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August,2017 Issue

1.A CASE REPORT: ADENOSARCOMA OF UTERUS IN A YOUNG NULLIGRAVIDA

Meenoo S, Bhoomika Tantuway, Reva Tripathi

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CHENNAI

Abstract:

A 33 yr old nulligravida lady who underwent a Haultains procedure for uterine inversion 6 months back came with complaints of excessive bleeding per vaginum. On examination, uterus was corresponding to about twenty weeks of gestation. Usg done shows 6*5 cm polyp arising from fundus. Endometrial aspiration was done. Report suggestive of adenosarcoma of uterus. Patient underwent debulking surgery. Bilateral salpingoopherectomy could not done as ovaries were adhered to bowel on both sides and patient’s relatives were not interested in colostomy or bowel resection. On postoperative day 12, patient was started on first cycle of chemotherapy. Inj Adriamycin, Inj Ifosfamide along with Mesna were given. Now she has completed 6 cycles of chemotherapy followed by EBRT for residual disease.
Conclusion: Adenosarcoma is a rare variety of Malignant Mixed Mullerian tumor of low malignant potential with benign glandular and malignant stromal component. This is most common in postmenopausal female and the most common presentation is abnormal uterine bleeding. There are only few cases reported in literature. Lack of awareness of this entity may lead to misdiagnosis in a young patient. 


Abstract:

Introduction: Acute abdomen might indicate a progressive intra-abdominal condition that is threatening to life or capable of causing severe morbidity. 
Methods: This prospective study was conducted between Jan. and July 2017 on 50 consecutive patients. Detail abdominal ultrasound was done. After ultrasound traditional three-views acute abdominal xray series (AAS) were taken. Final diagnosis was made on the basis of operative findings/therapeutic response/ histopathological/ laboratory findings. Finally, accuracy of clinical diagnosis, plain film and ultrasound in evaluation of acute abdomen was determined. 
Results: Ultrasound yielded an overall sensitivity and specificity of 70.00% and 80.00% respectively. The AAS interpretations yielded an overall sensitivity and specificity of 20.00% and 40.00% respectively. 
Conclusion: Plain x ray is less sensitive in the evaluation of nontraumatic acute abdomen so it should be used together with ultrasound abdomen in order to arrive at a correct diagnosis.


3.A REVIEW ON THE PRODUCTION AND YIELD OF CAULIFLOWER IN RELATION WITH ROW SPACING AND VARIOUS NITROGEN LEVELS

Syed Asim Shah Bacha, Mehwish, Sayyed Hamad Ahmad Shah, Javed Iqbal, Ashfaq Ahmed, Suliman shah, Sehrish Ali and Naveed ul Haq

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Peshawar, PAKISTAN

Abstract:

This article highlights the literature pertaining to cauliflower growth and yield production effected by different levels of nitrogen and plant spacing in various part of the world. This intends the production and yield of the cauliflower for human use as well as forage. The main findings of most of important research works are briefly reviewed and presented in separate paragraphs.


Abstract:

The aim of this present paper is to introduce and investigate higher separation axioms in soft biminimal spaces.


Abstract:

Microcystis aeruginosa sp. (a Cyanobacterium) synthesizes the cyclic heptapeptide Microcystin-LR, a potent toxin toward humans and other animals. MC-LR is one of the most potent type of isoform in nature with their potent hepatotoxicity and all the Microcystins are the potent inhibitors of serine/ threonine protein phosphatase 1 and 2A.  Fish are naturally exposed to MC through ingestion of contaminated food and through dissolved toxins. In the present study MC-LR bioaccumulation, its distribution in the some tissues of Sagar Lake fishes has been reported. The MC-LR bioaccumulation was examined in the following fish Puntius ticto, Puntius conchonious, Glossogobius giuris and Oreochromis mossambicus collected from the Sagar Lake. Free form extractable MC-LR in fish tissue samples were examined by High Performance Liquid Chromatography with a Photodiode Array Detector (HPLC-PDA). The mean concentrations of MC-LR bioaccumulation observed in the muscles and the liver, significantly difference among all fish species in which muscles shows the highest accumulation of the toxins. That fish species are commercially important from the lake and they accumulate toxic MCs in tissues relevant to human consumption. The average daily intake (ADI) of MCs in the muscles of all fishes exceeded the human tolerable daily intake (TDI) 0.4µg/kg body weight per day set by World Health Organization (WHO).


Abstract:

This paper tries to focus on the use of language of the third gender in Bangladesh in relation to the Bangladeshi society. The area is not limited to Bangladesh only. This paper also focuses on the language, Hijra Farsi of neighbouring country- Pakistan in order to identify some common characteristics in the use of this language by the communities of third gender in Pakistan and Bangladesh. This research activity is intended to show that how social factors, significantly, influence the use of language in the community of the third gender.


Abstract:

A 21 year old lady married for 5 months, presented with complaints of abdominal distension and lump in the abdomen. It was found to be a 26 week size mass of variable consistency and restricted mobility but rectal mucosa was free. CA 125 was 93.1 IU/L, CEA of 6.9 ng/ml. CECT was suggestive of a mucinous cystadenoma of left ovary. A staging laparotomy was performed on 11 December 2014. Left salpingo-oophorectomy with bilateral pelvic and paraaortic lymphadenectomy with infracolic omentectomy was done. About 1000 ml of ascitic fluid was present, sent for malignant cytology. The right ovary appeared normal and was preserved along with the uterus for fertility. Frozen section and later histopathology of specimen confirmed well differentiated mucinous cystadenocarcinoma with focal areas of capsular involvement, fallopian tube was free of tumour. Diagnosis of malignant epithelial mucinous cystadenocarcinoma stage Ic was made. Patient was given 6 cycles of chemotherapy with carboplatin and paclitaxel. She tolerated chemotherapy well and completed her last cycle on 11 April 2015. 
Patient then conceived spontaneously with her last menstrual period on 18 September 2015. She had an uneventful pregnancy till term when she had premature rupture of membranes. Labour was augmented and she delivered a baby girl of 3.1 kg birth weight in June 2015. She has breast fed her baby and is on follow up with falling CA 125 levels. Both the mother and child are doing well.


Abstract:

The phenomenon of society is closer to continuing state of limitation, description and affirmation although it is seen as a structure consisting of many varieties and diversities. The society finds itself in such changes so that it is constantly questioned ready for this new situation, whether to adopt it or not. The structure of government being located at the top of society as administrative mechanisms not only defines a power in the political sense but also creates control mechanisms in social and cultural fields and directs operation at the same time. These power and control mechanisms are reflected into the development of architectural buildings such as parliamentary structures and many other state structures such as universities, libraries, community centers and village institutes. With the transition to republic in Turkey going forward on the path of becoming nation-state, there appear three different assembly buildings. The requirement for new parliamentary system includes both physical and ideological reasons. The paper aims to determine the relationships between the view of nation-state to the principles of modernism and the changing architectural identity of Turkey Grand National Assembly buildings. So, the main framework of the study is based on architectural styles questioning old and new forms which are used as an expression tool of the new ideological structure relating to government.    In the process of reading the signs of a new era called Turkish Republic, it has been benefited from the images on newspapers, documentaries and their texts as well as the observation of the buildings.