iosr-JDMS   Volume-15 ~ Issue-8 ~ August-2016

Abstract: Coronary arteryDisease is the common impact of death worldwide in type 2 Diabetes mellitus.High rate of asymptomatic coronary heart disease in type 2 DM.We studied aboutthe prevalence of silent myocardial ischemia (SMI) in asymptomatic type 2 diabetes mellitus by using treadmill test. We also analysed about the clinical predictions ofSilent Myocardial Ischemia in asymptomatic type 2 DM. The study was one year cross sectional study conducted on the 50 asymptomatic type 2 DM outpatients in the tertiary care hospital during the period of July 2014 to July 2015.............

Keywords: Coronary Artery Disease, Silent Myocardial ischemia, Type 2 Diabetes Mellitus, Tread Mill Test.

[1]. American Diabetes Association-Clinical Practice Recommendations Diabetescare2007;30(Suppl.4).
[2]. Fauci, Braunwald, Kasper, Hauser Longo,JamesonLoscalzo. Harrison's principles ofinternal medicine; Diabetes mellitus. 17th edn.,NewDelhi: McGraw Hill Medical Publishing Division,2008.
[3]. Gupta SB, Pandit RB. Silent myocardial ischemia and cardiac autonomic neuropathy I diabetes. Ind Heart J 1993; 44(4): 227-9.
[4]. Ahluwalia G, Jain P, Chugh SK, Wasir HS, Kaul U. SMI in diabetics with normal autonomic function. Int J Cardiol 1995;

Abstract: Chronic Kidney Disease is a worldwide health problem with an increasing incidence and prevalence. Abnormalities in the structure and function of the thyroid gland and in the metabolism and plasma concentration of thyroid hormones are common in patients with CKD. In view of variability of thyroid profile in CKD patients in previous studies, a prospective study of various thyroid function has been undertaken to establish a correlation if any between thyroid dysfunction and severity of renal diseases . Total number of 50 patients with Chronic Kidney Disease on conservative management fulfilling the criteria for CKD who were admitted in Department of Medicine, tertiary care hospital, during the period of July 2014-July 2015 were selected in this prospective study............

Keywords: Chronic kidney disease, low T3syndrome, Thyroid dysfunction.

[1]. Andrew S. Levey, Josef Coresh, Ethan Balk, Annamaria T. Kausz, Ronald D. Perrone. National Kidney Foundation Practice
Guidelines for Chronic Kidney Disease: Evaluation, Classification, and Stratifiction. MD Ann Intern Med. 2003;139:137-147.
[2]. Joanne M.Bargman, Karl S.Korecki. Chronic kidney disease. In: Dan L.Lango, Anthony S.Fauci, Dennis Kasper et al. Harrison's
Principles of Internal Medicine, Vol. 2, 18th edn., 2011; McGraw Hill, USA, pp. 2289-2293; 2308-2313.
[3]. Feinstein EI, Kaptein EM, Nicoloff JT &Massry SG. Thyroid function in patients with nephrotic syndrome and normal
renal function. American Journal of Nephrology 1982 2 70Ð76.
[4]. Kaptein EM, Quion-Verde H &Massry SG. Hemodynamic effects of thyroid hormone. Contributions to Nephrology 1984 41
151Ð159.
[5]. Kaptein EM. Thyroid function in renal failure. Contributions to Nephrology 1986 50 64Ð72.

Abstract: In Seventy Two patients admitted in Chengalpet Medical College & Hospital in General Medicine ward during the period January 2015 to October 2015 with acute Cerebrovascular accident, history of TIA was present in 27% of thrombotic stroke and 7% of cardio embolic strokes but was absent in all patients with ICH. 92% of the TIAs lasted less than an hour. Most of the patients developed stroke within two months of the first TIA...........

Keywords: Cerebrovascular accident – Transient Ischemic Attack.

[1]. Milliken C, McDowell F: Treatment of Trasient ischaemic attacks . Stroke 9, 299-308,1978
[2]. Davies P. Dambrosia J, Schoenberg B et al : Risk factors for ischemic stroke: A prospective study I Rochester, Minnesota.Annuals
of Neurology, 22, 319-327,1987
[3]. Levy: How transient are transient ischaemic attacks? Neurology 38, 674-677, 1988.
[4]. Dhanaraj, Kumaresan Velmurugendran C U : Chronic subdural Hygroma presenting as transient neurological deficit. Neurology
India 35-172, 1987
[5]. Wolf P. Kannel W, Verter J Current status of risk factors of stroke. Neurological clinics of North America . Symposium on
cerebrovascular disease. Ed Barnett H J M Saunders Company London 317-343, 1983

Abstract: Introduction: Indian subcontinent has one of the highest HIV prevalence rates globally as per WHO. The HIV has reached epidemic proportions in our country and characterised by high rates of morbidity and mortality. Aim of the study: To document, the clinical profile, the laboratory profile, clinical staging and immunological staging based on CD4 count, in 100 randomly selected newly diagnosed HIV infected patients attending ART centre, Government Thiruvannamalai Medical College Hospital, Thiruvannamalai from January 2016 to July 2016................

