FLEXIBLE VERSUS RIGID ESOPHAGOSCOPY IN THE MANAGEMENT OF ESOPHAGEAL FOREIGN BODY IMPACTION

Background: Foreign body(FB) impaction accounts for 4% of emergency endoscopies in clinical practice. Flexible endoscopy(FE) is a recommended therapeutic option because it can be performed under local anesthesia, it is cost effective and is well tolerated. Rigid endoscopy (RG) under general anesthesia is another option and is advantageous in some circumstances. The aim of the study is to compare ef?cacy and safety of ?exible and rigid esophagoscopy in esophageal foreign body removal. It is a prospective study done in E.N.T department in KIMS Methods: MEDICAL COLLEGE, Amalapuram, which includes 50 patients with impacted foreign body esophagus. Parameters like type of foreign body, location of impacted foreign body are included. The study analyzies the type of procedure the patient have undergone, the intra operative and post operative complications. This prospective cohort study includes 50 patients Results: who have undergone surgical procedure for removal of impacted foreign body. Flexible esophagoscopy is performed in 30 patients and rigid esophagoscopy is performed in 20 patients . The most frequent complications are mucosal erosion, mucosal edema, and ulceration. Flexible esophagoscopy and rigid esophagoscopy are equally safe and effective for Conclusion: removal of impacted esophageal foreign body

Pancreatic tuberculosis: An unusual presentation

Tuberculosis (TB) of pancreas is a rare presentation in both immune-competent and immune-suppressed patients. Its presenting clinical features are usually vague and non-specific, while radiological features mimic other common pancreatic conditions such as malignancy, so it is often misdiagnosed. It commonly involves the head and the uncinate process of the pancreas. We report a middle-aged immune-compromised man who presented with left-sided tubercular pleural effusion and later was diagnosed as pancreatitis by clinical presentation and TB of pancreas on computed tomography of the abdomen.

Hearing Loss in Thalassemic Children on Chelation Therapy

Background: Thalassemia is a common genetic hematological disorder worldwide. It is also common in North India includingJammu region. These patients need lifelong repeated blood transfusions and iron chelation therapy for their survival. Chelationtherapy is known to be associated with various complications including sensorineural hearing loss (SNHL). Till now, no dataare available regarding SNHL in pediatric thalassemia major patients in Jammu region. Hence, we planned a study to assessthe prevalence of hearing loss in children with thalassemia major in the age group of 10–20 years.Methods: All the children with beta-thalassemia major in the age group of 10–20 years registered with Thalassemia Day CareCenter, Department of Pediatrics, SMGS Hospital, Government Medical College, Jammu, were enrolled in this cross-sectionalstudy. Hearing was assessed by pure tone audiometry. Clinical and demographic data of these patients were recorded onpretested pro forma and analyzed.Results: A total number of 34 children with thalassemia in the age group of 10–20 years were enrolled in this study whichcomprised 18 males and 16 females. Out of these 34 patients, 5 (14.7%) were found to have SNHL and 1 (2.9%) had conductivehearing loss. Four of the five patients in SNHL group had low- as well as high-frequency mild hearing loss (25–40 db) whileone patient had high-frequency mild hearing loss at 4000 HZ. Four out of these five patients had unilateral hearing loss on theleft side while one had bilateral SNHL. Two out of five patients in the SNHL group were taking chelation therapy in the form ofcombination of deferiprone and deferasirox at the dose of 75–100 mg/kg/day and 30–40 mg/kg/day, respectively, for more than5 years. The other three patients were taking only deferasirox at the dose of 30–40 mg/kg/day for more than 5 years.Conclusions: Regular blood transfusions and chelation therapy are essential for long-term survival of thalassemia majorpatients but are also associated with complications like SNHL.

