International Medical Journal

Journal ID : IMJ-27-08-2021-905

Total View : 390

Title : Myoepithelial Carcinoma of Parotid Gland – a rare case report

Abstract : Myoepithelial carcinoma is a rare salivary gland tumour which accounts for less than 1% of all salivary gland tumours. Donath et al in 1972 introduced the term epithelial-myoepithelial carcinoma by noting the myoepithelial component as an integral part of the tumor. In 1991, the WHO recognized EMC as a distinct entity and subtype of salivary gland adenocarcinoma which became a part of the new classification system 1. Clinical and radiological findings often mimic a benign parotid tumor. Because of rarity of EMC, a standard treatment guideline is not yet known. Surgical resection is the most widely used approach. Local recurrence rates of 23–50 % have been reported with 25 % chance of distant metastasis. Patients with histo-pathologic markers of aggressive disease should be considered for adjuvant radiotherapy. Here we describe a case which presented in 59-year-old female as a swelling below left ear. Complete resection of the gland was done and post-operative radiotherapy was advised..
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International Medical Journal

Journal ID : IMJ-25-08-2021-903

Total View : 385

Title : A COMPARATIVE STUDY OF DESARDA TECHNIQUE VERSUS LICHTENSTEIN TENSION FREE MESHPLASTY TECHNIQUE FOR INGUINAL HERNIA

Abstract : This study was conducted in an effort to evaluate the efficacy of Desarda’s Technique versus Lichtenstein’s Tension Free Meshplasty Technique in Inguinal Hernia repair in terms of duration of surgery, post-operative pain, duration of hospital stays and resumption of daily activities, recurrence and complications. A prospective study of 100 patients were taken for the study and were divided into 2 groups of 50. Group D Patients underwent hernia repair using Desarda’s technique. Group L Patients underwent hernia repair using Lichtenstein’s Tension Free Meshplasty. The selection of patients to each group was done using lottery method. The patients are then followed on post-operative Days 1, 5 and 7 and after 1,3,6 and 12 months respectively. The duration of hospital stay in D Group was significantly lower compared to L Group (2.36±1.44 days vs. 3.88±1.56 days; p<0.05). The mean duration of surgery in D Group and L Group was 66.28±16.51 mins and 65.52±16.36 mins respectively. However, there was no significant difference between the groups (p>0.05). The mean duration of resumption of daily activities in D Group was significantly lower compared to L Group as (7.32±1.48 days vs. 11.08±2.07 days; p<0.05). It was also observed that there was no recurrence in both the groups. Desarda repair was associated with early return to basic work and activity, shorter hospital stay, hence can be used as the method of choice for most patients due to its low cost, low recurrence rate, and simplicity of repair..
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International Medical Journal

Journal ID : IMJ-24-08-2021-902

Total View : 378

Title : Incidence of metabolic syndrome in patients with graves’ disease under control: A observational study

Abstract : Graves' disease is the most common autoimmune disease, affecting 0.5% of the population in the US, and represents 50–80% of cases of hyperthyroidism. Unanimous consensus exists about the significant morbidities associated with Graves’ disease. Thus, prevention of metabolic syndrome hopefully, will then be able to reduce the already significant disease burden in the country. To find out the incidence of the metabolic syndrome in patients who after receiving pharmacotherapy with thionamides have achieved clinical and biochemical euthyroid status and to evaluate the clinical and biochemical parameters pertaining to the incidence of the metabolic syndrome in patients with Graves’ disease under control. A observational study were conducted among 96 graves’ disease patient with clinical and biochemical euthyroid status after pharmacotherapy who visited a tertiary care hospital in Kolkata. Through systemic random sampling technique, the required number of samples were collected and tested for clinical signs and biochemical parameters pertaining to metabolic syndrome as given in the IDF (2006) criteria. Statistical analysis was done using SPSSv22. 36.05% of the study population developed metabolic syndrome as per the IDF criteria after achieving clinical and biochemical euthyroid status with pharmacotherapy. 29 of the 31 patients who developed metabolic syndrome had BMI within normal range at the diagnosis of Graves’ disease. Proper diet habits, lifestyle modification, appropriate pharmacotherapy and regular follow-up together will predict and prevent the risk of metabolic syndrome as a whole. Reducing risk of metabolic syndrome helps patients to achieve sound health to carry out activities to gain financial stability..
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International Medical Journal

