iosr-JDMS   Volume-15 ~ Issue-10 ~ October-2016

Abstract: A 45 year old male was admitted with complaints of abdominal pain, distention, vomiting and fever for the past 4 days. Abdomen x ray showed dilated bowel loops with multiple air fluid levels. Diagnosis of acute small bowel obstruction was made and planned for emergency laparotomy. The abdomen was opened with a midline incision, on opening the abdomen there was multiple diverticulosis involving the jejunum and ileum with ileocaecal knotting with adhesions and diverticulitis,proceeded with resection and anastomosis of the multiple diverticulum, end to end jejunoileal anastomosis was done in two layers. Abdomen closed in single layer after keeping bilateral flank drain. Specimen sent for HPE,the biopsy came as multiple jejunal and ileal diverticulosis with focal necrosis with diverticulitis. Post operative period was uneventful.Drain removed on eigth day,sutures removed on 12th post operative day and patient was discharged on 13thpost operative day.

[1]. Kouraklis G, Glinavou A, Mantas D, Kouskos E, Karatzas G. Clinical implications of small bowel diverticula. Isr Med Assoc J
2002; 4: 431-433
[2]. Wilcox RD, Shatney CH. Surgical implications of jejunal diverticula. South Med J 1988; 81: 1386-1391
[3]. Liu D, Chen L. Management of the total bowel diverticular disease. Hepatogastroenterology 2009; 56: 1679-1682
[4]. Veen M, Hornstra BJ, Clemens CH, Stigter H, Vree R. Small bowel diverticulitis as a cause of acute abdomen. Eur J
GastroenterolHepatol 2009; 21: 123-125
[5]. Fronticelli CM, Bellora P, Ferrero A, Anselmetti GC, Passarino G, Burlo P. Complicated jejunal diverticulosis: report of a case.
Surg Today 1996; 26: 192–195

Abstract: Acute malnutrition is both a medical problem and a social problem. The child's medical problems are partly the result of social problems of the home in which he lives. The successful management of acute malnutrition passes through the recognition and solution of problems, both medical and social. Therefore, this study aimed to assess factors associated with emaciation of children 0 - 59 months in eight regions of Senegal where the nutritionalsituation haddeteriorated.

Keywords: Acute Malnutrition-SMART - associated factors – Senegal

[1]. OMS. Appréciations de l'état nutritionnel des populations. Séries de monographies. N° 53. 8p. 1969. Genève.
[2]. IFPRI, Concern Worldwide, Welthungerhilfe et Green Scenery: Indice de la faim dans le monde 2012. 72 p. Bonn, Washington
et Dublin. 2012
[3]. Black ER, Morris AS, Bryce J. Where and why are 10 million children dying every year? The Lancet 2003 June 28 (361); 2226
– 34.
[4]. WHO. Global Health Risks. Mortality and burden of disease attributable to selected major risks.Geneva, 2009.
[5.] Ministère De La Santé Et De La Prévention :enquête nutritionnelle SMART. Evaluation de la situation nutritionnelle au Sénégal.
Rapport final. Dakar, 2008. 35p.

Abstract: Gestational trophoblastic disease (GTD) is a spectrum of cellular proliferations arising from the placental villous trophoblasts encompassing four main clinicopathologic forms : hydatidiform mole (complete and partial), invasive mole, choriocarcinoma and placental site trophoblastic tumor (PSTT). Placental site trophoblasic tumours (PSTT) are rare and usually diagnosed after dilatation and curettage for missed abortion, but have also been described following term pregnancies and a hydatidiform mole. PSTT has a wide spectrum of clinical behaviour, ranging from a self-limited state to persistence to a highly aggressive metastatic neoplasm. A 23year old female G3p1l1a1 with 12weeks of gestation presented in the department with c/o per vaginal bleeding since 15days, her usg revealed triploid pregnancy with 4th fetus which revealed placental site trophoblastic tumour. Here, we study a rare case of placental site trophoblastic tumor........

Keywords:PSTT, GTD, hydatiform mole, trophoblast, invasive mole.

[1]. Begum SA, Bhuiyan ZR, Akther R, Afroz R, Chowdhury A, Keya KA. A review on gestational trophoblastic disease. Bangladesh
Med J. 2015 Jan; 44 (1).
[2]. S Dhanda, S Ramani, M Thakur. Gestational Trophoblastic Disease: A Multimodality ImagingApproach with Impact on Diagnosis
and Management. Radiology Research and Practice 2014;12 pages.
[3]. John R. Lurain. Gestational trophoblastic disease I: epidemiology, pathology, clinical presentation and diagnosis of gestational
trophoblastic disease, and management of hydatidiform mole. American Journal of Obstetrics & Gynecology 2010;531-9.
[4]. A. H. Gerulath, T. G. Ehlen. Gestational Trophoblastic Disease.J Obstet Gynaecol Can 2002;24(5):434-9.
[5]. B. J. Wagner, P. J. Woodward, and G. E. Dickey, "From the archives of the AFIP. Gestational trophoblastic disease: radiologicpathologic
correlation," Radiographics, vol. 16, no. 1, pp. 131–148, 1996

