Superior mesenteric artery embolism after resection of left ventricular aneurysm

A rare complication of superior mesenteric embolism following resection of a ventricular aneurysm is reported. A 45-year-old male patient underwent left ventricular aneurysm resection under cardiopulmonary bypass. Thirty-six hours after surgery the patient developed an acute superior mesenteric artery embolus with a gangrenous small bowel; this necessitated resection of more than 90% of the small intestine. To the best of our knowledge, the successful outcome of a superior mesenteric embolization following resection of the ventricular aneurysm under cardiopulmonary bypass is here recorded for the first time.

Volition following hemiplegia

Following a minimum period of 11 weeks after cerebrovascular accident and resulting hemiplegia, 100 adult patients were assessed, over a period of 3 years, for sensory-motor deficits affecting the function of the paralyzed upper extremity. This paper presents only the assessment of voluntary control, the disturbances of voluntary motion, and the interrelationship between the components of voluntary motion and other clinical manifestations. Kendall rank order correlations were computed for this purpose. In the voluntary control of gross arm motions, forearm supination and spontaneity of arm usage appeared to be most significant in predicting the presence of other synergistic components. The isolated muscle function revealed during execution of functional tasks showed the ability to grasp an object as the least affected task and dropping a coin in a slot as the most difficult. Inability to perform voluntary motion was primarily related to the limitation of active and passive motion of the shoulders, elbow, wrist, and hand.

Disturbances of muscle tone in the paralysed upper extremity following hemiplegia

After a minimum period of eleven weeks post cerebrovascular accident and resulting hemiplegia, one hundred adult patients were assessed for sensory-motor deficits affecting the function of the paralysed upper extremity. This paper presents only the assessment of muscle tone, the disturbances of tone and its inter-relationship with other clinical manifestations. Kendall rank order correlations were computed for this purpose. A highly significant relationship (P < .001) was observed between selective spasticity of proximal joints and distal joints and between wrist and finger clonus with selective spasticity of wrist, finger and shoulder muscles. The spasticity in wrist flexors related highly with the inability to perform functional tasks. Inability to perform muscle function was also related to limitation of joint motion.

Use of compressed air in a continuous flow anaesthetic machine

Anaesthesia was given from a Boyle's apparatus to 100 patients, using compressed air as the carrier gas.

Comparative study of consultant psychiatrist and clinical psychologist among psychiatric patients, using Rorschach test

This comparative study among psychiatric patients attending College of Medical Sciences, teaching hospital, Bharatpur, Nepal was carried out to determine responses on Rorschach test (RT). A total of 65 diagnosed psychiatric patients as per international classification of diseases (ICD-10) criteria attending psychiatric OPD between ages of 15 to 65 years, both male and female in the period of January 2009 to July 2009 were selected. RT was administered and results were tabulated as per diagnosis by clinical psychologist. Out of total 65 patients who underwent RT, 41 were male and 24 were female in the ratio of 63:37. In clinical psychologist diagnosis- 38 were schizophrenia, 7 were psychotic depression, 6 were depression, 3 were mania, 1 was organic psychosis and 10 were underlying psychosis and in consultant psychiatrist diagnosis- 36 were schizophrenia, 5 were psychotic depression, 12 were depression, 8 were mania, 3 were organic psychosis, 1 was underlying psychosis. Key words: Rorschach test; international classification of diseases; psychotic depression; organic psychosis; underlying psychosis. DOI: 10.3126/jcmsn.v6i1.3597 Journal of College of Medical Sciences-Nepal, 2010, Vol. 6, No. 1, 14-17