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Kolār, India

Gayathri B.N.,Sri Devaraj Urs Medical College | Kalyani R.,Sri Devaraj Urs Medical College | Harendra Kumar M.L.,Sri Devaraj Urs Medical College | Krishna Prasad K.,SDUMC
Journal of Cytology

Hashimoto's thyroiditis is the second most common thyroid lesion next to goiter diagnosed on fine needle aspiration cytology (FNAC). It is also an important cause for hypothyroidism. FNAC plays a significant role in the diagnosis of thyroid lesions due to its simplicity and low cost. It can accurately diagnose Hashimoto's thyroidits in most patients. However, a small percentage of cases may be missed due to the inherent limitations of this procedure and the varied cytomorphology of this lesion. Therefore thorough cytological evaluation and an integrated approach are necessary to pick up correct diagnosis and to avoid unnecessary surgery. We present a 56-year-old female with solitary thyroid nodule diagnosed as Hurthle cell neoplasm on FNAC, but subsequent histopathological diagnosis following resection revealed Hashimoto's thyroiditis with marked Hurthle cell change. Source

Prasad B.K.,SSIMS and RC | Nayak S.V.,SDUMC
Indian Journal of Public Health Research and Development

Background: The relationship between smoking and hearing loss has been debated. Smoking appears to have an effect on auditory acuity and the proposed mechanisms are the direct oxidative damage on cochlea caused by toxic substances inhaled with the cigarette smoke or to the acceleration of the atherosclerotic process in the cochlear artery. Objectives: To record the auditory thresholds of age matched male smokers and non-smokers of age group 20-40 yrs, using pure tone audiometer and compare the auditory thresholds between the groups. Method: Age matched male 100 smokers and 100 non-smokers were subjected to pure tone audiometric assessment. The smoking history in terms of pack-years was also noted. The data was statistically analyzed. Results: Smokers group were significantly hearing impaired than the non-smokers group. The hearing impairment was noted at all frequencies tested. Higher frequencies were more affected than the lower frequencies. The auditory thresholds of smokers had significant positive correlation with smoking history, indicating that auditory thresholds rise as the number of pack-years increase. Conclusion: Smoking causes hearing impairment. The higher frequencies are more affected. The auditory thresholds rise as the number of pack-years increase. Source

Shahid M.,SDUMC | Sebastian B.,SDUMC
Journal of Clinical and Diagnostic Research

Neurofibromatosis (NF) is a neurogenetic disease with multiple systemic involvement. In this case report we describe the successful management of a patient with NF posted for lower limb wound debridement with multiple neurofibromas over the back and face causing difficulty in spinal anesthesia and general anaesthesia. Combined femoral and sciatic nerve block was used as a safe alternative anaesthetic approach. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved. Source

Umesh Babu R.,SDUMC | Sadashiv R.,SDUMC | Kiran J.,SDUMC
Indian Journal of Forensic Medicine and Toxicology

The accurate estimation of stature helps to establish an individual's identity in medicolegal issues relating to skeletal remains examination. Stature is estimated using combined dimensions of bones responsible for living height or using regression equations based on complete long bone length measurements. In some instances like a mass disasters, these methods cannot be applied as complete long bones are not available. The aim of the present study is to derive linear regression formulae for estimating stature of adult Indian population from the fragmentary remains of femur. The study includes 50 male femurs and 50 female femurs of south Indian origin dissected from cadavers. Linear regression equations for various morphometric parameters of proximal and distal end of femur is derived to estimate length of femur and hence to estimate the stature of an individual. Source

Nagaraja G.M.,SDUMC | Ravishankar S.,SDUMC | Anil N.S.,SDUMC | Muninarayana C.,SDUMC
Indian Journal of Public Health Research and Development

Poor Health nutrition may impair both the growth and intellectual development of children, Parent's expectation and their satisfaction regarding food supply, to fulfill the needs of children and lactating mothers. Objectives: The study supplementary nutrition services provided under ICDS, the study was under taken to find out parents expectation, Anganwadi workers and their satisfactory regarding the food supply to the Anganwadi center. Design: The study was carried out at ICDS Mulbagal project area Dec 1999to Jan2000. Method: The study was observational in nature through interview of the parents of Anganwadi going child. The beneficiaries were contacted and interviewed by trained doctors with the help of pretested and semi structured questionnaire. Results: 14(37.83) Anganwadi workers express that there was an interruption in food supply; the reasons are lorry strike, fraud in weightage, old stock or bad smell and below average. The quality of rice supplied and if no fire wood, Anganwadi worker distribute powder to children, children will eat and get stomach pain, and parents would not send children to Anganwadi center. Very late, administrative lapse, fraud in weightage of bags and also there to check the food articles. Anganwadi workers strongly agree that the quality of food was very poor and low quality. © 2015, Indian Journal of Public Health Research and Development. All Rights Reserved. Source

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