iosr-JDMS   Volume-16 ~ Issue-1 ~ January-2017

Abstract: Background and objective: Tracheal intubation is one of the best methods of securing a patient airway. Though many non-depolarising muscle relaxants (NDMRs) like atracurium besylate, vecuronium bromide and mivacurium chloride were introduced, they however have not matched the timing and intubating conditions produced by succinylcholine. The new NDMR drug rocuronium bromide became the first competitor for succinylcholine as it produces excellent cardiovascular stabilityand is devoid of the adverse effects that are seen with succinylcholine. Hence, the present study was undertaken to compare the intubating conditions, hemodynamic changes and adverse effects of using injection succinylcholine 1 mg/kg with two doses of injection rocuronium bromide 0.6 mg/kg and 1 mg/kg body weight during general anaesthesia in adult patients.............

Keywords: Anaesthesia, Rocuronium bromide, Succinylcholine, Tracheal intubation

[1]. Foldes FF, McNall PG, Borrego-Hinojosa JM, Succinylcholine, a new approach to muscular relaxation in anaesthesiology, N Engl J Med, 247, 1952, 596-600.
[2]. Thesleff S, Farmakologisks och kliniska forsook mod L.T.I.(O,O- succinylcholine jodid), Nord Med,46, 1951, 1045.
[3]. Hina Khurshid, Khawer Muneer, Shabir A Wani, A comparative study of intubating conditions using succinylcholine and two doses of rocuronium, Int J Adv Res, 3(5), 2015, 1152-1159.
[4]. Barash PG, Cullen BF, Stoelting RK, Handbook of Clinical Anesthesia (Lippincott Williams & Wilkins, 2006).
[5]. Laurin EG, Sakles JC, Panacek EA, Rantapaa AA, Redd J, A comparison of succinylcholine with rocuronium for rapid sequence induction of emergency department patients, Acad Emerg Med, 7(12), 2000, 136-139.

Abstract: Introduction: Diabetes mellitus is the most common endocrine disorder with increasing incidence. 30% of diabetic persons have some type of mucocutaneous involvement from trivial to life threatening during the course of their chronic disease. Aims Of The Study:To study the prevalence of mucocutaneous manifestations in Diabetes mellitus in our locality and to analyse the histopathological spectrum of these lesions. Materails and Methods: It is a prospective study of diabetic patients with mucocutaneous lesions attended to Government General Hospital, Rangaraya Medical College..............

Keywords: Diabetes Mellitus, Mucocutaneous lesions.

[1]. Mahajan S, Koranne RV, Sharma SK . Cutaneous manifestations of Diabetes melitus. Department of Dermato-Venereology, Lady Harding Medical College and Thio Hospitals, New Delhi. Year : 2003 Volume : 69 Issue : 2 Page : 105-108.
[2]. N T Foss; D P Polon; M H Takada Skin lesions in diabetic patients. M C Foss- Freitas Departament of Clínical Médicine. Vol. 39 No:4, Aug. 2005.
[3]. Abhishek goyal, Sujeet Raina, Satinder S kaushal, Vikram Mahajan , Nand Lal Sharma Indian Journal of Dermatology. Patterns of cutaneous manifestations in diabetes mellitus. 2010 Jan-Mar; 39–41.John D. Bancroft, Alan Stevens, Theory and Practice of histological techniques; 2nd edition; 95- 122.
[4]. Roshini vahora,Sejal thakkar,Yogesh Marfatia.Department of Dermatology, Medical College and SSG Hospital, A longitudinal study in a tertiary care hospital in GujaratVadodara, Gujarat,. Skin, a mirror reflecting diabetes mellitus. Year : 2013 Volume : 17 Issue : 4 Page : 659-664.

[5]. Cutaneous manifestations of diabetes mellitus Journal of the American Academy of Dermatology Volume 30 , Issue 4 , Pages 519-531, April 1994.

Abstract: Introduction: Tuberculosis is one of the major public health problems in India and most of the other developing countries. Tuberculosis is most common cause of death world over. The deadly synergy between Mycobacterium tuberculosis and AIDS has resulted in resurgence of tuberculosis world over. Tuberculosis is still considered a social disease; it reflects the standard of living in the community. Cervical lymphadenopathy caused by many conditions, both infective and noninfective. Out of these, tuberculosis contributes for most of the cases; hence, to tackle the commonest cause the present study was undertaken...............