Abstract: Aim: The aim of this study was to analyse the comparative role of Oxytocin, Prostaglandin F2 alpha and Methyl Ergometrine in the active management of the third stage of labour (AMTSL). Material and Methods: A prospective cohort study was conducted in a zonal hospital setting with six hundred selected cases which were divided into three groups of two hundred each. In Group I Oxytocin 10 IU IM, Group II Methyl ergometrine 0.2mg IV & Group III Prostaglandin F2 alpha 125 mcg IM were given at the time of delivery of the anterior shoulder of the baby..............

Keywords: Active management; Third stage of labour (AMTSL); Oxytocin; Prostaglandin F2 Alpha; Methyl ergometrine.

[1]. AbouZahr C. Global burden of maternal death and disability. In: Rodeck C, ed. Reducing maternal death and disability in
pregnancy. Oxford: Oxford University Press; 2003. pp. 1-11.
[2]. Prendiville WJP, Elbourne D, McDonald SJ. Active versus expectant management in the third stage of labour [Cochrane review].
Chichester: The Cochrane Library; 2000.
[3]. Management of the third stage of labour to prevent post-partum haemorrhage (joint statement). The Hague and London:
International Confederation of Midwives and International Federation of Gynaecology and Obstetrics; 2003.
[4]. Managing complications of pregnancy and childbirth: a guide for midwives and doctors. Geneva: World Health Organization,
United Nations Population Fund, United Nations Children's Fund and The World Bank; 2003 (WHO/ RHR/00.7).
[5]. Anjaneyulu R, Devi PK, Jain S, Vijaya R, Raghvan KS; Prophylactic use of 15(S) 15 methyl PGF2 α by intramuscular route- a
controlled clinical trial. Acta Obstet Gynecol Scand 1988, 145 Suppl: S9-11

Abstract: Objective: To assess the prevalence of anaemia among adolescent out patients of rural Mathura Design: Retrospective analysis of haemogram reports of adolescents of out patient department, investigated at laboratory of Pathology department of KDMCHRC, Mathura, of 759 patients during months of June & July 2016. Materials & Method: Hb and CBC was done on automated haematology analyzer XP series: XP-100, manufactured by Sysmex Corpoation, Kobe, Japan and print out of reports done by internal printer of the analyzer. Anaemia was diagnosed based on Hb, MCV, MCH, MCHC findings......

Keywords:Anaemia, adolescents, Iron Deficiency Anaemia (IDA), Haemoglobin (Hb), Packed Cell Volume (PCV), Mean Cell Volume (MCV), Mean Cell Haemoglobin (MCH), Mean Cell Haemoglobin Concentration (MCHC).

[1]. International Institute for Population Science (IIPS) and Macro International, 2007. National Family Health Survey – 3 (NFHS-3),
2005-06, Volume I, Mumbai: IIPS; 2007. (Cross reference).
[2]. World Health Organization. Programming for adolescent health and development. WHO Tech Rep Ser No. 1996:2.
[3]. U. Kapil, A. S. Bhadoria: National Iron-plus Initiative Guidelnes for control of iron deficiency anaemia in India, 2013. The National
Medical Journal of India, Vol. 27, No. 1, 2014, pp: 27 – 29.
[4]. Poskett, M.E.Elizabeth. Early history of iron deficiency anemia. British Journal of Haematology, 122 (4), 2003: 554- 562.
[5]. Dennis L., Kasper, Anthony S. Fauci et al., Harrison's Principles of Internal Medicine, (McGraw Hill education 19th Edition2015)
Vol. I, Part 2, Section 10; Chapter 77: Anemia and Polycythemia, Table: 77-2 & 77-3, pp394.

Abstract: Introduction :The placenta is regarded as a fetal organ. It provides an indirect link between the maternal circulation and that of the fetus. The placenta can be situated anywhere on the surface of the uterus. During pregnancy, the uterine site of placental implantation may be an important determinant of placental blood flow. Ultrasonography is the preferred technique for placental localization. Although placental location has been implicated in preterm birth, fetal malposition, and the development of preeclampsia 4-6,8-11, its association with altered fetal growth is less clearly defined. Thus, this study has been planned in such a way that it targets to
examine the relation between placental location and fetal weight..........

Keywords:Fetal weight, Placenta, Placental location.

[1]. Van den Broek, N., Ntonya, C., Kayira, E., White, S. and Neilson, J. P. Preterm birth in rural Malawi: high incidence in ultrasound-dated population. Human Reproduction, 2005; 20: 3235-3237.
[2]. Kofinas AD, Penry M, Swain M, Hatjis CG. Effect of placental laterality on uterine artery resistance and development of preeclampsia and intrauterine growth retardation. Am J Obstet Gynecol, 1989;161:1536–9.

