iosr-JDMS   Volume-19 ~ Issue-7 ~ JuLy 2020

Abstract: background: Epilepsy is a common neurological disorder in children which often require longterm antiepileptic therapy,Valproic acid is widely used antiepileptic drug as it has broad-spectrum activity and its well tolerated. Alteration in body weight and BMI has been reported with valproate and other anticonvulsants on longterm medications,although the real incidence and magnitude of the problem is still controvertial, and hardly any comparative study is available in paediatric population.Our study aims to evaluate and compare the changes in bodyweight and BMI, in patients with childhood epilepsy on valproate or other anticonvulsants monotherapy.method: 80 children with newly diagnosed epilepsy attended in our hospital from july 2018 to july 2019 were includedin our study and.....

Keywords: anticonvulsants,valprote,epilepsy,BMI,W.H.O,growth chart,Z-score,percentile

[1]. Cnaan A, Shinnar S, Arya R. Second monotherapy in childhood absence epilepsy. Neurology 2017; 88: 182-190
[2]. Garzon P, Lemelle L, Auvin S. Childhood absence epilepsy: An update. Arch Pediatr 2016; 23: 1176-1183.
[3]. Laljee, H.C.K. and Parsonage, M.J. Unwanted effects of sodium valproate in the treatment of adult patients withepilepsy. In: The Place of Sodium Valproate in rheTreatment of Epilepsy: Royal Sociery of Medicine International Congress and Symposium No. London, Academic Press and Royal Society of Medicine, 1980: pp.141-158.
[4]. Dam, M. and Gram, L. Weight changes in epileptic patients treated with valproate. Presented at: DanishEpilepsy Society Meering: Valproare in the treatment of seizures. May 1981: pp. 83-86. the Paediatric EPITEG Collaborative Group. A multicentre comparative trial of sodium valproate and carbamazepine in paediatric epilepsy. Developmental Medicine and Child Neurology 1995: 37: 97-108. 4. de Silva, M.. MacArdle, B.. McGowan,
[5]. Egger J, Brett EM. Effects of sodium valproate in 100 children with special reference to weight. Br Med J 1981; 283: 577–581.

Abstract: Background: Though local analgesia is used to alleviate pain and render dental procedures comfortable, its administration using injectable mode of delivery itself induces pain. Chemically derived analgesic agents are frequently used to achieve topical analgesia before or during dental procedures. However, few herbal agents are observed to show anesthetic properties. One such agent described in literature but evaluated minimally in medical and dental field is lavender oil. The present in-vivo study was planned to compare and evaluate efficacy of essential oil (lavender oil) against 20% benzocaine gel as topical analgesic agent in order to minimize pain before or during injecting local anesthesia. Materials and Methods: 50 children between 6-14 years, requiring bilateral extraction of maxillary teeth through local infiltration anesthesia were....

Key words: Benzocaine, Lavender oil, pain perception, topical analgesia

[1]. Baghdadi ZD. Evaluation of electronic dental anesthesia in children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999; 88(4): 418-23.
[2]. Asarch T, Allen K, Petersen B, Beiraghi S. Efficacy of a computerized local anesthesia device in pediatric dentistry. Pediatr Dent. 1999; 21(7): 421-4.
[3]. Bennet CR. Chapter 3: Regional analgesia (regional anesthesia, local anesthesia). In: Bennet CR, eds. Monheim‟s Local anesthesia and pain control in dental practice. 7th ed. Canada, Decker BC,1990: 57.
[4]. Campbell AH, Stasse JA, Lord GH, Willson JE. In vivo evaluation of local anesthetics applied topically. J Pharm Sci. 1968; 57(12): 2045-8.
[5]. Meechan JG. Intraoral topical anesthesia. Periodontol 2000. 2008; 46: 56-79..

Abstract: The main objective of this article is to provide an overview of emerging trends and impacts of emerging technologies in the future of radiology. The combination of two major innovations is playing a central role in this revolution, namely, the Internet and the digitisation of medical information. Technological advancements in conjunction with innovative thinking have led to changes in the radiology industry. For radiologists, constant innovations in medical information technology have not only allowed delivering higher-quality and faster imaging services to patients, but also helps prevent them themselves from experiencing burnout. Therefore, to take full advantage of these benefits, radiologists need to become educated as to what is available and then equip themselves with the new technologies and skills that will provide them with the most benefit. We will review the different areas of innovation that will shape global radiology.

