iosr-JDMS   Volume-25 ~ Issue-7 ~ July 2026

Abstract: Background: Composite lymphoproliferative disorders, defined by the coexistence of two distinct lymphoid neoplasms of different cell lineages in the same patient, are exceptionally rare. The simultaneous occurrence of Chronic Lymphocytic Leukemia (CLL), a mature B-cell neoplasm, and Folliculotropic Mycosis Fungoides (FMF), a variant of cutaneous T-cell lymphoma, has been infrequently reported. Their overlapping clinical manifestations, distinct biological behavior, and lack of standardized treatment strategies pose significant diagnostic and therapeutic....

Keywords: Chronic lymphocytic leukemia; Mycosis fungoides; Composite lymphoma; Cutaneous T-cell lymphoma; Flow cytometry

[1]. WHO Classification Of Haematolymphoid Tumours, 5th Ed.
[2]. NCCN Guidelines For CLL.
[3]. NCCN Guidelines For Primary Cutaneous Lymphomas.
[4]. Willemze R Et Al. WHO-EORTC Classification.
[5]. Campo E Et Al. ICC Of Mature Lymphoid Neoplasms

Abstract: Background: Anterior open bite (AOB) is one of the most challenging malocclusions to treat, especially in patients with a hyperdivergent skeletal pattern where increased posterior dentoalveolar height contributes to a steep mandibular plane and excessive lower facial height. Posterior tooth intrusion has emerged as an important nonsurgical strategy to close AOB by reducing posterior vertical dimension and promoting counterclockwise mandibular autorotation...

Keywords: anterior open bite, posterior intrusion, molar intrusion, skeletal anchorage, miniscrews, miniplates, mandibular autorotation, vertical control, relapse, retention

[1]. Sassouni V. A Classification Of Skeletal Facial Types. American Journal Of Orthodontics. 1969 Feb;55(2):109–23.
Doi:10.1016/0002-9416(69)90122-5
[2]. Subtelny JD, Sakuda M. Open-Bite: Diagnosis And Treatment. American Journal Of Orthodontics. 1964 May;50(5):337–58.Doi:10.1016/0002-9416(64)90175-7
[3]. Park YC, Lee SY, Kim DH, Jee SH. Intrusion Of Posterior Teeth Using Mini-Screw Implants. American Journal Of Orthodontics And Dentofacial Orthopedics. 2003 Jun;123(6):690–4. Doi:10.1016/S0889-5406(03)00047-7
[4]. Marzouk ES, Kassem HE. Evaluation Of Long-Term Stability Of Skeletal Anterior Open Bite Correction In Adults Treated With Maxillary Posterior Segment Intrusion Using Zygomatic Miniplates. American Journal Of Orthodontics And Dentofacial Orthopedics. 2016 Jul;150(1):78–88. Doi:10.1016/J.Ajodo.2015.12.014
[5]. Kuroda S, Sakai Y, Tamamura N, Deguchi T, Takano-Yamamoto T. Treatment Of Severe Anterior Open Bite With Skeletal Anchorage In Adults: Comparison With Orthognathic Surgery Outcomes. American Journal Of Orthodontics And Dentofacial Orthopedics. 2007 Nov;132(5):599–605. Doi:10.1016/J.Ajodo.2005.11.046

Abstract: Introduction: Glaucoma is one of the leading causes of irreversible blindness worldwide, and this is not as good for people of African Descent. Understanding the factors associated with glaucoma in particular places is important to public health action to lower blindness.
Method: The study evaluated the prevalence and Knowledge of glaucoma among rural and urban dwellers in Abia State, Nigeria, using a community-based cross-sectional study conducted among 468 adults, of which 234 of the respondents were chosen from the rural area and the urban area, respectively. Glaucoma was diagnosed based on clinical eye examination....

Keywords: Glaucoma, prevalence, determinants, rural-urban comparison, eye health, community-based study.