[3]. Kofinas AD, Penry M, Greiss FC Jr, Meis PJ, Nelson LH. The effect of placental location on uterine artery blood flow velocity
waveforms. Am J Obstet Gynecol, 1988;159:1504–8.
[4]. North RA, Ferrier C, Long D, Townend K, Kincaid-Smith P. Uterine artery Doppler flow velocity waveforms in the second trimester for the prediction of preeclampsia and fetal growth retardation. Obstet Gynecol, 1994;83:378–86.
[5]. Ito Y, Shono H, Shono M, Muro M, Uchiyama A, Sugimori H. Resistance index of uterine artery and placental location in intrauterine growth retardation. Acta Obstet Gynecol Scand, 1998; 77:385–90.

Abstract: Double J (DJ) stents are probably commonest foreign material placed in human body for various urological indication and like any foreign body are not complication free. Common discomfort are pain, lower urinary tract symptoms (LUTS), infection, encrustation, displacement etc. Various measures had been proposed for these symptoms. But for pain and LUTS alpha blocker and anticholinergic drugs are most commonly used drugs after painkillers. We studied effect of tamsulosin and solifinacin on stented patients. Material and method: A total of 180 patients were included in study with sixty in three groups. Group A was given tamsulosin 0.4 mg HS, group B given Tab solifenacin 5 mg hs and group C given tab multivitamin hs. These were post operative patients and were evaluated for IPSS and VAS score. Result were analysed later on for by ANOVA one way test...........

Keywords:Tamsulosin, Solifenacin, DJ stent.

[1]. Chew BH, Knudsen BH and Denstedt D. The use of stents in contemporary urology.Curr Opin Urol 2004;14:111-5.
[2]. Byrne RR, Auge BK, Kourambas J, et al. Routine ureteral stenting is not necessary after ureteroscopy and ureteropyeloscopy: a
randomized trial. J Endourol 2002;16:9-13.
[3]. Joshi HB, Okeke A, Newns N, Keeley FX Jr, Timoney AG. Characterization of urinary symptoms in patients with ureteral stents.
Urology 2002;59:511-9.
[4]. Miyaoka R, Monga M. Ureteral stent discomfort: Etiology and management. Indian J Urol 2009;25:455-60
[5]. Beiko DT, Watterson JD, Knudsen BE, Nott L, Pautler SE, Brock GB, et al. Double-blind Randomized Control Trial Assessing the
Safety and Efficacy of Intravesical Agents for Ureteral Stent Symptoms after Extracorporeal Shockwave Lithotripsy. J Endourol
2004;18:723-30..

Abstract: Vaccines are given to the healthy individuals prophylactically, in order to prevent some serious diseases such as measles, diphtheria, polio, meningitis, etc., immunization is important for children from birth to 5 years of age. As vaccines are having some serious adverse events, there is a need of Pharmacovigilance program for immunization. To analyze all suspected adverse events in children reported for pentavalent vaccination and to detect increases in known adverse events. A 3 months prospective observational study was conducted on adverse events following pentavalent vaccine in Mahatma Gandhi Memorial Hospital, Warangal............

Keywords:Immunization, Pentavalent Vaccine, Adverse events .

[1]. Harish N, Indrajit H, Ashok P, A roller – coaster ride: Introduction of pentavalent vaccine in India, Journal of Global Health 2011;
1(1):32-35.
[2]. Adverse events following pentavalent vaccination in Kashmir 2011:http://www.pudr.org.
[3]. Nisarg D, Hiren K, Krunal C, Anupamaet al., Pattern of adverse events following immunization in an Indian teaching hospital,
International Journal of Medical Science and Public Health 2013; 2(1):62-68.
[4]. Lise A, Erik W, Ebba H, Adverse drug reactions following immunization in Danish children: retrospective analysis of spontaneous
reports submitted to the Danish Medicines Agency, Formatex 2011; 407-413.
[5]. Bar-On ES, Goldberg E, Fraser A, Vidal L, Hellmann S, Leibovici L. Combined DTP-HBV-HIB vaccine versus separately administered DTP HBV and HIB vaccines for primary prevention of diphtheria, tetanus, pertusis, hepatitis B and Haemophilus influenza B (HIB). Cochrane Database Systematic Review 2009 July;8:(3)..

