iosr-JDMS   Volume-21 ~ Issue-10 ~ Oct. 2022

Abstract: Succinylcholine is a depolarizing neuromuscular block that has been routinely used for rapid sequence intubation for emergency surgery although it has some side effects like dysrhythmia, myalgia, masseter spasm, hyperkalaemia etc.According to current evidence, COVID-19 is recognized as a multiorgan disease with a broad spectrum of clinical presentationsWe present here a case study of a man with COVID-19 who developed hyperkalaemia induced sudden severe bradycardia following administration of succinylcholine during rapid sequence endotracheal intubation for emergency exploratory laparotomy

Key Word: COVID 19, Succinylcholine, laparotomy, hyperkalaemia, rapid sequence induction

[1]. Foldes FF, McNall PG, Borrego-Hinojosa JM. Succinylcholine: a new approach to muscular relaxation in anesthesiology. N Engl J Med. 1952;247:596–600. doi: 10.1056/NEJM195210162471603.
[2]. Klucka J, Kosinova M, Zacharowski K, De Hert S, Kratochvil M, Toukalkova M, et al. Rapid sequence induction: an international survey. Eur J Anaesthesiol. (2020) 37:435–42. doi: 10.1097/EJA.0000000000001194
[3]. Hovgaard HL, Juhl-Olsen P. Suxamethonium-induced hyperkalemia: a short review of causes and recommendations for clinical applications. Crit Care Res Pract. (2021) 2021:6613118. doi: 10.1155/2021/6613118
[4]. Sigurdsson TS, Porvaldsson AP, Asgeirsdottir S, Sigvaldason K. Cardiac arrest in a COVID-19 patient after receiving succinylcholine for tracheal reintubation. Br J Anaesth. (2020) 125:e255–7. doi: 10.1016/j.bja.2020.04.073
[5]. Tran DTT, Newton EK, Mount VAH, Lee JS, Mansour C, Wells GA, et al. Rocuronium vs. succinylcholine for rapid sequence intubation: a Cochrane systematic review. Anaesthesia. (2017) 72:765–77. doi: 10.1111/anae.13903

Abstract: Background: Cervical cancer is one of the most common cancers that affect women and is an important public health challenge. There were an estimated 6,04,000 new cases and about 3,42,000 women died of cervical cancer in 2020. There are several associated risk factors that have been identified and most of them are modifiable, making cervical cancer a preventable problem. College students are at an impressionable age and assessing their awareness regarding cervical cancer and its prevention would serve as a first step in identifying gaps in knowledge and sensitizing them to play an important role in cancer prevention. Materials and Methods: Questionnaire......

Keywords: cervical cancer; awareness; college students; risk factors; prevention;

[1]. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021:71:209–49. doi:10.3322/caac.21660.
[2]. Stelzle D, Tanaka LF, Lee KK, et al. Estimates of the global burden of cervical cancer associated with HIV. Lancet Glob Health 2020; published online Nov 16. DOI:S2214-109X(20)30459-9
[3]. https://www.who.int/publications/m/item/cervical-cancer-ind-country-profile-2021
[4]. https://www.who.int/news-room/fact-sheets/detail/cervical-cancer
[5]. K.V. Bharathi, Vinita Agrawal, GunaThanigasalam:¿sinhasan S.P, Bhat Cervical cancer and college students: knowledge and attitude about common risk factors r.Vparipex-indian journal of research December-2016 : Volume-5 | Issue-12 |..

Abstract: Background: Myopia is a common disorder estimated to affect approximately 1.6 billion people worldwide. It is defined as a refractive condition in which the image of a distant object is formed anterior to the retina of the unaccommodated (relaxed) eye. Objective:Evaluation of anti–vascular endothelial growth factor therapy in myopic choroidal neovascularization using optical coherence tomography angiography by detecting the changes of shape, size, and flow area. Patients and methods:The study........