Key words: Radiology, Imaging informatics, Artificial Intelligence, 3D Printing, Extended Reality

[1]. Margulis AR. Interventional diagnostic radiology – a new subspecialty. AJR Am J Roentgenol 1967;99:7612.
[2]. Hricak H. Oncologic imaging: a guiding hand of personalized cancer care. Radiology 2011;259:63340.
[3]. Boucher RC. Status of gene therapy for cystic fi-brosis disease. J Clin Invest 1999;103:4415. doi:10.1172/JCI6330
[4]. Hamburg MA, Collins FS. The path to personalized medicine. N Engl J Med 2010;363:3014.doi:10.1056/NEJMp1006304
[5]. Thrall JH. Personalized medicine. Radiology 2004;231:613–6.doi:10.1148/radiol.23130403237..

Abstract: The aim was to assess the knowledge and awareness onInfectious diseasesduring pregnancy and their effect on pregnancy outcome among married or previously married women living in Riyadh, Saudi Arabia.Materials and Methods:A questionnaire was prepared online by Google Forms containing three sections: demographic data, health disorders during pregnancy, and selected infectious diseasesand their complications on pregnancy outcome. A rating scale format was applied with agree, do not know, and do not agree options. A pilot study was performed and evaluated for validity. The questionnaire was distributed through social media networks targeting married women across Riyadh, Saudi Arabia. Results:A data of (491) respondents was analyzed,(40.4%) were among the 25-34 age group, and (60.3%)indicated a bachelor'sdegree.Of the sample a (45.2%)reported previous complications with pregnancy, mainly anemia in (33.9%), followed by gestational diabetes in almost (28%). More than two thirds (67.8%) were oblivious that Zika virus could result in microcephaly in infants(P=....

Keywords: awareness, women,infectious diseases, pregnancy outcome, Saudi Arabia.

[1]. Pregnancy. World Health Organization. http://www.who.int/topics/pregnancy/en/. Published January 29, 2018. Accessed August 23, 2018. [2]. Soma-Pillay P, Nelson-Piercy C, Tolppanen H, Mebazaa A. Physiological changes in pregnancy. Cardiovascular Journal of Africa. 2016;27(2):89-94. doi:10.5830/cvja-2016-021.
[3]. Yadav R, Maity S, Saha S. A review on TORCH: groups of congenital infection during pregnancy. Journal of Scientific and Innovative Research. 2014; 3 (2): 258-264 [4]. Nunes ML, Carlini CR, Marinowic D, et al. Microcephaly and Zika virus: a clinical and epidemiological analysis of the current outbreak in Brazil. Jornal de Pediatria. 2016;92(3):230-240. doi: 10.1016/j.jpedp.2016.04.001.
[5]. Chibuike EC, Tirado V, Lopes K da S, et al. Zika virus infection in pregnancy: a systematic review of disease course and complications. Reproductive Health. 2017;14:28. doi:10.1186/s12978-017-0285-6.

Abstract: Background: Years of Boko Haram insurgency in the north east, herder-farmer clashes in the middle belt and serial communal clashes across Nigeria have forced millions of people away from their homes into ad-hoc camps with limited access to the most basic necessities of life, including health care. Consequently, in 2012, the Nigerian government adopted a national policy on internally displaced persons (IDPs) with the aim of strengthening institutional mechanisms for the realization of the rights, dignity and wellbeing of individuals in humanitarian situations. Despite these policy objectives, internally displaced persons in Nigeria still get less than dignified conditions in humanitarian conditions and access to health care has remained challenging. This study sought to understanding health care provisioning and utilization at an IDPs' camp in Jos, north central Nigeria.....

Key words: internally displaced persons, health care, resource limitation, primary health care, Nigeria.

[1]. IDMC, NRC. Global Report on Internal Displacement 2019. [Online]. Available at: http://www.internal-displacement.org/ global-report/grid2019/. Accessed May 13, 2019.
[2]. United Nations. 1998. Guiding Principles on Internal Displacement. 2nd ed. New York: Office for the Coordination of Humanitarian Affairs (OCHA).
[3]. United Nations Commission on Human Rights. 1998. Report of the Representative of the Secretary‑General on Internally Displaced Persons: Guiding Principles on Internal Displacement, UN doc.E/CN.4/1998/53/Add. 2.
[4]. Odusanya, O.O. 2016. The Health of Internally displaced persons. Niger Postgrad Med J 2016;23:159-60
[5]. Owoaje ET, Uchendu O, Ajayi TO, Cadmus E. 2016. A review of the health problems of internally displaced persons in Africa. NigerPostgrad Med J., 23:161-71.
[6]. Salama P, Spiegel P, Brennan R. 2001. No less vulnerable: the internally displaced in humanitarian emergencies. Lancet. 2001;357 (9266):1430-1..

