A sliding hernia is a type of hernia in which posterior wall of the sac is not only formed by the parietal peritoneum, but also by sigmoid colon with its mesentery on its left side; caecum on right side and often with portion of bladder in both sides. During surgery care is taken not to separate the content from the sac as the posterior wall of the sac is formed by the sliding component itself and attempts to dissect it from wall results in vascular injury to the structure and end in ischemic insult of the sliding component. Thus sliding hernia is important for the special surgical technique and care during intraoperative period which decreases the morbidity. AIMS AND OBJECTIVES: To study the incidence of sliding hernia in S.V.R.R.G. General Hospital Tirupati. To know the presentation, organ involved in the sliding, post-operative complications in the management of sliding hernias. METHODOLOGY: STUDY DESIGN: Prospective Clinical Study, STUDY AREA: Sri Venkateswara Medical College Tirupati. SOURCE OF DATA: This study is an observational study in which 600 patients with hernia were studied and 40 patients with sliding component during intra operative period were studied in a period of 12 months. SAMPLE SIZE: 40 patients fulfilling the inclusion criteria. METHOD OF COLLECTION OF DATA: Detailed history taking, Complete clinical examination, Appropriate Investigations Blood &Urine Examination, USG, Surgery is performed &Operative findings were recorded. INCLUSION CRITERIA: Patients more than 13 years, with inguinal hernia giving written informed consent. EXCLUSION CRITERIA: Patients less than 13 yrs. Patients with comorbid conditions like heart diseases, liver and renal diseases. SOFTWARE: Statistical software mainly SPSS 11.0 and Systat 8.00 was used for the analysis of the data and Microsoft word and excel have been used to generate graphs tables etc. CONCLUSION: In the observational study done on 40 cases of sliding inguinal hernias 38(95%) and female were 2(5%) cases, with peak incidence in 25 cases (63%) of sliding hernia was around 51-70 years. 29 cases (73%) are indirect inguinal hernias and only 11 cases (27%) are direct inguinal hernia. Duration of symptomatic period ranging from 2 years to 17 years, incidence of the sliding hernia is seen more when the duration is between 5-12 years. 13 cases (32%) sigmoid colon; in 17 cases (43%) caecum; in 10 cases (25%) bladder is the sliding component. Only in 3 cases seroma and infection was noted accounting for 7% each and in the remaining 34 cases 86% recovered without any complications. Only one case presented with obstruction.

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Background of the study: Alcoholism is a disease in which an individual has an intense urge to ingest alcoholic beverages and causes personal and social deteriorations. It disrupts the entire life of the alcoholic and the areas of life of everyone associated with him. Awareness regarding the dangers posed by alcohol helps the younger generation to prevent it. Aim: To determine the level of knowledge regarding alcoholism and its ill effects among final year DMLT (Diploma in Medical Technology) students and to associate the knowledge level with baseline proforma. Methods and materials: A quantitative research design was adopted. This non-experimental descriptive study was conducted in St. John’s College of Paramedical Sciences in Idukki, Kerala. Thirty final year DMLT students were included in the study by using convenient sampling technique. A self-structured knowledge questionnaire was used to assess their knowledge on alcoholism and its ill effects. Results: Majority of students (83.3%) scored moderate level of knowledge, 10% of them had adequate knowledge level and 6.7% of the participants had inadequate knowledge on alcoholism.

Osteoporosis is a worldwide disease characterized by reduction of bone mass and alteration of bone architecture resulting in increased bone fragility and increased fracture risk. A prospective observational study was done to assess the prevalence and risk factors of osteoporosis in an adult between 35 to 75 years of age in selected hospital, Idukki. A qualitative research approach used and 46 samples were selected. With prior permission from concerned authority, data was collected followed by informed consent from the participants.

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