?2= 8.675, p=0.013), Nature of duty (?2= 18.257, p=0.000), availability of Security Person (?2= 6.772, p=0.034) and types of WPV. The overall binomial logistic regression model for predictors of workplace violence was significant with ?2 (5) = 29.53, p < 0.001, implying that age, type of hospital, nature of duty, working area are significantly associated. Conclusion and Recommendations: The WPV in various forms with verbal abuse being the commonest is prevalent among nurses in India. The healthcare administration needs to be sensitized so that firm policies and procedures can be planned and executed to ensure delivery of quality Nursing Care
Analysing the Shift in Prescribing Patterns: Sodium Glucose Co-transporter 2 Inhibitors, Dipeptidyl Peptidase 4 Inhibitors and Traditional Antidiabetic Drugs.
(Light House Polyclinic, 2025-03) Pavithran, V; Balachandran, P; Sajeeth, CI; Hariharan, A
Abstract: India currently has around 77 million adults living with diabetes. Considering the growing impact of diabetesrelated complications, we aimed to compare the real-world prescribing patterns of sodium-glucose cotransporter-2 inhibitors, dipeptidyl peptidase-4 inhibitors and traditional antidiabetics. Using a cross-sectional study design, the prescribing pattern and factors influencing the utilisation of the antidiabetic drugs, categorised by the HbA1c status, were assessed using the chi-square test. Of 260 eligible adults with mean [SD] age, 63.7[12.4] years; 54.7% of male participants initiated treatment with sodium-glucose cotransporter-2 inhibitors (n=27) or a dipeptidyl peptidase-4 inhibitors (n=31). The use of newer antidiabetic agents has steadily increased, with a slightly higher initiation rate in those over 65 years (21.5%). No significant difference was observed based on age (p = 0.182) or gender (p = 0.9548). Prescriber speciality had a significant impact (p = 0.00038). Cardiologists showed the highest shift towards newer drugs (36.5%). Prescriptions of newer antidiabetics have shown an upward trend over time, indicating a shift in prescribing practices. However, this increase was limited. Further efforts are necessary to identify and address the barriers to underutilisation of these drugs
Isolated Asymptomatic Hyperbilirubinemia Among Healthy Blood Donors – A Menace.
(Light House Polyclinic, 2025-03) Senthil, E; Amirthalingam, M
Background: Visual inspection of plasma and platelet components is a crucial step in quality assessment at blood centres, enabling the identification of high-coloured plasma units. High-coloured units require further investigation through bilirubin testing. Normally, serum bilirubin levels range from 0.1-1.2mg/dl, with the majority being unconjugated (0.1-1.0mg/dl). Elevated bilirubin levels occur when systemic circulation bilirubin exceeds normal ranges, typically manifesting as jaundice at serum bilirubin levels ?2.5mg/dl. Materials and Methods: This prospective observational study was conducted at the Department of Blood Transfusion Medicine, Government Coimbatore Medical College and Hospital. A total of 8,454 units were collected during the study period. Plasma and platelet component bags showing high-yellow coloration were included and subjected to serum bilirubin level estimation to detect hyperbilirubinemia. Serum total bilirubin levels >1.2mg/dl were considered significant. Results: During the seven-month period, 40 units (0.47%) exhibited icteric characteristics. All 40 icteric units tested negative for Transfusion-Transmitted Infections (TTI) screening. Further investigation revealed that elevated serum bilirubin levels were attributed to increased indirect bilirubin, predominantly unconjugated. Conclusion: Our study suggests that, despite lacking evidence of adverse effects from transfusing blood with highly coloured plasma, our institution will continue to discard such components until sufficient safety evidence emerges. Donors with isolated asymptomatic unconjugated hyperbilirubinemia should be referred for medical follow-up. Regulatory authorities should re-evaluate existing policies and consider incorporating serum bilirubin testing with defined cutoff limits into routine blood component screening
Neurotrophic Keratitis in Locally Advanced Nasopharyngeal Carcinoma.
