A "Mismatched" connection: a rare case of indirect or dural carotid-cavernous fistula: a case based review.

Introduction And Importance: A carotid-cavernous sinus fistula is an abnormal connection between the internal or external carotid artery and the venous system of the cavernous sinus. It represents a rare entity, and it is often misdiagnosed due to its overlapping symptoms with other conditions such as cavernous sinus thrombosis or orbital inflammation. Cerebral angiography continues to be the gold standard for diagnosis and surgical planning in patients with CCF, and the endovascular trans-venous approach still represents the primary line of treatment.

Cost-effective Skin Marking in Joint Replacement Surgery: A Comparative Study between Methylene Blue Ink and Commercially Available Skin Markers.

Introduction: This study aimed to assess and compare the effectiveness and safety of methylene blue ink and commercially available surgical marker pens in pre-operative skin marking for joint replacement procedures. The objective was to evaluate the visibility of the surgical instruments during the operation and their influence on the occurrence of infections after the surgery, providing valuable information on the practical use and cost-effectiveness.

Materials And Methods: This retrospective randomized study involved 150 total cases, which included knee replacements, total hip replacements, and hip hemiarthroplasty performed between 2020 and 2023.

Hematoma Block as an Alternate Mode of Anesthesia for Management of Extra-Articular Distal End Radius Fracture with Percutaneous K-Wire Fixation in Emergency Department.

Introduction: Fractures of the distal end of the radius have a higher prevalence, particularly in older individuals, and typically necessitate a painful procedure of reduction by manipulation. Various regional blocks, including hematoma blocks, are used to manage this pain. Hematoma block is simple, effective, and safe, providing adequate analgesia without increasing post-procedural infection risks.

COVID-19 Vaccination and Reproductive Health: a Comprehensive Review for Healthcare Providers.

With all the current misinformation on social media platforms about the COVID-19 vaccine and its potential effects on fertility, it is essential for healthcare providers to have evidenced-based research to educate their patients, especially those who are trying to conceive, of the risks to mothers and fetuses of being unvaccinated. It is well known that COVID-19 infection puts pregnant women at higher risk of complications, including ICU admission, placentitis, stillbirth, and death. In February of 2021, the American College of Obstetricians and Gynecologists (ACOG), the American Society for Reproductive Medicine (ASRM), and the Society for Maternal-Fetal Medicine (SMFM) released a statement denying any link between COVID vaccination and infertility.

Quality and Reliability of YouTube Videos on Myocardial Infarction: A Cross-Sectional Study.

Introduction: This study aims to assess the quality and reliability of the disease information available on YouTube (www.youtube.com) about "heart attacks" or myocardial infarctions, using a Global Quality Score (GQS) for quality, a DISCERN score for reliability, and a Video Power Index (VPI) for popularity.

Acetabular Fracture Fixation in Paget's Disease.

Introduction: Acetabular injuries are uncommon, with a reported yearly incidence of three cases per 100,000 people. Paget's disease of the bones is a frequent condition marked by accelerated yet disordered bone remodeling. Some people have no symptoms, but others have bone discomfort or other consequences, including fractures and deformities.

A Rare Case of Distal Femur Physeal Fracture Dislocation with Positional Vascular Compromise in an Adolescent Male.

Introduction: Physeal fractures are a rare entity to occur around the knee. However, they may prove to be dangerous when encountered due to their proximity to the popliteal artery and associated risk of premature physeal closure. A distal femur displaced, SH type I, physeal fracture is very uncommon and is most likely caused by high velocity trauma.

Knee Tuberculosis Presenting As Pigmented villonodular Synovitis.

Introduction: Extra pulmonary Tuberculosis (TB) May mimic other diseases in clinical presentation which might be difficult to differentiate and diagnose. Pigmented villonodular synovitis (PVNS) may closely resemble tuberculosis of the knee joint. In younger patients, without any other co-morbid conditions TB of knee joint and PVNS in the knee might present with involvement of the isolated joint, with swelling which is painful for long duration with restriction in the range of motion.

A Rare Case of Thoracolumbar Epidural Abscess with Tuberculous Etiology in an Adolescent Male with Neurological Deficit.

Introduction: Spinal epidural abscess (SEA) refers to collection of infection of the epidural space due to various etiologies. Tuberculosis (TB) of the spine is one of the important causes of SEA. Patient with SEA usually presents with history of fever, back pain, difficulty in walking, and neurological weakness.