Abstract: Idiopathic juxtafoveolartelangiectasia(IJT) is a descriptive term for various disease entities presenting with incompetence of the capillary network affecting only the juxtafoveolar region of one or both eyes . Based on the biomicroscopic and angiographic features Gass and Blodi have classified IJRT into 3 groups with two subgroups in each (A and B), based on demographic difference and clinical severity. Group I was congenital , predominantly presenting in males with unilateral telangiectasis and macular edema. Group II was acquired, idiopathic , bilateral telangiectasis with atrophy of the fovea. Group III is characterized by progressive obliteration of the perifoveal capillary network associated with occlusive vascular retinal diseases

[1]. Gass JD, Blodi BA. Idiopathic juxtafoveolar retinal telangiectasis. Update of classification and follow-up study. Ophthalmology
1993; 100: 1536 –1546.
[2]. Paunescu LA, Ko TH, Duker JS, Chan A, Drexler W, Schuman JS, et al. Idiopathic juxtafoveal retinal telangiectasis: new findings
by ultrahigh-resolution optical coherence tomography. Ophthalmology 2006; 113: 48-57.
[3]. Ferdinando B,Erdinando B, Intergrated clinical evealuation of IJRT type 2 A , Retina 2010 ; 30: 317-326.
[4]. Sawsan R., Nowilaty, Hanan N. Al-Shamsi, Wajeeha Al-Khars. Middle East African Journal of Ophthalmology ; 2010 :17(3) 224-
241.

Abstract: Background: Maternal Near miss is new tool of obstetric care. Objective: To determine the demographic characteristics, frequency and nature of maternal near miss. Methods: This was a retrospective study done over a period of 3 years (January 2009 to December 2011) in a tertiary care centre of north eastern part of India (Manipur). The data was analyzed and presented in frequencies, percentages and proportions. Results: There were 31,522 deliveries, 69 near misses and 30 maternal deaths in the last three years. The prevalence of near miss was 2.18/1000 live births. The ratio between maternal mortality and near misses for 3 years was 1:2.3 (1:1.1 in 2009, 1:2.1 in 2010, 1:5.2 in 2011).............

Keywords: Near miss, maternal mortality, atonic postpartum hemorrhage, hysterectomy.

[1]. Bull World health orgn 2009; 87: 734
[2]. Adaisasmita A, Deviany P E, Nandiaty F etal. Obstetric near miss and death in public and private hospital in Indonesia. BMC
pregnancy and childbirth. 2008; 8: 10
[3]. India: Reproductive and child health II project- background information. http://go.worldbank.org/TOYTQF3KNO (Acessed on 1st
December 2011)
[4]. Special bulletin on maternal mortality in India 2007-09, sample registration system, june 2011.
[5]. Maternal & child mortality and total fertility rates, sample registration system, office of registrar general India, 7thjuly 2011.
http://censusindia.gov.in/vital_statistics/SRS_Bulletins/MMR_release_070711.pdf(Acsessed on 31 december 2011)

Abstract: Background and Aims: Dexmedetomidine (α2 adrenergic agonist) has been used for prevention of post anaesthesia shivering. Its use for the treatment of postspinalanaesthesia shivering has not been evaluated. The aim of this study was to evaluate and compare the efficacy, haemodynamic and adverse effects of dexmedetomidine with those of tramadol and clonidine,when used for control of post spinal anaesthesia shivering..............

Keywords: Dexmedetomidine, postspinal anaesthesia shivering, tramadol ,clonidine

[1]. De Witte J, Sessler DI. Perioperative shivering: Physiology and pharmacology. Anesthesiology 2002;96:46784.
[2]. Bhattacharya P, Bhattacharya L. Postanaesthetic shivering (PAS): A review. Indian J Anaesth 2003;47:8893.
[3]. Katyal S, Tewari A. Shivering: Anaesthetic considerations. J AnaesthClinPharmacol 2002;18:36376.
[4]. Kranke P, Eberhart LH, Roewer N, Tramèr MR. Pharmacological treatment of postoperative shivering: Aquantitative systematic
review of randomized controlled trials. AnesthAnalg 2002;94:45360.
[5]. Sessler DI. Temperature regulation and monitoring. In: Millar RD, editor. 7 thed. Textbook of Anaesthesia. NewYork: Churchill
Livingstone Inc.; 2010. p. 153356.

Abstract: Acute Rheumatic fever (RF) is a multisystem inflammatory disorder presenting with self limited migratory arthritis. It may be also accompanied or followed by carditis, and less frequently by chorea and skin involvement. It is related to post-infectious autoimmune mechanisms driven to group A streptococcus antigens. Jones criteria are the main diagnosis guidelines, by combining major and minor signs at presentation. There is no single biologic marker, and the disease course is characterized by relapse after re-exposure to streptococcal antigens.1–6 It is estimated that carditis may occur in up to 60% of the cases.5,6 Rheumatic valvular disease may be caused by a single severe attack, but it is often related to recurrent attacks. However, relapsing risks should be considered even for RF mild forms.

[1]. Carapetis JR, McDonald M, Wilson NJ. Acute rheumatic fever. Lancet 2005; 366(9480):155–68.
[2]. Carapetis JR, Steer AC, Mulholland EK, Weber M. The global burden of group A streptococcal disease. Lancet Infect Dis 2005;
5(11):685–94.
[3]. Carapetis JR, Mayosi BM, Kaplan EL. Controlling rheumatic heart disease in developing countries. Cardiovasc J S Afr 2006;
17(4):164–5.
[4]. Ferrieri P; Jones Criteria Working Group. Proceedings of the Jones Criteria workshop. Circulation 2002; 106(19):2521–3.
[5]. World Health Organization. WHO programme for the prevention of rheumatic fever/rheumatic heart disease in 16 developing
countries: report from Phase I (1986-90). WHO Cardiovascular Diseases Unit and principal investigators. Bull World Health Organ
1992; 70(2):213–8.

