iosr-JDMS   Volume-17 ~ Issue-4 ~ April-2018

Abstract: A prospective case control study of Tragal Cartilage with Perichondrium Autograft (TCPA) by Transcanal Endoscopic approach in cases of CSOM with dry CP , Recc CSOM cases and cases with grossly retracted ear drum was conducted in the department of otorhinolaryngology, RIMS Medical College, Ongole over a period of 3 yrs from May 2014 – May 2017. II. Aims Of The Study  To study the outcome of Tragal Cartilage with Perichondrium Autograft (TCPA) in Endoscopic Tympanoplasty by transcanal approach .  To study the 'Graft take up'rates in cases of.......

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Abstract: Background: Acquired immunodeficiency syndrome (AIDS) is one of the most significant physical, mental and social problems facing the world today. Generally, HIV diagnosis is a traumatic experience that significantly changes a person's life. Immune suppression and as direct effect of HIV on the brain are the most common reasons for neuropsychiatric disorders. Aim: To observe and compare the prevalence of psychiatric manifestations of HIV Positive individuals and other sexually transmitted diseased individuals Material and Methods: This study was conducted in the department of Venereology, King George Hospital, Visakhapatnam. The individuals for the study were recruited on the basis of a purposive sampling. The final sample comprised of 100 individuals, Positive individuals and other sexually transmitted diseased individuals, divided into two groups of 50 each. Diagnoses were generated......

Keywords: HIV sero positive, Sexually Transmitted Diseases, Anxiety Disorders, Adjustment Disorder

[1] PERRY S & JACOBSON P ( 1986) : NEUROPSYCHIATRIC MANIFESTATIONS of AIDS – Spectrum Disorders. Hospital and Community Psychiatry 37 , 135- 142.
[2] BROWN GR AND RUNDELL JR ( 1990) : Prospective study of Psychiatric morbidity in HIV – seropositive women without AIDS . General Hospital Psychiatry Jan : 12(1) ; 30-5.
[3] JACOB KS , EAPEN V JOHN JK AND JOHN TJ (1991) : Psychiatric morbidity in HIV infected individuals . Indian journal of medical research March ; 93 : 62-6
[4] CATALAN J (1995): Psychological interventions in infection with the human immunodeficiency virus. British Journal of Psychiatry July : 167 (1) : 104-11.
[5] PERRY S W MARKOWITZ J (1996): Psychiatric interventions for AIDS spectrum disorders. Hospital and Community Psychiatry 37:1001-1006..

Abstract: Introduction: Alopecia areata is an autoimmune disorder characterized by patchy non scarring hair loss associated with many systemic diseases. There is paucity of clinical data among Asian population. Aim and Objective: To find out the demographic and clinical profile of alopecia areata and its association with various systemic and dermatological diseases. Material and Methods: The present descriptive study was conducted among selected 100 patients of alopecia areata who attended Skin and venereal disease OPD, S.V.B.P. hospital, L.L.R.M. Medical College, Meerut, from January 2016 to December 2016. A detail information regarding demographic profile, family history, history of any systemic disease was obtained on a pre tested and predesigned questionnaire. Detail examination...........

[1]. Gopal M.G, Praveen Kumar S, Sharath Kumar B.C, Ramesh M; A Clinico-Investigative study of Alopecia Areata with special reference to its Association With Various Systematic and Dermatological Disorders; Journal of Evolution of Medical and Dental Sciences; Vol 2: Issue 48 Dec 2013; 9239 – 9249
[2]. Thomas E.A, Kadyan R.S; Alopecia and autoimmunity : A clinical study; Indian Journal of Dermatology; 2008 Vol 53(2); 70-74
[3]. Muller HK, Winkelmam RK. Alopecia areata. Arch Dermatology 1963; 88: 290-97.

[4]. Lewinski A, Broniarczyk-Dyla G, Sewerynek E, Zerek-Melen G, Szkudlinski M. Abnormalities in structure and function of the thyroid gland in patients with alopecia areata. J Am AcadDermatol. 1990;23:768–9. [PubMed]

[5]. Bolduc.C; Alopecia Aerata: A clinical presentation; Medscape, 2017 available at https://emedicine.medscape.com/article/1069931-clinical accessed on 14/12/2017

Abstract: Background- Interstitial lung disease (ILD) consists of a diverse group of disorders that involve the pulmonary parenchyma, Interstitial lung disease may be caused a number of factors such as infections of the lungs; toxins in the environment, certain medications, radiation therapy to the chest, chronic autoimmune diseases: connective tissue diseases. Methods- Present cross sectional, institutional based study was conducted in Radiology department of RIMS, Ranchi between April 2009 to October 2010. A Pre tested semistructured questionnaire was used for interview of patients which were referred from various department. During study period 35 patients, between age group 20 to 70 years of age having History of dyspnea and chronic cough,History of exposure to organic/inorganic.........

