iosr-JDMS   Volume-19 ~ Issue-8 ~ Aug. 2020

Abstract: Introduction: Tuberculosis treatment can cause immuno-allergic reactions (RIA) which are unpredictable, sudden and pose a problem in diagnosis and management. The objective of our study is to describe the epidemiological, clinical and evolutionary profile of RIA. Methods: Our work is a retrospective and analytical study, concerning the management of patients hospitalized for immuno-allergic reactions to antibacillaries, over a period of 5 years. Results: A total of 2,402 tuberculosis patients, of which 6.15% presented immuno-allergic reactions (150 patients); The immunoallergic manifestations noted are hepatic (48%), cutaneous (44.8%), fever (12.5%), haematological manifestations (3.9%), dyspnea with wheezing (1.5%) ), two cases of DRESS syndrome, one case of purpura, and one case of conjunctivitis.........

Keywords: Immuno-allergic - Antituberculosis - Provocation test - Accustoming

[1]. Gruchalla R. Understanding drug allergies. J Allergy Clin Immunol. 2000 Jun;105(6 Pt 2):s634–7.[PubMed]
[2]. Fenniche S, Maalej S, Fekih L, Hassene H, Belhabib D, Megdiche ML. Manifestations d'hypersensibilité à la rifampicine. Presse Med. 2003 Jule; 32(25): 1167-9. PubMed
[3]. L. Fekih, S. Fenniche, L. Boussoffara, H. Hassene, H. Abdelghaffar, D. Belhabib, L. Megdiche Mohamed ; Manifestations d'hypersensibilité aux antituberculeux. Rev Mal Respir 2010; 27: 673-678.
[4]. Dutt AK, Moers D, Stead WW. Undesirable side effects of isoniazid and rifampin in largely twice-weekly short-course chemotherapy for tuberculosis. 1983 Sep;128(3):419-24.
[5]. Combs DL, O'Brien RJ, Geiter LJ, Tuberculosis Short-Course Chemotherapy Trial 21: effectiveness, toxicity, and acceptability. The report of final results. Ann Intern Med. 1990 Mar 15;112(6):397-406..

Abstract:Background: . comparison of 2 chlorprocaine and bupivacaine in below umbilical surgery, in relation to onset of sensory and motor block, duration of sensory and motor block, time of unassisted ambulation,time of voiding
Materials and Methods: : A total of 60 patients of either sex undergoing below umbilical day care surgery was randomly divided into two groups 30 patients in each. Group CP received 40 mg of 1% 2 chlorprocaine intrathecally. Group B received 7.5 mg of .5% bupivacaine intrathecally. Onset and regression of sensory and motor block observed, time of ambulation, time of voiding, post op analgesia ( VAS Score), vitals was assessed at different time intervals.
Results: : We observed significant difference of onset of sensory block in group CP was 2.5 ± 0.73 min and in group B was 3.33 ± 0.84 min. Onset of motor block was 4.00 ± 0.74 min in group CP and 4.90 ± 0.99 min in group B. Time to achieve maximum sensory block level was significantly......

[1]. Daniela Ghisi, Andrea Fanelli, Massimo Allegri. Spinal anaesthesia a suitable technique for ultra-short outpatient procedures. Acta bio-medica. 2013; 84: 76-80.
[2]. Daniela Ghisi, Stefano Bonarelli. Ambulatory surgery with chloroprocaine spinal anesthesia: a review. Ambulatory Anesthesia.2015; 2:11-20
[3]. Marie-Andre´e Lacasse, Jean-Denis Roy. Comparison of bupivacaine and 2-chloroprocaine for spinal anesthesia for outpatient surgery: a double-blind randomized trial. J Can Anesth. 2011; 58:384–91[4]. Mary E. Kouri, and Dan J. Kopacz. Spinal 2-Chloroprocaine: Comparison with Lidocaine in Volunteers. Anesth Analg. 2004;98:75–80.
[5]. M. B. Breebaart, A. Teune. Intrathecal chloroprocaine vs. lidocaine in day-case surgery: recovery, discharge and effect of pre-hydration on micturition. Acta Anesthesiol Scand. 2014; 58: 206–13.

