iosr-JDMS   Volume-18 ~ Issue-6 ~ June-2019

Abstract: The increased prevalence of obstructive sleep apnea (OSA) mandates the presence of simple but accurate tools to identify patients with this disorder for early detection and prevention of various serious consequences. This study aimed at comparing two sleep questionnaires as regards their predictive probabilities for OSA. Two sleep questionnaires ( Epworth Sleepiness Scale [ESS] and STOP-Bang) were administered to the patients and scoring of the results of the questionnaires was done. Overnight attended polysomnography (PSG) was done for all patients and was considered the gold standard for the diagnosis of OSA. The sensitivity, specificity, positive and negative predictive values of the two questionnaires was calculated. Of 35 screened patients; 30(85%) had OSA. The STOP.......

Keywords OSA, STOPBANG, ESS Questionnaires

[1]. Young T, Palta M, Dempsey J, et al. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993;328:1230–5.
[2]. Young T, Evans L, Finn L, et al. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep 1997;20:705–6.
[3]. Netzer NC, Stoohs RA, Netzer CM, et al. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med 1999;131:485–91.
[4]. Chung F, Yegneswaran B, Liao P, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology 2008;108:812–21.
[5]. Sadoul P, Lugaresi E. Symposium on hypersomnia with periodic breathing. Bull Eur Physiopathol Respir. 1972;8:967–1288

Abstract: 1.INTRODUCTION Pain by far is one of the most common and distressing effect of any disease. Epidurally administered narcotics are associated with much lesser incidence of respiratory depression than their intrathecal administration. Also, extradural administration allows the use of repeated doses via a catheter. 2. OBJECTIVE Compare the effects of addition of fentanyl or dexmedetomidine as an adjuvant with Bupivacaine 0.5% in Epidural block in terms of –1.Onset time of sensory and motor block 2.Level of sensory and motor block achieved 3.Duration of sensory and motor block. 3.Methods Present study was carried out on 75 patients scheduled for elective major surgery on lower limb, perineum, pelvis and lower abdomen. Total 75 patients included in the.......

Key words: Dexmedetomidine, hyperbaric 0.5% bupivacaine, intrathecal

[1]. Rajiv Lahotia, Tanwar GL, Sadhana Jain, Vyas KP. Epidural tramadol forpostoperative pain relief. Ind J Anaesth 1998; 42: 38.
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[5]. Gunnar Nordberg. Epidural versus intrathecal route of opioid administration. International Anaesthesiology Clinics 1986; 24(2): 93.

Abstract: Spinal anesthesia is commonly used for surgery because of ease of administration. Spinal anesthesia is a commonly used technique in anaesthetic practice for gynaecological, lower abdominal, pelvic, and lower limb surgeries. The Objective of this manuscript mainly focused the comparative evaluation of hemodynamic parameters following intrathecal bupivacaine with dexmedetomidine and bupivacaine alone in lower abdominal surgeries. Methods: A total of 100 patients of surgery were randomly assigned in two groups. Group A –Patients who had received 3.0 ml of 0.5% Bupivacain (Heavy)+0.5 ml normal saline and served as control group. Group B– Patients who were administered.........

Keywords: Dexmedetomidine, hyperbaric 0.5% bupivacaine, intrathecal,Bupivacaine

[1]. Moller R, Cavoni B Cardiac electrophysiologic effects of Lidocaine and Bupivacaine Anaesth Analg 1988;107-109.
[2]. Tsuchiya H, Mizogami M R(+)-Rac- and (-)- bupivacaine stereostructure-specifically interact with membrane lipids at cardiotoxically relevant concentrations. Anaesth Analg 2012;114:310-2.
[3]. Whiteside JB Wildsmith AW Developments in local anaesthetic drugs Br J Anaesth 2001;87:27-35.
[4]. Fnedman GA. Rowlimgson jc. Difazio CA.Donegan MF Evaluation of the analgesic effect and urinary excretion of systemic Bupivacaine in man. Anaesth Analg 1982;61:23-27
[5]. Yamashino H , Yokihitho c. Bupivacaine included seizure after accident intravenous injection & complication of epidural anaesthesia. Anaesthesiology 1977; 47:472-473...