(Light House Polyclinic, 2025-03) Nayak, MA; Bhat, S; Kamath, BS; Charlotte, A
Nasopharyngeal carcinoma is a locally invasive malignant tumor that invades the orbit frequently. We came across a 65-year-old man with locally advanced nasopharyngeal carcinoma on chemotherapy with orbital invasion causing total ophthalmoplegia, loss of corneal sensations, and ptosis. He also had a central neurotrophic keratitis with hypopyon. Based on these findings, a diagnosis of left-sided superior orbital fissure syndrome with neurotrophic keratitis was made. CT scan of the head revealed a soft-tissue mass abutting the superior aspect of the orbit and cavernous sinus and tumor recurrence was confirmed. We started the patient on topical fortified antibiotics and Atropine after placing a bandage contact lens. He was advised palliative radiotherapy by the medical oncologist. In two months, there was marked improvement in ocular motility, ptosis, and redness. The ulcer had healed by the formation of a central macular opacity. Corneal sensations had returned. This case exemplifies the reversible nature of superior orbital fissure syndrome and associated corneal anesthesia. As the tumor is radiosensitive, the mass effect of the tumor was reduced leading to the resolution of ophthalmoplegia and healing of the ulcer.
Immunohistochemical Expression of BCl2 Oncoprotein in Varying Histological Grades of Oral Squamous Cell Carcinoma.
(Light House Polyclinic, 2025-03) Subhalakshmi, V; Jaiswal, R; Priyadharshini, IK; Ambika, M
Oral cancer has been rising in alarming numbers in the world which is anticipated to escalate at 70% by 2030. Although a lot of factors are responsible for the disease, genetics, and gene mutations play a major role in uncontrolled proliferation. Another major factor is apoptosis which is programmed cell death. Apoptosis generally happens in two pathways Extrinsic pathway which involves trans-membrane receptor-mediated interaction and by Intrinsic pathway which is a mitochondrial-initiated event. There are Pro-apoptotic genes that support apoptosis like Caspases, TNF, and P53 families, and Anti-apoptotic genes like BCL-2 which stop the programmed cell death leading to cellular proliferation and tumor progression. This study was done to find the role of the anti-apoptotic protein BCL2 in varying histological grades of oral squamous cell carcinoma by immunohistochemistry.
Prevalence and Patterns of Non-Communicable Disease Risk Factors in Adolescents: A South-Kerala School Based Study.
(Light House Polyclinic, 2025-03) George, B; Bhaskaran, D; Leela, LM; Raju, JA; Indiradevi, L; Mahendran, P; Thulaseedharan, N
Background: In the background of rising prevalence of non-communicable diseases (NCDs), the health system need to implement preventive strategies particularly at early stages of disease development. Addressing these issues should commence in childhood, as unhealthy lifestyle practices play a significant role in influencing health outcomes from an early age. Methods: This cross sectional study was conducted among1852 class eleven students in 15 Higher Secondary Schools in Thiruvananthapuram district selected through multistage cluster sampling. Dietary practices, physical activity and screen use patterns, substance abuse, and perceived stress levels were assessed using a prevalidated questionnaire. Blood Pressure, Anthropometric measurements, and Acanthosis nigricans neck severity grading were also recorded. Results: About 25% of the students had Grade I Hypertension and 8.3% had Grade II Hypertension. Around 19% of the students were overweight, while 6.4% were obese. Around 62% of the participants reported engaging in moderate or vigorous physical activities less than three days a week. Consumption of junk foods was highly frequent among the students, with 61% reporting consumption of oil-fried snacks three or more days a week and 53.5% consuming sugary snacks three or more days a week. Fruit and vegetable consumption was low. Acanthosis nigricans (neck) was found in 26% of the students. Nearly 33% of the students had recreational screen time greater than three hours per day. Conclusion: The study results show that a major proportion of middle-late adolescents have behavioural, and physiological risk factors for NCDs, warranting strong preventive measures to be adopted at school level itself. Strategies aimed at awareness generation, increasing availability of and accessibility to healthy food and physical activity habits, as well as regular anthropometric and blood pressure screenings with follow up provisions in the schools need to be implemented.
An Unusual and Rare Double Arch Variation of the Sciatic Nerve.
