iosr-JDMS   Volume-22 ~ Issue-3 ~ March 2023

Abstract: Anatomical variations of the thoracic venous system such as duplicate SVCs may lead to challenges during routine procedures. They are generally described as a benign incidental finding but can have major implications in procedures such as pacemaker insertion and the Fontan's procedure. Case reports have described that central venous catheter insertion (via the left SVC) may lead to arrhythmia and thrombosis. We describe here a case of an infusaport insertion in a patient with duplicated SVCs via the left SVC without any immediate or delayed complications and safely performed.

Key Word: Infusaport, Port-a-cath , Central Line, Persistent Left SVC (PLSVC), Duplicate SVC

[1]. Oliveira JD, Martins I. Congenital systemic venous return anomalies to the right atrium review. Insights into Imaging. 2019;10(1):115.
[2]. Demos TC, Posniak HV, Pierce KL, Olson MC, Muscato M. Venous anomalies of the thorax. AJR Am J Roentgenol. 2004;182(5):1139-50.
[3]. Hagans I, Markelov A, Makadia M. Unique venocaval anomalies: case of duplicate superior vena cava and interrupted inferior vena cava. J Radiol Case Rep. 2014;8(1):20-6.
[4]. Goyal SK, Punnam SR, Verma G, Ruberg FL. Persistent left superior vena cava: a case report and review of literature. Cardiovasc Ultrasound. 2008;6:50.
[5]. d'Udekem Y, Iyengar AJ, Cochrane AD, Grigg LE, Ramsay JM, Wheaton GR, et al. The Fontan Procedure. Circulation. 2007;116(11_supplement):I-157-I-64.

Abstract: Background: The aim of this randomized control clinical trial of the study was to analyze and compare two irrigating agents (4 ppm ozonated water and 0.2% chlorhexidine (CHX)) for their antimicrobial and wound healing efficacy over a 2 weeks period immediately after implant placement. Materials and Methods: The study was a single blinded, parallel arm, randomized controlled clinical trial. 20 patients undergoing dental implant placement in a single-tooth edentulous area were enrolled in the study. 10 patients in each group were randomly......

Key Word: Dental implant, ozonated water, chlorhexidine, antimicrobial, colony forming units

[1]. Gupta R, Gupta N, Weber, DDS KK. Dental Implants. In: StatPearls. Treasure Island (FL): StatPearls Publishing; August 8, 2022.
[2]. Quirynen M, De Soete M, Van Steenberghe D. Infectious risks for oral implants: a review of the literature. Clinical Oral Implants Research: Review article. 2002 Feb;13(1):1-9.
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[5]. Lang NP, Wilson TG, Corbet EF. Biological complications with dental implants: their prevention, diagnosis and treatment Note. Clinical Oral Implants Research: Chapter 9. 2000 Sep;11:146-55

Abstract: A physically well-developed 18 year-old male presented with 24-h with abdominal painpreceded by aknee striketo his abdomen during an Australian Football match. He noticed epigastric and mid abdominal pain immediately after the trauma, but was able to play through the remainder of the match. The pain reached a crescendo of severitytwo hours post-match, and subsequently migrated and localized to his right iliac fossa (RIF). He presented the following day with RIF pain, anorexia, nauseaand temperatures up to 39.2ᵒC at home. Examination revealed...

[1]. M. Williams, D. Watts and S. Fakhry, "Colon injury after blunt abdominal trauma: results of the EAST multi-institutional hollow viscus injury study," The Journal of Trauma Injury, Infections, and Critical Care, vol. 55, no. 5, pp. 906-912, 2003.
[2]. F. Iseli, M. Mazzei, C. Firetto, D. D'Elia, N. Squitieri, P. Biondetti, F. Danze and M. Scaglione, "Bowel and mesenteric injury after blunt trauma: a review," La Radiologia Medica, vol. 120, no. 1, pp. 21-32, 2015.
[3]. S. Bhagvan, M. Turai, A. Holden, A. Ng and I. Civil, "Predicting hollow viscus injury in blunt abdominal trauma with computed tomography," World Journal of Surgery, vol. 37, no. 1, pp. 123-126, 2013.
[4]. S. Dutson, "Transverse colon rupture in a young footballer," British Journal of Sports Medicine, vol. 40, no. 3, p. 6, 2006.
[5]. L. Rood, "Blunt colon injury sustained during a kickboxing match," Selected Topcs: Sports Medicine, vol. 32, no. 2, pp. 187-189, 2006