Abstract: Urinary tract infection (UTI) is a common bacterial infection known to affect the different parts of the urinary tract and the occurrence is found in both males and females. This study is aimed to study drug of choice for the UTI cases in Al-khoms area, Libya. A total 50 cases (Male and female of different ages) were enrolled for this study. UTI was diagnosed using mid-stream urine culture on standard culture media and the drug of choice was studied using Kirby-Bauer method. Present study in Al-khoms area, Libya shows that female has higher UTI frequency than male. Drug of choice for E. Coli is Ciproflaxacin and Cephalexin, for Klebsiella sp. is Ciproflaxacin, Cloxacilin, Nitofurantoin, Cefoxitin and Augumentin and for Staphylococcus sp. is Cefoxitin.

Keywords: UTI, Bacteriuria, Antibiotic resistance, Drug of choice, Al-khoms.

[1]. Aiyegoro O.A., Igbinosa O.O., Ogunmwonyi I.N., Odjadjare E.E. and O.E. Igbinosa (2007) Incidence of Urinary tract infection
among children and adolescents in Ile-life, Nigeria. African J Microbiology research 1:13-19.
[2]. Amin F.N., Rooshan M.H., Ahmady M.H. and M.J. Sohamani (2009) Hygiene practices and sexual activity associated with urinary
tract infection in pregnant women. East Mediter. Health J 15(1):104-110.
[3]. Ayoade E., Moro D.D. and O.L.Ebene (2014) Prevalence andantimicrobial susceptibility pattern of asymptomatic urinary tract
infections of bacterial and parasitic origins among the University students in redemption camp, Ogun state, Nigeria. Open J Med.
Microbiology 3:219-226.
[4]. Battikhi M.N. and Q.G. Battikhi (2015) Correlation of Urinary infection pathogens, antibiogram and age group in pregnant women.
J Microbiology and Experimentation 2(4):1-6.
[5]. Clani O., Grassi D and R. Tarriconi (2013) An economic perspective on UTI: the costs of resignation. Clin. Drug (23(4):255-261.

Abstract: Background: Policing has been described as a most stressful occupation and traditionally dominated by males, however more females are entering the police workforce and increased numbers of women are becoming police officers. Policing job is Female police face stresses caused by their minority status within the department. High level of stress related problems are encountered in this population, because of personal risk of exposure, violence, and day to day involvement in traumatic incidents...........

Keywords: Stress, inequality, traffic police, women

[1]. Cohen S, Kessler RC, Gordon LU. Measuring stress: A guide for health and social scientists: Oxford University Press on Demand; 1997.
[2]. Brown J, Cooper C, Kirkcaldy B. Occupational stress among senior police officers. British Journal of Psychology. 1996;87(1):31-41.
[3]. Kaur R, Chodagiri VK, Reddi NK. A psychological study of stress, personality and coping in police personnel. Indian journal of psychological medicine. 2013;35(2):141.
[4]. Wilson SA, Tinker RH, Becker LA, Logan CR. Stress management with law enforcement personnel: A controlled outcome study of EMDR versus a traditional stress management program. International Journal of Stress Management. 2001;8(3):179-200.
[5]. Stinchcomb JB. Searching for stress in all the wrong places: Combating chronic organizational stressors in policing. Police Practice and Research. 2004;5(3):259-77.

Abstract: The aim of this study was to compare the clinical outcomes of buccal fat pad flap or buccal advancement flap in closure of the oroantral fistula. A total of 20 patients with oroantral fistulae were selected for this study. Ten patients were treated with Buccal Advancement Flaps (BAFs )(Group1), and 10 were treated with buccal Fat pad flaps(BFPFS) (Group2). The parameters evaluated included, closure of the fisula, pain, swelling, maximum mouth openin , and vestibular depth. Assessments for clinical parameters were made on the day of surgery , on days (2 and 7) and 3 months.............

Keywords: Buccal advancement flap ,Oroantral fistula, pedicled buccal fat pad graft

[1]. RC. Meirelles, RM. Naves-Pinto, Oroantral fistula and genian mucosal flap : a review of 25 cases, Rev Bras Otorrinolaringol, 74(1), 2008, 85-90.
[2]. T. Yilmaz, AE. Suslu, B. Gursel, Treatment of Oroantral Fistula: Experience With 27 Cases, American Journal of Otolaryngology, 24(4),2003, 221-3
[3]. O Guven, A clinical study on oroantral fistulae, J Craniomaxillofac Surg,26,1998, 267-71.
[4]. Dym H, Wolf JC, Oroantral communication, Oral and maxillofacial surgery clinics of North America, 24(2), 2012,239-47.
[5]. SH. Visscher, B. van Minnen, RR. Bos, Closure of oroantral commu¬nications: a review of the literature, Journal of oral and maxillofacial surgery, 68(6), 2010,1384-91.

