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Puducherry, India

Shetty S.S.,KSHMA | Chandrakanth H.V.,JSS University | Pramod Kumar G.N.,MGMC and RI | Pai V.,Father Muller Medical College | Nagesh K.R.,Father Muller Medical College
Journal of South India Medicolegal Association | Year: 2014

The sexual dimorphism of permanent teeth is a well-established attribute of primates. Canines differ from other teeth with respect to survival and sex dichotomy. In present day humans the mandibular canines are the teeth that show the greatest sex difference in size. Teeth are well preserved after death and they exhibit remarkable sexual dimorphism. Hence, they provide excellent materials for forensic investigations intended for identification of sex. Present study was undertaken on permanent mandibular canines of 300 male and 300 female subjects of age group 17-25 years. The buccolingual width of right and left mandibular canines were measured using a digital caliper. The present study documented higher mean buccolingual width of mandibular canines in males as against females on both the sides of the jaw. The difference was found to be statistically significant. The results were compared with previous studies and discussed. © 2014 South India Medico-Legal Association. All rights reserved. Source


Dash S.,MGMC and RI
International Journal of Pharma and Bio Sciences | Year: 2014

To evaluate the effect of adding midazolam to bupivacaine to prolong the analgesia characteristics of brachial plexus block. After pre- anaesthetic assessment all the patients were premedicated with diazepam 0.1mg/kg orally one hour before the surgery. Patients were randomly divided into group1 & 2. Group -1 patients received supraclavicular brachial plexus block with 30ml of 0.5% bupivacaine & group -2 patients received a mixture of 30ml of 0.5% bupivacaine & midazolam 50μg/kg body weight. On arrival in the operating room, standard base line vital signs readings were recorded. Intra -operatively HR, BP, oxygen saturation & sedation, time of establishment of sensory & motor block were recorded in all patients. Post-operatively HR, BP, sensory & motor block, pain score & sedation score, time of requirement of rescue analgesia were assessed at 0,30min,2hr,6hrs,12 hrs & 24 hrs in all patients. Demographic variables were comparable. There was no significant difference in monitoring of intraoperative & post-operative Vital signs (HR, SBP, DBP, MAP & oxygen saturation). Post-operative sedation score, pain score, requirement of rescue analgesia, sensory & motor block were significantly less in group-2 (p -value-<0.05). Conclusion-addition of midazolam to bupivacaine in brachial plexus block produces early onset of sensory and motor block, increased sedation score intraoperatively & prolongs postoperative analgesia. Source


Annamary K.,Indira Gandhi Institute of Dental science | Prathima G.,Indira Gandhi Institute of Dental science | Sajeev R.,Indira Gandhi Institute of Dental science | Kayalvizhi G.,Indira Gandhi Institute of Dental science | And 2 more authors.
Journal of Clinical and Diagnostic Research | Year: 2016

Introduction: Dental setting plays an important role in child’s behavior and cooperation to the planned dental treatment. Adding attractive colours to the dental environment and by incorporating colourful equipments can make the child feel good and be at ease. This study tries to convey the relationship between colours and dental anxiety among children. Aim: To evaluate the colour preference to emotions in relation to children’s age, gender and anxiety level. Materials and Methods: A total of 382 children aged 6-12 years were randomly selected from schools in and around Puducherry. Modified dental anxiety scale was recorded by a calibrated examiner. Each question was scored from one (not anxious) to five (extremely anxious); such that the total score ranges from 5 to 25, wherein a score of 15 or more was considered to be anxious. Based on this, children were divided into anxious and non-anxious groups. All the children were provided with eight different coloured crayon pencils and were asked to shade two car oon emoticons indicating happiness and sadness with their preferred colour. Values were tabulated and statistically analyzed to evaluate the association between the variables using Z test, Chi-square, Chi-square goodness of fit and odds ratio. (p≤0.05 was considered statistically significant). Results: Among 382 children, 77% (294) were graded as anxious and 23% (88) as non- anxious. For positive emotion (happiness), 31.2% (119) children preferred blue followed by pink 29.3% (112). For negative emotion (sadness), 52.1% (199) of children preferred black and 46.9% (179) preferred red. Association between colour and emotion was highly significant (p= 0.005). Conclusion: From the colours preferred by the children in our study, it can be concluded that colours like blue and pink in the dental set-up could enhance a positive attitude while black and red could develop a negative outlook in their mind. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved. Source


Akshaya Kumar M.,MGMC and RI
International Journal of Pharma and Bio Sciences | Year: 2013

To assess the correlation between insulin resistance and impaired glucose tolerance in PCO patients and also to evaluate IR and altered lipid profile in them. A prospective study was carried out from Feb. 2006 to Aug. 2007 on total of 75 patients. Out of them 40 patients were taken as cases having clinical and USG features of PCOS and 35 patients were taken as control having no features of PCOS. Fasting serum insulin, blood sugar, 2hr PGBS testosterone and lipid profile measured in both study & control group. PCOS is more prevalent in younger age groups. Average distribution of age in both groups was 23.6 ± 4 and 25.09 ± 4.5 respectively. Oligomenorrhoea is more common (60%) than secondary amenorrhoea (25%) in PCOS. Hyperandrogenism presents commonly as hirsutism (62.5%) and acne (35%). BMI was >25 in 40% of cases and 20% of controls.17.5% of PCOS women had impaired fasting and 2hr PGBS but none of them had frank diabetes. The mean fasting insulin value in PCOS was significantly higher than that of controls (i.e., 18.64 ± 9.33 vs. 8.59 ± 3.03). The fasting glucose to insulin ratio was < 4.5 in 52.5% of cases and > 4.5 in 91.4 % in controls. Primary infertility was common in 76.2% of cases. There were no significant lipid profile abnormalities in both groups. Hyperinsulinemia and insulin resistance are commonly associated with PCOS. Patients with IR have higher incidence of IGT hence as a prophylactic measure all patients with PCOS should be screened for insulin resistance and followed thereafter to prevent development of frank diabetes. Source


Dash S.,MGMC and RI | Mahapatro A.K.,MGMC and RI
International Journal of Pharma and Bio Sciences | Year: 2014

Takayasu's areritis is a chronic inflammatory oblitarative arteritis of unknown aetiology. Anaesthesia in these patients is complicated by uncontrolled hypertension, hypoperfusion of organs and difficulty in BP monitoring due to stenosis and aneurismal dilatation of arteries. This case report is about successful management of a 27 yrs old primigragida with known case of Takayasu's arteritis, Seizure disorder and Hypothyroidism at 38 wks of gestation on treatment who underwent an emergency caesarean section under spinal anaesthesia. The intraoperative and postoperative period was uneventful. Uniqueness of this case is maintenance of adequate mean arterial pressure in a hypothyroid patient with TA by adequate preloading and SAB with low dose local anaesthetic with a narcotic (fentanyl). Source

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