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Hypertensive patients have higher prevalence of insulin resistance and are at increased risk of developing type 2 diabetes mellitus (DM). There is scarcity of data on the relationship between antihypertensive therapies and glycaemic control in Indian population. Thus, the present study was designed to investigate such association among Indian population in a University teaching hospital.The study was carried out on 177 hypertensive patients (with new onset of diabetes or without diabetes) visiting the OPD of medicine department at Majeedia hospital, New Delhi. The drug history of hypertensive patients and blood glucose levels following 1-5 yrs of antihypertensive therapy were recorded.The gender distribution of hypertensive patients reveals a higher percentage of incidences in males (53.7%) as compared to females (46.3%). Hypertensive patient without DM on beta blockers and on thiazide shows higher incidence of impaired glucose tolerance (IGT) (17.5%, 18.5%) and DM (10%, 11%) as compared to patient receiving other antihypertensive therapy. While in patients of new onset diabetes the incidence was higher with β-blockers (56.2%) than with thiazides (31.3%) followed by calcium channel blockers (CCBs) (12.5%). There was proportionate increase in incidence with the duration of therapy (3-5 years). None of the patients who were on ACE inhibitors or on angiotensin receptor blockers (ARBs) reported any incidence of IGT or DM.To conclude, β-blockers and thiazides increases the risk of type 2 diabetes mellitus with long term antihypertensive therapy requiring regular monitoring. CCBs have lowered risks while ACE inhibitors and ARBs are relatively free of such metabolic adverse effects., (© Georg Thieme Verlag KG Stuttgart · New York.)

This study is based on the length-weight relationships (LWRs) of 2148 fishes, belonging to 8 families, 12 genera and 15 freshwater fish species (Wallago attu, Rite rita, Sperato seenghala, Sperota aor, Mostacembalus armatus, Macrognathus puncolus, Gudusia chopra, Clupisoma garua, Puntius sophore, Puntius ticto, Rasbora daniconius, Amblypharyngodon mole, Chanda noma, Colisa fociatus and Colisa sota) captured from river Ganga, Gomti and Rapti during May 2011 to March 2012. The growth coefficient (b) values varied between 1.30 and 3.07, with the mean b = 2.03 at p< 0.001. The condition factor (K) varied considerably from 0.76 and 2.95, with a mean K = 1.43 which may be attributed to different environmental conditions of the river basin. The objective was to evaluate the pattern of LWRs and condition factors of the freshwater fish species of the main Ganga and tributaries which serves as baseline for other tropical Indian rivers and tributaries.

We report four cases of Cockayne Syndrome in a family of seven children. Apart from the usual clinical and laboratory features, sparse eye lashes and high arched palate in two patients, conjunctival and corneal edema in one, and proximal muscle weakness in one patient were noticed as additional findings.