iosr-JDMS   Volume-17 ~ Issue-3 ~ March-2018

Abstract: Aim of the present study is to know the various predominant clinical manifestations of dengue fever in a tertiary care center, this is a Prospective observational study conducted from January 2017 to December 2017 on patients with dengue fever attended to OPD / admitted in the Department of Paediatrics, Government General Hospital, Siddhartha Medical College, Vijayawada, AP. A total number of 100 cases were included in the study with children below 12 years of age who are serologically dengue positive (NS1 & IgM) after exclusion criteria. Standard protocol treatment followed and the cases were followed up daily for the clinical parameters and blood parameters till improvement seen clinically and haematologically.

Keywords: Fever, abdominal pain, hepatomegaly, non severe dengue and severe dengue.

[1]. WHO. Dengue and Dengue Hemorrhagic Fever. Factsheet N 117, revised May 2008. Geneva, World Health Organization 2008.
[2]. Chhina RS, Goyal O, Chhina DK, Goyal P, Kumar R, Puri S. Liver function tests in patients with dengue viral infection. Dengue Bulletin 2008; 32:110-117.
[3]. Itha S, Kashyap R, Krishnani N, Sararswat VA, Choudhari G, Aggarwal R. Profile of liver involvement in dengue virus infection. Natl Med J India 2005 May 1; 18(3):127-130.
[4]. World Health Organization, Dengue guideline for diagnosis, treatment, prevention and control: Geneva; WHO 2009 [5]. Cam BV, Fonsmark L, Hue NB, Phuong NT, Poulsen A, Heegaard ED. Prospective case-control study of encephalopathy in children with dengue hemorrhagic fever. The American journal of tropical medicine and hygiene. 2001 Dec 1; 65(6):848-51.

Abstract: Introduction: Though dengue fever is self limiting disease in most of the cases, the stages of dengue hemorrhagic fever(DHF) and dengue shock syndrome(DSS) are life threatening and need more expensive and expert medical services. Avoiding mosquito bite and interrupting the transmission of virus are sound and inexpensive public health measure. The urban malaria scheme (UMS) working in local bodies (GVMC Urban) is particularly meant for control of vector born diseases. Methodology: Secondary data was collected from Grater Visakhapatnam Municipal Corporation (GVMC), Visakhapatnam from 2012 to 2016. Total 5 years data was collected. Results & Conclusion............

Keywords: Dengue, Rain fall, Urban.

[1] K.PARK. PREVENTIVE AND SOCIAL MEDICINE, 24 ed. JABALPUR: M/s BANARASIDAS BHANOT; 2017.

[2] Ritha JA NJau,Don de Savigny,Lucy Gilson,Eleuther Mwageni and Frankline W Mosha. Implimentation of an insecticide-treated net subsidy Scheme Under a public-Private partnership for malaria control in Tanzania-challenges in implimentation. Malaria Journal 2009; 8(201): . [3] Srinivasa Rao Mutheneni,Andrew P Morse,cynil Caminade andSuryanarayana Murthy Upadhyayulu. Dengue burden in india; recent trends and importence of climatic parameters. PMC, Emerging microbes and infections 2017; 6(8): .

[4] Nishat Hussain Ahmed and Sobha Boor. Dengue fever Outbreak in Delhi,North India; A clinico- Epidemiological study. Indian Journal of Community Medicine 2015; 40(2): .

[5] Dipika Sur,Lorenz von Seidlen,Byomkesh Manna,Santa Dutta,Alok K Deb et al. The Malaria and typhoid Fever Burden in the slums of Kolkata,India;data from a Prospective community-baced study.. Transaction of the Royal Society of Tropical Medcine and Hygine 2006; 100(8):

Abstract: Introduction: Postoperative delirium (POD) is usually seen in patients of any age and even upto5 days after surgery. Melatonin (N-acetyl-5-methoxytryptamine) is pineal hormone used in sleep disorders and for anxiolysis. It has a curative effect on POD.Aims & objectives: To study the efficacy of melatonin in reducing the incidence of POD in patients undergoing lower limb surgeries under spinal anaesthesia. Alsoto study the haemodynamic variables, analgesic effects and complications.Material & Methods: This prospectivedouble-blind control study was conducted on 60 patients, randomized into two groups.Group P(n=30): Received two tablets of placeboat 9.00 PM and 90 minutes before surgery orally.........