(Light House Polyclinic, 2024-12) Peicova, M; Bumbu, A; Covantsev, S.
The sciatic nerve is the largest nerve in the human body. It originates from L4-L5 and S1-S3 spinal segments of the spinal cord and travels posteriorly through the lower limb providing significant portion of innervation to this anatomical region. The surgical procedures at the infragluteal region and transgluteal approaches to the sciatic nerve involves different incisions, level of dissection and are based on good knowledge of regional anatomy. During anatomical dissection of a 75 years-old cadaver, the course of the branches of the sacral plexus, the features of their origin and innervation zones were studied. To our knowledge there is only one report of a similar variation when the sciatic nerve bifurcates and then merges until its division into the tibial and fibular nerves.
Core-Needle Biopsy of Thyroid Mass with Uncertain Malignant Potential.
(Light House Polyclinic, 2024-12) Dolidze, D; Covantsev, S; Bumbu, A; Pichugina, N; Zakurdaev, E; Chizhikov, N; Bedina, A.
Thyroid cancer is an emerging problem worldwide. Patients undergo surgery based on the results of cytology classified according to the Bethesda System for Reporting Thyroid Cytopathology. However, patients with Bethesda III and IV often undergo surgery due to “suspicion” of malignancy. In reality up to 68% of cases do not require surgery as the mass is not malignant. Core-needle biopsy (CNB) is an emerging new diagnostic method that can be useful to diagnose thyroid malignancies. It is potentially useful in cases of Bethesda III and IV as the obtained tissue can undergo immunohistochemistry and genetic testing. We present a case of 58-year old female initially diagnosed with a thyroid mass suspicious for thyroid cancer who undergone CNB that demonstrated benign nature of the tumor and eventually undergone organ-sparing surgery.
Uncommon Presentation of Giant Cell Tumor: Thoracic Vertebra Involvement in a 12 Year Old Male Child.
(Light House Polyclinic, 2024-12) Marepalli, S; Mutreja, D.
This case report presents a rare instance of an osteolytic giant cell tumor (OGCT) in a 12-year-old child, who presented with sudden onset paralysis. The patient was evaluated with MRI, CE-MRI, and PET scans, which revealed an extradural lesion extending from D5 to D6 with erosion of the pedicles of DV5-DV6. CE-MRI displayed a well-defined, solid extradural lesion measuring 11x25x24 mm in the posterior epidural region between the DV4 and DV6 vertebrae. A laminectomy was performed, and histopathology confirmed the diagnosis of OGCT. This report highlights the rarity of such cases, emphasizing the significance of early diagnosis and effective treatment.
Delayed Presentation of Posttraumatic Diaphragmatic Hernia.
(Light House Polyclinic, 2024-12) Rather, AA; Salati, SA; Rather, SA; Alfehaid, M.
Introduction: Posttraumatic diaphragmatic hernias (PTDH) with delayed presentation are rarely encountered in clinical practice. They may be asymptomatic and detected incidentally or else lead to respiratory and gastrointestinal symptoms. Here, we present an experience of PTDHs at a general surgical division of a medical college in Kashmir valley. Methods: Retrospective analysis was conducted on all the patients treated for PTDH between 2010 and 2024. Results: There were 7 patients (5 females and 2 males) with a mean age of 37.7 years. The index abdominal injury was blunt in 6 and penetrating in 1 case. The interval between index injury and presentation of PTDH ranged from 5 months to 7 years (mean 4.6 years). Abdominal pain was the most common symptom. All the patients were definitively diagnosed with imaging and managed surgically. The postoperative phase was uneventful, and there were no recurrences. Conclusion: Posttraumatic diaphragmatic hernias with delayed presentation are rare; they can manifest even years and decades after trauma. Successful diagnosis requires a high index of suspicion and proper utilization of imaging modalities. Following diagnosis, PTDH must undergo a surgical operation to reduce the risk of further problems.
An Evaluation of Beta-Lactamase Prevalence and the Increasing Incidence of MBL in Gram-Negative Bacteria.
(Light House Polyclinic, 2024-12) Joshi, A; Nirkhiwale, N; Bhasin, S; Tripathi, A.