Abstract: Assocation between hypothyroidism and lipid profile has been focussed in this study. This is an observational study. Lipid profile in 200 patients of hypothyroidism has been studied in this study. Chemiluminescence (CLIA) Method was used to estimate levels ofT3,T4,TSH quantitatively serum was estimated on the fully automated biochemistry analyser using the analyser specific Roche kit for total serum cholesterol, HDL cholesterol, and triglycerides. Friedwalds formula was used to calculate LDL cholesterol.Out of 200 patients 135 were of subclinical hypothyroidism and 65 belong to overt hypothyroidism. Females had higher prevalence consisting of 85% of cases.

Keywords: Cholesterol,Dyslipidemia,Hypothyroidism,Lipid,Lipoprotein

[1]. Hollowell JG, Staehling NW, Flanders WD, Hannon WH, Gunter EW, Spencer CA, et al. Serum TSH, T4, and thyroid antibodies in the United States population (1988 to 1994): National Health And Nutrition Examination Survey (NHANES III). J ClinEndocrinol sMetab. 2002;87:489–499.
[2]. Kim B. Thyroid hormone as a determinant of energy expenditure and the basal metabolic rate. Thyroid. 2008;18:141–144.
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Abstract: Intestinal parasitic infections are one of the biggest socioeconomic and medical problems. Epidemiological studies show that parasitic infections are among the most common infections and one of the biggest health problems of the society worldwide. Research carried out in different countries has shown that the socioeconomic status of the individuals is an important cause in the prevalence of intestinal parasites.OBJECTIVES:-To study the prevalence of worm infestation in 0-6yr children.To study the relation of worm infestation with malnutrition. Materials and Methods: cross-sectional......

Key Word: parasitic infection, hook worm, round worm, anemia, malnutrition

[1]. ShallyAwasthi, Rohini Das, Tuhinaverma, Sheila vir. Anemia and undernutrition among pre-school children in Uttar Pradesh, India. Indian Pediatr 2003;40:985-90.
[2]. Behera TR, Satapathy DM, Sahani NC, Sahu T. Nutritional deficiency status among tribal children in a hard to reach area of Malkangiri district in Orissa. Indian J Nutr Diet 2009;46:106-11.
[3]. Sharda Sidhu, KantaKumari, ManjulaUppal. Prevalence of anaemia in Bazigar(ex-nomadic tribe) preschool children of Punjab. J Hum Ecol 2007;21(4):265-67.
[4]. Ministry of Health and Family Welfare Government of India, Nutrition in India, NATIONAL FAMILY HEALTH SURVEY (NFHS-3) INDIA 2005-06, www.nfhsindia.org
[5]. Malnutrition among Under-Six Children in Chandigarh: Scarcity in Plenty BHATIA V, PURI S, SWAMI H M, GUPTA M, SINGH G, Journal of clinical and diagnosis research research Year : 2007 | Month : December | Volume : 1 | Issue : 6 | Page : 483 - 487 ..

Abstract: Appendectomy is one of the most common surgeries conducted in any hospital. Despite modern advances, the diagnosis of appendicitis remains essentially clinical, requiring a mixture of observation clinical acumen and surgical science and as such it remains an enigmatic challenge and a reminder of the art of surgical diagnosis. A delay in performing an appendectomy runs the risk of appendicular perforation and sepsis, which in turn increases morbidity, hospital stay and mortality. A prospective comparison study was done for RIPASA and Alvarado scoring system by applying them to 150 patients who presented with right iliac fossa pain during the study.....

