Background:Filariasis is a major health problem in tropical countries including India. Fine needle aspiration cytology plays an important role in prompt recognition of disease.Aim:To assess the role of fine needle aspiration cytology (FNAC) in diagnosis of filariasis at all possible sites.Materials and Methods:Total 250 cases of superficial swellings at various sites were subjected to fine needle aspiration cytology.Results:Out of 250 cases, 24 cases of filariasis were detected which include breast lumps (8 cases), lymph nodes (6 cases), scrotal swellings (4 cases), thyroid swellings (3 cases), soft tissue swellings (2 cases) and ascitic fluid (1 case). Eosinophilia was present in 8 out of 24 cases with a percentage ranging from 12-24%. Significant adherence of inflammatory cells and macrophages to microfilariae was present in 3 out of 24 cases.Conclusions:In endemic areas, it should be considered one of the differential diagnoses of a superficial swelling. Careful screening of FNAC smears help in detecting microfilaria even in asymptomatic patients and thus plays a significant role in recognition of the disease and institution of specific treatment.

PURPOSE- Cervical cancer is a leading cause of cancer death in low and middle-income countries (LMICs). Loop Electrosurgical Excision Procedure (LEEP) is a valuable diagnostic and therapeutic tool for Cervical Intraepithelial Neoplasia Grade 2 or 3 (collectively referred to as CIN2+) lesions on outpatient visits. However, removing a part of the cervix during the procedure might affect a woman’s perception of sexual function This study was planned to assess the effect of LEEP on overall sexual satisfaction and other specific aspects of sexual function in women who are subjected to LEEP as a part of cervical dysplasia management. METHODS- All patients attending OPD at the Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Rishikesh, India, between October 2020 to March 2021, diagnosed with CIN 2 and CIN 3 lesions and planned for LEEP; were enrolled in our study after taking consent. Women were interviewed regarding their sexual function before the LEEP procedure and after six months while on follow-up with self- structured pre- and post-procedural sexual function questionnaire. RESULTS- 61 sexually active women who underwent LEEP for high-grade CIN2+ lesions were enrolled in the present study. There was significant improvement in pain during vaginal penetration, post coital bleeding, level of anxiety related to sexual life, and overall sexual satisfaction post LEEP procedure. CONCLUSION- The present study concluded that LEEP poses no long-term effect on women's sexuality, with a reduction in dyspareunia and postcoital bleeding, along with improvement in overall sexual function, although small but statistically significant.

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Aim:The present study was undertaken to study the clinical and hemato-biochemical alterations, ultrasonography, and surgical treatment of bovine suffering from cecal dilatation and cecal impaction.Materials and Methods:The present study was conducted on 11 bovines (9 buffaloes and 2 cattle) suffering from cecal dilatation (n=6) and cecal impaction (n=5). The diagnosis of surgical affections of cecum was made on the basis of clinical examination, hematobiochemistry, ultrasonography, and exploratory laparotomy.Results:A marked decrease in serum total protein, albumin, chloride, potassium, and calcium levels while an increase in lactate concentrations was recorded. Peritoneal fluid examination revealed an increase in total protein concentration. Per rectal examination along with ultrasonography was used as a confirmatory diagnostic tool for cecal dilatation and cecal impaction. Ultrasonographic features of cecal dilatation and cecal impaction were recorded. Left flank laparorumenotomy was performed in six animals with dilated cecum along with colonic fecalith. Post-rumenotomy, these animals were treated with massage of cecum along with kneading of colonic fecalith. Right flank typhlotomy was done in the remaining five animals having impacted cecum for decompression of the dilated cecum. 9 of 11 animals survived which underwent surgery and remained healthy up to 3-month follow-up.Conclusion:Ultrasonography was reliable in the diagnosis of cecal dilatation and cecal impaction in bovine. Left flank exploration after laparorumenotomy is an ideal surgical technique for the management of cecal dilatation, while right flank typhlotomy is ideal for the management of cecal impaction in bovine.

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