iosr-JDMS   Volume-19 ~ Issue-11 ~ November 2020

Abstract: Inguinal lymphadenectomy, or groin dissection, has a key role in the management of patients with penile, vulval, anal, and cutaneous malignancy. The venous drainage of the inguinal region occurs mainly through the external pudendal, superficial circumflex iliac and saphena magna veins. The inguinal nodes are one of the major lymphatic blocs of the human body. They are responsible for drainage of the inferior limbs, genitalia, posterior perineum, and inferior extremity of the abdominal wall . The anatomy of the inguinal lymphatics informs a logical approach to the examination of the region that can readily be taught to patients at risk of inguinal metastasis from a range of cancers.. Groin dissection is associated with high postoperative morbidity, chiefly related to wound healing and lymphoedema. Meticulous surgical technique is required to reduce postoperative complications. Complications of inguinal lymphadenectomy are common, and trials are currently seeking ways of reducing moridity associated with the operation.

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Abstract: Anaemia, a very common blood disorder causes a great burden of morbidity and even mortality in severe cases. Iron deficiency anaemia has been the most common type of anaemia, typically in the settings of developing countries like India. Iron deficiency anaemia adversely affects the hemodynamics of cardiovascular system, manifested by different clinical signs and symptoms like tiredness, pale skin, palpitations, anxiety, headaches and dizziness, shortness of breath etc. The homeostatic compensatory mechanisms come into action when the iron deficiency anaemia lasts longer and the structure and function of the heart gets modulated accordingly. These changes can be detected by electrocardiography.......

Key words: Iron deficiency anaemia, Electrocardiography, Hemodynamics.

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Abstract: Aim: To estimate the utility of Pleural fluid ADA: Serum CRP ratio in differentiating Tuberculous and Malignant Pleural effusions Materials and Methods: A hospital based prospective observational study was conducted at GHCCD, Visakhapatnam. A total of 43 patients were recruited in the study using inclusion and exclusion criteria. Pleural fluid analysis was done in all patients for protein, glucose, total and differential count, ADA levels along with Serum CRP levels. Subsequent statistical analysis was done using Microsoft Excel and SPSS software. Results: Out of 43 patients, 19 were diagnosed with Malignant pleural effusion and 24 with Tuberculous pleural effusion. Mean ADA level in Malignant pleural effusions was 69±43 U/l with mean Serum CRP level of 85.56±61.56 mg/l. Mean ADA level in Tuberculous.....

Keywords: Pleural fluid , ADA, CRP

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Abstract: Mousetrap appliance is an effective treatment modality for anterior open bite that utilizes implants inserted into the anterior palate and brings about open bite correction by intruding the maxillary molars. This is a finite element study that assesses the displacement contours of maxillary molars when they are intruded by a mousetrap appliance.Materials and Methods:A finite element model of the maxilla and the mousetrap appliance made of 288332 elements and 64771 nodes was generated using software tools like MIMICS and HYPERMESH. A simulated force of 100 grams was applied to the maxillary molar through the appliance and the displacement of the molar was assessed in three planes X,Y and Z..Results: Maximum intrusion of the maxillary molar was found to be 0.005mm along the Z-direction.Conclusion:It is therefore concluded that the mousetrap appliance which exerts a force within the range of recommended force for molar intrusion brings about desirable displacement of the tooth.

Key Word: TADs, molar intrusion, mousetrap appliance.

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