Key words: Interstitial lung disease, HRCT, Chest radiograph

[1]. Sundaram, B., Gross, B. H., Martinez, F. J., Oh, E., Muller, N. L., Schipper, M., Kazerooni, E. A. (2008). Accuracy of High-Resolution CT in the Diagnosis of Diffuse Lung Disease: Effect of Predominance and Distribution of Findings. Am. J. Roentgenol. 191: 1032-1039.
[2]. K Nyamande, MBCHB, FCP (SA), MD, U G Lalloo, MD, FCCP, FRCP (LONDON) and F Vawda, FC RAD (SA) . Comparison of plain chest radiography and high-resolution CT in human immunodeficiency virus infected patients with community-acquired pneumonia: a sub-Saharan Africa study , British Journal of Radiology (2007) 80, 302-306.
[3]. Jay H. Ryu, MD; Craig E. Daniels, MD; Thomas E. Hartman, MD; and Eunhee S. YI, MD Diagnosis of Interstitial Lung Diseases Mayo Clin Proc. 2007;82(8):976-986.
[4]. Lynch DA, Godwin JD, Safrin S, Starko KM, Hormel P, Brown KK, Raghu G, King TE Jr, Bradford WZ, Schwartz DA, et al. High-resolution computed tomography in idiopathic pulmonary fibrosis: diagnosis and prognosis. Am J Respir Crit Care Med 2005;172:488–493.
[5]. Incidence and prevalence of idiopathic pulmonary fibrosis. Am J Respir Crit Care Med. 174: 2006; 810-816

Abstract: endometriosis is defined as the presence of functioning endometrial tissue outside the endometrial cavity. The presence of this tissue at the incisional site is rare and usually follows the obstetrics and gynecological surgeries. The incident reported is less than 1 %. The presence of the endometrial glands and stroma on the microscopic examination confirms its diagnosis. Here we report a case of 28 years old women, who underwent caesarean section, a year back and developed scar endometrioma on either side of the stich line..

[1]. Olive DL, Schwartz LB. Endometriosis. N Engl J Med 1993;328:1759-69.
[2]. Francica G, Scarano F, Scotti L, Angelone G, Giardiello C. Endometriomas in the region of a scar from cesarean section: sonographic appearance and clinical presentation vary with the size of the lesion. J Clin Ultrasound 2009;37:215-20
[3]. Francica G, Giardiello C, Angelone G, Cristiano S, Finelli R, Tramontano G. Abdominal wall endometriosis near cesarean delivery scars. J Ultrasound Med. 2003;22:1041–7. [PubMed]
[4]. Kaloo P, Reid G, Wong F. Caesarean section scar endometriosis: Two cases of recurrent disease and a literature review. Aust NZ J Obstet Gynaecol. 2002;42:218–20. [PubMed]
[5]. PoonamGoelaLajyaDevicRimpyTandonaPradip KumarSahaaAshwiniDalalb. Scar endometriosis – A series of six patients. International Journal of Surgery. Volume 9, Issue 1, 2011, Pages 39-40..

Abstract: This hospital based prospective study highlights the point prevalence of congenital malformations over a period of 6months. Over all incidence calculated is 2.2%. Malformations more in females (F: M=1.2:1), and in neonates ofyounger mothers 18-21 years. The pattern included CNS 28.5%, CVS 24.6%, GIT14.2%, musculoskeletal 11.6%,multiple congenital anomalies 9.8%, chromosomal anomaly 7.7%, and Genitourinary 2.4%, RS 1.2%. In CNS,meningomyelocele was the most common malformation. Frequency is more in term than in preterm (1.7% vs. 0.5%),vaginal delivery than LSCS (1.35 VS 0.9 %.) The present study stresses upon the importance of thorough clinicalexamination of neonate at birth and encourage routine neonatal screening for malformations during NB period

Keywords:Congenital, Malformation, New born

[1]. Puri P Diana DE. Preoperative assessment in prempuri(editor) newborn surgery 2nd edition. London Arnold 2003;46
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[3]. Singh S, Shergill A, Singh R. Role of ultrasound in detection of antenatal fetal malformations Ind J Radio image 2006; 16; 831-34.
[4]. Grover N. Congenital malformations in Shimla. Indian J Pediatrics2000; 67(4);249-51.
[5]. Park K. Congenital malformations. Park text book of preventive and social medicine 2011 pp 379-80...

Abstract: Introduction: The ideal treatment for pilonidal sinus should ensure low pain, short hospitalization period, low risk of complication, rapid return to normal activities, and should have a low recurrence rate. The aim of the study is comparison between excision with simple primary closure and excision with limbergs flap reconstruction in pilonidal sinus disease. Materials and Methods: The study was conducted in Government Medical College/Hospital, Anantapuram from January 2015 to October 2017 taking population size as 60, with two groups. Group A including 30 patients undergoing simple excision with primary mid line closure and, Group B including 30 patients undergoing rhomboid excision with LF reconstruction. Operative time, postoperative pain, duration of hospital stay.........

