Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52410401EnglishN2013September21HealthcareA RARE CASE REPORT OF DANDY WALKER MALFORMATION WITH LISSENCEPHALY, PARTIAL CORPUS CALLOSAL AGENESIS AND HYDROCEPHALUS English0104Bhagat SangramsinhEnglish Athawale KedarEnglish Lakhkar DilipEnglishDandy-Walker malformation is characterised by agenesis or hypoplasia of the cerebellar vermis, cystic dilatation of the fourth ventricle, and enlargement of the posterior fossa. Approximately 70- 90% of patients have hydrocephalus. Lissencephaly is characterised by absence (agyria) or incomplete development (pachygyria) of the gyri of the cerebral cortex, causing the brain's surface to appear unusually smooth. Our case demonstrates Dandy Walker malformation with partial corpus callosal agenesis, hydrocephalus and Lissencephaly. EnglishDandy Walker malformation, Lissencephalyhttp://ijcrr.com/abstract.php?article_id=70http://ijcrr.com/article_html.php?did=70

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52410401EnglishN2013September30HealthcareEnglish0509Sushil PandeEnglish Milind BorkarEnglish Kirti MeshramEnglish Ramesh SharmaEnglishObjectives: The current study aims to evaluate safety and efficacy of topical calcipotriol/betamethasone dipropionate ointment versus topical betamethasone dipropionate cream alone in the treatment of localized plaque psoriasis using EID score (Erythema, Induration, Desquamation) as efficacy parameter. Methods: A total of 30 patients were enrolled in this 4-weeks study. Two plaques of chronic stable plaque psoriasis in the same patient with identical EID score were selected randomly. Patient applied topical calcipotriol hydrate plus betamethasone dipropropionate ointment (group A) on one plaque and topical betamethasone dipropionate 0.05% cream on the other plaque (group B) twice daily without occlusion. Patients were evaluated at the end of 2 and 4 weeks and EID scores were compared. Reduction of 75% of EID score (EID 75) was considered as successful treatment outcome. Results: Out of 30 patients, 26 patients completed the study. Mean baseline EID scores in both groups were identical (6.16±1.19SD versus 6.16±1.19SD). At the end of 2 weeks, EID 75 was achieved in 15.38% (4/26) lesions in group A as compared to 7.69% (2/26) in group B (P value-0.66, Fisher’s exact test). At the end of 4 weeks, group A showed a significant clinical improvement in 69.23% of cases (18/26) while in group B, EID 75 was achieved in 26.92% (7/26) lesions (P value-0.005, Fisher’s exact test). Both topical treatments were well tolerated. Conclusion: Our pilot study demonstrates higher efficacy of calcipotriol/betamethasone dipropionate ointment than betamethasone dipropionate cream alone in the treatment of localized plaque psoriasis at the end of 4 weeks. English Calcipotriol, betamethasone, psoriasis, EID score http://ijcrr.com/abstract.php?article_id=81http://ijcrr.com/article_html.php?did=81

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52410401EnglishN2013September30HealthcareKNOWLEDGE OF BREAST-FEEDING AND BREAST-FEEDING PRACTICES AMONGST MOTHERS DELIVERED AT TERTIARY LEVEL OBSTETRICS CARE HOSPITAL AT UDAIPUR     English1016Ujjwala JainEnglish Jyoti Bala JainEnglish Deepandra GargEnglish Usha Rani SharmaEnglish Neha AgrawalEnglishObjectives-This study is designed to determine knowledge of breast feeding and breast feeding practices amongst mothers delivered of Panna Dhai Zanana Hospital, Udaipur and to identify the impact of demographic factors. Material and Methods- Present study is based on evaluation of 475 mothers delivered at Panna Dhai Zanana Hospital, UDAIPUR. All the mothers were interviewed using a standardized pre-tested Performa consisting of questions covering various aspects of breast feeding. Results- Main source of encouragement and instruction for breast feeding in 57% of mothers was doctor. Only 36.84% mothers initiated breast feeding as soon as possible after birth. Only 22.10% practiced exclusive breast feeding. Majority of mothers practiced colostrum feeding 61.05%. Only 41.05% mothers had knowledge regarding burping. Only 22.10% were against the mal practice of pre lacteal feeding and more than 80% of mothers practiced janam ghutti (An ayurvedic preparation) 49.45% and tea 43.24%. Majority of mothers 96.84% faced no problem during breast feeding. Conclusion- Breast Feeding no longer seems worth bother in India not only social, moral and mythological factors are attached to the practice of Breast Feeding but also antenatal, geographical, literacy, age religion, socio-economic, and working status of the mother affects Breast Feeding as evident by the present study. Need of the hour is development of training programems and giving information regarding breast feeding during antenatal visits to disseminate scientifically proven facts regarding advantages and essentially of breast feeding with particular emphasis on exclusive breast feeding for first six months. EnglishBreast feeding practices, colostrum, weaning, Knowledge.http://ijcrr.com/abstract.php?article_id=89http://ijcrr.com/article_html.php?did=89

