The aims of the article were to study the clinical characteristic of patients with pseudocysts and to compare different common modalities of treatment and introduce the concept of observation in pseudocyst management. Twenty-eight patients were diagnosed with pseudocyst of the auricle between June 2009 and June 2011 in a medical college hospital. The patients were divided into four groups each of seven patients on the basis of primary treatment offered. Four primary treatments offered were simple aspiration, aspiration with intralesional steroid, incision and drainage with removal of anterior cartilage leaflet with buttoning, and lastly, simple observation and reassurance. All 28 patients were male with involvement of right side more than left and no one had bilateral involvement. Adults in the age group of 30-40 were commonly affected. Most of the patients had history of significant trauma by security forces. Most common site of involvement was scaphoid and triangular fossa. The best form of treatment with minimum recurrence was incision and drainage with removal of anterior cartilage leaflet with buttoning. Simple observation as a treatment option was found to be as good as intralesional steroids. Pseudocyst of the pinna is a benign condition of unknown etiology affecting the pinna, commonly encountered in middle-aged men. It is a rare condition and is hardly encountered in routine ENT practice. Bilateral diseases are uncommon. Most common site of occurrence is triangular and scaphoid fossa. Many modalities of treatment have been recommended in literature with varied recurrence and failure rates. The best treatment is surgical deroofing followed by buttoning with minimum recurrences. An option of simple observation for 2-3 months should be discussed with each patient and was found to be as good as intralesional steroids.

The aim of our investigation was to study the Serum magnesium levels in preterm labour and to compare these values with those patients who had a term delivery ,to find associated signs and symptoms and to suggest nutritional correction of prognostic value Methods:-A case-control study was carried out to evaluate serum magnesium levels and associated symptoms in women with preterm labour (28-36 weeks) and compare them with patients in same gestational age who delivered at term(37-40 weeks). Results:-Patients in preterm labor have a significantly depressed serum magnesium level [mean, 1.343± 0.09meq/l vs 1.875 ± 0.013meq/l] (p<0.001 ) as compared to normal pregnancy. Preterm labour cases differed from controls in terms of significantly higher incidence of muscle cramps and change in the quality or quantity of vaginal discharge ( p< 0.001). In our study, fall in the value of serum magnesium levels was of a significant magnitude in preterm labour as compared to normal controls(p<0.001).Percentage of patients with preterm labour belonging to low socio-economic class was significantly higher than the upper and middle socio-economic classes (p < 0.05). Conclusion:-Estimation of serum magnesium levels may be a useful parameter in pregnancy. Magnesium supplementation should be considered in pregnancy especially in high risk groups.

Introduction: Preterm infants are at a greater risk of short term and long term complications including disabilities and impediments in growth and mental development. Hence, to predict and prevent the occurrence of preterm labour and delivery would go a long way to reduce the morbidity and mortality resulting from it. Preterm labour followed by preterm delivery is a major issue in India. Besides various etiologies, preterm labour may be due to a biochemical alteration, such as magnesium. Many recent findings have augmented the significance of magnesium in human health and disease. There is a mounting evidence that alterations in magnesium metabolism have a negative impact on pregnancy outcome. The aim of our investigation was to study the serum magnesium levels in preterm labour and to compare these values with those patients who had a term delivery, to find associated signs and symptoms and to suggest nutritional correction of prognostic value. Methods: A case-control study was carried out to evaluate serum magnesium levels and associated symptoms in women with preterm labour (28-36 weeks) and compare them with patients in same gestational age who delivered at term (37-40 weeks). Results: Patients in preterm labour have a significantly depressed serum magnesium level [mean, 1.343±0.09 meq/lvs 1.875±0.013 meq/l] (p<0.001) as compared to normal pregnancy. Preterm labour cases differed from controls in terms of significantly higher incidence of muscle cramps and change in the quality or quantity of vaginal discharge (p<0.001). In our study, fall in the value of

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