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

Abstract: Background: Enteric fever (typhoid and paratyphoid fever)is a major public health concern in developing countries including India. Wide variation in clinical presentations makes its diagnosis on clinical ground a challenging task. Emergence of strain with polymicrobial resistance is a matter of serious concern. This study was conducted in a tertiary care settingto study the myriad clinical manifestations, complications &antibiotic sensitivity pattern of typhoid fever in children. Methodology: This prospective observational study was done at N.M.C.H, Patna from November 2017- April 2019 (18 months).Children between 1-16 years of age with fever for >3 days and suspicion of enteric fever wereenrolled and investigated. 60 blood culture positive......

Keywords: Blood culture, clinical profile, drug resistance, multi drug resistant typhoid fever, Salmonella typhi, typhoid fever

[1]. Misra S, Diaz PS, Rowley AH. Characteristics of typhoid fever in children and adolescents in a major metropolitan area in the United States. Clin Infect Dis. 1997; 24:998-1000
[2]. Cammie FL, Miller SL. Salmonellosis. In: Anthony FS, Braun Wald E, Kasper DL, Hauser SL, editors. Harrison‟s Principles of Internal Medicine, 16th ed. New Delhi: McGraw-Hill; 2005. p .897-900.
[3]. Kanungo S, Dutta S, Sur D. Epidemiology of typhoid and paratyphoid fever in India. J Infect DevCtries. 2008;2:454-60
[4]. Prajapati B, Rai GK, Rai SK, Upreti HC, Thapa M, Singh G, Shrestha RM. Prevalence of Salmonellatyphi and paratyphi infection in children, a hospital based study. Nepal Med Coll J. 2008;10(4):238-44.
[5]. Parry CM, Hien TT, Dougan G, White NJ, Farrar JJ. Typhoid fever. N Engl J Med. 2002 Nov 28; 347(22):1770-82.

Abstract: Mediastinal abscesses are mostly seen following thoracic surgical procedures. Isolated and primary spontaneous abscess in the mediastinum by fungal organisms is an extremely rare condition. We report an interesting case of mucormycosis causing anterior mediastinal abscess with invasion of adjacent rib, sternum and anterior chest wall

Keywords: mediastinum- abscess- mucormycosis

[1]. Alvaro Huete-Garin, Stuart S.Sagel in Mediastinum : compted body tomography with MRI correlation ,4th edition Lippincott Williams & Wilkins New York 2006 p 311-417.
[2]. Sandeep kumar ,Virendra Kumar, Amit Bishnoi,Rajiv Chadha Non –tarumatic anterior mediastinal abscess in childhood J Indian Assoc Pediatr Surg . 2011 apr-jun ; 16(2): 75-77
[3]. Vasileios K .Kouritas,Charalambos Zissis and Ion Bellenis Staphalococcal isolated anterosuperior mediastinal abscess of unknown origin Interactive Cardiovascular and Thoracic Surgery 14 ( 2012 ) 650-651
[4]. Lokesh Kumar Saini, Nishant Kumar Chauhan , Ravi Panwar , Naveen Dutt, Sonal Saran, Surya Kant and Pramod Kumar Sharma Primary isolated mediastinal abscess masquerading as mediastinal mass: a needle did the trick Betham science vol 13 issue 2 p 119-122( 4)
[5]. Maya Abu- Gazala , Ahuva Engel , Anat Stern and Ludmila Guralnik An unusal case of Nocardiosis presented as a mediastinal mass in an immunocompetent patient American J of Respiratory and Critical care medicine vol 189 no 4 feb 2014..

Abstract: Background: Recent studies have shown that displaced mid-shaft clavicular fractures do not have assured favorable outcomes with non-operative management and nonunion rates could be as high as 20%. In addition many malunite with significant shourtening. Non-union or malunion causes functional deficit and many of them may benefit from primary internal fixation. This study was under taken to evaluate the efficacy of pre contured plate LCP in treating clavicular fractures. Patients and Methods: In this study 35 patients with clavicular fractures were choosen between 20-50 years of age treated with pre contured LCP. 5 cases were established non-union after treatment with conservative methods........

KEYWORDS: Clavicul fractures, internal fixation, pre contured locking compression plate LCP.

[1]. Nordqvist A, Petersson C. The incidence of fractures of the Clavicle. Clin Orthop 1994; 300: 127.
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[5]. Reddy RK, Rathod J, Rao KT. A Study on Surgical Management of Clavicle Midshaft Fractures by Locking Plate. IJCMR. 2016: 3(7):2005-7..

Abstract: Since succinylcholine presents numerous adverse effects, there has been a continual search for a non-depolarizing muscle relaxant that can replicate the rapid onset of succinylcholine. Rocuronium is chosen since it is the non-depolarizing neuromuscular blocking drug in clinical use with the fastest onset time. Priming with Rocuronium improves the onset time when compared to a single intubating dose of Rocuronium. Onset of action of muscle relaxants is influenced by cardiac output and muscle blood flow. Ephedrine, which produces an increase in both cardiac output and muscle blood flow, reduces the onset time of Rocuronium. Priming combined with ephedrine may be superior to either technique used separately. The present study was aimed to evaluate the effects of ephedrine.......