A prospective study of correlation between smoking and serum calcium in newly diagnosed essential hypertension

Background: Smoking significantly reduces the vitamin D and serum parathyroid hormone levels. But no significant difference was observed in serum calcium levels in previous studies. Some studies showed significantly low serum calcium levels in essential hypertension. There are limited international and local studies about the effect of cigarette smoking on the levels of serum calcium in relation to hypertension. Our study aims to find correlation between smoking and serum calcium in newly diagnosed essential hypertensive patients.Methods: Total 70 cases of newly diagnosed essential hypertension who attended the outpatient department at the government general hospital were included in this study based on inclusion criteria. Base line data including age, gender, risk factors were obtained. Blood biochemistry including serum calcium levels were obtained at the time of diagnosis and results were analysed.Results: Among 70 cases of essential hypertension there were 24 smokers and 46 nonsmokers. Serum calcium was found low in 37 cases of essential hypertension. Out of 37, 12 were smokers and 25 were nonsmokers, p value is 0.6981 and it is not significant.Conclusions: Smoking is a major health hazard, with detrimental effects on many organs. In our study serum calcium was significantly less among Hypertensives and correlated inversely with blood pressure. But there was no significant difference in serum calcium among smokers and nonsmokers. Measuring the level of parathyroid hormone in cigarette smokers, may help to clarify the finding in present study.

Perceptions of Medical students on “Timing of theory classes”

Background and Objectives: Most research has found that‘timing of classes’ play a significant part in studentachievement. When students were taught at times matchingtheir preferences, scores were significantly higher onachievement tests. If time is viewed as a resource and can beinfluenced to support high quality instruction, preferred time-ofday is much more likely to result in improved learning.Currently, medical schools are not set up to match everystudent’s perception on ‘timing of the class’. Therefore, there isa need for research on ‘timing of the theory class’ for medicalstudents.Materials and Methods: A cross sectional observational studywas conducted and perceptions of students belonging toMBBS stream from first semester to seventh semester wereconsidered for our study. Structured questionnaire was used inthe format of five-point Likert scale for every statementregarding the timing of theory classes, dissection hours, postlunch theory classes, interactive sessions, audio-visual aidsand experience of teaching faculty. Results were analyzed withthe help of MS office Excel and SPSS software version 20. Wehave compared the perceptions of medical students on fivepoint Likert scale on each question and the statisticalsignificance was calculated by Chi Square test.Results: Our study included a total of 505 medical studentsacross the semesters in MBBS stream. 33.1% of the studentsagreed to come for the theory class at 8° clock, across allsemesters and 34.1% of first semester students agreed tocome for 8° clock theory class when compared to 43% in 3rdSemester, 23.7% in 5th semester and 30.2% in 7th semesterstudents. In our study 50.8% of students from first semesterdisagreed to schedule ‘dissection classes’, of anatomy in thefirst hours of the day and 42.8% of students perceived thatattention span was good in the morning class. 34.1% of thefirst semester students perceived that ‘the quality of theteacher’ makes the class more interesting irrespective of timeof the day.Conclusion: Medical students perceive differently on ‘thetiming of theory classes’ across the semesters. Our studyprovides insights into student’s perceptions regarding lack ofattention during classes; which may be useful in identifyingtheir expectations and to plan theory classes in the curriculum.

Clinical Consequences of Untreated Dental Caries among Primary School Children: A Cross-Sectional Study