Keywords: Optical coherence tomography angiography, Anti–vascular endothelial-GF, Myopic choroidal neovascularization

[1]. Ruiz-Medrano J, Montero JA, Flores-Moreno I, Arias L, García-Layana A, Ruiz-Moreno JM. Myopic maculopathy: status and proposal for a new classification and grading system (ATN). Progress in retinal and eye research. 2019 Mar 1; 69:80-115.
[2]. Grzybowski A, Kanclerz P, Tsubota K, Lanca C, Saw SM. A review on the epidemiology of myopia in school children worldwide. BMC ophthalmology. 2020 Dec;20(1):1-1.
[3]. De Jong PT. Myopia: its historical contexts. British Journal of Ophthalmology. 2018 Aug 1;102(8):1021-7.
[4]. Ruan Z, Qian ZM, Guo Y, Zhou J, Yang Y, Acharya BK, Guo S, Zheng Y, Cummings-Vaughn LA, Rigdon SE, Vaughn MG. Ambient fine particulate matter and ozone higher than certain thresholds associated with myopia in the elderly aged 50 years and above. Environmental research. 2019 Oct 1;177: 108581.
[5]. Ohno-Matsui K. Pathologic myopia. The Asia-Pacific Journal of Ophthalmology. 2016 Nov 1;5(6):415-23

Abstract: Introduction: Union dental anomalies include dental fusion, which arises through the union of two normally separate dental germs. Some authors suggest a multidisciplinary treatment in patients with fused teeth, performing root canal treatment and veneers. Treatment options depend on several factors, such as the type of anomalies; root development; age and compliance of the patient; and the morphology of the pulp chamber and the canal. Case report: This report is about a case of dental fusion in lower incisors, treated orthodontically with first premolar extractions.........

Keywords: dental fusion, orthodontics, premolar extraction

[1]. Roman J. Diente fusionado por concrescencia en un paciente pediátrico: reporte de caso. Rev de Odontopediatría Latinoamericana. 2020; Vol 10 (1)
[2]. Sammartino G., Cerone V., Gasparro R., Riccitiello F., Trosino O. Multidisciplinary approach to fused maxillary central incisors: a case report. J Med Case Reports 2014; (8)398.
[3]. Vázquez J. Geminación bilateral. Reporte de caso. Rev Tamé 2018; 6 (18):680-682.
[4]. Bolaños V. Diente fusionado: reporte de un caso bilateral.Publicación Científica Facultad de Odontología. UCR 2012; (14).
[5]. Iglesia-Puig A, Arellano-Cabornero A, López-Areal García B. Anomalías dentarias de unión: fusión dental. 2005;10(2):209-214.

Abstract: The rise in cases of infections resulting from the bacteria has created the need for more investigation to be done. In addition,conditions from the bacteria are common in critically ill patients and those immune-compromised individuals; thus, it isprimarily an opportunistic pathogen. Patients at risk can also be given antibiotics for prophylaxis to prevent them fromcontracting the infection. For those patients who have infections from pseudomonas aeruginosa, frequent assessment shouldbe done to note the progress of the diseases and determine the effectiveness of the drugs; this will also help detect resistancetothedrug..

Keywords: Jugularvein,subclavinvein,femoralvein,centralvenouscatheterization

[1]. Baker, M., Anjum, F., & dela Cruz, J. (2021). Deep Venous Thrombosis Ultrasound Evaluation. StatPearls[Internet].
[2]. Dalip, D., Iwanaga, J., Loukas, M., Oskouian, R. J., & Tubbs, R. S. (2018). Review of the variations of thesuperficialveinsof theneck.Cureus, 10(6).
[3]. Deere, M., Singh, A., & Burns, B. (2021). Central Venous Access of The Subclavian Vein. StatPearls[Internet].
[4]. Garcia-Leal, M., Guzman-Lopez, S., Verdines-Perez, A. M., de Leon-Gutierrez, H., Fernandez-Rodarte, B.A., Alvarez-Villalobos, N. A., ... & Elizondo-Omaña, R. E. (2021). Trendelenburg position for internaljugular vein catheterization: A systematic review and meta-analysis. The Journal of Vascular Access,11297298211031339.
[5]. Gutiérrez,D.G.,Sánchez,J.B.,&Patiño,R.R.(2019).Supraclavicularapproachforsubclavianveincatheterization in pediatric anesthesia: The reborn of an ancient technique with the ultrasound'sassistance.RevistaEspañoladeAnestesiologíayReanimación(EnglishEdition),66(5),267-276.

