Corneal endothelial cell changes in diabetics versus age group matched nondiabetics after manual small incision cataract surgery

Purpose: To assess and compare the endothelial cell changes after manual small incision cataract surgery (SICS) in diabetic patients versus age group matched non-diabetic patients. Methods: This comparative prospective observational follow-up study included 54 diabetic patients and 52 control patients without diabetes who underwent manual SICS. Preoperative, one day, one week, one month and three months post-surgery assessments of corneal endothelial cell changes were done using specular microscopy. Data analysis was performed using SPSS software (version 20.0, SPSS, Inc.). Mann朩hitney U test was used to compare the data between the test group and control group. Results: There was drop in the endothelial density in both the groups postoperatively, with the mean percentage of endothelial loss at three months post- surgery being 27.5% in diabetics and 18.3% in controls. There was also a significant increase in central corneal thickness and coefficient of variance in diabetics as compared to controls at every follow up one day, one week, one month and three months. The percentage of hexagonality was statistically significant at post-operative three months. Conclusion: The diabetic endothelium was found to be under greater metabolic stress and had less functional reserve after manual SICS than the normal corneal endothelium.

Can cryotherapy be used as an adjunct in select cases of recalcitrant endophthalmitis? - A case report

We report two cases of recalcitrant endophthalmitis, a delayed postoperative fungal endophthalmitis following cataract surgery and an atypical mycobacterial endogenous endophthalmitis associated with infective scleritis. Due to recalcitrant nature of the endophthalmitis, one or more sittings of double freeze and thaw cryotherapy was applied over and adjacent to the infective foci in each case. This cryotherapy was used as an adjunct alongside conventional endophthalmitis management following which resolution of infection was observed in both cases.

Coats' disease - disease of the eye rarely encountered by pathologists

Coats' Disease is an idiopathic condition of the eye affecting young children although it can be seen in adults. Most patients present early in life with unilateral decreased vision, strabismus or leukocoria. The most important differential diagnosis is unilateral retinoblastoma. In this study we report a case of coat's disease in an young girl, and evaluate histopathological and clinical findings.

Mating success of males with and without wing patch in Drosophila biarmipes.

Some males of D. biarmipes--synonym of D. rajasekari and D. raychaudhuri have a black patch on the wing. The patch extends from the apical margin of wing to the third longitudinal vein. Field and laboratory studies have been carried out in D. biarmipes to study role of male's wing patch in mating success. The field study shows that nature favors D. biarmipes males with patch. Although males without patch mated, males with patch have higher mating success suggesting the role of wing patch during courtship. Further, among mating males, males with patch had longer wings than males without patch. During courtship, males with patch oriented and mated faster; performed courtship acts such as tapping, scissoring, vibration, licking and twist dance more times than males without patch in both competitive and non-competitive situations. The results indicate that there is a casual relationship between the presence of wing patch, mating speed and success. Also there is a correlation between presence of wing patch, size of the flies and mating success.

Estimation of salivary bacteria capable of inhibiting and stimulating Streptococcus mutans and its correlation to dental caries and untreated carious teeth.

Bacteriocins are bacteriocidal proteinaceous molecules produced by the Gram-positive bacteria not active against the produced strain. Many investigations have revealed that certain bacteria using antibacterial or the inhibitory substance inhibit some other bacteria. A study was conducted in a group of 60 children to ascertain whether any correlation exists between the proportion of salivary bacteria inhibiting and stimulating Streptococcus mutans and the oral health indices (DMFT, deft and Community Periodontal Index of Treatment Needs). A definite inverse correlation was observed between the percentage of salivary inhibiting S. mutans and untreated carious teeth (UCT).

Oral melanotic macule--a case report.

A melanotic macule is a benign pigmented lesion of oral cavity characterised by increase in melanin pigmentation. Presented here is a case report of 12 year old girl with black pigmented area on right buccal mucosa. An excision biopsy was done which confirmed the diagnosis by as melanotic macule.

Acute renal failure secondary to rhabdomyolysis following near-drowning in sea water.

We report here a rare case of acute renal failure following near-drowning in sea water. A 21-year old college student presented in acute renal failure 48 hours after a near-drowning event. Investigations revealed rhabdomyolysis to be the cause of renal failure.

Accidental dextropropoxyphene poisoning.

Dextropropoxyphene poisoning is an uncommon accidental poisoning in children. Presentation is similar to narcotic over dosage or poisoning. Convulsions, conduction disturbances, arrhythmias and hypoglycemia are common. Naloxone is the antidote. As it is uncommon and not documented in children in Indian literature we are reporting this case.

Variability of morphological traits in Drosophila bipectinata complex.

Phenotypic or morphological differences among different populations and sexual dimorphism in certain metric traits were analysed in D. bipectinata complex. It was noticed that different populations of D. bipectinata species group harbour large amount of variation for these characters. In all the populations, morphometric characters such as lengths of femur, tibia and wing length, wing width, number of sternopleural bristles and bristles on epandrium varied significantly among populations. The study indicates that the morphological variations are due to the interplay of genetic and environmental endowments. Further, females had significantly larger values, for lengths of femur, tibia and wing length, wing width and sternopleural bristles.

Bottleneck effect on intra- and interspecific competition in Drosophila malerkotliana.

