iosr-JDMS   Volume-18 ~ Issue-9 ~ September-2019

Abstract: Background: Patients undergoing cardiac surgery are becoming older and with greater comorbidities, carrying an increased risk for perioperative complications which result in higher mortality and higher costs for the health care service. Objective: Our study is randomized, double-blind, placebo-controlled, multicenter clinical study to evaluate the efficacy of levosimendan given preoperatively in high-risk patients with LVEF ≤35% undergoing cardiac surgery on CPB. Patients and methods: This study was carried out in (Cardiothoracic Department Natinaol Heart Institute, Al Hussin hospital, Air Forced Specialized hospital.......

Key word: Levosimendan, Left Ventricular Systolic Dysfunction, Cardiac Surgery, Cardiopulmonary Bypass

[1]. Mehta RH, Leimberger JD, van Diepen Set al.(2017): Levosimendan in patients with left ventricular dysfunction undergoing cardiac surgery. New England Journal of Medicine, 376(21): 2032-2042.
[2]. Anderson MB, Goldstein J, Milano Cet al.(2015):Benefits of a novel percutaneous ventricular assist device for right heart failure: the prospective RECOVER RIGHT study of the Impella RP device. The Journal of Heart and Lung Transplantation, 34(12): 1549-1560.
[3]. Shahian DM, O'Brien SM, FilardoG et al.(2009): The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 3—valve plus coronary artery bypass grafting surgery. Ann Thorac Surg., 88: 43-62. [4]. Banfor PN, Preusser LC, Campbell TJet al.(2008): Comparative effects of levosimendan, OR-1896, OR-1855, dobutamine, and milrinone on vascular resistance, indexes of cardiac function, and O2 consumption in dogs. American Journal of Physiology-Heart and Circulatory Physiology, 294(1): 238-248.
[5]. Zeng J, He W, Qu Zet al.(2014): Cold blood versus crystalloid cardioplegia for myocardial protection in adult cardiac surgery: a meta-analysis of randomized controlled studies. Journal of Cardiothoracic and Vascular Anesthesia, 28(3): 674-681.

Abstract: Today we are moving the libraries close to the user, gone are the days where we expected the users come to the library and use the resources. The Service now is vice-versa and how best we are able to reach the users is the question of the hour. Perception of the users is changed than what the library personnel used to predict. Library has to provide required information to the user as and when the need arises, otherwise the value of librarydiminish , and librarian have to think twice before adopting any new services or tools in the library. In this context this paper addresses the Perception of the faculty using the services in the VS. Dental College Library , Bangalore.

Key words :E-Book, Dental Science, Helinet, Library, User

[1]. Adedoyin, S.A. (2006 , Jun). Fundraising in Nigerian libraries.Marketing Library Services, 20(3), Retrieved from https://digitalcommons.unl.edu/cgi/viewcontent.cgi?article=1613&context=libphilprac

[2]. Folb BL, Wessel CB&Czechowski LJ.(2011). Clinical and academic use of electronic and print books: the Health Sciences Library System e-book study at the University of Pittsburgh. Journal of the Medical Library Association , 99(3), 218-228. https:// doi:10.3163/1536-5050.99.3.009.

[3]. Foust, J.E., Bergen P., Maxeiner, G.L., &Pawlowski, P.N. (2007). Improving e-book access via a library-developed full-textsearch tool. Journal of Medical Library Association JMLA, 95(1): 40-45.
[4]. Fowowe, S.O. (2004). Funding the academic libraries in Nigeria, A survey of someNigerial university libraries, Available:http://ww.unilrin.edu.ng/unilorin/journals/education/ije/sept1988 Retrieved from Retrieved from https://digitalcommons.unl.edu/cgi/viewcontent.
[5]. MacCall,SL. (2006). Online Medical Books: their availability and an assessment of how health sciences libraries provide access on their public websites, Journal of the Medical Library Association, 94(1), 75-80.

Abstract: The retrospective analysis of hypothyroidism in carcinoma breast patients receiving supraclavicular radiation with different fractionation schedule in a single institution. Materials & Methods Between July 2014 and April 2016, data of 128 patients with breast carcinoma who were treated at the Department of Radiotherapy, N.R.S Medical College, Kolkata, with supraclavicular area radiation with different fractionation schedule were retrospectively analyzed for appearance of hypothyroidism. The two types of fractionation schedules that used were 50 Gy / 25 # / 5 weeks and 42.56 Gy/ 16 # / 3.1 weeks. Results The incidence of hypothyroidism after radiation to the supraclavicular fossa was found to be 19.7% in case of conventional radiation and 17.7% in case of hypofractionated radiation respectively with no statistically significant difference in incidence rates.........

