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COVID’s impact on surgical training

Review article of International Research Journal of Health Education COVID’s impact on surgical training Dr A. Rekha Professor of Surgery, Saveetha Medical College, Saveetha institute of medical and technical sciences(SIMATS) With the COVID pandemic sweeping across the globe [1], over 1240,000 people have been infected in India (as of July 23,2020 ) in India. With approximately 30,000 deaths, the nation has been reeling under the ravages of COVID 19, and the economic fallout that followed in its wake. Tamil Nadu has over 1,80,000 cases with approximately 3144 deaths (23/07/2020). In this unfavourable milieu, surgical postgraduates joined the course through the process of NEET selection and counselling. Given that social distancing was essential, meet and greet, introduction and case based discussions are held on online platforms such as Google Meet and ZOOM. Keywords: COVID’s impact,  surgical training ...

Meningoencephalitis in a Child with Mycoplasma Pneumonia

Case Report of International Journal of Case Reports Meningoencephalitis in a Child with Mycoplasma Pneumonia J. Kelly Smith, MD, FACP Departments of Academic Affairs and Biomedical Sciences, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN 37614 The patient is a 15-year-old girl who presented with a 4-day history of fever, a persistent cough, and x-ray evidence of a right middle lobe pneumonia. On day 10 of her illness, at a time when she was afebrile and her pneumonia had cleared, she developed a severe headache and within hours lapsed into coma. Cerebral spinal fluid analysis and serological tests were diagnostic of a post-infectious meningoencephalitis due to Mycoplasma pneumoniae. Keywords: Meningoencephalitis; Mycoplasma Pneumonia ...

Evaluation of laboratory risk indicator for necrotizing fasciitis (Lrinec) scoring system for diagnosis of necrotizing fasciitis in patients presenting with soft tissue infection

Case Report of International Journal of Case Reports Evaluation of laboratory risk indicator for necrotizing fasciitis (Lrinec) scoring system for diagnosis of necrotizing fasciitis in patients presenting with soft tissue infection Naresh Duthaluri, Adith C, Prabhu P, Rekha A Sri Ramachandra Medical College,SRIHER Necrotizing soft tissue infection represents a diverse process; the term itself encompasses a continuum ranging from pyoderma to life threatening infections (clostridial gas gangrene with myonecrosis, anaerobic cellulitis, and severe, necrotizing vibrio infections). These can occur in any anatomical area but the commonest site is the extremities. Necrotizing fasciitis is often underestimated because of the lack of specific clinical findings in the initial stages of the disease. The paucity of specific cutaneous signs to distinguish necrotizing fasciitis from other soft tissue infections such as cellulitis makes the diagnosis extremely difficult. The first and most important consideration for an accurate, prompt diagnosis is to have a high index of suspicion. It has been shown by numerous studies in the past that early recognition and surgical intervention at the earliest is the sole factor in preventing the morbidity and mortality in patients with necrotizing fasciitis [1-3]. So a scoring system which is easy to follow and cost effective with high positive and negative predictive value is required. One such scoring system is the LRINEC scoring system devised by Wong et al [4] in 2005 which claims to have a positive predictive value of 92.0% and negative predictive value of 96.0%. The mortality in necrotizing fasciitis is as high as 34%. [5] We evaluated LRINEC scoring system in patients presenting with symptoms and signs suggestive of soft tissue infection that progresses to necrotizing fasciitis in Sri Ramachandra Medical College and Hospital, Porur, Chennai over a period of two years. Keywords: laboratory risk indicator, necrotizing fasciitis (Lrinec) scoring system,  necrotizing fasciitis, soft ...

