iosr-JDMS   Volume-18 ~ Issue-5 ~ May-2019

Abstract: Background: There is an ever increasing trend of rise of coronary artery disease (CAD) in India and globally. Atherosclerosis of coronary arteries and myocardial infarction are the most common fatal cardiac diseases discovered in autopsies. The fact that formation of these lesions are preventable through exact health care programmes necessitates collecting baseline information on the prevalence of such lesions as performed in this study. Methods: In this descriptive, cross-sectional study, from 1st April, 2016 to 31st October, 2016, specimens of the hearts were randomly chosen during autopsy aging above 40 years referred to R. G. Kar Medical College (50 specimens) were dissected........

Keywords :Coronary Artery Disease, Coronary Arteritis, Coronary thrombosis

[1]. Joseph A, Ackerman D, Talley JD, Johnstone J, Kupersmith J, Manifestations of coronary atherosclerosis in young trauma victims--an autopsy study,J Am CollCardiol. 1993 Aug;22(2):459-67.
[2]. Singh, Dr.SS Oberoi, Dr.RKGorea, Dr.Harkirat Singh, Atherosclerosis In Coronaries In Malwa Region Of Punjab, JIAF, 2005 : 27 (4). ISSN 0971-0973:236-239.
[3]. SeyedAbbassTabatabaeiYazdi, AlirezaRezaei, JafarBordbar Azari, Prevalence of Atherosclerotic Plaques in Autopsy Cases with Noncardiac Death, Iranian Journal of Pathology (2009)4 (3), 101- 104.
[4]. Monika Garg, Akash Deep Aggarwal, Sant Prakash Kataria, Coronary Atherosclerosis and Myocardial Infarction An Autopsy Study, J Indian Acad Forensic Med. Jan-Mar 2011, Vol. 33, No. 1,39-42.
[5]. Sanjeet Kumar, Anoop Kumar Verma , Navneet Kumar, Prevalence of Coronary Atherosclerosis in Different Age Groups: A Postmortem Study. Biomedical Research 2013; 24 (1): 139-141..

Abstract: The correlation between the Vertical Dimension of Occlusion (VDO) and various anthropometric measurements have been assessed in different populations. But any studies assessing the possibility of correlation between length of index and little finger with VDO, especially in Malabar region of Kerala is lacking.Three hundred physically healthy dentate subjects within the age range of 30 to 45 years having no deformity of fingers were selected. The VDO, length of little and index finger were measured using a modified Vernier caliper. The data recorded were statistically analysed using descriptive statistics, Pearson's correlation analysis and regression analysis........

[1]. Millet C, Leterme A, Jeannin C, Jaudoin P. Vertical dimension in the treatment of the edentulous patient.Rev StomatolChirMaxillofacChirOrale 2010;111:315-30.
[2]. McGee GF. Use of facial measurements in determining vertical dimension. The J Am Dent Assoc 1947;35:342-50.
[3]. Boyanov B. Determining vertical dimension of occlusion and centric relation. J Prosthet Dent 1970;24:18-24.
[4]. Chou TM, Moore DJ, Young Jr L, Glaros AG. A diagnostic craniometric method for determining occlusal vertical dimension. J Prosthet Dent 1994;71:568-74.
[5]. Delić Z, Šimunović-Šoškić M, Perinić-Gržić R, Vukovojac S, Rajić Z, Kuna T, Kuna T. Evaluation of craniometric methods for determination of vertical dimension of occlusion. Coll Antropol 2000; 24:31-5.

Abstract: Objective:The incidence of twin pregnancy has increased largely over the past 30 year. Prevention of preterm labour is the major challenge in the management of multiple pregnancy.Within the last decade a substantial reduction in perinatal mortality has been achieved through advances in neonatal care. Intervention to decrease the neonatal mortality rates in multiple gestations should be directed towards reducing the incidence of low-birth weight infants. However there is still scope of further improvement of perinatal mortality and both maternal & perinatal morbidity..........

