iosr-JDMS   Volume-16 ~ Issue-1 ~ January-2017

Abstract: The study was carried out to compare the postoperative morbidity among patients of conventional andendoscopicseptoplasty and to assess the efficacy and use of endoscopic septoplasty with other endoscopic surgeries.BetweenNov 2015 and Nov 2016, 50 patients underwent septoplastyplasty, 25 were endoscope assisted and 25 were convential.The difference in the functional outcome of both the surgeries was insignificant. There was a significant difference with respect to complication.Posterior deviations were best corrected by endoscopic septoplasty. Complication rate washigher in conventional septoplasty. The endoscopic approach to septoplasty facilitates accurate identification of thepathology. It facilitates realignment by limited and precise resection of the pathological areas .Complications are lesser with endoscopic septoplasty.

Keyword: Septoplasty, Endoscopic septoplasty, Conventional septoplasty

[1]. Chow JM. Evaluation of rhinologic headache. In: Advanced endoscopic sinus surgery. Stankiewicz JA Eds.; 2ndEdn.; Mosby
St.Louise, 1995; pp. 121-126.
[2]. Dinis PB, Haider H: Septoplasty- Long term evaluation of results. American Journal of Otolaryngology, 2002; 23(2):85-90.
[3]. Gaskin RE: A Surgical Staging System for chronic sinusitis. American Journal of Rhinology, 1992;6(1) 5-12.
[4]. Giles WC, Gross CW, Abram AC, Greene WM, Avner TG: How I do it Head & Neck & Plastic surgery a tangeted problem an d its
solubier. Endoscopic septoplasty. The Laryngoscope, 1994; 104(12): 1507-1509.
[5]. Gulati S P, Wadhera R, Ahuja N, Garg A, Ghai A: Comparative evaluation of endoscopic with conventional septoplasty. Indian
Journal ofOtolaryngol and Head Neck Surgery, 2009; 61(1): 27-29.

Abstract: Introduction: Recently combination of diagnostic endoscopy and systematic understanding of the lateral nasal wall with CT in the coronal plane has become the corner stone in the evaluation of the PNS disease. This is the basis for the concept of FESS. Material and Method: Patients attending ENT OPD in RIMS, Ranchi with any sino-nasal complains lasting for more than 4 weeks and not responding to medical line of management. Patients are selected by random sampling method. Results: The most common co-morbidity found among the patients is chronic Rhinosinusitis in 31 cases (62%). Middle meatal purulent secretions are the most obvious finding in DNE evaluation seen in 31 (62%) cases. Anterior ethmoidal sinus haziness is seen in 37(74%) cases on CT scan with majority of cases showing associated sinus involvement.............

Keywords: Sino nasal disease, Computerized tomography, Diagnostic nasal endoscopy, Anatomical variants.

[1]. Journal of Optoelectronics and Biomedical Materials Vol.2 Issue 4, October- December 2010, p. 281 – 289
[2]. Vining, E. M., Yanagisawa, K. and Yanagisawa, E. (1993), the importance of preoperative nasal endoscopy in patients with sinonasal disease. The Laryngoscope, 103: 512–519
[3]. GAS Llyod, VJ Lund, GK Scadding. CT of the paranasal sinuses and functional endoscopic surgery: a critical analysis of 100 symptomatic patients. J LaryngolOtol 1991; 105: 181-185pp.
[4]. Lynn D Cooke, Donald M Hadley. MRI of the paranasal sinuses: incidental abnormalities and their relationship to symptoms. J LaryngolOtol 1991; 105:278-281pp.
[5]. Sheetal D, Devan P P, Manjunath P, Martin P, Satish Kumar K, Sreekantha, et al.. CT PNS – Do We Really Require Before FESS?. Journal of Clinical and Diagnostic Research [serial online] 2011 April [cited: 2017 Jan 9 ]; 5:179-181.

Abstract: Aim: To analyse the role of alcohol as a causative agent of acute pancreatitis in patients getting admitted at CMCH with features of acute pancreatitis were enrolled in study Methods:The patients admitted with features of acute pancreatitis were examined clinically, basic investigations was done and diagnosis was confirmed with the investigations like serum amylase, USG abdomen and pelvis , CECT abdomen and pelvis. Retrospectively history of number of years of alcohol intake was elicited and also the severity of pancreatitis was assessed................