Application of comprehensive evaluation method based on combination weight in valve workshop layout

Research Article of Global Journal of Marine Engineering and Sciences Application of comprehensive evaluation method based on combination weight in valve workshop layout Shifeng Lu1*, Ji Zeng1, Zhuyun Shao1, Bowen Jin1 1Shanghai Maritime University, Shanghai 201306, China. The evaluation index system and evaluation method for the reliability of current workshop facility layout have not yet formed the standard. Taking the facility layout plan of valve production workshop as the research object, 9 evaluation indexes were put forward from four aspects of working environment, layout cost, production flexibility and management convenience, and a comprehensive evaluation system of valve production workshop layout was established. The AHP- entropy weight method was used to calculate the index weight. Based on the survey data and experts’ opinions, the evaluation model is used for analysis and evaluation. The evaluation results of the facility layout plan of valve production workshop are consistent with the reality. The results show that the weight method of this model not only considers the objective opinions of workshop personnel, but also uses the knowledge and experience of experts, which makes the workshop facility layout evaluation more objective and accurate, and provides reference for the standards of workshop facility layout evaluation. Keywords: Combination weight; Valve; Production workshop layout; AHP- entropy weight method; Comprehensive evaluation ...

Intra Cholecystic Papillary Tubular Neoplasm – A Case Report Of A Rare Differential Diagnosis Of Carcinoma Gall Bladder

Case Report of International Journal of Case Reports Intra Cholecystic Papillary Tubular Neoplasm – A Case Report Of A Rare Differential Diagnosis Of Carcinoma Gall Bladder Dr. Sana Aboosalih1*, Dr. K. R. Manoj Prabu2, Dr. P. Jayaganesh3, Dr. Pichaimuthu Anbalagan4, Dr. Devy Gounder Kannan5, Dr. Arcot Rekha6 1Surgical Resident, Dept. of General Surgery, Saveetha Medical College, Chennai, Tamil Nadu, India. 2Assistant Professor, Dept. of General Surgery, Saveetha Medical College, Chennai, Tamil Nadu, India. 3Assistant professor, Dept. of Pathology, Saveetha Medical College, Chennai, Tamil Nadu, India. 4Assistant Professor, Dept. of Surgical Gastroenterology, Saveetha Medical College, Chennai, Tamil Nadu, India. 5Professor and HOD, Dept. of Surgical Gastroenterology, Saveetha Medical College, Chennai, Tamil Nadu, India. 6Professor and Unit Cheif, Dept. of General Surgery, Saveetha Medical College, Chennai, Tamil Nadu, India We present a case report of a 57 year old lady who presented with complaints of right sided upper abdominal pain. The patient was initially diagnosed with carcinoma gall bladder(CAGB) by CECT Abdomen and PET CT imaging studies. Intra cholecystic papillary tubular neoplasm of the gall bladder(ICPN) was diagnosed after histopathological examination of the radical cholecystectomy specimen. ICPN can be managed with a cholecystectomy if the diagnosis is known pre operatively as the prognosis for ICPN is much better as compared with that for gallbladder adenocarcinoma. Keywords: Intra Cholecystic Papillary Tubular Neoplasm Gall bladder; Carcinoma Gall Bladder; Radical Cholecystectomy; Case Report ...

Integration through friendships in school classes – A study of pupils with a migrant background in school friendship networks at primary and secondary schools in Germany

Research article of American Journal of Educational Research and Reviews Integration through friendships in school classes - A study of pupils with a migrant background in school friendship networks at primary and secondary schools in Germany Miriam Kuckuck, Claudia Henrichwark Bergische Universität Wuppertal, Fachhochschule Südwestfalen This paper deals with the integration of migrant children in informal communication networks in primary and secondary schools in Germany. The basic assumption is that these networks can serve as an indicator for the networking and embedding that take place within the class community and therefore can be used to investigate the integration of pupils with a migrant background. The initial results of our network analytical study reveal that pupils with a migrant background are well integrated into class networks. The study discloses that the migrant background does not serve as a conclusive characteristic of the pattern of class networks. The pupils are more or less networked with each other regardless of their migrant background, though it did emerge that children and adolescents born abroad, in particular, are far more likely to have outgoing relationships that remain unreciprocated. Remarkable is, that results from primary school correspond with data from secondary school. Keywords: network analysis, integration, school research, friendships, primary school, secondary school ...