Abstract: Background: The incidence of cleft lip and palate (CLP), which affects 1 in 700 newborns, makes it one of the most prevalent congenital defects. Alveolar cleft defect (AC) is a frequent aberration linked with CLP that is treated with gingivoperiosteoplasty (GPP) or alveolar cleft grafting (ACG), allowing the restoration of arch continuity and stabilisation of the bony segments. There are a number of indications for the repair of the AC, including inadequate support for the erupting teeth at the cleft site, insufficient bone stock for implant insertion, food and fluid escape from oronasal fistula, insufficient......

Key Word: Cleft alveolus , alveolar cleft grafting , dermal fat grafting

[1]. Goudy S, Lott D, Burton R, Wheeler J, Canady J. Secondary alveolar bone grafting: outcomes, revisions, and new applications. The Cleft Palate-Craniofacial Journal. 2009 Nov;46(6):610-2.
[2]. Mossey, P.A., Little, J., Munger, R.G., Dixon, M.J. and Shaw, W.C., 2009. Cleft lip and palate. The Lancet, 374(9703), pp.1773-1785.
[3]. Barry Steinberg DDS, MD, John Caccamese DMD, MD, Bernard J. Costello DMD, MD and Jennifer Woerner DMD, MD. Cleft and Craniofacial Surgery. Journal of Oral and Maxillofacial Surgery, 2017-08-01, Volume 75, Issue 8, Pages e126-e150.
[4]. Eppley BL. Donor site morbidity of rib graft harvesting in primary alveolar cleft bone grafting. Journal of craniofacial surgery. 2005 Mar 1;16(2):335-8.
[5]. Vandeputte T, Bigorre M, Tramini P, Captier G. Comparison between combined cortical and cancellous bone graft and cancellous bone graft in alveolar cleft: retrospective study of complications during the first six months post-surgery. Journal of Cranio-Maxillofacial Surgery. 2020 Jan 1;48(1):38-42.

Abstract: Everyone has equal right to good health and wellbeing, including persons with disability. In almost any community it is possible to see atleast few individuals suffering from disabilities of varying nature. The individiduals with special care needs are suffering from various oral health issues and are also at increased risk of developing innumerable oral diseases. And the management of these oral diseases are very difficult and not as easy as treating oral diseases for normal people, people with special care needs are laborious to treat due to their uncooperative nature. And one of prime reasons given by dentists for not treating special needs people are inadequate training.Proper.....

Key Word:special care dentistry; disability; domiciliary dental care; oral medicine specialist. ABBREVIATIONS: SCD- Special care dentistry, DOHC- Domiciliary oral health care, BSDH- British Society for Disability and Oral Health, DWSIs - Dentists with Special interests.

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[3]. Guidelines for oral health promotion and intervention for handicapped population GOI -WHO collaborative programme. Centre for dental education and research, AIIMS, India, 2008-2009.
[4]. Levy H, Rotenberg LR. Tools and Equipment for Managing Special Care Patients Anywhere. Dent Clin North Am. 2016 Jul;60(3):567-91. doi: 10.1016/j.cden.2016.03.001. PMID: 27264851.
[5]. Glassman P, Caputo A, Dougherty N, Lyons R, Messieha Z, Miller C, Peltier B, Romer M; Special Care Dentistry Association. Special Care Dentistry Association consensus statement on sedation, anesthesia, and alternative techniques for people with special needs. Spec Care Dentist. 2009 Jan-Feb;29(1):2-8; quiz 67-8. doi: 10.1111/j.1754-4505.2008.00055.x. PMID: 19152561

Abstract: Adrenal malignancies in children are rare. They form a heterogeneous group of lesions dominated by neuroblastomas. This work is a 5-year retrospective study (2016-2020) of children with adrenal malignancies who are enrolled in the pediatric A surgery department of the Ibn Sina Children's Hospital in Rabat, in collaboration with the pediatric hematology department. Their clinical, biological, radiological and therapeutic characteristics were analyzed, especially the importance of surgery and chemotherapy in the management of these tumors. 72 patients were diagnosed during this 5-year period. In order of frequency, the adrenal neuroblastoma occupies......

