Notes

Epithelial-mesenchymal transition-related circular RNAs inside bronchi carcinoma.
The levels of leptin which affects metabolism increase, whereas the levels of adiponectin decrease.
Sinus septa are bony processes that develop in a variable fashion. Such structures present a challenge for surgical procedures of the maxillary sinuses.

This study aims to evaluate the prevalence and patterns of maxillary sinus septa in a sample from the Lebanese population.

A retrospective cross-sectional study was conducted on a series of 568 Cone Beam Computed Tomography scans (CBCT) belonging to patients that presented to the Maxillofacial Radiology division of the Faculty of Dental Medicine in the Lebanese University. None of the included patients had sinus pathologies. Age ranged from 18 to 80 years with 332 females and 236 males yielding a total of 1136 maxillary sinus. Sinuses were inspected for septa, specifying their location in multiple dimensions, angulations and number.

36.27% of studied patients presented at least one septum (27.46% of all sinuses). No predilection towards age or sex was found. A higher number of septa were located in the middle region anteroposteriorly (38.14%), and most were localized in the inferior third coronally (81.16%). Multiple angulations are also reported.

Our results suggest a common prevalence of maxillary sinus septa in our Lebanese sample and suggest similar distribution and patterns to that of reported literature.
Our results suggest a common prevalence of maxillary sinus septa in our Lebanese sample and suggest similar distribution and patterns to that of reported literature.Russell boy cervicitis is a rare form of cervicits characterised by the accumulation of intracytoplasmic eosinophilic inclusion bodies in the plasma cells. Extensive literature search revealed previous four reported cases of Russell body cervicitis. Here, we report a case of Russell body cervicitis in a 44-year-old female who presented with recurrent endocervical polyps.
To determine the efficacy of tranexamic acid in decreasing blood loss in elective/emergency LSCS.

A prospective randomised case control study was done in 200 pregnant women undergoing elective/emergency LSCS in the Department of Obstetrics and Gynaecology, at a tertiary care teaching hospital in Mysuru, from December 2018 to September 2019. Women in the age group of 18-35years were included in the study. Those with anaemia (Hb < 10 gm%), hypertension in pregnancy, bleeding diathesis, GDM on insulin, polyhydramnios, oligohydramnios, cardiac and chronic liver disorders were excluded from the study. Two hundred women undergoing emergency/elective LSCS were divided into case (group 1) or control (group 2) groups using a computer-generated random number table. Tranexamic acid (10mg/Kg) was given in 100ml Normal Saline 10 mins prior to skin incision to women in the first group, along with routine care (10 Units of Oxytocin IM soon after extraction of the baby). R16 Routine care, as per institutional protocol, wawomen who received tranexamic acid. Also, women who received tranexamic acid did not develop any significant hemodynamic changes during or immediately after the surgery.

Tranexamic acid can be safely used as a prophylactic agent to reduce bleeding during elective and emergency LSCS.
Tranexamic acid can be safely used as a prophylactic agent to reduce bleeding during elective and emergency LSCS.Pemphigoid gestationis is a rare subepidermal bullous dermatosis of pregnancy, caused by the interaction of IgG1 auto-antibodies with 180 kD BP Antigen 2. This disease can lead to preterm delivery, but the neonate is affected in only 10% cases. The treatment of choice in pemphigoid gestationis is systemic corticosteroids.Uterine niche is one of the emerging complications of caesarean section. With rising caesarean rates, the caesarean-related iatrogenic complications are also on the rise. These include placenta accreta, scar ectopic pregnancy and uterine niche which is a newer entity being described in the recent literature. Uterine niche, also described as uterine isthmocele, caesarean scar defect and diverticulum, is an iatrogenic defect in the myometrium at the site of previous caesarean scar due to defective tissue healing. Patients may have varied symptoms including abnormal uterine bleeding, post-menstrual spotting and infertility, though many women may be asymptomatic and diagnosed incidentally. Diagnosis is made radiologically by transvaginal sonography, saline instillation sonohysterography or magnetic resonance imaging. Occurrence of niche may be prevented by using correct surgical technique during caesarean. Patients may be managed medically; however, subfertility and persistent symptoms may require surgical correction either by hysteroscopic resection or transabdominal or transvaginal repair. This mini-review comprehensively covers the potential risk factors, clinical presentation, diagnosis and management of this increasingly encountered condition due to rising caesarean rates.
The accuracy of colposcopy has recently been called into question particularly with regard to determining the site requiring biopsy. The technique of colposcopy is largely operator dependent, and the agreement between colposcopists is less reliable than once presumed. In an attempt to standardize colposcopy a new scoring system, the Swede score has been devised, which includes lesion size as a variable to be scored in addition to the 4 variables found in the modified Reids Colposcopic Index (RCI).

To assess the diagnostic accuracy of Swede score for pre-invasive cervical lesion.

A cross-sectional study in a tertiary care centre.

Swede score was calculated for assessment of pre-invasive cervical lesions on patients undergoing colposcopy who were suspected with pre-invasive cervical lesion. Cervical biopsy was taken if modified RCI ≥ 3 or Swede score ≥ 5. Histopathology report of the cervical biopsy was taken as gold standard.

Swede scores of 5 or more had sensitivity, specificity, positive and negative predictive values of 94.9%, 88.4%, 75.5% and 92.9% respectively.

The Swede score by just incorporating one additional variable that is size of the lesion, showed better correlation with histopathology.
The Swede score by just incorporating one additional variable that is size of the lesion, showed better correlation with histopathology.
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