Basanta Kumar Behera

Ovarian Pregnancy: Uncommon Mode of Presentation

Ovarian pregnancy is very rare, and its incidence is 1 in 3000 live births. In this condition, common risk factors for ectopic pregnancy not usually found. It usually occurs in fertile women and more commonly with in-situ intrauterine device (IUD). Preoperative diagnosis is always not possible although the patient commonly presents with abdomen-pelvic pain, per vaginal bleeding and hypovolemic shock. High degree of suspicion with estimation of serum beta HCG, transvaginal ultrasonography by an experienced sonologist and laparoscopy is required for confirming the diagnosis. Though, the usual treatment is surgery, it can be managed by medical methods only in hemodynamically stable patients. In this case report, we describe the unusual mode of clinical presentation in an elderly woman with ovarian pregnancy.

Effect of body mass index on gender difference in lung functions in Indian population

Lung function tests have been known to be associated with a variety of factors such as age, sex, race, ethnicity, height, weight, chest circumference, waist circumference, waist-hip ratio, body mass index (BMI), etc. Increasing trend of obesity in developing country such as India leads to change in pulmonary function tests. The present study was undertaken to assess how BMI contributes to change in vital capacity (VC), forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), ratio between FEV1 and FVC (FEV1/FVC) and peak expiratory flow rate (PEFR) and if there was any difference between patterns in males and females. The 60 healthy subjects were included in the present study within the age group of 20-65 years. The BMI of each subject was calculated, and correlation was done between BMI and the lung function parameters. In males, PEFR was correlated with BMI, while in females it was significantly correlated with VC, FEV1, FVC, and PEFR. Applying multivariate analysis, we obtained odds ratio that supported females had a stronger correlation when compared to males. BMI contributes independently to pulmonary function tests, and the correlation pattern was different for males and females.