Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52410409EnglishN2014May30HealthcareSECONDARY CORRECTION OF SEVERELY DEPRESSED ALAR DOME IN UNILATERAL CLEFT LIP ADULT PATIENT English0109Ahmed A.M. NawresEnglishBackground: It is common to have adult patients with unilateral severely depressed nasal dome after the initial unilateral cleft lip repairs were carried out in infancy. The main surgical treatment includes repositioning the cleft alar cartilage to a more normal anatomical position. In this study we present our results using Potter and Dibbell techniques. Aim of the study: This is a retrospective study showing two different techniques used forsecondary correction of severely depressed alar dome in unilateral cleft lip adult patients. Patients and Methods: Eleven adult patients (7 male and 4 female) ranging in age from 20 to 27years (average 23 years) presented between Feb.2009 and Jan.2012 for secondary correction of unilateral cleft lip nasal deformity. The initial cleft lip repairs were done by other surgeons somewhere else, without primary nasal correction or any sort of preoperative molding device.Thepatients were divided into two groups according to the surgicaltechnique used: group AreceivedDibbelltechnique (7 patients) and group B received Pottertechnique (4 patients). Tajima inverted-U incision was used for all cases. Results: The results were evaluated on the basis of the degree of symmetry between the cleft and noncleft nostrils. The length of the longitudinal axis of the nostril and the width at the midcolumella level were taken at the time of final follow-up, which was between 6 months and 2years. An excellent result was defined as a deviation of 10 percent or less with the noncleft nostril. A good result was a deviation between 11 and 20 percent with the noncleft nostril, a fair result was a deviation between 21 and 30 percent with the noncleft nostril, and a poor result was a deviation greater than 30 percent with the noncleft nostril. Excellent results were achieved in 7 patients with minimal alar-columella web deformity and a satisfactory symmetry of the nostrils. Three patients showed good results. One patient showed fair result. Conclusion: Modifying Dibbell bipedicle flap through displacing it inferiorly to involve lip tissue to replace a deficient nostril floor, found to be applicable for achieving a reasonable secondary correction of severely depressed alar dome in unilateral cleft lip adult patient. EnglishCleftlip nasal deformity, depressed nasal dome.http://ijcrr.com/abstract.php?article_id=77http://ijcrr.com/article_html.php?did=77

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52410409EnglishN2014May30HealthcareTHE IMPACT OF DOCTORS PER CAPITA ON THE MORTALITY RATE IN ASIA English1015Anil ShettyEnglish Shraddha ShettyEnglishBackground: There is a wide degree of variation in the mortality rate among Asian countries. There is also a significant variation in the doctors per capita in the region. Objective: To determine if the physician population ratio in a country has a significant effect on the mortality rate. Methodology: Data obtained from the World Health Organization and the World Factbook was collated and was analyzed under 4 sub-continental groups to determine the bearing of doctor numbers on mortality in Asian countries. Results: Afghanistan had the highest and Qatar the lowest mortality rate. Doctors per capita were highest in Kazakhstan and least in Bhutan. Conclusions: The Doctors per capita had an inverse association with mortality rate. EnglishDoctors per Capita, Mortality Rate, Asia.http://ijcrr.com/abstract.php?article_id=88http://ijcrr.com/article_html.php?did=88

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52410409EnglishN2014May30HealthcareASSESSMENT OF KNOWLEDGE AND ATTITUDE REGARDING EYE DONATION AMONG UNDERGRADUATE MEDICAL STUDENTS, TIRUPATI English1624A. SadanaEnglish M. SushmaEnglish K. Chandra LekhaEnglish Shankar Reddy DudalaEnglish G.Ravi PrabhuEnglish K.Ashok Kumar ReddyEnglishSarvendriyanaam Nayanam Pradhaanam, goes the adage meaning that the eye is the most important of all organs in the body. India with its nearly 1.2 billion population needs a lot of eye care and hence there is an unmet need for eye donation. India is largely rural nation with innumerable health hazards, one of them being the ailments of the eye encompassing all ages of people: children, young and old. Objective: The study aims to assess the knowledge and attitude of the undergraduate medical students of Sri Venkateswara Medical College, Tirupati regarding issues concerning eye donation. Materials and Methods: Cross sectional study, Study Population: Undergraduate medical students of Sri Venkateswara Medical College, Tirupati. Study Period: May and June, 2013. Sample Size: Prevalence of 50% is considered, for which, the sample size comes to 384, considering an allowable error of 5 %. This shall be rounded up to 400. Predesigned, pretested, semi-structured questionnaire developed for the purpose, containing questions about demographic details, awareness of eye-donation, sources of information and their reasons for donating and not donating eyes. Majority (53 %) of the students were in the age group of 19-21years. (25.25%) were in the age group of 22-24years, (21.75%) in 16-18years.The mean age of all students was 20.7 years 1.76. Of the total respondents, 39% were men. Conclusion: The limited knowledge of medical students about eye donation is likely a result of a paucity of teaching on the subject of eye donation in the undergraduate medical curriculum. EnglishEye donation, Awareness, Cornea, Tirupatihttp://ijcrr.com/abstract.php?article_id=96http://ijcrr.com/article_html.php?did=96

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52410409EnglishN2014May30HealthcareCYTOLOGICAL GRADING OF INTRAEPITHELIAL LESIONS OF CERVIX UTERI: EVALUATION OF THE DIAGNOSTIC CHARACTERISTICS English2532Emani S. R.English Sandhya Panjeta GuliaEnglish Rama Lakshmi PVBEnglish Neelima B.English Aradhana GiriEnglish Sindhuma D.EnglishObjectives: To correlate cytological grades with histological grades of intraepithelial lesions of uterine cervix following The Bethesda System (TBS) of classification To evaluate different parameters used for the cytodiagnosis and cytological grading of cervical intraepithelial lesions with a review of literature Material and Methods: Cytology smears of uterine cervix and cervical biopsies from female patients received during a two year period were included for this prospective study. Cytology smears were stained by Papanicolaou stain, and histological sections were stained with hematoxylin and eosin. Both were evaluated following TBS classification of cervical intraepithelial lesions. Utility value of different parameters used for cytodiagnosis and cytological grading of intraepithelial lesions was considered with a review of literature. Results: Cervical Cytology smears and biopsies from 543 female patients were available for this study. By histology, 93 were LSIL, 26 were HSIL, 27 were invasive squamous cell carcinoma, and 397 were nonneoplastic lesions. By cytology, 114 were LSIL, 49 were HSIL, 27 were invasive squamous cell carcinoma, and 353 were nonneoplastic lesions. Conclusion: Dyskaryosis is the hallmark of precancerous lesions and invasive cancer of the uterine cervix. Histological grading on cytological smears, based on cytoplasmic differentiation, is a prediction vulnerable for grading errors. Dyskaryosis and proliferation markers are two parameters, when considered together, hopefully useful for classification and grading of the intraepithelial lesions. EnglishPap test; LSIL; HSIL; Carcinogenesis; Proliferative index.http://ijcrr.com/abstract.php?article_id=107http://ijcrr.com/article_html.php?did=107