Key Words: Twin, Perinatal morbidity, prenatal mortality

[1]. Dera AN, Grzwegorz H, Breborowicz LK. The mode of delivery in twin pregnancy-part I: neonatal outcome. Arch Perinat Med. 2008; 14 (1): 7-22.
[2]. Ananth CV, Joseph KS, Smulian JC. Trends in twin neonatal mortality rates in the United States, 1989 through 1999: influence of birth registration and obstetric intervention. American journal of obstetrics and gynecology. 2004; 190(5): 1313-21.
[3]. Bisschop CN, Vogelvang TE, May AM, Schuitemaker NW. Mode of delivery in non-cephalic presenting twins: a systematic review. Archives of gynecology and obstetrics. 2012 Jul 1; 286 (1): 237-47.
[4]. Smits J, Monden C. Twinning across the developing world. PLoS One. 2011 Sep 28; 6 (9): e25239.
[5]. Armson BA, O'Connell C, Persad V, Joseph KS, Young DC, Baskett TF. Determinaants of perinatal mortality and serious neonatal morbidity in the second twin. Obstetrics & Gynecology. 2006 Sep; 108 (3, Part 1): 556-64...

Abstract: Background:-Oral submucous fibrosis (OSMF) is a well-known precancerous condition. Presence of Candida in the mouth along with epithelial changes may predispose to candidal infection. The purpose of this study was to compare isolate, quantify, speciate the Candidal species in Oral submucous fibrosis and in healthy individuals in the Indian patients. Methods: - This study included 20 OSMF patients and 20 healthy individuals. A detailed clinical history with relevant medical history and deleterious habits were recorded. Sample collection was done by scrapping the superficial mucosal layer for estimation of candidal growth, quantification of candidal colony count and to speciate the different species of........

[1]. Pindborg JJ, Murti PR, Bhonsle RB, Gupta PC, Daftary DK,Mehta FS. Oral submucous fibrosis as a precancerous condition. Scand J Dent Res 1984; 92: 224–9.
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[3]. Nair U, Bartsch H, Nair J. Alert for an epidemic of oral cancer due to use of the betel quid substitutes gutkha and pan masala: a review of agents and causative mechanisms. Mutagenesis 2004;19:251-62.
[4]. Pillai R, Balaram P, Reddiar KS. Pathogenesis of oral submucous fibrosis. Relationship to risk factors associated with oral cancer. Cancer 1992;69:2011-20.

[5]. Ariyawardana A, Vitanaarachchi N. Awareness of oral cancer and precancer among patients attending a hospital in Sri Lanka. Asian Pacific J Cancer Prev 2005; 6: 58–61..

Abstract: Management of tooth with open apex poses a special challenge and requires a special treatment plan to manage the situation. This case report presents theclinical procedure used to produce a hard barrier using MTA in the open apex followed by three dimensional fluid tight obturation both apically and coronally. This paper also presents the advantages of using MTA over the traditional use of calcium hydroxide to manage the open apex cases.

Key Word: Management, Anterior tooth, Open apex, MTA, Case report

[1]. Gomes-Filho JE, Watanabe S, Bernabé PFE, Costa MTM. A mineral trioxide aggregate A mineral trioxide aggregate sealer stimulated mineralization. JEndod. 2009 Feb;35(2):256-60.
[2]. De Deus G, Coutinho Filho T. The use of white Portland cement as an apical plug in a tooth with a necrotic pulp and wide-open apex: a case report. IntEndod J. 2007 Aug;40(8):653-60
[3]. Ribeiro AD, Duarte MAH, Matsumoto MA, uarte MAH, Matsumoto MA, Marques MEA, Salvadori DMF. Biocompatibility in vitro tests of mineral trioxide aggregate and regular and white Portland cements. J Endod. 2005 Aug;31(8):605-7,
[4]. dautilização de MTA como plug apical emdentes com ápiceaberto. Rev Bras Odontol. 2011 Jan/Jun; 68(1): 59-63/ Gome.
[5]. Mente J, Hage N, Pfefferle T, Koch MJ, Dreyhaupt J, Staehle HJ et al. Mineral trioxide aggregate apical plugs in teeth with open apical foramina: a retrospective analysis of treatment outcome. J Endod. 2009;35(10):1354-8..