Keywords: Cervical tubercular lymphadenopathy, FNAC, Histopathological examination

[1]. Singh IB and Pal GP. Human Embryology, 7th Edition, 2001; 265-266.
[2]. Surendra K Sharma. Textbook of Tuberculosis. 2nd edn;2009
[3]. Cantrell. R.W. at al. Diagnosis and management of tubercular cervical lymphadenitis. Arch Otolaryngology. Jan1975; 101:53-55
[4]. Sloane M F. Mycobacterial lymphadenitis OMW Garayn Tuberculosis. IED 1996;577-582.
[5]. M. Minor Madakour, Kitab E ,AL-Otaibi, R. AL Swailem. Text book of Tuberculosis. Page no, 15-26 & 153-160.

Abstract: Introduction: Rhinosporidiosis is a disease caused by Rhinosporidium seeberi which primarily affects the mucosa of the nose, conjunctiva and urethra. Rhinosporidiosis is endemic disease which has affected various parts of the world, most notably India and Sri Lanka. Its manifestation is a polypoid mass growing inside the affected cavity and the only treatment is surgical excision. Rhinosporidiosis is a condition which both clinicians and microbiologists should keep in mind when managing patients with nasal masses even those from non endemic areas. It is critical in such cases to follow the clinical course to ensure against recurrence of the disease. This study describes the clinical features, diagnosis, and treatment of rhinosporidiosis of the nose and nasopharynx in Jharkhand...........

Keywords: Rhinosporidiosis, Nasal mass, Surgical excision, Nasal obstruction, Dapsone Therapy.

[1]. Morelli L, Polce M, Piscioli F, et al. Human nasal rhinosporidiosis: an Italian case report, Diagn Pathol , 2006, vol. 1 pg. 25
[2]. Franca GV Jr, Gomes CC, Sakano E, Altermani Am, Shimizu Lt. Nasal rhinosporidiosis in children. J Pedatr (Rio J) 1994;70:299–301.
[3]. Makannavar JH, Chavan SS. Rhinosporidiosis: a clinicopathological study of 34 cases. Indian J Pathol Microbiol. 2001;44:17–21.
[4]. Arseculeratne SN. Recent advances in rhinosporidiosis and Rhinosporidium seeberi, Indian J Med Microbiol, 2002, vol. 20 (pg. 119 - 131).
[5]. Karunaratne WA. Rhinosporidiosis in man. London: Athlone Press; 1964. pp. 14–18.

Abstract: During the past few decades endodontic treatment has benefited from the development of new techniques and equipment, which have improved outcome and predictability. Important attributes such as the operating microscope and ultrasonics (US) have found indispensable applications in a number of dental procedures in periodontology, to a much lesser extent in restorative dentistry, while being very prominently used in endodontics. US in endodontics has enhanced the quality of treatment and represents an important...........

Keywords: Endodontics, Endosonics, Piezoeclectric, troughing, Ultrasonics.

[1]. Richman RJ. The use of ultrasonics in root canal therapy and root resection. Med Dent J, 12, 1957,12– 8.
[2]. Martin H, Cunningham W. Endosonic endodontics: the ultrasonic synergistic system. Int Dent J,34, 1984,198 –203.
[3]. Martin H, Cunningham W. Endosonics: the ultrasonic synergistic system of endodontics. Endod Dent Traumatol 1985;1:201– 6.
[4]. Stock CJR. Current status of the use of ultrasound in endodontics. Int Dent J, 41 1991, 175– 82.
[5]. Sempira HN, Hartwell GR. Frequency of second mesiobuccal canals in maxillary molars as determined by use of an operating
microscope: a clinical study. J Endod, 26, 2000, 673– 4.

Abstract: The clinical scenario of a new or worsening pleural effusion following the initiation of anti-tubercular therapy has been classically referred to as a 'paradoxical' pleural response, presumably explained by an immunological rebound phenomenon. Emerging evidence suggests that there also may be a role for a lupusrelated reaction in the pathophysiology of this disorder.

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Abstract: One third of the patients with acute cholecystitis present beyond 72 hours and due to various reasons are managed conservatively with interval cholecystectomy to follow. There is an increased total hospitalization and subsequently increased cost in these patients. Furthermore, the subgroup of patients who do not respond to conservative treatment, as well as those who relapse while awaiting an interval cholecystectomy should be considered for early cholecystectomy. For these reasons, a policy of performing a LC during the initial emergency/urgent admission for "all comers" with AC, regardless of time delay between its onset of symptoms and surgery was adopted...........

Keywords: Acute Cholecystitis(AC), Early cholecystectomy, Laparoscopic Cholecystectomy (LC) Bile duct injury incidence, Conversion rate.

