iosr-JDMS   Volume-15 ~ Issue-1 ~ January-2016

Abstract: Introduction: Despite off new and excellent inhalational and intravenous anesthetic agents, spinal anesthesia is still a good choice, as it is highly effective both for surgical procedure as well as postoperative pain management and cost effective also.To present study was performed to comparatively evaluate the efficacyofRopivacaine with Bupivacaine on pain control in terms of duration and intensity of motor block, sensory block and muscle relaxation.

[1]. Apfelbaum JL, Chen C, Mehta SS, Gan TJ. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg 2003; 97: 534–40.
[2]. Vickers A, Bali S, Baxter A, et al. Consensus statement on the anticipation and prevention of acute postoperative pain: multidisciplinary RADAR approach. Curr Med Res Opin 2009; 25: 2557–69.
[3]. Harsoor S. Emerging concepts in post-operative pain management. Indian J Anaesth 2011; 55: 101–3.
[4]. Choi PT, Bhandari M, Scott J, Douketis J. Epidural analgesia for pain relief following hip or knee replacement. Cochrane database Syst Rev 2003: CD003071.
[5]. Macclure JH. Rpivacaine. Br J Anaesth 1996; 76: 300–7.

Abstract: The study was carried out to know the outcomes of endovenous laser ablation as a treatment for varicose veins and to study the effectiveness and safety of the laser fiber 810 nm wavelength used for ablation. 303 patients were diagnosed with varicose veins on color doppler and treated for the same by using a 810 nm diode laser. Foam sclerotherapy with injection Polidocanol was used concomitantly in a few cases. Tumescent anesthesia was delivered perivenously under ultrasonographic guidance prior to ablation. Immediately after the procedure a color doppler was performed to confirm occlusion of the ablated vein and to rule out deep vein thrombosis. Patients were then followed up and evaluated clinically and by ultrasound at 1 week, 1 month, 3 months, 6 months and yearly thereafter to exclude recurrence of varicose veins & to look for any adverse reactions.

[1]. Bailey & Love's short Practice of surgery - 25th Edition; page 927 - 33
[2]. Journal of Diagnostic And Interventional Radiology, Ankara, Turkey;2012;18(4):417-22.
[3]. Annals of Vascular Surgery. 2013;27(7): 932-9
[4]. Endovenous laser ablation of varicose veins. J casrdiovascsurg 2005;46:395-405
[5]. Welte. F. J et. al.JVascIntervRadiol 2010; 21:14–31
[6]. Neil M. Khilnani, M.D.1 and Robert J. Min, M.D. J. VascIntervRadiol. 2003 Aug;14(8):991

Abstract: The internet provides abundant information in the field of medicine. E-learning is gaining popularity among medical students,that needs access to computers and sufficient knowledge about information technology. The aim of the present study was to assess the current level of knowledge on the computer and internet usage among Physiology post graduate medical students in Tamilnadu and Pondicherry. Materials and Methods: A cross-sectional, descriptive study was conducted in Tamilnadu and Pondicherry from February 2015 to August 2015 to assess computer and internet usage among Physiology postgraduate medical students.

[1]. Ayatollah J, Ayatollahi F, Bahrololoomi R. Using the internet among dental students in Yazd. Dent Res J (Isfahan) 2010; 7:7–11.
[2]. Yadav H, Jain S, Kapila S, Prasad G. Internet resources for diabetes. Indian J Med Sci. 2005; 59:32–42.
[3]. Norzaidi, M.D., Chong, S.C., Azizah, A., Intan Salwani, M., Rafidah, K. And Rohana, Z. (2007a). "The effect of students' backgrounds and attitudes on computer skills in Malaysia", International Journal of Management in Education, 1 (4), 371-89.
[4]. Norzaidi, M.D., Chong, S.C., Murali, R. And Intan Salwani, M. (2007 b). "Internet usage and managers' performance in the port industry", Industrial Management & Data Systems, 107 (8), 1227-37.
[5]. Tavangarian D, Leypold M, Nölting K, et al. Is eLearning the Solution for Individual Learning? Electronic Journal of eLearning, 2004; 2: 273-80.

