iosr-JDMS   Volume-18 ~ Issue-7 ~ July-2019

Abstract:An interdisciplinary approach has often been utilized for esthetic rehabilitation of compromised dentitions. The loss of anterior teeth has serious functional and esthetic disabilities in addition to compromising the patient's quality of life. Chronic mouth breathing due to nasal adenoids is known to cause gingival and periodontal diseases. There is adequate dental literature which proves the association of nasal breathing, tongue thrusting and anterior open bite. This can then bring about change in arch shape and tooth position which are primarily determined by the equilibrium of the forces from tongue and perioral musculature. A comprehensive and systematic treatment plan.........

[1]. Chapter in a book: Profitt WR, Fields HW, Server DM. Chp 5 The etiology of Orthodontic problems. Contemporary Orthodontics.
5th ed.St. Louis, Missouri; 2013. pp. 141.
[2]. Chapter in a book: Profitt WR, Fields HW, Server DM. Cup 18 Special considerations in treatment for Adults. Contemporary
Orthodontics. 5th ed.St. Louis, Missouri; 2013. pp. 624.
[3]. Kalra V. Simultaneous intrusion and retraction of the anterior teeth. J Clin Orthod 1998;32:535-540.
[4]. V. E. Beresin, F. J. Schiesser. A study of the importance of the neutral zone in complete dentures. J Prosthet Dent 1991;66(5):718.
[5]. W. J. Straub, "Malfunction of the tongue. Part I.The abnormal swallowing habit: its cause, effects, and results in relation to orthodontic treatment and speech therapy," American Journal of Orthodontics, vol. 46, no. 6, pp. 404–424, 1960.

Abstract: Introduction A detailed study of 70 cases was conducted from July 2015 to July 2018 in Mahatma Gandhi medical college and hospital, Jaipur, Rajasthan, India. We randomly assigned 70 patient to suture repair (group A) or mesh repair (group B) of incisional hernia. The patients were followed up by physical examination at 3 month & 6 month Aim & Objective To evaluate effectiveness of mesh repair in incisional hernia, to evaluate infection rate after prolene mesh repair and sequel of infection.......

[1]. 1.LichtensteinIL,ShulmanAG,AmidPK,et al The tension-free hernioplasty. Am J Surg.1989;157:188-193.
[2]. 2.Malik A M et al.A Comparative analysis b/w non mesh (bassini's) and mesh (Lichtenstein )repair of primary inguinal hernia
pubbed 2009 Jan-Mar;21(1):17-20.
[3]. 3.Shell DH la Torre J,Andrades P, Vasconez LO open repair of ventral incisional hernias, SurgClin North Am.2008;88:61-83
[4]. 4.Luijendijk R W ,Hop WC, van den TolMP,de Lange DC,BraaksmaMM,etal.A comparison of suture repair and mesh repair for
incisional hernia.NEngl J Med 2000;343:392-3985.Millikan KW Incisional hernia repair.SurgClin North Am.2003;83:1223-1234.

Abstract: Gamma Irradiation Chambers ( GIC ) or Blood Irradiators are being extensively used in various universities, academic and research institutions for research and development purposes. Ionizing radiation can modify the physical, chemical and biological properties of the irradiated materials. Gamma-ray emitters like cobalt-60 became popular radiation sources for medical and industrial applications. Gamma Irradiation Chambers are also used in hospitals and blood banks for irradiation of blood and blood products/components, for clinical and research purposes. Gamma radiation is broadly used for the sterilization of medical equipment, micronized amniotic membrane injectable..........