Abstract: Background: Liver disorders complicate 3 %of all pregnancies,yet it takes a major toll on health of both mother and fetus especially in developing countries like India.It is responsible for about 60%of perinatal mortality and about 14%of maternal mortality.The aim of this study was to findout the effect of jaundice on maternal health in pregnancy and assess the complications of jaundice in pregnancy .To evaluate the outcome in labour and to study the maternal mortality, and to acknowledge the effect of jaundice on fetus and perinatal mortality rates..............

[1]. NehaN,Juhi A ,BabuS.Outcome of pregnancy in cases of jaundice.International journal of scientific research.2014;3(8).
[2]. Renu Mishra .Ian Donald practical obstetric problems.7thedition.Wolter Kluwer,2014.p 154.
[3]. CunninghamG,Leveno KG et al.Hepatic,biliary and pancreatic disorders.Williams obstetrics.23rd edition.Mc GrawHill,NewYork;2010. p 63.
[4]. BegumN,Devi SG et al.Seroprevalence of subclinical HEV infection in pregnant women from north India:a hospital based study.Indian J Med Res.2009;130:709-13.
[5]. Harshad D,WalterKK,Ross D et al.Pregnancy -associated acute liver disease and acute viral hepatitis:differentiation,course and outcomes.Journal Hepatology.2008;49:930-5.

Abstract: Purpose: The term Unspecified Psychosis or Psychosis NOS is to be used only as a last resort, when no other term can be used according to the International Classification of Disease (W. H. O.). In this study we tried to find out the Stability and Validity of Unspecified non organic psychosis andanalysed the Socio demographic and Clinical correlates of the final diagnosis made. Materials and Methods: The sample comprised of 102 new cases admitted as in-patients who were evaluated and given a diagnosis of Unspecified non organic psychosis based on ICD 10 and DSM IV criteria. Scid for DSM IV Axis I disorder, Patient edition was administered to the patients. The patients were then followed up for a total duration of 12 months after first evaluation...........

Keywords: Unspecified non organic psychosis, stability, validity, Schizophrenia, Bipolar disorder

[1]. Astrup. C. &Noreik. K. (1966) Functional Psychosis Diagnostic and prognostic models, Charles C. Thomas, Springfield,
[2]. Chaturvedi, S. K., Varma, V.Jc, Malhotra, S. &Pradeep Kumar, (1983), Hospital stay of In-patients in a general hospital psychiatry Unit. Indian Journal of Psychiatry,25, 293.
[3]. Channabasavanna. S.M., Khanna. S. & (1984). Diagnostic stabijjty over five years. A retrospective study. Indian Journal ofPsychological Medicine, 7, 82
[4]. Christoph U. Correll et al, Prospective Study of Adolescents with SubsyndromalPsychosis: Characteristics and Outcome , Journal Of Child And Adolescent Psychopharmacology, Volume 15, Number 3, 2005
[5]. Cooper, J. E.,Kendell,R.E.,Gurland, B.J., Sharape, L., Copeland,J. R. M. &Simon, R. (1972), MaudsleyMonographs.Oxford University Press. London.s

Abstract: Cognitive Behaviour therapy has been hailed as one of the most evidence basedtherapeutic option in mental health care particularly in treatment of Depressive disorder and Anxiety disorders. This article discusses both the traditional approach in Cognitive behaviour therapy and the newer generation Cognitive therapies with remarks about the need for new wave CBT techniques.............

[1]. Aaron T. Beck, A. John Rush, Brian F. Shaw, and Gary Emery (1979) Cognitive therapy of Depression, 3 – 6, The Guilford Press, New York
[2]. Aaron T. Beck, (2002) Cognitive Models of Depression. In Robert L. Leahy,E.
[3]. Thomas Dowd (Eds) Clinical Advances in Cognitive Psychotherapy Theory and Application, 29-62, New York , Springer publishing company Adam B. Lewin, Monica S. Wu, Joseph F. McGuire, Eric A. Storch (2014)
[4]. Cognitive Behavior Therapy for Obsessive-Compulsive and Related Disorders, Psychiatric clinics of North America, Elsevier
[5]. Andrew C. Butler, Jason E. Chapman, Evan M. Forman, Aaron T. Beck (2006),The empirical status of cognitive-behavioral therapy: A review of meta-analyses, Clinical Psychology Review, 26, 17– 31

Abstract: Pleomorphic adenoma is the commonest type of all benign and malignant salivary gland neoplasm majority involving the parotid gland. It is a slow growing and benign tumour which can reach an enourmous size and may turn malignant if left untreated. Although uncommon, most cases of giant pleomorphic adenoma were reported before 1980's, with few publications recently. This paper presents a rare case of giant pleomorphic adenoma in the parotid gland measuring 3.1 kg by weight in a 78 year old female with a history of 10 years. Pre operative assessment was done by thorough clinical examination, histological and radiological findings. Treatment comprises Total conservative parotidectomy by the Transcervical Transparotid approach with post operative excellent aesthetic and functional results.

