iosr-JDMS   Volume-19 ~ Issue-2 ~ February 2020

Abstract: Background:Schizophrenia has been called a 'Life-shortening disease', because many people who suffer from it die early than general population and suicide accounts for a significant proportion of those dying prematurely. Indian research on factors affecting suicidal ideation in schizophrenia have been few. Aim: To compare and study the positive and negative symptoms, depressive symptoms in persons with schizophrenia with suicidal ideation compared to persons without suicidal ideation, along with socio-demographic parameters. Materials and methods: The study was carried out in a tertiary care hospital, Government Hospital for Mental Care, Visakhapatnam. Eighty consecutive patients diagnosed as suffering from Schizophrenia according to ICD-10 diagnostic criteria for research, who were attending....

Key words:- Schizophrenia, suicidal ideation, depression

[1]. Sadock BJ, Sadock VA, Ruiz P. Kaplan and Sadock's Comprehensive Textbook of Psychiatry. Wolters Kluwer; 10th edition, 2017:2610-11.
[2]. Nock MK. 0xford handbook of suicide and self injury, Oxford University Press. 1st edition, 2013:11-13:5-10.
[3]. World Health Organization. The world health report 2001. Mental health, new understanding, new hope. 2001:Pg. 28.
[4]. Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin 1987;13(2):261-276.
[5]. Addington D, Addington J, Schissel B. A depression rating scale for schizophrenics. Schizophrenia Research 1990;3(4):247-251

Abstract: Aim: To study the role of nonsurgical management of orbital lesions. Material and methods:This retrospective interventional case series comprises of 56 cases among 104 cases of orbital diseases which were managed non-surgically at the department of ophthalmology of a tertiary care hospital during October 2015 to June 2019. The management strategies included medical management including IV Pulse Steroids for TAO with inflammation or medical optic nerve decompression, Oral steroids, antibiotics, and observation. Results: There was a significant improvement with IV Pulse steroids in TAO patients. Medical management has a significant role in Nonspecific orbital inflammation, IGG4, Cysticercosis, and orbital Cellulitis. The majority of orbital fractures were managed without surgery. Conclusions: More than half the cases of proptosis and orbital fractures were managed without surgery. Nonsurgical management of orbital lesions has a significant role.

Keywords: Non surgical management, proptosis, orbital fractures, thyroid orbitopathy, steroids

[1]. Yuen SJA, Rubin PAD. Idiopathic Orbital Inflammation: Distribution, Clinical Features, and Treatment Outcome. Arch Ophthalmol. 2003;121(4):491–499. doi:10.1001/archopht.121.4.491.
[2]. Wen Y, Yan JH.The effect of intravenous high-dose glucocorticoids and orbital decompression surgery on sight-threatening thyroid-associated ophthalmopathy. Int J Ophthalmol. 2019 Nov 18;12(11):1737-1745. doi: 10.18240/ijo.2019.11.12. eCollection 2019
[3]. Yun-Jeong Kim, Yoon-Duck Kim, Japanese Journal of Ophthalmology, 2009, Volume 53, Number 4, Page 408
[4]. Putterman, A.M., Stevens, T., and Urist, M.J. Nonsurgical management of blow-out fractures of the orbital floor. Am J Ophthalmol. 1974; 77: 232–239
[5]. Koornneef, L. Current concepts on the management of orbital blow-out fractures. Ann Plast Surg. 1982; 9: 185–200.

Abstract: Background: Spouse's ability to adapt to stressful situations and problems in their relationships and their ability to cope up with stress varies Aim: A Comparative study of marital coping strategies in spouses of patientswith schizophrenia and alcohol dependence syndrome Materials and Methods: It's a cross-sectional study used convenient sampling. The study conducted inGovernment hospital for mental care, Visakhapatnam. The study consisting of60 participants, of which 30 participants are spouses of patients with.....

