Multiple myeloma is a clonal neoplastic proliferation of terminally differentiated B-lymphocytes involving the skeletal system in a multifocal fashion. Its oral manifestations are less common in the maxilla than in the mandible due to the lower amount of hemopoietic bone marrow in the maxilla. We report the case of a 50-year-old man who presented with a mass in the left maxillary alveolar region with tooth mobility. The mass had become enlarged after the teeth were extracted 15 days previously. Radiographs demonstrated multiple punched-out radiolucent lesions in the skull and pelvic region. Computed tomography images showed a soft tissue density mass in the left maxilla, eroding the floor and walls of the maxillary sinus. Although several analytical techniques were used to characterize the lesion, it was finally confirmed as multiple myeloma through immunohistochemistry.

Background: Adolescents in high school are vulnerable to various health risk behaviors. One of it is tobacco use which is the leading cause of death and disease worldwide today. Educational programs applied in schools can have immense potential in promoting healthy behaviours and help them to refrain from risky behaviours among school going adolescents. The objectives of the study were to assess the prevalence of tobacco use among high school students in the rural field practice area of Vydehi Institute of Medical Sciences and Research Centre, Bengaluru and to evaluate the effectiveness of behavior change communication using life skills education on tobacco use initiation and cessation of use among high school childrenMethods: An interventional study was conducted in a randomly selected rural high school. A total of 454 students studying in 8th 9th and 10th standard participated in the study. Pretested semi structured questionnaire was used to collect data. Intervention was given in the form of life skills education with interactive sessions involving debates, group discussions, role plays, situational analysis on prevention of tobacco use. Follow up was done at intervals of 1 month, 3months, and 6 months to assess the change in tobacco use prevalence using a questionnaire.Results: Over all, prevalence of tobacco use was 69 (15.2%) with 50 (11%) being male and 19(4.2%) female students. Prevalence of tobacco use reduced from 69 (15.2%) during pre-intervention to 58 (12.9%), 39 (8.7%), and 33 (7.3%) by the end of one month, three months and six months respectively after the intervention.Conclusions: There is lack of awareness regarding dog bite and its management among the rural population.

Background: Adolescent boys are more inclined towards risky behaviors like smoking than girls and those who initiate smoking early in life are more likely to continue to smoke as adults. Peers in schools have a major role on influencing, initiating and continuation of smoking among boys. Therefore, the present study was undertaken to compare the prevalence of tobacco use among boys studying in single-sex school and co-education school and to study the factors associated with tobacco use in both the schools.Methods: A comparative study was conducted in two randomly selected high schools in the urban field practice area of the medical institution; one of it being boys only (single-sex) and another co-education (co-ed) school. All the students studying in 8th, 9th and 10th standard were included in the study. A self-administered, pretested, structured questionnaire adapted from the WHO youth tobacco questionnaire was used to collect the data on tobacco usage, knowledge and attitude along with socio-demographic profile. Data was entered into Microsoft excel and analyzed using EPI info 6.Results: A total of 467 boys participated in the study. Over all prevalence of tobacco use was 21.8% from both the schools. Tobacco use was found to be more in boys’ school 68 (25.7%) when compared to co-education school (16.8%). Prevalence of smoking was found to be 38 (14.4%) and 17 (8.4%) in the two schools, this difference was found to be statistically significant with χ2=4.59, p=0.032.Conclusions: Vulnerability of boys to smoking and risky behaviours in general, more so in single sex schools need to be emphasized and apt interventions designed to prevent its use among boys in various settings ought to be explored.