Key words: Breast Cancers, Fractionation,Hypothyroidism, Supraclavicular Radiotherapy

[1]. Dobbs, Jane; Barrett, Ann. 10 Oral cavity. In Practical Radiotherapy Planning Fourth Edition. Abingdon, Oxon: Taylor & Francis; 2009:265-82.
[2]. Alterio, D.; Jereczek-Fossa, B.A.; Franchi, B.; et al. Thyroid disorders in patients treated with radiotherapy for head-and-neck cancer: a retrospective analysis of seventy-three patients. Int. J. Radiat. Oncol. Biol. Phys. 67:144–50; 2007.
[3]. Garcia-Serra, A.; Amdur, R.J.; Morris, C.G.; et al. Thyroid function should be monitored following radiotherapy to the low neck. Am. J. Clin. Oncol. 28:255–8; 2005.
[4]. Chow, L. M.; Nathan, P.C.; Hodgson, D.C.; et al. Survival and late effects in children with Hodgkin's lymphoma treated with MOPP/ABV and low-dose, extended-fieldirradiation.J. Clin.Oncol.24:5735–41;2006
[5]. Hancock SL, McDougall IR, Constine LS. Thyroid abnormalities after therapeutic external radiation. Int J Radiat. Onco. Biol. Phys.; 31:1165-70.1995.

Abstract: AIMS AND OBJECTIVES: To study the association and prevalence of primary open angle glaucoma in Type 2Diabetics attending Rural eye hospital. MATERIALS AND METHODS: It is a prospective study conducted on 200 type 2 diabetics who attended OPD and who came in outreach camps in Sankara eye hospital,Krishnankoil. Type 2 diabetics above 40yrs of age are selected according to Inclusion and Exclusion criteria. Detailed history was taken and they were subjected to complete ocular examination to know the incidence of POAG amongst them. RESULTS: The study group consisted of 102.........

Key words :Type 2 Diabetes mellitus, POAG,Risk factors.

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Abstract: Marfan syndrome (MFS) is a heritable genetic disorder of connective tissue which causes spectrum of disorders involving musculoskeletal, cardiac, and ocular system predominantly. Hereby We report a case of an eleven year old boy who presented to Sankara Eye Hospital Krishnankovil , Virudhu Nagar District , Tamil Nadu State, in October 2018, with complaints of poor vision of 2 years duration both eyes. On Examination of patient features revealed which were similar to Marfan syndrome and bilateral intra ocular lens subluxation . The patient was refracted and glasses recommended which improved his vision were prescribed. The patient was referred to Cardiology , Orthopaedic , Dental departments respectively for multidisciplinary approach to prevent complications and further management.

Key words : Marfan syndrome, Ectopia lentis, Ocular manifestation

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[5]. Dean JC. Marfan's syndrome: Clinical Diagnosis and Management. Eur J Hum Genet.2007;15(7):724-33.
[6]. Eifrig CW , Eifrig DE. Ectopial lentis . E . Medicine Website.

Abstract: Infertility is acommon problem worldwide. Childlessness could be male infertility,female infertility or combined infertility. Infertility has psychological and social impact. Female infertility is due to ovulatory problem, in male semen quality, and idiopathic cause. Sexually transmitted disease (STD), genetic, diabetes, pituitary factors, and toxins also play and importantrole.Diagnosisinclude, semenanalysis, for male, female partner tested for hormonal para meters,e.g.,FSH,TSH, abnormal levels indication of infertility. If the conservative medical treatment fail, physician my advice the patient to undergo in-vitro fertilization(IVF),and assisted reproductive technology (ART).IVF has promising results

Key words : Infertility,Causes, Psychological and social impact,Treatment

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Abstract:In the evolution of management of exstrophy epispadias complex, the recent concept is based on staged operation.
• 1st stage- closure of exstrophy at 3-6 month of age
• 2nd stage-Epispadias repair at school going age(2-3 years)
• 3rd stage- bladder neck reconstruction at the age of 5-7 years
But in almost all exstrophy epispadias complex, despite complete repair, the renal parenchyma undergoes multiple insults and scarring leading to ESRD.So it has been realised in recent years that it is necessary to augment bladder capacity so as to prevent increase in bladder pressure and renal failure.Augmentation cystoplasty has been described using ileum, cecum...........

