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

Abstract: Coronavirus disease 2019 (COVID-19) has spread quickly around the world, and WHO categorized it as a pandemic in March, 20201. In India more than one million people have been infected with coronavirus disease till date2. In this situation, the entire healthcare system and healthcare staff need to respond in a very short time to an exponential growth of the number of COVID-19 patients.3 The SARS CoV-2 virus is transmitted from person to person by large droplets from infected person by coughing, sneezing or rhino- rhea. An approximate distance of 2 meters is needed to protect from these droplets. SARS CoV-2. Healthy people may get infected with this virus through touching the mouth, nose, or eyes with a contaminated hand. Infected droplets which were created during a sneeze or cough......

[1]. Coronavirus india lockdown day 116 updates. The Hindu net desk. July 18, 2020.
[2]. Risk Management of COVID-19 Infection in Physiotherapy: Recommendations Paria Dehesh*.J Biol Today's World 2020; 9(6): e228.
[3]. Van Doremalen N, Bushmaker T, Morris DH. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. New England J Med. 2020; 382(16):1564-1567.
[4]. Organization WH. Coronavirus disease 2019 (COVID-19): Situation Report, 72. 2020.
[5]. CPA update: advocacy statement- the role of physiotherapy in keeping Canadian safe during the COVID 19 pandemic. March 17 2020..

Abstract: Background: Perforation of the duodenal ulcer is one of the commonest and lethal complications of chronic duodenal ulcer. 2-10% of peptic ulcer may perforate. Unless prompt diagnosis is made and early active surgical management is done the mortality rate is very high upto10%. It is the commonest cause of death resulting from surgical abdominal emergency next to intestinal obstruction only. Despite this and recent advances in both diagnosis and management of peptic ulcer disease, namely the improvement in endoscopic facilities, eradication of H. pylori and the introduction of the proton pump inhibitors, complications such as peptic ulcer perforation remain a substantial healthcare problem. This may be due to an increase in the risk factors for peptic ulcer complications. With this statistics , a study for clinical presentations, complications and incidence of peptic ulcer perforation was carried out to know the trends in population of the region . Materials and Methods: Prospective study was conducted......

Key Word: Duodenal ulcer, Duodenal ulcer perforation, Pneumoperitoneum, Graham,s omentopexy, H.pylori

[1]. Goudar B, Telkar S, Lamani Y, Shirbur S, Ambi U, Hosalli V. Perforated peptic ulcer disease: Factors predicting the mortality and morbidity in a tertiary care centre in Southern India. Int J Surg 2010;27(4):2.
[2]. Mukherjee A, Naveen N. A Clinical Study of Peptic Ulcer Disease and its complications in Rural Population. Sch J App Med Sci 2014;2(4E):1484-90.
[3]. Lam SK. Differences in peptic ulcer between East and West. Baillier;s Clinical Gastroenterology 2000;14(1):141-52.
[4]. Chalya L, Mabula JB, Mheta K, Mabula D, Hyasinta M, Kabangila R et al. Clinical profile and outcome of surgical treatment of perforated peptic ulcers in Northwestern Tanzania: A tertiary hospital experience. World J Emerg Surg 2011;6(2):31.
[5]. Primrose JN. Stomach and duodenum. In: Williams NS, Christopher JK, O"Connell, editors. Short Practice of Surgery.25th Edition. UK Hodder Arnold: Bailey & Love‟s; 2008.p.1062-3..

Abstract: Vernal keratoconjunctivitis (VKC) is an unusually severe sight-threatening allergic eye disease, occurring mainly in children. Conventional therapy for allergic conjunctivitis is generally not adequate for VKC. Pediatricians and allergists are often not familiar with the severe clinical symptoms and signs of VKC. Vernal keratoconjunctivitis (VKC) or Spring Catarrh is recurrent, chronic, allergic conjunctivitis occurring in prepubertal age-group during spring and summer season. Though this is a self-limiting disorder, it often leads to visual impairment due to secondary corneal complications if not treated during active stage of the illness. Apart from this, the illness is known to affect the productivity and quality of life in school going children due to absenteeism and limitations to outdoor activities. Knowing the clinical profile of disease would provide the evidence for developing, treatment protocol in coming years. MATERIAL AND METHOD: A hospital based Retrospective study was designed......