Abstract: Background: Pleomorphic adenoma is by far the most common salivary gland tumor and also most common benign tumor in parotid gland. Of those arising in the parotid gland 80% are located in the superficial lobe in the tail of the gland. They present as slow growing painless tumors. Superficial parotidectomy is the preferred surgical modality of choice in these cases amongst the options available. AIMS AND OBJECTIVES: To evaluate the facial nerve dysfunction and other post-operative complications after superficial parotidectomy and to identify the associated risk factors. Materials and Methods: Prospective and descriptive clinical study based on 65 patients over a period of 2 years undergoing superficial parotidectomy was done. Assessment of facial nerve function was done using House- Brackmann scale and intra and post-operative complications were recorded at 1 week , 1,3 6 and 12 months. A descriptive , inferential and....

Key Word: Superficial parotidectomy, pleomorphic adenoma, parotid gland, facial nerve paresis, post-operative complications.

[1]. Stell and Maran's textbook of head and neck surgery and oncology. 5th Ed. Watkinson J, Gilbert R 2015 ;37: 716-17.
[2]. Henriksson G, Westrin KM, Carlsoo B, Silfversward C. Recurrent primary pleomorphic adenomas of salivary gland origin: intrasurgical rupture, histopathological features, and pseudopodia. Cancer 1998; 82:617-20.
[3]. Witt RL. The significance of the margin in parotid surgery for pleomorphic adenoma. Laryngoscope 2002; 112: 2141-54.
[4]. Levetein H, Van der Waal JE, Tiwari RM et al. surgical management of 246 previously untreated pleomorphic adenomas of parotid gland. British Journal of Surgery 1997;84: 399-403.
[5]. Debets JM, Munting JD. Parotidectomy for partide tumors: 19- year experience from the Netherlands. British Journal of Surgery 1992; 79: 1159-61.

Abstract: Aim: To evaluate the microleakage of class V cavities extended below cementoenamel junction (CEJ) restored with open and closed sandwich techniques using resin-modified glass ionomer cement (RMGIC) as a liner by dye penetration method. Materials and Methods: Class V cavities were prepared 1mm below CEJ on both the buccal and lingual surfaces of 20 freshly extracted sound human molars, which were randomized into two groups. In group I (n=20), the open sandwich technique, RMGIC liner was applied on the axial wall and cavity floor extending to the cavosurface margin. In group II (n=20), the closed sandwich technique, RMGIC liner was applied only on the axial wall without extending to the.....

Key Word: Open and closed sandwich technique, microleakage, laminate technique resin-modified glassionomer cement, class V cavities, below CEJ(Cemento Enamel Junction).

[1]. Smith BGN, Robb ND. The prevalence of toothwear in 1007 dental patients. J Oral Rehabil. 1996;23(4):232–9.
[2]. Kaushik M, Yadav M. Marginal microleakage properties of activa bioactive restorative and nanohybrid composite resin using two different adhesives in non carious cervical lesions -an in vitro study. J West Afr Coll Surg. 2017 Jun;7(2):1–14.
[3]. Qvist V. Resin restorations: leakage, bacteria, pulp. Dent Traumatol. 1993;9(4):127–52.
[4]. Gerdolle DA, Mortier E, Droz D. Microleakage and Polymerization Shrinkage of Various Polymer Restorative Materials. J Dent Child. 2008 May 15;75(2):125–33.
[5]. Rizk HM, Al-Ruthea M, Habibullah MA. The effect of three lining materials on microleakage of packable composite resin restorations in young premolars with cavity margins located on enamel and dentin/cementum - An In vitro study. Int J Health Sci. 2018;12(6):8–17..