Keywords: Acute pancreatitis , alcohol , severity

[1]. Fagenholz PJ, Castillo CF, Harris NS, et al. Increasing United States hospital admissions for acute pancreatitis, 1988-2003. Ann Epidemiol 2007; 17: 491-497.

[2]. Yadav D, Lowenfels AB. Trends in the epidemiology of the first attack of acute pancreatitis: a systematic review. Pancreas 2006; 33: 323-330.

[3]. Australian Institute of Health and Welfare. The burden of disease and injury in Australia 2003. Canberra: AIHW, 2007. (AIHW Cat. No. PHE 82.) http://www.aihw.gov.au/publication-detail/?id=6442467990 (accessed 4 Feb 2015).

[4]. Frey CF, Zhou H, Harvey DJ, White RH. The incidence and case-fatality rates of acute biliary, alcoholic, and idiopathic pancreatitis in California, 1994-2001. Pancreas 2006; 33: 336-344.

[5]. Chen Y, Zak Y, Hernandez-Boussard T, et al. The epidemiology of idiopathic acute pancreatitis, analysis of the nationwide inpatient sample from 1998 to 2007. Pancreas 2013; 42: 1-5.

Abstract: Chronic periodontitis is a multifactorial disease that results in inflammation and destruction of the supporting structures of the tooth, mainly the periodontal ligament, cementum and alveolar bone (1). Traditional periodontal diagnostic procedures include probing depths, bleeding on probing, clinical attachment levels, plaque index and radiographs assessing alveolar bone level. All these clinical and radiographic parameters are difficult in identifying and measuring the progression of the disease (2). Research evidence suggest that altered activities of various enzymes, both at cellular and sub-cellular levels, can influence the disease process. Thus, measurements of enzyme activities can furnish valuable diagnostic and prognostic information (3, 4).

[1]. Offenbacher S. Periodontal diseases: Pathogenesis. Ann Periodontol 1996; 11:821-78.
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[3]. Fine DH and Mandel ID. Indicators of periodontal disease activity. : An evaluation . J Clin Periodontol 1986;13: 533-46.
[4]. Todorovic T, Dozic I, Vicente-Barrero M, Ljuskovic B, Pejovic J, Marjanovic M , et al. Salivary enzymes and periodontal disease. Med Oral Patol Oral Cir Buccal 2006; 11: E 115-9. 5.Nielsen FH. New essential trace elements for the life sciences. Biol Trace Elem Res 1990;26-27:599-611.
[5]. Harris ED. Copper homeostasis. The role of cellular transporters. Nutr Rev2001;59:281-5.

Abstract: Background: Heat cured acrylic resin is the most widely used material in the manufacture ofdenture base, but has mechanical properties weakness (transversal strength and impact strength). Alternative to increase the mechanical properties of acrylic resin is the utilization of reinforcing fibre that is polyethylene fibre that has advantage such as good aesthetic, easy to manipulate and increase mechanical strength. Purpose:This study was aimed to determine thermocycling effect on impact and transversal strength of heat cured acrylic resin denture base material without and with Ribbond THM and Ribbond Ultra polyethylene fibre addition, also to determine the effect of Ribbond THM and Ribbond Ultra fibre addition to impact...........

Keywords: Polyethylene fiber, thermocycling, impact strength, transversal strength

[1]. McCabe JF., Walls AWG. Applied dental materials. Edisi 9. London: Blackwell Munksgaard. 2007: 110-23.
[2]. Gunadi A. Ilmu geligi tiruan sebagian lepasan. Jakarta: Hipokrates, 2012: 215-220.
[3]. Mc.Cracken's., Removable Partial Prosthodontics. Edisi 10. CV. Mosby Company. 2000 : 127.
[4]. Zarb, et al. Prosthodontic treatment for edentulous patients. 13th. Elsevier: Singapore, 2012: 133-141.
[5]. Schricker SR, et al. Effect of methacrylated hyperbranched polymers on the fracture properties of denture base materials. Journal of
Macromolecular Science 2006; 43:205-12.