Abstract: Background .Iron deficiency anemia is the most frequent type of anemia during pregnancy Aim of the study .To evaluate the prevalence of iron deficiency anemia in Iraqi patients and to correlate the findings with the obstetrical aspects Method .This study including 50 pregnantIraqi females from all three trimester of pregnancy .data was obtain during the first and second and third trimester also including as well as previous medical obstetrical history Result. 62% of female patient have iron deficiency anemia in the third trimester, and 46% of them were above 30 year old Conclusion .iron deficiency anemia mostly affected female more than 30 years old especially in the third trimester with ahistory of 1-2 year interpregnancy interval

Key Words: anemia obs Iraq patient

[1]. Ana GomesdaCosta ,Sara Vargas,nunoclode.et,al. 2016.Act med part 29(9):514-518.http//dx.doi.org/10.20.344/amp.6808.
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[3]. RibotB,arandaNn,viterif, herandez-martinezc,canals ,arijiaR. depleted iron stores without anemia early in pregnancy carries increased risk of lower birth weight even when supplementeddaily with moderate iron .2012,27:1260-6.
[4]. Pena –rosasJP, deregillm,dowswellT,viteriaFE.Daily. oral iron supplementation during pregnancy. Cochrana data base system rev. 2012, 12:cd.
[5]. Debenoist ,mcleanE,eglil, cogswellm,.Worldwide prevalence of anemia ,genva: world health organization ,2008.available from http. Prevalence of anemia 1993-2005 WHO available from http//WHO international publication 2008.

Abstract: In tune with the ongoing rapid developments in Medicine today, the Medical Council of India is bringing forth a change with the introduction of Early Clinical Exposure (ECE) from the 1st year of medical curriculum from August 2019. This Study done on 134 medical students at the end of their 1st year course, who could then assess the differences between traditional teaching and ECE, may serve as a guide to its introduction. A pre-set questionnaire, on the comparison of ECE with traditional lectures and its implementation, was assessed before and after an ECE trial. A significant change of ideaswere notedin students after the ECE trial:ECEsbeing............

Keywords: Case-basedlearning, Competency, Early clinical exposure, Traditional lecture classes

[1]. Basak O, YapheJ, et al, Early clinical exposure in medical curricula across Europe: An overview,European Journal of General Practice,15, 2009, 4-10.
[2]. Shuid AN, YamanMN, et al, Effect of early clinical skills teaching on 3rd year medical students‟ learning: The student perspective,Journal of Taibah University Medical Science, 10(1), 2015, 26-32. [3]. Wenrich MD, Jackson MB, et al, What are the benefits of early patient contact? – A comparison of three preclinical patient contact settings, BMC Medical Education, 13(80), 2013, doi:10.1186/1472-6920-13-80
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[5]. Medical Council of India, Competency based Undergraduate curriculum for the Indian Medical Graduate, 1, 2018, 101...

Abstract: Background: Caudal analgesia is good, reliable and easy method to provide intra operative and postoperative analgesia in the lower abdominal surgeries in pediatric patients. Many additives were used in combination with local anaesthetics in caudal block to increase the quality of anaesthesia, to prolong the post-operative analgesia, to reduce the dose of local anaesthetics and to reduce side effects. Aim of the study: This study is aimed to study and compare the effects of 1mcgs/kg Dexmedetomidine and 0.1mg/kg Dexamethasone as adjuncts to 0.25%Bupivacaine on intra operative haemodynamics, prolongation of duration of postoperative analgesia, complications if any, in paediatric patients undergoing lower abdominal surgeries............

Key Words: Adjuvant, Dexmedetomidine, Dexmethasone, Bupivacaine, Caudal Analgesia

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[5]. Ansermino M, Basu R, Vandebeek C, Montgomery C. Nonopioid additives to local anaesthetics for caudal blockade in children: A systematic review. Paediatr Anaesth 2003;13:561-73.