Osteoid Osteoma of the Distal Phalanx of Little Finger.

Introduction: Although osteoid osteomas are relatively common lesion, sites such as distal phalanx are still rarely observed. These lesions present with characteristic nocturnal pain due to prostaglandins and may also be associated with clubbing. Diagnosis of these lesions at uncommon sites becomes tricky and 85% are misdiagnosed.

Trans-Scaphoid Perilunate Fracture Dislocation Managed With Open Reduction: A Case Report.

Introduction: Perilunate dislocations (PLD) and perilunate fracture dislocations (PLFDs) are complex wrist injuries, resulting from high energy trauma such as motor vehicle accidents, fall from height, and extreme athletic injuries. About a fourth (25%) of PLD are missed at the initial presentation. Urgent closed reduction should be attempted in the emergency room itself to minimize the morbidity due the condition.

A Hospital-Based Randomized Controlled Trial-Comparing the Outcome of Normal Delivery Between Squatting and Lying Down Positions During Labour.

Background: Labour is a physiological process. Before the seventeenth century, the upright birthing position was common in western countries. The supine position became popular because of the convenience for health professionals rather than the benefits for women.

Extraskeletal Ewing's Sarcoma of Neck in a Child- A Case Report.

Introduction: Ewing's sarcoma (ES) is an extremely rare bone malignancy observed in otorhinolaryngeal practice. In otorhinolaryngology, it sometimes involves the facial bones and cervical vertebrae. In children, ES is the second most common primary malignancy of bone after osteosarcoma.

Assessment of maternal risk factors associated with low birth weight neonates at a tertiary hospital, Nanded, Maharashtra.

Background: To assess the maternal risk factors associated with low birth weight (LBW) neonates at a tertiary hospital, Nanded, Maharashtra.

Materials And Methods: This study was carried out in a tertiary care hospital in Nanded city of Maharashtra between January 2014 and July 2014 among 160 cases (LBW-birth weight ≤2499 g) and 160 controls (normal birth weight-birth weight >2499. Data collection was done by using predesigned questionnaire and also related health documents were checked and collected the expected information during the interview after obtaining informed consent from mothers.

Efficacy and Tolerability of Intramuscular Dexketoprofen in Postoperative Pain Management following Hernia Repair Surgery.

Objective. To evaluate the safety and efficacy of intramuscular dexketoprofen for postoperative pain in patients undergoing hernia surgery. Methodology.

Trends in choosing place of delivery and assistance during delivery in Nanded district, Maharashtra, India.

Delivery in a medical institution promotes child survival and reduces the risk of maternal mortality. Many initiatives under the National Rural Health Mission (NRHM) focus on increasing the institutional deliveries. This study describes the trends in choosing place of delivery in Nanded district at the end of the first phase of the mission.

Age heaping and accuracy of age data collected during a community survey in the yavatmal district, maharashtra.

Background: Age is an important variable in epidemiological studies and an invariable part of community-based study reports.

Aims: The aim was to assess the accuracy of age data collected during community surveys.

Settings And Design: A cross-sectional study was designed in rural areas of the Yavatmal district.

Time of default in tuberculosis patients on directly observed treatment.

Background: Default remains an important challenge for the Revised National Tuberculosis Control Programme, which has achieved improved cure rates.

Objectives: This study describes the pattern of time of default in patients on DOTS.

Settings And Design: Tuberculosis Unit in District Tuberculosis Centre, Yavatmal, India; Retrospective cohort study.

Snakebite: Admissions at a tertiary health care centre in Maharashtra, India.

Objectives: To determine the outcome, seasonal variation, and death pattern of snakebite cases admitted at the tertiary health care centre in the last 10 years.

Methods: This was a record-based retrospective descriptive study at the Dr Shankarrao Chavan Government Medical College and Hospital in Vazirabad, a tertiary health care centre in Maharashtra, India.

Results: Out of 5 639 admitted snakebite cases, 65.

Survival analysis and risk factors for death in tuberculosis patients on directly observed treatment-short course.

Background: Tuberculosis is a disease with a high case fatality of 4.65%.

Objectives: To describe the survival pattern of patients on Directly Observed Treatment-Short course (DOTS) according to categories, age and sex of patients.