Abstract: Backgroud: Abnormal uterine bleeding (AUB) is the commonest presenting symptom in Gynaecology outpatient department. Endometrial sampling could be effectively used as the first diagnostic intervention in AUB, although at times, its interpretation could be quite challenging to the practicing pathologists. This study was done with hysterectomy specimen to evaluate histopathology for identifying the various etiologies in the age group between 45-60yrs presenting with AUB. Objective: To determine the histopathologic spectrum of lesions associated with AUB in age group between 45-60yrs...........

Keywords: AUB, Histopathological lesions

[1]. Yusuf NW, Nadeem R, Yusuf AW, et al. Dysfunctional uterinebleeding. A retrospective clinicopathological study over 2 years.Pak J Obstet Gynaecol. 1996;9:27–30.
[2]. Muzaffar M, Akhtar KAK, Yasmin S, et al. Menstrual irregularitieswith excessive blood loss: a clinico-pathologic correlation.J Pak Med Assoc. 2005;55:486–9.
[3]. Steven SG. Problems in the differential diagnosis of endometrial hyperplasia and carcinoma. Mod Pathol. 2000;13:309–27.
[4]. Nam-Hoon C, Chan-II P, In-Joon C. Clinicopathologic study of the endometrium. Dysfunctional uterine bleeding. Korean J Pathol. 1989;23:65–74.
[5]. Gredmark T, Kvint S, Havel G, et al. Histopathological findings in women with postmenopausal bleeding. B J Obstet Gynaecol.1998;102:133–6.

Abstract: Context: Acute coronary syndromes (ACS) result from coronary atherosclerosis, generally with superimposed coronary thrombosis which interrupts blood flow and leads to myocardial necrosis. Aims: To study the significance of measuring gammaglutamyl transferase (GGT) level in patients with acute coronary syndromes (ACS).Materials and methods: 160 Patients diagnosed with acute coronary syndromes coming within 24 hours of symptom onset were included in the study. Relevant laboratory investigations including serum GGT level and cardiac enzymes were done. ECG were taken and detail ECG changes were noted. Analysis of data: ANOVA and f – test was used for analysis of the variables taking < 0.05 as significance level...........

Keywords: Acute coronary syndromes, Atherosclerosis, Gammaglutamyl transferase, Cardiac enzymes

[1]. Elliott M. Antman, Andrew P. Selwyn, Eugene Braunwald, Joseph Loscalzo, Ischemic Heart Disease, in Anthony S. Fauci, Eugene Braunwald, Dennis L. Kasper, Stephen L. Hauser, Dan L. Longo, J. Larry Jameson, Joseph Loscalzo (Ed.), Harrison's Principals of Internal Medicine,17 (United States of America: Mc Graw- Hill Companies, Inc.; 2008) 1514.
[2]. Elliot M. Antman, ST-Segment Elevation Myocardial Infarction: Pathology, Pathophysiology, and Clinical Features, in Bonow, Mann, Zipes, Libby (Ed.), Braundwald's Heart Disease: A textbook of Cardiovascular Medicine, 9(Saunders, Elsevier Inc.2012).
[3]. Lazzeri C, Valente S, Tarquini R, Chiostri M, Picariello C, Gensini GF, The prognostic role of gamma-glutamyltransferase activity in non-diabetic ST-elevation myocardial infarction,Intern Emerg Med,Jun, 6(3),2011,213-9.

Abstract: Context: Non communicable diseases (NCDs) prevalence is increasing in India day by day. Stroke is one of the NCDs which is commonly encountered in hospitals. It may be due to an inadequate blood supply to part of the brain as a result of low blood flow, thrombosis or embolism, or spontaneous haemorrhage into the brain substance or spontaneous haemorrhage over brain substance. Aims: To determine the risk factors of stroke and its relation with the type of stroke. Materials and method: It is a Cross-sectional study done on 200 cases of stroke and 200 control groups. Controls are chosen by simple random sampling..........