[1]. Zielinski MD , Bannon MP.Current managementof small bowel obstruction. Adv Surg 2011;45:1-29
[2]. Shaffer EA.Gallstone disease:epidemiology of gall bladder stone disease.Best pract Res Clin Gastroenterol 2006;20(6):981-96
[3]. Halldestam I,Enell EL,Kullman E etal.Development of symptoms and complications in individuals with asymptomatic gallstones.Br J Surg 2004;91(6)734-8
[4]. Shaffer EA.Gallstone disease:epidemiology of gall bladder stone disease.Best pract Res Clin Gastroenterol 2006;20(6):981-96
[5]. Stinton LM,Myers RP,Shaffer EA .Epidemology of gall stones.Gastroenterol Clin North Am 2010:39(2):157-69,VII

Abstract: Introduction: Healthy development of fetus is dependent on normal placental development. Alteration in the placental development is the main etiopathological factor for IUGR. The present study aims to compare the histopathological findings of placenta in IUGR and normal term delivery. Materials and Methods: This cross sectional study was done at an Army zonal Hospital from Jan 2016 to Jan 2017. Sixty placenta were studied of which 30 belonged to the IUGR group and other 30 were from normal term fetus( Control group). Inclusion criteria was maternal age between 20 to 35 yrs, Gestational age between 32 to 40.5 wks with IUGR(USG confirmed) or normal healthy fetus. Exclusion criteria were twin pregnancy, gestational age <32wks, and diabetes...........

Keywords: IUGR, Placenta, Calcification, Thrombosis, infarction, intervillous fibrin

[1]. Maulik D, Frances Evans J, Ragolia L. Fetal growth restriction: pathogenic mechanisms. ClinObstetGynecol 2006;49(2):219-27.
[2]. Lawn JE, Blencowe H, Pattinson R etal. Stillbirths: Where?When? Why? How to make the data count? Lancet 2011 Apr 23;
377(9775): 446-63.
[3]. Brossens I, Pijnenborg R, Vercruysse L, Roero R. The " Great Obstetrical Syndromes" are associated with disorders of deep
placentation. Am J ObstetGynecol 2011 Mar; 204 (3): 193- 201
[4]. Geoffrey P Altshuler Chapter 50, 2301. Sterberg's Diagnostic Surgical Pathology. 4thedn
[5]. Dutta DC. 7th ed. Kolkata: New Central Book Agency (P) Ltd; 2010. Text Book of Obstetrics Including Perinatology and
Contraception; pp. 456–67.

Abstract: Aims: To study the cause of infections in diabetic individuals and outcome of patients in relation to mortality and morbidity. Materials And Methods: The study group comprised of 100 diabetic patients who were admitted in Dr. PSIMS & RF with history of fever between July 2014 and July 2016. Age, sex, duration of diabetes mellitus, presence of fever, associated complaints and treatment history were documented. Outcome of these was assessed based on duration of stay in hospital and other parameters like disability and mortality. Results: Soft tissue infections were most common infections (38%) followed by respiratory tract infections (28%) and genitourinary infections (20%) in our study. Staphylococci (25%) constituted the major cause...........

Keywords: Diabetes mellitus, Glycated hemoglobin, Infections,Outcome, Polymorphonuclear cells

[1]. Dooley KE, Chaisson RE. Tuberculosis and diabetes mellitus: Convergence of two epidemics. Lancet Infectious Diseases 2009 Dec;9(12):737-46.
[2]. Shah BR, Hux JE. Quantifying the risk of infectious diseases for people with diabetes. American Diabetes Association Diabetes Care 2003; 26(2): 510–3.

[3]. Sanjay K. Bhadada. Acute infections in diabetes mellitus. In:ChandaliaHemraj B, Sridhar Gumpeny Ramachandra, Das Ashok Kumar, Madhu Sri Venkata, Mohan Viswanathan, Rao PaturiVishnupriya, editors. RSSDI Textbook of Diabetes mellitus. 3rded.NewDelhi:Jaypee Brothers Medical Publishers;2014;2:819-28.

[4]. Rassias AJ, Marrin CA, Arruda J, et al. Insulin infusion improves neutrophil function in diabetic cardiac surgery patients. Anesthesia and Analgesia 1999;88(5):1011-6.

[5]. Delamaire M, Maugendre D, Moreno M, et al. Impaired leucocyte function in diabetic patients. Diabetic Medicine 1997;14(1):29-34.

Abstract: Introduction: Tonsillectomy is one of the most commonly performed operations in otolaryngology. There are many proven methods of tonsillectomy, including cold dissection and bipolar electrocautery. The objective of this study is to compare the dissection and diathermy methods of tonsillectomy and evaluate their advantages and disadvantages during surgery and convalescence. Material and Method: The study included 50 children who underwent tonsillectomy during one period of time. This study was carried out at Rajendra Institute of Medical Sciences, Ranchi. Patients were randomly selected to have either the right or left tonsils removed by either technique...........