Abstract: Vaginal agenesis is a very rare malformation which has an estimated incidence of 1 in 4000-5000 live female child births .This is the most traumatic congenital anomaly. It can occur as an isolated development defect or may be associated with other anomalies mostly Mayer Rokitansky Kuster Hauser Syndrome. This syndrome is one of the common cause of primary amenorrhea. In this syndrome there is absence of uterus and upper 2/3 rd of vagina with 46xx karyotype and normal physiological growth of secondary sexual features. Its incidence is 1 in 4000 live births. Isolated congenital vaginal atresia is a rare congenital anomaly of female reproductive tract due to failure......

[1]. Morten Krogh Herlin, Michael Bjørn Petersen, Mats Brännström. Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. Orphanet Journal of Rare Diseases. 2020;15: 214.
[2]. Ercan Bastu, MD, Suleyman Engin Akhan, MD, and Funda Gungor-Ugurlucan, MD. Treatment of vaginal agenesis using a modified mcindoe technique. Can J Plast Surg. 2012 Winter; 20(4): 241–244.
[3]. A Menon , M Biswas et al " Vaginal agenesis in Mayer rokitansky kuster hauser syndrome "Medical J armed forces India .2009 jul ; 65(3): 287-288
[4]. Deepa kala , narendra G. Naik et al " our experience in the management of vaginal agenesis : its psychological impact and role of contrast mangnetic resonance imaging scan with vaginal mold in the interpretation of high trasverse vaginal septum " J Hum Reprof sci . 2019 Jan-Mar ; 12(1):67-71
[5]. Do Young Kim et al "Congenital obstructive mullerian anomaly"Journal of clinical medicine.2021 jun;10(11):2414.

Abstract: Background: Intertrochanteric fractures constitute a major public health burden. Surgical treatment is the gold standard for the age. The most commonly done surgery nowadays is PFN which has good results as well as lots of complications. One of the cause attributed is geometric mismatch in some selected populations.The PFN AII device was recently introduced and appears to be better suited to the typical Asian patient who has smaller femurs. Objectives: - To measure and compare Modified Harris Hip Score,Time For Post-Operative Full Weight Bearing Mobilisation, Time For Radiological Evidence Of Union, Complications After Surgery by using proximal femoral nail.....

Keywords:- Intertrochanteric fractures, Proximal Femoral Nail, Proximal Femoral Nail Antirotation –II

[1]. Kashid MR, Gogia T, Prabhakara A, Jafri MA, Shaktawat DS, Shinde G. Comparative study between proximal femoral nail and proximal femoral nail antirotation in management of unstable trochanteric fractures. Int J Res Orthop. 2016 Nov 19;2(4):354–8.
[2]. Strauss E, Frank J, Lee J, Kummer FJ, Tejwani N. Helical blade versus sliding hip screw for treatment of unstable intertrochanteric hip fractures: a biomechanical evaluation. Injury. 2006 Oct;37(10):984–9.
[3]. Lenich A, Fierlbeck J, Al-Munajjed A, Dendorfer S, Mai R, Füchtmeier B, et al. First clinical and biomechanical results of the Trochanteric Fixation Nail (TFN). Technol Health Care Off J Eur Soc Eng Med. 2006;14(4–5):403–9.
[4]. Butt MS, Krikler SJ, Nafie S, Ali MS. Comparison of dynamic hip screw and gamma nail: a prospective, randomized, controlled trial. Injury. 1995 Nov;26(9):615–8.
[5]. Schipper IB, Marti RK, van der Werken C. Unstable trochanteric femoral fractures: extramedullary or intramedullary fixation: Review of literature. Injury. 2004 Feb 1;35(2):142–51.