Abstract: Scorpion stingis a commonmedical emergency occurringwhichishazardous and lethal if not treatedproperly.Scorpionstingis a major healthproblem in tropical and subtropical countries ;the factthatmany of these areas are underdeveloped ,problemis not properlyassessed and the consequences are underreportedowing topoormedical facilities1,2The aim of thisstudyis to study thevariousclinical manifestations in scorpion sting cases admitted toGGH NalgondafromFeb 2019 to May 2019.A total of 60 casesof scorpion stingadmitted in GGH Nalgondaduringthisperiodwerestudied.Scorpion stingenvenomationis a relativelycommonhealthproblem.Thecommonest manifestation is pain withparaesthesias.TheScorpion envenomationcanbelethal and dangerous if proper care is not taken and drugsadministeredproperly............

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Abstract: Progressive hemifacial atrophy also known as Parry Romberg Syndrome is rare degenerative and poorly understood condition of unknown etiology. factors involved in pathogenesis are autoimmunity ,trauma , radiation, viral infection, hereditary and endocrine disturbance. Atrophic process in disease slowly progresses and then become stable after several years.

Key Words: Hemifacial atrophy, scleroderma, alopecia

[1]. da Silva-Pinheiro TP, Camarinha-da Silva C, Limeria-da Silveria CS, Ereno-Botelho PC, Rodrigues-Pinheiro MG, Viana-Pinheiro JJ. Progressive hemifacial atrophy – case report. Med Oral Pathol Oral Cir Bucal. 2006;11:112–4. [PubMed] [Google Scholar]

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Abstract: Coarctation of the aorta in an adult patient with associated cardiac anomaly often needs extra-anatomic bypass techniques. Among various techniques, the posterior pericardial bypass technique is commonly used,in which a Dacron conduit is anastomosed between the lateral aspect of the ascending aorta or conduit and the descending thoracic aorta posterior to the pericardium. Multiple surgical techniques have been described for the surgical treatment of adult patients with paraductal coarctation of the aorta and associated cardiac anomaly. Multiple options are, staged procedure using left thoracotomy and median sternotomy, correction of coarctation via catheter......

Key Words: Extra Anatomic Aortic Bypass Graft, Coarctation, Associated Cardiac Lesion, Dacron Conduit

[1]. Oliver JM, Gallego P, Gonzalez A, Aroca A, Bret M, Mesa JM. Risk factors for aortic complications in adults with coarctation of the aorta. J Am Coll Cardiol. 004;44(8):1641-7.

[2]. Dinkhuysen JJ, Almeida TL, Pinto IM, Souza LC. Tratamento cirúrgico da coarctação de aorta pela aortoplastia trapezoidal. Arq Bras Cardiol. 2004;82(1):9-17.

[3]. Croti UA, Mattos SS, Pinto Jr VC, Aiello VD. Cardiologia e cirurgia cardiovascular pediátrica. 1ª ed. São Paulo:Roca;2008. p.654-60.

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[5]. Oliveira ASA, Carneiro BBS, Lima RC, Cavalcanti C, Villachan R, Arraes N, et al. Tratamento cirúrgico da coarctação da aorta: experiência de três décadas. Rev Bras Cir Cardiovasc. 2007;22(3):317-21...

Abstract: Background: The objective of this study is to observe the outcomes and complications of acute appendicitis such as appendicular perforation,gangrene,acutely inflamed appendix,abscess and lump. Methods: This study was conducted in the department of General Surgery ,Midnapore Medical College & Hospital, Medinipur, West Bengal,India, from January 2017 to June 2018. Patients 12-60 years of age of both sexes were included in this study. Patients were assessed by the on call surgical team, examined clinically, subjected to laboratory investigations,ultrasonography of abdomen and depending on the findings decisions were made regarding further management......

