Dental local anesthetic solutions containing adrenaline may safely be used in patients with diabetes who had taken their hypoglycemic medications preoperatively.

OBJECTIVES:Cognitive deficit especially involving memory is associated with depression. The objectives of this study were to assess the short-term memory status in patients of depression and to compare the same with age and sex matched literate controls of north Karnataka (India). METHODS: 15 depressive patients were randomly selected with 37.7 + 4.16 (Mean + SEM) and compared with age and sex matched normal literate controls individually for this study. Short-term memory status was assessed by using cognitive tasks, which included verbal tasks (non word repetition task, digit span test and word span test), and visual tasks (Benton visual retention test and object test). RESULTS: The depressive patients were found to be more affected in most of the verbal and visual task methods compared to normal controls. CONCLUSION: Poor performance of verbal and visual memory tasks by the patients with depression might be at the level of attentional set shifting/working memory, processing speed and execution of task.

This hospital serves as a general hospital, teaching hospital and a research centre, it is not considered as a diabetic foot care clinic, though patients with various diabetic complications are referred to this hospital to take care of. India has ranked first in the list of ten nations most affected with diabetes (1, 2). Around 15% of diabetic patients got affected with diabetic foot lesion during their lifetime (2), this can be associated with poor diabetic control, barefoot walking and lack of education which will complicate diabetes mellitus (3). Despite the efforts of conservative therapy, there will always be a percentage of foot lesions that necessitates hospitalization. In general, the development of diabetic foot lesion is mainly related to local trauma, neuropathy and deformity (4, 5). In India neuropathy (13%-78%), microangiopathy (16%-53%) and diabetic foot lesion are the common complications of diabetes mellitus (6, 7) leading to disability, morbidity and mortality in the patients. Thus the objective of this study was to evaluate the characteristics of diabetic foot lesion in patients of type-2 diabetes of north Karnataka. INTRODUCTION Sample Size: 50 MATERIAL & METHODS: Study Duration: 6 months Study Design: Prospective study, the data was collected from those patients admitted in the department of surgery and orthopedics Al Ameen Medical College & Hospital Bijapur with history of type II diabetes mellitus presenting with foot lesion during study period. Sample Population: 50 patients with history of type II diabetes mellitus presenting with foot lesion admitted India has the highest number of patients affected by diabetes mellitus. Patients with diabetes are at high risk of developing foot lesion that can develop into non-healing wound. Few studies have reported that type-2 diabetes mellitus patient have a lifetime risk of developing diabetic foot ulcer. Thus aim of this study was to evaluate the characteristics of diabetic foot lesion in patients of type-2 diabetes of north Karnataka. It is a prospective study conducted on patients admitted in department of surgery and orthopedics at Al Ameen Medical College & Hospital Bijapur for a period of 6 months. The demographic data, diabetic foot history, bacteriological pattern and associated risk factors, treatment and patient offloading were evaluated. Demographics and physical characteristics were: 68% patients with history of type II diabetes mellitus presenting with foot lesion were males, among them 36% patients had peripheral neuropathy and 30% had peripheral artery disease (PAD). Diabetic foot lesion characteristics are 30% of lesions were located on dorsum aspect and 24% on toes, 40% University of Texas (UT) wound Grade of 1B (wound involving tendon, capsule or bone), 30% with Grade 1C (ischemia) and 16% with Grade 3B (osteomylitis). Bacteriological pattern showed 42% of gram negative anaerobes with grade-2 (50%) and grade-3(44%) infection under PEDIS system of classification. Majority underwent conservative (22%) management; few underwent disarti...

No abstract

BACKGROUNDAcute pancreatitis is the final result of premature pancreatic pro-enzyme activation leading to "auto digestion" of the parenchyma, thereby inducing a cascade of inflammatory response which further damages the organ. Theoretically inhibition of pancreatic secretion may prove useful in management of acute pancreatitis. There are evidences that somatostatin and octreotide apart from having inhibitory effect on pancreatic secretion also has some cytoprotective properties and that they counter the ileus and bacterial translocation in acute pancreatitis.