Abstract: Aim: To study the Variations in Intraocular pressure (IOP) during different phases of menstrual cycle among healthy young population. Methods: A cross-sectional study. Healthy young female volunteers (n-46) with regular menstrual cycle and without any other ocular and systemic issues were included in the study. Menstrual, ocular and relevant data were collected using questionnaires. IOP was measured using computerized non-contact Tonometer individually for both the eyes during each phase of the cycle. The data were analysed using SPSS software version 17.0

[1]. Allingham R, KarimDamji, Sharm freedman,Sayoko moroi, George shafranov, Shield's text book of glaucoma 5th edition; 47-48
[2]. Ashok Garg, Shlomomelamed, Jes.N.Mortensen, Jerome Jean Bovet, Andre Mermoud. Mastering the techniques of glaucoma, Diagnosis and management, Chap 8; 65-70
[3]. RamanjitSihota, RadhikaTandon, Parson's diseases of the eye; 20th edition. The Glaucomas,2007;Chapter 19:270-271.
[4]. Anderson D R. Glaucoma: the damage caused by pressure. XLVI Edward Jackson memorial lecture. Am J Ophthalmol 1989; 108:485-495
[5]. Sommer A.IOP and Glaucoma. Am J Ophthalmol, 1989; 107:186
[6]. Wallace J, Lovell HG, Glaucoma and IOP in Jamaica; Am J Ophthalmol, 1969; 67:93

Abstract: Systemic sclerosis(SSc)is a multisystem connective tissue disorder of uncertain etiology characterized by thickening of skin and involvement of internal organs . The aim of the study was to find the relative frequencies, characteristics of Cutaneous ,Systemic features and Laboratory profile of SSc in patients attending DVL OPD at tertiary care centre,Vijayawada

[1] Black CM, Denton CP. Scleroderma and related disorders in adults .In: Maddison PJ, Isenberg DA, Woo P, Glass DN, editors. Oxford Textbook of Rheumatology. 2nd ed. (Oxford Medical Publication; 1998).p.1217-47. [2] Wells AU, Steen V, Valentini G. Pulmonary complications: One of the most challenging complications of systemic sclerosis.Rheumatology (Oxford 2009);48 Suppl 3: iii40-4. [3] Ferri C, Valentini G, Cozzi F, Sebastiani M, Michelassi C,La Montagna G, et al. Systemic sclerosis: Demographic,clinical, and serologic features and survival in 1,012 Italianpatients. Medicine (Baltimore) 2002;8:139-53. [4] Steen V. Predictors of end stage lung disease in systemic sclerosis. Ann Rheum Dis 2003;62:97-9 [5] Sjogren RW. Gastrointestinal features of scleroderma. Curr Opin Rheumatol 1996; 8(6): 569–75. [6] Sallam H, McNearney TA, Chen JD. Systematic review: pathophysiology and management of gastrointestinal dysmotility in systemic sclerosis (scleroderma). Aliment Pharmacol Ther 2006; 23(6): 691–712.

Abstract: There is a paucity of data on the procedure indications and outcome of Percutaneous Coronary Interventions (PCI) performed in centres from North East India. Therefore, this study was conducted to determine the procedure indications and in hospital and 30 days outcome of PCI procedures performed in the cardiac catheterization laboratory of Gauhati Medical College Hospital during the early period of its inception. Methods: We conducted an observational descriptive study on 151 symptomatic coronary artery disease patients, who underwent primary, rescue or elective PCI with stent deployment in Gauhati Medical College Hospital, from January 2010 to December 2011. The primary objective of the study was to identify the procedure indications, clinical profile, pattern of stent use and to document the in hospital and 30 days adverse outcomes. The patients were followed for one month and complications were noted.

[1] Kaul U and Bhatia V. Perspective on coronary interventions & cardiac surgeries in India. Indian J Med Res 132, November 2010, pp 543-548
[2] Mishra S, Chakraborty R, Ramakrisnan S. Coronary intervention data year 2012. Interventional Council of India Midterm Annual Meeting 2013, Kolkata
[3] Bhatt P, Parikh P, Patel A et al. Unique Aspects of Coronary Artery Disease in Indian Women. Cardiovascular Drugs and Therapy. August 2015, Volume 29, Issue 4, pp 369-376
[4] Keyhani S, Scobie JV, Hebert PL, McLaughlin MA. Gender disparities in blood pressure control and cardiovascular care in a national sample of ambulatory care visits. Hypertension. 2008;51:1149–55
[5] Boden WE, O'Rourke RA, Teo KK, et al: Optimal medical therapy with or without PCI for stable coronary disease. N Engl J Med 356:1503, 2007

Abstract: Clavicle derives its name from Latin word Clavicula referring to the musical symbol of similar shape. Clavicle is called collar bone. It gives the curvature at the base of the neck without which cosmetically it is not better. Clavicle fractures are the most common in children. It is estimated that one in every twenty fracture is clavicle fracture. In fact 35 - 44% of shoulder girdle fractures are clavicle fractures. The importance of proximity to the vital structures in neck, thorax necessitates the early and proper treatment of these fractures. Clavicle forms diarthrodal joint with acromion in the lateral side as the medial side also. Has one primary centre for lateral end appearing usually on 45th day. Occasionally has a secondary centre at the lateral end appearing at 18 – 20 years but it rapidly fuses with the shaft. Lateral end of clavicle is usually more prominent than the medial end normally. Lateral end contribution to the growth is less when compared to the medial end. Lateral end has no physeal plate at all.