Keywords: Tonsillectomy, bipolar electrocautery, cold dissection.

[1]. McAuliffe CJ. The history of tonsil and adenoid surgery. Otolaryngol. Clin. North Am., l987;20:4 15.19.
[2]. Leach J, Manning S, Schaefer S. Comparison of two methods of tonsillectomy. Laryngoscope 1993; 103: 619-622.
[3]. Randall DA, Hoffer ME. Complications of tonsillectomy and adenoidectomy. Otolarygol Head Neck Surg. 1998; 1: 61-68.
[4]. Haase FR, Noguera JT. Haemostasis in tonsillectomy. Arch Otolaryngol 1962; 75: 125-126.
[5]. Johnson F. Electrocautery in tonsil and adenoid surgery. Arch Otolaryngol 1962; 75: 127-129.

Abstract: The dermoid cysts are mid line lesion occurring in floor of mouthr and elsewhere. They occur in oral cavity due to germinal epithelium retention of hyoid branchial arches and mandible development. We report an unusual case of large dermoid cyst occurring in floor of the mouth in a 65 year female presenting with difficulty in closing mouth due to presence of large cystic lesion in floor of mouth.

Keywords: Floor of the mouth, Dermoid cyst.

[1]. Bonet-Coloma C, Mínguez-Martínez I, Palma-Carrió C, Ortega-Sánchez B, Peñarrocha-Diago M, Mínguez-Sanz JM. Orofacial dermoid cysts in pediatric patients: A review of 8 cases. Med Oral Patol Oral Cir Bucal. 2011;16:e200-3.
[2]. De Ponte FS, Brunelli A, Marchetti E, Bottini DJ. Sublingual epidermoid cyst. J Craniofac Surg. 2002;13(2):308-10
[3]. Bitar MA, Kumar S. Plunging congenital epidermoidcyst of the oral cavity. Eur Arch Otorhinolaryngol. 2003;260(4):223-25.
[4]. Lima SM Jr, Chrcanovic BR, De Paula AM, FreireMaia B, de Souza LN. Dermoid cyst of the floor of the mouth. Scientific World Journal. 2003;3:156-62
[5]. Longo F, Maremonti P, Mangone GM, De Maria G, Califano L. Midline (dermoid) cysts of the floor of the mouth: Report of 16 cases and review of surgical techniques. Plast Reconstr Surg. 2003;112:1560-5

Abstract: Chronic ossified or calcified extradural hematomas are rare clinical entities presenting frequently in children.We report a rare case of Posttraumatic Chronic ossified extradural hematomas in a 35 years old male presenting two months after head injury with left occipito-suboccipital region swelling

Keywords: Calcification, extradural hematomas,head injury

[1]. Iwakuma T, Brunngraber CV. Extradural ossification followingan extradural hematoma.J Neurosurg1974;41:104-6.
[2]. Erdogan B, Sen O, Bal N, Cekinmez M, Altinors N. Rapidlycalcifying and ossifying epidural hematoma.
[3]. PediatrNeurosurg 2003;39:208-11.
[4]. Mathuriya SN, Kak VK, Banerjee AK. Ossified epidural
[5]. hematomas: Report of two cases.ClinNeurolNeurosurg 1989; 91:269-72.

Abstract: Rheumatoid arthritis (RA) is a chronic systemic inflammatory disease affecting a significant percentage of the population. Rheumatoid arthritis synovitis affects mostly small hand and feet joints, although it may compromise any joint with a synovial lining. Although cervical involvement occurs usually in longstanding disease in over half of these patients, it is usually preceeded by findings in other joints,such as small joints of the hand. Clinical presentation in spine involvement can be variable, and symptoms may be due to neck pain or compressive myeloradiculopathy............

Keywords: Rheumatoid Arthritis; Cervical Spine; Cervical Myelopathy; Atlanto-axial subluxation

[1]. Brasington Junior RD. Clinical features of rheumatoid arthritis. In: Hochberg MC, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH. Rheumatology. Philadelphia: Elsevier, 2011:829-838.
[2]. Rheumatoid Arthritis Clinical Presentation. http://emedicine.medscape.com/article/331715-clinical#aw2aab6b3b2. Accessed February 2012.
[3]. Rajangam K, Thomas IM. Frequency of cervical spine involvement in rheumatoid arthritis. J Indian Med Assoc 1995;93:138- -139.
[4]. Kauppi MJ, Barcelos A, da Silva JAP. Cervical complications of rheumatoid arthritis. Ann Rheum Dis 2005;64:355-358.
[5]. Haeusler U, Dybowski F, Wittkaemper TA, Kisters K, Godolias G, Braun J. Arthritis of the atlanto-axial joint with inflammatory neck pain as a primary manifestation of seronegative rheumatoid arthritis. Dtsch Med Wochenschr 2010;135:1729-1732.