Abstract Objective: To evaluate the dental caries experience and clinical consequences of untreated dental caries (UDC) among primary school children of Al Jouf region, Saudi Arabia and to determine the correlation between dental caries experience and clinical consequences of UDC. Material and Methods: A 250 primary school children 6-7 years were recruited using systematic random sampling. The prevalence of dental caries in deciduous dentition was assessed by following WHO criteria using the dmft index and the clinical consequence of UDC was assessed with the pufa index. The pufa score was calculated cumulatively following the pufa diagnostic criteria. The Student's t-test was used to equate the mean dmft and pufa scores between boys and girls. The correlation between the dmft and the pufa scores was evaluated using Pearson's correlation coefficient (r), and the p-value was set at 0.05 for statistical significance. Results: Out of which 154 (61.60%) boys and 94 (37.60%) were girls. The mean (SD) values of dmft for boys reported to be 5.37 (± 3.31) and for girls 6.35 (± 3.27), which was statistically significant with gender (p<0.001). Statistically, significant mean values of pufa were 1.20 (± 1.37) in boys and 1.71 (± 1.58) in girls, respectively was observed (p<0.001). The Pearson correlation between dmft and pufa values showed a highly significant positive correlation among dmft and pufa values (r= 0.635, p<0.001). Conclusion: The present study revealed that high caries prevalence and experience of the clinical consequences of UDC in the primary dentition, and there was a strong positive correlation between dmft and pufa score values.

Assessment of Caries Spectrum of First Permanent Molars in 7- to 8-Year-Old School Children in Northern Saudi Arabia: A Cross-Sectional Study

Abstract Objective: To estimate caries spectrum in first permanent molars (FPMs) of 7- to 8-year-old children in Saudi Arabia using Caries Assessment Spectrum and Treatment (CAST) index, and examine the correlation between distributions of CAST codes among contralateral and opposite arches. Material and Methods: A cross-sectional survey was conducted of 7- to 8-year-old Saudi school children in Sakaka, Aljouf, Saudi Arabia. A total of 385 children were examined. CAST codes were determined for FPMs, and their distribution was analyzed using Spearman's rank correlation coefficient. Statistical significance was set as p<0.05. Intra-examiner reliability was determined using the unweighted kappa coefficient. Results: The results indicated most of the FPMs were scored as code 3 (enamel lesions) such as upper contralateral FPM 44.40% for right, 53.50% for left, respectively, and lower contralateral molars were 61.30% for right and 64.90% for left, respectively. It was also observed that upper FPMs had scored code 0 (sound teeth) more than that of lower FPMs. Serious morbidity (codes 6 and 7) and mortality (code 8) showed a low prevalence in FPMs. Strong correlations were observed between upper contralateral FPMs (r=0.586) and lower contralateral FPMs (r=0.567, p<0.001). Conclusion: A high prevalence of enamel caries lesions (code 3) was observed in FPMs; in addition, a strong correlation was present between upper contralateral FPMs and between lower contralateral FPMs.

Frequency and Characteristics of Mesiodens in Indian School Children: A Retrospective Radiographic Study

Abstract Objective: To determine the frequency and characteristics of mesiodens in Indian school children. Material and Methods: 1232 radiographs of patients attending the Department of Oral Medicine and Radiology of the age group of 4-15 years studied for the present retrospective study. The intraoral periapical radiographs and occlusal radiographs of the premaxilla were examined to determine the presence of mesiodens. The data regarding the presence of mesiodens, number, position, location on the arch, shape and associated complications were recorded. Results: Eleven patients had 14 mesiodens, with a frequency of 0.8%. The ratio of boys to girls was 1.2:1. Maximum mesiodens observed in the age group of 7-9 years. Most of the mesiodens were conical in shape and found on the palatal side. Fifty percent of the mesiodens were unerupted. The majority of patients (57.1%) had vertically positioned mesiodens. Midline diastema was the most common complication due to mesiodens (66.7%). Conclusion: Routine check-up during the primary dentition and mixed dentition stages helps for early detection of mesiodens and thus preventing complications. Early identification is useful for planning comprehensive management, initiating proper consultation and referral for evaluation and treatment.