Key Words: Pain abdomen . Vomiting . Fever . Acute appendicitis . Alvarado scoring . RIPASA scoring . Appendicular perforation . Negativeappendectomies

[1]. Stephens PL, Mazzucco JJ (1999) Comparison of ultrasound and the Alvarado score for the diagnosis of acute appendicitis. Conn Med63: 137–140
[2]. Wani MM, Yousaf MN, Khan MA et al (2007) Usefulness of the Alvaradoscoringsystemwithrespecttoage, sexandtimeofpresentation, with regression analysis of individual parameters. Int J Surg 11(2)
[3]. Cuscheri A (1995) The small intestine and vermiform appendix. In: Cuschieri A, Giles GR, Mossa AR (eds) Essential surgical practice, 3rd edn. Butterworth – Heinermann, Oxford, pp 1297–1329
[4]. Chong CF, Adi MI, Thien A, Suyoi A, Mackie AJ, Tin AS, Tripathi S, Jaman NH, Tan KK, Kok KY, Mathew VV, Paw O, Chua HB, Yapp SK (2010) Development of the RIPASA score: a new appendicitis scoring system for the diagnosis of acuteappendicitis.Singap Med J 51:220–225of

Abstract: Background: Eclampsia is defined as the occurrence of one or more convulsions in association with raised blood pressure and proteinuria in a pregnant or puerperal woman, usually between 20 weeks of gestation to 6 weeks after confinement. In developing countries, eclampsia is one of the important reasons of adverse maternal and perinatal outcomes. Scientific evidences supported abnormal findings on neuro imaging have been noted in majority of the women with eclampsia with preponderance of parieto-occipital lobes involvement in the distribution of posterior cerebral arteries. The present study was conducted with an aim to evaluate the values of the CT Scan brain findings among eclampsia patients. A hospital based observational study which was cross-sectional in nature was carried.....

Key Words: Eclampsia, CT Scan, Brain, Neuro imaging

[1]. Ryan CA, Ryan F, Keane E, Hegarty H. Trend analysis and socio-economic differentials in infant mortality in the Southern Health Board, Ireland (1988–1997). Ir Med J 2000;93:204-6.
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[3]. Singh G, Chouhan R, Sidhu K. Maternal factors foright babies. Medical Journal Armed Forces India.2009; 65:10-12.
[4]. Nagargoje MM, Chaudhary SS ,Deshmukh JS, Mishra SK.A case control study for risk factors of low birth weight in Nagpur city of Maharastra. Indian J Community Med. 2011 ; 22(2):4-7.
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Abstract: Background: Pearl skin disease is a self-limited infectious dermatosis, frequent in pediatric population, It is caused by molluscum contagiosum virus is transmitted mainly by direct contact with infected skin. Clinically, the disease presents as firm rounded papules, pink or skin-colored, with a shiny and umbilicated surface. Objective: The aim of this study is to determine the awareness regarding pearl skin disease among a sample of educated Iraqi subjects.Methods: Thestudy carried out an educated population-based survey using a specific questionnaire at 2018. The sample included 120 educated adults (25 males and 95 females) in University of Baghdad.Results.....

Key Words: Pearl Skin Disease, Molluscum contagiosum, Health Comprehension

[1]. Leung AK, Davies HD. Molluscum contagiosum. CurrPediatr Rev. 2012; 8(4): 346-9.
[2]. Leung AK. Molluscum Contagiosum. In: Leung AK, Ed. Common Problems in Ambulatory Pediatrics. New York: Nova Science Publishers, Inc. 2011; pp. 917-22.
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[4]. Ferns SJ, Noronha PA. Picture of the month.Molluscum contagiosum.Arch PediatrAdolesc Med.2009; 163(4): 383-4.

[5]. Brown J, Janniger CK, Schwartz RA, Silverberg NB. Childhood molluscum contagiosum.Int J Dermatol. 2006; 45(2): 93-9.

Abstract: Cephalometry is a branch of anthropometry that describes measurements of head and face in cadaveric, living or radiological specimen. Assessment of Anterior Bony Width of the nasal cavity using Computed Tomographic (CT) has been documented to be used for determination of sexual dimorphism. Aim: To assess the cephalometry of the anterior bony width (ABW) of the nasal cavity using computed tomographic (CT) scans from UsmanuDanfodiyo University, Sokoto, Nigeria. Methods: Measurements of the Anterior Bony Width....