Abstract: Syncope is a transient loss of consciousness and postural tone secondary to inadequate cerebral perfusion that spontaneously resolves without medical intervention . Laughter-induced syncope is rare and likely goes unrecognized by many health care providers. It is thought to be another form of valsalva induced syncope. The laughter-induced syncope is an actual medical term, and it is also known as the "Seinfeld syncope" because one reported case occurred when an unfortunate patient died while watching a particularly funny episode of the popular TV show Seinfeld. Laughter-induced or gelastic (derived from the Greek word for laughter, 'gelos') syncope is extremely rare. It is a sub-type of the situational syncopes hypothesized to be the result of a neurally mediated reflex triggered by increased intrathoracic pressure.

[1]. Soteriades ES, Evans JC, Larson MG, et al. Incidence and prognosis of syncope. N Engl J Med 2002; 347: 878- 85.
[2]. Rossen R, Kabat H, Anderson JP. Acute arrest of cerebral circulation in man. Arch Neurol Psychiatr 1943; 50: 510-28.
[3]. Fenton AM, Hammill SC, Rea RF, Low PA, Shen WK. Vasovagal syncope. Ann Intern Med 2000; 133: 714- 25. (Review)
[4]. Bloomfield D, Jazrawi S. Shear hilarity leading to laugh syncope in a healthy man. JAMA 2005; 293: 2863-4.
[5]. Sarzi Braga S, Manni R, Pedretti RF. Laughter-induced syncope. Lancet 2005; 366: 426..

Abstract: It is not uncommon to encounter various deviations from the routine anatomyduring endodontic management of various teeth and mandibular molars stands out in this aspect presenting a range of variations such as additional canals, roots and challenging curvatures. Three clinical reports of mandibular molars are presented in which three canals in the mesial rootswere treated endodontically. The third canal in the mandibular molars are often difficult to identify and most of the time left untreated and might serve as a reason for treatment failure.

Keywords: Isthmuses, middle mesial canal, orifice location

[1]. Matta MS, Kaur M. Endodontic management of middle mesial canal in mandibular first molar. Annals of Tropical Medicine and Public Health. 2015 May 1;8(3):60.
[2]. PubMed entry [Internet]. [cited 2020 Aug 11]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9588984
[3]. Navarro LF, Luzi A, García AA, García AH. Third canal in the mesial root of permanent mandibular first molars: review of the literature and presentation of 3 clinical reports and 2 in vitro studies. Med Oral Patol Oral Cir Bucal. 2007 Dec 1;12(8):E605-609.
[4]. PubMed entry [Internet]. [cited 2020 Aug 11]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2599659
[5]. Gulabivala K, Aung TH, Alavi A, Ng YL. Root and canal morphology of Burmese mandibular molars. Int Endod J. 2001 Jul;34(5):359–70.

Abstract: Introduction: Enteric (Typhoid) fever is considered to be a major public health problem in many developing countries of the world and it has also been gradually testified from the developed countries. It is mainly caused by a bacterium called Salmonella entericaserovarTyphi which is related to the bacteria that cause salmonella food poisoning. It is clinically demonstrated by a tenacious fever, headache, constipation, extreme fatigue, joint pain, splenomegaly, inflammation of the intestine with the formation of intestinal ulcers, a characteristic rose-spot eruption on the abdomen. Almost 80% of cases and death occur in Asia. Aim of the study:To assess the haematological factors of Enteric fever in children of Bangladesh.Material & Methods: This was an observational study which......

Key Word: Enteric Fever,Typhoid,Haematological Factors,Widal Test,Paediatric

[1]. Abro AH, Abdou AMS, GangwaniJL ,Ustadi AM, Younis NJ, Hussaini HS. Haematological and biochemical changes in typhoid fever. Pakistan Journal of Medical Sciences.2009; 25(2): 166 – 171.
[2]. Jawetz, E, Melnick JL, Adelberg EA. Review of Medical Microbiology 12thEdition. Lange, Los Altos, California. 1976; pp 226 -228
[3]. Okafor A I.Haematological alterations due to typoid fever in Enugu Urban- Nigeria. Malaysian Journal of Microbiology.2007;3(2): 19-22
[4]. Ifeanyi OE. Changes in some haematological parameters in typhoid patients attending University Health Services Department of Michael Okpara University of Agriculture, Nigeria. Int. J.Crr. Microbiol. App. Sci 2014; 3(1):670 -674
[5]. Okafor, A.I. Haematological alterations due to typhoid fever. Enugu Urban-Nigeria. Malaysian Journal of Microbiology 2007;Vol3(2):19-22.