[1]. Converting to gamma-radiation sterilization: an overview for medical device manufacturers. Brinston RM, Wilson BKMed Device
Technol. 1993 May; 4(4):18-22.
[2]. Singh, R., Singh, D., & Singh, A. (2016). Radiation sterilization of tissue allografts: A review. World journal of radiology, 8(4),
355–369. doi:10.4329/wjr.v8.i4.355
[3]. ATOMIC ENERGY REGULATORY BOARD, Safety Guide on "Consenting Process for Radiation Facilities‟, AERB/RF/SG/G-3,
Mumbai, India (2011).
[4]. WORLD HEALTH ORGANIZATION, High-dose irradiation: Wholesome-ness of food irradiated with doses above 10 kGy,
Report of a Joint FAO/IAEA/WHO Study Group, WHO Technical Reports Series No. 890, Geneva (1999).
[5]. INTERNATIONAL ATOMIC ENERGY AGENCY, Manual on panoramic gamma irradiators (Categories II and IV), IAEAPRSM-
8, Vienna (1996).

Abstract: Teaching and learning are active and continuous process. In the past decade, a number of developments appeared in medical education. With the advent of digitalized teaching methods, the most common teaching tool is PowerPoint Presentation. The present study, a cross-sectional questionnaire-base study, was conducted to evaluate the impact of chalkboard and PowerPoint teaching in 209 undergraduate medical students. This study has shown that blackboard teaching still remains the most preferred teaching aid by the students (71.77%) when compared to PPT teaching method (28.23%). However, the students preferred PowerPoint Presentation over traditional chalkboard, when parameters like understanding diagrams and charts (77.51%), demonstration..........

Keywords: Chalkboard, PowerPoint Presentations (PPT .

[1]. Forrest S. Learning and teaching: the reciprocal link. J Contin Educ Nurs 2004;35:74-9.
[2]. Falk-Niisson E, Walmsley D, Brennan M. Cognition and learning. Eur J Dent Educ 2002;6(3):27-32.
[3]. Chadwick SM, Bearn DR. Teaching and learning: an update for the orthodontist. J Orthod 2002;29:162-7.
[4]. Vikas S, Prerna U, Mushtaq A, Virendra K. An assessment of teachers' preference for lecture delivery methods in medical
education. Educ Res Rev 2010;5(9):533-7.
[5]. Bamne SN, Bamne AS. Comparative study of chalkboard teaching overPowerPoint teaching as a teaching tool in undergraduate
medical teaching. International Journal of Medical Science and Public Health 2016;5(12).

Abstract: An experiment contribution of cows and buffaloes milk in unorganized sectors in eastern Uttar Pradesh, general, and selected block of rural areas, in particular is not clear. About 50 percent of total bovine are underfed or overfed in rural areas mostly due to lack of scientific knowledge for feeding, breeding, management and veterinary problems. The present study was conducted during March 2002 to April 2004 in villages of selected blocks of Azamgarh District to assess the economic performance of buffaloes during different seasons in different categories of farmers. The choice of block was based on the state Department of District Azamgarh and BIAF Center are working for popularization and up lift of dairy animals in the locality, beside, extension training center is also located near the all blocks, which acts as a catalytic agent in promoting the development in entire block area.

Keywords: Buffaloes, feed consumption, variation and seasons.

[1]. Badal, P.S. and Dhaka, J.P. (1998). An analysis of feeding pattern and cost of milk production in Gopal Ganj District of Bihar, Indian Journal of Dairy Science.51 (2): 121-126.
[2]. Bhar, R. Murari Lal and Khan, M.Y. (1999). Nutrient utilization in crossbred dairy cows under economical feeding region, Indian Journal of Animal Nutrition 16 (4): 358-361.
[3]. Dixit, V.B. Lal, D., Sethi, R.K. and Arora, U. (1998). Assessment and requirement of traditional feeding system in Murrah buffeloes. Indian Journal of Dairy Science. 51: 177-181.

[4]. Sahoo, A., Chaudhary, L.C., Agrawal, Neeta, Kamra, D.N. and Pathak, N.N. (2000). Performance of crossbred cows feed in wheat straw based grain less diet. Indian Journal of Animal Nutrition, 17 (3): 189-270..