Purpose: ?-lactamase mediated resistance mechanisms in gram-negative bacteria play a pivotal role in spreading antimicrobial resistance. We conducted this study to understand the prevalence of ?-lactamases in Gram-negative bacteria in our region. Methodology: We conducted a cross-sectional study that included 3710 clinical specimens for culture tests from 2021 to 2023 following standard CLSI guidelines. Result: Extended spectrum ?-lactamase resistance was the leading antimicrobial resistance mechanism detected in 53% E. coli isolates, followed by metallo ?-lactamases (14%). Klebsiella pneumoniae was the second most predominant organism isolated, where 28% isolates exhibited metallo ?-lactamase-mediated resistance. Comparative analysis of resistance levels in 2021 and 2022 revealed an increase in the prevalence of MBL resistance by 33% in K. pneumoniae. The prevalence of MBL producing P. aeruginosa increased by 51% from 2021 to 2022. Conclusion: The comparative resistance analysis between 2021 and 2022 highlights the impact of COVID-19 on the expedited rise of antimicrobial resistance.
Factors Contributing to Unwanted Birth in India: Evidence From Panel Study Design.
(Light House Polyclinic, 2024-12) Lodhi, T; Yadav, B; Kaur, G; Rohatgi, R.
Approximately 1 in 16 women worldwide face an unwanted pregnancy each year. According to the latest round of NFHS-5 (2019-22), in India, eight per cent of women reported unwanted birth during the last five years and exhibited a nine percent unmet need for contraception. The paper attempted to examine the association of different predictor variables on the unwanted bearing using the IHDS panel data conducted in 2004-05 and 2011-12. The bivariate and multivariable logistic regression model was employed to examine the determinants of unwanted births among Indian women. The results show that out of the total women who wanted to cease childbearing in 2004-05, 26% experienced unwanted births in between the surveys. The multivariable logistic model showed that Muslim women were more likely to report unwanted childbearing than Hindu women (AOR-2.81, 95% CI (1.73,4.59)). Contraception use also determined the unwanted bearing among the women, and contraceptive users were 80% less likely to report unwanted pregnancy (AOR-0.21 95% CI (0.18, 0.24)) than non-users. Husbands’ involvement can never be neglected in infertility decisions, especially in India. When husbands desire additional children, women are more likely to experience unwanted births (AOR-5.80, 95% CI (4.72,7.11). The multivariate analysis also found that the odds of reporting unwanted pregnancy were low among those with at least one son (AOR- 0.52, 95% CI (0.43, 0.63)). There is a need to educate couples about the importance of small family size and reform the existing girl-child policies. In addition to women, husbands should also be counselled about the benefits of contraception use and the importance of a girl child.
Caesarean Section Patterns Among PVTGs: A Comparative Analysis in Eastern India.
(Light House Polyclinic, 2024-12) Panda, PK; Sharma, R.
The rising global incidence of Caesarean section (CS) potentially reflects healthcare disparities between Particularly Vulnerable Tribal Groups (PVTG) and non- PVTG populations. This study analyzed CS patterns, indications, and outcomes between these groups at a district hospital in Gajapati, India. Methods: This prospective observational study examined 1,374 CS cases (177 PVTG and 1,197 non-PVTG) from October 2023 to October 2024. The analysis incorporated CS indications, APGAR scores, Robson classification, maternal age, and delivery timing using descriptive statistics and chi-square tests. Results: Previous CS emerged as the primary indication in both groups (PVTG, 29.9%; non-PVTG, 39.3%). PVTG women demonstrated higher rates of malpresentation (4.0% vs. 1.0%) and younger maternal age (23.2% vs. 19.3% for ages 18-20). Robson Group 5 predominated in non-PVTG cases (41.0% vs. 28.4%), while nocturnal CS rates were elevated among PVTG women (4.1% vs. 1.4%). Conclusions: The identified disparities necessitate targeted interventions, including enhanced antenatal care for young PVTG mothers, VBAC promotion among non-PVTG women, and improved round-the-clock obstetric services in the tribal regions.
Clinicopathological Spectrum of Oncocytic Cell Lesions in the Thyroid.