Keywords: Non communicable diseases, Stroke, thrombosis, haemorrhage

[1]. Strong K, Mathers C, Bonita R, Preventing stroke: saves lives around the world, Lancet Neurol, 6, 2007, 182-7.
[2]. Mathers CD, Lopez AD, Murray CJL. The burden of disease and mortality by condition: data, methods and results for 2001, in Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJL(Ed), The burden of disease and risk factors. New York: Oxford University Press, 2006.
[3]. PM Dalal, Bhattacharjee M., Stroke epidemic in India: Hypertension-stroke control programme is urgently needed,JAPI ,55 ,2007 Oct,689-91.
[4]. Pandian J, Srikanth V, Read S, Thrift A.,Poverty and stroke in India: a time to act, Stroke,38(11),2007 Oct,3063-9.
[5]. Gupta R, Joshi P, Mohan V, Reddy S, Yusuf S,Epidemiology and causation of coronary heart disease and stroke in India, Heart,94(1), 2008 Jan,16-26.

Abstract: Low back pain (LBP) is the most prevalent musculoskeletal condition and one of the most common causes of disability. In a report of World Health Organization in 2002, LBP constituted 37% of all occupational risk factors and occupies first rank among the disease complications caused by work. Magnetic resonance imaging (MRI) with its multiplanar capabilities and lack of ionizing radiation provides excellent anatomical details of the lumbar spine and detects the cause of LBP in a majority of patients. This cross sectional study was carried out in Radiology Department of MGMH, from 2015-2016. The study included 192 patients who presented.........

Keywords: Degenerative disease, disc herniation, low back pain, lumbosacral spine, magnetic resonance imaging.

[1] Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bulletin of the World Health Organization,81 (9), 2003, 646-656.
[2] Robert W. Teasell, Kevin White. Clinical approaches to low back pain Part 1. Epidemiology, diagnosis, and prevention. Canadian Family Physician, 40, 1994.481-86.
[3] D. L. Kent, D. R. Haynor, E. B. Larson, R. A. Deyo. Diagnosis of lumbar spinal stenosis in adults: a meta analysis of the accuracy of CT, MR, and myelography. Am J Roentgenol. 158(5),1992, 1135–1144.
[4] M. Nazeer, S.M Rao, S. Soni, M Ravinder , T Ramakranthi , S. Bhupathi. Low Back Pain in South Indians: Causative Factors and Preventive Measures. Sch. J. App. Med. Sci, 3(1D) 2015, 234-243.
[5] Wijnhoven HA, de Vet HC, Picavet HS. Prevalence of musculoskeletal disorders is systematically higher in women than in men. Clin J Pain, 22, 2006:717-24.

Abstract: Aim: to determine seroprevalence of hepatitis b viral infection in pregnant women and its effect on pregnancy and perinatal outcome. Material and Methods: This study was conducted at Gandhi Hospital, Secunderabad during December 2009- October 2011. women attending our antenatal clinic were screened for HbsAg and seropositive women were studied with respect to maternal and perinatal outcome. Results: of the 11,650 pregnant women studied, 126 (4.11%) were found to be seropositive for HbsAg with highest prevalence in the age group 21-30 years.(1.12%). seropositivity is more common with multipara than primi.(2.18%vs0.49%)...........

Keywords:- Hepatitis B Virus, Prenatal HBsAg screening, Seropositive women.

[1]. World Health Organization. Hepatitis B. World Health Organization Fact Sheet 204 (Revised October 2000). WHO4 Web site. 2000. http://who.int/inf-fs/en/fact204.html.
[2]. Lok AS. Chronic hepatitis B. N Engl J Med 2002; 346(22):1682–1683.
[3]. Mahoney FJ. Update on diagnosis, management, and prevention of hepatitis B virus infection. Clin Microbiol Rev 1999; 12(2): 351–366.

Abstract: Background: Neonatal sepsis is a clinical syndrome characterized by signs and symptoms of infection with or without accompanying bacteremia in the first month of life. The reported incidence of neonatal sepsis varied from region to region. Drug resistance has been reported from various parts of the world. Epidemiology of neonatal sepsis has not been methodically studied in the north eastern part of the country. The purpose of this study is to provide a, evidence-based approach to the management of neonates with sepsis...........

