iosr-JDMS   Volume-19 ~ Issue-9 ~ Sep. 2020

Abstract: Introduction: Pregnancy is a period throughout which women undergo significant changes. The intense immunological, endocrinal, metabolic and vascular alterations may predispose the pregnant women to increased susceptibility to physiological and pathological skin changes. Pregnancy related skin changes can be classified as physiological changes, specific dermatoses and pregnancy related dermatoses. Materials and Methods: Study material comprised of 200 pregnant women with skin diseases attending the skin OPD of Department of Dermatology, SVS Medical College And Hospital, Telangana. The study comprised women in all the trimesters of pregnancy who attended the skin OPD with specific skin complaints. A detailed history was elicited with reference to presenting disease and in relation to pregnancy. A detailed clinical examination was done to note all physiological and pathological skin changes. Routine investigations like blood, urine and stool were done in all cases and in sexually transmitted diseases VDRL and ELISA for HIV were done........

Key Words: Pruritus, Pregnancy, Dermatoses, PUPP.

[1]. Shivakumar V, Madhavamurthy P Skin in pregnancy. Indian J Dermatol. Venereol Leprol 1999; 65:23-5.
[2]. Fitzparick.T.B, Eisen.A.Z, Wolff.K et al Dermatology in general medicine NewYork 1979 McGraw Hill Book Co-1363.
[3]. P.Pilani Patel, 'Pregnancy and Skin',JFMPC,Oct 014:Vol:3:Issue:4:page:318-323.
[4]. Muzaffar F, Hussain I, HaroonTS. Physiologic skin changes duringpregnancy: A study of 140 cases Int J Dermatol 1998; 37:429-31.
[5]. Ayse Neslin Akkoca1, *, Zeynep Tugba Ozdemir2, Raziye Kurt3, Bilge BulbulSen1, Erhan Yengil1, Celalettin Karatepe4 Oya Soylu Karapınar3, CahitOzer1, 'Physiological skin changes in pregnancy 'Obstetrics and GynecologyClinc,FMIMJ, -2014 Pages-33-36.

Abstract: Background: The stability of peri-implant tissues, especially the marginal bonelevel in tilted implants restoredwith single crowns has not been investigatedextensively. The currentstudyaims to determine the potential influence of implant inclination on peri-implant marginal bonelossafter 12 months of functionalloading. Materials and Methods: The study population included patients who received 96 single crowns on axial or tilted implants. Parallel radiographs made at baseline and 12 months after loading, were analyzed to evaluate the marginal bone loss at the mesial and distal side. A cumulative score was calculated, and both groups were compared using T-test.......

Key Word:Dental implants;Peri-implant tissues;Tilted implants; Single crowns;Peri-implant marginal bone loss

[1]. De Rouck T, Collys K, Cosyn J. Immediate single-tooth implants in the anterior maxilla: a 1-year case cohort study on hard and soft tissue response. Journal of clinical periodontology. 2008 Jul; 35(7): 649–657.
[2]. Kim Y, Oh TJ, Misch CE, Wang HL. Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale. Clinical oral implants research. 2005 Feb; 16(1): 26–35.
[3]. Jordanov B.Single Unit restorations over implants – esthetical and functional requirements [In Bulgarian] Infodent. 2014 Jun; 22–32.
[4]. Testori T, Weinstein T, Scutellà F, Wang HL, Zucchelli G. Implant placement in the esthetic area: criteria for positioning single and multiple implants. Periodontology 2000. 2018 Jun; 77(1): 176–196.
[5]. Capelli M, Zuffetti F, Del Fabbro M, Testori T. Immediate rehabilitation of the completely edentulous jaw with fixed prostheses supported by either upright or tilted implants: a multicentre clinical study. The International journal of oral & maxillofacial implants. 2007; 22(4): 639–644.

