Background: The corona virus disease 2019 is caused by the virus SARS-CoV-2 and is declared as a global pandemic by World Health Organization. Alterations in various hematological parameters have been recently documented in the world literature in SARS-Cov-2 infection. However, still there is paucity of hematological data in these patients. Hence this study is an attempt to evaluate the pattern of the hematological parameters in COVID-19 patients in the Indian population in our region. The objective of the study is to see the pattern of alteration in hematological parameters with emphasis on total leukocyte count, absolute lymphocyte count and platelet count in COVID 19 positive patients.Materials and Methods: This is an observational study in 50 patients with laboratory-confirmed COVID-19 status admitted to G.K. General Hospital & Gujarat Adani Institute of Medical Sciences, Bhuj, from 1st April 2020 to 30th June 2020. Statistical analysis of the data was carried out, and relevant findings were presented.Results: Among the 50 patients, there were 35 (70%) males and 15 (30%) females with an age range from 6 months to 82 years with twenty-five patients above 50 years. There was lymphopenia in 18 patients (36%), leukopenia in 2 patients (4%) and thrombocytopenia in 8 (16%) patients.Conclusions: Majority of the patients were elderly, and there was a male predominance. There was moderate to severe lymphopenia and mild thrombocytopenia.

Background: Fine needle aspiration cytology (FNAC) of thyroid gland is a powerful diagnostic tool for thyroid nodules. The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) classifies thyroid FNAC findings into six categories. It is a standardized, simple, and convenient method of reporting which also provides guidelines for management.Aims and Objectives: To study the cytomorphology of thyroid lesions and classify them as per TBSRTC. Determine the epidemiology and distribution of various thyroid lesions in our tertiary care hospital. Correlation of cytopathology with histopathological diagnosis in cases which were operated in our hospital.Methods and Material: This is a prospective analytical study of 105 patients with clinically enlarged thyroid gland presenting at G.K. General Hospital, Bhuj during July 2018 to August 2020. FNAC smears of these patients were studied and correlated with histopathology wherever available.Results: Out of a total 105 cases, 94 were non-neoplastic, eight were neoplastic, and three were unsatisfactory for evaluation. There were 94 cases in the benign category (category II), with colloid goiter being the most common cytological diagnosis (38 cases). There were no cases in categories III and V, respectively. On cytology, two cases in category IV were diagnosed as follicular neoplasm. Category VI had six cases comprising papillary carcinoma of thyroid (five cases) and medullary carcinoma of thyroid (one case). Out of a total 105 cases, 55 patients were operated in our center and hence their cytopathological findings were correlated with histopathological findings. Out of 55 operated cases, 45 cases (81.8%) had benign lesion and 10 cases (18.2%) were malignant. The sensitivity of FNAC was 70% and specificity was 100%.Conclusions: Thyroid cytology proves to be a reliable, simple, and cost-effective first-line diagnostic procedure with high patient acceptance and with rare, usually easily treated and not life-threatening complications. The Bethesda system is very useful for a standardized and reproducible system of reporting thyroid FNAC. It satisfactorily correlates with the histopathological diagnosis and helps in comparing results amongst various institutes.

Introduction: Many mothers face some discomfort after caesarean section like pain, mood changes, postpartum depression and stress. Nonpharmacological methods can be utilised to relive these discomforts as they are simple to use, inexpensive and does not have any side effects. Benson’s Relaxation Therapy (BRT) is a form of breathing exercise to be done by postcaesarean section mothers, breathing in and out in sitting position with closed eyes. Saying to oneself the word “one” while breathing out. Aim: To evaluate the effect of BRT on level of pain and stress among postcaesarean section mothers. Materials and Methods: Quantitative research approach with quasi experimental: pre-test post-test control group design was used. By using convenient sampling technique, total 10 samples {experimental group(5) and control group(5)} were recruited. The intervention was given to the experimental group twice a day for 3 consecutive days. BRT was not administered in control group. Post-interventional pain and stress was assessed on 3rd day by using numerical pain rating scale for pain assessment and Modified Hung’s postpartum stress scale for stress assessment. Data were collected by using SPSS version 20. The t-test was used to analyse the data. The p-value less than 0.05 were considered as significant. Results: The study showed that BRT was effective in reducing pain level in experimental as well as in reducing stress level. The mean pain score for experimental group reduced from 7 to 2.2 while in control group it was 7.60 at pre-intervention and 4.6 at follow-up. The mean stress score for the experimental group reduced from 90.60 to 57.60 while in control group it was 92.00 at pre-intervention and 75.20 at follow-up. Conclusion: This study concluded the positive effect of BRT in reducing pain and stress level among postcaesarean section mothers.

Krukenberg tumor is a malignancy of ovary that metastasizes from a primary site. Krukenberg tumors are uncommon and account for less than 2% of all ovarian tumors. It is usually a bilateral involvement of ovaries from the metastatic deposit from adenocarcinoma of the stomach. Krukenberg tumors mostly occur after 40 years. Metastatic ovarian tumors in young age are very rare. Here, we reported a very rare case of bilateral Krukenberg tumors of the ovaries arising from a primary adenocarcinoma of the stomach in a 20 year old Indian female.