[1]. Cassard, S. (2012). Regional Variations And Trends In The Prevalence Of Diagnosed Glaucoma In The Medicare Population.
[2]. Cutilli, C. (2018). Health Literacy Health Disparities And Sourcses Of Health Information In US Older Adults.
[3]. Durowade, K., Saludeen, A., & Akande, T. (2016). Prevalence And Risk Factors Of Glaucoma Among Adults In Rural And Urban Communities Of Illorin West Local Government Area, North-Central Nigeria.
[4]. Francis, A., Gyasi, M., Adjuik, M., Kesse, E., Chen, Y., Harrison, R., & Kodjo, R. (2014). Comparison Of Primary Open Angle Glaucoma Patients In Rural And Urban Ghana. African Health Sciences, 14(3), 729. Https://Doi.Org/10.4314/Ahs.V14i3.32
[5]. Garudari, C., Senthil, S., Khanna, R., Sannapaneni, K., & Rao, H. (2010). Prevalence And Risk Factors Of Primary Glaucomas In Adult Urban And Rural Populations In The Andhra Pradesh Eye Disease Study.

Abstract: Background: The standard of care in stage II-III carcinoma cervix is radical concurrent chemo-radiotherapy followed by brachytherapy. This study aimed to give institutional set up error data calculation and comparative analysis of KV CBCT (Kilovoltage Cone-Beam Computed Tomography) and KV MV (Kilovoltage and Megavoltage) Imaging CBCT.
Materials and Methods: A retrospective....

Keywords: cervix cancer, image guided radiotherapy, set-up error, non-adaptive, KV-CBCT, MV-CBCT

[1]. International Atomic Energy Agency. IAEA Human Health Report No.31. Accuracy Requirements And Uncertainties In Radiotherapy. Vienna: IAEA; 2016.
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[3]. Contesini M, Guberti M, Saccani R, Et Al Setup Errors In Patients With Head-Neck Cancer (HNC), Treated Using The Intensity Modulated Radiation Therapy (IMRT) Technique: How It Influences The Customized Immobilization Systems, Patient’s Pain And Anxiety. Radiat Oncol. 2017;12:72
[4]. Shepherd J. Applications Of Linac-Mounted Kilovoltage Cone-Beam Computed Tomography In Modern Radiation Therapy: A Review. Polish J Radiol. 2014;79:181–193
[5]. Taylor A, Rockall AG, Reznek RH, Powell ME: Mapping Pelvic Lymph Nodes: Guidelines For Delineation In Intensity-Modulated Radiotherapy. Int J Radiat Oncol Biol Phys. 2005, 63:1604-12. 10.1016/J.Ijrobp.2005.05.062

Abstract: Background: Despite variations in sociodemographic, reproductive, and lifestyle factors that may influence breast cancer risk, mammographic screening still remains uniform/non-tailored in resource-limited settings. Breast density, apart from being a well-established determinant of breast cancer risk, also affects mammographic sensitivity. Understanding breast density patterns can facilitate targeted risk-based screening, boosting early cancer detection, resource allocation and overall screening efficacy. However, there is paucity of empirical data supporting....

Keywords: BI-RADS; Breast cancer risk; Breast density patterns; Screening mammography; Sociodemographic factors; Tailored Screening Protocols

[1]. Kyanko KA, Hoag J, Busch SH, Aminawung JA, Xu X, Richman IB, Et Al. Dense Breast Notification Laws, Education, And Women’s Awareness And Knowledge Of Breast Density: A Nationally Representative Survey. J Gen Intern Med. 2020;35(7):1940–5.
[2]. Frazier RS. 6 Things All Black Women Need To Know About Breast Cancer. Self [Internet]. 2021 [Cited 2026 Mar 29]. Available From: Https://Www.Self.Com/Story/Black-Women-Breast-Cancer-Knowledge
[3]. Kressin NR, Wormwood JB, Battaglia TA, Slanetz PJ, Gunn CM. Sociodemographic Variations In Women’s Reports Of Discussions With Clinicians About Breast Density. JAMA Netw Open. 2023;6(4): E2312156.
[4]. Bodewes FTH, Van Asselt AA, Dorrius MD, Greuter MJW, De Bock GH, Et Al. Mammographic Breast Density And The Risk Of Breast Cancer: A Systematic Review And Meta-Analysis. Breast. 2022; 66:62–8. Doi: 10.1016/J.Breast.2022.09.007
[5]. Malik M, Idrees R, Anwar S, Kousar F, Sikandar S, Chaudhary MH, Et Al. Assessing The Factors Leading To Missed Breast Cancer Diagnoses In Mammography Among Pakistani Women: A Prospective Cross-Sectional Study. Cureus. 2024;16(10): E71436.