Abstract: Introduction: Nephropathy is one of the serious diabetic complications and haemodialysis the common modality employed generally aimed to correct the altered crystalloids as well as to remove accumulated nitrogenous waste products. But it rarely corrects the vascular lipid levels, hence increasing the thrust of dyslipidaemia and dyslipidaemia induced cardiovascular complications in these patients. A study was planned to assess the cardiovascular risk factors, Cardiac Risk Ratio, Atherogenic Index of plasma and Atherogenic Coefficient in these patients to evaluate the cardiovascular risk. Materials and Methods: Patients of type 2 diabetes suffering from diabetic nephropathy undergoing haemodialysis at Department of......

Key Words: Diabetic Nephropathy. Haemodialysis, Cardiac Risk Markers

[1]. Johansen JS, Jensen BV, Roslind A, Nielsen D, Price PA: Serum YKL-40, a new prognostic biomarker in cancer patients? Cancer Epidemiol Biomarkers Prev.2006;15:194 –202.
[2]. Recklies AD, White C, Ling H: The chitinase 3-like protein human cartilage glycoprotein 39 (HC-gp39) stimulates proliferation of human connective tissue cells and activates both extracellular signal-regulated kinase-and protein kinase B-mediated signallingpathways. Biochem J.2002;365:119 –126.
[3]. Jun Ho Le, Sang Soo Kim , In Joo Kim, Sang HeonSong.Clinical implication of plasma and urine YKL-40, as a proinflammatory biomarker, on early stage of nephropathy in type 2 diabeticpatients.Journal of Diabetes and Its Complications.2012;26:308-312.
[4]. Anders R. Nielsen, Christian Erikstrup, ,Julia S. Johansen,Rikke Krogh-Madsen,SarahTaudorfet.al.Plasma YKL-40 .A BMI-Independent Marker of Type 2 Diabetes.Diabetes .2008;57: 3078-3082.
[5]. A. K., Omerovic, E.,&Vestergaard, H.YKL-40 levels are independently associated with albuminuria in type 2 diabetes. Cardiovascular Diabetology.2011; 10 (54):1-6..

Abstract: Introduction: Acute respiratory failure may be defined as disruption in the function of the respiratory system that acutely impairs delivering adequate oxygen to or removing carbon dioxide from pulmonary capillary bed or both. It has varied etiology-related manifestations and has a high mortality in the pediatric age group. The diagnosis of respiratory failure relies primarily on arterial blood gas (ABG) analysis. Materials and Methods: An observational retrospective analysis of 60 patients of ARDS admitted at Medical Intensive Care Unit of a tertiary care teaching hospital for a period of 2 years. This study included 60 consecutive ARDS patients who fulfilled the AECC definition of ARDS. Patients who were not on mechanical ventilator were excluded from study...........

Key Words: Acute respiratory failure, ARDS, AECC, ABC Analysis

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[5]. Davis SL, Furman DP, Costarino AT, Jr. Adult respiratory distress syndrome in children: associated disease, clinical course, and predictors of death. J Pediatr. 1993;123(1):35-45

Abstract: Direct anterior composite restorative procedures have gained a lot of popularity in the recent years due to their advantages such as immediate esthetics, minimal invasion, cost effectiveness, adhesion to tooth structure and as a chair side treatment modality. A traumatic injury to the dental hard tissue is the most common cause of tissue loss in the esthetic zone of the dentition.Esthetic restoration of fractured incisal edge of maxillary central incisors is demanding, challenging&techniquesensitive. Itssuccessdependsonoperator'sskillsandknowledge. It is important that not only the anatomy is replicated;also, the various shades are placed in proper thickness and position. This case report illustrates the use of a putty index technique for the reproduction of palatal anatomy of the teeth which needs estheticcorrections.

Key Words: Composite resin restoration, Ellis class II fracture, Putty index.

