iosr-JDMS   Volume-5 ~ Issue-5

Abstract: Dacryocystorhinostomy (DCR) is a procedure that involves creating a passage of lacrimal sac into nose bypassing nasolacrimal (nld) blockage , Lacrimal sac can be approached by (1)External (2)Endoscopic approach,Endoscopic DCR is a safe,fast ,aesthetic and effective method to relieve a stenosis distal to common canaliculus . External DCR first described by Toti in 1904[1,2] ,Endonasal approach was first described by Caldwell in 1893[2,3] . Fiberoptic endoscope first used for Endo-DCR by Mc Dough & Miring in 1989 [4]. Endoscopic approach has renewed interest in past decade to correct primary and recurrent lacrimal obstruction ,This study was carried to evaluate the success of Endo-DCR with patient point of view of acceptability, In addition to find out preoperative and intraoperative factors that affect the outcome in endoscopic DCR

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[4]. Sprekelsen MB ,Barberan MT.Endoscopic dacryocystorhinostomy : surgical techniques and results.Laryngoscope 1996;106,187-189.
[5]. Tripathi et al. Local anaesthetic Endonasal endoscopic LASER DCR analysis of patients acceptability and various factors affecting the success of the procedure.
[6]. Nishi Gupta. Endoscopic Dacryocystorhinostomy : A Revolution, 2nd edition

Abstract: Global health status is showing its alarming concern towards emergence of non communicable diseases ,which is taking major death toll. Obesity, being the most common risk factor for prevalent NCDs ,has now become a major public health issue. Even in developing countries like India, obesity has spread its roots in children and adolescents, making them much more prone for NCDs. There is urgent need of screening such children at school level , so that timely intervention can be taken. The present school based cross sectional study was done among affluent adolescents with an objective to assess the magnitude of obesity in adolescents, with the help of three reference standards based on BMI criteria . All the three standards used were comparable to screen obesity by Anova test of significance .Study recommends to use EHPA charts in school health check ups , to detect both over and undernutrition in adolescents . Key words - Overweight, Obesity, Adolescents

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[4]. Styne DM, Childhood obesity and Adolescent obesity PCNA-2001, Vol-48, 823-847.
[5]. Shetty P.S. Childhood obesity in Developing societies, NFI Bulletin 1999, Vol 20, No-2, Page-4.
[6]. Elizabeth KE., A novel growth assesment chart for adolescencet, Indian Pediatrics 2001, Volume 38,No;9 Sep-1061-1064,.
[7]. Kapil U, Singh P, Pathak P et-al Prevalence of obesity among affluent adolescent school children in Delhi, Indian Pediatrics 2002 Volume 39- May 17, Page 450-452.
[8]. Cole T.J. Bellizzi M.C. Flegal K.M, Diez W.H. Establishing standard definition for child overweight and obesity world wide : International survey B.M.J. 2002 : 320 – 1240 – 3.
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[10]. Vedavati S, Jay Shree S, Mohammad R. Prevalence of overweight and obesity in affluent adolescent girls in Chennai in 1981 and 1998 Indian Pediatrics vol. 40 April 17, 2003, Pg-332-335.

Abstract: We report a case of multiple basal cell carcinoma in a patient of albinism. which was non-familial, non-syndromic and having no history of chemical exposure. A 58 year old male with 4 lesions one over the left scapula (5*5 CM) for 4 years, over the right shoulder 3*2 CM for 3 and half years, over the right elbow 2*2CM and 1*2 CM for 3 years. Family history of basal cell carcinoma, xerodermapigmentosa and features of gorlin''s syndrome were absent, thats why, this is a rare case of multiple basal cell carcinoma which occurred in absence of familial, and various chemical exposure mentioned in standard literature

Keywords : Non-familial, non-syndromic, xerodermapigmentosa, gorlin's syndrome, multiple basal cell carcinoma.

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