Key words: vernal keratoconjunctivitis, Spring Catarrh ,pannus,seasonal variation ,limbal , ,allergy

[1]. Bonini S, Coassin M, Aronni S, Lambiase A. Vernal Keratoconjunctivitis. Eye .2004;18:345-51.
[2]. 2. Leonardi A, Busca F, Motterle L. Case series of 406 vernal keratoconjunctivitispatients: A demographic and epidemiological study. Acta Ohthalmol Scand. 2006; 84:406-10.
[3]. Ukponmwan CU. Vernal conjunctivitis in Nigerians: 109 consecutive cases: Trop Doct. 2003;33:242-5.
[4]. Daniel MA, Jakobiec FA. Principle and Practices of Ophthalmology (2nd Edition). United States of America W.B. Saunders Company; 2000.
[5]. Duke RE, Odey F, Smet SD. Vernal Keratoconjunctivitis in Public Primary School Children in Nigeria: Prevalence and nomenclature. Epidemiology Research International; 2016

Abstract: Introduction Retinal vein occlusions are the most common retinal vascular disease after diabetic retinopathy. Vein branch occlusions are more frequent than occlusions in the central vein of the retina. The apparition of macular edema marks a turning point in the development of the disease and is the main cause of decreased visual acuity. Numerous therapeutic options have been proposed to treat macular edema of retinal vein occlusions, among them the intravitreal injections of bevacizumab. Patients and Methods We present a retrospective study of a series of 30 patients being treated for macular edema after retinal vein occlusion between January 2018 and November 2019. We studied the epidemiological, clinical, therapeutic and evolution arycharacteristics of the patients......

Key words: macular edema, risk factor, retinal vein branch occlusion

[1]. Rosenfeld PJ, Fung AE, Puliafito CA. Optical coherence tomography findings after an intravitreal injection of bevacizumab (avastin) for macular edema from central retinal vein occlusion. Ophthalmic Surg Lasers Imaging. 2005 Jul-Aug;36(4):336-9.
[2]. Hoeh AE, Ruppenstein M, Ach T, Dithmar S. OCT patterns of macular edema and response to bevacizumab therapy in retinal vein occlusion. Graefe's archive for clinical and experimental ophthalmology 2010; 248:1567-72.
[3]. The Central Vein Occlusion Study Group. Natural history and clinical management of central retinal vein occlusion. Arch Ophthalmol. Apr 1997;115(4):486-91.
[4]. Martinet V, Guigui B, Glacet-Bernard A, Zourdani A, Coscas G, Soubrane G et al. Macular edema in retinal vein occlusion :correlation study between optical coherence tomography, fluoreiscein angiography and visual acuity. Int Ophthalmol. 2012 Aug;32(4):369-77.
[5]. Glacet-Bernard A, Coscas G, Chabanel A, Zourdani A, Lelong F, Samama MM. Prognostic factors for retinal vein occlusion : prospective study of 175 cases. Ophthalmology 1996; 103:551-60..

Abstract: Le carcinome à cellules de Merkel (CCM) est un carcinome cutané rare et agressif survenant principalement chez les sujets âgés (5 % des malades ont moins de 50 ans au moment du diagnostic). Il survient souvent sur les zones exposées au soleil chez les sujets à peau claire. Il doit son nom à la proximité de ses cellules cancéreuses avec les cellules normales de Merkel de la peau qui contribueraient à la sensation tactile. Le diagnostic n'est pas toujours évoqué cliniquement et est établi sur l'aspect histologique. L'objectif de ce travail est de faire une mise au point sur cette tumeur cutanée rare avec une localisation inhabituelle chez un patient relativement jeune.

[1]. Toker C. Trabecular carcinoma of the skin. Arch Dermatol 1972;105:107-10. [Medline]
[2]. A. Louafi *, H. Chaussard, J.-P. Binder, M. Revol, J.-M. Servant Carcinome à cellules de Merkel : à propos de 24 cas et revue de la littérature. Service de chirurgie plastique reconstructrice et esthétique, hopital Saint-Louis. Annales de chirurgie plastique esthétique (2009) 54, 540—544
[3]. Ramahi E, Choi J, Fuller CD, Eng TY. Merkel cell carcinoma. Am J Clin Oncol 2011
[4]. Allen PJ, Bowne WB, Jaques DP, et al. Merkel cell carcinoma : Prognosis and treatment of patients from a single institution. J Clin Oncol 2005;23:2300-9. [Medline]
[5]. Laurence Feldmeyer, Olivier Gaide. Carcinome de Merkel : (r)évolution. Rev Med Suisse 2013; volume 9. 723-729.

Abstract: Background: Every day, health care workers are exposed to dangerous and deadly blood borne pathogens through contaminated needle sticks. Therefore, there is an increasing need for health care workers to adhere to universal safety precautions in order to avoid these injuries. The aim of this study is to measure the current practice of health care workers regarding needlestick injuries in relation to latest post-exposure assessment, prophylaxis, and treatment guidelines published by the American Nurses Association and to identify any area of potential improvement. Material and Methods: A retrospective audit assessing the current practice following needlestick injuries in a private hospital in Sudan .A total of 105 health care workers were audited over one month period using datasheet....