Keywords: HIV infected patients, opportunistic infection, clinical staging, CD4 count.

[1]. www.naco.gov.in/upload/.../NACO_English%202013-14.pdf
[2]. http://www.thehindu.com/news/national/tamil-nadu/hiv-prevalence-among-adults-in-tn-continues-to-decline/article5409092.ece.
[3]. Zuckerman AJ, Banatvala JE, Griffiths PD, Schoub B, Mortimer P. Principles and Practice of Clinical Viology; 6th Ed. London:
Wiley – Blackwell; 2008
[4]. Abbas AK. In: Kumar V, Abbas AK, Fausto N, editors. Robbins and Cotran: Pathologic Basis of Disease; 7th Ed. New Delhi; 2004:
pp 245-58.
[5]. Coleman CM, Li Wu. HIV interactions with monocytes and dendritic cells: viral latency and reservoirs. Retrovirology 2009; 6: 51.

Abstract: Introduction: Woman breast is a dynamic structure undergoes proliferative changes during reproductive period and changes of involution occur in perimenopausal period. Benign breast disease is most common problem in woman. Majority of them require treatment in their life time. Benign breast disease constitutes a heterogeneous group of lesions; include developmental abnormalities, inflammatory lesions and neoplasms. Benign lesions are likely to turn malignant, it is a major concerned to patient as well as clinician, aim of a clinician is to rule out breast cancer since, most benign lesions occur in cancer age group and some of them mimic as carcinoma................

Keywords: Benign breast disease – BBD, Medical Records Department – MRD, Simple mastectomy, Ultra sonogram (USG), Mammogram

[1]. Donegan WL. (2002)Common benign conditions of the breast. In: Donegan WL, Spratt JS, eds. Cancer of the Breast, Fifth Edition.
St. Louis, MO: Saunders: 67–110.
[2]. Kelsey JL, Gammon MD (1990) Epidemiology of breast cancer. Epidemiol Rev 12:228–240.
[3]. El-Wakeel H, Umpleby HC (2003) Systematic review of fibroadenoma as a risk factor for breast cancer. Breast 12:302–307.
[4]. Hughes LE, Mansel RE, Webster DJT. (1987) Aberrations of normal development and involution (ANDI): a new perspective on
pathogenesis and nomenclature of benign breast disorders. Lancet 2:1316–1319.
[5]. Tavassoli FA, ed (1999) Chapter 11. Biphasic tumors. In: Pathology of the Breast, Second Edition. Stamford, CT: Appleton &
Lange 571–631.

Abstract: Forensic dentistry is the examination and evaluation dental evidence which will be then presented in the interest justice. The palatal rugae are generally transverse ridges situated in the anterior part the palatine mucosa. Palatal rugae are resistant to chemical aggression, thermal effects and decomposition changes because internal position in the head. They are widely used in edentulous patients where dental identification is not possible and in patients where other body parts are burnt and decomposed. Aim the study is toanalyze and identify the differences in the palatal rugae patterns in males, females, families& identical twins.................

Keywords: Forensic dentistry, Palatoscopy, rugae patterns, identical twins.

[1]. Funayama M et al. Dental identification using digital images via computer network . The American Journal Forensic Medicine and
Pathology; Vol-21, No-2; page- 178 – 183;2000.
[2]. Rajendran R, Sivapathasundram B. Shafer's Textbook Oral Pathology. 5th edition; page 1227-1999; 1199 -1200
[3]. Thomas C.J, Van WY C.W. K, The Palatal Rugae In Identification, J Forensic Odontostomatol. 1988; 6 (1):21–25.
[4]. Hauser G, Daponte A. and Roberts M. J. Palatal rugae. J. Anat., 1989; 165, 237-249
[5]. Hauser G, Daponte A. and Roberts M. J. Palatal rugae. J. Anat., 1989; 165, 237-249.

Abstract: Introduction: Failed back surgery syndrome (FBSS) represents a clinical condition of patients that undergo one or more surgical procedures for lumbosacral disease and still present unsatisfactory long-term relief of symptoms, with persistent or recurrent low back pain. One of the sources of failed back surgery syndrome is segmental instability of the lumbar spine. There is very limited evidence in the literature regarding the incidence of spinal instability following fenestration and discectomy...............