Abstract: The Cornea is the clear tissue covering the front of the eye. It is a focusing element of the eye. The vision is dramatically reduced or lost if the cornea becomes cloudy. This loss of the vision is referred to as corneal blindness. As medical students are the future health care providers for the community. Our aim was to assess scientific knowledge of medical students whom can be expected to influence eye-donation rates In our study 1st year and 2nd year medical students of ,Chhattisgarh Institute of Medical Sciences Bilaspur (CIMS Bilaspur (CG)) were taken for this study............

Keywords: Medical Students, Eye Donation, Corneal Blindness, Pledging of eyes.

[1]. National Programme for Control of Blindness. Report of National Programme for Control of Blindness, India and World Health Organization. 1986-89
[2]. Dandona R, Dandona L. Corneal blindness in a southern Indian population: Need for health promotion strategies. Br J Ophthalmol. 2003;87:133–41.
[3]. National Programme for Control of Blindness. [Last accessed on 2016 October 30]. Available from: http://pbhealth.gov.in/pdf/Blindness.pdf
[4]. Whitcher JP, Srinivasan M, Upadhyay MP. Corneal blindness: A global perspective. Bull World Health Organ. 2001;79:214–21.
[5]. Dandona L, Dandona R, John RK. Estimation of blindness in India from 2000 through 2020: Implications for the blindness control policy. Natl Med J India. 2001;14:327–34

Abstract: Urogynaecological fistulas are a result of devastating injury in which there is an abnormal opening between a woman's urinary bladder, urethra or ureter with genital tract (Uterus or Vagina) , resulting in urinary incontinence . There are 2 varieties of fistulas . One is caused by obstetric complications , while second one is due to gynaecology procedure . Obstetric fistulas are more common in developing world . Usually the cause is prolong obstructed labour. In contrast, gynaecological fistulas are more common in industrialised countries and arisis mainly from surgical injury (usually urinary bladder during hysterectomy) , malignancy or radiation therapy .1,2 Fistula can also be divided as simple fistula i.e. non-fibrotic tissue & easy to access and complex fistula like fibrotic tissue, loss of tissue

[1]. Lang Kilde NC , Pless TK , Lundback F , Nerstrom B . Surgical repair of VVF : a 10y retrospective study. Scand J Urol Nephrol 1999; 33: 100-03 .
[2]. Goodwin WE, Scardino PT . Vesicovaginal & Uterovaginal fistula : a summary of 25y of experience . J Urol 1980; 123: 370-74 .
[3]. Fenkci IV , Demirbas M, Oztekin O . Sonohysterography in evaluation of Youssef's syndrome. Int Urogynaecol J. 2010; 21: 607-8 .
[4]. Goel A, Goel S, Singh BP , Sankhwar SN . Cystographic images of Youssef's syndrome : Flower on top of bladder. Urology 2012; 79: e 69-70 .
[5]. Abou-El-Ghar ME , El- Assmy AM, Refai HF , El-Diasty TA. Radiological diagnosis of vesicouterine fistula : Role of MRI . J Magn Reson Imaging 2012; 36 : 438-42 .

Abstract: Objectives: Plasmodium vivax &Plasmodium falciparum are the important species causing malaria in Indian subcontinent. P. vivax usually causes uncomplicated malaria. Whatever be the cause of malaria weather P. falciparum or P.vivax, there is variable degree of oxidative stress. This oxidative stress leads to peroxidation of membrane lipids. Lipid peroxidation is measured in terms of metabolite malondialdehyde (MDA). This study was designed to estimate lipid peroxidation in vivax malaria only. Methods: The study population was comprised of 200 patients (age range18-25 yrs) and 50 age and sex matched, population-based healthy volunteers were included as controls. MDA in the serum of patients and that of healthy controls were estimated............

Keywords: Plasmodium vivax, MDA, Parasitemia.

[1]. WHO, World malaria report 2015;7-8.
[2]. R.W. Snow, C.A. Guerra, A.M. Noor, H..Y Myint, S.I. Hay. The global distribution of clinical episodes of Plasmodium falciparum
malaria. Nature 2005; 434: 214–217.
[3]. Operational manual for malaria elimination in India 2016, NVBDCP;3-4.
[4]. C.R. Nair, P.H. Gupta, D.P. Chauhan, V.K.Vinayak. Peroxidative changes in erythrocytic enzymes in Plasmodium berghei induced
malaria in mice. Indian Journal of Medical Research 1984; 80: 627-631.

