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Introduction: Alcohol is a common substance that is legally available in India. Its prevalence varies across geographical and cultural boundaries. There were sudden restrictions on the supply of alcohol use during the COVID-19 lockdown. We conducted this study to understand the pattern of alcohol withdrawal among COVID-19-positive patients admitted for isolation. Methodology: A cross-sectional study was conducted from March 2020 to May 2020 at the District Government General Hospital, Nizamabad, Telangana, India. Seventy consenting patients admitted to the COVID isolation ward with a history of alcohol use were included in the study. A structured pro forma was used to collect sociodemographic and clinical profiles from the case sheets. The Alcohol Use Disorders Identification Test (AUDIT) score was calculated to understand the problems with alcohol use. Results: Eighty-eight percent of the patients consumed local adulterated toddy. The majority were male (88%), with a mean age of 45 years. The median AUDIT score was high (30). They presented with a significantly higher incidence of complications related to alcohol withdrawal including seizures, delirium, and psychosis. The mortality rate was 11%. Conclusions: There was a high prevalence of alcohol use and related complications in the study population. Adulteration of toddy with long-acting benzodiazepines may have been a reason for the higher incidence of complicated withdrawals. Primary care and family physicians must be cognizant of the problem and must take adequate capacity-building measures to manage the complications.

Introduction: Cone beam computed tomography (CBCT) has one of the most important roles for diagnosis in dentistry. Aim and Objectives: The aim of this study is to assess the level of knowledge and awareness toward the scope of digital imaging and CBCT, among dental practitioners in North Karnataka regions such as Bidar and Raichur city. Materials and Methods: A questionnaire study was carried out among 200 dental practitioners of North Karnataka (Bidar and Raichur). A specially designed structured questionnaire (13 in number) was administered to assess the knowledge of digital imaging and CBCT. Data were analyzed using Pearson's correlation coefficient test, and any P ≤ 0.05 was considered to be statistically significant. Results: A total of 200 dentists were selected for the study, among which 93.5% were reported that digital imaging is the most useful method compared to conventional method. About 91.0% of the dentists were aware of CBCT. Of 91.5% of the dentists preferred CBCT for three-dimensional imaging in the head and neck region. Among all, majority of dentists reported that all types of radiography will be used in digital imaging (45.0%). Conclusion: The current study showed that knowledge of dentist regarding digital imaging and CBCT was not satisfactory; therefore, participants require an understanding of the concepts behind CBCT and related technologies, making appropriate training essential for every member of the dental team.

Takayasu arteritis (TA) is a rare, systemic, granulomatous primary vasculitis of medium and large arteries. The name comes from Dr. Mikito Takayasu, who reported the problem in 1905 for the first time. It is also called as Pulseless Disease or Aortic Arch Syndrome and usually seen before 40 years with female and male ratio being 10:1. Takayasu arteritis is a major cause of high blood pressure levels in teenagers and young adults. Around 75 percent of the people having Takayasu get diagnosed usually at an average age of 29 years though they begin to show the symptoms at their teenage years because the early symptoms of Takayasu are nonspecific and common. Heart failure as the first presentation of the TA is rare but has been reported. Angiographic studies help in the diagnosis of Takayasu and patients usually respond to steroid therapy. We report a 16 years old female presented with history of upper limb claudication, dyspnea, orthopnea, non palpable pulse in bilateral upper limbs with non recordable BP, lower limb with high blood pressure recordings and bilateral carotid Bruit present. Imaging studies revealed circumferential wall thickening of arch of aorta, bilateral carotids, left sub clavian, left axillary. 2D echo revealed global hypokinesia with severe left ventricular dysfunction. Takayasu arteritis with heart failure diagnosis was made and administration of steroids, diuretics and ACE inhibitor improved the condition. [ABSTRACT FROM AUTHOR]

Intracranial dermoid cysts generally occurring along the midline are rare. They are benign, congenital, slow-growing cystic lesions located inside the skull. They account for<1% of all primary intracranial tumors and are more common in females in the first three decades of life. Many intracranial dermoid cysts are asymptomatic and are found by chance when brain imaging is carried out for other reasons. Clinical presentation usually relates to compression of adjacent structures or spontaneous rupture of the cyst. The signs and symptoms may range from headaches, seizures to cerebral ischemia. On CT imaging these lesions usually appear as well-defined lobulated midline masses with low attenuation and hyperintense on T1-weighted MRI imaging. We hereby report a case of an 18-year-old female presented with history of seizures involving right upper limb which spread to other limbs associated with frothing and tongue bite-3 episodes since 2 months. She also had cleft lip. On examination CT images showed hypodense lesion in intrahemispheric region in frontal lobe and MRI image with contrast showed hyperintense T2W, hypointense T1W/FLAIR lesion. A diagnosis of an intracranial dermoid cyst in the intrahemispheric region of frontal lobe was made and the patient was advised a surgical excision of the cyst. [ABSTRACT FROM AUTHOR]