Key Word: Adrenal neuroblastoma, Adrenocortical carcinoma, malignant pheochromocytoma, child

[1]. Chatterjee G, DasGupta S, Mukherjee G, Sengupta M, Roy P, Arun I et al. Usefulness of Wieneke criteria in assessing morphologic characteristics of adrenocortical tumors in children. Pediatr Surg Int. 2015 Jun;31(6):563–71
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[6]. Dubois R, Chappuis JP. Le phéochromocytome : particularités pédiatriques. Arch Pediatr 1997;4:1217-25.

Abstract: Aim: The aim of study is to observe clinical and pathological outcomes to neoadjuvant chemotherapy in breast cancer. Methods: This study was a prospective observational study carried out in the department of general surgery, SMS Hospital, Jaipur. All the patients admitted with stage II (IIA, IIB), III (IIIA, IIIB, IIIC) were included in the study after obtaining approval from the institutional ethical committee. Clinical response was assessed by RECIST criteria (clinical complete response (cCR), clinical partial response (cPR), clinical progressive disease (cPD), and clinical stable disease (cSD)) and pathological response by histopathological report (pCR). Response of various molecular subtypes was noted.......

Key Word: NACT, early breast cancer, locally advanced breast cancer, observational study.

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Abstract: Background: Posterior capsular opacity (PCO) develops following cataract surgery between 2 months and 5 years after extracapsular cataract extraction with posterior chamber intra ocular lens implant.The IOL design (oversized IOL with steep posterior vault to prevent PCO) and a smooth anterior capsulorrhexis, which may generate more centripetal force along the margin and thus constrict the opening, may cause IOL displacement. Like the can-opener method, laser posterior capsulotomies create an irregular opening that cannot constrict. Thus, anterior capsule contraction may force the IOL posterior toward the vitreous.In this study, we investigated the effect of Nd:YAG capsulotomy on visual outcome and complications of Nd:YAG laser treatment for posterior capsular opacification in pseudophakic......

Key Word: Posterior capsular opacity,Nd:YAG Laser capsulotomy,pseudophakic etc

[1]. Dharmaraju B, Vijayasree S, Sridhar K. A Clinical Study of Visual Outcome in Nd: YAG Laser Capsulotomy in Posterior Capsular Opacity. Med Res. 2016;3(9):2665–8.
[2]. Sundelin K, Sjöstrand J. Posterior capsule opacification 5 yearsafter extracapsular cataract extraction. J Cataract Refract Surge. 1999;25(2):246–50.
[3]. Werner L, Pandey SK, Apple DJ, Escobar-Gomez M, Mclendon L, Macky T. Anterior capsule opacification: Correlation of pathological findings with clinical sequelae. Ophthalmol. 2001;108:1675–81.
[4]. Werner L, Pandey SK, Escobar-Gomez M, Visessook N, Peng Q, Apple DJ. Anterior capsule opacification: A histopathological study comparing different IOL styles. Ophthalmol. 2000;107:463–7.
[5]. Apple DJ, Solomon KD, Tetz MR, Assia EI, Holland EY, Legler UF, et al. Posterior capsule opacification. Surv Ophthalmol. 1992;37(2):73–116