[1]. Yildirim Z, GÖMEÇ ÖY. Treatment approaches for traumatized anterior teeth with excessive tissue loss: three case reports. J Istanbul UnivFac Dent 2017; 51(2):54-60.
[2]. Kim KY, Kim SY, Kim DS, Choi KK. Use of temporary filling material for index fabrication in Class IV resin composite restoration, RestorDent Endod2013;38(2):85-89.
[3]. Sherwood A ,RathakrishnanM, Savadamaoorthi KS, Bhargavi P, Kumar VV. Modified putty index matrix technique with mylar strip and a new classification for selecting the type of matrix in anterior proximal/incisal composite restorations. Clinical Case Reports 2017; 5(7):1141-1146.
[4]. Peumans M, De Munck J, Fieuws S, Lambrechts P, Vanherle G, Van Meerbeek B. A prospective ten-year clinicaltrialof porcelain veneers. J Adhes Dent2004;6(1):65–76.
[5]. Al-Khayatt AS, Chaudhuri AR, Poyser NJ, BriggsPF, Porter RW, Kelleher MG et al. Direct composite restorationsforthewornmandibularanteriordentition: a 7-year follow-up of a prospective randomisedcontrolled split-mouth clinical trial. J Oral Rehabil. 2013;40:389-401.

Abstract: The Young colorectal cancer patients account for 5-15% of total colorectal cancer patients. The disease in these patients is aggressive with poor clinical response and outcome.There is a recent trend in increased incidence of rectal cancers in young adults.This is a retrospective analysis of colorectal cancer in young adults (age below 40 years of age) in a single instituition comprising of seventeen patients over a period of two years. Results showed that most of these cases were detected in late stages and are associated with an aggressive course, poor response and unfavorable outcomes .

Key Words: Rectum in young, rectal cancer, cancer outcomes.

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Abstract: Background: A full crown is a restoration that replaces part of the lost tooth structure and support the tooth structure. A full ceramic crown is the right choice for maximum aesthetic requirements. The prognosis of crown restoration one of them depends on internal fit because it is used to assess quality of crown restoration and adaptation. Crown adaptation is obtained from impression techniques namely conventional or digital impression technique. There are two conventional impression techniques for the treatment of fixed denture, namely one-step putty-wash and two-step putty-wash impression technique. The aim of this study is to find the differences among internal fit of all ceramic crownsobtained from one-step putty-wash, two-step putty-wash and digital impression techniques.

Key Words: Internal fit, all ceramic crown, one-step putty-wash, two-step putty-wash, CAD/CAM

[1]. Shilingburg HT, et al. Fundamental prostodontikcekat, ed 4. Alih Bahasa. Subrata G, Adenan A, Dziab H, Mulya V, Greviana N. Jakarta: EGC,2016:1.
[2]. Ahlholm P, Sipilä K, Vallittu P, Jakonen M, Kotiranta U. Digital versus conventional impressions in fixed prosthodontics: a review. J Prosthodont2018; 27:35-6.
[3]. Svanborg P, SkjervenH,Carlsson P, Eliasson A, Karlsson S, Örtorp A. Marginal and internal fit of cobalt-chromium fixed dental prostheses generated from digital and conventional impressions. Int J Dent2014; (534382):1-2.
[4]. Rai R, Kumar SA, Prabhu R, Govindan RT, Tanveer FM. Evaluation of marginal and internal gaps of metal ceramic crowns obtained from conventional impressions and casting techniques with those obtained from digital techniques. Indian J Dent Res2017; 28: 2.
[5]. Pedroche LO, et al. Marginal and internal fit of zirconia copings obtained using different digital scanning methods. Braz Oral Res2016; 30:4-5.