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Abstract: The goal of this study was to perform an epidemiological survey of the facial bone fractures served in a hospital of Brazil, from 2007 to 2017. The patients' prompt-books served by the maxillofacial surgical team which presented facial fractures were analyzed. A total of 1979 prompt-books were evaluated, of which 1413 presented one or more fractures on the face. The most committed gender was the male one (76,7%), the predominant age was between 21 and 35 years old (39%). The etiology was represented by traffic accidents (45,1%), interpersonal violence (25,8%), falling (13,8%), work accidents (5,3%), sporting accident (5,1%) and trauma in screens (4,9%). From 1856.........

Key words :epidemiological, maxillofacial, fractures

[1]. Krug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health. 2000;90:523-6.
[2]. Carvalho TBO, et al. Six years of facial trauma care: an epidemiological analysis of 355 Cases. Braz J Otorhinolaryngol. 2010;76(5):565-74.
[3]. Alvi A, Dohert T, Lewen G. Facial fractures and concomitant injuries in trauma patients. Laryngoscope. 2003;113:102-6.
[4]. Brasileiro BF, Passeri LA. Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Sur Oral Med Oral Pathol Oral Radiol Endod. 2006;102:28-34.
[5]. Cavalcanti AL, Lima IJD, Leite RB. Perfi l dos Pacientes com Fraturas Maxilo-Faciais Atendidos em um Hospital de Emergência e Trauma, João Pessoa, PB, Brasil. Pesq Bras Odontoped Clin Integr, João Pessoa. 2009; 9(3):339-345.

Abstract:The study evaluated the lung function of both automobile painters and non-painters using peak expiratory flow rate (PEFR).Sixty subjects were randomly selected and divided into two groups of 30 in each group, the first being the test group and the second the control group, with ages rangingfrom 18-55years. Groups were matched for age, height and chest circumference. After being interviewed for respiratory signs and duration of exposure, PEFR was determined using a Mini Wright peak flow meter for each subject in both groups
Pulmonary function marker (PEFR) of the automobile painters showed significant decrease compared with the control group. Also, there was a significant decrease (P<0.05) less value in PEFR of painters exposed for>20years as compared to those exposed for <20years. Exposure to automobile spray paints significantly decreased lung function. Also, duration of exposure has an inverse relationship with PEFR Value

Key words :automobile painters and non-painters, lung function, PEFR.

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[5]. Bernstein, I.L.; Chan-Yeung, M., Malo, J.L. and Bernstein, D.I. (1999): Definition and classification of asthma. In: Asthma in the workplace, New York, marcel Dekker, Pp. 1-4..

Abstract: CATASTROPHIC APLA (CAPS) is defined as rapidly progressive thrombo-embolic disease involving simultaneously three or more organs, organ system or tissue leading to functional defects. It is characterized by multiple arterial and/or venous thrombotic events, including the microcirculation, occurring in a short period, and can affect any system. This syndrome can occur in individuals with known APS under treatment, or it can be its first manifestation; in most cases, there is a triggering factor that can be identified. In the present case report, patient presented with sudden onset blackening of tip of index finger and big toe of left lower limb associated with continuous pain, ischemic in nature indicating microangiopathy and livedo reticularis.

Key words :CAPS, Thrombus, Rare, Emboli

[1]. Miyakis S, Lockshin M, Atsumi T, Branch D, Brey R, Cervera R, et al. International consensus statement on an update of the classification criteria for definite antiphospholipid syndrome (APS). J Thromb Haemost 2006; 4: 295–306.
[2]. Asherson R, Cervera R, de Groot P, Erkan D, Boffa M, Piette J, et al. Catastrophic antiphospholipid syndrome: international consensus statement on classification criteria and treatment guidelines. Lupus 2003; 12: 530–534.
[3]. Vora S, Asherson R, Erkan D. Catastrophic antiphospholipid syndrome. J Intensive Care Med 2006; 21: 144–159.
[4]. Signorelli F, Balbi GGM, Levy RA. Catastrophic antiphospholipid syndrome: A case with unusual findings revealed in autopsy and a brief literature update. Eur J Rheumatol 2017; 4: 281-3.
[5]. Asherson RA, Cervera R, Piette JC, Shoenfeld Y, Espinosa G, Petri MA, et al. Catastrophic antiphospholipid syndrome: Clues to the pathogenesis from a series of 80 patients. Medicine 2001; 80: 355-77..

Abstract: La dissection de l'aorte est une affection grave dont le tableau clinique n'est pas toujours typique, elle se complique rarement d'une pleurésie hémorragique faisant évoquer en premier lieu une pathologie pleuropulmonaire et menant à un retard diagnostique. Nous rapportons deux cas de pleurésie hémorragique sur dissection aortique.Observation n°1: Il s'agit d'un patient de 77 ans, non connu hypertendu, hospitalisé pour le bilan d'une pleurésie gauche de grande abondance, la ponction pleurale a montré un liquide hémorragique non coagulable, le diagnostic de dissection aortique type B de Stanford a été posé par la tomodensitométrie thoracique, le patient a été mis sous traitement..........