Abstract: Patella fractures account for about 1% of all skeletal injuries and leads to functional impairment in the extensor mechanism of the knee1. Diagnosis is made on the basis of mechanism of injury, clinical examination and radiological findings. The goal is to restore extensor mechanism, articular congruity and early mobilization. Fracture with intact extensor mechanism can be treated conservatively, whereas the indication2 for the surgery.

[1]. Pg 429, 5th Edition ,Handbook of Fractures- Kenneth A. Egol, Kenneth J. Koval, Joseph D. Zuckerman.
[2]. Pg 429, 5th Edition ,Handbook of Fractures- Kenneth A. Egol, Kenneth J. Koval, Joseph D. Zuckerman

[3]. Luna-Pizarro D, Amato D, Arellano F, Hernández A, López-Rojas P. Comparison of a technique using a new percutaneous osteosynthesis device with conventional open surgery for displaced patella fractures in a randomized controlled trial. J Orthop Trauma. 2006 Sep;20(8):529-35.
[4]. Wardak MI, Siawash AR, Hayda R. Fixation of patella fractures with a minimally invasive tensioned wire method: compressive external fixation. J Trauma Acute Care Surg. 2012; 72(5):1393-1398.

Abstract: Aim-To know the prevalence of Hepatitis C among patients visiting Dental OPD at Indira Gandhi Institute of Medical Sciences, Patna. Material and Method-A retrospective study was conducted in Dental OPD at Indira Gandhi Institute of Medical Sciences, Patna. Data was collected from all the patients undergoing surgical treatment and from patients who had peviously been tested for hepatitis elsewhere Result -Mean age was 39.64 + 16.106 years 30% of the subject group were female while 70% were male. On basis of gender, 0 out of 15 females were positive while 2 out of 35 male patients were positive for hepatitis C positive. In our study, the prevalenceof hepatitis C was 4% which was statistically insignificant.

[1]. Shepard CW, Finelli L, Alter MJ. Global epidemiology of hepatitis C virus infection. Lancet Infect Dis 2005;5:558-67.
[2]. Alter MJ. Hepatitis C virus infection in the United States. J Hepatol 1999;31 Suppl 1:88-91.
[3]. Hepatitis C: Global prevalence. Wkly Epidemiol Rec 1997;72:341-4.
[4]. Poovorawan Y, Chatchatee P, Chongsrisawat V. Epidemiology and prophylaxis of viral hepatitis: A global perspective. J Gastroenterol Hepatol 2002;17 Suppl:S155-66.
[5]. CD Alert. Monthly Newsletter of National Centre for Disease Control, Directorate General of Health Services, Government of India 2007;11:1-4.

Abstract: Aim and Objectives: 1. To study the maternal and fetal morbidity andmortality associated with cesarean section done in first and second stages of labour. Material and Methods: It is an observational cross sectional study conducted at Gandhi hospital during the period of 2015-2017 in the department of Obstetrics and Gynecology of about 200 parturient women undergoing primary cesarean section in first and second stages of labour. Booked and unbooked cases, parity,indications for cesarean section, intra operative complications and post operative complications for the mother are studied. Weight of the new born, APGAR scores, No.of NICU admissions , their indications and outcome are also studied........

[1]. Ayhan Sucak, ŞevkiÇelen, ErenAkbaba, SunullahSoysal, OzlemMoraloglu, and Nuri Danışman. Obstetrics and Gynecology InternationalVolume 2011 (2011), Article ID 986506, 4 pages doi:10.1155/2011/986506.
[2]. Ritu Gupta, Sanjoy kumarPorwal. In J Biol Med Res.2012; 3(3):2185-2188.
[3]. Moodley J, Devjee J, Khedun SM, EsterhuizenT,SA Fam Pract 2009;51(4):328-331
[4]. ShimelisFantu (MD), HailermanariamSegni (MD), FessahayeAlemseged MD (MPHE). Incidence, causes and outcome of obstructed labour in Jimma University Specialized Hospital. Ethiop J Health Sci. 2012 Nov; 20(3):145-151.
[5]. Jerome K Kabakyenga, Per-olof Ostergren, Eleanor et al. Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south western Uganda. BMC Pregnancy childbirth.2011 Oct 14; 11:73.