Key Word: Schizophrenia, Alcohol dependence syndrome, marital coping scale,spouses

[1]. Dr. Chandrakant jamadar, Marital coping style among working and non-working women. International journal in management and social science. June 2015;volume 3, Issue 6: 57-64.
[2]. Nitasha Sharma, Sunita Sharma, Sandhya Ghai, Debashish Basu, Deepika Kumari, Dharamveer Singh, Gagandeep Kaur Living with an alcoholic partner:Problems faced and coping strategies used by wives of alcoholic clients Ind Psychiatry J. 2016 Jan- Jun; 25(1): 65–71.
[3]. R. CHANDRASEKARAN & V. CHITRALEKA, PATTERNS AND DETERMINANTS OF COPING BEHAVIOUR OF WIVES OF ALCOHOLICS Indian J. Psychiat., 1998, 40 (1),30-34.
[4]. Hui Chien Ong, Norhayati Ibrahim, Suzaily Wahab Psychological distress,perceived stigma, and coping among caregivers of patients with schizophrenia Psychology Research and Behavior Management 2016:9 211–218.

Abstract: Introduction: The purpose of this study was to evaluate the efficacy of oral Pregabalin and oral Clonidine premedication with regards to attenuation of haemodynamic response to laryngoscopy and intubation, postoperative pain, analgesic requirement following surgery and incidence of postoperative nausea and vomiting (PONV). Materials and Methods: The study comprised of 100 patients divided into two groups of 50 each, in the department of Anaesthesiology/Surgery, Zoram Medical College, Falkawn, Mizoram, during the period of two years from March 2018 to February 2020. Patients of ASA grade I and II, aged between 18 and 60 years of both sexes scheduled to undergo Laparoscopic......

Keywords: Clonidine, Pregabalin, Haemodynamic response, postoperative pain, postoperative nausea and vomiting.

[1]. White PF, Kehlet H: Improving pain management; Are we jumping from the frying pain into the fire?, Anesth Analog, 2007; 105: 10-12.
[2]. Barat YK, Indu B and Puri GD: Attenuation of pulse rate and blood pressure response to laryngoscopy and tracheal intubation by Clonidine, Int J Clin Pharmacol Ther Toxicol 1998; 26: 360-366.
[3]. Rose MA, Kam PC: Gabapentin; Pharmacology and its use in pain management, Anaestheisa, 2002; 57: 451-463.
[4]. Kavoussi R: Pregabalin; from molecule to medicine, Eur Neuropsychopharmacol, 2006; 16: S128-S133.
[5]. Crofford LJ, Rowbotham MC and Mease PJ: Pregabalin for the treatment of fibromyalgia syndrome; Results of a randomized, double blind placebo controlled trial, Arthritis Rhema, 2005; 52: 1264-1273.

Abstract: Background: HemovigilanceProgramme is a part of pharmacovigilance as blood is also considered as a drug. Hemovigilance is a system that include monitoring, identification, reporting, investigating and analysis of adverse events related to transfusion and manufacture of blood products. It was launched in 2012.This study is planned to know the knowledge, attitude, practice of hemovigilance among post-graduates. Materials and Methods: : In this cross-sectional study ,questionnaire was pre-validated and designed for assessing the Knowledge, attitude, practice of post-graduates regarding transfusion reaction reporting and were distributed among 120 post-graduates in King George Hospital, Visakhapatnam, AndhraPradesh. Results:Total 120 post-graduates were included in the study. All the post-graduates had knowledge about transfusion reactions. Only 15% of the post-graduates had knowledge that transfusion reactions can be prevented, 20% of the post-graduates....

