Scrub typhus is caused by an intracellular bacterium, Orientia tsutsugamushi. It causes a disseminated vasculitic and perivascular inflammatory lesions. These lead to significant vascular leakage and end-organ injury. Eschar is the site of inoculation. It is painless and non-pruritic. It is a useful indicator of the disease. We studied the scrub typhus children with eschar to describe its distribution. MATERIAL AND METHODS: This is a retrospective study done in tertiary care hospital. Study was done with aim of studying the distribution of eschar. Patients included in study are: confirmed to have scrub typhus with a positive Scrub typhus IgM ELISA test and presence of eschar, Children less than 18 years. Data collected regarding clinical profile of cases and eschar distribution.
RESULTS:Totally 52 cases with eschar were included in the study. Commonest site of eschar was axilla followed by groin. Other common sites of eschar included abdomen and chest. CONCLUSION: Detection of eschar helps clinically to distinguish scrub typhus from other febrile illness. Knowledge of common eschar sites would be useful for early clinical diagnosis of scrub typhus.
BACKGROUNDFormalin is a genotoxic agent which causes respiratory illness on mild exposure and cancer on chronic exposure. This study provides an easy and inexpensive way to assess the nuclear abnormalities.
Introduction
What is the role of cadaveric dissection in the current scenario of anatomy education? We attempted to provide a valid answer to this controversial topic through our study. We analysed the students perspectives of different aspects of learning anatomy with their positive and negative experiences and got a better understanding of their opinions and their experience
Methods
In this cross-sectional study, a pretested and validated questionnaire was used to collect information from the students after approval from the Institutional Ethics Committee. Informed consent was obtained from every student prior to their participation in the study.
Results
Three hundred seventy seven students took part in this study and the response rate obtained was 63.5 %. The majority of the students endorsed that cadaveric dissection has helped them in learning the basic anatomy and has deepened their understanding of complexity of human body and has helped in better performance in clinical postings. The smell of formaldehyde and eye irritation was cited as the major reasons for finding dissection sessions challenging. Most of the students agreed that counselling before dissection sessions will help to alleviate the emotional reactions to cadavers.
Conclusion
The students unanimously agreed that cadaveric dissection sessions are the best way to learn basic anatomy complemented with newer teaching tools like prosections and computer based approaches. However, the problems encountered by the students like smell and irritation of formaldehyde need to be addressed with usage of alternative techniques.
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