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52410401EnglishN2013September30HealthcareA MINI-REVIEW OF THE MECHANISMS OF GLUCOSE MEMORY ENHANCEMENT English1730Menizibeya O. WelcomeEnglish Vladimir A. PereverzevEnglishThe glucose enhancement of memory has recently sparked a series of discussions in the scientific community. This growing interest would account for the discoveries that glucose ameliorates memory impairment in neurodegenerative diseases. Most importantly is the discovery that glucose memory enhancement effect was comparative with pharmacological agents for memory improvement. However, there are continued speculations on the mechanisms of this phenomenon. Here, we review recent data that suggest the mechanisms of glucose enhancement of memory functions. Englishmechanisms, glucose, glucose memory enhancement, memory functions, neuronshttp://ijcrr.com/abstract.php?article_id=98http://ijcrr.com/article_html.php?did=98

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52410401EnglishN2013September30HealthcareEFFECTS OF MENTAL ILLNESS STIGMA ON SOCIAL IDENTITY AND SOCIAL ISOLATION AMONG FAMILY CAREGIVERS OF PSYCHIATRIC PATIENTS English3140Maryam FarzandEnglish Moazzama AbidiEnglishObjective: The present study aimed to study effects of mental illness stigma on social identity and social isolation among family caregivers of psychiatric patients. Mediating role of affiliate stigma between social isolation and social identity was assessed. Method: Cross sectional research design was carried out in which 203 male and female family caregivers of psychiatric patients were approached for data collection after their consent was taken. 22 item Affiliate stigma scale, 12 item Lubben Social Network Scale-Revised measuring social isolation and 7 item Social Identity Scale were used in the study. (Winnie & Cheung, 2008; DeVellis, 1991; Sreiner & Norman, 1995; Cheek & Tropp, 2002) were administered. Results: Affiliate stigma mediates the effect of social identity and social isolation among family caregivers of psychiatric patients. All the three components of stigma, that is, affection, cognition and behavior mediates the effect of disturbed social identity and social isolation from family and friends. Conclusion: The results of present study help to understand potential barriers to psychological treatment due to stigma attached to mental illness and its cure. It also provided insight to difficulties faced by caregivers due to their association with the mentally ill person. Moreover, counselors may also benefit from this research knowing the difficulties faced by caregivers and their role in the treatment process thus, helping caregivers too and designing interventions accordingly. If caretakers to family ill are properly and thoroughly informed and educated about the illness, than they can be much more successful in the caretaking role. Englishaffiliate stigma, social identity, social isolation, family caregivershttp://ijcrr.com/abstract.php?article_id=114http://ijcrr.com/article_html.php?did=114

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52410401EnglishN2013September30HealthcareTHYROID DISORDERS IN DYSFUNCTIONAL UTERINE BLEEDING (DUB) AMONG REPRODUCTIVE AGE GROUP WOMEN - A CROSS-SECTIONAL STUDY IN A TERTIARY CARE HOSPITAL IN ANDHRA PRADESH, INDIA     English4146K. PadmaleelaEnglish Vimala ThomasEnglish Lavanya K.M.English D. KiranmaiEnglishIntroduction: Abnormal uterine bleeding is a common problem and its management can be complex. Thyroid hormones play a key role in the menstrual and reproductive function of women. It is recognized universally that menstrual disturbances may accompany clinical alterations in thyroid function. Both hypothyroidism and hyperthyroidism may result in menstrual disturbances. Since thyroid dysfunction is commonly prevalent in women, present study was conducted to assess the prevalence of thyroid disorders in dysfunctional uterine bleeding patients. Aims and objectives ? To estimate the prevalence of thyroid disorders in women in reproductive age group with Dysfunctional Uterine Bleeding (DUB). ? To evaluate thyroid function tests in women with DUB. ? To assess the menstrual patterns in women with thyroid disorders. Material and methods Study design: Hospital based Cross sectional study. Study area: Dept. of Obstetrics and Gynecology, Government Victoria Hospital, Vishakapatnam. Study period: 1 year (Dec 2011 –Nov 2012) Materials: A predesigned and prestructured questionnaire, routine blood investigation, trans-abdominal USG, endometrial biopsy, serum T3, T4, TSH. Sample size: 83. Sampling: Systematic Random Sampling. Statistical Analysis: Analyzed using Epi-info version 3.5.2 Results: Most of the DUB cases were in the age group of 35 – 45 years, (53%) followed by 25-34 years (31.3%) and 15.7% were in the age group of 15 – 24 years. Thyroid disorders were prevalent in 26.5% of the women studied. Hypothyroidism was present in 18.1% and Hyperthyroidism in 8.4% of the women with DUB’s. Thyroid dysfunction was most common in women aged between 35 – 45 yrs i.e. (31.8%). The commonest menstrual complaint was menorrhagia which was present in 50% of the DUB cases. The most common finding in endometrial biopsy both in hypothyroid (60%) and hyperthyroid (57.1%) cases was proliferative type. Cystic Glandular Hyperplasia was found in 13.3% and secretory endometrium in 26.7% of hypothyroid patients. Conclusions: Thyroid dysfunction is associated with menstrual disturbances (abnormal uterine bleeding). Prevalence of hypothyroidism was more common than hyperthyroidism in DUB cases. Thyroid function tests should be performed in all patients with menstrual irregularities (DUB) to avoid unnecessary interventions. EnglishThyroid disorders, DUB, reproductive age group.http://ijcrr.com/abstract.php?article_id=117http://ijcrr.com/article_html.php?did=117