Hypohidrotic Ectodermal Dysplasia with total anodontia: a case report

Ectodermal dysplasia is a hereditary disorder that occurs as a consequence of disturbances in the ectoderm of the developing embryo. The triad of nail dystrophy, alopecia or hypotrichosis and palmoplantar hyperkeratosis is usually accompanied by a lack of sweat glands and a partial or complete absence of primary and/ or permanent dentition. A case report illustrating the prosthetic rehabilitation of a seven year old boy with hypohidrotic ectodermal dysplasia associated with total anodontia is presented

May Measurement Month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension

Aims Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries. Methods and results Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg) hypertension. Conclusion May Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk

Magnetic Field on the Nightside of the Magnetosphere

13-16The Explorer 18 data have been analyzed to evaluate the coefficients of the spherical harmonic expansion for the magnetic field on the nightside of the magnetosphere between 18 and 31 earth radii. Numerical computation of the first 24 harmonic coefficients has been made using an IBM 360 computer. From an analysis of these computed values it is observed that at large distances exceeding 18 earth radii, the secondary magnetic field is much stronger than the dipole field

Glycemic and insulin responses to some breakfast items in diabetic subjects

The glycaemic and insulin responses to four common breakfast items namely iddli, pongali uppuma and bread were studied in South Indian non-insulin dependent diabetic subjects and compared with 75 gms of glucose. The breakfasts- provided 300 K cals of which complex carbohydrate contributed 68-81%, proteins 12-14% and fat 8-19% of total calories, while the dietary fibre contents varied from 3.8 g to 7.4 g in 300 K ca1 portions. The results indicated that pongal, uppuma and iddli were suitable for diabetics as jiheir glycaemic responses to the test foods were low. Bread was considered unsuitable as its glycaemic response was as high as that of glucose. A number of parameters like the mode of cooking and' processing, the form of food and the differences in food constituents which affect digestion, absorption and metabolism seem to influence the glycaemic and insulin responses