Indian Journal of Medical and Health Sciences

Background: Diabetic ketoacidosis (DKA) is acute complication of diabetes mellitus. It is  commonly seen in type 1 diabetes mellitus and rarely also seen in type 2 diabetes mellitus. In more than fifty percent of cases precipitating factor is usually unrecognized. Case report: A 35 years women with type 1 diabetes mellitus presented with (DKA), with no apparent precipitating factor. Following initial correction of the DKA, persisting tachycardia, thyromegaly and thyroid functions confirmed diagnosis of thyrotoxicosis. Treatment with propranolol and carbimazole helped in the normalization of metabolic states. We hereby report a case of DKA precipitated by thyrotoxicosis. Conclusion: Thyrotoxicosis is known to destabilize diabetes control, it should be considered as one of the precipitating factor for diabetic ketoacidosis. 

Diabetes mellitus is a metabolic disorder affecting all systems in the body because of multiple long term complications. Foot ulcers is common complications of diabetes mellitus. However, there are few cases of foot ulcer and causing factors in our institute. An institutional-based cross-sectional study was done to find out foot ulcer occurrence in diabetic patients. Systematic random sampling was done to select 250 study participants. Bivariate and multivariable logistic regression model was made to find out factors associated with diabetic foot ulcer. Odds ratio with 95% confidence interval was used to know the level of significance. Diabetic foot were 15.2%. Type II
diabetes mellitus, overweight, obesity, poor foot selfcare practice, and neuropathy were factors related to diabetic foot ulcer. Special attention should be paid at weight reduction, managing neuropathy, and promoting foot care practice would decrease diabetic foot ulcer. 

Introduction: Abnormalities of the endocrine glands functions are not uncommon in patients infected with HIV. Many studies have shown high prevalence of thyroid dysfunction in HIV patients. We have undertaken this study to know pattern of thyroid dysfunction in patients registered to our ART centre. Materials and methods: 100 HIV patients registered in ARTcentre of government medical college Jammu were enrolled for study. Besides baseline investigation FT3, FT4, TSH levels and CD4 counts were assessed in all patients. Results: 64% were women and 36% were men and mean age of our study group patients was 37.19±8.79. Out of 100 seropositive HIV patients, 69% were on antiretroviral therapy. Sick euthyroid syndrome was observed in 13% patients, subclinical hypothyroidism in 9% and 78% were euthyroid. Point prevalence of thyroid dysfunction in HIV infected patients was observed to be 22%. Conclusion: Thyroid dysfunction is very common in patients infected with HIV and should be assessed in all patients, as thyroid hormones play important role not only in metabolism but also in uence immune system

  Out of 450 adults females having the symptoms of OCD 38 (8.4%) were diagnosed as OCD. Among these 9 (23%) had obsession 11 (28%) had compulsion and 18 (47%) patient had mixed OCD clinical presentation. The family history of OCD Patients was 14 (36%) were disturbed family, 8 (21%) were divorcee, 13 (34%) were unmarried, 3 (7.8%) were widow. In the obsession study, aggressive patients were 2 (16.6%), sexual obsession were 3 (25%), religious obsession were 2 (16.6%), hoarding obsession were 2 (16.6%), contamination obsession were 2 (16.6%), somatic obsession were 1 (8.3%). Patients presenting with compulsive symptoms are as 3 (21.4%) had repeated washing, 2 (14.2) had repeated checking, 2 (14.2%) had repeated counting, 4 (28.5%) had repeated cleaning, 2 (14.2%) had arranging compulsion, 1 (7.1%) had hoarding or collecting compulsion. Comorbid disorders with OCD were 9 (23.6%) major depressive disorder, 3 (7.8%) had eating disorder, 4 (10.5%) had phobia, 5(13.1%) had impulsive control disorder, 4 (10.5%) had panic disorder, 4 (10.5%) had generalized anxiety disorder, 2 (5.2%) had substance use disorder, 3 (7.8%) had schizophrenia, 4 (10.5%) had undiagnosed disorder with OCD. This study will be quite useful to psychiatrist to differentiate the various clinical symptoms of obsessive compulsive and mixed symptoms. Moreover comorbid disorders of OCD with non-genetic disorders of OCD have satisfactory improvement with newer drugs, of anti depressant. 

Keywords: OCD; Obsession; Compulsion; Repeated; Adult Female; Maharashtra; Yale Brown Oc Scale

Wound Bed Preparation (WBP) is an essential component before the wound is reconstructed by graft or flap. There are various aspects of Wound Bed Preparation (WBP) like Tissue, Infection, and Moisture & Edge management. Each component of WBP needs individual attention. Multiple adjuvant therapies provided to a wound helps in hastened healing of the wound as compared to single therapy. The aim of the study is to highlight the various adjuvant therapies  that can be used to heal a nonhealing wound