Abstract: Periodontitis is a chronic inflammatory disease that leads to the destruction of the periodontal attachment apparatus and possible tooth loss. The ultimate goal of periodontal therapy is to prevent further disease progression in order to reduce the risk of tooth loss. This objective can be achieved through a number of therapeutic modalities comprising both the nonsurgical and surgical phases of periodontal therapy. The Flap surgery procedures permit the surgical debridement of root surfaces and removal of soft tissue following the reflection of a mucoperiosteal....

Keywords: Modified Widman Flap, Papilla preservation flap, Modified flap operation, Flap surgery, periodontal therapy.

[1]. Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza's Clinical Periodontology. 14th Ed. Elsevier; 2023.
[2]. Everett FG, Waerhaug J, Widman A. Leonard Widman: Surgical Treatment Of Pyorrhea Alveolaris. J Periodontol 1971;42:571-9.
[3].Neumann R. Die Alveolarpyorrhoe Und Ihre Behandlung. 3rd Ed. Berlin, Germany: Hermann Meusser; 1920.
[4]. Ramfjord SP, Nissle RR. The Modified Widman Flap. J Periodontol. 1974;45:601–607.
[5]. Takei HH Et Al. J Periodontol. 1985 56:204

Abstract: Background: Laparoscopic cholecystectomy (LC) has become the gold standard for treating symptomatic gallstones. The optimal site for cystic duct ligation is critical to prevent postoperative complications like bile leaks or “remnant cystic duct” syndrome. High ligation leaves a longer cystic duct stump >0.5 cm, while flush ligation aims for a minimal remnant.Flush clipping of the cystic duct in laparoscopic cholecystectomy (LC)
refers to the precise...

..

Abstract: Introduction: Cutaneous leishmaniasis (CL) is characterized by significant clinical polymorphism. Its occurrence in the eyelid remains rare and can be misleading. Case Report: We report the case of a 49-year-old male patient receiving corticosteroid therapy and immunosuppressants...

Keywords: Chalazion, Cutaneous leishmaniasis, Eyelid, Immunocompromised, Morocco

[1]. Https://Www.Who.Int/En/News-Room/Factsheets/Detail/Leishmaniasis.
[2]. Rahimi M, Moinfar N: Ashrafi A.,Eyelid Leishmaniasis Masquerading As Chalazia. Eye. 2009, 23:737.
[3]. Oliveira-Neto Mp Et: Al.,South American Cutaneous Leishmaniasis Of The Eyelids: Report Of Five Cases. Ophthalmology. 2000, 107:169-172.
[4]. Reithinger R, Dujardin Jc, Louzir H, Pirmez C, Alexander B, Brooker S: Cutaneous Leishmaniasis. Lancet Infectious Diseases. 2007:581-596. 10.1016/S1473-3099(07)70209-8
[5]. Özdal Pç, Codère F, Callejo S, Burnier Mn: Accuracy Of The Clinical Diagnosis Of Chalazion. Eye. 2004, 18:135-138.

Abstract: Zirconia has undergone a remarkable transformation over the past two decades, evolving from a structurally strong yet optically limited framework material into a versatile, aesthetically refined ceramic that now serves as the foundation for a wide spectrum of fixed prosthodontic restorations. This review synthesises findings from peer-reviewed literature and current clinical practice to provide a comprehensive account of zirconia's compositional diversity, microstructural underpinnings, mechanical and optical trade-offs, processing advancements, and....