Key Word: Needlesticks injuries, Audit, Sudan

[1]. Study on incidence of needle stick injury and factors associated with this problem among medical students. Norsayani MY, Noor Hassim I J Occup Health. 2003 May; 45(3):172-8.
[2]. Occurrence of Needlestick and Injuries among Health-care Workers of a Tertiary Care Teaching Hospital in North India. Goel V, Kumar D, Lingaiah R, Singh S J Lab Physicians. 2017 Jan-Mar; 9(1):20-25.
[3]. Back to Basics: Sharps Safety.Spruce L AORN J. 2016 Jul; 104(1):30-6.
[4]. Goniewicz M, Włoszczak-Szubzda A, Niemcewicz M, Witt M, Marciniak-Niemcewicz A, Jarosz MJ. Injuries caused by sharp instruments among healthcare workers – international and Polish perspectives. Ann Agric Environ Med. 2012;19(3):523-527.
[5]. (King KC, Strony R. Needlestick. [Updated 2020 Jun 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-..

Abstract: Background:Biodegradation of bonded interface between resin cements and dentin is known to be the chief cause for bonding failure. Degradation of collagen is initiated by bacterial activity which in turn stimulates MMP production. Previous studies reported that ozone efficiently counteracts micro-organisms found in the dentin. Thus, in this study the effect of ozone water on the shear bond strength between resin cement and dentin was evaluated. Aim: To evaluate the effect of the treatment of dentin slabs with ozonized water on the shear bond strength between resin-based cements and dentin Materials and methods: Freshly extracted human molar teeth were collected. Flat dentin slabs of 3 x2 x 1 mm size were prepared and mounted on acrylic resin slabs. Mounted samples were etched with 37% phosphoric acid for 20s. These samples were divided.....

Keywords- Ozonized water, adhesion, anti-microbial agent

[1]. Marshall TA. Dietary Guidelines for Americans, 2010: an update. J Am Dent Assoc. 2011;142(6):654-656.
[2]. Epasinghe DJ, Yiu CK, Burrow MF, Tay FR, King NM. Effect of proanthocyanidin incorporation into dental adhesive resin on resin-dentine bond strength. J Dent. 2012;40(3):173-180.
[3]. Breschi L, Mazzoni A, Ruggeri A, Cadenaro M, Di Lenarda R, De Stefano Dorigo E. Dental adhesion review: aging and stability of the bonded interface. Dent Mater. 2008;24(1):90-101.
[4]. van Strijp AJ, Jansen DC, DeGroot J, ten Cate JM, Everts V. Host-derived proteinases and degradation of dentine collagen in situ. Caries Res. 2003;37(1):58-65.
[5]. Sulkala M, Wahlgren J, Larmas M, et al. The effects of MMP inhibitors on human salivary MMP activity and caries progression in rats. J Dent Res. 2001;80(6):1545-1549.

Abstract: Background and Objective Improvements in fixation of materials have provided excellent opportunities for the management of distal radius fractures. The present study was carried out to evaluate functional outcome of lower end radius fractures treated with surgical management with LCP followed by early mobilization of wrist joint. Methods This two year prospective study was done in the Department of Orthopaedics, Siddartha medical college, Vijayawada from december 2017 to December 2019. A total of 20 patients who sustained fractures of lower end of radius were studied. Patients were treated with a volar locking compression plate using a volar Henry's approach....

Keywords-Distal radius fractures; QuickDASH; Volar locking plate fixation;

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Abstract: Certain benignpalpebrallesionscanbedifficult to treatsurgicallydepending on their nature, location or extent. The Argon laser is the mostused in ophthalmological plastic surgery. Its use can, in veryspecific cases, represent an interesting alternative, or come to complement a conventionalsurgicaltreatment. Among the various lasers thatcanbeused in ophthalmological plastic surgeryare :blue-green argon, pulseddye argon, CO 2 laser, Erbium laser, Nd-Yag laser. The argon laser isinterestingbecauseitcantreatmost of thebenignpalpebrallesions. The aim of the workis to describe the technique, advantages and main indications of the argon laser in the treatment of benigneyelidtumors.

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Abstract: Résumé La fracture trochantérienne est une urgence différée rencontrée essentiellement chez le sujet âgé, dont les processus physiologiques sont en déclin progressif,elle reste rare chez le sujet jeune et témoigne souvent d'un traumatisme violent. Ces fractures ont largement profité de l'évolution constante des moyens et des techniques thérapeutiques, visant à améliorer l'ostéosynthèse, assurant ainsi un lever et un appui précoces. Nous rapportons une série de 104 cas de fractures du massif trochantérien traités chirurgicalement par clou gamma. Les résultats fonctionnels sont très encourageants en les comparant à ceux rapportés dans la littérature.....

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