Abstract: Background: Keeping the pulp's vitality must be the dentist's first priority. An important precedence in the treatment of deep carious is to preserve pulp vitality.Calcium hydroxide is the gold standard for the pulp capping materials. However in long term clinical studies of pulp capping with calcium hydroxide base materials, failure rates increase after a period of time.As an alternate to calcium hydroxide, Mineral Trioxide aggregate (MTA) has been developed on the basis of calcium silicate water chemistry which contain a mixture of tri-calcium silicate, di-calcium silicate, tri-calcium aluminate, tetra-calcium alluminoferite, calcium sulphate dehydrate and bismuth oxide for radio-opacity.Newly developed BiodentineTMhas a number of advantages over calcium hydroxide and MTA. This bioactive tricalcium silicate is diverse from the usual dental calcium silicate "Portland Cement" materials. The setting reaction is a hydration of tricalcium silicate which produces a calcium silicate gel and a calcium hydroxide. In contact with phosphate ions, it creates precipitates that resemble hydroxyapatite. These precipitates from MTA and tricalcium silicate can be incorporated into dentin. A comparison of the calcium and silica uptake with MTA versus tricalcium silicate demonstrated a greater uptake achieved with tri-calcium silicate. There was an increase in the carbonate content of interfacial dentin, which suggested that inter tubular diffusion and mineral tags of BiodentineTM hydration products creating a hybrid zone.BiodentineTM......

[1]. BjØrndl L, Kidd EA. The treatment of deep dentine caries lesions. Dent Update. 2005; 32 (7):402-13.
[2]. Thompson V, Craig RG, Curro FA. Treatment of deep carious lesions by complete excavation or partial removal a critical review. J Am Dent Assoc. 2008; 139:705-712.
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[4]. Miyashita H, Worthington HV, Qualtrough A, Plasschaert A. Pulp management for caries in adults: maintaining pulp vitality. Cochrane Database yst. Rev. 2007; 18(2): CD004484.
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Abstract: Nickel titanium alloy is useful in clinical orthodontics because of its exceptional springiness. The pioneer behind the development of these wires for orthodontics was Andreasen. There are two major phases in the nickel titanium wires. The austenitic phase has the ordered body centered cubic structure that occurs at high temperatures and low stresses. The martensitic phase has a distorted monoclinic, triclinic or hexagonal structure that forms at low temperature a high stress. The shape memory characteristics of the nickel titanium alloys are associated with a reversible transformation between the austenitic and martensitic phases. The martensitic phase forms from the austenitic phase over a certain transformation temperature range or when the stress is increased above

[1]. Andreasen GF, Morrow RE. Laboratory and clinical analyses of nitinol wire. Am J Orthod. Published online 1978.
[2]. Burstone CJ. Variable-modulus orthodontics. Am J Orthod. Published online 1981.
[3]. Kusy RP. A review of contemporary archwires: Their properties and characteristics. Angle Orthod. Published online 1997.
[4]. Burstone CJ, Qin B, Morton JY. Chinese NiTi wire-A new orthodontic alloy. Am J Orthod. Published online 1985.
[5]. Iijima M, Muguruma T, Brantley WA, et al. Effect of coating on properties of esthetic orthodontic nickel-titanium wires. Angle Orthod. 2012;82(2):319-325.

Abstract: Virtual Autopsy or Virtopsy is a growing alternative method for a conventional autopsy that is performed by various imaging techniques for various purposes such as clinical, medico-legal, anatomical. In a conventional autopsy, the dead body is dismembered which is difficult for the remembrance of that person by their family which can be prevented by the use of virtual autopsy. A medico-legal autopsy is done in case of unnatural death of a person, one of which is drowning, it is very difficult to diagnose even with conventional or traditional autopsy but there have been several experiments and findings to diagnose drowning with imaging techniques. Computed tomography was one of the first imaging technique to be used for virtual autopsy, however, over the period various techniques were being used like multi-section computed tomography, micro-computed tomography, magnetic resonance imaging, magnetic resonance microscopy...........

