iosr-JDMS   Volume-15 ~ Issue-4 ~ April-2016

Abstract: Mal de Meleda is a rare type of autosomal recessive genodermatosis characterized by presence of transgradient palmoplantar keratoderma, nail changes, scleroatrophy, perioral erythema and angular cheilitis since birth or early childhood...........

Keywords: Keratoderma, Poikiloderma, Bony changes

[1]. Inamdar A , Sacchidanand S. Text book of Pediatric Dermatology. First edition.Mumbai: Jaypee Publication ;. 2009. Page 50-4.
[2]. Hohl D, Christen S. Palmoplantar Keratoderma . In : Schachner LA, Hansens R C. Pediatric Dermatology 4 th Edition. Mosby
Elsevier; Page 622 .
[3]. Nath AK , Chawdhary S, Thappa DM . Mal de Meleda with lip involvement. A report of two cases. Indian J Dermatol Venereol
Leprol. 2012 ; 57.
[4]. Parvathi C.Yogendra M. Kavyashree K. A case of Mal de Meleda disease in Chitradurga Journal of Evolution of Medical and
Dental Sciences .[Internet] 2014 Nov[ cited 2015 June 17] ; 3 (5) 14224-9. Available from http://jemds.com/latestarticles.
php?at_id=6026.
[5]. Athainker SB, Inamdar AC , Palit A ,Sampaga VV . Greithers Disease . Indian J Dermatol Venereol Leprol [Internet] 2003 [ cited
2015 June 17]; 69 : 292-3. Available from http://www.bioline.org.br/request?dr03034.

Abstract: Annular pancreas is one of rare congenital anomalies that rarely manifest in adult. We hereby discuss our experiences with one of the presentation of annular pancreas. A 20 years male presented with pain abdomen symptom of gastric outlet obstruction, radiological investigation reported as chronic pancreatitis, on high level of suspicion exploratory laprotomy done with finding of annular pancreas. Bypass surgery done. Patients discharged uneventful.

Keywords: Annular pancreas, gastric outlet obstruction, CT scan, exploratory laprotomy.

[1]. Zheng HM, Cai XJ, Shen LG, Finley R. Surgical treatment of annular pancreas in adults: a report of two cases. Chin Med J. 2007;120(8):724–25. [PubMed]

[2]. Tieddmann F. Uber die Verschiedenheiten des Ausfuhrungsgangs der Bauchspeicheldruse bei den Menschen und Saugetieren. Dtsch Arch Physiol. 1818;4:403. [in German]

[3]. Ecker A. Bildungsfchler des pancreas und Herzens. Z Rat Med. 1862;14:354. [in German]

[4]. Yogi Y, Shibue T, Hashimoto S. Annular pancreas detected in adults, diagnosed by endoscopic retrograde cholangiopancreato- graphy: report of four cases. Gastroenterol Jpn. 1987;22:92–99. [PubMed]

[5]. Whittingham-Jones PM, Riaz AA, Clayton G, Thompson HH. Annular pancreas – a rare cause of gastric obstruction in an 82-year-old patient. Ann R Coll Surg Engl. 2005;87(1):W13–15. [PMC free article][PubMed]

Abstract: Background: Oral health is essential to general health and quality of life. It is a state of being free from chronic mouth and facial pain, oral and throat cancer, oral sores, gum disease, tooth decay and loss etc. Risk factors include unhealthy diet and poor oral hygiene. Worldwide, 60–90% of school children have dental cavities. Oral health knowledge is considered to be an essential prerequisite for health-related practices in school children...........

Keywords: Knowledge, oral hygiene, school students, toothbrush, Visakhapatnam.

[1]. http://www.who.int/topics/oral_health/en/.
[2]. Sharma S et al, Oral Health Status of 9 to 12 year school going children in Urban Meerut,R.IJCH, vol 25,no1, Jan-March 2013.

[3]. Priya M et al, Oral Health Knowledge Attitudes & Practice among school going children in Chennai, India, JEED, Jan-June 2013, vol 3, issue 1.
[4]. J.R. Sukhabogi et al, Oral health status among 12-16yrs children from govt and private schools in Hyderabad, A.P, India. Annals of medical and health sciences research, 2014 Vol 4 issue 9.
[5]. V.L. Kuppuswamy et al, Oral hygiene status, Knowledge ,Perceptions & Practices among School Settings in rural South India; OHDM 03/2014;13(1):146-54.

