Introduction: Temporal bone fractures in adults are invariably due to motor vehicle accidents or road traffic accidents. Hearing loss is a common complaint following temporal bone fractures, but attention to it is frequently overlooked as there may be other life-threatening complications associated with it that may require immediate attention of the caregiver. Immediate detection of temporal bone fracture and its complications helps in providing early and effective treatment. Aim: The main objective of our study is to observe various types of fractures on multidetector computed tomography (CT), difference between various types, and classification of fractures of temporal bone with correlation between types of fracture and clinical hearing loss. Methods: Two-year (2019–2021) prospective study of head injured patients with temporal bone fracture presented to the Department of Radio-diagnosis (AVBRH, DMIMS, Wardha) with complaints of hearing loss was subjected for study. Temporal bone fracture patients satisfying inclusion and exclusion criteria having hearing loss were evaluated audiologically after a gap of 3 months following the initial injury once the patient was stable. Age and gender distribution, cause of injury, radiological findings, and clinical presentations were analyzed. Data were entered into Microsoft Excel data sheet and were analyzed using SPSS 22 version software. Results: Out of 173 patients having hearing loss with temporal bone fracture, majority of the patients were male (84.97%) and were between 20 and 39 years (46.24%) with a mean age of 41 years. The major cause of injury was motor vehicle accidents (84.39%). The right side was involved (49.1%) more than the left side (46.0%). Longitudinal type fracture was most frequent (64.74%). Otic capsule involvement was present in 9.25%. Conductive hearing loss was more common in otic capsule sparing and sensorineural hearing loss was more common in otic capsule-involved fractures. Otic capsule sparing was more common in (95.54%) longitudinal type of fracture. Otic capsule violation was more common in (26.09%) transverse type of fracture. Conclusion: This study suggests that image analysis of high-resolution CT can be used in fracture of temporal bone either to detect the hearing loss or to know the type and classify the fracture or to find the correlation between the types of fracture and clinical hearing loss.
In postpubertal age, one of the most common genital tract malformations is imperforate hymen and the patient usually presents with abdominal pain of cyclical nature with palpable abdominal mass and increased frequency of micturition. We report an unusual case of a 15-year-old girl who had a history of hematocolpos for which she underwent simple hymenotomy and drainage of collected menstrual blood from the genital tract, 2 months later, she again developed similar complaints of increased frequency of micturition and some palpable masses in the lower abdomen. On further investigation, magnetic resonance imaging showed recurrent hematocolpos but with a transverse vaginal septum. For which she again underwent hymenotomy and septal excision with Z-plasty. Imperforate hymen is a rare congenital malformation of the vagina that can be treated and diagnosed easily. An adequate early management requires proper knowledge and clinical history of pain with amenorrhea in young girls for diagnosis.
Mirror syndrome, by definition, is maternal edema with fetal hydrops. Majority of the pregnancies in developing countries are complicated by preeclampsia and intrauterine growth retardation. Fetal ascites, on the other hand, is a part of spectrum of the condition under hydrops fetalis. Abnormal umbilical artery Doppler is an indicator of fetal growth retardation and not many cases are found with such diversely intermixed conditions. A 26-year-old primigravida with 36 weeks gestation by the last menstrual cycle and 34 weeks by ultrasound presented to our hospital with a history of decreased fetal movements, headache, fever, weakness, dizziness, and new-onset raised blood pressure. Her blood pressure was 164/118 and 3+ proteinuria on the urinary dipstick test. A diagnosis of preeclampsia was made. An antenatal ultrasound was performed, which showed fetal ascites, mild thickening of fetal skin, oligohydramnios with reversed umbilical artery flow but normal uterine arteries, and middle cerebral arteries. The blood pressure was controlled and she later delivered a low-birth weight baby that needed neonatal intensive care unit stay for fetal distress and abdominal distention. The baby did not survive the coming few days and died due to increasing fluid in the body cavity. The mother continued to have raised blood pressure in the postpartum period. Mirror syndrome is when the maternal pathology mirrors that of the fetus. Preeclampsia, fetal hydrops, and placental edema are the conditions lead to suspicion of it. In the case, we present, the mother had preeclampsia, and there was fetal ascites and reversed umbilical flow. The fetal and maternal outcome was in the form of intrauterine growth retardation, impending hydrops fetalis and chronic hypertension, respectively.
Background: A judicious mix of all three domains makes the curriculum better suited to the needs of the learner. At the same time, the curricula can be considered for their compliance with certain qualities such as the degree at which the curriculum addresses the cognitive domain, psychomotor domain as well as affective domains. Moreover, the design of the curricula should be such that they should be standardized for all interested learners taking into mind their different mental and psychological makeup. On this front, principles of curriculum design were given by The Curriculum Centre and are considered as standard of reference for this present study. Materials and Methods: Rapid review of literature with reference to curriculum of Intensive Care Technology, Biomedical Sciences, Clinical psychology, and Physician Assistant under faculty of Allied Health Sciences, Datta Meghe Institute of Medical Sciences (Deemed to be University) in the academic year 2020–2021 for purpose of their “Typing” with principles of curriculum design was done. Results: The academic curricula included in the present study were found to adhere to the principles of richness of knowledge, curriculum designed with memory of the learner in mind, curriculum designed for novices and not experts. However, they were found to be not in consonance with the principles of domain specificity, coherence, cumulation, and academic challenge. Conclusion: The undergraduate course curricula of academic course curricula launched under the Faculty of Allied Health Sciences included in the present study have been critically appraised on the basis of their adherence with the principles of curriculum design as proposed by The Curriculum Centre.
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