Background:Amongst various modalities of post operative rehabilitation in a total knee replacement (TKR) surgery, this study focuses on evaluating the effect of additional yoga therapy on functional outcome of TKR patients.Materials and Methods:A comparative study was done to compare the effects of conventional physiotherapy and additional yoga asanas, on 56 patients undergoing total knee arthroplasty due to osteoarthritis. After obtaining written informed consent, the patients were alternately assigned to two groups: Conventional and experimental. Baseline WOMAC scores for pain and stiffness were taken on third post operative day. The subjects in conventional group received physiotherapy rehabilitation program of Sancheti Institute where the study was conducted, the experimental group received additional modified yoga asanas once daily by the therapist. After discharge from the hospital, patients were provided with written instructions and photographs of the asanas, two sets of WOMAC questionnaire with stamped and addressed envelopes and were instructed to perform yoga asanas 3 days/week. Subjects filled the questionnaire after 6 weeks and 3 months from the day of surgery and mailed back. The primary outcome measure was WOMAC questionnaire which consists of 24 questions, each corresponding to a visual analog scale, designed to measure patient's perception of pain, stiffness and function.Results:The results suggest that there was a significant change (P<0.05) for all the groups for pain, stiffness and function subscales of WOMAC scale. The pain and stiffness was found to be less in experimental group receiving additional yoga therapy than in conventional group on 3rd post operative day, 6 weeks and 3 months after the surgery.Conclusion:A combination of physiotherapy and yoga asana protocol works better than only physiotherapy protocol. Larger and blinded study is needed.

We describe the case of a 30 weeks pregnant patient requiring general anaesthesia for urgent microlaryngoscopy and excision of an increasingly symptomatic left-sided vocal cord cyst. In view of the pregnant state of the patient combined with laryngeal pathology, an awake fibreoptic intubation was undertaken and an uneventful procedure ensued. The potential risks and merits of awake fibreoptic intubation in the obstetric population are discussed.

INTRODUCTIONSkin is the largest organ of the body and also an organ of expression, it responds to emotion with blushing, pallor, piloerection, and perspiration. Brain and skin originate from the same germ layer, the embryonic ectoderm, and are affected by same hormones and neurotransmitters. Psychiatry is focused on the "internal visible disease" and dermatology is focused on "external visible disease". The field of psycho-dermatology or psychocutaneous medicine focuses on the interaction between the mind, the brain and the skin. The interaction between mind, brain and skin is variable. It's not uncommon for dermatological patients to suffer the psychosocial consequences of disfigurement; also psychopathological factors can play an etiological role in development of skin disorders and exacerbation of pre-existing skin disorders. Various studies have reported significant psychiatric and psychosocial comorbidity in at least 30 percent of dermatological patients. 1 ABSTRACT Background: Both psoriasis and neurodermatitis patients report psychological distress and impaired quality of life, but how they cope with it is area of interest. The objective of this study was to study and compare psychopathology, quality of life and coping mechanism in psoriasis and neurodermatitis patients. Methods: 30 cases each of psoriasis and neurodermatitis were assessed at dermatology out-patient department of a tertiary care hospital by using Symptom check list -90-Revised (SCL-90-R), dermatological life quality index (DLQI) and Brief cope scale (BCS). Results: All Patients with neurodermatitis perceived it as a problem and in psoriasis it was 90%.The quality of life (QOL) was affected in both more in neurodermatitis as compared with psoriasis. Neurodermatitis showed significant psychopathology on SCL-90-Rin parameters of interpersonal sensitivity and Psychoticism. Depression, Anxiety, Somatisation, Obsessive-compulsiveness were seen in both groups. Self-blame, religion, positive-reframing were used commonly as coping mechanisms in neurodermatitis while in psoriasis there was acceptance, active coping, planning, and self-distraction, use of emotional and instrumental support, positive-reframing. Conclusions: Quality of life is significantly lower in neurodermatitis. Psychopathologies were significantly high in neurodermatitis. Maladaptive coping styles were used in both groups.

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