iosr-JDMS   Volume-16 ~ Issue-9 ~ September-2017

Abstract: Effects of neurological affliction of joints were first described by Charcot in 1868 [1]. Diabetes mellitus is currently the most common cause of neuroarthropathy [2]. Abnormal nociception and proprioception lead to progressive destruction of the joint. Management of Charcot's arthropathy by definitive surgical treatment remains a challenge despite technical advances in treatment modalities. In the diabetic population, ankle neuroarthropathy constitutes 3% to 10% of all cases. This leads to significant instability, fracture and collapse of ankle mortise and carries a high risk of amputation of the lower limb [3–7]............

[1]. Charcot JM. Sur quelquesarthropathies qui paraissentdependred′une lesion due cerveauou de la moelleepiniere. Arch Physiol Norm etPathol. 1868; 1:161–78.
[2]. Jacobs RL, Karmody A. Charcot foot. In: Jahss MH, editor. Disorders of foot. Vol. 2. Philadelphia: WB. Saunders; 1982. pp. 1248–65.
[3]. Cofield RH, Morrison MJ, Beabout JW. Diabetic neuroarthropathy in the foot: Patient characteristics and patterns of radiographic change. Foot Ankle. 1983;4:15–22.
[4]. Miller DS, Licthman WF. Diabetic neuropathic arthropathy of feet; Summary report of 15 cases. AMA Arch Surg. 1955; 70:513–8.
[5]. Sanders LJ, Mrdjenovich D. Anatomical pattern of bone and joint destruction in neuropathic diabetes. Diabetes. 1991; 40:529A

Abstract: Congenital anomalies areimportant causes of infant and childhood deaths,chronic illness and disability. They are characterized by metabolic , structural ,functional and behavioural disorders present at the time of birth .The etiological factors include chromosomal abnormality and mutation of various genes ,which gives rise to structural and metabolic defects .Thanatophoric dysplasia is a lethal skeletal muscle abnormality incompatible with life due to severe pulmonary hypoplasia.

Keywords-: congenital anomaly, skeletal muscle dysplasia, thanatophoric dysplasia, pulmonary hypoplasia

[1]. Nelsons Book Of Paediatrics.
[2]. the prevalence of thanatophoricdysplsia and lethal osteogenesis imperfecta typeII in northern Ireland –a complete population study ,
[3]. Deride E Donnelly,VivienneMcConrll,PatrickJMorrison Thanatophoric dysplasia @gene reviews NCBI bookshelf...

Abstract: Background And Objective: Cold chest pack is used as the first line of treatment in the management of cardiovascular and respiratory lifestyle disorders. Though cold chest pack is used for both rejuvenation as well as therapy its physiological effect is less understood. Hence this study aims to evaluate the physiological effect of cold chest pack on HRV. Materials And Methodology: 60 male and female healthy volunteers of mean age 22.2 were recruited for the study. Subjects were randomly allocated into two groups, group1cold chest pack for 30 min, group 2 sham chest pack for 30min. Assessments will be done 5min before and 5 min immediately after the intervention............

Keywords: Cold chest pack, Heart rate variability, Heart rate, Naturopathy, Sham chest pack

[1]. N.K Manjunath, Shirley Telles. Therapeutic Applications of a Cold Chest Pack in Bronchial Asthma. W.J Med Sci, 2006,1(1), 18-20.
[2]. J H Kellog. The Chest Pack, Techniques of hydrotherapy, Rational Hydrotherapy. (NIN, Pune, 2010).
[3]. Tanizni, M Okazaki et al. Spa therapy improves ventilatory function in the small airways of patients with steroid dependent intractable asthma. Acta Medica Okayama 1992; 46: 175-178.
[4]. Sathyaprabha T N, H Murthy and B.T.C. Murthy, Efficacy of naturopathy and yoga in bronchial asthma – A Self-controlled matched scientific study. Indian Journal Physiol. Pharmacol 2001; 45: 80-86.
[5]. Yildirir A, Kabacki G, Akgul et al. Effects of menstrual cycle on cardiac autonomic innervation as assessed by heart rate variability. Annals of Noninvasive Electro cardiology, 2002, 7(1), 60 –63.

Abstract: Background: Cognition declines with age is a known fact. Some studies suggest a positive correlation between the declinations of cognition with Diabetes. Studies on dementia have contributed diabetes as one of the possible causative factor for its early occurrence. During the management of diabetes, examination of cognitive functions are overlooked as a routine practice. This study attempts to examine the cognitive functions in established diabetics who are on treatment and correlate the same with duration of diabetes................

[1]. Cognitive Dysfunction and Diabetes Mellitus Christopher T. Kodl and Elizabeth R. Seaquist
[2]. Diabetes mellitus and cognitive impairments ElhamSaedi, Mohammad Reza Gheini, FiroozehFaiz, and Mohammad Ali Arami
[3]. Cognitive impairment in diabetic patients: Can diabetic control prevent cognitive decline?
[4]. Takahiko Kawamura,*1,2Toshitaka Umemura,3 and Nigishi Hotta1
[5]. Cognitive Impairment and Diabetes Author: K. Dash, Sandip..