CLINICOPATHOLOGICAL STUDY OF SURFACE EPITHELIAL OVARIAN TUMORS- A TERTIARY CARE CENTER STUDY.

Background: Ovarian tumors are one of the most common tumors, which occur in female genital tract. Despite the newer techniques in imaging and molecular biology, the diagnosis of ovarian tumors primarily depends on histopathological examination. Ovarian tumors manifests a wide spectrum of clinical, morphological and histological features. The aim of the study was to find the incidence of surface epithelial ovarian tumors in a tertiary referral centre. Materials and methods: A retrospective data of 3 years were collected for surface epithelial ovarian tumors submitted to the pathology department of the tertiary care hospital and analysed. The correlation of these surface epithelial ovarian tumors was done with age, clinical presentation and histomorphological patterns. Non-neoplastic lesions like simple ovarian cysts, tubo-ovarian mass and polycystic ovaries were excluded. Results: A total number of 56 cases were studied. Out of which 44 cases were benign and 12 cases were malignant. Maximum cases were observed between 21 to 30 years. Mass per abdomen was the most common presentation(36%) followed by mass and pain in abdomen(27%).Serous cystadenoma formed maximum 28 cases(50%) followed by Mucinous cystadenoma(16 cases) 28 % , Serous cysadenocarcinoma formed 5cases (9%), followed by Mucinous cystadenocarcinoma 3 cases(5%) &amp; 2 cases each(4%) of clear cell carcinoma and endometrioid carcinoma were noted. The most common histopathological type of benign and malignant tumor was serous cystadenoma (50.2%) and serous cystadenocarcinoma(9%) respectively. Conclusion: In the study majority (78.6%) of the surface epithelial ovarian tumors were benign. Malignancy was seen in (21.4)% of the cases. Surface epithelial tumours present a great challenge to the gynecologic oncologist because non-neoplastic ovarian lesions can form a pelvic mass and potentially mimic a neoplasm. Correct histopathological diagnosis of surface epithelial ovarian tumors is of prime importance in view of their behavioral predictability and clinical correlation for proper management of the patient.</jats:p

A clinical study of evaluation of different modalities of treatment and etiologies of stricture urethra

Background: Urethral strictures are a common urological problem presenting in day to day urological practice. There has been change in the etiology of urethral strictures with traumatic one’s accounting for majority of them in recent times. Newer treatment modalities like VIU and various kinds of urethroplasty have revolutionized its management and significantly contributed towards improvement of quality of life among these patients. The objective for this study were to study the various aetiologies and different modalities of treatment for urethral strictures.Methods: A 23 cases of urethral strictures aged 5-75 years admitted in the surgical wards of KIMS, Hubballi were included in the present study. Mean age of presentation was 34.5 years. Detailed history and physical examination were recorded. Relevant investigations like ASU and MCU were performed and recorded. These patients were treated by various surgical procedures considered appropriate as per the patient individual needs.Results: Mean age was 34.5 years in the present study. Most of the patients presented with obstructive voiding symptoms, straining (65.1%) and poor stream (56.4%). Majority of strictures were of traumatic etiology (60.8%) followed by inflammatory (34.7%) and iatrogenic strictures (4.3%) in the present study. Bulbar urethra was the most commonly involved site (65.1%) followed by posterior urethra (30.4%), penile urethra (17.4%) and meatal stricture (4.3%). Most of the patients presenting with retention of urine were managed by SPC. Both VIU and urethroplasty had good success rates of 72.7% and 80% respectively.Conclusions: Most of the strictures were of traumatic etiology. VIU and urethroplasty were found to be effective means of treating urethral strictures.</jats:p

Unusual location of glomus tumour on the right ring finger

International audience(Arr. du 30 mars 2000, JO 1er avr. 2000, p. 5033

Supplier Selection in Inventory Control Management while Procuring and Utilizing of Material in Construction Projects

Inventory represents a huge proportion of the cost of construction. Inventory typically ordered in a week or maybe in the month prior to demand leading to uneconomical inventory on construction site. Construction inventory represents the cost to purchase, cost required to store and insure, cost to protect against theft, &amp; cost incurred when inventory becomes obsolete. Major construction industries are attempting to adopt various business initiatives so as to remain alive incoming marketplace. The evaluation and selection of vendors is a very important task in any industry. For initiating the to adopt the most efficient ways so as to make sure the smooth flow of the execution of the project, thereby avoiding delay and cost overrun of projects. The paper is focusing on the efficient method for supplier selection for inventory and its procurement procedure, to avoid delay in construction projects. Also explained about extra cost spent on the procurement of different construction materials from various vendors, and remedies for the same by using a case study.</jats:p

"COMPREHENSIVE ANALYSIS OF CATHETER-ASSOCIATED URINARY TRACT INFECTIONS: RISK FACTORS, MICROBIAL DYNAMICS, AND ANTIMICROBIAL CHALLENGES IN A TERTIARY CARE SETTING": "COMPREHENSIVE ANALYSIS OF CATHETER-ASSOCIATED URINARY TRACT INFECTIONS: RISK FACTORS, MICROBIAL DYNAMICS, AND ANTIMICROBIAL CHALLENGES IN A TERTIARY CARE SETTING"

Indwelling urinary catheters are frequently employed in medical procedures, yet they pose a considerable risk, with catheter-associated urinary tract infections (CAUTIs) being a global healthcare challenge. CAUTIs account for 30-40% of nosocomial infections, contributing to heightened morbidity and mortality. In this prospective study conducted at KIMS, Hubballi, a tertiary care hospital, we aimed to assess patient and catheter-related factors influencing urinary tract infections in 105 catheterized patients. Our objectives included investigating CAUTI incidence, exploring factors contributing to UTI risk, examining the correlation between bacteriuria and symptomatic CAUTI, and recording microbiological profiles and antibiotic sensitivities for insights into microbial dynamics and treatment strategies. Among the studied cohort, with an average age of 47.73 years, various catheter sizes were employed, and post-operative catheterization was the predominant indication. Microbial presence in urine samples was detected in 31.4% of cases, with a 21% prevalence of symptomatic UTIs. Diabetes mellitus showed a significant association with increased UTI occurrences (p = 0.019). Notably, catheterization outside the operating theatre (OT) and prolonged catheterization duration were significantly associated with increased infection rates (p = 0.000 and p = 0.003, respectively). Despite antibiotic treatment, E. coli remained the most prevalent organism causing infection (17.1%), and antibiotic resistance trends were observed, highlighting the challenges of antimicrobial stewardship. The study emphasizes the importance of preventive measures, such as reducing catheterization duration and meticulous diabetes management, to mitigate the burden of CAUTIs. In conclusion, this study provides valuable insights into the prevalence, risk factors, and microbial dynamics of CAUTIs, urging a shift towards proactive prevention strategies and judicious antibiotic use to enhance patient outcomes and alleviate the strain on healthcare resources