Keywords: Ephedrine, Intubating conditions, Priming with Rocuronium

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[5]. Andrews J. I, Kumar N, van den Brom RH, Olkkola K, Roeset GJ, Wright PM. A large simple randomised trial of rocuronium versus succinylcholine in rapid-sequence induction of anaesthesia along with propofol. ActaAnaesthesiolScand 1999; 43(1): 4-8.

Abstract: Introduction:. At present FNAC of the thyroid is considered by many as first line procedure and it is fully accepted in the diagnostic work up of patients in conjunction withtraditional methods. FNAC is widely accepted the most accurate, non-invasive, sensitive, specific and cost effective diagnostic procedure in the assessment of thyroid nodules andhelps to select people pre operatively for surgery.The main purpose of FNAC thyroid is to distinguish patients with malignantnodules and those with benign nodules. It is the procedure of choice in the initialscreening of thyroid nodules. A prospective work aimed to study the spectrum of cytological features of thyroidlesions in patients with thyroid....

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Abstract: BACKGROUND: Primary aldosteronism as a cause of secondary hypertension is frequently overlooked and underdiagnosed. This case report highlights the importance of screening for aldosteronism in patients with hypertension and hypokalemia. METHOD: The case record of the index patient. RESULT: A 41year old female civil servant, referred to the endocrine clinic from a peripheral center on account of persistent hypokalemia. Hypokalemia was diagnosed accidentally during a routine medical screening 5 years prior to presenting at the endocrine clinic. There was positive history of polyuria and nocturia. She was also diagnosed hypertensive at about the same time and commenced on Amlodipine. General examination and systemic examination were.......

Key Words; Hypokalemia, Hypertension, and Primary Aldosteronism

[1]. Uwaifo GI, Sarlis NJ, Khardori R. Primary Aldosteronism. March 02, 2018. ― Retrived from‖: https://emedicine.medscape.com/article/127080.
[2]. Kucharz EJ . Michał Lityński—a forgotten author of the first description on primary hyperaldosteronism. Pol Arch Med Wewn 2007;117:57–58
[3]. Young WF. Diagnosis and treatment of primary aldosteronism: practical clinical perspectives. Journal of Internal Medicine 2019; 285:12-148.
[4]. DeGroot L, Jameson J. Endocrinology. 4th edn. Philadelphia: W.B. Sanders, 2001.
[5]. Melby JC. Diagnosis and treatment of primary aldosteronism and isolated hypoaldosteronism. Clin Endocrinol Metab 1985;14:977–95

Abstract: The occurrence of palato-gingival groove on the lateral incisor is extremely rare developmental anomaly. This case report describes the prompt diagnosis to unreveal this etiology and treatment options to treat this defect. The tooth was treated by saucerization, apicectomy and retrograde restoration with glass ionomer cement. After 1 year follow up of treatment, the tooth was functional without any signs and symptoms clinically and radiographic changes were positive. The knowledge of tooth anatomy and its morphological defects offers a strong base for establishing a perfect diagnosis. Proper understanding of the endo-perio relationship is important because it frequently dictates the treatment plan..

Keywords: Palato-gingival groove, saucerization, apicectomy, retrograde restoration, glass ionomer cement

[1]. Didilescu A, Liescu R, et.al. Current concepts on the relationship between pulpal and periodontal diseases. TMJ. 2008; 58(1-2): 98-103.
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Abstract: Background: Beta blockers have widely used as antihypertensive drugs in uncomplicated hypertension especially in patients with ischemic heart disease, stroke,arrhythmia and heart failure as it significantly reduces the risk which is well established. Aims and Objectives: Aims of the study was to observe the effects of Atenolol, Metoprolol and Nebivolol on the arterial blood pressure along with their side effects and its Comparison of drugs used . Materials and methods: In this randomized non blinded clinical trial on 148 selected patients. Patients were divided into three groups randomly.........

Keywords: Hypertension, High Blood Pressure, Mean Arterial Pressure, Beta Adrenoreceptor

[1]. Naish, Jeannette; Court, Denise Syndercombe (2014). Medical sciences (2 ed.). p. 562. ISBN 9780702052491

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[5]. Lau, DH; Nattel, S; Kalman, JM; Sanders, P (August 2017). "Modifiable Risk Factors and Atrial Fibrillation". Circulation (Review). 136 (6):.

Abstract: Background: Despite being used for entertainment reasons, social media has many other uses too.If properly used social and web media can bring big boons to the dental profession. And if not used well it can bring both professional and personal dilemmas Aim: The objective of the study was to evaluate the dental professionals' use of social media. Materials and Methods: The research was conducted using Google forms. There were 17 questions in the questionnaire. The link containing the prepared form was sent to dental professionals ' mail ids. A total of 414 responses were received. Results: Of 414 respondents......