Prevalence of Peg-Shaped Lateral Incisors in Non-Syndromic Subjects: A Multi-Population Study

Abstract Objective: To evaluate the prevalence and gender-wise distribution of peg-shaped maxillary permanent lateral incisors among populations in Saudi Arabia representing different geographical locations (Saudi, Jordan, Egypt, Syria, Philippine, Pakistan, India and Bangladesh). Material and Methods: Panoramic radiographs of 9945 patients attending outpatient university dental clinics of College of Dentistry, Jouf University, Saudi Arabia between February 2014 and January 2018 were collected from the archives randomly. Two calibrated investigators examined the data, which were collected from the dental radiology department archives with prior permission from the authorities. The anomalies of maxillary lateral incisors (right and left) were investigated. Results: Among all geographic locations, the prevalence of peg laterals was more in males in comparison to females except in Pakistani and Philippine populations. Among the Saudi population, peg laterals' prevalence was more in case of right lateral incisor than the left incisor. Conclusion: A higher prevalence of peg laterals was found in Saudi. Conclusion: A higher prevalence of peg laterals was found in Saudi region, followed by Egypt. Among all geographic locations, the prevalence of peg laterals was higher in males than females except for Pakistan and Philippines populations. Among Saudi population prevalence of peg laterals was found to be higher in case of right lateral incisor when compared to the left.

Performance evaluation and kinetic study of fluorene biodegradation in continuous bioreactor using polyurethane foam as packing media

Polycyclic aromatic hydrocarbons (PAHs) are precarious persistent pollutants derived from incomplete combustion of fossil fuel and petroleum products. Due to adverse effects of PAHs on the environment, the wastewater contaminated with PAHs needs to be treated prior to discharge in the water bodies. In the present study, we used immobilized polyurethane foam Pseudomonas pseudoalcaligenes NRSS3 for degradation of fluorene in packed bed bioreactor (PBBR) to stimulate biofilm and possibly enhance removal efficiency. The most affecting process parameters, such as pH, process time and temperature were optimized at batch mode and found to be 7.0, 8.0 days, and 30 °C, respectively. At the optimum condition, the bioreactor was operated in continuous mode up to 45 days and obtained results demonstrate that the maximum removal efficiency (RE) of 91.1% along with 27.3 mg/L day-1 of elimination capacity (EC) were observed. Biodegradation kinetics of fluorene were evaluated by Monod growth and Andrew-Haldane inhibition models and parameters were obtained to be µmax: 0.32 day-1; Ks: 10.8 mg/L by Monod while µmax: 0.47 day-1; Ks: 12.3 mg/L; 27.5 mg/L by Andrews-Haldane.

Can moms give up bottle feeding?: retrospective analytic study to promote breast feeding

Background: Bottle feeding is one of the preventable causes of morbidity and mortality in infants and young children. Children admitted in our hospital analyzed at our center and appropriate advice and guidance for cessation of bottle feeding was given. The objective of this study was to analyses the feeding pattern and the reasons for bottle feeding in children and to help mothers to try and give up bottle feeding and initiate breast feeding.Methods: Retrospective analysis of 200 children less than 2 years admitted to Shri B M Patil hospital for various illnesses was done. Children were divided into 2 groups mainly breast-fed children and bottle-fed group. Both groups were analysed with respect incidence of infection, reason for bottle feeding, age of introduction of bottle feeding, time taken by mother to give up bottle feeing and type of compatible feeding at the time of discharge.Results: All the mothers could give up bottle feeding in less than 7 days during the hospital stay. 81 mothers were able to initiate breastfeeding of which 4 mothers were able to exclusively breastfeed at the time of discharge. 66 mothers were not able to initiate breastfeeding.71% of children received help with drip-drip method of feeding. Breast refusal was the cause of bottle feeding in 40.13% (59/147) of babies.Conclusions: Bottle fed children were more prone to infections. All the mothers gave up bottle feeding within 1 week. Drip drop method was the most effective strategy for initiation of breastfeeding.