Keywords: dental zirconia, Y-TZP, PSZ, translucency, sintering, monolithic restoration, prosthodontics, CAD/CAM

[1]. Denry I, Kelly JR. State Of The Art Of Zirconia For Dental Applications. Dent Mater. 2008;24(3):299–307.
[2]. Kelly JR, Denry I. Stabilized Zirconia As A Structural Ceramic: An Overview. Dent Mater. 2008;24(3):289–298.
[3]. Cesar PF, Miranda RBP, Santos KF, Scherrer SS, Zhang Y. Recent Advances In Dental Zirconia: 15 Years Of Material And Processing Evolution. Dent Mater. 2024;40(5):824–836.
[4]. Garvie RC, Hannink RH, Pascoe RT. Ceramic Steel. Nature. 1975;258:703–704.
[5]. Chevalier J, Gremillard L, Virkar AV, Clarke DR. The Tetragonal-Monoclinic Transformation In Zirconia: Lessons Learned And Future Trends. J Am Ceram Soc. 2009;92(9):1901–1920

Abstract: Aim To evaluate and compare the fracture resistance of endodontically treated maxillary central incisors restored with different post systems including cast post, stainless steel post, compo post, and glass fiber pin post using a universal testing machine. Materials and Methods Eighty extracted...

Keywords: Fracture resistance, Cast post, Stainless steel post, Glass fiber post, Endodontically treated teeth, Post-endodontic restoration

[1]. Akkayan B, Gülmez T. Resistance To Fracture Of Endodontically Treated Teeth Restored With Different Post Systems. J Prosthet Dent. 2002;87(4):431-437.
[2]. Ferrari M, Vichi A, García-Godoy F. Clinical Evaluation Of Fiber-Reinforced Epoxy Resin Posts And Cast Post And Cores. Am J Dent. 2000;13:15B-18B.
[3]. Juloski J, Radovic I, Goracci C, Ferrari M. Ferrule Effect: A Literature Review. J Endod. 2012;38(1):11-19.
[4]. Clark D, Khademi J. Modern Molar Endodontic Access And Directed Dentin Conservation. Dent Clin North Am. 2010;54:249-273.
[5]. Pierrisnard L, Bohin F, Renault P, Barquins M. Corono-Radicular Reconstruction Of Pulpless Teeth: Finite Element Analysis. J Prosthet Dent. 2002;88:442-448.

Abstract: Pulmonary aspergilloma is a non-invasive form of chronic pulmonary aspergillosis that usually develops within pre-existing lung cavities, most commonly following pulmonary tuberculosis. Hemoptysis is the most frequent clinical manifestation and may occasionally be life-threatening. The coexistence of pulmonary aspergilloma with active pulmonary tuberculosis remains uncommon and may represent a diagnostic challenge.
We report the case of a 42-year-old woman with no previous history of tuberculosis who presented with recurrent isolated hemoptysis...

Keywords: Pulmonary aspergilloma; Pulmonary Tuberculosis; Hemoptysis; C avitary lung lesion; Aspergillus.

[1]. Kousha M, Tadi R, Soubani AO. Pulmonary Aspergillosis: A Clinical Review. Eur Respir Rev. 2011 Aug 31;20[121]:156‑74.
Doi:10.1183/09059180.00001011
[2]. Harmouchi H, Sani R, Issoufou I, Lakranbi M, Ouadnouni Y, Smahi M. Pulmonary Aspergilloma: From Classification To Management. Asian Cardiovasc Thorac Ann. 1 Jan 2020;28[1]:33‑8. Doi:10.1177/0218492319895113
[3]. Mohapatra B, Sivakumar P, Bhattacharya S, Dutta S. Surgical Treatment Of Pulmonary Aspergillosis: A Single Center Experience. Lung India. Feb 2016;33[1]:9. Doi:10.4103/0970-2113.173077
[4]. Soedarsono S, Widoretno ETW. Aspergilloma Pada Tuberkulosis Paru. J Respirasi. 2 Apr 2019;3[2]:58. Doi:10.20473/Jr.V3-I.2.2017.58-65
[5]. Leo S, Chari R, Rajaram M, Bheemanathi S. P6-24: Co-Existence Of Active Pulmonary Tuberculosis And Aspergilloma: A Rare Entity. Respirology. 2021;26[S3]:235. Doi:10.1111/Resp.14150_390.

Abstract: Carbapenem-resistant Klebsiella pneumoniae (CRKP) has emerged as a major healthcare-associated pathogen with limited therapeutic options. Colistin, widely used as salvage therapy for carbapenem-resistant Enterobacterales, is increasingly compromised by emerging resistance. This case series describes the clinical profile, microbiological characteristics, antimicrobial susceptibility pattern, and outcomes of colistin-resistant CRKP infections identified in a tertiary-care centre. Four clinically significant cases of colistin-resistant CRKP were identified.....

