Acromegaly is associated with increased cardiovascular morbidity and mortality. 49 acromegaly patients were evaluated for presence of cardiovascular risk factors and manifestations using 2D-Echocardiography, strain, strain-rate, carotid intima media thickness (CIMT) and flow mediated dilatation (FMD) and correlated with disease activity. 32 patients with growth hormone (GH) level >1 ng/ml were considered active. Patients with active disease have more LV dysfunction as assessed by strain(p-0.031) and strain rate(p-0.001); trend towards lower ejection fraction(p-0.11) with significant correlation to GH(cc −0.252,p-0.05). Patient with active disease have reduced FMD(p- 0.042); with no difference in prevalence of cardiovascular risk factors and CIMT inrelation to disease activity.

BACKGROUND: With the emerging knowledge and understanding of novel coronavirus infection, dentists must be capable of resuming their practice with necessary precautions in near future; hence, the aim of the present study was to evaluate the knowledge, attitude, and practices along with felt challenges by the dentists concerning practicing dentistry during pandemic in India. MATERIALS AND METHODS: An online cross-sectional questionnaire study was conducted on the dental practitioners of Uttarakhand, India. The dentists were approached by obtaining their E-mail address from the heads of dental institutions or dental association branches in the state. The knowledge, attitude, and practices along with apparent challenges of practicing during pandemic were assessed using closed-ended questionnaire. The relationship between the mean scores and demographic variables was determined using Student's unpaired t-test by keeping the significance level below 0.05. RESULTS: Out of 759 respondents, a total of 458 respondents were male (60%), whereas 301 (40%) were female. The mean knowledge scores were higher in females (11.06 ± 2.12) compared to males (9.72 ± 4.53), which was statistically significant (P < 0.05). The mean practice score was lower in males (17.49 ± 6.47) compared to females (19.26 ± 6.69) and likewise lower scores were seen in graduates compared to specialists and these differences were again statistically significant (P < 0.05). Majority of the study participants felt that following various safety guidelines were not feasible (96.97%) and too expensive (96.44%) and considered them as a challenge. CONCLUSION: It is imperative that dentists should be fully prepared before resuming their services and reach the right kind of awareness to limit the spread of the disease.

Introduction: The etiopathogenesis of diabetes mellitus is multi-factorial & complex and appears to involve interactions of various immunological, genetic and environmental factors 1. The Diabetes mellitus is associated with increased blood glucose level. It represent one of the major chronic health problem faced by the society today 2. The aim of this study is to evaluate a quick, safe, noninvasive and painless method to screen for diabetes during regular clinical examination using self-monitoring glucometer. Material and Methods: 35 cases who were reported to Primary health centre, sahdei buzurg for hematological examination were selected for the study. Probing of gingival sulcus was done using William's WHO probe. Blood oozing from the sulcus was collected on the strip provided by the glucometer and blood glucose level was recorded. For control, finger prick capillary blood was collected and blood glucose level was analyzed. Statistical analysis was done using Pearson's Correlation Coefficient. Result: The result revealed strong correlation between gingival crevicular blood and peripheral capillary measured blood glucose level. Conclusion: Gingival crevicular blood collected during clinical examination may be an excellent painless source of blood for glucometric analysis.