Efficacy of Electro Acupuncture in Bell’s Palsy – A Clinical Interventional Pilot Trial in Indian Patients

Introduction: Bell’s palsy is an acute peripheral facial neuropathy and is the most common cause of lower motor neuron facial palsy. Various treatment modalities including steroids, physiotherapy, antivirals have been described. We aimed to study the efficacy of electroacupuncture to modify and improve the muscle paralyses. Material and methods: The first twenty patients who were willing for the study were selected. Fourteen sittings of thirty minutes each were done with one chun silver needles and stimulation was electrical and the intensity was adjusted for de qi feeling for the patients. House-Brackmann Classification of Facial Function was used to categorize the patients before and after treatment. Improvement in the score of more than 1 was termed significant relief. Results: Out of the twenty patients 17 had significant improvement of power and three had mild improvement. Three patients had minimal bleeding in a few points which stopped with simple pressure. Watering of the eye stopped in all the cases. The majority of patients were satisfied according to partha patient satisfaction score. Conclusion: To conclude, electroacupuncture has a significant role in early paralytic phase of Bells palsy without many side effects.

Effect of integrated yoga module on selected psychological variables among women with anxiety problem / Efecto del módulo de yoga integrado sobre las variables psicológicas seleccionadas entre las mujeres con problemas de ansiedad

The implementation of yogic practices has proven benefits in both organic and psychological diseases. Forty-five women with anxiety selected by a random sampling method were divided into three groups. Experimental group I was subjected to asanas, relaxation and pranayama while Experimental group II was subjected to an integrated yoga module. The control group did not receive any intervention. Anxiety was measured by Taylor's Manifest Anxiety Scale before and after treatment. Frustration was measured through Reaction to Frustration Scale. All data were spread in an Excel sheet to be analysed with SPSS 16 software using analysis of covariance (ANCOVA). Selected yoga and asanas decreased anxiety and frustration scores but treatment with an integrated yoga module resulted in significant reduction of anxiety and frustration. To conclude, the practice of asanas and yoga decreased anxiety in women, and yoga as an integrated module significantly improved anxiety scores in young women with proven anxiety without any ill effects.

La implementación de prácticas de yoga ha demostrado beneficios en enfermedades tanto orgánicas como psicológicas. Cuarenta y cinco mujeres con ansiedad, seleccionadas por un método de muestreo aleatorio, fueron divididas en tres grupos. El grupo experimental I fue sometido a asanas, relajación y pranayama, mientras que el grupo experimental II fue sometido a un módulo de yoga integrado. El grupo de control no recibió ninguna intervención. La ansiedad fue medida por la Escala de Ansiedad Manifiesta de Taylor, antes y después del tratamiento. La frustración se midió a través de la Reacción a la Escala de Frustración. Todos los datos fueron separados en una hoja de Excel para ser analizados con el software SPSS 16 mediante el análisis de covarianza (ANCOVA). Las selecciones de asanas y yoga disminuyeron las puntuaciones de ansiedad y frustración, pero el tratamiento con el módulo de yoga integrado resultó en una reducción significativa de la ansiedad y la frustración. En resumen, la práctica de yoga y las asanas disminuyeron la ansiedad en las mujeres, y el yoga como en forma de módulo integrado mejoró significativamente las puntuaciones de ansiedad en las mujeres jóvenes con probada ansiedad, sin efectos negativos.

Management of a Very Old (105 Years) Patient for Hemiarthroplasty: A Case Report.

We report a very old geriatric case for hemiarthroplasty of the right hip. A 105-year-old patient with no obvious medical illness except senile emphysema reported to us for right hemiarthroplasty of the hip. An intrathecal low-dose bupivacaine with fentanyl was used. The anesthetic considerations are discussed. The case is presented for its extreme old age and the importance of living mobile whatever is the life span.

Primary extragastrointestinal stromal tumors: A clinicopathological and immunohistochemical study-A tertiary care center experience.

Background: Extra gastrointestinal stromal tumors (EGIST) are uncommon compared to their gastrointestinal counterparts. EGISTs involve omentum, mesentery, retroperitoneum, pancreas, and pelvis. Materials and Methods: Ten EGISTs were analyzed in this study from January 1995 to November 2011. They were analyzed with respect to clinical features, imageological, histopathological, and immunohistochemical findings. The immunohistochemical stains used were Smooth muscle actin (SMA), Desmin, S-100 protein, CD34 and CD-117. Results: There was slight female preponderance with wide age range. Four of the tumors were in retroperitoneum, three in mesentery, and two in omentum and one in pelvis. Histopathologically majority were spindle cell tumors. Immunohistochemically CD117 was consistently positive followed by CD34. Smooth muscle actin was positive in eight cases, S-100 protein and desmin were positive in two cases each. Conclusion: EGISTs are rare and should be considered in the differential diagnosis of the mesenchymal tumors and immunohistochemistry helps to confirm the diagnosis. Further study with better follow-up is desired to characterize these uncommon tumors.

Pseudo-infarct in ECG in A Case of Asymmetric Septal Hypertrophy.

A 68-year-old male with a history of type 2 diabetes and hypertension presented for a routine check-up. His routine ECG revealed recent inferior infarct. He was admitted and later echocardiography showed it to as asymmetric septal hypertrophy. The ECG findings of the disease and various causes of pseudo-infarct are discussed.

Feasibility of early breast feeding after caesarean section.

Breast feeding is the best way to start life. Initiation of breastfeeding is delayed in caesarean section (CS) babies. We studied the feasibility of early initiation of breastfeeds in newborns in the immediate post delivery period when the suckling reflex is powerful. Fifty consecutive mothers with elective or emergency CS, admitted to Government District Headquarters Hospital, Kumbakonam, South India, were taken up for the prospective study. All deliveries were done under intrathecal anaesthesia and babies were fed in one minute. Forty eight out of 50 babies (98%) sucked immediately. We conclude that early initiation of breast feeding is possible and successful before uterine closure in operative deliveries.

A case of penile zip trap.

A ten year old boy presented with a zip trapping the penis of two days duration. The zip was removed successfully under local anaesthesia. Various methods of removal of a zipper are described

Acute pancreatitis following propoxyfur (Baygon) ingestion.

Elevation of serum amylase and blood glucose is not uncommon following anticholinesterase poisoning. We report a young male who developed acute cholinergic crisis and acute pancreatitis following propoxyfur (Baygon) ingestion and recovered completely with conservative management.

Behaviour of simple population models under ecological processes.

The two most popular and extensively-used discrete models of population growth display the generic bifurcation structure of a hierarchy of period- doubling sequence to chaos with increasing growth rates. In this paper we show that these two models, though they belong to a general class of one-dimensional maps, show very different dynamics when important ecological processes such as immigration and emigration/depletion, are considered. It is important that ecologists recognize the differences between these models before using them to describe their data—or develop optimization strategies—based on these models.