Keywords: Giant pleomorphic adenoma, parotid gland, parotidectomy

[1]. Van Heerden WF, Raubenheimer EJ. Intraoral salivary gland neoplasms: a retrospective study of seventy cases in African population. Oral Surg Oral Med Oral Pathol 1991;71:579-82
[2]. Wang D et al. Intraoral minor salivary gland tumors in a Chinese population: a retrospective study on 737 cases. Oral Surg Oral Med Oral Pathol Oral Radiol endod 2007; 104:94-100.
[3]. Toida et al. Intraoral minor salivary gland tumors: a clinicopathologic study of 82 cases. Int J Oral Maxillofac Surg 2005; 34:528-32 [4]. Luna MA. Salivary glands. In: Pilch BZ, editor. Head and neck surgical pathology. Philadelphia: Lippincott Williams & Wilkins; 2001. pp. 284–349 [5]. Ellis GL, Auclair PL. Pleomorphic adenoma. In: Ellis GL, Auclair PL. Tumors of the Salivary Glands (Atlas of Tumor Pathology). Facicle 17. Washington, DC: Armed Forces Institute of Pathology; 1996:39-57

Abstract: Tobacco smoking in India has been increasing alarmingly.Smoking is a known risk factor for chronic obstructive pulmonary disease(COPD),cardiovascular diseases and certain cancers, especially, the lung cancer.Nicotine is the addictive drug in tobacco smoke that causes smokers to continue to smoke. PEFR is a useful parameter to monitor airway obstruction, assess its severity and variation and evaluate the effects of treatment.40 healthy adult males aged between 20-50 years smoker for more than one year at Pimpri –Chinchwad area in Pune were selected................

Keywords: Smokers, Non-smokers, PEFR, RMS Helios spirometer

[1]. Mathers, C.D. (2004) The global burden of disease:2004 update. Geneva: World Health Organization; 2008.
[2]. Global Adult Tobacco Survey. GATS India 2009–10Report. Ministry of Health & Family Welfare, Government of India, New Delhi, 2010.
[3]. Van Schayck, C.P., Loozen, J.M., Wagena, E.,Akkermans, R.P. Wesseling, G.J. (2002) Detecting patients at a high risk of developing chronicobstructive pulmonary disease in general practice:cross sectional case finding study. BMJ.324:1370.
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Abstract: Objective(s): To assess the airflow obstruction in post-tubercular COPD and nontubercular COPD patients. Method(s): 86 patients of age 40-80 years, having exertional dyspnea with or without cough, expectoration and /or having past history of pulmonary tuberculosis and complete anti-tuberculosis therapy, smoking were recruited for study. Included patients had radiological evidence of scarring, fibrosis, cavitations, emphysema and other destructive lung changes. Presence of any active disease, history of occupational exposure, asthma, IHD, ILD, bronchiectasis, anemia and renal failure patients were excluded. 37 patients having COPD with history of TB were selected as cases and 49 patients of COPD without history of TB were selected as controls. Spirometry was done on Spirolab using vitalograph.......................

Keywords:Anti tubercular treatment, chronic obstructive pulmonary disease, forced expiratory volume, Forced vital capacity, pulmonary function tests.

[1]. Tuberculosis Fact sheet N°104". World Health Organization. November 2010. (Accessed on 26 July 2011).
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www.who.int/tb/publications/global report /2009/update/ tbu9.pdf. (Accessed on 27 April 2012).
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from URL:www.who.int/tb/publications/global_report/2007/en/.
[4]. Lawn SD; Zumla AI. "Tuberculosis". Lancet 2011;378 (9785):57–72.
[5]. Mishra NC, Singh K. Comparative Computational Analysis of Mycobacterium Species by using Different Techniques in Study.
Advances in Life Science and Technology 2012;(5):58-7

Abstract: Myxofibrosarcoma typically occurs on old age and the most common sites are extremities. But our case is a very rare case as in this case a 24 year young male developed a swelling in left upper antero-lateral chest wall which was diagnosed as fibrohistiocytic tumour and was operated in some other local hospital and the patient presented to us again with a recurrent swelling at the same site without evidence of metastasis after 20days. Wide local excision of the tumour was done and now the patient is all right without any evidence of recurrence. Thus giving a message how important is proper wide local excision in the treatment of myxofibrosarcoma.

Keywords: Myxofibrosarcoma, Recurrence, Wide local excision.