[1]. Barr JS. Protruded disc and painful backs. J Bone Joint Surg Br. 1951;33:3–4.
[2]. Frymoyer JW. The role of spine fusion: Question Spine. 1981;6:284–90.
[3]. Hakelius A. Prognosis in sciatica: A follow-up of surgical and non-surgical treatment. Acta Ortho Scand (Suppl) 1970;129:3–76.
[4]. O'Brien JP, Dawson MH, Heard CW, Momberger G, Speck G, Weatherly CR. Simultaneous and combined anterior and posterior
fusion: A solution for failed spinal surgery with a brief review of the first 150 patients. Clin Orthop Relat Res. 1986;203:191–5.
[5]. Pope MH, Panjabi M. Biomechanical definitions of spinal instability. Spine 1985;10:255–256.

Abstract: To Study The Efficacy Of Hysteroscopy As A Screening Method In Patients With Abnormal Uterine Bleeding. To Compare The Usefulness Of Hysteroscopy And Transvaginal Ultrasound In Abnormal Uterine Bleeding. To Correlate The Results Of Hysteroscopy And Tvs With Histopathological Examination.

[1]. Cicinelli E,Romana F,Anastosio psetal.,transabdominal sono hysterography ,transvaginal sonography,hysteroscopy in evaluation of
organic cause of abnormal uterine bleeding.ferti/steri/2001:76:350-357
[2]. munro mg,role of hysteroscopy in diagnosis of abnormal uterine bleeding.obstet gynecol clin north am 2010:37:399-425
[3]. cooper na,khan ks et al hysteroscopy as a diagnostic tool bmj 2010:340:c1130
[4]. brooks pg serden sp hysteroscopic findings after unsuccessful dilatation and curettage for abnormal uterinne bleeding am j obstet
gynecpol 1988:1581354-1357
[5]. loffer fd hysteroscopy with selective endometrial sampling compared with d and c for abnormal uterine bleeeding:the value of a
negative hysteroscopic view obstet gynecol 19

Abstract: Ninety women, who attended the infertility clinic, were evaluated. Hysterosalpingography and laparoscopy with chromopertubation was done in all these 90 patients for assessment of tubal patency. The study analysed the efficacy of HSG versus laparoscopy and compared the correlation between the two methods. The results of the study showed that in diagnosing a patent tube the correlation between HSG and laparoscopy is 75% for patent tubes and 73% for blocked tubes. The sensitivity of HSG in diagnosing tubal pathology was 81% while specificity is 71%. A high false positive rate of 29% in HSG was shown in this study.

Keywords: Chromopertubation, Diagnostic Laparoscopy, Hysterosalpingography, Infertility, Tubal patency

[1]. Marc A. Fritz and Leon Speroff, Clinical Gynaecologic Endocrinology and Infertility, 8th edition, New Delhi, Lippincott Williams
and Wilkins, 2011, 1137-90
[2]. Opshal MS, Mille B. Predictive value of hysterosalphingography for tubal and peritoneal factors. Journal of fertility steril 1993
Sep: 60(3): 444-8
[3]. Shah SM, Towobola OA, Mashihleho M. Diagnosis of fallopian tube patency, East Afr. Med. J. 2005, Sep : 82(9):457-62.
[4]. Donnez J, Hangerock S, Lecart C, Thomas K. Incidence ofpathological factors not revealed by hysterosalpingography but by
laparoscopy. Eur. J. Obstet. Gynaecol. (1982);Sep:13(6):369-75
[5]. Ngowa JDK, Kasia JM, Georges NT, Nkongo V, Sone C, Fongang E Comparison of hysterosalpingograms with laparosocopy in the diagnostic of tubal factor of female infertility at theYaounde general Hospital, Cameroon Pan Afr Med . 2015; 22:264

Abstract: Introduction:Indian data about the prevalence ofCoronary artery disease(CAD) in patients with valvular heart disease are limited. Prevalence of CAD in valvular heart disease is unknown in North Eastern India AIM: To study the prevalence of Coronary artery disease in valvular heart disease and to compare the prevalence of cardiovascular risk factor and Coronary artery disease prevalence in rheumatic and non rheumaticvalvular heart disease Materials And Methods:We prospectively collected data of valvular heart disease above 35 years who were scheduled for valve surgery from December 2011 to November 2013..A record was made of each patient's age, sex, history of prior cardiac ischemic events or myocardial infarction, diabetes, hypertension, dyslipidemia and smoking history and past or current drug treatment.................