1]. Fracture of Lateral end of Clavicle with Coracoclavicular Ligament Rupture Treated with Coracoclavicular Screw and Stainless Steel Wire-A Series of Eleven Cases, Pashupati Chaudhary ET AL, Health Renaissance, September-December 2010; Vol 8 (No.3);147-151
[2]. Hook plate fixation for displaced Neer type ii, lateral clavicle fracture, Abdalla.S et al, AAMJ, vol. 10, n. 3, Sep, 2012, and suppl-1
[3]. Hook plate fixation of acute displaced lateral clavicle fractures: mid-term results and a briefliterature overview, Davut Tiren et al, Journal of Orthopaedic Surgery and Research 2012, 7:2
[4]. Fractures of the Clavicle, By L.A. Kashif Khan et al, J Bone Joint Surg Am. 2009; 91:447-60
[5]. Neer et al, 1984, JBJS-B, 1991, 73B, 291-4

Abstract: Scorpion sting envenomation is a preventable life-threatening medical accident. Timely intervention and management can prevent the mortality due to scorpion sting which is grossly under reported. Objective: This study aims at identifying the demographics, clinical manifestations, management and response to treatment in the victims of snake bite over a period of one year. Methodology: It is a prospective observational study conducted on all the paediatric cases admitted to Niloufer Hospital, with history of scorpion sting. The clinical details, investigations and treatment plan based on the envenomation for all the patients are studied thoroughly.

[1] David Cheng et al: Scorpion sting, eMedicine; July 18 2002.

[2] Das S, Nalini P, Ananthkrishnan S, et al: Scorpion envenomation in children in southern India. J. Trop.Med.Hyg, oct 1995; 98(5):306-308.
[3] Shankar Mahadevan et al., Scorpion sting envenomation, Ind. Ped, May 2000; 37:504-511.

[4] Ismail M: The scorpion envenoming syndrome. Toxicon, 1995; 33:825–58.

[5] Yarom R. Scorpion venom: a tutorial review of its effects in men and experimental animals. Clin Toxicol 1970;3:561-9.

[6] David. A. Warrel., Envenoming by snakes and venomous arthropods, API text book of Medicine.

Abstract: Introduction: The complete or partial absence of an X chromosome in the karyotype of phenotypic females has an impact on tooth morphology. The aim of this study was to determine the morphological characteristics of occlusal surfaces of first molars in girls with Turner syndrome (TS). Material and methods: The study population was comprised of 40 individuals with TS, aged from 9.2 to 18 years, and 40 healthy girls, aged from 9.3 to 18 years, selected as the control group. The number and size of the cusps, and the shape of the occlusal surface of the first molars of both jaws were analyzed on intraoral images and plaster dental casts. А chi-square test was used for analysis of the differences in first molar occlusal morphology between TS and control group.

[1] Warburton D, Kline J, Stein Z, Susser M. Monosomy X: A chromosomal anomaly associated with young maternal age. The Lancet. 1980;1:167-9.
[2] Lippe B. Turner syndrome. Endocrinol Metab Clin North Am. 1991; 20(1):121-52. [3] Frias JL, Davenport ML. Health supervision for children with Turner syndrome. Pediatrics. 2003 Mar;111(3):692-702.
[4] Kočova M. Turner syndrome-challenge for early diagnosis and successful therapy. Reviews in Pediatrics. 2010;12:61-7.
[5] Szilagyi A, Madlena M, Nagy G. The role of the pediatric dentist to initially diagnose and provide early treatment of Turner's syndrome: a case report. Eur J Paediatr Dent. 2000;1(4):185-90.

Abstract: Background and Purpose: To study the HRCT temporal bone findings in chronic middle ear infections with reference to its extent and complications. Materials and Methods: After an initial clinical assessment, 50 patients diagnosed clinically with chronic suppurative otitis media (CSOM) were referred for a HRCT of temporal bone which was done with a GE brightspeed elite 16 slice CT scanner.

[1]. Kangsanarak J, Fooanant S, Ruckphaopunt K, Navacharoen N, Teotrakul S (1993) Extracranial and intracranial complications of suppurative otitis media: report of 102 cases. J Laryngol Otol 107:999–1004
[2]. Paparella MM, Kim CS. Mastoidectomy update. Laryngoscope 1977;87:88.
[3]. Kemppainen, Heikki O., et al. "Epidemiology and aetiology of middle ear cholesteatoma." Acta oto-laryngologica 119.5 (1999): 568-572.
[4]. Petros V Vlastarakos, Catherine Kiprouli, Sotirios Pappas, John Xenelis, Paul Maragoudakis, George Troupis, et al. CT scan versus surgery: how reliable is the preoperative radiological assessment in patients with chronic otitis media? Eur Arch Otorhinolarynogol 2012 Apr;269:81-6.
[5]. Yorgancılar, E., et al. "Complications of chronic suppurative otitis media: a retrospective review." European Archives of Oto-Rhino-Laryngology 270.1 (2013): 69-76.
[6]. Alzoubi, Firas Q., et al. "The role of preoperative CT scan in patients with chronic otitis media." European Archives of Oto-Rhino-Laryngology 266.6 (2009): 807-809.