Abstract: Management of advanced peritonitis is a challenging task to deal with high morbidity and mortality. Advanced peritonitis patients present with diffuse purulent peritonitis with sepsis or septic shock. The septic shock and sepsis are the prime reasons for the high morbidity and mortality [11, 19]. Dietmar et al. predicted that the mortality rate in advanced peritonitis was between 34-93% (as per the APACHE II score) in 1990[8]. However, the actual mortality rate in developing countries varies from 45.45 to 58.3% in various series [20, 21]. A suitable management protocol is essential to treat these patients to reduce the mortality rate to < 20%, as is done in developed countries [1]. Objectives of the protocol should consist........

[1]. Carlos A. Ordoñez, MDand Juan Carlos Puyana, MD(2006).Management of Peritonitis in the Critically Ill Patient. SurgClin North Am. 2006 December; 86(6): 1323–1349. doi:10.1016/j.suc.2006.09.006.
[2]. Sartelli et al. (2013) WSES guidelines for management of intra-abdominal infection. World journal of emergency surgery 2013, 8.3http://www.wjes.org/content/8/1/3.
[3]. Pieracci FM, Barie PS (2007). Management of severe sepsis of abdominal origin.Scand J Surg. 2007;96(3):184–196. [PubMed] [4]. Marc Leone, Pierre Asfar, Peter Radermacher, Jean-Louis Vincent, and Claude Martin(2015) Optimizing mean arterial pressure in septic shock: a critical reappraisal of the literature. Crit. Care. 2015; 19(1): 101. doi: 10.1186/s13054-015-0794-z.
[5]. Wittmann DH, Walker AP, Condon RE(1994).Peritonitis, intra-abdominal infection, and intra-abdominal abscess. In: Schwartz SI, Shires GT, Spencer FC, editors. Principles of surgery. 6th. New York: McGraw-Hill; 1994. pp. 1449–84.

Abstract: Background: Despite advanced surgical techniques and treatment modalities, head and neck squamous cell carcinoma (HNSCC) has been a global challenge because of the high rates of disease recurrence and its advanced stage at the time of diagnosis. The increase in morbidity and mortality of HNSCC even after definitive therapies has prompted substantial research efforts in the field of early detection and prevention of the disease by identifying tumor biomarker accuracy. Human epidermal growth factor receptor 2 (Her-2/neu) have been associated with advanced disease, metastasis, poor clinical outcome and survival in various carcinomas. Overexpression of Her-2/neu leads to increased basal tyrosine kinase activity and transform cells by persistently stimulating signal transduction pathway. Therefore, it is required to affirm the prognostic significance of Her-2/neu in HNSCC which might open new avenues in the treatment approaches. Aim and objectives: The..........

Keywords: Head and neck squamous cell carcinoma, Her-2/neu, Disease recurrence, Disease free survival, Overall survival.

[1]. National Comprehensive Cancer Network: Clinical Practice Guidelines in Oncology. Head and Neck Cancer v1; 2017. Available from: https://www.nccn.org/professionals/physician_gls/f_guidelines.asp#site
[2]. Kulkarni MR. Head and neck cancer burden in India. International Journal of Head and neck surgery 2013; 4(1), 29-35.
[3]. Franceschi S, Bidoli P, Herrero R, Munoz N. Comparison of cancers of the oral cavity and pharynx worldwide: etiological clues. Oral Oncol 2000; 36, 106-15.
[4]. Mishra A, Singh VP, Verma V. Environmental effect on head & neck cancer in India. Journal of clinical oncology 2009; 27, 7059.
[5]. Bray F, Ferlay J, Soerjomataram I, Seigel RL, Torre LA, Jemal A. Global cancer statistics 2018. GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: Cancer J Clin 2018; 68, 394-424. [6]. Mishra A, Meherotra R. Head and neck cancer: Global burden and regional trends in India. Asian Pac J Cancer Prev 2014; 15: 537-50.