Keywards: Neonatal sepsis, intramural cases, maternal risk factors ,blood culture, bacteriological isolates/agents, antibiogram, Incidence, evidence-based approach.

[1]. Sankar MJ, Agarwal A, Deorari AK, et al. Sepsis in the newborn. Indian J Pediatr. 2008 Mar;75(3):261-6.
[2]. National Neonatal Perinatal Database. [Internet]. NNPD report 2002-03 [cited 2010 Sep 22]. Available from: http://www.newbornwhoccorg/pdf/nnpd_report_2002-03 PDF; 2005.
[3]. Bhutta ZA, Naqvi SH, Muzaffar T, Farooqui BJ.. Neonatal sepsis in Pakistan. Presentation and pathogens. Acta Paediatr Scand 1991;80:596–601.
[4]. Koutouby A, Habib Ullah J. Neonatal sepsis in Dubai United Arab Emirates. J Trop Pediatr 1995;41:177–80.
[5]. S Vergnano, M Sharland, P Kazembe, C Mwansambo, P T Heath. "Neonatal sepsis: an international perspective. Arch Dis Child Fetal Neonatal Ed. 2005;90:F220–F224.

Abstract: Parkinson's disease(PD) is a metacentric neurodegenerative disorder results with accumulation and aggregation of alpha-synculein(α-Syn) (or alpha-synculeinopathy) in the substantia nigra in the central nervous system(CNS).Contributory factors include pesticide exposure, head injury and agriculture background. PD has been considered to be a non-genetic disorder, however around 15% individuals with PD have firstdegree relative who has the disease Mutations in genes including SNCA,LRRK2 and gluococerebrosidase (GBA) found to be risk factor for sporadic PD. Brain cells could be lost due to an abnormal accumulation of the protein alpha-synculein...........

Keywards: Parkinson's disease, Brain –gut axis,Enteric nervous system, Gut-microbiota.

[1]. Parkinson's Disease Information Page.NINDS.June 30,2016.Retrieved 18 July 2016.
[2]. Jones H Royden(2013).The Netter Collection of medical illustration. A compilation of paintings(2nd ed.)Philadelphia,PA:Saunders
Elsevier.P.161.ISNB 9781455733873.
[3]. GBD 2013 Mortality and Causes of Death,Collaborators.Global,regional,and national age-sex specific all-cause and cause-specific
mortality for 240 causes of death.190-2013:a systematic analysis for Global Burden of Disease Study 2013.Lancet.2013;385:117- 71.
[4]. KaliaLV,LangAE.Parkinson's Disease. Lancet (London, England). 2015; 386 (9996):896-912.
[5]. Mosley Anthony D.(2010).The encyclopedia of Parkinson's disease(2nd ed.).New York:Facts on File.p.89.ISBN9781438127491.

Abstract: Curcuma Longa has been used in traditional medicine as a house hold remedy for various diseases. This experimental case control study was conducted to observe the protective effect of Curcuma Longa in Nitro-Methanesulfonamide induced hepatotoxicity in the animal house at ISRA university Hyderabad.40 male albino Wistar rats were equally divided into four groups of 10 each. Group A used as the control group and was fed the normal rat chow for 09 days. Group B was fed with Nitro-Methane sulfonamide for 09 days followed by Curcuma Longa for next 09 days. Group C was given Curcuma Longa for 09 days followed...........