Abstract: Replacement of missing teeth with implants has made a revolutionary change in restorative dentistry. There is increasing demand for esthetics along with restoration of comfort and function. Adequate zone of attached tissue around a natural tooth or implant prosthesis is desirable to better withstand the functional stresses resulting from mastication, oral hygiene efforts and to maintain predictable levels over time. The importance of soft tissue in implant dentistry is often underestimated.

[1]. Belser C, Schmid B, Higginbottom F, Outcome analysis of implant restorations located in the anterior maxilla: a review of the recent literature, Int J Oral Maxillofac Implants, 19 (Suppl), 2004, 30–42.
[2]. Eckert E., Wollen P, Retrospective review of 1170 endosseous implants placed in partially edentulous jaws, J Prosthet Dent, 79(4), 1998, 415–21.
[3]. Palacci P, Nowzari H., Soft tissue enhancement around dental implants, Periodontology 2000, 47, 2008, 113–132. [4]. Myshin HL, Wiens JP, Factors affecting soft tissue around dental implants, J Prosthet Dent, 94, 2005, 440–444.
[5]. Schupbach P, Glauser R. The defense architecture of the human peri implant mucosa, J Prosthet Dent, 97, 2007, S15–S25.
[6]. Davis C, Smile design, Dent Clin North Am, 51, 2007, 299– 318.
[7]. Hsu L, Chen C, Kao C, Cheng K, Influence of off-Axis loading of an anterior maxillary implant: a 3-dimensional finite element analysis, Int J Oral Maxillofac Implants, 22, 2007, 301–09.

Abstract:This paper aims to submit the report the aesthetic correction in a disharmonious smile and unsatisfactory composite restorations in anterior teeth who were treated with direct aesthetic restorative procedure. The results show the use of this technique to allows an immediate aesthetic quality, directly and inexpensively restoring the natural features of the smile. Key words: Composite Resin,Class IV, Aesthetic.

1]. Allen EP, Brodine AH, Cronin RJ Jr, et al. Annual review of selected dental literature: report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry. J Prosthet Dent. 2005;94:146-176.
[2]. Baratieri LN, Ritter AV. Four-year clinical evaluation of posterior resin-based composite restorations placed using the total-etch technique. J Esthet Restor Dent. 2001;13:50-57.
[3]. Alex G. Adhesive dentistry: where are we today? Compend Contin Educ Dent.2005;26:150-155.
[4]. Buonocore MG. A simple method of increasing the adhesion of acrylic filing materials to enamel surfaces. J. Dental Res1955., n.34, p. 849-53
[5]. Nash RW, Radz GM. Microabrasion - a conservative approad to removing surface staining. Dental Economics. TULSA1995, v.85, n.6, p.70 .
[6]. Reston EG. Estética em Odontologia. In BUSATO, A. L. S.; HERNANDEZ, P. A. G.; MACEDO, R. P. Dentística: Restaurações Estéticas- São Paulo: Artes Médicas, 2002. cap.5, p.81 – 96.

Abstract: Intentional reimplantation is a procedure in which tooth extraction is performed followed by reinsertion of the extracted tooth into its own socket after performing the desired procedure. In this article, intentional reimplantation is described and discussed as a treatment approach for aperiapical lesion that is in maxillary second molar. After 15 years, the patient was asymptomatic, the tooth was still functional and a recall intraoral periapical radiograph showed an intact periodontal ligament space and lamina dura with no evidence of gross root resorption or ankylosis. Keywords: Intentional replantation, calcified canals, mineral trioxide aggregate

[1]. Abu-Hussein M.; Sarafianou A ., Abdulgani A .; Eight-year follow-up of successful intentional replantation2013,roots,3,28-31
[2]. Muhamad AH, Azzaldeen A. Autotransplantation of tooth in mixed dentition- A review. Int. J. Dent.Clinics. 2013;5(1):20-23.
[3]. Messkaub M. Intentional replantation: A successful alternative for hopeless teeth. Oral Surg Oral Med Oral Pathol.1991;71:743-47.
[4]. Tang P, Chan C, Huang S, Huang C. Intentional replantation for iatrogenic perforation of the furcation: A case report. Quintessence Int 1996; 27: 691-96.
[5]. pfaff p. abhandlungen von der zahen des menschlichen korpers un erkrankungen. Berlin: haude and spencer;1756