Key Words: Cephalometric, Anterior Bony Width (ABW), Nasal Cavity, Computed Tomographic(CT),Sokoto

[1]. Belden, C.J., Mancuso, A.A. and Schmalfuss, I,M. (1999). CT features of congenital nasal pyriform aperture stenosis: initial experience, Radiology, 213:495–501.
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[4]. Charan, J. and Biswas, T. (2013). How to Calculate Sample Size for Different Study Design in Medical Research: International Journal of Pschological Medicine., 35(2): 121-126.
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Abstract: Background: Intramedullary nailing is the method most commonly used for treatment of tibial diaphyseal fractures. Malrotation or torsion of tibia is one of the complications associated with use of intramedullary nailing. Malrotation, besides presenting problems cosmetically, especially >100 can cause knee and ankle arthrosis and other fuctional complications. Objective: To assess the malrotation following intramedullary nailing in adult patients with tibial diaphyseal fractures. Study design: The study was a prospective study over a period of one year (1st December 2013 to 30th November 2014) and retrospective study over a period of five years (1st December 2008 to 30th November 2013) conducted in.....

Key Words: CT scan, Intramedullary nailing, Malrotation, Tibial diaphyseal fractures

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[3]. Khatod M, Botte MJ, Hoyt DB, Meyer RS, Smith JM, Akeson WH.Outcomes in open tibia fractures: relationship between delay in treatment and infection. J. Trauma 2003;55:949–54.
[4]. Fortis AP, Dimas A, Lamprakis AA. Expandable nailing system for tibial shaft fractures. Injury 2008 Aug;39(8):940-46.
[5]. Coles C.P, Gross M. Closed tibial shaft fractures: management and treatment complications. A review of the prospective literature. Can. J. Surg 2000; 43:256–62.

Abstract: Introduction:Cerebral hydatidosis is a rare affection, representing 1 to 4% of the different hydatid localizations in literature. Materials and methods:Our study concerns 19 cases of cerebral hydatidosis, collected in Mustapha Pasha's neurosurgery department in Algiers for a period of 16 years (from 2000 to 2016). Results:The average age of patients was 19 years old, with extremes that varies between 1 and 69 years. The most affected age group was 10-19, presenting 42% of the cases (8/19); More common in females and represents 68% of the cases.....

Key Words: cerebral hydatid cyst, endemic, age

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[2]. AIT BENALI S, HILMANI S, CHOUKRI M, SAMI A, EL AZHAR A, ACHOURI M, OUBOUKHLIK A, EL KAMAR A, BOUCETTA M. Hydatidosecérébrale multiple d'originecardiaque. A propos d'un cas. Neurochirurgie, 1999 ; 45(5) : 426-9.
[3]. AKDEMIR G, DAGLIOGLU E, SECER M ; ERGÜNGÖR MF. Hydatid cysts of the internal acoustic canal and jugular foramen. J ClinNeurosci, 2007; 14(4):394-6.
[4]. BALAK N, CAVUMIRZA C, YILDIRIM H, OZDEMIR S, KINAY D. Microsurgery in the removal of a large cerebral hydatid cyst: technical case report. Neurosurgery, 2006; 59(4 Suppl 2).
[5]. BARDONNET, K., BENCHEIKH -ELFEGOUN, M.C., PIARROUX R., BART J.M., HARRAGA S.,DIA L.M.,SCHNEEGANS F, CHOLLET J.Y., BEURDELET A., VUITTON D.A. (2003)."Cystic echinococcosis in Algeria: cattle act as reservoirs of a sheep strain and may contribute to human contamination". Veterinary Parasitology,116 : 35-44.

Abstract: The use of social media has become increasingly common nowadays, and most people relay on it for communication and data gathering. There is evidence that suggests the place social media has in health care education, but there is limited research on the impact social media has in aesthetic dentistry, especially in Saudi Arabia. Aim: The goal of this study is to investigate the influence of popular social media platforms on the perception of, and the demand for aesthetic dentistry in Saudi Arabia. Methods: Two surveys were developed targeting the population of Saudi Arabia and dental practitioners in Riyadh. A nationwide survey was....

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