Keywords: Colistin resistance; Carbapenem resistance; Pan-drug resistance Klebsiella pneumoniae;

[1]. Indian Council Of Medical Research. Antimicrobial Resistance Surveillance & Research Network (AMRSN): Annual Report January 2024–December 2024. New Delhi: ICMR; 2025. Available From: ICMR AMRSN Portal/PDF.
[2]. Kalil AC, Metersky ML, Klompas M, Muscedere J, Sweeney DA, Palmer LB, Et Al. Management Of Adults With Hospital-Acquired And Ventilator-Associated Pneumonia: 2016 Clinical Practice Guidelines By The Infectious Diseases Society Of America And The American Thoracic Society. Clin Infect Dis. 2016;63(5):61-111.
[3]. Raj S, Sharma T, Pradhan D, Tyagi S, Gautam H, Singh H, Et Al. Comparative Analysis Of Clinical And Genomic Characteristics Of Hypervirulent Klebsiella Pneumoniae From Hospital And Community Settings: Experience From A Tertiary Healthcare Center In India. Microbiol Spectr. 2022;10(5):00376-22.
[4]. Azam M, Gaind R, Yadav G, Sharma A, Upmanyu K, Jain M, Et Al. Colistin Resistance Among Multiple Sequence Types Of Klebsiella Pneumoniae Is Associated With Diverse Resistance Mechanisms: A Report From India. Front Microbiol. 2021;12:609840.
[5]. Kanaujia R, Jamir I, Arora N, Biswal M, Sharma N, Ray P, Et Al. Risk Factors And Clinical Outcomes In Patients With Colistin-Resistant Klebsiella Pneumoniae Bloodstream Infection: A Retrospective Analysis. Indian J Med Microbiol. 2025;56:100882.

Abstract: Hantaviruses are emerging zoonotic pathogens transmitted by rodents that can lead to potentially fatal illnesses in humans, such as Hantavirus cardiopulmonary syndrome (HCPS) and haemorrhagic fever with renal syndrome (HFRS). While there is no specific antiviral treatment available, early supportive care can significantly improve survival outcomes. Prevention is largely focused on minimizing human exposure to infected rodents...

Keywords: Airborne Viruses, Anti-Viruses Vaccine, Dental Cross Infection, Rodents, Zoonotic Disease

[1]. Tortosa F, Perre F, Tognetti C, Lossetti L, Carrasco G, Guaresti G, Et Al. Seroprevalence Of Hantavirus Infection In Non-Epidemic Settings Over Four Decades: A Systematic Review And Meta-Analysis. BMC Public Health. 2024;24(1):2553.
Doi:10.1186/S12889-024-20014-W.
[2]. World Health Organization. Hantavirus. Geneva: World Health Organization; 2026 May 6 [Cited 2026 May 18]. Available From:
Https://Www.Who.Int/News-Room/Fact-Sheets/Detail/Hantavirus
[3]. Ullah ST, Mir S, Sharif S, Khan S, Mir MA. Hantavirus-Induced Cardiopulmonary Syndrome: A Public Health Concern. J Med Virol. 2018;90(6):1003-9. Doi:10.1002/Jmv.25054.
[4]. Centers For Disease Control And Prevention. Clinician Brief: Hantavirus Pulmonary Syndrome (HPS). Atlanta (GA): CDC; 2026 May 8 [Cited 2026 May 18]. Available From: Https://Www.Cdc.Gov/Hantavirus/Hcp/Clinical-Overview/Hps.Html
[5]. Bal MV, Koyuncuoglu CZ, Saygun I. Immune Thrombocytopenic Purpura Presenting As Unprovoked Gingival Hemorrhage: A Case Report. Open Dent J. 2014;8:164-7. Doi:10.2174/1874210601408010164

Abstract: Background: Periodontal disease is a chronic inflammatory condition characterized by progressive destruction of the supporting tissues of teeth, including gingiva, periodontal ligament, cementum, and alveolar bone. Although conventional periodontal therapy effectively controls infection and disease progression, complete regeneration of periodontal structures...