Intra and interspecific competition experiments involving control and bottleneck lines of monomorphic and polymorphic populations of D.malerkotliana with D.nasuta nasuta have been carried out. Productivity and population size were evaluated in these lines. The results show that control line had higher relative fitness and adaptedness (productivity and population size) under both intra and interspecific competition than their respective bottleneck lines and D.nasuta nasuta. This indicates that bottlenecks have an effect on competition in D.malerkotliana. The consequence of such competition studies using control and bottleneck lines of D.malerkotliana and D.nasuta nasuta is discussed.

Partial 1q and 21p trisomies in a male child due to maternal t(1;21).

Proband 7 years old male child referred for cytogenetic investigation revealed 47, XY + der (21), t(1;21) (q32;q11) mat.

Body size, mating success and advantage of large flies in Drosophila bipectinata species complex.

Mating success of large and small flies of Drosophila malerkotliana and D. bipectinata was studied using multiple, male and female choice methods. In multiple choice method the large male mated with large female and small male paired with small female. In female choice method, large male was successful in mating with female irrespective of its size while in male choice method, preferential mating occurred between large male and large female as well as small male and small female. The consequence of such non-random mating in the presence of male rivarly and preferential mating has been discussed.

Prevalence of malocclusion and periodontal status in Tibetan school children of Kushalnagar, Mysore district.

A representative sample of 817 Tibetan school children aged 7 to 17 years of Mysore district were examined for malocclusion, gingival bleeding and calculus, using plane mouth mirror, sickle explorer and periodontal probes, under natural light. A very slight increase in malocclusion was noted in school girls, in addition to the statistically significant increase in gingival bleeding among 8-13 years and 17 year old girls and 7-10 years and 15-16 year old boys. Moreover, a highly statistically significant increase in calculus was perceived amongst girls. The present study thus showed an increasing demand for preventive and therapeutic dental treatment in these children and early identification of such individuals at risk, can lead to better disease management.

Down syndrome associated malformations.

This paper reports the associated malformations and the clinical findings that were observed in 417 cytogenetically confirmed Down Syndrome patients. Among them congenital heart defects have occurred more frequently [75; 17.98%] than osteoarticular malformations [23; 5.52]; eye anomalies [22; 5.27%]; and gastroenterological malformations [n 16; 3.84%]. With regard to prognosis and treatment appropriate counselling has been given to Down Syndrome patients and their families.

Assessment of percent body fat content in young and middle aged men: skinfold method v/s girth method.

Percent body fat content was found in apparently normal healthy 30 young (17-20 Yrs.) and 30 middle aged men (30-46 Yrs.) by measuring the skinfold and girth. None of the subjects were athletes or did regular physical exercise. Body density was calculated using mean of the four skinfold measurements as per the equations advocated by Durnin and Womersley, while percent body fat content was calculated from the body density by the Siri's equation. The mean % body fat content by this method in young men was 15.87 +/- 3.85% and in middle aged men was 24.75 +/- 3.55%. Ten percent of the young subjects and 90% of the middle aged subjects were found to be obese. Percent body fat content was also calculated from the girth measurements as advocated by McArdle et al. The mean of % body fat content with this method was 14.91 +/- 3.82% in young men and 24.30 +/- 3.35% in middle aged men. On comparison, the difference in percent body fat content calculated by both the methods was found to be significant in young men but not for middle aged men. The correlation, coefficient between girth method and skinfold method was 0.95 in case of young men and 0.90 for middle aged men. Therefore, we advocate that girth measurements can be used to determine percent body fat content, main advantage being simplicity of technique and requirement of inexpensive instruments for measurement.

Effect of bottlenecks on incipient sexual isolation, mating activity and fertility in Drosophila malerkotliana.

Effect of bottleneck sizes, on sexual isolation, mating speed and fertility were studied in D. malerkotliana established from natural population. After 10 generations of laboratory breeding, flies showed incipient sexual isolation between control line and some bottleneck lines and also between bottleneck lines. These findings do not fully agree with the general assumption that the establishment of bottlenecks accelerates speciation. The courtship latency and mating speed increases with increasing size of bottlenecks whereas copulation duration and fertility decreases with increasing bottleneck size. There was no sign of rebounding in fitness with in 10 generations as observed by Bryant et al. in house flies.

Mechanical ventilation of newborns: experience from a level II NICU.

OBJECTIVES: To analyse the indications, clinical profile, complications and outcome of the babies requiring mechanical ventilation. DESIGN: Retrospective study. SETTING: NICU of a teaching hospital. SUBJECTS: One hundred and twenty one neonates requiring assisted ventilation during three years. RESULTS: Of 121 babies 59(48.76%) survived. Hyaline membrane disease (HMD) was the commonest indication for ventilation followed by birth asphyxia, apnea of prematurity, meconium aspiration syndrome (MAS) and septicemia. Infants with HMD whose birth weight was more than 1.5 kg and those who required ventilation after 24 hours of birth had better outcome. Survival rates increased with increasing birth weight and gestational age. Prolonged ventilatory support was needed for HMD (mean 117.3 hr) and MAS (mean 82.6 hr). Pneumonia was the commonest complication, followed by sepsis, air leak syndromes and intracranial and pulmonary hemorrhage. CONCLUSIONS: Ventilatory facilities must be focussed for neonates weighing > 1000 g. Assisted ventilation may not be cost-effective in patients weighing < or = 1000 g and those with complex heart diseases and other congenital anomalies.