Key words :Hémothorax, Dissection, aorte

[1]. P. Magro , M. Ferrandiere , E. Hazouard , E. Lemarie, A. Rabbat Diagnostic des pleurésies (hors cancer), Revue des Maladies Respiratoires; 21, N° 6 - décembre 2004. pp. 1191-119

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[5]. Hagan PG, Nienaber CA, Isselbacher E, et al. The international Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA 2000;283:897—903..

Abstract: The established importance of Forensic Dentistry for human identification, mainly when there is little remaining material to perform such identification (e.g., in fires, explosions, decomposing bodies or skeletonized bodies), has led dentists working with forensic investigation to identify the deceased individual and the culprit in medico-legal cases. The blood group once it is formed in an individual can't be changed in their life time and dental pulp is protected by the surrounding calcified structures namely enamel and dentin, so blood group and dental pulp use has its own significance in identity. This review discusses about the survival of dental pulp under different climatic conditions.

Key words :Forensic odontology, Human identification, Pulpal blood group

[1]. Senn DR, Stimson PG. Manual of Forensic Odontology. Taylor and Francis group CRC press 2nd edition, 2013;18-28.
[2]. Da Silva RHA, Sales-Peres A, de Oliveira RN, de Oliveira FT, Sales-Peres SH de C. Use of dna technology in forensic dentistry. Journal of Applied Oral Science. 2007;15(3):156-161.
[3]. Pramod JB, Marya A, Sharma V. Role of forensic odontologist in post mortem person identification. Dental Research Journal. 2012;9:522-30.
[4]. B. Rai, J. Kaur. Evidence-Based Forensic Dentistry. Springer-Verlag Berlin Heidelberg. DNA technology and Forensic Odontology. 2013.
[5]. Karthika B, Elumalai M. Identity of blood group from dental pulp of deceased human. Int J Pharm Bio Sci 2013;4:1000-4..

Abstract: Diseases of gall bladder are not uncommon disorder. Most of the cases with gall bladder diseases admitted in hospitals require surgical intervention. Although gall bladder disease is most often found in women. Gall bladder diseases usually develop in people who are over 40 years of age and overweight. Abnormalities of the gall bladder depend up on the basic etiological factor such as inflammation, congenital anomalies , metabolic andtumors. Cholelithiasis and cholecystitis are common association. Diagnosisof carcinomagall bladder is madehistopathologically rather than clinically .Microscopic examination of every excised gallbladder is mandatory on the basis of information and knowledge, early cholecystectomy in all patients with cholelithiasis and cholecystitis offer best hope of minimising the mortality due to carcinoma of gall bladder.

Key words :Cholecystectomy ,Histopathologically, Cholelithiasis, Carcinoma

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Abstract: Myofascial pain syndrome is a pain disorder in which unilateral pain is referred from the trigger point in myofascial structures to the muscle of head and neck. The various treatment modalities of it include medications like pain relievers, antidepressant, sedative and physical therapies include stretching, thermotherapy and ultrasound massage therapy. Dry needling is a therapeutic technique which is being widely studied as a treatment for MPS. It is also known as intramuscular manual stimulation or intramuscular needling. This technique uses a "dry" needle, one without medication or injection, inserted through the skin into areas of the muscle. The goal of dry needling is to alleviate the myofascial trigger point in the muscle, thereby restoring the muscle to its......

Key words :Dry needling, Myofascial pain syndrome, trigger point therapy

[1]. Fernández-de-Las-Peñas C, Nijs J. Trigger point dry needling for the treatment of myofascial pain syndrome: current perspectives within a pain neuroscience paradigm. Journal of pain research. 2019;12:1899.
[2]. Unverzagt C, Berglund K, Thomas JJ. Dry needling for myofascial trigger point pain: a clinical commentary. International journal of sports physical therapy. 2015 Jun;10(3):402.
[3]. Pal US, Kumar L, Mehta G, Singh N, Singh G, Singh M, Yadav HK. Trends in management of myofacial pain. National journal of maxillofacial surgery. 2014 Jul;5(2):109.
[4]. Dunning J, Butts R, Mourad F, Young I, Flannagan S, Perreault T. Dry needling: a literature review with implications for clinical practice guidelines. Physical therapy reviews. 2014 Aug 1;19(4):252-65.
[5]. Fogelman Y, Kent J. Efficacy of dry needling for treatment of myofascial pain syndrome. Journal of back and musculoskeletal rehabilitation.2015 Jan 1;28(1):173-9..