Type I kounis syndrome: A rare st elevation myocardial infarction with normal coronary arteries after honeybee sting

The Kounis syndrome is described as an acute coronary syndrome after hymenoptera stings or exposure to environmental toxins or drugs. Bee sting may cause hypersensitivity reaction ranging from simple allergic reaction to life-threatening anaphylactic reaction, sometimes leading to death. Although rare, cardiac involvement is a possible complication, varying from vasospasm to acute ST-elevation myocardial infarction (MI). We report a case of honeybee (Apis cerana indica) sting causing Kounis syndrome. A 36-year-old female, beekeeper in a farm with known allergy to bee venom without any significant cardiovascular risk factors and history had stung by a honeybee on the neck. She presented with features of anaphylaxis and acute inferior wall MI, which was transient and responded to therapy of anaphylaxis. Angiography revealed normal coronaries and patient responded to the standard treatment of anaphylaxis

A study of depression and Metabolic Syndrome (Mets) in patients of Type 2 Diabetes Mellitus (T2DM) at rural Tertiary Care Hospital

Background: Co-morbid depression may occur among diabetic patients, and may be associated with poor outcomes. However, despite large diabetic population, literature of depression in T2DM from India is scare. Objective: Our aim was to measure the proportion of depression and metabolic syndrome (Mets) in T2DM in rural population and to determine the association of depression with different demographic and clinical parameters. Methods: This cross-sectional study was done at the out-patient clinic of rural tertiary care hospital in central India. Cases were eligible patients with T2DM. Depression and Mets were assessed with patient health questionairre-9 (PHQ-9) and IDF criteria respectively and their relationship with sociodemographic and clinical profile including complications were analyzed. Results: Total 300 patients (58.67% females) were evaluated. The proportion of depression and Mets were 25.3%&45.3% respectively. Severe depression (PHQ score ≥15) was present in 13 (17.11%), moderate depression (PHQ score 10-14) in 28 (36.84%), and mild depression(PHQ score 5-9) in 35 (46.05%) of subjects. Depression and Mets were significantly more prevalent in females (33% vs 14.5%) and (53.4% vs. 33.9%) respectively. Patients having comorbid depression and Mets had significantly higher fasting plasma glucose, hypertension, TG, BMI, longer duration of diabetes and lower HDL-C while those with depresion also had significantly higher proportion of pill burden and various complication of T2DM (p<0.05). Conclusions: Our study demonstrates comparatively lower proportion of depression in T2DM patients from rural population. Variety of demographic and clinical parameters are associated with depression in T2DM and those patients should be routinely evaluated for depression

Application of robotic technology in prosthodontics

There is a huge technical leap in dentistry from the traditional manual methods toward digital technology. The invention of robots has minimized manual efforts in hazardous working environments thus leading to better accuracy and precision of the work. Robotic application in prosthetic dentistry is utilized for removable prosthodontics and implant surgeries. The time required to complete each procedure is expected to be considerably reduced with the use of robots