Keywards: Curcuma longa, Hepatotoxicity, Nitromethanesulfonamide, Traditional medicine,NSAIDs

[1]. Oguzturk, H., Ciftci, O., Aydin, M., Timurkaan, N., Beytur, A. & Yilmaz. Ameliorative effects of curcumin against acute cadmium
toxicity on male reproductive system in rats. International Journal of Andrology 2011; 44, 243-249.
[2]. Nonose, N., Pereira, J.A., Machado, P.R.M., Rodrigues, M.R., Sato, D.T. and Martinez, C.A.R. Oral administration of curcumin
(curcuma longa) can attenuate the neutrophil inflammatory response in zymosan-induced arthritis in rats. Acta Cirurgica Brasileira
2014; 29(11), pp.727-734.
[3]. Li, G., Chen, J.-B., Wang, C., Xu, Z., Nie, H., Qin, X.-Y., Chen, X.-M. & Gong, Q. 2013. Curcumin protects against
acetaminophen-induced apoptosis in hepatic injury. World Journal of Gastroenterology 2013;19, 7440-7446.
[4]. Nawaz A, Khan Gm, Hussain A, Ahmed A, Khan A and Safdar M. Curcumin: a natural product of biological importance. Journal of
Research 2011; vol: 27(1); pp 7-14
[5]. Singh Bk, Tripathi M, Chaudhari Bp, Pandey Pk, Kakkar P. Natural terpenes prevent mitochondrial dysfunction, oxidative stress
and release of apoptotic proteins during nimesulide-hepatotoxicity in rats. Plos one 2012; vol: 7(4): e34200.

Abstract: Background: The aim of the study was to assess the efficacy of ropivacaine with clonidine as an adjuvant given via single shot caudal epidural in pediatric patients for intraoperative and postoperative pain relief. Materials and Methods: In this study, 30 children of ASA-I-II, aged 1-6 years scheduled for infra-umbilical surgical procedures were given ropivacaine 0.125% 1 ml/kg + clonidine 1μg/kg as single shot caudal epidural analgesia. Caudal block was performed after the induction of generalanesthesia. Postoperatively patients were observed for analgesia, sedation, hemodynamics, and side effects/complications...........

Keywards: Caudal epidural, clonidine, pediatric, postoperative analgesia, ropivacaine

[1]. J C Sanders, "Paediatric regional anaesthesia, a survey of practice in the United Kingdom" British Journal of Anaesthesia
2002;89:707-710
[2]. T G Hansen et al, S W Henneberg, S Walther Larsen, J Lund, M Hansen, "Caudal
[3]. Bupivacaine supplemented with caudal or intravenous Clonidine in children undergoing hypospadias repair: a double blind study"
British Journal of Anaesthesia
[4]. 2004;92:223-227
[5]. PankajKundra, K Deepalakshmi, M Ravishankar, "Preemptive Caudal Bupivacaine and Morphine for Postoperative Analgesia in
Children" Anaesthesia

Abstract: Background and objectives: ToevaluatethediagnosticmeritsofFiberopticbronchoscopyin evaluatingthe causesof undiagnosedpleuraleffusion. Methods:ThisisaProspective(Observational)study,conductedintheDepartment ofThoracicMedicine, Coimbatore Medical College,Coimbatore for a period of one year from June 2015 to June 2016. A total of110 patientswereincluded in this study. All eligible and consenting patients were subjected to routine blood investigations, sputum for Acid Fast Bacilli, chest skiagram ,mantoux test and pleural fluid analysis,Pleural biopsy and Fiberoptic bronchoscopy were done and specimens weresentformicrobiological,cytologicaland histopathologicalanalysis............

Keywards: Acid Fast Bacilli, Exudative pleural effusion, Fiberoptic bronchoscopy, pleural biopsy.

[1]. ChangSC,PerngRP.Theroleoffiberopticbronchoscopy in evaluating thecauses of pleural effusions.Arch InternMed1989;149:855-857.
[2]. StoreyDD,DinesDE,ColesDT.Pleural effusion,adiagnostic dilemma.JAMA1976;236:2183-2186.
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[4]. WilliamsT,ThomasP.Thediagnosisofpleuraleffusion by fiberopticbronchoscopyandpleuroscopy.Chest1981;80:566-569
[5]. LesileWK,KinasewitzGT.Clinicalcharacteristics ofthepatient withnonspecificpleuritis.Chest 1988;94:603-608.