Journal ID : IMJ-24-08-2021-901

Total View : 399

Title : Lipid profiles and lifestyle habits among stroke survivors in the East Coast region of Peninsular Malaysia: A cross-sectional study

Abstract : Publications on the attainment of lipid goals and adherence to healthy lifestyle among stroke survivors are scarce particularly in Asian countries. This study aimed to investigate the fasting serum lipid profiles and lifestyle habits among stroke survivors. Factors associated with suboptimal lipid profiles were determined. A cross-sectional study was conducted between May to August 2019 in three public hospitals in the East Coast Region of Peninsular Malaysia. Results of fasting serum lipid profiles were retrospectively traced within six months from the survey. Information on socio-demographic characteristics, clinical profiles, dietary adherence, and physical activity levels were acquired. Physical examinations measurements, such as weight, height, waist circumference, and blood pressure, were also taken during the survey. A total of 104 stroke survivors was recruited. Three-quarters of them had achieved the triglyceride and total cholesterol goals. 65.4% and 22.1% of them achieved the high-density lipoprotein cholesterol and low-density lipoprotein cholesterol (LDL-C) (<1.8mmol/L) goals, respectively. Patients with a longer duration of stroke (AOR 9.75, 95% CI: 2.07, 45.86, P=0.040), elevated diastolic blood pressure (AOR 19.27, 95% CI: 4.66, 79.70, P<0.001), chronic kidney disease (AOR 3.30, 95% CI: 1.05, 10.34, P=0.041), abdominal obesity (AOR 3.14, 95% CI: 1.20, 8.21, P=0.020), excessive energy intake (AOR 0.34, 95% CI: 0.12, 0.95, P=0.036), and excessive saturated fatty acids intake (AOR 2.85, 95% CI: 1.02, 7.93, P=0.045) were significantly associated with suboptimal lipid profiles. In conclusion, the need for more intensive and integrated dyslipidemia management, including lipid-lowering therapy and therapeutic lifestyle changes in these high-risk patients, is highly warranted..
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International Medical Journal

Journal ID : IMJ-22-08-2021-899

Total View : 331

Title : Mature benign dysembryomas of the ovary in Gabon: Ten-year retrospective study

Abstract : The objective of this work was to take stock of mature benign dysembryomas of the ovary in Gabon. This was a retrospective study of the records of patients operated on for benign mature ovarian dysembryomas over a period of ten years (January 2002 to December 2011) in the Pathological Anatomy laboratories of the Faculty of Medicine. Owendo and the Army Training Hospital. Oophorectomy specimens with or without total hysterectomy were fixed with 10% buffered formalin or Bouin's fluid. After application of conventional histopathology techniques, the histological study was carried out by the pathologist. Mature benign ovarian dysembryomas in Gabon constituted 19% of the ovarian tumor population from January 2002 to December 2011. They affected women of all ages, especially those 25 to 40 years old, married or single. Gabonese made up the bulk of the sample, the most affected being the Fang, Nzébis and Punus populations. Tumors were found indifferently on the left and right and their expression was dominated by pelvic pain. the capital time of the orientation of the diagnosis. The latter was always postoperative after pathological examination. The tumors were of variable size and weight, and contained pilosebaceous material in the majority of cases. They were most often derived from the ectodermal embryonic leaflet. Mature benign dysembryomas of the ovary are frequent in Gabon, it is necessary to formally establish their diagnosis. This multidisciplinary approach is mandatory in order to avoid possible complications, especially in the event of the development of malignant lesions..
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International Medical Journal

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Submission Deadline ( Vol 30 , Issue 06 )
20 Jun 2023

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Publish On ( Vol 30 , Issue 05 )
31 May 2023