Abstract: Diabetes mellitus is an oxidative stress condition. Hydrogen peroxide is produced during the advanced glycation reactions in diabetes mellitus. Ferrous Iron in presence of hydrogen peroxide results in the Fenton reaction producing hydroxyl radicals which are injurious to tissues. High sensitivity C - reactive protein (hsCRP) is an acute phase protein that is elevated in injury and inflammation............

Keywords: Advanced Glycation End Products, Diabetes mellitus, High sensitivity C-reactive protein,Oxidative stress

[1]. Bozzini C,GirelliD,Ollivieri O prevalence of body iron excess in metabolic syndromeDiabetes Care 2005;282061-63
[2]. Hart W. C-reactive protein:- The best laboratory indicator for monitoring disease activity. Cleve clin Med. 1989; 56: 126-130.
[3]. Liuzzo G, Biasucci LM, Rebuzzi AG, et al. Plasma protein acute phase response in unstable angina is not induced by ishaemic injury. Circulation. Plasma lipoproteins: apolipoprotein structure and function. J. Lipid Res.1987; 25: 1277-1294c: 2nd ED : EnglewoodChiffs, NJ Prentice Hall 1969.
[4]. Frostegard J, UlfgrenAK, Nyberg P, et al. Cytokine expression in advanced human atherosclerotic plaques: dominance of pro inflammatory and macrophage- stimulating cytokines. Atherosclerosis.1999;145: 33-43.
[5]. Ridker PM, Hennekens CH, Buring JE, Rifai N. C-Reactive Protein and other markers of inflammation in prediction of cardiovascular disease in women. N. Engl .J .Med. 2000; 342: 839-43 .

Abstract: The word "endoscopy" is derived from the Greek literature by combining the prefix "endo" meaning"within" and the verb "skopein" meaning "to view with a purpose, to observe with intent and to monitor ". The result is an adequate term for the procedure of peering into the recesses of the living body.....

[1]. Aston N.D, Owen W.J, Ioving J.O.: Endoscopic balloon dilation of colonic anastomotic strictures. BJS-1989 (780-782)
[2]. Avgerinos A, Kalantzis N, Rekoumisg: Bowel preparation and the risk of explosion during colonic polypectomy. Athens- GUT,
1984 15/4 (361-364)27.
[3]. Banez A.V, Bozek S.A., Simon R.F. (Ohino); Double endoscope method for multiple colonic polypectomy. Gastrointestinal
Endoscopy 1987 33/1 (32-52).
[4]. Bedogini, Ricci Pedrazzoli: Endoscopic dilatation of anastomotic colonic strictures by different techniques: an alternative to
surgery. Gastrointestinal Endoscopy 1987 33/1(21-29)76.
[5]. Bharagava D.K., Tandon H.D., Chawala (delhi): Diagnosis of ileocaecal and colonic Koch's by colonoscopy. Gastrointestinal
Endoscopy. 1985- 31/2(68-70)14

Abstract: In many areas of world, hypertensive disease in pregnancy is the single most common cause of maternal death. Pregnancy associated hypertension remains unsolved despite decades of intensive research and remains the most significant problem in obstetrics. Though pre-eclampsia has been recognized clinically, its etiology and pathophysiology remains enigmatic. Early detection of pre-eclampsia using pregnancy associated parameters is beneficial to reduce the number of morbidity and mortality.............