Abstract: Aim: Differentiation of Atrioventricular nodal reentry tachycardia (AVNRT) from atrioventricular orthodromic reciprocating tachycardias (AVRT) mediated by the concealed septal accessory pathway requires some electrophysiological workup. In this study we have studied the usefulness of various pacing maneuvers in differentiating the two. Results: Among the 42 patients included in our study 32 patients were finally diagnosed to have typical slow fast AVNRT and 10 patients were diagnosed to have AVRT. Sinus Cycle length, Basal AH, HV interval, tachycardia cycle length, HV interval during tachcycardia were not significantly different between the two groups. AH interval during the Tachycardia was significantly higher during AVNRT. Mean VA interval during tachycardia was significantly higher during AVRT................

[1]. TM Munger, DL Packer, A population study of the natural history of Wolff-Parkinson- White syndrome in Olmsted County,
Minnesota, 1953-1989 . Circulation 1993;87;866-873
[2]. CR Kerr, JJ Gallagher and LD German Changes in ventriculoatrial intervals with bundle branch block aberration during
reciprocating tachycardia in patients with accessory atrioventricular pathways . Circulation 1982;66;196-201
[3]. Bradley P. Knight, MD, FACC, Matthew Ebinger Diagnostic Value of Tachycardia Features and Pacing Maneuvers During
Paroxysmal Supraventricular Tachycardia , Journal of the American College of Cardiology Vol. 36, No. 2, 2000
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tachycardia and localizing accessory pathways . Circulation 1986;74;493-500.
[5]. esus D. Martinez-Alday, MD; Jesus Almendral, Identification of Concealed Posteroseptal Kent Pathways by Comparison of
Ventriculoatrial Intervals From Apical and Posterobasal Right Ventricular Sites . Circulation 1994;89;1060-1067

Abstract: This study was to evaluate the association of P.gingivalis with CRP levels in chronic generalized periodontitis subjects and periodontally healthy subjects. A total of 100 subjects aged between 20 yrs to 65 yrs were selected. Data was collected by an interview with the help of a proforma prepared for this study and dental examination was carried out. Subgingival plaque and blood samples were collected and were subjected for biochemical analysis. Results have shown that patients with the presence of P.gingivalis in the case group exhibited significantly elevated CRP level when compared to control group. They concluded that a significant relationship was observed between increased serum CRP level and the presence of P.gingivalis.

Keywords: C-reactive protein, P.gingivalis, Periodontal disease

[1]. Sanz M, Lau L, Herrera D, Morillo JM, Silva A. Methods of detection of Actinobacillus actinomycetemcomitans, Porphyromonas
gingivalis and Tannerella forsythensis in periodontal microbiology, with special emphasis on advanced molecular techniques: a
review. J Clin Periodontal. 2004; 31(12): 1034-1047.
[2]. Noack B, Genco R J, Trevisan M, et al. Periodontal infections contribute to elevated systemic C-reactive protein level. J Periodontol 2001; 72(9): 1221–1227.
[3]. Ramamoorthy RD, Nallasamy V, Reddy R, et al. A review of C-reactive protein: A diagnostic indicator in periodontal medicine. J
Pharm Bioallied Sci 2012; 4(2): 422-426.
[4]. Ebersole J, Machen RL, Steffen M, Willman D. Systemic acute-phase reactants, C-reactive protein and haptoglobin, in adult
periodontitis. Clin Exp Immunol 1997; 107(2): 347-352.
[5]. Slade GD, Offenbacher S, Beck JD, et al. Acutephase inflammatory response to periodontal disease in the US population. J Dent
Res 2000; 79(1): 49–57.

Abstract: Background: Bone metastasis is a frequent complication of cancer. It occurs in up to 70% of patients with advanced breast cancer. Sternal involvement in patients with breast cancer is relatively rare and its treatment is still controversial. The present retrospective analysis aims to bring forth the role of palliative treatment (radiotherapy and chemotherapy) in this unusual site of bony recurrence. Material & methods: Data of pre-treated carcinoma breast patients from Nov 2012- Nov 2013 who had histopathologically proven sternal site recurrence and had received palliative treatment (radiotherapy& chemotherapy) were considered for analysis.............

