iosr-JDMS   Volume-13 ~ Issue-11 ~ November-2014

Abstract: Purpose: - To analyze the level of serum glutathione-s-transferases (GSTs), Alkaline Phosphatase (ALP) and Lactate Dehydrogenase (LDH) activity in patients of oesophagus cancer before and after chemotherapy. Methods: - For the study total 50 cases of carcinoma of oesophagus of stage II and stage III (after and before chemotherapy) were selected. All patients were clinically and histological diagnosed. 40 age and sex matched healthy normal subjects selected as control. GSTs, ALP, and LDH activity was measured in the serum of control group (n=40) and in patients with oesophagus cancer (n=50).

[1] A.Gallo, Charel cha; Updates on esophageal and gastric cancer. Gastroenterol, 12(20), 3237-3242 (2006).

[2] P.Ghadirian; Food habits and esophageal cancer: an overview. Cancer Detect Prev., 16, 163-8 (1992).

[3] B.F.Coles, F.F.Kadluber;Detoxification of electrophilic compounds by GST catalysis; determinants of individual response to chemical carcinogens and chemotherapeutic drugs? Biofactors, 17(1-4), 115- 30 (2003).

Abstract: According to International Continence Society (ICS), urinary incontinence is defined as"any involuntary loss of urine that is a social or hygienic problem for the individual"1. SUI is most common type of urinary incontinence with incidence between 13%-50% increasing in elderly population2. In 30% of incontinent women, there is a combination of stress and urge incontinence3, 4.

[1]. Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Am J Obstet Gynecol 2002;187:116-26.
[2]. Cerruto MA, D'Elia C, Aloisi A, et al. Prevalence, Incidence and obstetric factors' Impact on female urinary incontinence in Europe: A Systematic Review Urol Int 2012 Aug 3.(Epub ahead of print)
[3]. Davila GW, Guerette N. Current treatment options for female urinary incontinence – a review. Int J Fertil Womens Med. 2004; 49:102-12.
[4]. RichterHE., Burgio KL, Goode PS, et al Non-surgical management of stress urinary incontinence: ambulatory treatments for leakage associated with stress. Clin Trials.; 2007;4;:92-101.
[5]. Ulmsten U, Petros P. Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 1995;29:75-82.

Abstract:Introduction:Neonatal septicaemia is a haunting problem for neonatologists all over the world with considerable morbidity and mortality. In the Indian scenario, members of Enterobacteriaceae continue to be a challenging problem for the sick and debilitated neonates. Materials And Methods:Outbreak was notified by increased isolation of E. cloacae from blood culture. Investigation of outbreak was done by taking handprints, glove juice culture, rectal swab culture of neonates & by environmental sampling.

[1]. Beena Antony andRajendra Prasad BPM.An outbreak of neonatal septicaemia by Enterobacter cloacae.Asian Pacific Journal of Tropical Disease2011; 227- 229.
[2]. Rastogi V, Nirwan PS, Jain S andKapil A. Nosocomial outbreak of septicaemia in neonatal intensive care unit due to extended spectrum β-lactamase producing Klebsiella pneumoniae showing multiple mechanisms of drug resistance.Indian Journal of Medical Microbiology2010; 28(4): 380- 384.
[3]. Petra Gastmeier, Andrea Loui, Sabine Stamm-Balderjahn, Sonja Hansen, Irina Zuschneid, DoritSohr, et al.Outbreaks in neonatal intensive care units -They are not like others.AJIC2007;172 – 176.
[4]. http://emedicine.medscape.com/article/978352-overview
[5]. Washington. W, Allen.S, Janda.W, Koneman.E, Procop.G, Schreckenberger.P, Woods.G.Koneman's Colour Atlas and Textbook of Diagnostic Microbiology.

Abstract:Objective to investigate the treatment probability of laparoscopic partial or subtotal intersphincteric resection for ultra-low rectal cancer. Clinical data of 14 patients with ultra-low rectal cancer who have underwent laparoscopic partial or subtotal intersphincteric resection between January 2013 and February 2014 in gastrointestinal surgery was collected. Clinical application effect of laparoscopic partial or subtotal intersphincteric resection for ultra-low rectal cancer was analyzed.Results: Among all the cases, nobody got peri-operative death, one patient got partial anastomotic crack a week after operation and another patient got 12 days postoperative anastomotic fistula, both of whom cured through conservative treatment. During the 6-54-month follow-up, there was 1 case of local recurrence after 6 months of operation. The anal functions of all patients turned out to be in Kirwan class 1 or 2 and 1 patient got anastomotic stenosis, who required regular expansion treatment.