Abstract: The Siddha System of Medicine (Traditional Tamil System of medicine), which has been prevalent in the ancient Tamil land, is the foremost of all other medical systems in the world. Chirattaithailam is wound healing Siddha drug was tested for antifungal activity by using disc diffusion method. Test organisms were Candida albicans, Candida tropicalis, Aspergillus fumigatus and Aspergillus niger. Drug was taken in three different doses 20μl, 5μl, 1μl. Significant antifungal effect was noticed at the dose of 20μl and 5μl.

Keywords: ChirattaiThailam (coconut shell oil), Antifungal activity .

[1]. WHO, 2005. Epidemiology and management of common skin diseases in children in developing countries. World Health Organization, Geneva. WHO/FCH/CAH/05.12.
[2]. Kumar K, Kindo AJ, Kalyani J, Anandan S. Clinicomycologicalprofi le of dermatophytic skin infection in a tertiary care centre. Sri Ramachandra Journal of Medicine 2007;1:12-5.
[3]. Dr.Narayanaswami, "Pharmacopoeia of Hospital of Indian Medicine",Thamilnadu Siddha Medical Board Madras(1995).
[4]. Method for Antifungal Disk Diffusion Susceptibilty Testing of yeasts; Approved Guideline Second Edition M44-A2 Vol.24No.17.
[5]. Bauer, A. W., D. M. Perry, and W. M. M. Kirby. 1959. Single disc antibiotic sensitivity testing of Staphylococci. A.M.A. Arch. Intern. Med. 104:208–216

Abstract: Management of difficult airway is widely recognized as one of the serious challenges of the anesthesiologists. The complications related to it are known to be life threatening. One of the difficult airway scenario is fused cervical and atlanto occipital joints. Awake fibreoptic intubation remains the gold standard for such situations. Herewith, we present such a case where we faced difficulty in doing awake fibreoptic bronchoscope because of fixed c-spine and lateral head tilt due to skeletal tuberculosis and overgrowth of pharyngeal soft tissue. We were able to successfully intubate the patient after changing the position of anesthetist from behind the head of..........

Keywords: fibreoptic intubation, saygo – spray as you go , atlanto- occipital joint,fob- fibreoptic bronchoscope

[1]. American society of anesthesiologists task force : practice guidelines for management of difficult airway. An updated report by ASA task force on management of the difficult airway. Anesthesiology . 2003;98: 1269-1277.
[2]. Gardam M, Lim S. Mycobacterial osteomyelitis and arthritis. Infect dis clin N Am. 2005;19:819-830.
[3]. Jain AK. Tuberculosis of spine. J Bone Joint Surg (Br) 2010 ; 92 – B: 905-913.
[4]. Mateo L,Ruiz J, Olive A, Manterola J, Perez R , Tena X, Prats M. Tuberculosis osteoarticular. Med Clin (Barc) . 2007 ; 129 : 506- 509.
[5]. V.S. Sidhu , E.M. Whitehead, Q.P. Ainsworth, M. Smith, I. Calder. A technique of awake fibreoptic intubation – Experience in patients with cervical spine diseases. Anesthesia , 1993 ; 48 (10) : 910-913 .

Abstract: Background: The latest data from the Global Burden of Diseases Study 2013 (GBD 2013) ranked cerebrovascular disease as the second largest contributor to death and disability adjusted life years worldwide after ischaemic heart disease.1,2Cerebrovascular disease ranks the first in frequency and importance among all the neurological diseases in adult life. Stroke is the most common cause of death, after heart disease and cancer. Cerebrovascular disease is estimated to account for 7.8 million deaths yearly throughout the world and represents about 13 % of all causes of death. Objectives: Our aim was to........

Keywords: Intracranial Atherosclerosis, Risk factors, Acute ischemic stroke.

[1]. Murray CJ, Barber RM, Foreman KJ, et al. Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990-2013: quantifying the epidemiological transition. Lancet2015;386:2145–91.10.1016/S0140-6736(15)61340-X

[2]. GBD 2013 Mortality and Causes of Death Collaborators. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2015;385:117–71.10.1016/S0140-6736(14)61682-2 .

