International Journal of Integrative Medical Sciences

87-89

Authors: Niraj kumar Dipak, Samir Sheikh, Anita Srinivasan

EEC syndrome is characterized by deformities of the hands and feet (ectrodactyly), abnormalities of the skin, hair, and nails (ectodermal dysplasia), and cleft lip and/or cleft palate (clefting). Other signs and symptoms include dental, eye, skin, and kidney abnormalities. The present case describes the clinical presentation in a premature neonate born with this rare genetic syndrome. KEY WORDS: Ectrodactyly, Ectodermal Dysplasia, Cleft Palate.

99-103

Authors: Anjan kumar V S, Bhagyalakshmi V S, Rajesh T, Arumugam A

Introduction: Childhood obesity as an important risk factor for cardiovascular and metabolic diseases in the later part of life are more susceptible to develop hypertension and coronary artery diseases. The effect of altered environmental factors may lead to hypertension and childhood obesity. Aim and objectives: To evaluate the incidence of hypertension among obese children and the effect of environmental factors on hypertension and obesity. Results: Out of 1000 school going children, 85were having BMI >85th centile. Among 85, 53were overweight and 32 being obese. SBP and DBP were significantly higher in obese children when compared to non obese group (p<0.05). A positive correlation between age,weight, height, BMI with SBP (p<0.05)while a negative correlation between weight, BMI and hours of sleep per day (p<0.05). Conclusion: A higher prevalence of systolic and diastolic hypertension was observed among children with obesity. It is implicated that decreased hours of sleep, milk consumption, physical activity and increased sedentary life style are important risk factors in childhood obesity. KEY WORDS: Environmental factors-Hypertension-Childhood obesity.

70-77

Authors: G. Madhavi Latha, K.Sarala, Shivakrishna Gouroju.

BACKGROUND: chronic obstructive pulmonary disease (COPD) is a seventh leading cause of death and disability in the worldwide. For better living we need civilization, under these unignorable inherent maladies particles affecting the people. India like traditional and developing countries is requiring two of the major works flourmill and constructions. Now we are searching how much this work affecting the works. MATERIALS AND METHODS: A cross-sectional study was undertaken for a period of 12 months with 15 clinically normal and 80 COPD subjects at the Govt.General Hospital, Kurnool and from small villages in and around of Kurnool, various flourmills and labourers for construction work, were divided into 6 groups based on the work and experience and target on the respiratory parameters. RESULT: Flourmill and construction works respiratory parameters are compared with the normal subjects. The levels FVC (0.01, 0.00, 0.00, 0.00, 0.00) and FEV1 (0.22, 0.02, 0.00, 0.14, 0.06) which are more dependent on the volumes and capacities are reduced. The values of PEF (0.00, 0.00, 0.00, 0.00, 0.00) and PIF (0.51, 0.14, 0.09, 0.00, 0.00), which are more dependent upon the airways are very much reduced, because the effects of the pollutants are more on bronchial tree. Conclusion: pulmonary function tests like FVC, FEV1, PEF, and PIF have been conducted on flourmill workers and construction workers for the levels are vary period of exposure. The results suggest that COPD is common in these workers and the changes are more related to the period of exposure. These respiratory disorders are preventable if proper precautions are taken either by decreasing the concentration of pollutants or by rehabilitation of patients since the disorders are more related to the period of exposure.

200-205

Authors: Chaitanya V 1, Nikethan B *2.

Background: The laryngeal lesions are significant because of the human communication through voice and contribution of voice to the identity of the person. Lesions of the larynx are classified into the commonly occurring non-neoplastic lesions and relatively neoplastic lesions. The aim of this study was to describe the clinical features of patients with non-neoplastic and neoplastic lesions of the larynx,and pathological findings of patients with this lesions. Material and Methods: This prospective study was conducted in 80 patients who were diagnosed with various lesions of larynx during a period of three year. After a detailed history, general physical and systemic examination, complete nasal and paranasal examination, examination of ears, patients were subjected for examination of larynx which included external examination of larynx, indirect laryngoscopy under general anesthesia. Results: The incidence was found to be 30-40 (36.6%) years followed by the 51-60 (23.3%) years. Non-neoplastic benign lesions were more common (62.5) as compared to neoplastic benign lesions (37.5%) with preponderance in males (80%) as compared to females (20%). Hoarseness of voice was the commonest presenting symptoms being present in 15-30 patients. It was observed that 15 patients (50%) were smokers, 33.3% were addicted to alcohol, 6.8% patients had history of both smoking and alcohol consumption,3.3% had beetel nut chewing and 3.3% had history of tobacco chewing. Vocal polyp being the commonest type seen in 33.7% of cases followed by vocal nodule(22.5%), epiglottic cyst(2.5%), chronic laryngitis(1.3%) and tubercular laryngitis(2.5%), Papilloma(10%) & Squamous cell carcinoma(27.5). Conclusion: The symptoms of laryngeal lesions can vary from mild hoarseness of voice to life threatening respiratory distress. All available methods of study should be utilized to make the diagnosis as early as possible. Early diagnosis of the lesion can lead to effective management. KEYWORDS: Larynx , Laryngeal lesions, Clinicopathological.