Keywords: periodontal regeneration, bone grafts, bone putties, autologous platelet concentrates, barrier biomaterials, hydrogels, innovations in biomaterials, scaffolds, stem cells, 3-D printing

[1]. Melcher AH. On The Repair Potential Of Periodontal Tissues. J Periodontol. 1976;47(5):256–60.
[2]. Nyman S, Lindhe J, Karring T, Rylander H. New Attachment Following Surgical Treatment Of Human Periodontal Disease. J Clin Periodontol. 1982;9(4):290–6.
[3]. Cortellini P, Tonetti MS. Clinical Concepts For Regenerative Therapy In Intrabony Defects. Periodontol 2000. 2015;68(1):282–307.
[4]. Sculean A, Nikolidakis D, Schwarz F. Regeneration Of Periodontal Tissues: Combinations Of Barrier Membranes And Grafting Materials. Clin Oral Investig. 2008;12(4):303–14.
[5]. Reynolds MA, Aichelmann-Reidy ME, Branch-Mays GL. Regeneration Of Periodontal Tissue: Bone Replacement Grafts. Dent Clin North Am. 2010;54(1):55–71.

Abstract: Background and Aims: Acute poisoning remains a leading cause of morbidity and mortality in rural North India, yet regional data are sparse. This study aimed to analyses the epidemiological patterns, clinical outcomes, and predictors of mortality in poisoning cases at a tertiary care center in Uttar Pradesh.
Patients......

[1]. Mew EJ, Padmanathan P, Konradsen F, Eddleston M, Chang SS, Phillips MR, Et Al. The Global Burden Of Fatal Self-Poisoning With Pesticides 2006–15: Systematic Review. J Affect Disord. 2017;219:93–104. Doi:10.1016/J.Jad.2017.05.002
[2]. Pannu AK, Bhalla A, Sharma A, Sharma N. "PGI Score": A Simplified Three-Point Prognostic Score For Acute Aluminum Phosphide Poisoning. Indian J Crit Care Med. 2020;24(9):790–793. Doi:10.5005/Jp-Journals-10071-23555
[3]. Mathai A, Bhanu MS. Acute Aluminium Phosphide Poisoning: Can We Predict Mortality? Indian J Anaesth. 2010;54(4):302–307. Doi:10.4103/0019-5049.68372
[4]. National Poison Information Centre (NPIC). Annual Report 2024: Poisoning Trends In India [Internet]. New Delhi: AIIMS; 2024 [Cited 2026 Mar 7]. Available From: Http://Www.Npicindia.Org

Abstract: Background: Surgical wound healing may be impaired by several patient-related and operative factors, but narcotic drug abuse is often under-assessed during perioperative evaluation. Substance abuse may affect immune response, angiogenesis, nutrition, hygiene, and follow-up, thereby increasing the risk of delayed wound healing and postoperative wound complications.
Aim of the.....

Keywords: Narcotic drug abuse; Surgical wound healing; Delayed wound healing; and Surgical site infection

[1]. Zhang S, Qi X, Wang Y, Fang K. Global burden of drug use disorders by region and country, 1990–2021. Frontiers in Public Health. 2024 Oct 29;12:1470809.
[2]. Mengistu DA, Alemu A, Abdukadir AA, Mohammed Husen A, Ahmed F, Mohammed B. Incidence of urinary tract infection among patients: systematic review and meta-analysis. INQUIRY: The Journal of Health Care Organization, Provision, and Financing. 2023 Apr;60:00469580231168746[3].
Monahan M, Jowett S, Pinkney T, Brocklehurst P, Morton DG, Abdali Z, Roberts TE. Surgical site infection and costs in low-and middle-income countries: A systematic review of the economic burden. PloS one. 2020 Jun 4;15(6):e0232960.
[4]. Al-Mamun F, Lin CY, ALmerab MM, Gozal D, Mamun MA. Past-year substance use behaviors among university admission test-takers: insights from Bangladesh. BMC Public Health. 2024 Oct 10;24(1):2769.
[5]. Khan SI, Khan MN, Irfan SD, Rumayan Hasan AM, Ross AG, Horng LM, Lachowsky N, Knudson G, Azim T. The effects of methamphetamine use on the sexual lives of gender and sexually diverse people in Dhaka, Bangladesh: A qualitative study. Archives of sexual behavior. 2021 Feb;50(2):479-93.