[1]. Solitary metastatic adenocarcinoma of the sternum treated by total sternectomy and chest wall reconstruction using a Gore-Tex patch and myocutaneousflap:acasereport .StavrosI ,Daliakopoulos1*,Michael .N ,Klimatsidas2, Reiner Korfer1.
[2]. Kwai AH, Stomper PC, Kaplan WD: Clinical significance of isolated scintigraphic sternal lesions in patients with breast cancer. J Nucl Med 1988, 29:324-3281.
[3]. Picciochi A, Granone P, Cardillo G, Margaritora S, Benzoni C, D'ugoD:Prosthetic reconstruction of the chest wall. IntSurg 1993, 78:221-224.
[4]. Elder EE, Kennedy CW, Gluch L, et al. Patterns of breast cancer relapse. Eur J SurgOncol2006;32:922-927.
[5]. Koizumi M, Yoshimoto M, Kasumi F, Ogata E. Comparison between solitary and multiple skeletal metastatic lesions of breast cancer patients. Ann Oncol2003;14:1234-1240.

Abstract: The estimated incidence and mortality of cancer in recent years in India is 1.015 million and 0.683 million respectively. Breast cancer is the second most common cancer in Indian women with an estimated annual incidence of 0.145 million and mortality of 0.070 million, as reported in 2012 Globocan database [1]. According to 3 year report of the Population-based Cancer Registry (PBCR):2012-2014, it is the commonest cancer among women in 21 out of 34 PBCRs with the highest Age-adjusted incidence rates (AARs) in Delhi (AAR 41), Chennai (AAR 37.9) and Bangalore (AAR 34.4) [2]. The consolidated report of Hospital-based Cancer Registry (HBCR): 2012-2014 also enlists

[1]. http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx. (as seen on 22/08/2016)
[2]. http://www.ncrpindia.org/ALL_NCRP_REPORTS/PBCR_REPORT_2012_2014/ALL_CONTENT/PDF_Printed_Version/Chapter2
Printed.pdf (as seen on 22/08/2016).
[3]. http://www.ncrpindia.org/ALL_NCRP_REPORTS/HBCR_REPORT_2012_2014/ALL_CONTENT/PDF_Printed_Version/Chapter
1.pdf ( as seen on 22.08.2016)

Abstract: A smile is a gateway to success. Early extraction of a permanent tooth at the aesthetic zone is a common problem. This resulted in teeth asymmetry and drifting of adjacent teeth. The following case presentation illustrates a successful aesthetic and functional correction of an uneven distributed spaces for a young male patient with a CAD/CAM all ceramic system in combination with porcelain veneers. This resulted in symmetrical appearance and natural smile at the aesthetic zone of the maxillary anterior teeth. The cemented prostheses had mimicked optical characteristics of natural teeth, such as fluorescence, opalescence, and translucence, which is extremely relevant when it comes to restorations in anterior teeth.

Keywords: Aesthetic, gender, all ceramic, maxilla, extracted tooth

[1]. Prandtner O, Paquette JM, Cherilyn G. Sheets, CG. Consequences and solutions in agenesis of the lateral incisors; Partial
Anodontia. Case Study. EDI 4-15.
[2]. Williams C, Malhotra A, Taneja VK, Kiran R, Babu R. Enhancing White and Pink Esthetics using Porcelain Laminates in a
Fluorosis Patient. J Contemp Dent Pract 2012;13(4):571-573.
[3]. Khiari A, Hadyaoui D, Saâfi J, Harzallah H, Cherif M. Rehabilitation Of Maxillary Lateral Incisor Agenesis By Fixed
Prosthodontics. IOSR-JDMS 2015 ; 14: 92-96.
[4]. Sadaqah NR, Abu Tair J. Management of Patient with Hypodontia: Review of Literature and Case Report. Open Journal of
Stomatology, 2015, 5, 293-308.
[5]. Heymann HO. The artistry of conservative esthetic dentistry. J Am Dent Assoc 1987; Spec No:14-23E.

Abstract: Topic: The effect of ageing on quality of work in health professionals. Background & Objectives: This research regarding ageing response and wellbeing on Health Professionals is important to ensure high quality health care services. The research focuses on qualifying the data to acknowledge the Health Professional's quality of work, satisfaction rate and risk of burnout due to occupational stress, by a simple self-assessment questionnaire as a tool. In recent days, expectations and perception of individuals differ concerned with the health care services provided by junior or senior Health Professionals. Every Health Professional wishes to provide quality work outcome, effective medical/therapeutic care and avoid medical litigation............

Keywords: Rapid physical activity questionnaire – RAPA; Work ability index – WAI; Psycho social index Predictor – PSI.