Abstract: Microstomia is a condition of limited mouth opening which may result by multiple factors like neoplasms, burns, traumatic surgery, scleroderma, Plummer-Vinson syndrome, etc. A dentist faces a challenge to make impressions in such cases. This case-report describes a technique to fabricate a sectional collapsible complete denture for a patient with microstomia by using sectional trays.

Keywords: Collapsible denture, Sectional trays, Microstomia

[1]. Siwach S., Siwach V. An innovative design of collapsiblecomplete denture in a patient withscleroderma: a case report. JPFA 2011;25:154-158.
[2]. Sandeep Kumar, Aman Arora, and ReenaYadav. Foldable Denture: ForMicrostomia Patient. Case Reports in Dentistry2012:1-3
[3]. Lopez J Jr. Surgical management of microstomia in the dental office. J AmDent Assoc 1978;97:840-2.
[4]. Haas SE. Implant-supported, long-span fixed partial denture for a sclerodermapatient: a clinical report. J Prosthet Dent 2002;87:136-9.
[5]. S. Dhanasomboon and K. Kiatsiriroj. Impression procedure for a progressive sclerosis patient: a clinical report. JPD 2000;83:279-282.

Abstract: Intussusception is a rare form of bowel obstruction in adults which is defined as telescoping of the proximal segment of the gastrointestinal tract into the lumen of the adjacent distal segment 1.The overall incidence of intussusception in adults is 2-3 cases per 1 million general population annually2 This article describes a case of male patient with no previous operation,no pathology of intestinal tract and no malignancy- CT reveals ileo-ileal intussusception with secondary volvulus. Exploratory laparotomy revealesgangrene bowel .Intussusception and Volvulus found approximately 10 -15cm away from ileocecalvalve.The gangrenous bowel segment resected using stapler.The patient had an uneventful recovery

[1]. Barbette p.QuevresChirurgiques at Anatomiques.Geneva, Switzerland:Francois Meige1674
[2]. Velse C. De MutuoIntestinorumingress.LugduniBatavorum.JLuzac 1742
[3]. AbdulazizAlmutawae et al.Adultintussuception Bahrain Med Bull 2016;38(4):245-246.
[4]. Duncan L,Sandeepalsidhuet al.Missed case of intussusceptions , a rare cause of abdominal pain in adult.Elsevier journal 2019
[5]. Daneman A, Navarro O (2004) Intussusception Part 2: An update on the evolution of management. PediatrRadiol 34:97-108

Abstract: The loss of the facial structures can have a physical, social and psychological impact on those affected .Maxillofacial prostheses which restore and replace stomatognathic and associated facial structures with artificial substitutes, aim to improve the patient aesthetics, restore and maintain health of the remaining structures and consequently provide physical and mental well being. Accurate impressions of these tissues facilitate a close adaptation of the custom prosthesis to the tissue bed resulting in better potential for movement by the patient. Treatment of such cases includes implants and acrylic eye prosthesis. Due to economic factors it may not be advisable in all patients. A custom-made ocular prosthesis is a good alternative. A case of a custom-made ocular acrylic prosthesis is presented here, which had acceptable fit, retention and esthetics.

Key Words: Maxillofacial prosthesis, stomatognathic, anophthalmic cavity (AC), ocular prosthesis(OP).microbial assessment, PMMA (polymethyl methacrylate).

[1]. Bankoti P, Singhal MK, Nair C, Chandra P. Characterization of an eye prosthesis using monopoly syrup. Indian J Dent Res 2016;27:553-8.
[2]. Taylor T. Clinical Maxillofacial Prosthetics. Chicago, Ill, USA: Quintessence; 2000.
[3]. Nafij BJ, Theerathavaj S, Mohammad KA. A complete procedure of ocular prosthesis: A case report. Int Med J 2013;20:729‑30.
[4]. Kaur A, Pavaiya A, Singh SV, Singh RD, Chand P. A simplified approach to fabrication of an ocular prosthesis: A case series. Indian J Dent Res 2010;21:615‑7.
[5]. Cain JR: Custom Ocular Prosthetic. The Journal of Prosthetic Dentistry, 1982; 48(6):690-694..

Abstract: Spirurid nematode of the genus Thelazia may rarely infect humans through aberrant transmission.We here report a case series of four patients (one male child,two adult male and one adult female) of ocular Thelaziasispresenting in Regional Institute of Medical Sciences, Imphal hospital Ophthalmology OPD within a span of last one and half year.The child presented with redness and discharge of the right eye.The other three patients presented with spontaneous expulsion of worms from eyes. Worms were removed from threeof them with forceps using topical anaesthesia.All the patients were treated symptomatically.The patients responded well and had no complaint on subsequent visits.Worms from all the cases were identified to be Thelaziacallipaeda by the Microbiology Department of the same institute. All four cases could be linked to a poor sanitary condition in the household.