[3]. Pandian JD, Sudhan P. Stroke epidemiology and stroke care services in India. J Stroke. 2013; 15(3):128-34.

[4]. O. Y. Bang, B. Ovbiagele, and J. S. Kim, "Nontraditional risk factors for ischemic stroke: An update," Stroke, vol. 46, no. 12, pp. 3571–3578, 2015. View at Publisher · View at Google Scholar · View at Scopus .

[5]. J. C. Hopewell and R. Clarke, "Emerging Risk Factors for Stroke: What Have We Learned from Mendelian Randomization Studies?" Stroke, vol. 47, no. 6, pp. 1673–1678, 2016. View at Publisher · View at Google Scholar · View at Scopus.

Abstract: Hypertension is considered to be one of the leading causes of morbidity globally. Hypertension increases the risk of cardiovascular disease, renal failure, and peripheral arterial disease(PAD). Ankle brachial index (ABI) is a simple and non-invasive tool to assess the peripheral artery disease. It indicates the presence of atherosclerosis in the peripheral blood vessel. There were a total of 198 patients enrolled in this study. Prevalence of asymptomatic PAD was found to be 47%. There was an inverse correlation between ABI and age, BMI, duration of hypertension, Systolic Blood Pressure(SBP),Diastolic Blood Pressure(DBP) and Pulse Pressure(PP). It would be beneficial to include Ankle Brachial index as a routine in primary care set up as it is safe, easy and patient friendly. Measuring ABI may significantly reduce the future cardiovascular events in hypertensive patients.

Keywords: Atherosclerosis, Cardiovascular, Hypertension, Morbidity, Non-invasive.

[1]. The Seventh Report of the Joint National Committee on Prevention,Detection, Evaluation, and Treatment of High Blood Pressure. The JNC 7report.JAMA 2003; 289:2560.
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Abstract: Antenatalservices are the most effective interventions to improvematernal health and prevent maternal and infant deaths. We conducted a cross sectional study in Chuadanga Sadar Hospital, Bangladesh during the period from 10th August 2018 to 15th September 2018. The study aimed to identifythe factors affecting antenatal care among reproductive agedwomen in Chuadanga district of Bangladesh.A total number of 300 ever-married reproductive aged women with at least one child from Chuadanga District of Bangladeshwere interviewed through a structured questionnaire using purposive sampling technique. Majority of the respondentswere aged between 20-25 years, secondary educated, housewife, Muslim, gotmarried between the ages 16-18 years. Chi-squaretest reveals that, respondent's age, education, age at first marriage, age atfirst birth, nutritional status, monthly.........

Keywords: Interventions, Reproductive, Antenatal Care .

[1]. World Health Organization (WHO) (1948) Health for all.
[2]. Bangladesh Demographic and Health Survey (BDHS). (2011) National Institute of Population.
[3]. United Nation (UN) (2008) The Millennium Development Goals Report 2008, New York.
[4]. United Nation Population Fund (UNFPA) (2004) State of the World‟s Population 2004: Maternal Health, New York.
[5]. Dairo, M. D. and Owoyokum, K. E. (2010) Factors affecting the utilization of antenatal care services in Ibadan, Nigeria vol. 12.

Abstract: Aims: To study the renal histology of nephrectomy specimens in children with renal dysplasia associated with posterior urethral valves and ipsilateral vesicoureteral reflux or obstructed megaureter. Materials and methods: Single institutional retrospective study of children with posterior urethral valves who underwent nephrectomy for diminished renal function between July 2014 to June 2017. Histological examination of each nephrectomy specimen was done. Results: 15 children with a mean age of 44 months ( range 3 - 60 months) underwent unilateral nephrectomy ( left side 10, right side 5) following valve ablation.........

Keywords: Posterior urethral valve, renal dysplasia, primary, secondary.

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