Abstract: Objective:toevaluate fracture resistance ceramic endocrown versus ceramic overlay with resin core in endodontically treated teeth. Materials and Methods:28 epoxy dies were divided into two groups, group 1 (n14) is restored by ceramic endocrown and the group 2 (n14) is restored by occlussal overlay with resin core. Each group is subdivided into two subgroups with two different computer-aided design/computer-aided manufacturing (CAD/CAM) materials, the subgroup A (n7) with lithium......

Key words: Fracture resistance, ceramic endocrown, ceramic overlay, resin core, endodontically treated teeth

[1] Chenug W.A review of the management of endodontically treated teeth: post, core and the final restoration journal of the American Dental Association 136(5):611-619.
[2] Biacchi G. R., Basting RT. Comparison of fracture strength of endocrowns and glass fiber post-retained conventional crowns. Oprative Dentistry.2012;37:130- 136.
[3] Mörmann WH, Bindl A, Luthy H, Rathke A. Effects of preparation and luting system on all –ceramic computer-generated crowns. Int J prosthodont 1998; 11(4):333-9.
[4] Kanat-Erturk; Saridag S; Koseler E; Helvacioglu-Yigit D; Avcu E; Yildiran-Avcu Y. Fracture strengths of endocrown restorations fabricated with different preparation depths and CAD/CAM materials. Dental material journal.2018; 1-10.
[5] Kelly JR. Clinically relevant approach to failure testing of all ceramic restorations. J Prosthet Dent 1999; 81: 652-661

Abstract: Study Design: Prospective study Objective: To analyze acetabular cup placement and functional outcome in Total Hip Replacement (THR) Methods: Total 30 patients were selected for the study. These were assessed based on the CT examination of the pelvis for acetabular cup positioning based on anteversion angle and inclination angle. The patient's functional outcome was also analysed based on Harris Hip Score. Patients were followed up post operatively every month for a period of 24 Months. The results were compared and analyzed in these randomly selected patients. Result: On comparison of......

[1]. NN Wazir, VV Mukundala, DSK Choon. Early results of prosthetic hip replacement for femoral neck fracture in active elderly patients. Journal of Orthopaedic Surgery 2006;14(1):43-6
[2]. Wylde V, Maclean A, Blom AW.Post-operative radiographic factors and patient- reported outcome after total hip replacement Hip Int 2012; 22 (02 ): 153 - 159.
[3]. Fukunishi S, Nishio FS, Fujihara Y, Okahisa S, Yoshiya S, Department of Orthopaedic Surgery, Hyogo College of Medicine, Japan. Combined anteversion of the total hip arthroplasty implanted with image-free cup navigation and without stem navigation. Orthopedic Reviews 2012; 4:e33.
[4]. Lewinnek GE, Lewis JL, Tarr R, et al. Dislocations after total hip replacement arthroplasties. J Bone Joint Surg Am, 1978;60:217-20.
[5]. Biedermann R, Tonin A, Krismer M, et al. Reducing the risk of dislocation after total hip arthroplasty. The effect of orientation of the acetabular component. J Bone Joint Surg Br 2005;87B:762-9.

Abstract: This article aim is to Fetomaternal outcome of Gestational Diabetes Mellitus in RIMS, Imphal. Material and method: Cross sectional Study carried out in the Department of Obstetrics and Gynaecology, RIMS,Imphal, Manipur conducted for duration of two years beginning from Oct, 2019 to Sept, 2021 from 131 pregnant women who were diagnosed with GDM (by 75gOGCT according to DIPSI guidelines) attending antenatal clinic and admitted in antenatal ward. Result: The results showed that among 131 cases, majority (32.1 %) belonged to the age group of 26 to 30 years. Several maternal complications Preeclampsia......

Keywords: Gestational diabetes mellitus , macrosomia , LSCS

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