Key Words: Excision, Pilonidal sinus disease

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[3]. .K. Sondenaa, I. Nesvik, E. Andersen, JA. Soreide, Recurrent pilonidal sinus after excision with closed or open treatment: final result of a randomised trial, Eur J Surg, 162, 1996, 237–240.
[4]. AS. Azab, MS. Kamal, F. El Bassyoni, The rationale of using the rhomboid fasciocutaneous transposition flap for the radical cure of pilonidal sinus, J DermatolSurgOncol, 12, 1986, 1295–1299.
[5]. HC. Lee, YH. Ho, CF. Seow, KW. Eu, D. Nyam, Pilonidal disease in Singapore: clinical features and management, Aust N Z J Surg, 70, 2000, 196–198..

Abstract: Acute pancreatitis (AP) is a dreaded emergency in clinical practice. Though most of them undergo uneventful recovery in uncomplicated variety, various complications are encountered in the course of illness which may lead to prolonged hospital stay and mortality. Present study was undertaken to examine the clinical spectrum of acute pancreatitis and to look in particular for life threatening complications of this disease. A descriptive study with cross sectional design was planned in a tertiary care hospital of Kolkata city, in India. 50 consecutive patients of AP who were admitted to this hospital through one and half year period of time (January 2016-July 2017) were enrolled. The data was collected with the help of a pre designed, pre tested semi structure schedule. Secondary data was also..............

Keywords - Acute pancreatitis, epidemiology, prognosis, complications

[1]. Eland IA, Sturkenboom MJ, Wilson JH, Stricker BH. Incidence and mortality of acute pancreatitis between 1985 and 1995. Scand J Gastroenterol. 2000 Oct;35(10):1110-6.
[2]. Goldacre MJ, Roberts SE (2004). "Hospital admission for acute pancreatitis in an English population, 1963-98: database study of incidence and mortality". 2004 Jun 19 ;BMJ 328 (7454): 1466–9.
[3]. Wilson C, Imrie C W,1 Changing pattern of incidence and mortality from acute pancreatitis in Scotland,1961-85. Br J Surg. 1990 Jul;77(7):731-4.
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Abstract: Background- Laparoscopic cholecystectomy is one of the most commonly performed day care surgeries. Although the patients complain of less pain than the open procedures, yet the emanating visceral pain causes significant discomfort. Multimodal analgesics have been tried to alleviate this pain by various routes. Intraperitoneal administration of local anaesthetics is one such modality. Ropivacaine when used intraperitoneally provides profound and prolonged analgesia.Aim- The aim of this study was to evaluate the analgesic efficacy of intraperitoneally administered Ropivacaine in patients undergoing laparoscopic cholecystectomy. Materials and methods- Patients were randomly allocated into two groups: Group C (control group n= 50) which received 40 ml of 0.9% saline and Group R (Ropivacaine group n= 50) which received 2mg/kg of Ropivacaine made to a total of 40 ml volume. Postoperative assessment of pain was done using visual analogue scale (VAS) and at VAS>3 intravenous...........

Keywords-Laparoscopic cholecystectomy, Postoperative analgesia, Ropivacaine, Intraperitoneal

[1]. Joris J, Thiry E, Paris P, Weerts J, Lamy M. Pain after laparoscopic cholecystectomy: characteristics and effect of intraperitoneal bupivacaine. Anesth Analg 1995;81(2):379-384.
[2]. Shivhare P, Dugg P, Singh H, Mittal S, Kumar A, Munghate A. A prospective randomized trial to study the effect of intraperitoneal instillation of ropivacaine in postoperative pain reduction in laparoscopic cholecystectomy. J Minim Invasive Surg Sci 2014;3(4):e18009.
[3]. de Jong E, Field JA, Spinnler HE, Wijnberg JB, de Bont JA. Significant biogenesis of chlorinated aromatics by fungi in natural environments. Appl Environ Microbiol. 1994;60(1):264–70.
[4]. T. Labaille, X. Mazoitl, X. Paqueron, D. Franco and D. Benhamou. The Clinical Efficacy and Pharmacokinetics of Intraperitoneal Ropivacaine for Laparoscopic Cholecystectomy.
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Abstract: Aim of this study is to determine the prevalence of reproductive tract infections among women of reproductive age group in slums of Burdwan Municipal area by syndromic approach. Materials and method: All women of reproductive age group (15-49 yrs) were evaluated for inclusion in the present study with the following exclusion a)Women not willing to participate in the study. b)Pregnant women ,reported missed period or had given birth in the previous six weeks.c)Women who were seriously ill. The required samples of study subjects were selected through multistage sampling technique as follows. At first the list of the existing 144 slums was made and from this 10% of the slums were selected by simple random sampling method . This served as the sampling frame at the level of each identified slum. At this stage samples were collected by population proportionate.........

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[5]. National Family Health Survey(NFHS-3) India 2005-06.Ministry of Health and Family Welfare.Government of India. Available from http://www.rchiips.org/NFHS/nfhs3_national_report.shtml.