Key Words: Virtual Autopsy, Drowning, Imaging Techniques, Virtopsy

[1]. Kruţić I, Jerković I, Mihanović F, Marušić A, Anđelinović Š, Bašić Ţ. Virtual autopsy in legal medicine: literature review and example of application on the mummified remains. Medicine, Law & Society. 2018 Oct 22;11(2):67-90. [2]. Aggarwal K, Chauhan A, Shukla SK. Implementation of Virtual Autopsy in Forensic Medicine. Indian Journal of Forensic Medicine & Toxicology. 2019;13(2):68-72. [3]. Pathak MK, Jha SS. Virtopsy: a recent advancement in traditional necropsy. IJHRMLP.:74. [4]. Kaur N, Chaudhary RK, Gupta P, Singh B. Digital autopsy: Moving from fiction to reality. Journal of Indian Academy of Forensic Medicine. 2014;36(2):195-8. [5]. Cirielli V, Cima L, Bortolotti F, Narayanasamy M, Scarpelli MP, Danzi O, Brunelli M, Eccher A, Vanzo F, Ambrosetti MC, El-Dalati G. Virtual autopsy as a screening test before traditional autopsy: The verona experience on 25 Cases. Journal of pathology informatics. 2018;9.

Abstract: Introduction: Hair transplantation is one of the most common cosmetic procedures for men all over the world with demand for higher density and treatment of extensive hair loss. Beard hair FUE grafts can be successfully used either alone or in combination with scalp hair in cases of advanced grades of baldness, for improving the cosmetic appearance of hairlines, when there is paucity of donor scalp hair. Objective: The objective of our study is to demonstrate the use of beard hair grafts to increase the visual density and for better coveragefor advanced Norwood grades of androgenic alopecia (AA). Materials & Methods:...........

Key Words: Norwood grade,Androgenic alopecia, beard hair transplant.

[1]. Large-Scale Beard Extraction Enhances the Cosmetic Results of Scalp Hair Restoration in AdvancedAndrogenic Alopecia in East Asian Men: A Retrospective Study DE-Cong Zhu. Ye He. Zhe-Xiang Fan. Jin Wang. Qian Qu .Zhi-Qi Hu . Yong Miao Dermatol Ther (Heidelb) (2020) 10:151–161.
[2]. Cole, J. Donor Area Harvesting Body to Scalp. In: W.P. Unger andR. Shapiro, eds. Hair Transplantation, 5th Ed. London: InformaHealthcare, 2011; pp. 304-305.
[3]. Yu, J.M., and A.Y. Yu. Donor Area Harvesting Beard to Scalp.In: W.P. Unger and R. Shapiro, eds. Hair Transplantation, 5th Ed.London: Informa Healthcare, 2011; pp. 300-302.
[4]. Use of beard hair as a donor source to camouflage the linearscars of follicular unit hair transplantS. Umar -Journal of Plastic, Reconstructive & Aesthetic Surgery-VOLUME 65, ISSUE 9, P1279-1280, SEPTEMBER 01, 2012
[5]. Body Hair Transplant by Follicular UnitExtraction: My Experience With 122 PatientsSansui Umar, MD- Aesthetic Surgery Journal2016, Vol 36(10) 1101–1110

Abstract: Aim: Approach to the traumatic abdominal wall hernia following the blunt trauma. Case: 45 years old male came to the hospital with an alleged history of a road traffic accident 20 days back. Presented to hospital with complaints of swelling and dull aching pain in the left inguinal region. No comorbidities and no previous history of any abdominal surgery. On examination, the patient was vitally stable, and swelling in the left inguinal region of size 8x5 cm was noted. Discussion: Herniation in the anterior abdominal wall following trauma to the abdomen is relatively rare. The incidence of the traumatic abdominal wall hernia is 1%. The blunt trauma is either low velocity or high-velocity trauma. The traumatic herniation happens because of the disruption of the muscle layers of the abdominal wall. Earlier surgical repair of the defect is found to have more advantages compared to the late closure of the defect. Conclusion: Traumatic hernia is a rare entity. Earlier surgical repair is found to have advantages for the patient compared to the late surgical repair. Corrective repair is the definitive treatment for the traumatic hernia.

Key Words: Traumatic hernia. abdominal wall disruption, surgical repair.

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[4]. Nishimura et al, a case of traumatic abdominal wall hernia with delayed bowel obstruction. Surgical case reports 11 February 2015.
[5]. KD Singh et al, a rare case of a bullhorn – injury associated traumatic hernia of anterior abdominal wall managed by laparoscopic sutured tissue only repair.