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Shanthi B.,clc india | Revathy C.,clc india | Devi A.J.M.,clc india | Parameshwari P.J.,Sree Balaji Medical College And Hospital | Stephen T.,Sree Balaji Medical College And Hospital
Journal of Clinical and Diagnostic Research | Year: 2012

Background: 25(OH) Vitamin D is the circulating form of vitamin D which is measurable in the blood. Vitamin D insufficiency has been defined as serum 25-hydroxyvitamin D (25(OH) D) levels below 30 ng/mL and it is common among patients with type 2 diabetes mellitus (DM). Aim and Objectives: Our aim was to investigate the clinically meaningful associations which implicated low serum levels of 25(OH) D with impaired diabetic control in DM type 2. Methods: The serum 25(OH) D and the HbA1c levels were determined in 50 patients with DM type 2, along with their FBS, PPBS and HBA1c and other parameters which were required to assess the diabetic control were also measured. Results: The results of our study revealed a trend towards an inverse vitamin D - FBS (Pearson correlation, r = -0.090) and inverse vitamin D - PPBS (Pearson correlation, r = -0.095) association. The lower serum 25(OH) D levels were associated with the higher HbA1c levels (Pearson correlation, r = -0.173). This was a borderline association which may have probably occurred due to the small sample size. Conclusion: The association between the low serum 25(OH) D levels and elevated HBA1c in the study population may be inscribed into a wider context, portraying vitamin D insufficiency as a poor prognostic factor, which may play a vital role in impairing the glycaemic control.

Selvamani,clc india | Ahmed W.,clc india
Research Journal of Pharmaceutical, Biological and Chemical Sciences | Year: 2016

Obesity has increased tremendously over the past 20 years in both children and adults. There are many issues to consider with the obese patient starting from the airway. We are reporting a case of morbid obese patient posted for Dilatation and Curettage for Abnormal uterine bleeding. © 2010 RJPBCS.

Deepika M.,clc india | Saraswathi K.,clc india
Research Journal of Pharmaceutical, Biological and Chemical Sciences | Year: 2016

Achondrogenesis is a lethal chondrodystrophy characterized by extreme micromelia, short trunk, and a disproportionately large head. It has an autosomal recessive pattern of inheritance. It occurs in approximately 1 in 40,000 births. Achondrogenesis has been sub classified into Type 1A, 1B, and Type 2, based mainly on clinical and radiological criteria such as pattern of ossification, deficiency, and deformity of ribs.The prevalence of this disease is 0.23/10,000 live births, and lethality among perinatal deaths is 1:539.

Halleys Kumar E.,clc india | Radhakrishnan A.,clc india
World Journal of Medical Sciences | Year: 2014

Aim of the study: To assess the prevalence of anaemia in decompensated chronic liver disease patients.Objectives:1)To detect the abnormalities of rbcs in a cirrhotic patient.2)To find the type of anaemia in a patient with decompensated chronic liver disease. Materials and methods:1)To asses the precvalance of anaemia in decompensated chronic liver disease. The study was conducted in sreebalaji medical college and hospital from 2011 to 2013.2). About 100 patients were selected in random from patients coming to department of general medicine opd and ward patients.Conclusion The study revealed 86 percent had anaemia helping in early diagnosis of anaemia in decompensated chronic liver disease patients and could play a role in in treatment of patients earlier and prevent morbidity and mortality © IDOSI Publications, 2014.

Selvamani,clc india | Anandan A.,clc india | Aishwarya S.,clc india
Research Journal of Pharmaceutical, Biological and Chemical Sciences | Year: 2015

Congenital rate dependant bundle branch block can take anaesthesiologists by surprise in the operating room. These patients have a normal ECG during preoperative assessment visits. But an increase in heart rate due to anxiety or other causes unmasks the bundle branch block pattern. This is usually first diagnosed on the operating table. Our patient presented for laparoscopic sterilization. The goals of anaesthesia is control of heart rate to keep heart beating in normal sinus rhythm.

PubMed | clc india
Type: | Journal: ISRN oncology | Year: 2014

Background. Fine-needle aspiration cytology plays a major role in the primary diagnosis of breast carcinoma. Cytological grading of the smears can provide valuable prognostic information and aid in planning the management options. Aim. To evaluate various 3-tier cytological grading systems and to determine the best possible system which is reliable and objective for use in routine practice. Materials & Methods. 72 fine-needle aspiration smears of breast carcinomas were graded by two pathologists and compared with the histologic grading by Nottingham modification of Scarff-Bloom-Richardson method. Concordance and correlation studies were done. Kappa measurement of interobserver agreement was also done. Results. Robinsons method showed a better correlation (77.7%) and substantial Kappa value of agreement ( = 0.61) with Bloom Richardsons histological grading method in comparison to the other methods, closely followed by Fishers method. Fishers method showed better interobserver agreement (84.7%, = 0.616) compared to the other systems. Conclusions. Robinsons method of cytological grading in fine-needle aspiration smears of breast carcinoma is simpler, multifactorial, and feasible, hence being preferable for routine use according to our study.

Selvamani,clc india | Immanuel Nargunathan J.,clc india | Bhairavi T.G.,clc india
Research Journal of Pharmaceutical, Biological and Chemical Sciences | Year: 2015

Life expectancy in India has steadily increased from just above 40 in the 1960s to 66 in the current decade. This is in parallel with the global average. An increasingly ageing population is also in need of increasingly complex medical procedures. It is not uncommon to encounter surgical patients in extreme geriatric age groups. But centenarian surgical patients are rare and present a unique challenge to anesthesiologists. We hereby present a case of 106 year old lady posted for radical mastectomy and the risk factors in anesthetizing a centenarian geriatric patient.

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Using the Abacus: The program starts with teaching the child how to use the abacus to solve basic arithmetic operations (addition, subtraction, multiplication, division). Working with abacus demands concentration and coordinated interaction of eyes, both hands and both sides of the brain ...

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