Physical and/or mental handicaps are known to directly or indirectly compromise hygiene habits including oral hygiene. It is recommended that handicapped patients, their parents or care workers require from an early stage dental health education and active involvement in preventive programmes. This study surveyed the oral hygiene of paraplegic patients in a specialised centre to determine their oral hygiene needs. Most patients had moderate to poor oral hygiene and gingivitis was prevalent and severe. Plaque and gingivitis was increased in quadriplegic compared to hemiplegic patients. The data indicate that as part of rehabilitation of paraplegic patients there is a need for oral hygiene programmes to be established.

A survey of literature fails to reveal tlic i*eport of another ciise iii which synipus dipus, an anomalous umbilical w i n aid transposition of the viscei*a were associated. In reviewing the liteixturc thcse anonlalies will be coiisiclei*cd ilS sepiirate eiltities. REVIEW OFLlTERA'rCTRF: ~~J H~L S t1ipu.C. Various terms liave bccii i~yplied to the of iiiermaid rnonste1.s proposed in 1838 by Gcoffiq St.Hi1aii.c : 1. Symcle, iu wliicli tlic two lower extremities are almost perfectly nriited and terminate in R double foot, the sole of which is turriccl to\\.iird tlw front. 2. Uroiticle, in wliicli the two lower extremities arc very inconiplctcly united and termiiiitte in a single foot, usually vesy incomplete, the sole of which is turnecl toward the f roll t .3. Sirenorncle, in wliicli there is it rcry iiicomplcte union of botli lowcr extreiiiities which teriiiiiiatc iii il stump or in ti point without a distinct foot.Prosliek fui-tlier sttitecl tliut : Iii 1861, Foerstcr iiitroduced a dassifici~ tioii n4iich was very similar to tbilt of St. Hilaire. His termiiiology ~vas iiiore descriptive in character and is now more gciiewllp uscd in mermaid form of fetus. I'roshek ('25) citcd tlic classific~

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