Temporomandibular joint is the main joint of stomatognathic system. Any abnormality in this joint can lead to discomfort to patient in form of inability to talk, open wide mouth, eating food and the most important is esthetically. Ankylosis of this joint is mostly noticed in children due to forceps deliveries and due to trauma to this area which remains unnoticed initially. In this article, we discuss a case of unilateral bony ankylosis involving temporomndibular joint in a 13 years old male patient along with the review of literature.

Gartners duct cysts are cystically dilated mesonephric( wolffian) duct remnants found in the anterolateral part of the vagina. They represent 11% of vaginal cysts [ 1 ]. A 40 year old premenopausal women presented to gynaecology OPD with chief complaint of something protruding from her vagina since 7 – 8 years. She had no other particular complaint. On per speculum and per vaginal examination a 5x4cm and a 6x5cm cystic masses arising from right and left lateral vaginal wall respectively were noted. Bilateral cyst removal was done after complete examination , investigations along with the consent.

Thrombocytopenia is classically defined as a platelet count of less than 150,000/L. It affect 6-10% of all pregnancy and second only to anemia as the most commonly encountered blood disorder in pregnancy. It may result from diverse etiology- gestational thrombocytopenia, idiopathic thrombocytopenic purpura, von willibrand disease, viral and bacterial infections, preeclampsia complicated by HELLP, hemolytic uremic syndrome, thrombotic thrombocytopenic purpura etc.

The present study to determine the quality of well water sources in different villages of chntapalli mandal, Visakhapatnam, India. The results were compared with BSI and WHO standards for drinking water. The physic-chemical parameters includ pH, Turbidity, Electric conductivity (EC), Total Dissolved Solids (TDS), Total Hardness, Calcium, Magnesium, Chloride, Sulphate, Phosphate, and Dissolved Oxygen (DO)were tested. It was found prescribed limits while that some parameters were higher than the prescribed limits while other parameters were lower than the limits. In the microbiological examination, all samples were found to be contaminated with coliforms. Although fecal coliforms were found to be contaminated with coliforms. These contaminated waters pose threats to the health of the tribal people. The results showed that, some of the parameters below and some of them above the limits. The water samples needed treatment before it is consumed.

Objective(s):- To assess the perinatal outcome in pregnancy beyond 40 weeks in terms of fetal distress, meconium aspiration syndrome, low apgar score, nicu admission, caesarean section. Study design:- This is a hospital based observational study conducted at Obstetrics and Gynecology Department, S.M.S College Jaipur from April 2014 onwards. Sample size:- The sample size was calculated 596 subjects at 95% confidence limit and 10% relative allowable error, assuming 39.3% beyond 40 weeks of pregnancy proportion of women who delivered child( as per seed article). Perinatal Outcome Noted in Terms of Meconium Aspiration, Fetal Distress, Macrosomia, Low Apgar Score, Rate of Cesarean Section, NICU Admission Rate. Result(s):- out of 596 babies delivered 89(14.93%) babies had meconium aspiration .And out of these 89 babies 50 (8.39%) got admitted to nicu. P value for distribution of meconium aspiration and nicu admission in was p<0.001, this was found highly significant. Conclusion(s):- The management of pregnancy beyond 40 weeks remains controversial. The value of routine induction of labour in such pregnancy also remains controversial because of the concern that it may result in an increase in the incidence of caesarian section without any significant improvement in the fetal outcome. In infants admitted to NICU one of the risk factor attributed is postdatism. So care of the post-dated fetus should start right from in utero. In this complex clinical condition we should identify the fetus at risk and to institute an appropriate management following adequate counseling of patient.