167-169

Authors: Pavan P. Havaldar, Shruthi B.N, Shaik Hussain Saheb, Henjarappa K S.

Background: The asterion is the junction of the parietal, temporal and occipital bones. The asterion is a surgical landmark to the transverse sinus location which is of great importance in the surgical approaches to the posterior cranial fossa. The sutural morphology was classified into two types, Type I where a sutural bone was present and type II was where sutural bone was absent. The study of asterion may be helpful to ENT and Neurosurgeons. Materials and Methods: A total of 500 asterion were examined from 250 adult dry skulls. The present study was undertaken in adult south Indian skulls from different regions of south India, from different medical colleges. We have observed different types of asterion like Type I where a sutural bone was present and type II was where sutural bone was absent. Results: The sutural morphology of the asterion is important in surgical approaches to the cranial fossae. 250 human skulls of known gender (148 male, 102 female) were examined on both sides. Two types of asterion were observed – Type I was 18% in males, 20% in females and in total, Type II was 82% in males, 80% in females and 81% in total. Conclusion: Sutural morphology of the asterion in the Indian population does not differ much from that of other populations. These findings useful in surgical approaches and interventions via the asterion. KEY WORDS: Asterion, Skull, Ocipital, Parital, Temporal.

175-177

Authors: Aroona Selvarajan

Background: Anal fistula is an abnormal tract communicating between the perianal region to the anal canal and occasionally to the lower rectum. video-assisted anal fistula treatment (VAAFT) is an upcoming minimally invasive technique to treat fistulas Aim: To describe the technique and our initial experience with video-assistance for anal fistula treatment. Technique: A Karl Storz video equipment was used. Main steps included the visualization of the fistula tract using the fistuloscope, the correct localization of the internal fistula opening under direct vision, endoscopic treatment of the fistula and closure of the internal opening. Results: Mean operative time is 39 minutes. Internal fistula opening could be identified in 3 patients after complete fistuloscopy. The mean pain score observed is 3 using the numeric pain score. There were no intraoperative or postoperative complications. During due course of follow-up, it was observed that in 37.5% of patients had non-resolving symptoms. Conclusion: Video-assisted anal fistula treatment has less morbidity post-operatively. It enables direct visualization of the fistula tract, internal opening and secondary paths. KEY WORDS: Anal fistula, Video-Assisted Anal Fistula Treatment (VAAFT), Invasive Technique, Karl Storz video.

182-185

Authors: Anil kumar Bhupally, Sindu Sulekha, Rama Devi E, Swathi M, Rohini M, Shruthi T.

Aim: To determine the prevalence of retinal changes in pregnancy-induced hypertension (PIH) and to determine any association between retinal changes and blood pressure (BP), proteinuria, blood urea, serum creatinine and severity of the disease. Materials and Methods: Patients admitted and diagnosed with PIH are included in the study over a period of 3 years. Age, gravida, gestational age, blood pressure, proteinuria, blood urea, serum creatinine were noted from the case records. History for any eye disease was taken, fundus examination done after dilating the eyes with 1% tropicamide, in a semi dark room in the ward Results: A time period of 3 years from (June 2011 to June 2014) was taken and all the patients coming to OBG OPD with PIH were examined. Of 154 patients the mean age of patients were 23.68±3.49year(range 18-38year). The gestational period ranged between 20-38 weeks with mean 33.93±3.62. Primigravida 85(56.7%), 47(32.1) 2nd gravida, 22(13.01%) were 3rd gravida. 84(54.54%) had mild preeclampsia, 61(39.61%) had severe preeclampsia, 9(5.84%) had eclampsia. Retinal changes were seen in 42(27.27%). There was statistically significant positive association of retinal changes and blood pressure(p=0.0001), proteinuria (p=0.0001), severity of the PIH (p=0.0001) and no significant association found between retinal changes and blood urea(p=0.507), serum creatinine(p=0.614), serum A/G (p=0.185). Conclusion: Retinal changes were seen in 42(27.27%) of patients with PIH and they were significantly associated with blood pressure, proteinuria and severity of PIH. KEY WORDS: Preeclampsia, Eclampsia, Retinal changes, Proteinuria.