(Light House Polyclinic, 2024-12) Pai, P; Sharma, S; Pillai, S.
Background: Oncocytic cells are thyroid follicular derived cells, associated with non-neoplastic and neoplastic thyroid lesions. Aim: The aim of the study is to discuss the spectrum of Oncocytic cell lesions with respect to their demographic, clinical, cytological and histopathological features. Materials and Methods: This is a 2-year retrospective study in which thyroidectomy specimens with diagnosis of Oncocytic cell lesions were analysed. Patient data was obtained from the Medical Records Department. Fine needle aspiration (FNA) and histopathology slides were retrieved from pathology archives. Results: Amongst 360 thyroid cases, 16 cases showed Oncocytic cell lesions. Of these 16 cases, 3 cases were Oncocytic cell nodules, 10 were Oncocytic adenomas, and 3 were Oncocytic carcinomas. In this study, ultrasound and FNA were not effective in differentiating benign and malignant Oncocytic cell lesions. Age range was 33-74 years, and male to female ratio was 1: 4.3. On FNA, cases ranged from Bethesda II to Bethesda V. On histology, Oncocytic cell lesions showed various patterns- follicular, trabecular, nested, solid and papillary. Association with lymphocytic thyroiditis and papillary carcinoma was observed. Follow up data was available for 12 cases. Conclusion: Oncocytes are found in non-neoplastic as well as in neoplastic conditions in the thyroid. While the clinical significance of oncocytic cells is still not well established in literature, identification of Oncocytic cell carcinomas is necessary, as these are aggressive neoplasms.
Role of Otoendoscopy in Evaluation of Tympanic Membrane Retraction - A New Perspective.
(Light House Polyclinic, 2024-07) Monga, U; Luthra, M; Bist, SS; Bharti, B; Agarwal, VK.
Abstract: Background: Recently, Otoendoscopy, a novel technique, serves as a pivotal non-invasive diagnostic tool for the initial evaluation of ear disorders. Retraction pockets of the tympanic membrane are clinically significant because they can lead to hearing loss. Therefore, they necessitate careful evaluation and ongoing monitoring. Oto-endoscope because of the wide viewing angle gives a good view of the tympanic membrane status. The objective of this study was to clinically evaluate and grade tympanic membrane retractions and compare otoscopy and otoendoscopy findings. Material and Methods: This was a cross-sectional prospective study. A total 190 ears with tympanic membrane retractions of 111 patients were included in the study. Each of the patients was evaluated for retractions grade according to the Sade and Tos system of classification using pneumatic otoscope and otoendoscope. Results: In 79 (71.2%) patients had bilateral tympanic retraction whereas 32 (28.8%) patients had unilateral. Isolated pars tensa and pars flaccida retraction was found in 109 (57.3%) ears, and 4 (2.1%) ears respectively, while 77 (40.5%) ears having both type of retraction. A crosstabulation of retraction grades revealed a significant association (p<0.001) between otoscopy and otoendoscopy. A difference in retraction grade findings was seen in 23 (12.1%) ears between otoscopy and otoendoscopy. Conclusion: Otoendoscopy has the potential to become the standard and routine diagnostic, monitoring and teaching procedure for examining tympanic membrane retractions in the outpatient setting. Otoendoscopy having certain definite advantages over otoscopy
Endometriosis Unveiled: A Series on Diverse Clinical Presentations and Synchronous Pathologies.
(Light House Polyclinic, 2024-07) Raghavan, V; Srinivasan, S; Srivastava, S
Abstract: Endometriosis is a prevalent gynecological condition affecting women of reproductive age and is often associated with infertility. The role of chronic inflammation as a significant etiological factor is supported by the frequent co-occurrence of conditions such as salpingitis isthmic nodosa in our case series. In this study, we present a rare case of synchronous endometriosis and Enterobius vermicularis infection in the ovary, underscoring the necessity for clinicians to consider diverse etiologies and pathologies in their diagnostic and treatment approaches. This case series emphasizes the importance of recognizing the varied presentations and potential complications of endometriosis to improve patient outcomes.

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