Keywords: Hypertension; Multigravidae; Oxidative stress; Pre-eclampsia; Primigravidae

[1]. Adamsons K, Bachus KE. Hypertensive disorders of pregnancy. In: Scott JR, Philip D, Hammond CB, Spellacy WN, editors. Danforths text book of Obstetrics and Gynaecology. Lippincott Company, Philadelphia . 1994 ;351-64.
[2]. Cunningham FG, Gant NF, Leveno, KJ. Hypertensive disorders in pregnancy. In: Andreaseils, Susan R, Noujam, Davis K, editors. Williams textbook of Obstetrics. Medical publishing division, 2001; 565– 609.
[3]. Uotila JT, Tuimala RJ, Aangio TM. Findings on lipid peroxidation and antioxidant function in hypertensive complications of pregnancy. Br J Obs &Gyn.1993;1000:270-276.
[4]. Wickens D. Free radical oxidation peroxidation product in normal and abnormal pregnancy. Annal Clin Biochem. 1981; 18: 158 – 62.
[5]. Desai P, Rao S. Predictive value of raised mid trimester βhCG in PIH. Obs & Gyn Ind. 2002; 52: 68-70.

Abstract: Background and objectives: Enterococci, once considered as normal commensal flora in oral cavity, intestines and genital tract of humans and animals have emerged as major opportunistic pathogens. Biofilm formation is an important virulence factor of Enterococci species. Bacteria within biofilm are more resistant than their free living counterpart.Hencethis study was conducted to detect the biofilm formation by Enterococci isolates from our hospital and to compare the antibiotic resistance pattern of biofilm forming and non- biofilm forming species.............

Keywords: Antibiotics, Biofilm, Congo red agar, Enterococci, Enterococci faecalis, resistance

[1]. Winn WC Jr, Allen SD, Jande WH,KonemanEW, Schreckenberger PC. The gram positive cocci.Part II: Streptococci, Enterococci
and the Streptococcus like bacteria. Koneman's color Atlas and Text book of Diagnostic Microbiology 6th ed. Lippincott,
Philadelphia. 2006; 672-764.
[2]. Abdul-Razak SH. Hasan (Ph.D.), Abbas A. Al-Duliami (Ph.D.), Kariem S. Al-Ajeely (Ph.D.), Zainab H. Al-Azawi (M.Sc.) Diyala,
Iraq. Antimicrobial susceptibility patterns of Enterococcal isolates and its relevance with biofilms formation and β -lactamase
production. Diyala Journal of Medicine Vol. 1, Number 1, 2011S.
[3]. PJ Desai, D Pandit, M Mathur, A Gogate. Prevalence, identification and distribution of various species of Enterococci isolated from
clinical specimens with special reference to urinary tract infection in catheterized patients.Indian journal of medical microbiology
2001, 19 (3): 132 – 137.
[4]. Sreeja, SreenivasaBabu P.R., A.G. Prathab. The prevalence and the characterization of the Enterococcus species from various
clinical samples in a tertiary care hospital. Journal of Clinical and Diagnostic Research. 2012 November, Vol-6(9): 1486-1488.

Abstract: Background: Ketofol is a combination of ketamine and propofol in a single syringe which can be prepared in any desired concentration. Several gynecological procedures like tubal sterilization, dilatation and curettage, cervical polypectomy, fractional curettage are of short duration and just require analgesia and moderate sedation. A study was conducted to compare two different proportions of ketofol, with reference to the duration and level of sedation, quality of analgesia, hemodynamic and respiratory profiles, and to compare all the above effects with the well-tried propofol-fentanyl combination...........

Keywords: Analgesia, fentanyl, ketamine, minilaparotomy, propofol, sedation, day care procedures

[1]. Jacobstein R, Cordero C, Ahlborg J. Clinical Update: Pain Management for Female Sterilization by Minilaparotomy. The
ACQUIRE Project by Reproductive Health Advisor, U.S. Agency for International Development (USAID), Engender Health; 2007.
Available from: http://www.info@ acquireproject.org. [Last accessed on 2014 Nov 11].
[2]. Reference Manual for Minilaptubectomy. Government of India, Family Planning Division Ministry of Health and Family Welfare;
November, 2009. p. 1-94.
[3]. The Association of Obstetric Anaesthesiologists Guidelines for Anaesthetic Management of Patients Undergoing Tubal Ligation:
Editorial. J Obstet Anaesth Crit Care 2011;1:1-2. (Available from: http:// www.joacc.com. [Last accessed on 2015 Jun 24].
[4]. Wang Y, Jiang X, Pang L, Dong S, Feng Y, Prajapati SS. A randomized double
[5]. blind controlled study of the efficacy of ketofol with propofol-fentanyl and propofol alone in termination of pregnancy. Afr J Pharm
Pharmacol 2012;6:2510-4.