A study on nomophobia and its correlation with sleeping difficulty and anxiety among medical students in a medical college, Telangana

Background: Social media and digital communication have become a part of life. Many things were made easy through online connectivity. The mobile phones not only connects people at anytime, anywhere and with anybody, but also movable and portable. Mobile phones when used extensively may cause a number of physical and psychological problems. Nomophobia (NO-MObile phone-PHOBIA) is one of the psychological problems related to exclusive use of mobile phone. It is the fear/anxiety of being away from mobile phone contact. The objectives are to study grading of nomophobia and to find out any correlation exits between nomophobia and sleeping difficulty and anxiety among medical students. Methods: A cross sectional study is conducted for duration of 6 months among medical students using semi-structured questionnaire. Nomophobia questionnaire (NMP-Q) is used to assess nomophobia, Athens insomnia scale is used to assess sleeping difficulty and general anxiety disorder- 7 Item scale is used to assess general anxiety. Results: The study showed that out of 364 students, 62 (17%) have mild, 234 (64.3%) have moderate and 68 (18.7%) have severe nomophobia. There is a weak positive correlation between nomophobia and sleeping difficult and anxiety. Conclusions: There problem of nomophobia is alarming; there is a need to reduce nomophobia, and to evolve effective strategies to enhance human interaction

Bacterial Isolation and Antibiogram of Uterine Lavage from Repeat Breeder Cows Suffering from Subclinical Endometritis

A total 500 cows were randomly selected from college livestock farm, Kuthuliya and different villages in and around Rewa (M.P.). After recording history all the animals were subjected to gynaeco-clinical examination, Whiteside test and endometrial cytology by cytobrush technique. On the basis of above tests performed all the animals were selected for the study. They were divided into three groups as follows: Normal (n=280), Clinical endometritis (n=80) and Subclinical endometritis (n=140). All the animals were subjected to aseptic collection of uterine fluid by low volume lavage technique. Uterine fluid samples obtained were used for microbial assay and antibiotic sensitivity tests. Among the bacterial isolates Staphylococcus species (36.31%) was highly prevalent. The antibiotic sensitivity of isolates was found to be maximum for ceftriaxone and sulbactum combination 91.67 per cent followed by levofloxacin 89.07, ciprofloxacin 79.69, ceftriaxone 73.43, enrofloxacin 61.45 and gentamicin 56.78 per cent, respectively. It was concluded that Staphylococcus species was highly prevalent bacteria isolated and a combination of ceftriaxone and sulbactum was found to be highly sensitive

Study of foot length as an alternate measurement for assessment of gestational maturity in neonates

Background: The aim was to study neonatal foot length as a simple method for quick gestational age assessment which can be done by basic healthcare personnel overcoming the technicality required by other assessment methods.Methods: Prospective descriptive study was done. Live born neonates at Saveetha Medical College, Kanchipuram from June 2016 to June2017 were enrolled. Gestational age was assessed by New Ballard's Scoring and footlength was measured using the paddle blades of automated digital Vernier calipers within 24 hours while birth weight was taken within 72 hours of birth. Based on gestational age, babies were grouped into preterm, term and post term and were subclassified as small for gestational age (SGA), appropriate for gestational age (AGA) and large for gestational age (LGA) based on Lubchenco's intrauterine growth chart. Correlation and regression analysis and Scattergram was done.Results: Out of 300 neonates, term, preterm and post-term were 70.3%,28.3% and1.3% while SGA, AGA, and LGA babies were 9%, 88% and 3%. Mean foot length was 7.728cm'0.59 with a range of 5-8.8cm. Foot length strongly correlated with gestational age in Preterm AGA, SGA and Term AGA babies (<0.001). Correlation coefficient of foot length with gestational age was higher in preterms (r=0.95). Gestational age in 54% of study population could be calculated with the derived regression equation derived.Conclusions: Foot length maybe useful for quick estimation of gestational age in preterm and term neonates for early referral of newborns requiring special care and can even be done by basic healthcare personnel.

