iosr-JDMS   Volume-11 ~ Issue-4

Abstract: Efficient clinical management of patients definitely depends on both the competency of the treating Orthodontist and the cooperative ability of the patient. It was observed that the doctor patient relationship was affected when the patient was not compliant and cooperative with the orthodontist. The present study was an effort to evaluate the impact of patient's cooperation on the attitude of orthodontists. An email based survey comprising of a 13 item questionnaire was developed using the website www.surveyplanet.com. The questionnaire was mailed to about 1000 practicing orthodontists across the country. The first 100 responses obtained during the 1st week of study were included for analysis.

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Abstract: Variations in the structures at the root of neck are important in understanding many clinical and surgical conditions. Scalenus anterior, the key muscle in the neck, usually related to the roots of brachial plexus in its posterior aspect. This study was designed to evaluate the relations of roots of brachial plexus to the scalene muscles. Posterior triangles of neck on both sides were studied in 24 cadavers. In two cases C5 and C6 pierced scalenus anterior muscle and emerged from its anterior surface. In other specimen roots of C5, C6 and C7 entered scalenus muscle and exited anterolateraly in a sequential manner. Knowledge of such variations is important for anaesthetists and surgeons.

Key words: Scalenus anterior; Scalenus medius; roots of brachial plexus; variations

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Abstract: Aims and objectives: Malaria, a devastating tropical disease, is very common in India and native countries. In West Bengal, the influence of falciparum and vivax malaria is so high, that each year, many people are affected by these parasites. Our aim is to evaluate the amount of hepatic dysfunction in case of plasmodium affected patients. Materials and methods: In clinically diagnosed 108 patients, admitted in our hospital in the years 2010-2013, confirmation were done thick and thin blood film and/or serology. After diagnosis, other hematological, serological and biochemical tests were carried out other diseases responsible for hepatitis. Then we compared bilirubin, SGOT, SGPT, alkaline phosphatase and hemoglobin as well as correlation between bilirubin and hemoglobin and liver enzymes amongst males (n=62) and females (n=46). Results: Mean values of bilirubin, SGPT and SGOT were significantly raised in males than females. Bilirubin showed significant positive correlation with SGPT and alkaline phosphatase and negative correlation with hemoglobin in both sexes, but positive correlation with males.

Conclusion: Plasmodium falciparum was mainly responsible for hepatic dysfunction in the form of raised liver enzymes rather than only hyperbilirubinemia due to ruptured parasitized or nonparasitized red blood cells (RBC). In future, large scale studies are required justify the above correlations.

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