Morphological variations of the thyroid gland

Background:The knowledge of various morphological & developmental anomalies of thyroid gland will help the surgeons in better planning of safe & effective surgery. Considering these facts we studied the variations of thyroid gland.Methods:The material for the present study was collected from the department of forensic medicine, MMC & RI, Mysore, which includes 56 male and 33 female adult postmortem cadavers aged between 18 to 80 years. A dissection was carried out to expose thyroid glands & variations were observed in the morphology of thyroid gland.Results: 1) 9% of specimens had agenesis of isthmus. 2) 46% of specimens had pyramidal lobe. 3) 41% of specimens had levator glanduli thyroidae. 4) 2.24 % of specimens had accessory thyroid tissue.Conclusion:This study highlights the various morphological anomalies of the thyroid gland which forms cornerstone to safe & effective surgery

A study of serum electrolytes in severe acute malnourished children with and without complications

Objective: Children with severe acute malnutrition (SAM) are categorized into “complicated and uncomplicated cases” based on clinical criteria alone. Electrolyte imbalance is one of the prognostic factors in severe malnutrition. We aimed to study serum electrolytes in complicated and uncomplicated SAM children. Methods: This was a cross-sectional observational study conducted at the nutritional rehabilitation center of a tertiary care hospital attached to a medical college from May 2016 to April 2017. Children between the ages of 1 month and 5 years who met the World Health Organization criteria for SAM were included in the study. Serum electrolytes were estimated with an automated analyzer by ion selective electrode method. Results: Among 113 SAM children included, 71 had complications and 42 were without complications. The mean value of serum sodium was 134.58±5.45 meq/L, potassium was 4.29±0.75 meq/L, and chloride was 103.31±7.16 meq/L. Hyponatremia was seen in 43.4% and hypokalemia in 7.1% of children. There was no statistically significant difference in the mean values of serum electrolytes and frequency of hyponatremia and hypokalemia between groups. Conclusion: Dyselectrolytemia occurs in SAM children with and without complications. Serum electrolyte levels may need to be measured in all SAM cases to detect asymptomatic hyponatremia and hypokalemia. This will help in triaging those with asymptomatic hyponatremia and hypokalemia to inpatient care

Congenital malformations in multiple births

Objective: The present study was done to know and compare the incidence of congenital malformations in singleton and multiple births in our hospital & compare with other studies.Methods: A retrospective study done by collecting the data from parturition register from Jan 2008 to Dec 2011 (4yrs) from Cheluvamba Hospital attached to Mysore Medical College and Research Institute. Total number of the live births, still births, and abortions> 20 wks were collected. Details of multiple births such as maternal age, gestational age, sex & birth weight of the babies, U/S reports and congenital anomalies (CA) were noted.Results: The total number of singleton births were 48700 and number of babies who had congenital malformations were 235 (48.25/10,000 births).Total number of multiple births were 579 including 10 triplets and number of babies who had CA were 11 (189.98/10,000 births, P<0.0001). In the present study sex of the babies were noted in all multiple births and zygosity could not be recorded. Among 579 multiple births 404 were of the Same Sex (SS) and 165 were of Opposite Sex (OS) in twins and 6 were of the same sex and 4 were of opposite sex in triplets. According to Weinberg formula 50% of same sex (SS) twins are monozygotic and 50% are dizygotic twins. Among the 11 babies with CA, 4 monozygotic twins had anomalies related to twinning such as Acardia with TRAP sequence (3 twins), and Thoracophagus (1 twin).5 babies had CNS anomalies, 1 with cystic hygroma, 1 baby with multiple system affected.Conclusion: The incidence of birth defects is more in multiple births and especially in monozygotic twins. In the present days increase in twinning rate due to advanced maternal age, hereditary factors and use of ovulation inducing drugs, which results in premature and low birth wt babies associated with poor lung maturity

Evaluation of the effects of tramadol and diclofenac alone and in combination on post-cesarean pain

Background: Post-cesarean pain is a common cause of acute pain in the obstetrics. Pain in the postoperative period is an important impediment to recovery from surgery and anesthesia. This study was conducted to evaluate the efficacy of postoperative analgesia and incidence of side-effects of centrally acting drug tramadol with peripherally acting drug diclofenac alone and in combination in patients undergoing elective cesarean delivery under spinal anesthesia.Methods: The study population of 90 patients was randomly divided into three groups of 30 each to receive the following treatments: tramadol (Group T), diclofenac (Group D), tramadol and diclofenac at reduced doses (Group TD).Results: Combination of tramadol and diclofenac produced significantly early analgesia in comparison to tramadol or diclofenac alone and decrease in the incidence of side-effects.Conclusion: We conclude that a multimodal approach to post-cesarean management with a combination of tramadol and diclofenac produced better analgesia than individual drugs and a reduction in the side-effects. Such a combination approach to relieve pain is more effective and advantageous

Breast feeding practices among the hakkipikkis: A Tribal population of Mysore District, Karnataka

The practice of breast-feeding is almost universal. In the present study, an attempt was made to understand various aspects of feeding practices among the Hakkipikkis of Mysore district of Karnataka state. One hundred and twenty five (125) mothers were interviewed personally on breast feeding practices such as Initiation of Breast-feeding, Duration of Breast feeding, Introduction of pre-lacteal feed and Supplementary feeding practices etc

Ornithine α-ketoglutarate modulates the levels of antioxidants and lipid peroxidation products in ammonium acetate treated rats

422-424The effects of ornithine α-ketoglutarate (OKG) on ammonium acetate induced hepatotoxicity were studied in experimental rats. The levels of urea, non-protein nitrogen and thiobarbituric acid reactive substances were significantly increased in ammonium acetate treated rats ; but these levels were significantly decreased in ammonium acetate-OKG treated rats. Similar patterns were observed in the levels of free fatty acids, triglycerides and phospholipids. Furthermore, non-enzymatic (reduced glutathione) and enzymatic (glutathione peroxidise, superoxide dismutase and catalase) antioxidants were significantly decreased in ammonium acetate treated rats. When compared with control and were significantly increased in ammonium acetate-OKG treated rats compared to ammonium acetate treatment alone