Key Word:Hemovigilance, Transfusion reactionreporting, Underreportin,HvPI, ATR

[1]. Bisht A. HaemovigilanceProgramme of IndiaOrganization structure. 2014. Available at:
http://www.ihnorg.com/wpcontent/uploads/2014/01/
[2]. Haemovigilance-Programme-of-India-by-AkankshaBisht.pdf. Accessed on 7 October 2019.
[3]. Gupta M, Kumar R, Gupta S, Kaur A. Acute transfusion reactions encountered in patients at a tertiary care centre in Punjab. Natl Med J India. 2015;28(1):8-11.
[4]. National Institute of Biologicals. Haemovigilance Newsletter. Available at: http://emedinews.in/2015/IJCPebook/haemovigilance/files/haemovigilance%20newsletter%20vol%20no.%203,%20issue%206,%20julydecember%202015_ctc%20(1).pdf.
[5]. Sreekumar P, Kumar TP, Sarathi G, Gupta D. Haemovigilance-roles and global status in transfusion safety: a review. IRJP. 2016;7(12):5-7..

Abstract: Background: Gestational diabetes mellitus (GDM) is the most common metabolic complication leading to macrosomia. This study was aimed to evaluate accuracy of fetal subcutaneous soft tissue thickness in predicting macrosomia among neonates delivered by the women with GDM. Materials and Methods This hospital based prospective study was carried out in a tertiary care teaching hospital of Karnataka. A total of 50 women with GDM referred for routine ultrasound scan during the period from August 2019 to November 2019 were subjected to estimation of fetal abdominal soft tissue thickness (FASTT) and sub scapular soft tissue thickness (SSSTT) by ultrasound....

Keywords: Abdominal soft tissue thickness; Gestational diabetes mellitus; Macrosomia; Subcutaneous soft tissue thickness

[1]. Kc K, Shakya S, Zhang H. Gestational diabetes mellitus and macrosomia: a literature review. Ann Nutr Metab. 2015;66 Suppl 2:14-20.
[2]. Behboudi-Gandevani S, Amiri M, Bidhendi Yarandi R, Ramezani Tehrani F. The impact of diagnostic criteria for gestational diabetes on its prevalence: a systematic review and meta-analysis. Diabetol Metab Syndr. 2019;11:11.
[3]. Siddiqui S, Waghdhare S, Panda M, Sinha S, Singh P, Dubey S, Jha S. Regional prevalence of gestational diabetes mellitus in North India. J Diabetol 2019;10:25-8
[4]. Mithal A, Bansal B, Kalra S. Gestational diabetes in India: Science and society. Indian J Endocr Metab 2015;19:701-4.
[5]. Chen L, Wu JJ, Chen XH, Cao L, Wu L, Zhu LJ, et al. Measurement of fetal abdominal and subscapular subcutaneous tissue thickness during pregnancy to predict macrosomia: a pilot study. PLoS One 2014;9(3):e93077

Abstract: Introduction: Acute appendicitis is the most common surgically correctable cause of abdominal pain, the diagnosis of which remains difficult in many instances. Some of the signs and symptoms can be subtle to both the clinician and the patient and may not be present in all instances. Materials and Methods: This study was conducted on patients presenting with pain in the right lower quadrant of Abdomen, lasting fewer than 7 days who after clinical examination were provisionally diagnosed to have acute appendicitis and were admitted in Prathima Institute of Medical Sciences, Karimnagar in the study period of June 2011 to September2014.Modified Alvarado score was applied on all these patients. Results: Group 1: twenty two patients were in.......

Keywords: Acute appendicitis, ruptured ectopic pregnancy, pelvic inflammatory disease, abdominal pain

[1]. Peranteau WH, Smink DS: "Appendix,Meckel's and other small bowel diverticula In Manigot's abdominal operations, Michacel J Zinner, Stanely W Ashely McGraw Hill; 12th edition, 2013; 643-644.
[2]. P Ronan O' Connel. "The Vermiform Appendix". Chapter 71. In Bailey and Love's - Short practice of surgery, Norman S Williams, Christopher J.K. Bulstrode, P Ronan O' Connel; London. Arnold: 26th edition. 2013;1199-1214.
[3]. Alvarado A. "A practical score for the early diagnosis of acute appendicitis". Ann Emerg Med, 1986;15:557-65.
[4]. Kalan M. et Al. "Evaluation of the modified Alvarado score in the diagnosis of acute appendicitis, a prospective study". Ann R Coll Surg Engl 1994;76:418-9.
[5]. Bhattacharjee PK, Chowdhury T, Roy D. "Prospective evaluation of Modified Alvarado score for diagnosis of acute appendicitis." J Indian Med Assoc, May 2002; 100 (5): 310- 1, 314