Abstract: Aim : To study the prevalence of occult bladder dysfunction among diabetic subjects between 18 to 60 years of age from Tamilnadu attending diabetic outpatient clinic . Methodology : Prospective cohort study . Results : Of 90 patients recruited, 65 (72.2%) were males and 25 (27.8%) were females. ). Overall 37 patients (41.1%) had bladder dysfunction and 53 patients (58.9%) did not have bladder dysfunction. In the urodynamic group, 35 of 45 (77.8%) had bladder dysfunction as defined in the study. In the non-urodynamics group, only 2 of 45 patients (4.4%) had bladder dysfunction. Age...........

Keywards: Diabetes ,Bladder Dysfunction, Uroflometry, Ipss, Luts

[1]. King H, Aubert RE, Herman WH: Global burden of diabetes, 1995-2025: prevalence, numerical estimates, and projections. Diabetes Care 1998 Sep; 21(9):1414-31.
[2]. Ford ES, Williamson DF, Liu S. Weight change and diabetes incidence: findings from national cohort studies of U.S adults. Am J Epidemiology 1997; 146:214-222.
[3]. Bjorntorp P. Obesity. Lancet 1997; 350: 423-426.
[4]. National Center for Chronic Disease Prevention and Health Promotion. Physical activity and health: a report of the surgeon general. Atlanta: Centers for Disease Control and Prevention,1996.
[5]. National Center for Chronic Disease Prevention and Health Promotion. Diabetes surveillance, 1993.Atlanta: Centers for Disease Control and Prevention,1993.

Abstract: A case of right sided pulmonary hypoplasia with tuberculosis is described . A 7 months male was admitted in our department with complaints of recurrent chest infections since birth. Clinical examination revealed smaller right hemithorax. Serial chest Xrays showed non progressive lesions over several months . Bronchoscopy and CT scan thorax confirmed the diagnosis of right sided pulmonary hypoplasia. CBNAAT of bronchial secretions and gastric aspirate was positive for Mycobacterium tuberculosis. It was not associated with any other developmental anomaly

Keywards: Pulmonary Hypoplasia, Pulmonary tuberculosis, Bronchoscopy, CT scan thorax.

[1]. Nelson, textbook of pediatrics, respiratory system;19:1423-1424.
[2]. Calenoff L. Unilateral pulmonary hypoplsia in an adult. Am J Roentgenol. 1964; 91: 265-272.
[3]. Hislap A, Hey E, Reid L. The lungs in congenital bilateral renal agenesis and dysplasia. Arch Dis Chil. 1979; 54: 32-38.
[4]. Areechon W, Reid L, Hypoplasia of lung with congenital diaphragmatic hernia. Br Med. J. 1963; 1: 230-233.
[5]. Johnson RJ, Howorth SG. Pulmonary vascular and alveolar development in tetralogy of fallot: A recommendation for early
correction. Thorax 1982; 37: 893-901.

Abstract: A "Radiation Alert Inspector" survey meter was the instrument of choice used in measuring and obtaining the indoor ionizing radiation profile placed at 22 selected presumable hotspots of increase radiation (coded A1-A22) as identified by a global positioning system within the Radiology department of Federal Medical Centre (FMC) Asaba. Values obtained from the measurements were converted from micro Sievert per hour (μSv/hr) to mili Sievert per year (mSv/yr). The calculated mean indoor post exposure dose value was in the range of 0.09 – 0.20 μSv/hr (0.60-2.01 mSv/yr)............

Keywards: Indoor ionizing radiation, Micro/mili Sievert (μ/mSv), Radiation, Dose, patient

[1]. Appleton, D. (2004). Natural Radioactivity and Health. The Risks Posed by Exposure to Ionizing Radiation. Earthwise - British Geological Survey NERC, 21, 16-17.
[2]. Agency for Toxic Substances and Disease Registry (ATSDR). (2015). Sources of Population Exposure to Ionizing Radiation. Department of Health and Human Services. Atlanta G A: Agency for Toxic Substances & Disease Registry.
[3]. Briggs-Kamara,M.A. Erondu, F.O., (2012). Fundamental of Radiation Detection, Dosimetry and Radiobiology. Owerri: Book-konzult.
[4]. Chad-Umoren, Y. E., Adekanmbi, M., & Harry, S. O. (2006). Evaluation of indoor background Ionizing Radiation Profile of a Physics Laboratory. Working and Living Environmental Protection, 3(1), 1-8
[5]. Environmental Protection Agency (EPA). (2014). Radiation Protection Guidance for Diagnostic and Interventional X-Ray Procedures. Washington DC 20460: International Working Group on Medical Radiation - United State Environmental Protection Agency.