Abstract: Extragonadal germ cell tumors in the retroperitoneum are not common in adults. Dermoid cysts are congenital tumors consisting of derivatives from the ectoderm,endoderm and mesoderm germ cell layers.The imaging findings are distinctive.The present report is a case of a retroperitoneal dermoid cyst in a 22-year-old male patient which was excised in toto and histopathological examination examination confirmed the diagnosis of dermoid cyst.

Keywords: Abdominal mass, adult, dermoid, extragonadal, retroperitoneum

[1]. Kanizsai B, Turi Z, Szigetvari I, Doszpod J. Sonographic diagnosis of a retroperitoneal dermoid cyst in a young girl. Ultrasound Obstet Gynecol 1998;12:367-8
[2]. Lane RH, Stephens DH, Reiman HM. Primary retroperitoneal neoplasms: CT finding in 90cases with clinical and pathologic correlation. AJR Am J Roentgenol 1989;152:83-9
[3]. McKenney JK, Heerema-McKenney A, Rouse RV. Extragonadal germ cell tumors: a review with emphasis on pathologic features,clinical prognostic variables,and differential diagnostic considerations.Adv Anat Pathol 2007;14:69-92
[4]. Ueno T, Tanaka YO, Nagatha M, Tsunoda H, Anno I, Ishikawa S, Kawai K, Itai Y. Spectrum of germ cell tumors: from head to toe. Radiographics 2004;24:387-404
[5]. Schmoll HJ. Extragonadal germ cell tumors. Ann Oncol2002;13:S265-S272.

Abstract: Background: Hypertension is the subsequent elevation of the systemic arterial pressure to a level that places the patients at increased risk for target organ damage More than 140/90mmHg should be considered hypertensive and should get treated............

Keywords: Hypertension, ABO blood group, pre-menopausal, post-menopausal, slide haemagglutination technique.

[1]. Aird I, Bentall H, Mehigan JA, et al. Blood groups in relation to peptic ulceration and carcinomes of colon, rectum, breast and
bronchus. BMJ 1954; 2: 315-321.
[2]. Braunwald, Fausi, Kasper, Hauser, Longo, Jameson. Harrison's principles of internal medicine 14th edition. Volume 2, MC
Graw-Hill publication 1998. Page no: 2074-2075, 2142-2143.
[3]. William F. Ganong. Review of medical physiolog, 21st edition, McGraw-Hill publication 2003. Page no. 644. .
[4]. Perlman JA, Wolf PH, Ray R, Lieberknecht G. Crdiovascularrisk factors, premature heart disease, and all-cause mortality in a
cohort of Northern California women. Am J Obstet Gynecol 1988; 158: 1568-74.
[5]. Stamler J: Blood pressure and high blood pressure. Aspects of risk. Hypertension 1991, 18:95–107.

Abstract: The purpose of this study was to evaluate the clinical and radiographic outcomes of using Plasma Rich in Growth Factors (PRGFs) with Immediate Implant Placement into Fresh Extraction sockets. Twelve patients were included in this study. Each patient received four implants placed immediately after extraction in the anterior regions of maxilla after treating two implants with Plasma Rich in Growth Factors (group I) while the others were not and served as a control (group II) .............

Keywords: Fresh extraction sockets, Immediate dental implants , Plasma Rich in Growth Factors

[1] W. Schulte, H. Kleineikenscheidt, K. Lindner, R. Schareyka, The Tübingen immediate implant in clinical studies, Dtsch Zahnarztl Z, 33(5), 1978, 348-59
[2] R.J. Lazzara, Immediate Implant Placement into Extraction Sites: Surgical and Restorative Advantages, Int J Periodontics Restorative Dent ,Vol.9, 1989, 332-43.
[3] JA. Lindeboom, Y. Tjiook, FH. Kroon, Immediate placement of implants in periapical infected sites: a prospective randomized study in 50 patient, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 101(6), 2006 , 705-10.
[4] AB Jr. Novaes, AB. Novaes, Immediate implants placed into infected sites: a clinical report, Int J Oral Maxillofac Implants, 10(5), 1995, 609-13.

