The gonadal arteries normally arise from the abdominal aorta. There are reports about the variant origin of these arteries. In the present study, we investigated the origin and course of the gonadal arteries and clinical implications of variant gonadal arteries are discussed. Out of 60 dissections, in 55 cases the gonadal artery was seen arising from abdominal aorta. In the remaining 5 cases, gonadal artery of renal origin was present in 3 cases, two on right and one on left side and of middle suprarenal origin was present in 2 cases on the left side. The present study agreed with the text book account i.e. right testicular artery passing anterior to inferior vena cava in majority of the cases i.e. 27 (90%). In the remaining 3 cases (10%), the right testicular artery was posterior to inferior vena cava. In our study, out of a total of 60 dissections, 57 dissections confirmed to type I pattern (95%). In 2 cases (3.3%) (11 M, 16 M) a type II pattern was seen on the right side. In 1 case (1.7%) (20 M), the left testicular artery arose directly from the aorta and arched over the renal vein giving a type III pattern. Awareness of variations of the testicular arteries such as those presented here becomes important during surgical procedures like varicocele and undescended testes. The variations described here are unique and provide significant information to surgeons dissecting the abdominal cavity.

The nutrient artery is the principal source of blood supply to a long bone and is particularly important during its active growth period in the embryo and foetus as well as during the early phase of ossification. The aim of the present study was to study the topographic anatomy and morphology of the nutrient foramina in human adult upper limb long bones. The study was performed on 40 upper limb long bones which include 40 humerii, 40 radii, 40 ulnae. The bones were obtained from department of anatomy Punjab institute of medical sciences, Jalandhar. The variations were found in number and location of nutrient foramen in different upper limb bones. In humerus double and triple foramina were found. In radius and ulna double foramina were observed at the maximum. Absence of nutrient foramen was observed in radius. The knowledge about these foramina is useful in surgical procedures.

BACKGROUND : Clinicians in the today's world are always under sustained levels of physical exertion. As they form backbone of healthcare setup, the health of clinicians themselves is a very signicant factor towards providing good health to all. AIMS & OBJECTIVES - The objective of the study was to determine the relation of body mass index (BMI) on both static standing as well as dynamic sitting body posture in clinicians. This will establish a relation between obesity and postural stress of clinicians METHODS: The descriptive study was conducted in OPD clinics of our medical college and various private hospitals of Jalandhar. BMI was calculated as ratio of weight (kg) to the square of height (m). Standing posture was assessed with the help of plumb bob passing the line in lateral and posterior aspect of the body nding the correct (YES) or faulty (NO) posture taken for the calculation. Dynamic (work sitting) posture was checked with observation during the OPD work by using the RULA (Rapid Upper Limb Assessment) worksheet. All the values obtained were statistically analysed with Chi square test to determine association. RESULTS: In high BMI group, three-fourths of the clinicians were found to have faulty standing static posture and 79% had faulty dynamic work posture whereas normal BMI group had minimum faulty posture. Female clinicians showed more level of faulty posture than male clinicians. The results also show that with increase in BMI, faulty posture also takes a higher turn. CONCLUSION: BMI is positively related to postural stress in clinicians, especially in the higher age group. This information serves as an awareness and warning signal for the clinicians to safeguard their own health and correct their faulty posture

Introduction: In the current scenario, clinicians are constantly subjected to high workload coupled with enormous amount of stress which can lead to both derangement of sleep and accumulation of body fat. Since they are the central pillar of healthcare industry, the health of doctors themselves is an extremely important factor in pursuit of a healthy and disease free society. Aim: To determine the effect of Body Mass Index (BMI) on quality of sleep in clinicians and to establish a relation between obesity and sleep pattern of clinicians. Materials and Methods: The present descriptive study was conducted on 400 doctors working in Outpatient Department (OPD) clinics of various departments at Punjab Institute of Medical Sciences, Jalandhar and OPDs of NIMS Hospital, Jaipur, India, from July 2019 to June 2021. BMI was calculated as ratio of weight (kg) to the square of height (m). Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI) questionnaire as a Global Pittsburgh Sleep Quality Index. BMI and sleep quality were checked for inter-relationship using various statistical methods like Chi- square test, Analysis of Variance (ANOVA), student t-test and Pearson’s correlation. Results: In the present study, 200 were males and 200 were females. Most of the participants were in the age group of 41- 50 years. A 51.4% of participants with BMI >25 kg/m2 had poor sleep quality which was significantly higher when compared with participants with BMI <25 kg/m2 (33.5%). Sleep quality had no significant bearing with gender. Further, it was found that surgical specialists had poorer sleep when compared with their medical counterparts. Conclusion: The results of the present study showed a significant association and linear correlation between sleep quality and overweight/obesity status. This information serves as an awareness and warning signal for the clinicians to safeguard their own health.

Introduction: Spleen is a clinically important haemolymphoid organ. It can show a wide range of morphological variation. Size of spleen varies with age and in certain disorders. Splenomegaly is an important diagnostic tool in understanding the aetiology of various diseases. Aim: To study the morphology, and analyse the morphometric dimensions of cadaveric spleens of Doaba region of Punjab. Materials and Methods: The cross-sectional study was conducted in the Department of Anatomy at Punjab Institute of Medical Sciences, Jalandhar, Punjab, India. A total of 30 formalin fixed cadaveric spleens of both sexes were studied. The spleen specimens were observed for their morphological features and various morphometric parameters were measured on them. Results: In the present study, the length of spleen ranged from 6.27 cm to 15.01 cm, and the mean length was 10.45±1.94 cm. The range of breadth was between 4.78 cm and 10.00 cm, and with the mean of 7.12±1.50 cm. The width of spleen varied from 2.96 cm to 6.50 cm, with the mean of 4.20±1.11 cm. Weight of spleen ranged between 34.35 g to 269.25 g, and the mean weight was 139.08±63.07 g. On the superior border, the number of notches varied from 0-4, whereas on inferior border upto 3 notches were seen. The shape of spleen was wedge in majority (53.33%) of the specimens. Conclusion: In the present study, the morphological and morphometric analysis of spleen in Doaba region of Punjab was found to be comparable to the other regions of India. However, it was observed that the mean length was comparatively higher. Also, the number of spleens with notches on both the superior and inferior borders were higher compared to other Indian studies.