Abstract: Introduction: Enteric (Typhoid) fever is generally caused by a bacterium called Salmonella entericaserovarTyphi which is associated with the bacteria that cause salmonella food poisoning. It is a major public health issue in developing and developed countries. Around, 21.6million people suffer from this disease, and it occurs almost 216,500 deaths annually.Almost 80% of the suffering and death cases were testified from Asia, while the rest (20%) of them were from Africa and Latin America. In South Asia, it is evaluated that in the region of 400 million people (23% of the population) subsists in high-risk situations for aquatic diseases.Aim of the study:To analyze the management of Enteric fever in children admitted in a tertiary care hospital.Material & Methods: This was an observational study which was conducted at the Department of Paediatric Infectious Diseases and Community Paediatrics.....

[1]. Akent L, Hassen M and Ahmed Z. Present status and antibiotic sensitivity pattern of Salmonellae typhi and Salmonellae paratyphi in different age group hospitalized patients in Dhaka city, Bangladesh. J Pharm BiolSci 2012; 4: 27–30.
[2]. Crump JA, Luby SP and Mintz ED. The global burden of typhoid fever. Bull World Health Organ 2004; 82: 346–353.
[3]. Mogasale V, Maskery B, Ochai RL, et al. Burden of typhoid fever in low-income and middle-income countries: a systematic literature-based up-date with risk-factor adjustment. Lancet Glob Health 2014; e570–80.
[4]. Parry CM, Hien TT, Dougan G, White NJ, Farrar JJ. Typhoid fever. N Engl J Med 2002;347(22):1770-82.
[5]. AAP. Red Book 2015:699..

Abstract: Objective: The aim of this study was comparethe marginal adaptation of lithium disilicate and zirconia restorations before and after cementation under the effect of different resin cement. Materials and methods: Eighty intact human maxillary premolars were selected for this study, prepared using computer aided design/computer aided manufacturing technique. Teeth were divided into two main groups according to the restorative materials used (n=40). Group restored withmonolithicLithium disilicateandthe other restored with Zirconia. Each main group was subdivided into two subgroups according to type of resin cements; one type ofself-adhesive resin cement and one type of adhesive resin cement(n=20). Beforecementation, vertical marginal discrepancies (μm) were measured at the margin of each crown at (mid-buccal, mid-palatal, mid-mesial and mid-distal)......

Key Word: Marginal adaptation, Lithium disilicate, zirconia, resin cement.

[1]. Aschheim K. Esthetic dentistry: A clinical approach to techniques and materials. Ch 12: luting agents. 3rdElsevier. 2015;248:251.
[2]. Michelle. S, Amin S. A practical clinical guide for resin cements. Ch 2: Resin cements: Factors affecting clinical performance. Springer 2015;85:95.
[3]. Michelle. S, Amin S. A practical clinical guide for resin cements. Ch 2: Resin cements: Factors affecting clinical performance. Springer. 2015;85:95.
[4]. Ferracane J, Stansbury J, Burke T. Self-adhesive resin cements-chemistry, properties and clinical considerations. J Oral Rehabil. 2011;38:295-314.
[5]. Zarone F, Ferrari M, Mangano F, Leone R, SorrentinoR. Digitally oriented materials: Focus on lithium disilicate ceramics. Int J Dent. 2016;98:405-415..