Abstract: This study was conducted in 40 ASA grade I patients who were admitted at Thanjavur Medical College Hospital to undergo various surgical procedures under general anaesthesia. After getting Ethical committee approval and informed written consent from the patients, the total of 40 patients were allocated into two groups of 20 each.All were connected to the non-invasive monitors and the basal heart rate and mean arterial pressure were recorded.............

[1]. K. Montazeri M.D., M. Fallah M.D., A Dose – Response study of Magnesium sulphate in suppressing the cardiovascular responses to laryngoscopy and endotracheal intubation. Journal of Research in Medical Sciences 2005; 10(2): 82 – 86.
[2]. Fawcett WJ, Haxby EJ, Male DA. Magnesium: physiology and pharmacology. Br J Anaesth1999 Aug;83(2):302-20.
[3]. James MF, Beer RE, Esser JD. Intravenous magnesium sulfate inhibits catecholamine release associated with tracheal intubation. AnesthAnalg 1989 Jun;68(6):772-6.
[4]. Puri GD, Marudhachalam KS, Chari P, Suri RK. The effect of magnesium sulphate on haemodynamics and its efficacy in attenuating the response to endotracheal intubation in patients with coronary artery disease. Anesth Analg1998 Oct;87(4):808-11

Abstract: Platelets or thrombocytes play an indispensable role in haemostasis to limit excess blood loss due to vascular damage. Platelet dysfunction either qualitative or quantitative, therefore, leads to bleeding disorders. Thrombocytopenia, characterised by decrease in platelet count can occur in different haematological disorders. The distinctive feature of immune thrombocytopenic purpura (ITP) is autoantibody induced platelet destruction leading to low platelet count...........

Keywords: Platelets; Thrombocytopenia; Immune; Autoantibody

[1]. Adeyemo TA, Adeyemo WL, Adediran A, Akinbami AJ, Akanmu AS, et al. Orofacial manifestations of hematological disorders: anemia and hemostatic disorders. Indian J Dent Res 2011;22:454-61
[2]. Nieto M, Calvo G, Hudson I, Feldschreiber P, Brown D, Lee CC, et al. The European Medicines Agency review of eltrombopag (Revolade) for the treatment of adult chronic immune (idiopathic) thrombocytopenic purpura: summary of the scientific assessment of the Committee for Medicinal Products for Human Use. Haematologica 2011;96:33-40
[3]. Olsson B, Andersson PO, Jernas M, Jacobsson S, Carlsson B, Carlsson LM et al. T-cell-mediated cytotoxicity toward platelets in chronic idiopathic thrombocytopenic purpura. Nat Med. 2003;9(9):1123-4
[4]. Gernsheimer T. Epidemiology and pathophysiology of immune thrombocytopenic purpura.Eur J Haematol Suppl. 2008;69:3-8

Abstract: The fabrication of a successful maxillary complete denture in severely atrophic maxillary ridges with large inter ridge distance is always a clinical challenge. In such clinical conditions weight of the maxillary complete denture often becomes a dislodging factor , thereby increasing the need for fabrication of a light weight maxillary denture for better retention. This clinical report describes an alternative approach for fabrication of a hollow maxillary complete denture in a patient with resorbed maxillary and mandibular ridges with increased inter ridge distance.

Keywords: Residual ridge resorption , Inter ridge distance , Hollow maxillary denture , Light weight denture

[1]. Ohkubo C, Hosoi T. Effect of weight change of mandibular complete dentures on chewing and stability: a pilot study. J Prosthet Dent 1999;82:636-42.
[2]. Jacobson TE, Krol AJ. A contemporary review of the factors involved in complete denture retention, stability, and support. Part I: retention.J Prosthet Dent 1983;49:5-15.

[3]. Wormley JH, Brunton DA. Weighted mandibular dentures. J Prosthet Dent 1974;32:101-2.
[4]. El Mahdy AS . Processing a hollow obturator. J Prosthet Dent 1969: 22:682–686
[5]. Brown KE . Fabrication of a hollow-bulb obturator. J Prosthet Dent 1969: 21:97–103.