Keywords : Analgesia,delirium, melatonin, post- operative,sedation, spinal anaesthesia.

[1] Sanders RD, Cherubini A, Jones C, Radtke FM. European Society of Anaesthesiology evidence based and consensus-based guideline on postoperative delirium. European Journal of Anaesthesiology. February 2017; 34:1–23.
[2] Olin K, Eriksdotter-Jonhagen M, Jansson A, et al. Postoperative delirium in elderly patients after major abdominal surgery. Br J Surg 2005; 92:1559– 1564.
[3] Sharma PT, Sieber FE, Zakriya KJ, et al. Recovery room delirium predicts postoperative delirium after hip-fracture repair. AnesthAnalg 2005; 101:1215–1220.
[4] Bastron RD, Moyers J. Emergence delirium. JAMA 1967; 200:883.
[5] Robinson TN, Raeburn CD, Tran ZV, et al. Motor subtypes of postoperative delirium in older adults. Arch Surg 2011; 146: 295–300.

Abstract: Aims and Objectives: Evaluation of alteration in serum LDH in patients with erosive lichen planus and to compare it with that of controls. Materials and Methods: Blood samples were collected using standardized methods in subjects divided equally into two groups [control group and oral lichen planus group (n=20)].Biochemical assays for LDH was done. The serum levels of LDH in patients with erosive lichen planus was compared with that of the controls.Results: This study showed no significant difference in serum levels of LDH among Lichen planus and control group. (MD = 37.000, p-value = 0.427). Conclusion: Simce the histochemical study of oral mucosal tissue has demonstrated.........

Key words: Lactate dehydrogenase, Oral lichen planus, Oral potentially malignant disorders

[1] Schlosser BJ. Lichen planus and lichenoid reactions of the oral mucosa. Dermatologic Therapy 2010; 23: 251–67

[2] Kilpi AM. Activation marker analysis of mononuclear cell infiltrates of oral lichen planus in situ.

[3] Canto AM, Müller H, Freitas RR, Santos PS. Oral lichen planus (OLP): Clinical and complementary diagnosis. A Bras Dermatol. 2010; 85:669–75.

[4] 4 -Greenberg M S. Ulcerative, vesicular, and bullous lesions. In: Greenberg M S, Glick M. Burket's oral medicine diagnosis and treatment. 1th ed. BC Deckerand J Dental Res 1987; 95:174-80. Inc; 2003
[5] Kallalli BN, Rawson K, Muzammil, Singh A, Awati MA,Shivhare P. Lactose dehydrogenase as a biomarker in oral cancer and oral submucous fibrosis. J Oral Pathol Med2016Oct;45(9):687-690

Abstract: Background: Otalgia or earache is one of most commonly encountered complaint in ENT OPD. It may be due to any local ear pathology or may be due to pathology in some distant site surrounding head and neck region. The complex sensory innervation of ear poses a diagnostic challenge. Methods: A cross sectional study was carried out in the ENT OPD of our institution. Patients complaining of otalgia with absence of any local ear pathology were included in the study. 73 patients were evaluated according to the site of distant pathology, age, sex and laterality. Results: Referred otalgia was encountered in 27.04% cases. The most common cause was found to be dental caries(35.61%). The most commonly affected age group was 16-30yrs ie. young adults. 54.79% and 45.21% were male and female.........

[1]. Shah RK, Blevins NH. Otalgia. Otolaryngologic Clin North Am. 2003;36(6):1137-51.
[2]. Thaller SR, De Silva A. Otalgia with a normal ear. American Family Physician. 1987;36(4):129-36.
[3]. Powers WH, Britton BH. Nonotogenic otalgia: diagnosis and treatment. Otol Neurotol. 1980;2(2):97-104.
[4]. Charlett SD, Coateswoth AP. Referred Otalgia a structured approach to diagnosis and treatment. J clinpract 2007; 61 (6):1015-21.
[5]. Chen RC, khorsandi AS, Shatzkes DR, Holliday RA. The radiology of referred otalgia. AM neuroradial 2009;30(10):1817-23.