Abstract: Introduction- Low Birth Weight Is A Major Public Health Problem In Developing Countries Like India(1). Birth Weight Is One Of The Important Unambiguous Measurement Applied Throughout The World And Is Recognized As Sensitive Index Of The Health Status Of New Born Aim- To Know Prevalence Of Low Birth Weight And Know The Association Of Various Risk Factors With Institutional Deliveries. Methodology- A Cross Sectional Study Was Conducted Among820 Mothers Attending Institutional Care For Safe Delivery With Help Of Pretested Questionaires. Results- 27.2 % Of Total Study Sample Had Low Birth Weight In This Study. Various Factors Like Hb%, Education, Occupation, Hb%, IFA Tablets Consumption, Overcrowding, Showed Statistical Significance In This Study In Causing Low Birth Weight. Conclusion- Low Birth Weight Is Still Health Issue That Needs To Be Addressed.

Key Word: Low Birth Weight, Institutional Deliveries, Risk Factors. Prevalence

[1]. K.Park. Parks Text Book Of Preventive And Social Medicine; M/S Banarsidas Bhanot Publishers; 24th Edition
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[5]. Aparajita D, Rivu Basu. Determinants Of Low Birth Weight In Block Of Hooghly, West Bengal; A Multivariate Analysis, Int J Boil Med Res 2011; 2(4); 838-842.

Abstract: Objective; the in-vitro study aims to evaluate the effect of three irrigant regimens at two-time intervals on root dentin. Materials and Methods; Seventy freshly extracted teeth were obtained and sectioned up to 13±1mm from the root apex using a low-speed motor. The root samples were further divided into four groups based on irrigating solutions. Group I 0.9% NaCl Group II 17%EDTA+1% Naocl Group III Qmix Group IV1%Naocl + 18%HEBP.After cleaning and shaping, teeth were placed in the molds and tested for vertical root fracture resistance under a universal testing machine. Results; Data analysis was done using SPSS Version 21. Basic descriptions of the statistical analysis.....

Key Word: EDTA, HEBP, Qmix, Root Fracture Resistance, Sodium hypochlorite

[1]. Scelza MZ, de Noronha F, da Silva LE, Maurício M, Gallito MA, Scelza P. Effect of Citric Acid and Ethylenediaminetetraacetic Acid on the Surface Morphology of Young and Old Root Dentin. Iran Endod J. 2016 Summer;11(3):188-91. doi: 10.7508/iej.2016.03.008. Epub 2016 May 1. PMID: 27471529; PMCID: PMC4947842.
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Abstract: Retroperitoneal fibrosis (RPF) is a rare disease characterized by fibrous and inflammatory sheathing of the main structures of the retroperitoneum [1]. Thus, it can envelop all the retroperitoneal organs and particularly the ureters leading to renal failure [2]. This entity comprises an idiopathic form (75% of the cases) and a group of "secondary" forms (25%) that are related to malignancies, infections, drugs, radiotherapy and other conditions [3]. In the absence of recommendations, the diagnostic approach remains essentially empirical. This approach may vary from one department to another, depending on the specialties concerned (internal medicine, nephrology, urology, etc.), the revealing symptoms or the habits of the teams [4].The aim of our monocentric study is on the one....

[1]. Postel M, Audenet F, Joly D, Méjean A. Fibrose rétropéritonéale. EMC - Urologie 2015;8(3):1-9 [Article 18-090-A-10].
[2]. A.El majdoub et al Pan African Medical Journal. 2017;28:194. doi:10.11604/pamj.2017.28.194.10092
[3]. Paride Fenaroli and al , Into Clinical Practice: Diagnosis and Therapy of Retroperitoneal Fibrosis ; Curr Rheumatol Rep . 2021 Feb 10;23(3):18. doi: 10.1007/s11926-020-00966-9.
[4]. B. Lioger et al Fibrose rétropéritonéale de l'adulte : analyse descriptive et évaluation de la pertinence des examens complémentaires réalisés à visée diagnostique à partir d'une série rétrospective multicentrique de77 cas Rev Med Interne (2015), http://dx.doi.org/10.1016/j.revmed.2015.08.013
[5]. Vaglio A, Salvarani C, Buzio C. Retroperitoneal fibrosis. Lancet 2006;367:241–51