[1]. Cesar Orsini, 1 2,*Vivian I. Binnie,3 and Sarah L. Wilson4Jeeph. Journal of educational evaluation for health professions 2016; 13:19. Published online 2016 May 2. Doi: 10.3352/jeehp 2016.13.19. PMC 4863137.
[2]. World Health Organization. Healthy Workplaces: A Model for Action: For Employers, Workers, Policymakers and Practitioners; 2010. Available from: http://www.who.int/occupational_health/publications/healthy_workplaces_model.pdf. [Last cited on 2014 Jun 23].
[3]. Arogya World is registered in Pennsylvania, USA, as a non-profit organization. It is a 501(c) 3 tax-exempt organization, and has been deemed a public charity by the Internal Revenue Service (Employee Identification Number 27-2091051). Contributions made to Arogya World are tax-deductible to
the full extent permitted by law. The organization does business as Arogya World. 2016 -17 Healthy workplaces campaign.
[4]. Kujala V1, Remes J, Ek E, Tammelin T, Laitinen J. Classification of Work Ability Index among young employees. Journal of Occupational Medicine (Lond). 2005 Aug; 55(5):399-401.
[5]. De-Stress Your Workplace - Ottawa Public Health, City of Ottawa. Stress in the workplace. 2001-2010. Website:
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Abstract: Background: Brachial plexus block is a valuable adjunct to general anesthesia for surgery of the upper limb and a suitable alternative in poor risk patients for general anesthesia. However, over the past 20 years, several studies have suggested that the addition of certain opiates to the local anaesthetics which are used for brachial block may provide effective, long-lasting postoperative analgesia. We designed this randomized single blinded prospective study to compare the analgesic efficacy of Fentanyl used as an adjuvant to ropivacaine for supraclavicular brachial plexus block in patients undergoing orthopaedic surgeries of forearm............

Keywords: Ropivacaine, fentanyl, onset and duration of analgesia.

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[2]. Richman JM, Liu SS, Courpas G. Does continuous peripheral nerve block provide superior pain control to opioids? A meta-analysis. Anesthesia and Analgesia. 2006;102(1):248-57.
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Abstract: A good apical seal is very crucial for achieving success following surgical endodontics. In this case reports a standardized surgical technique was employed: the root end was resected perpendicularly and a rootend cavity was prepared and filled. A follow up cone beam computed tomography was taken with follow up at 6 and 9 months.

[1]. Czarnecki RT, Schilder H. A histological evaluation of the human pulp in teeth with varying degrees of periodontal disease. J
Endod 1979; 5(8): 242-53.
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1979 Aug; 5(8):242-53.

Abstract: Gingival recession is a common condition due to change in position of the gingiva that affects the supporting structures of the teeth results denuded root which affects the esthetics and stimulate hypersensitivity response due to the exposure of the cementum. Coverage of denuded roots is one of the challenging procedures in periodontal mucogingival surgery. Autogenous free gingival graft is a reliable muco gingival surgical procedure for increasing the zone of attached gingiva and for covering areas of gingival recession. This article reports a case of 42yr old male having Miller`s class II Gingival recession treated with free gingival graft. The results showed complete root coverage and increased width of attached gingival in the recipient site and uneventful healing of donor site.

Keywords: Autogenous free gingival graft, Root coverage, Gingival recession, Mucogingival surgery.

[1]. Newman MG, Takei HH, Klokkevold PR, Carranza FA. Caranza`s clinical periodontology.10th ed.St.Louis: Elsevier (saunder`s);2006 .p.1134.
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[3]. Anand V,Gulati M, Rastogi P, Dixit J. Free gingival autograft for augmentation of keratinized tissue in apical to gingival recession – A case report . Journal of oral Biology and Cranio facial Research,2012;2(2):135-7.
[4]. Saglam M, Koseoglu S. Treatment of localized gingival recessions with free gingival graft. European Journal of General Dentistry,2012;1(1):10-3.
[5]. Remya V, Kishore Kumar K, Sabitha Sudharsan,Arun KV. Free gingival graft in the treatment of class III gingival recession. Indian Journal of Dental Research, 2008; 19(3): 247-52.

Abstract: Objective: In order to establish some preliminary data of our population, we determined the Computerized Tomography (CT) for evaluation the kidney dimensions in individuals with known Diabetic Nephropathy. We evaluated whether the diabetes affect the renal measurements. Methods: In Multidetector Computerized Tomography thin-slice (MDCTs) of 300 kidneys in 150 Sudanese patients (50 Diabetes subjects and 100 as control) were performed. The kidney length, width, medulla and cortical width, medulla and cortical CT Hounsfield (HU), and the renal parenchymal thickness on CT scans were measured through upper calyx; renal pelvis; and lower calyx levels and were registered in (mm) for both kidneys............

Keywords: CT, renal parenchyma measurements, Diabetes

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