Abstract: Background: Patient satisfaction is one of the important goals of any health system, but it is difficult to measure the satisfaction and gauze responsiveness of health systems as not only the clinical but also the nonclinical outcomes of care do influence the customer satisfaction. The health sector in India is characterized by a public health sector and private sector. The major reason for choosing the public health services is its inexpensiveness, availability with close proximity. However, effectiveness of health system depends upon quality of services which is largely neglected. Patients are using public health services but majority are not satisfied.Patient's satisfaction depends on many factors such as quality of clinical services provided, availability of medicine, behavior of doctor and other health staff, cost of services, hospital infrastructure, physical comfort, emotional support and respect for patient........

Key words: Patient Satisfaction; Health Care Services; Outpatient De-partment; Professional Care

[1]. Kunders GD. Hospitals – Planning, Design and Management, Tata Mc Graw-Hill Publishing Company Ltd., New Delhi, 1998:328-42.
[2]. Sakharkar BM. Principles of hospital Administration and Planning, Jaypee Brothers Medical Publishers (P) Ltd., New Delhi, 1998:20-35 & 503-4.
[3]. Linda Powell. Patient satisfaction survey for critical access hospitals. 2001 Linda Powell Mountain States Group, Inc. http://www.ruralcenter.org/sites/default/files/Assessing%20 Patient%20Satisfaction.pdf accessed 30/01/14
[4]. Brennan TA. Incidence of adverse events and negligence in hospitalized patients. Results from the Harvad medical practice society N Engl J M 1991;324:370
[5]. SitziaJ, Wood N. Patient satisfaction; a review of issues and concepts social sciences and medicine 1997;45(12):1829-43

Abstract: Introduction: The foramen ovale is located in the middle cranial fossa in the greater wing of sphenoid through which passes the many structures. It is situated at the transition zone between extracranial and intracranial structures. Therefore the foramen ovale is used in various surgical and diagnostic procedures. Objectives: The objective of this study is to determine the length and width of foramen ovale and also the shape of foramen ovale. Material and methods: The present study was carried out on 80 foramen ovale using 40 adult human skulls collected from department of Anatomy and Forensic Medicine at IGIMS, Patna, Bihar and also from other medical colleges of Bihar. Length and width of foramen ovale was measured. Shape of foramen ovale was determined.........

Key words: foramen ovale, trigeminal neuralgia, skull, morphometry

[1]. Kuta AJ, Laine FJ (1993) Imaging the sphenoid bone and basiocciput: anatomic considerations. Semin Ultrasound CT MR, 14: 146–159. 10.Long J (1995) Skull base and related structures. Atlas of clinical anatomy. Shattauer, Stutgart, New York.
[2]. Williams PL, Bannister LH, Berry MM, Collin P, Dyson M, Dussek JE, Ferguson MWJ. Gray's anatomy. 38th ed. Churchill Livingstone.
[3]. Ray B, Gupta N and Ghose S.
[4]. Anatomic variations of foramen ovale. Kathmandu University Medical Journal. 2005;3: 64–68.
[5]. Magi Murugan, Shaik Hussain Saheb. Morphometric and morphological study of foramen ovale. Int J Anat Res 2014, Vol 2(4):664-67.

Abstract: Precocious puberty in males has multiple aetiologies.We report a case of a four and a half year old boy with an unremarkable medical and family history who presented to us with progressive increase in phallic length and appearance of pubic hairs without concomitant testicular enlargement or increase in height velocity following Stanozolol therapy for aplastic anemia. A meticulous clinical examination supplemented with all the necessary hormonal investigations including bone age revealed the possibility of Gonadotropin independent precocious puberty. After exclusion of all the treatable causes of Gonadotropin independent precocious puberty, a final diagnosis of Stanozolol induced precocious puberty was made and the child was kept under regular follow up. Precocious puberty following stanozolol administration is a rare aetiology which has hardly been reported worldwide..