Key word:Human ocular Thelaziasis, Thelaziacallipaeda, Eye worm

[1]. Otranto D, Traversa D. Thelaziaeyeworm: an original endo-and ecto-parasitic nematode. Trends in parasitology. 2005 Jan 1;21(1):1-4.
[2]. Koyama Y, Ohira A, Kono T, YONEYAMA T, SHIWAKU K. Five cases of thelaziasis. British Journal of Ophthalmology. 2000 Apr 1;84(4):439-.
[3]. Leiper RT. Thelaziasis in man: A summary of recent reports on "circumocularfilariasis" in Chinese literature, with a note on the zoological position of the parasite. The British journal of ophthalmology. 1917 Sep;1(9):546.
[4]. Friedmann M. Thelaziacallipaeda, the'oriental eye worm'. Antiseptic. 1948;45(9):620-6.
[5]. Zakir R, Zhong-Xia Z, Chiodini P, Canning CR. Intraocular infestation with the worm, Thelaziacallipaeda. British journal of ophthalmology. 1999 Oct 1;83(10):1194-

Abstract: Giant cell tumour of soft tissue is a rare primary soft tissue tumour with low malignant potential and great tendency to recur. It frequently arises in the lower limbs especially over thigh, trunk and upper limb. It resembles giant cell tumour of bone clinically and pathologically. Here by, we report one such case which was treated by excision and has recurrence after 4 months.

Key words: Giant cell tumour, Soft tissue, Malignancy, Recurrence

[1]. Salm R, Sissons HA; Giant cell tumours of soft tissues.JPathol. 1972 ;107:27-39.[pubmed] [Google Scholar]
[2]. Guccion JG, EnzingerFM ;malignant giant cell tumour of soft parts ; an analysis of 32 cases.cancer.1972 Jun;29(6):1518-29.
[3]. oliveira AM, Dei Tos AP, Fletcher CD. Primary giant cell tumour of soft tissue: a study of 22 cases. Am J surg pathol.2000;24:1175-1176.[PubMed] [Google Scholar]
[4]. An SB, Choi JA, Chung JH, Oh JH, Kang HS. Giant cell tumour of soft tissue: a case with atypical US and MRI findings. Korean J Radiol.2008;9:462-465.[PMC free article] [\Pub Med] [Google Scholar]
[5]. DoddLG, Major N, Brigman B. Malignant giant cell tumour of soft parts. Skeletal Radiol.2004;33:295-299. [Pub Med] [Google Scholar]

Abstract: Giant cell fibroma is a non-neoplastic lesion of fibrous connective tissue origin with distinct clinicopathologic features. The presence of large multinucleated stellate fibroblasts led to the tumor being named a Giant Cell Fibroma. This case report outlines the diagnosis, clinical features, histopathological findings and management of a Giant Cell Fibroma on the dorsum of the tongue using Laser.

Key Words: Giant Cell Fibroma, Stellate fibroblast, Laser

[1]. Weathers DR, Callihan MD. Giant-cell fibroma. Oral Surg Oral Med Oral Pathol 1974; 37: 374-84.
[2]. Neville BW , Damm DD, Allen CM, Bouquot J.E. Oral and maxillofacial pathology, 3rd edit ion,Saunders Elsevier, St. Louis, 2009, 439-40.
[3]. Swan RH. GCF. A case presentation and review. J Periodontol. 1988;59(5): 338 – 340.
[4]. Madi M, Babu SG, Achalli S, Shetty SR. Giant cell Fibroma: A case report. Journal of Marmara University Institute of Health Sciences 2014;4(1):58-62
[5]. DR Weathers, WG CampbellUltrastructure of the giantcell fibroma of the oral mucosa Oral Surg Oral Med Oral Pathol, 38 (1974), pp. 550-561

Abstract: INTRODUCTION : Abdominal surgeries are one of the most common operations performed as an emergency procedure1. After these surgeries in the postoperative period, surgical site infection is one of the most common complications leading to superficial wound disruption or burst abdomen resulting in increased postoperative hospital stay. Later it may also result in incisional hernia. Postoperative wound infection was considered a surgeons nightmare. It is the third most common cause of nosocomial infection and is highly associated with morbidity and mortality. OBJECTIVES : To know the incidence of wound infection based on......

[1]. David J. Leaper. 2004. "Surgical infection." Bailey & Love's short practice of surgery, 25th edition, p 32-48..