Foot length as a screening tool for identification of preterm babies: a cross sectional study

Background: India is one of the countries with the highest neonatal mortality, for which preterm birth is considered as major cause (43.7%). Therefore, early identification by a simple screening tool is important for prognostication and follow-up of new-born infants, especially preterm.Methods: Cross-sectional study was conducted on 300 live newborns at Saveetha Hospital in Kanchipuram. Anthropometric measures such as birth weight, crown-heel length, head circumference, foot length were taken within 3 days of life and gestational age assessment was done by new Ballard scoring after calculation by Naegles formula. Neonates were grouped into preterm, term and post-term and also small for gestational age (SGA), appropriate for gestational age (AGA) and large for gestational age (LGA). Minimum to maximum range of variables in each gestational range was calculated. The sensitivity and specificity of each variable was found using receiver operating curve. Parameter having the highest sensitivity and good specificity was considered as potential screening tool to identify high risk babies. SPSS Software version 17 for windows was used.Results: The range of gestational age, length, foot length, birth weight and head circumference was 28-42 weeks, 35-53 cm, 5-8.8 cm, 0.8-4.7 kg and 22.8-54.3 cm respectively. Among all, maximum sensitivity at 37weeks gestational age was seen with foot length (80.57%) at a cut-off of 7.58 cm. A nomogram of foot length for each gestational age group (range of 2 weeks) was also derived.Conclusions: It can be concluded that foot length has the potential to be considered as a screening tool to identify preterm neonates especially at a concentrated community level and is particularly useful in resource constraint countries.

Incidence of Postpartum Anoestrus and Oestrus Behavior and Gynecological Symptoms in Hormonal Treated Postpartum Anoestrus Buffaloes

The present investigation was aimed to evaluate the incidence of anoestrus in postpartum buffaloes and compare the intensity of oestrus in anoestrus and oestrus induced buffaloes. A total of 500 postpartum buffaloes were selected from different villages situated around Rewa (M.P.). Calving and breeding history of animals was recorded and Gynaeco-clinical examination. The incidence of anoestrus in postpartum buffaloes was recorded as 33.40 per cent. Out of 167 postpartum buffaloes found to be positive for anoestrus, 24 buffaloes were again randomly divided into three treatment (n=18) and control group (n=06). These treatment group animals were again divided into 03 groups on the basis of hormonal treatment protocols given to animals of groups. Ovsynch group, Heatsynch group, CIDR plus Heatsynch group while control group animals were left untreated. Oestrus intensity score of buffaloes ranged from 80-90, 68-72 and 46-52 in intense, moderate and weak oestrus intensities at induced oestrus respectively, with a mean weighed score of 84.88±1.30, 70.00±0.81 and 49.00±3.00, respectively. Thus it was concluded that the incidence of anoestrus recorded to be 33.40 per cent. Oestrus intensity score card pattern is a good tool to designate intensity of oestrus which has positive relationship with fertility

Pattern and Severity of Early Childhood Caries among Preschool Children in Northern Region, Saudi Arabia: A Cross-Sectional Study

Objective: To investigate the pattern and severity of early childhood caries (ECC) by using the decayed and filled surface (dfs) index in preschool children in Al-Jouf, Saudi Arabia. Material and Methods: A convenience sample of 270 preschool children below 5 years of age (144 boys, 126 girls) attending outpatient pediatric dental clinics was selected for the study. World Health Organization criteria were used to diagnose caries through assessment of the dfs index. Information regarding oral hygiene practices, socio-economic status, and educational status of the mother was obtained through a structured questionnaire given to mothers. The data were statistically analyzed with the Chi-square test and Student's t-test. Results: 73% of children were not brushing regularly; 74.4% of them were using fluoridated toothpaste. In the maxillary teeth, boys had a higher mean dfs index (10.25), as well as a higher number of decayed surfaces (ds), than girls. In the mandibular teeth, boys and girls had similar mean dfs indices. Significant differences were observed between boys and girls regarding filled buccal surfaces (p=0.001) and occlusal surfaces (p=0.001) in maxillary teeth. The mandibular first molar was the most commonly affected tooth (93.3%); lower anterior teeth were the least affected teeth (2-4%) among the primary dentition. Conclusion: The ECC pattern in the northern region of Saudi Arabia follows the typical pattern of nursing caries.