[1]. Schwartz's Principles of Surgery, 10th Edition, McGraw-Hill Education:2015. p 465.
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Pathol Jpn 1980;30:727–41.
[3]. Enzinger FM, Weiss SW. Soft Tissue Tumors. St. Louis: Mosby Year Book 1995;351–80.
[4]. Weiss SW, Enzinger FM. Myxoid variant of malignant fibrous histiocytoma. Cancer 1977;39:1672–85.
[5]. Wood GS, Beckstead JH, Turner PR. Malignant fibrous histiocytoma tumor cells resemble fibroblasts. Am J Surg Pathol
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Abstract: Palatine rugae are the characteristic soft tissue folds on the anterior third of the palate. These are highly individual and consistent in shape throughout life. Palatine rugae are important as it can be useful in many ways. When identification of an individual by other methods as finger print ,lip print etc is inconclusive, palatal rugae may be considered as an alternative source of information (usually if comparative material is available) enabling the search field to be narrowed. Palatal rugae pattern in different ethnic groups may differ. This also can be used to narrow down the search............

Keywords: Palatine rugae, human identification, maxillary canine, teeth arrangement.

[1]. Glossary Prosthodontic Terms 8: 70.
[2]. D. Shukla, A. Chowdhry, D. Bablani, P. Jain, R. Thapar.Establishing the reliability of palatal rugae pattern in individual
identification (following orthodontic treatment).J Forensic Odontostomatol 2011;29:1:20-29)
[3]. Harjeet Kaur Sekhon, Keya Sircar, Sanjeet Singh, DeeptiJawa, Priyanka Sharma. Determination of the biometric characteristics of
palatine rugae patterns in Uttar Pradesh population: A cross‑sectional study. Indian Journal of Dental Research, 25(3), 2014.
[4]. Bhullar A, Kaur RP, Kamat MS. Palatal rugae – An aid in clinical dentistry. J Forensic Res 2011;2:124.
[5]. Winslow JB. Exposure of the anatomical structure of the human body. Fisher – University of Toronto. 1732.

Abstract: Objective: To investigate the myocardial depressant activity of a dihydropyrimidine derivative 5-acyl-6-methyl-4-phenyl-2-S-ethyl-1,4-dihydropyrimidine (BK-VI) and 5-acyl-6-methyl-4(2,3 methylenedioxy) Phenyl 2-S-benzyl-1,4-dihydropyrimidine (BK VII)and comparing with nifedipine on Isolated perfused rabbit heart. Material and Methods: Effects of the test compoundS BK-VI and BK-VII on the amplitude,heart rate and coronary flow on isolated perfused rabbit heart was noted and compared with nifedipine.Observations were made with increasing concentrations............

Keywords: Calcium channel blockers, Dihydropyrimidines, Dihydropyridines, , Nifedipine, Voltage dependent calcium channels.

[1]. Schereiber Stuart L. Target-oriented and diversity-oriented organic synthesis in drug discovery. Science, 287(5460),2000,1964-1969.
[2]. Dallinger Dorris and Kappe.C.Oliver.Creating chemical diversity space by scaffold decoration of dihydropyrimidines, Pure Appl. Chem. 77, 2005, 155-161.
[3]. Biginelli P. Gazz.Chim.Ital.,23, 1893,360.

Abstract: Brachial plexus block is most commonly used regional anesthesia technique for upper limb surgeries. While giving regional anesthesia, when an adjuvant drug is added to local anaesthetic solution than the onset, duration of sensory and motor block and postoperative analgesia period is variably modified. We compared effects of alpha 2 agonist demedetomidine and clonidine added to levobupivacaine in this study. It has advantage of reducing complications associated with general anesthesia and provides post operative analgesia as well. Aims:To, study and compare the onset and duration of sensory and motor block , duration of analgesia on using levobupivacaine with clonidine............

Keywords: Supraclavicular block, Levobupivacaine, Dexmedetomidine, Clonidine.

[1]. Das A, Majumdar S, Halder S, Chattopadhyay S, Pal S, Kundu R, et al. Effect of dexmedetomidine as adjuvant in ropivacaineinduced
supraclavicular brachial plexus block: A prospective, double-blinded and randomized controlled study. Saudi J Anaesth
2014;8:72-7.
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Surg 2012;20:38-47.
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following intravenous administration of the racemate. Br J ClinPharmacol 1994;38:125‑9.
[4]. Foster RH, Markham A. Levobupivacaine: a review of its pharmacology and use as a local anaesthetic. Drugs. 2000;59:551–79
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and analgesia after axillary brachial plexus block. Anesth Analg. 1996;83:1046–50

Abstract: This study is to evaluate whether the protein creatinine ratio in a spot urine sample is as reliable as 24 hrs urine protein in quantification of proteinuria, in patients with varying degrees of renal dysfunction and different levels of proteinuria in a tertiary care hospital.This study shows that the protein creatinine ratio by themselves appear to indicate the presence and degree of proteinuria. It can , thus be used as an screening procedure for quantification of proteinuria even in an outpatient clinic as it requires only a spot urine sample.

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