The research included 120 patients with acute myocardial infarction with ST-segment elevation, who underwent reperfusion. It has been revealed, that in AMI + ST ischemic myocardial damage are not the same, and there are areas of reversible left ventricular dysfunction, along with the irreversible necrosis. An effective reperfusion during AMI + ST always accompanies by reperfusion injury and the development of "stunned" myocardium. Restoring asynergic contractility of myocardium under stress echocardiography with small doses of dobutamine, determines the improvement of global systolic function and left ventricular remodeling. Reperfusion resulted in a decrease the frequency of signs of heart failure and cardiac arrhythmias in patients with transmural myocardial infarction.

Our study was carried out over 5 months from April 2014 to August 2014. Patients of uncomplicated cataract operated at tertiary care centre, Nanded by same surgeon with Manual small incision cataract surgery (SICS) with posterior chamber intra ocular lens (PCIOL) were studied. Objective is to find out co-relation between High IOP and topical 0.05% Difluprednate use on post-operative patients. Study Design was hospital based, prospective, observational Cohort study. Patients were started on topical antibiotic plus 0.05% difluprednate combination on first post-operative day and advised q.i.d. dosing. Then patients were followed for 6 weeks their IOP was measured by Goldmann Applanation Tonometer. Total of 56 eyes of either sex were included in the study. Our study showed that there is low risk of IOP rise in postoperative cataract patients i.e. 3.57% (2 out of 56 eyes) if schedule is followed. So our study concludes that strict following of dosing is necessary to get good outcome with difluprednate

Combinations of pelvic and abdominal injuries occur in 26-50% of prisoners with MT. To 55% of pelvic injuries are accompanied by abdominal trauma. Retrospective and prospective analysis of 68 patients was carried out for the period from 2001 to 2012. Combination of abdominal trauma with bladder injury was observed in 68 patients, of them in 49 (72.1%) with pelvis bones fractures, 11 with injuries of thoracic organs, 9 with cranial injuries, 8 with injuries of extremities, 7 with spinal column injuries. Results: 47 (69.1%) patients with combined intraperitoneal traumas underwent median laparotomy for peritonitis with suturing of bladder wall rupture. In 21 (30.9%) patients intraperitoneal bladder injuries were opened by median suprapubicectoperitoneal approach. Lethality in abdominal multitraumas with bladder injuries made 16.2% (11 patients). In 9 patients lethal outcome was caused by multiple and combined trauma of the skull, chest, etremities and abdomen (liver, spleen, intestine) and urinary peritonitis in 2 patients. In early and timely diagnostics and rational operative intervention both in intra and ectoperitoneal bladder injuries adequate drainage of paravesicular cellular tissue and small pelvis contribute to decrease of various complications and lethality

Osteogenesis imperfecta (OI) is a genetic disease characterized by fragile bones, skeletal deformities and, in severe cases, prenatal death that affects more than 1 in 10,000 individuals. We report a case of a primigravida, a 24 yr old lady who presented in the emergency room of a secondary care hospital in Howrah, West Bengal, India (Silver Jubilee Matrisadan) at 36 weeks of gestation with breech presentation. Upon delivery by Em LSCS the Obstetrician & Neonatologist found that there was fracture in right femur and abnormally stunted left leg. Fracture femur during delivery was suspected. Radiological examination of both lower limbs showed fracture of right femur, with abnormal acute bowing of left femur with no associated shadow showing fracture haematoma. The neonate was transferred to a tertiary care centre for investigation and further diagnosis and management. Neonate was diagnosed to have Osteogenesis Imperfecta. This peculiar puzzling presentation which was primarily suspected as fracture of femur due to manipulation during breech delivery was subsequently diagnosed to be an undiagnosed case of osteogenesis imperfecta with intrauterine fractures