Abstract: Background: Dental photography in the recent times has become a forerunner in diagnosis and treatment planning due to its low cost and less technique sensitivity. The importance of clinical photography in orthodontics mainly focuses on facial esthetics. Materials and methods: In this cross sectional study,true size frontal face photograph was taken for 180 subjects of aged 17 to 30 years with different growth pattern which was defined by Jarabak ratio and GoGn to Sn angle in normodivergent,hypodivergent and hyperdivergent group. Various transverse facial dimensions were measured in adobe Photoshop software CS3 version.....

Keywords: transverse facial dimensions, growth pattern, photograph.

[1]. Moshkelgosha V, Fathinejad S, Pakizeh Z, Shamsa M, Golkari A. Photographic facial soft tissue analysis by means of linear and angular measurements in an adolescent persian population. The open dentistry journal.2015;9:346.
[2]. Han K, Kwon HJ, Choi TH, Kim JH, Son D. Comparison of anthropometry with photogrammetry based on a standardizedclinicalphotographic technique using a cephalostat and chair. Journal of Cranio- Maxillofacial Surgery. 2010 Mar 1;38(2):96-107.
[3]. DeviTB,SinghTN,SinghSJ,TamangBK.FACIALMORPHOLOGY AND FACIAL INDEX: A STUDY ON SECULAR TREND OF MEITEI MALE POPULATION OF BISHNUPUR DISTRICT, MANIPUR, INDIA. Int J Anat Res.2016;4(4):3279-83.
[4]. ChortrakarnkijP,LonicD,LinHH,LoLJ.EstablishmentofaReliable Horizontal Reference Plane for 3-Dimensional Facial Soft Tissue Evaluation Before and After Orthognathic Surgery. Annals of plastic surgery. 2017 Mar1;78(3):S139-47.
[5]. Yesmin T, Thwin SS, Afrin Urmi S, Wai MM, Zaini PU, Azwan K. A study of facial index among Malay population. Journal of Anthropology. 2014;2014.

Abstract: The histopathological spectrum of skin disorder is varied whereas clinical presentation is restricted to only a few changes such as hyperpigmentation,hypopigmentation,macules,papules and nodules.(1)Accurate diagnosis is important for different skin disorders presenting with similar type of lesions(1).For the purpose of diagnosis and planning of treatment ,skin punch biopsy is the standard primary procedure.Histopathological examination plays a significant role and it is the gold standard in arriving diagnosis.

Key Words: Non-neoplstic skin lesions,Histopathological study,skin punch biopsy

[1]. Veldurthy VS, Shanmugam C, Sudhir N, Sirisha O, Motupalli CP, Rao N, Reddy SR, Rao N. Pathological study of nonneoplastic skin lesions by punch biopsy. Int J Res Med Sci 2015;3(8):1985-8
[2]. Neetu Goyal et al., Sch. J. App. Med. Sci., 2015; 3(1F):444-449
[3]. Gireesh V. Achalkar et al. Clinico-pathological evaluation of non- neoplastic and neoplastic skin lesions.Indian Journal of Pathology and Oncology, January-March, 2019;6(1):118-122
[4]. Kumar et. al: Spectrum of non-neoplastic skin lesions: a histopathological study based on punch biopsy. Int J Cur Res Rev |Vol 10 . March 2018
[5]. Lever's histopathology of skin; Devid E Elder, Bernett Johnson Jr., Rosalle Elenltsas; 9th Editi