Indian Journal of Preventive Medicine

Background: Hypertension and dyslipidemias are major risk factors for Coronary artery disease. It is well known that diabetes mellitus associated with dyslipidemias. But hypertension associated with abnormal lipid profile Also can occur. Various studies Have shown that lipid levels are abnormally high in Hypertensive patients compared to control group. It appears that Dyslipidemias and hypertension may also have synergistic effect on atherosclerosis. Aim and Objective: (1) To study the lipid values in hypertensive individuals. (2) Comparison of lipid values between smokers and non smokers with hypertension. (3) Comparison of lipid values between obese and non obese patients with hypertension. (4) Age wise distribution of hyperlipidemia. Material and Methods: This prospective randomized clinical study entitled “A Study on Lipid Profile in Hypertensive Patients” A cros-sectional study was conducted after clearance from Board of Studies and Ethical committee in the Department of General Medicine at Rajshree medical and research institute and hospital during the period 2021-2022. The total sample size was determined to be 157 patients. Results: Among study population, majority belonged to 40-50 years age group (52.9%) followed by 51-60 years (31.2%) and above 60 years (15.9%). The risk factors reported were Obesity (52.2%), Smoking (66.9%) and Alcohol (44.6%). Among the hypertensive patients Raised Total Cholesterol, LDL and Triglycerides was reported as 61.8%, 49.0% and 65.6% respectively. Low HDL was reported among 58.6% subjects. There was a significantly positive correlation of age with Total Cholesterol, LDL, Triglycerides (61.8%, 49%, 65% respectively). Low HDL was reported among 58.6% subjects. There was a significantly negative correlation of age with HDL. Raised Total Cholesterol, LDL and Triglycerides was significantly more among smokers (73.1%, 59.6% and 75.0% respectively) compared to non-smokers (56.2%, 43.8% and 61.0%). Raised Total Cholesterol, LDL and Triglycerides was significantly more among obese people (96.3%, 92.7%, and 92.7% respectively) low HDL (100%) was significantly more among obese people. Conclusion: In the research area hypertension individuals had a significant frequency of abnormal lipid profiles and poorly managed blood pressure, according to the study findings. Significantly more overweight and obese individuals had hypertension than normal. There was significantly positive correlation of age, smoking, Obesity with total cholesterol, triglycerides, LDL, VLDL and negative correlation with HDL.

Flaps have been used for a long time for closure of soft tissue defects by plastic surgeons and form an important part of the surgeon’s armoury, however 2% −22% of flap procedures led to necrosis in an observational study.1 The search for an ideal intervention for ensuring flap survival still continues. Topical nitroglycerine has been found effective in prevention of flap necrosis in few studies.2-4 In this article we share our experience with prevention of flap necrosis using topical nitroglycerine.

Background: To the best knowledge of the author, there is no available literature on the current status of Malaria in Rajasthan. Hence the preparation of this document. Objectives: To find out the parameters of Malaria in Rajasthan till as recently as possible. Methods: By studying the documents prepared by the National Centre for Vector Borne Diseases (NCVBD) and doing a web search on Malaria in Rajasthan. Results: It is seen that the Annual Parasite Incidence (API) of Malaria in Rajasthan had come down to the low level of 0.07 in 2018 and that there were only 649 cases of Malaria in Rajasthan during 2021 as of September 11th of that year. Conclusions: Rajasthan is very close to achieving near-elimination goals but will have to take active measures to reach it.

Background: To the best knowledge of the author, there is no available literature on the current status of Malaria in Andhra Pradesh. Hence the preparation of this document. Objectives: To find out the parameters of Malaria in Andhra Pradesh till as recently as possible. Methods: By studying the documents prepared by the National Centre for Vector Borne Diseases (NCVBD) and doing a web search on Malaria in Andhra Pradesh. Results: It is seen that the Annual Parasite Incidence (API) of Malaria in Delhi State had come down to the very low level of 0.12 in 2018 and that there were only 1218 cases of Malaria in Andhra Pradesh during 2021. Conclusions: Andhra Pradeshis very close to achieving near-elimination goals but will have to take active measures to reach it.

Skin grafting is a technique that has been used to cover wounds since time immemorial. Various factors affect the take of the graft. If graft take is inadequate, it adds to the morbidity of the patient in terms of additional hospital stay, repeat surgery, and chances of loss of the second graft as well. Various methods have been described in aiding the take of the graft. In this article we would like to highlight the use of topical nitroglycerin in improving the take of Full thickness skin graft.