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Malignant Melanoma of Nose and Paranasal Sinuses: 2 Case Reports
No full textMalignant melanoma is one of the rare and highly aggressive diseases of the sinonasal cavity. High index of suspicion is required for diagnosis as the patient usually presents with non specific signs and symptoms. In the natural course of the disease, higher rate of loco regional recurrences and distant metastasis are seen making the overall prognosis of disease very poor. In reviewing the various treatment modalities used in the past, surgical resection of the tumour with postoperative radiotherapy is preferred one. Advances in surgery, radiotherapy and chemotherapy don’t have any impact on improved survival, which remains poor in this disease. We report two cases of malignant melanoma, which were treated at our institute
An Atypical Case of Pelvic Leiomyomatosis Peritonealis Disseminata
No full textAn exceptional case of Leiomyomatosis peritonealis disseminata which occurred in a perimenopausal woman was mistaken for ovarian malignancy at laparotomy as it had extensive involvement of the pelvic peritoneum without a trace of leiomyoma in uterus and cervix
VACTERL association
No full textVACTERL association is a useful acronym for a condition characterised by the sporadic, non-random association of specific birth defects of multiple organ systems.We present one such case which had congenital abnormalities of renal,skeletal and cardiac system
Global challenges of graduate level Ayurvedic education: A survey
No full textIn the present day scenario, Ayurveda is globally being perceived in several contradictory ways. Poor quality of Ayurveda graduates produced as a result of poorly structured and poorly regulated education system is at least one of the important factors responsible for this scenario. The present study was carried out to evaluate the 'Global challenges of graduate level Ayurvedic education' and is based on the responses of Ayurvedic students and Ayurvedic teachers from various educational institutions of India to a methodically validated questionnaire. As the study indicates, the poor standard of Ayurvedic education in India is definitely a cause of concern. The curriculum of Bachelor of Ayurvedic Medicine and Surgery (BAMS) course of studies is required to be reviewed and restructured. The syllabi are required to be updated with certain relevant topics like laws governing the intellectual property rights, basic procedures of standardization of medicinal products, fundamental methods of evaluating the toxicity of the medicinal products, essentials of healthcare management and the basics of cultivation and marketing of medicinal plants. Furthermore, the study suggests that the Ayurvedic academicians are required to be trained in standard methods of research and documentation skills, and the educational institutions are required to be encouraged to contribute their share in building up the evidence base for Ayurveda in the form of quality education and research
Profile of Clients Seeking Consultation at Yoga Therapy Department: A Cross Sectional Study
No full textIt is estimated that between 10% and 30% of the general practice population are mentally or emotionally disturbed. Physical complaints, multiple aches and pains are construed as signs and symptoms of stress. Although yoga is considered as beneficial, any hidden psychiatric morbidity may go undetected and thus untreated. Thus the aim of this study was to obtain an estimate of hidden psychiatric morbidity in clients seeking consultation at the Department of Yoga. Fifty respondents were administered Life Satisfaction Scale and General Health Questionnaire-12. Majority were females, younger, graduates, married and also scored above the cut off on GHQ, suggesting minor psychiatric disorder/distress; reasons for consultation were related to being over weight, stress, aches and pains, poor concentration. A significant number of persons reported of some dissatisfaction in life. The perceived benefits were related to reducing symptoms, stress, weight, relaxation and improvement in concentration and memory
Pitfalls in Cytodiagnosis of Pleomorphic Adenoma of the Nasal Septum - A Rare Case Report
No full textPleomorphic adenoma is the most common benign mixed tumor of major salivary gland. Ectopic occurrence of pleomorphic adenoma are seen in minor salivary glands of pharynx, trachea, larynx and very rarely in nasal septum. We report a case of 40 year old female who presented with right sided nasal mass and mild nasal obstruction since six months. Cytologically a possibility of pleomorphic adenoma was made which was confirmed by histopathological study. We present this case due to 1) rarity in the nasal septum 2) pitfalls at cytology due to abundance (predominance) of myoepithelial cells and scanty or even absent mesenchymal component and 3) under reporting in English literature to the best of our knowledge
Analyse paradigmatique d'un corpus de proverbes à l'aide des matrices de concepts
No full textDans Franceschi (2002), j'ai présenté une théorie basée sur les matrices de concepts qui se propose de constituer une alternative à la classification proposée par Greimas, dans le domaine de l'analyse paradigmatique. Je m'attache ici à appliquer les matrices de concepts à l'analyse d'un corpus constitué de proverbes corses. Je rappelle tout d'abord brièvement le modèle des matrices de concepts. Je décris également la structure des thèses proverbiales, avant de présenter les résultats de l'analyse correspondante
From “Oh, OK” to “Ah, yes” to “Aha!”: Hyper-systemizing and the rewards of insight\ud
No full textHyper-systemizers are individuals displaying an unusually strong bias toward systemizing, i.e. toward explaining events and solving problems by appeal to mechanisms that do not involve intentions or agency. Hyper-systemizing in combination with deficit mentalizing ability typically presents clinically as an autistic spectrum disorder; however, the development of hyper-systemizing in combination with normal-range mentalizing ability is not well characterized. Based on a review and synthesis of clinical, observational, experimental, and neurofunctional studies, it is hypothesized that repeated episodes of insightful problem solving by systemizing result in attentional and motivational sensitization toward further systemizing via progressive and chronic deactivation of the default network. This hypothesis is distinguished from alternatives, and its correlational and causal implications are discussed. Predictions of the default-deactivation model accessible to survey-based instruments, standard cognitive measures and neurofunctional methods are outlined, and evidence pertaining to them considered
Virtual R&D teams and SMEs' growth: A comparative study between Iranian and Malaysian SMEs
No full textThis paper explores potential advantages of using virtual teams for small and medium-sized enterprises (SMEs) with a comprehensive review on various aspects of virtual teams. Based on the standing of the pertinent literatures, attempt has been made to study the aspects by online survey method in Iran and Malaysia. In both countries, SMEs play an important role in their economies, employments, and capacity building. Virtual R&D team can be one of the means to increase SMEs efficiency and competitiveness in their local as well as global markets. In this context, surveys have been conducted to evaluate the effects of virtuality to the growth of SMEs. The study addresses some differences between two countries in engaging virtual research and development (R&D) teams in their SMEs. It is observed that there is a significant difference between the SMEs turnover that employed virtual team and that did not employ the virtual team. The way for further studies and recommend improvements are proposed
From Simple to Complex and Ultra-complex Systems:\ud A Paradigm Shift Towards Non-Abelian Systems Dynamics
No full textAtoms, molecules, organisms distinguish layers of reality because of the causal links that govern their behavior, both horizontally (atom-atom, molecule-molecule, organism-organism) and vertically (atom-molecule-organism). This is the first intuition of the theory of levels. Even if the further development of the theory will require imposing a number of qualifications to this initial intuition, the idea of a series of entities organized on different levels of complexity will prove correct. Living systems as well as social systems and the human mind present features remarkably different from those characterizing non-living, simple physical and chemical systems. We propose that super-complexity requires at least four different categorical frameworks, provided by the theories of levels of reality, chronotopoids, (generalized) interactions, and anticipation