Herbal remedies, vaccines and drugs for dengue fever: Emerging prevention and treatment strategies

Dengue fever is a disease that is caused by five dengue virus (DENV) serotypes. It is endemic in more than 128 countries. Millions of people are affected by this disease. But still, there is no specific treatment available till now to combat it. Some of the preventive measures using plant extracts showed certain promising ovicidal activity against Aedes aegypti. There are some vaccines as preventive measure and antiviral agents to cure the dengue fever, which are under clinical trials but their results have not been reported or approved yet. Dengvaxia is the only licensed vaccine to prevent dengue fever in some South American countries, but it is not approved by other regulatory authorities worldwide. Scientific research has been going on to find a permanent cure for dengue fever, but till now, no successful invention has been done. There are some general treatments for dengue patient by employing analgesics and fluid replacement; however, specific treatment is needed to overcome the lethal effect of dengue fever. Since this disease has affected millions of people and not much invention has been made in this field; therefore, advancement in dengue therapy is required for the safety and well-being of dengue patients. Herein we collectively describe the different chemotherapeutics agents, alternative methods like vaccines and antiviral agents to prevent and cure this lethal disease. Furthermore, the future perspective for the treatment of dengue is discussed in this review.

Estimation of ulna length as a predictor of height in Nepalese female adult population: An anthropometric study

Background and Objectives: Stature estimation has a valuable importance for the anatomist, anthropologist and the forensic experts.  Long bones are usually used for the estimation of individual height for the said purpose since 1952.  The purpose of this study is to formulate a linear regression equation for the estimation of the stature of living female adult  population from the length of ulna. Materials and Methods: This research was conducted at M.B. Kedia Dental College Birgunj on 150 subjects who were chosen from among the patients and their attendants in the OPD. The height was measured from the crown to the heel and the length of the ulna was measured from the tip of the olecranon process to the tip of the styloid process. The recorded data was calculated by the standard statistical software. Results: The correlation coefficient (r) was found to be 0.55(p<0.001) for the left ulna with stature and it was 0.463 (p<0.001) for the right ulna with stature after analyzing the data. Supportive regression equations and scatter-plot diagrams could successfully interpret the height from the ulnar length of the population. Conclusion: The ulna length can be used for estimating the height of an individual. The regression equation which were proposed in this study will be useful for forensic esperts, clinicians, anatomists, archeologists, and anthropologists . Such evidence provides the investigator to gauge that aspect of an individual’s physical description.

Modified sewing machine technique for iridodialysis repair, intraocular lens relocation, iris coloboma repair, Cionni ring fixation, and scleral-fixated intraocular lens

The purpose of this study is to report the modification of sewing machine technique for iris dialysis repair (MSMT) and its usefulness in managing other conditions such as intraocular lens (IOL) subluxation, iris coloboma, Cionni ring for zonular dialysis, and for scleral-fixated IOL. MSMT was based on sewing machine principle using a prethreaded 26G/30G needle with prolene suture for minimally invasive iris dialysis repair in a closed chamber manner. So far, eight patients (trauma � 3, surgical complication � 5) underwent this procedure. This technique is further modified to extend its use for IOL relocation � 2, iris coloboma repair � 3, and Cionni ring fixation for zonular dialysis � 2, SFIOL � 5 patients. All 20 patients had good visual recovery and cosmetic outcome with minimal morbidity. To conclude, MSMT offers cost -effective, minimally invasive, easy to learn procedure with a potential to tackle several problems related with cataract surgery and iris defects, which even an average cataract surgeon can learn to perform when required. Further comparative studies with conventional techniques with large sample size are required to standardize this procedure.