Abstract: Annotation The article analyzes the results of reconstructive valves operations and CABG with MAZE performed in the Regional Center for Cardiac Surgery in Odesa over the past 6 years in patients with chronic, paroxysmal and persistent forms of AF. The expediency of complementing open heart surgery (CABG, reconstructive valve surgery) with MAZE surgery was shown to all patients with paroxysmal, persistent and chronic forms of AF. The effectiveness of the appointment of antiarrhythmic and anticoagulant therapy in these groups of patients was evaluated..

Key Word: valve operations, CABG, MAZE, persistent AF, paroxysmal AF, chronic AF.

[1]. Atrial fibrillation follow-up investigation of rhythm management –the AFFIRM study design. The Planning and Steering Committees of the AFFIRM study for the NHLBI AFFIRM investigator.// Am.J.Cardiol.1997;79:1198-202. [2]. Badwar V, et al. (2017). Society of Thoracic Surgeons 2017 clinical practice guidelines for the surgical treatment of atrial fibrillation. Annals of Thoracic Surgery, 103(1): 329–341. DOI: 10.1016/j.athoracsur.2016.10.076. Accessed February 27, 2017 [3]. January CT, et al. (2014). 2014 AHA/ACC/HRS Guideline for the management of patients with atrial fibrillation: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. Circulation, published online March 28, 2014. DOI: 10.1161/?CIR.0000000000000041. Accessed April 18, 2014 [4]. January CT, et al. (2014). 2014 AHA/ACC/HRS Guideline for the management of patients with atrial fibrillation: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. Circulation, published online March 28, 2014. DOI: 10.1161/?CIR.0000000000000041. Accessed April 18, 2014 [5]. Robertson JO, et al. (2014). Illustrated techniques for performing the Cox-Maze IV procedure. Annals of Cardiothoracic Surgery, 3(1): 105–116. DOI: 10.3978/j.issn.2225-319X.2013.12.11. AccessedJune 16, 2014.

Abstract: Contact dermatitis, also called contact eczema is a red, itchy rash caused by direct contact with a substance or an allergic reaction to it. The rash isn't contagious or life-threatening, but it can be very uncomfortable. An estimated 15–20% of the general population suffers from contact allergy. "Contact dermatitis can lead to significant sleep disturbances, difficulty concentrating at work or in school, inability to work, significant itching and, at times, pain. Work place exposure, age, sex, use of consumer products and genetic predispositions were identified as the most important risk factor. In India more than 10 million cases per year. Contact dermatitis is an irritant reaction that causes a painful or itchy skin rash.........

Key Word: Contact Dermatitis, Dermatitis, allergen, risk factors

[1]. Basketter DA, Huggard J, Kimber I. Fragrance inhalation and adverse health effects: The question of causation. Regul. Toxicol. Pharmacol. 2019 Jun;104:151-156. [PubMed]
[2]. Esser PR, Mueller S, Martin SF. Plant Allergen-Induced Contact Dermatitis. Planta Med. 2019 May;85(7):528-534. [PubMed]
[3]. Bingham LJ, Tam MM, Palmer AM, Cahill JL, Nixon RL. Contact allergy and allergic contact dermatitis caused by lavender: A retrospective study from an Australian clinic. Contact Derm. 2019 Jul;81(1):37-42. [PubMed]
[4]. Stingeni L, Bianchi L, Hansel K, Corazza M, Gallo R, Guarneri F, Patruno C, Rigano L, Romita P, Pigatto PD, Calzavara-Pinton P., "Skin Allergy" group of SIDeMaST and "SIDAPA" (SocietàItaliana di DermatologiaAllergologica, Professionale e Ambientale). Italian Guidelines in Patch Testing - adapted from the European Society of Contact Dermatitis (ESCD). G Ital Dermatol Venereol. 2019 Jun;154(3):227-253. [PubMed]
[5]. Smedley J. OHCEU Dermatitis Group; BOHRF Dermatitis Group. Concise guidance: diagnosis, management and prevention of occupational contact dermatitis. Clin Med. 2010;10:487–90. [PubMed].