Background: For patients with end-stage renal disease, a good vascular access is essential for chronic haemodialysis. Surgically created access arteriovenous fistula for haemodialysis is associated with multiple complications, and ruptured pseudoaneurysm being the most life threatening and dreaded of all. The management of this complication warrants emergency procedure, although timely diagnosis and arteriovenous fistula salvage has been emphasised. In this study, we describe the surgical technique and outcomes of ligation of the proximal arteriovenous fistula as a plausible alternative and life-saving procedure. Method and Results: This is a retrospective study performed between January 2011 and December 2016. A total of 588 native arteriovenous fistula–related surgeries were performed, of which 18 patients (3.06%) developed delayed complication of infected pseudoaneurysm and rupture. All presented to the emergency care with life-threatening bleeding. We describe the surgical technique as a life-saving measure to this fatal complication. Conclusion: Proximal arteriovenous fistula has higher incidence of aneurysmal complications than distal ones. Ligation of the brachial artery which was a ‘grey zone’ of unpredictable prognosis has yielded good results and can be safely performed in desperate situations with low complication rates.
Background: Chronic otitis media (COM) is the middle ear's inflammation, characterized by ear discharge due to tympanic membrane perforation for at least over a month. The current study aims to study the microbial flora and its culture and sensitivity from ear discharge in chronic otitis media.
Methods: A comparative study was carried out in Bapuji Hospital and Chigateri district hospital, teaching hospitals attached to J.J.M. Medical College Davanagere over a year from 01 January 2022 to 01 January 2023 in all patients with a history and signs suggestive of chronic otitis media among 100 patients.
Results: In the current study, most patients were females (53%), with pus in the right ear (51%) and pus in the left. The most common microbial growth was of Pseudomonas species, and the difference was statistically significant.
Conclusions: Due to the variations in the collection and culture methods, it is difficult to understand the frequency of a polymicrobial illness thoroughly. Antibiotics have provided medics with a tool employed without a precise causal diagnosis.
Introduction
Disorders of hearing are one of the most common disabilities in the country, especially in children. Hearing impairment is the most common congenital disease (3.5–9%) considering all degrees of permanent unilateral or bilateral deafness. Hearing disability can further lead to lifestyle difficulties later on in life. Early identification and a comprehensive treatment can help these people lead a better and productive life.
Materials and Methods
A retrospective study from the hospital records was done of infants admitted in NICU/PICU in a rural setting in, Davangere, Karnataka from January 2017 to January 2021 who had undergone Oto-acoustic emission (OAE) upon discharge, with a Brainstem Evoked Response Audiometry (BERA) test done in cases that failed the initial test after 3 months.
Results
Out of the 1115 cases that was included 213(19.1%) cases were found to have hearing disability with low birth weight and hyperbilirubinemia counting for most of the cases with 326(29.2%) and 301(27.0%) cases respectively.
Conclusion
The findings of our study suggest that an early investigation for hearing disability in high-risk infants for early detection and comprehensive management of hearing disorders. It also points towards a further need for advocating a universal screening of neonates for detecting hearing disability when feasible.
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