Keywords: dental, facebook,internet, social media,web

[1]. Kuss DJ, Griffiths MD. Social Networking Sites and Addiction: Ten Lessons Learned. Int J Environ Res Public Health. 2017 17;14(3).
[2]. Ramesh Masthi NR, Pruthvi S, Phaneendra MS. A Comparative Study on Social Media Usage and Health Status among Students Studying in Pre-University Colleges of Urban Bengaluru. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2018;43(3):180–4.
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[5]. Rayhan RU, Zheng Y, Uddin E, Timbol C, Adewuyi O, Baraniuk JN. Administer and collect medical questionnaires with Google documents: a simple, safe, and free system. Appl Med Inform. 2013;33(3):12–21...

Abstract: Le sarcome histiocytaire (SH) gastrique est une prolifération maligne rare des cellules histiocytaires matures, représentant moins de 1% de toutes les tumeurs malignes lympho-hématologiques, avec un age moyen de 55 ans au moment du diagnostic. Les patients atteints de SH ont généralement un mauvais pronostic en raison de son comportement clinique agressif. Le SH est généralement présent dans les ganglions lymphatiques, et le tractus gastro-intestinal est le site extra-nodal le plus fréquent. Son diagnostic repose essentiellement sur la confirmation de sa lignée histiocytaire.....

Keywords: Histiocytic sarcoma; Stomach; Immunohistochemistry

[1]. Olivier Saint-Marc et al. Sarcome gastrique à cellules interdigitées : Présentation inhabituelle d'une tumeur histiocytaire rare. Gastroentérologie Clinique et Biologique. Vol 26, N° 5 - mai 2002, pp. 526-528.
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[3]. Yang Y, Jin L, Zhang J, et al. Primary huge histiocytic sarcoma of the stomach: a case report and systematic, review. Int J Clin Exp Med 2016;9(10):19785-90.
[4]. Toshiharu Hanaoka1 et al. A Case of G-CSF–Producing Histiocytic Sarcoma of the Stomach. IntSurg 2015; 100:568–573DOI: 10.9738/INTSURG-D-14-00023.1.
[5]. Nina Y. Petkova1, Radka G et al. A Rare Case of Primary Histiocytic Sarcoma of the Stomach. DOI: 10.1515/folmed-2017-0075..

Abstract: Considering the theoretical assumptions of the role stress theory (Kahn, Holf, Quinn, Snoek & Rosenthal, 1964) suggesting that occupying multiple roles (e.g. work and family) can unleash stress on families, and institutional theory (Scott, 2008) also suggesting that institutions and people in other national contexts especially developing countries may be exposed to different factors which influence their management practices, this cross-sectional survey of 129 Nigeria career mothers between 23 to 48 years investigated work-to-family conflict: health implications for their children under five years among career mothers who attended postnatal clinic in a Teaching Hospital in Enugu urban, Nigeria. A survey instrument comprising demographic information, work variables of.....

Keywords: career mothers, work-to-family conflict, health, children

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[3]. Annor, F. (2014). Managing work and family demands: The perspective of employed parents in Ghana. In Z. Mokomane (ed), work-family interface in Sub-Saharan Africa, international perspectives on social policy, administration and practice (pp. 17-36). Springer International Publishing Switzerland.
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Abstract: La grippe A (H1N1) était à l'origine d'une pandémie en 2009, qui a touché en majorité des sujets jeunes et sans aucune morbidité avec une évolution rapide dans 60 à 80% des cas vers un syndrome de détresse respiratoire aiguë et une hypoxémie réfractaire. En 2019, 16 cas de décès suite à l'infection par le virus de cette grippe ont été enregistrés au Maroc. Nous rapportons dans cette étude rétrospective 10 cas de formes graves suite à l'infection par la grippe A(H1N1) hospitalisés sur une période de 2 mois (Janvier 2019 au Février 2019) dans notre service de réanimation polyvalente A1 du centre hospitalier universitaire Hassan II, Fès, Maroc. L'objectif de notre étude est de décrire les principales caractéristiques, prise en charge et devenir des patients admis en réanimation pour une atteinte respiratoire grave secondaire à l'infection par le virus influenza A (H1N1)......

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Abstract: Aim: To assess the antimicrobial efficacy of aqueous and gaseous ozone as an alternative antiseptic against endodontic pathogen Enterococcus faecalis in suspension. Methodology: Enterococcus faecalis, were grown in Mc conkey media in planctonic phenotype. Cultures were exposed to ozone gas, aqueous ozone & sodium hypochlorite (NaOCl; 0.5%), (control) for 1 min and the colony forming units were determined before and after exposure. Statistical analysis used: Data were analyzed by one way ANOVA with Tamhane post hoc tests to compare independent samples (ά=0.05). Results: Concentrations of gaseous ozone for I min/53ug almost and aqueous ozone 1min/20ug completely eliminated the suspended microorganisms as did 0.5% NaOCl. Conclusion: High-concentrated gaseous and aqueous ozone was dose-, strain- and time-dependently effective against the tested microorganisms in suspension.

Keywords: antimicrobials, biofilm, endodontics, microbiology, ozone, root canal

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