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[4]. SubhajeetDey, Pradip K. Mohanta, Anil K. Baruah, BikramKharga, Kincho L. Bhutia, and Varun K. Singh. ―Alvarado Scoring in Acute Appendicitis—A Clinico-pathological Correlation‖. Indian journal of surgical 2010; 72(4): 290-294
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Abstract: The aim of the study was to evaluate the solubility and sorption values of alkasite restorative material (Cention N) in various beverages such as tea, coffee, coca-cola and artificial saliva. A total of forty samples of restorative material were prepared using a metallic mould and divided into two groups of twenty samples each (n=20); Group I: Cention N (test group) and Group II: Type IX Glass ionomer cement (GIC) (control group). The weight before immersion in the test media (m1) was measured using digital analytical scale. Each group was subdivided into four subgroups (n=5) based on the test media they were immersed in; Subgroup 1: Tea, Subgroup 2: Coffee, Subgroup 3: Coca-cola, Subgroup 4: Artificial saliva. Five specimens each of the test material and control were kept immersed in the test media for seven days. The weight of the samples after immersion (.......

Key Words: Cention N, Type IX GIC, Sorption, Solubility, Alkasite

[1] Peez R, Frank S. The physical–mechanical performance of the new Ketac™ Molar Easymix compared to commercially available glass ionomer restoratives. Journal of dentistry. 2006 Sep 1;34(8):582-7.
[2] McKenzie MA, Linden RW, Nicholson JW. The physical properties of conventional and resin-modified glass-ionomer dental cements stored in saliva, proprietary acidic beverages, saline and water. Biomaterials. 2003 Oct 1;24(22):4063-9.
[3] Kovarik R.E, Haubenreich J.E Gore D. Glass Ionomer Cements : a review of composition, chemistry and biocompatibility as a dental and medical implant material. J Long Term Eff Med Implants ., 15 (6), 2005, 655 – 671.

[4] Dinakaran S. Sorption and solubility characteristics of compomer, conventional and resin modified glass-ionomer immersed in various media. IOSR-JDMS. 2014;13:41-5.
[5] Toledano M, Osorio R, Osorio E, Fuentes V, Prati C, Garcıa-Godoy F. Sorption and solubility of resin-based restorative dental materials. Journal of dentistry. 2003 Jan 1;31(1):43-50.

Abstract: Acute leukemia cases are increasing day by day. Though etiology is not fully known but with appropriate chemotherapy majority cases are cured. During treatment in some cases liver function especially SGPT becomes high, as a result continuation of treatment becomes difficult. Objective: This study aimed to determine the effectiveness of ursodeoxycholic acid for reduction of SGPT in Acute leukemia patients during treatment for continuation of treatment. Methods: This was a prospective cross-sectional study done in Dhaka Shishu (Children) Hospital. We include the patients of acute leukemia admitted in DSH having high SGPT during treatment. We have 40 cases of acute leukemia. We divided these patients.....

Keywords: Acute leukemia, Cross sectional study. Ursodeoxycholic acid (UDCA), Hepatotoxicity, Liver.

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[4]. H. Chun, W. Low.Ursodeoxycholic acid suppresses mitochondria-dependent programmed cell death induced by sodium nitroprusside in SH-SY5Y cells.Toxicology, 292 (2012), pp. 105–112
[5]. O. Lukivskaya, E. Patsenker, V. Buko.Protective effect of ursodeoxycholic acid on liver mitochondrial function in rats with alloxan-induced diabetes: link with oxidative stress.J. Life Sci, 80 (2007), pp. 2397–2402

Abstract: Introduction: Classifying the location of an occlusion in the culprit artery during ST-elevation myocardial infarction is important for risk stratification to optimize treatment. Objectives: To compare the validity of echocardiographic parameters assessing right ventricular (RV) function for the prediction of proximal right coronary artery (RCA) lesion in patients with inferior wall myocardial infarction. Methods: The study included 76 patients after their first episode of acute inferior myocardial infarction with significant RCA lesion (43 patients with proximal RCA stenosis and 33 patients with distal RCA stenosis). Full echocardiographic examination was.......

Key Words: Echocardiography, Right coronary artery.

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