Keywords: Cardiovascular Risk Factor ,Coronary Artery Disease Rheumatic And Nonrheumatic Valvular Heart Disease

[1]. Linhart JW, de la Torre A, Ramsey HW,Wheat MWJ: the significance of coronary artery disease in aortic valve replacement. J
ThoracCardiovascSurg 55;811 (1968).
[2]. Bonow RO, Carabello BA, Chatterjee K, de Leon AC Jr, Faxon DP, Freed MD,et al. 2008 focused update incorporated into the
ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of
Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 guidelines for
the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for
Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am CollCardiol 2008; 52: e1-142
[3]. Kruczan DD, Silva NA, Pereira Bde B, et al. Coronary artery disease in patients with rheumatic and non-rheumatic valvular heart
disease treated at a public hospital in Rio de Janeiro. ArqBrasCardiol. 2008;90:197–203
[4]. Hancock EW. Aortic stenosis, angina pectoris, and coronary artery disease. Am Heart J 1977;93:382–93.
[5]. Yan T, Zhang G, Bai-ling Li, Lin Han, Jia-jieZang, Li Li,Zhi-yun.Prediction of Coronary Artery Disease inPatients Undergoing
Operations forRheumatic Aortic Valve DiseaseClin. Cardiol. 35, 11, 707–711 (2012).

Abstract: Aim Of The Study: To Compare the method of visual inspection with acetic acid(VIA) with pap smear in detection of cervical dysplastic lesions in ante–natal women. Materials And Method: It was a prospective study performed in 113 antenatal patients between 16-28 weeks of gestation.The pap smear and VIA performed for all patients in the study group. Positive screens were classified as atypical squamous cells of undetermined significance; low-grade or high-grade squamous intraepithelial lesion, including those showing atypia, cervical intraepithelial neoplasia, or carcinoma-in-situ. All patients with positive pap screens or positive for aceto white lesions were subjected to colposcopy................

Keywords: Acetowhite, Cervical dysplasia, Colposcopy, PAP smear, VIA

[1]. Akinola OI, Fabamwo AO, Oshodi YA, Banjo AA, Odusanya O, Gbadegesia A, Tayo AEfficacy of visual inspection of the cervix
using acetic acid in cervical cancer screening: a comparison with ervical cytology.J Obstet Gynaecol. 2007 Oct; (27(7):703-5
[2]. Basu PS, Sankaranarayanan R, Mandal R, Roy C, Das P, Choudhury D, Bhattacharya D, Chatterjee R, Dutta K, Barik S, Tsu V,
Chakrabarti RN, Siddiqi M; Calcutta Cervical Cancer Early Detection Group Visual inspection with acetic acid and cytology in the
early detection of cervical neoplasia in Kolkata, India. Int J Gynecol Cancer. 2003 Sep – Oct; 13(5):626-32
[3]. Creasmen WT, Cancer and pregnancy, Ann N Y Acad Sci.2001 Sep; 943:281-64) CRONJE H.S (1); VAN RENSBURG E.(1);
NIEMAND I. (1); COOREMAN .B.F (1); BEYER.E (1); DIVALL P. (2); Screening for cervical neoplasia during pregnancy
international journal of gynaecology and obstetrics 2000, Vol 68, no1, pp. 19-23 (19 ref.)
[4]. Elit L, Baigal G, Tan J, Munkhtaivan A Assessment of 2 cervical screening methods in Mongolia: cervical cytology and visual
inspection with acetic acid.) J.Low Genit Tract Dis. 2006
[5]. Goel A, Gandhi G, Batra S, Bhambhani S, Zutshi V, Sachdeva P Visual inspection of the cervix with acetic acid for cervical
intraepithelial lesionsInt J Gynaecol Obstet. 2005 Jan; 88 (1):25 -30

Abstract: Background:Anemia is a global health problem of immense health significance, affecting persons of all ages and economic groups. Anemia is functionally defined as an insufficient RBC mass to adequately deliver oxygen to peripheral tissue. Developing countries like India; it is more common in pregnant women and in adolescent girls.Objectives:The present study was to emphasize various morphological patterns of anemia and its prevalence in various age groups................

Keywords: Complete Blood Picture(CBP), Microcytic Hypochromic Anemia, Dimorphic anemia, Macrocytic anemia

[1]. National Family and Health survey (NFHS-3), IIPS ( 2005-2006)
[2]. BC Mehta, KusumJhaveri, JC Patel. Anemia in Pregnancy. Indian J Med sci 1971; 25:301-7.
[3]. Henderson PA, Hillman RS. Characteristics of Iron Utilization in Man Blood 1969;34:357.
[4]. Hibbard BM, Hibbard EE. Folate Metabolism and Pregnancy. Brit Med Bull 1968;24:10
[5]. DC Dutta. Textbook of Obstetrics 6th Edition. Central 2009