ABSTRACT
Background: The study was planned to detect an association of HIV infection and sub-clinical atherosclerosis in the form of increased carotid intima-media thickness (IMT) Methods: 50 HIVpatients and 50 matched healthy controls were studied. The HIVpatients were further sub classified into those on ARTor not on ART. All of them underwent carotid doppler to identify subclinical atherosclerosis in the form of presence of either pathological intima-media thickness (IMT) or atherosclerotic plaque. Mean IMTwas calculated in various groups and the statistical analysis done. Results: The mean IMT in the test group (HIV), ART, Non ART, control groups was 0.746 mm (SD 0.181), 0.817 mm (SD 0.167), 0.58 mm (SD 0.068) ,0.572 mm (SD 0.101) respectively. There is significant difference in the mean IMT of HIV Vs control groups, ART Vs Non ART sub groups. There is no significant difference in mean IMTof Non ARTVs Control group. Conclusion: HIV patients have higher prevalence of subclinical atherosclerosis and significantly higher mean IMT as compared to Healthy controls. The prevalence of subclinical atherosclerosis is even higher in ARTtreated HIVpatients.
ABSTRACT
Meckel Gruber syndrome (MGS) is a rare lethal autosomal recessive disorder. It is characterized by triad of features having occipital meningoencephalocele, polycystic kidneys and post-axial polydactyly. We report an antenatal patient detected with occipital meningoencephalocele in foetus on early anomaly scan at 15 weeks of gestation followed by foetal MRI which revealed the typical triad features strongly suggestive of MGS. The patient opted for medical termination of pregnancy and the abortus was autopsied, with the permission of the patient, for detailed evaluation of anomalies which were consistent with MGS. This case highlights the importance of a detailed foetal evaluation antenatally to detect anomalies which are incompatible with life and proper diagnosis as it has bearing on patient’s future obstetric outcome.
ABSTRACT
Background: Problematic Internet use (PIU) has become a global social issue and can be regarded as an individual’s inability to control Internet usage which results in negative impact in daily life. Individuals who spent more time on surfing the Internet are likely to sleep late night and this further increases the level of tiredness. The present study was commenced to determine relationship between Internet uses and sleep patterns among medical college students. Methods: The present study was commenced among 149 undergraduate students studying at Sikkim Manipal Medical College. The severity of addiction to Internet was measured using Young’s Internet addiction test. Epworth Sleepiness Scale (ESS) which consists of subjective sleepiness scale comprising of eight items was used to measure daytime sleepiness. Significance of association of Internet addiction and sleep disturbance was done by Fisher’s 2 sample t- test and a value of less than 0.05 was considered as significant value. Results: The proportions of boys who were pathological Internet addicts (moderate to severe) were 9.5%. For girls, the corresponding proportions were 7.5%. The prevalence of Excessive daytime sleepiness (EDS) was 20.1%. This study estimated the prevalence of pathological Internet using was 8.05%. Present study found an association between problematic Internet use and excessive daytime sleepiness. The association was statistically significant (p= 0.016). Conclusion: The present study shows that Internet overuse was strongly associated with EDS and other sleep problems in adolescents. Because the number of Internet addicts will continue to grow, clinicians should consider examining Internet addiction in adolescent cases of EDS.
ABSTRACT
Background: The paring of tympanic membrane is usually done by doing myringoplasty with temporal is fascia graft. Methods: A newer technique of butterfly cartilage underlay grafting has been used in 50 patients with small to moderate size safe perforation. Results: The result of the study would be analysed for hearing improvement and graft uptake. Hearing gain of 0-5 dB was observed in 4 patients, 6-10 dB in 3 patients, 11-15 dB in 14 patients, 16-20 dB in 22 patients and 21-25 dB in 7 patients. Conclusion: Butterfly cartilage myringoplasty is a very good technique for closure of small to moderate size central perforations.