Key words: Aplastic anemia, dihydrotestosterone, precocious puberty, Stanozolol

[1]. Meena P.Desai,PSNMenon,V Bhatia:Pediatric endocrine disorders,3rd edition
[2]. Mul D, Fredriks AM, Van Buuren S, Oostdijk W, Verloove-Vanhorick SP, Wit JM. Pubertal development in the Netherlands1965-1997. Pediatr Res 2001;50:479-86.

[3]. Brito V,Angela M,Kochi C.Central precocious puberty:revisiting the diagnosis and therapeutic management .Arch Endocrinol Metab. 2016;60/2
[4]. Kaplowitz P. Clinical characteristics of 104 children referred for evaluation of precocious puberty. J Clin Endocrinol Metab2004;89:3644-50
[5]. www.steroid.com/Stanozolol.php

Abstract: Meningiomas are one of the most common benign intracranial tumors seen in females after 3rd decade. They are well defined extra axial masses with characteristic CT and MR imaging features. In the present study we retrospectively evaluated the MR imaging in 67 operated cases of intracranial meningiomas in our institute...

Key words: Meningioma-MRI-dural masses

[1]. Whittle IR ,et al . meningiomas. Lancet .2004 ; 363 (9420) : 1535-1543 ( PubMed)
[2]. J.Watts ,G.Box,A.Galvin,P.Brotchie,N.Trost and T.Sutherland Magnetic resonance imaging of meningiomas: a pictorial review Insights Imaging 2014 feb; 5(1): 113-122
[3]. O' Leary S, et al. atypical imaging appearences of intracranial meningiomas. ClinRadiol 2007; 62(1): 10-17 ( PubMed)
[4]. CananErzen, Alp Dincer Chapter 14: MRI evaluation of meningiomas Clinical gate .commar 27.2015
[5]. Akira Kunimatsu, NatsukoKunimatsu,KouheiKamiya,MasakiKatsura, HarushiMori,KuniOhtomo.
Variants of meningiomas: a review of imaging findings and clinical features Japanese journal of Radiology july 2016 volume 34 issue 7, pp459-469

Abstract: Fingerprint patterns and blood groups are two invaluable tools for forensic identification. The aim of this study was to detect any significant relationship of fingerprint pattern with ABO-Rhesus blood groups. The study was conducted among 68 medical students. Loop pattern is most common dactylographic pattern followed by whorl and arch pattern. Predominant blood group is B+ve followed by A+ve and O+ve. AB+ve is the least common blood group. In blood group A, B and O loop pattern is most common but in AB blood group loop and whorl have same distribution. In Rh+ individual loop pattern is dominant but in Rh- group whorl pattern is most common dactylographic pattern. In blood group A+, B+ and O+ loop pattern is most common but in AB+ group both loop and whorl patterns predominate. In B-ve group whorl is the most common dactylographic pattern.

Key words: ABO-Rhesus blood group, Dactylography

[1]. Nandy A. Principles of forensic medicine including toxicology. 3rd ed. Kolkata:New Central Book Agency; 2014. p 158.
[2]. Table of blood group systems v3.0. International Society of Blood Transfusion. 2012 Oct 28. [cited 2013 May 11]; Available from: https://en.wikipedia.org/wiki/Human_blood_group_systems. Accessed on 2015 Jan 17.
[3]. Desai B, Jaiswal R, Tiwari P, Kalyan JL. Study of fingerprint patterns in relationship with blood group and gender- a statistical review. Res J Forensic Sci. 2013; 1(1):15-17.
[4]. Rastogi P, Pillai KR. A study of finger prints in relation to gender and blood group. J Indian Acad Forensic Med. 2010 Jan; 32(1):11-14.
[5]. Eboh DE. Fingerprint patterns in relation to gender and blood group among students of Delta State University, Abraka, Nigeria. J Exp Clin Anat. 2013Jul; 12(2):82-86.