Abstract: Background: Patient's view about healthcare service delivery is a neglected subject in many developing countries. They are viewed as passive beneficiary of healthcare services without a voice. This paper assesses patients' perception of the quality of care they received at University of Port Harcourt Teaching Hospital (UPTH). It will also suggest possible ways to better the quality of care rendered to patients. Methodology: It was a descriptive cross sectional prospective study conducted in the University of Port Harcourt Teaching Hospital from the month of January 2011 to July 2011. The study population consisted of patients admitted into the paediatric, surgery, medicine and obstetrics and gynaecology wards of the hospital. A sample size of 110 patients was selected from the target population...........

Keywards: Patients perceptions, Doctor's attitudes, Ill health, Tertiary hospital, Port Harcourt.

[1]. Health Topics: Health System Http://Www.Who.Int Assessed on The 3rd Of January 2017.
[2]. Abodunrin OL, Akande TM, Osagbemi GK. Awareness and Perception Toward Referral in Health Care: A Study of Adult
Residents in Ilorin, Nigeria. Ann Afr Med. 2010; 9(3):176-180.
[3]. Seydou Fomba, Yang Yang, Huan Zhou, Qiaolan Liu, and Pr Ma Xiao. Patient's Utilization And Perception Of The Quality Of
Curative Care in Community Health Centers of the Fifth Commune of Bsamako. Indian J Community Med. 2010; 35(2): 256–261.
[4]. Mihaela Dan (Prejmerean) and Simona Vasilache. Study Regarding Customer Perception of Healthcare Service Quality in
Romanian Clinics, Based on their Profile, the Amfiteatru Economic Journal, 2009; 11(26), 298-304.
[5]. Street Rl Jr, Haidet P. How well do Doctors know their Patients? Factors affecting Physician understanding of Patients' Health
Beliefs. J Gen Intern Med. 2011; 26(1):21-7.

Abstract: Diabetic Retinopathy, also known as Diabetic eye disease, is a common complication of diabetes and a leading cause of legal blindness in working age adults.The longer a person has Diabetes,the h igher their risk of developing some ocular problem.After 10-15 years of Diabetes,nearly all patients with Type I diabetes and >60% of patients with type II diabetes have some degree of retinopathy.Various studies show certain dissimilarities in ocular physiopathology between human males and females. These differences can be observed in the lacrimal and other eye-associated glands, the ocular surface, the crystalline lens...........

Keywards: Blindness, diabetic retinopathy, eye, sex hormone

[1]. M Ozaki, [1] International Diabetes Federation. Diabetes atlas.6th edn.
[2]. Yau JW, Rogers SL et al. Meta-Analysis for Eye Disease (META-EYE) Study Group. Global prevalence and major risk factors of diabetic retinopathy.DiabetesCare 2012; 35:556-64.
[3]. Kastelan S, Tomic M. Body mass index: a risk factor for retinopathy in type 2 diabetic patients. Mediators Inflamm2013; 2013.
[4]. Gupta N, Gupta R. Diabetic Retinopathy- an Update. Journal of InternationMedical Sciences Academy. 2015 Jan – Mar;28(1):54-58.
[5]. Anderson BJr. Activity and diabetic vitreous hemorrhages. Ophthalmology 1980; 87:173–5.

Abstract: Median Arcuate Ligament Syndrome(MALS) is a rare disorder characterised by postprandial intestinal angina due to coeliac artery compression. The median arcuate ligament is fibrous arch that unites the diaphragmatic crura on either side of the aortic hiatus, passes superior to the origin of the celiac artery and is a continuation of the posterior diaphragm that wraps over the aorta. If it lies too low on the aorta, the ligament may cause symptoms of abdominal pain related to compression of the celiac artery.

Keywards: Celiac artery, celiac artery compression, median arcuate ligament

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