[1] Braun J, Treutner KH, Winkeltau G, Heidenreich U, Lerch MM andSchumpelick V. Results of intersphincteric resection of the rectum with direct coloanal anastomosis for rectal carcinoma. Am J Surg 1992;163(4): 407-412. [2] MartinST, Heneghan HM and Winter DC. Systematic review of outcomes after intersphincteric resection for low rectal cancer.Br J Surg 2012; 99(5): 603-612. [3] Yamada K, Ogata S, Saiki Y, Fukunaga M, Tsuji Y and Takano M．Functional results of intersphincteric resection for low rectal cancer. Br J Surg 2007; 94(10): 1272-1277. [4] Rullier E, Zerbib F, Laurent C, Bonnel C, Caudry M, Saric J andParneix M. Intersphincteric resection with excision of internal anal sphincter for conservative treatment of very low rectal cancer. Dis Colon Rectum 1999; 42(9):1168-1175. [5] Portier G, Ghouti L, Kirzin S, Guimbaud R, Rives M and Lazorthes F. Oncological outcome of ultra-low coloanal anastomosis with and without intersphincteric resection for low rectal adenocarcinoma. Br J Surg2007; 94(3): 341-345. [6] Orsenigo E, Di Palo S, Vignali A andStaudacher C. Laparoscopic intersphincteric resection for low rectal cancer. SurgOncol 2007; 16(Suppl 1): S117-S120.

Abstract: Laparoscopic sleeve gastrectomy is a commonly done restrictive bariatric surgical procedure. It is considered to be a relatively safe and technically simple bariatric operation. This report describes the case of a 40 year old morbidly obese female who had complete gastro-esophageal transection during laparoscopic sleeve gastrectomy. She underwent laparotomy with resection of the gastro-esophageal junction and Roux-en-Y esophago-jejunostomy as a single staged corrective procedure. We are reporting the case for its extreme rarity. To our knowledge it is the first case report of such a complication which was managed as a single stage corrective procedure.

Keywords: Sleeve gastrectomy, gastro-esophageal transection, complications of sleeve gastrectomy, Bariatric Surgery

[1] Bohdjalian A, Langer FB, Shakeri-Leidenmuhler S, et al. Sleeve gastrectomy as sole and definitive bariatric procedure: 5-year results for weight loss and ghrelin. Obes Surg. 2010; 20:535–540 [2] Meshikhes and Al-Saif. Iatrogenic oesophageal transection during laparoscopic sleeve gastrectomy. BMJ Case Reports 2014; doi: 10.1136/bcr-2013-201260 [3] Raul J. Rosenthal. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surgery for Obesity and Related Diseases.2012; 8: 8-19.
[4] Shi X, Karmali S, Sharma A, et al. A review of laparoscopic sleeve gastrectomy for morbid obesity. Obes Surg. 2010; 20:1171–1177. [5] Weiner RA, Weiner S, Pomhoff I, et al. Laparoscopic sleeve gastrectomy-influence of sleeve size and resected gastric volume. Obes Surg. 2007; 17:1297–305

Abstract: Background: Replacement of lost teeth with dental implants is considered as a positive experience by patients. Dental implants are widely accepted as a prosthetic treatment of completely or partially edentulous patients. The objective of this study was to assess the level of knowledge, attitude and acceptance of Sudanese dental patients regarding dental implant as a treatment modality for replacing missing teeth.

[1]. CE. M. What you don't know can hurt you (and your patients). Dent Today. 2002; 19:70–3.
[2]. J. Rustemeyer AB. Patients' knowledge and expectations regarding dental implants: assessment by questionnaire, International
Association of Oral and Maxillofacial Surgeons. 2007;36: 814–7.
[3]. Adell R L, U., Rockler, B., Branemark, P.I. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int.
J. Oral. Surg. 1981. 10 (6), 387–416.
[4]. Gorgono AL LD, Finger IM . Dental Implants: A survey of patient's attitudes. Prosthetic Dent 1986; 62:573-76.
[5]. Salonen MA. Assessment of states of dentures and interest in implant-retained prosthetic treatment in 55-year-old edentulous Finns.
Community DentOral Epidemiol. 1994;22(2):130-5.
[6]. Al-Johany S AZH, Al Juhaini M, Al Refeai M. Dental patients' awareness and knowledge in using dental implants as an option in
replacing missing teeth: A survey in Riyadh, Saudi Arabia, . Saudi Dent J,. 2010;22:183-8.

Abstract: Objectives: The purpose of this study was to examine the student perceptions about learning anatomy in dissection and histology lab. Methods: A cross sectional study was carried out among medical students using structured questionnaire related to utilization and effective use of practical hours. Analysed using epi info. Results: Students' views of practical session utilization were not unanimous. Many participants revealed that the practical hours were not utilized effectively. There was no proper formal orientation offered to most of the participants. A significant number of participants received good faculty guidance during their course. Participants suggested a small group learning in histology lab.

[1]. Drake RL. Anatomy education in a changing medical curriculum. Kaibogaku Zasshi. 1999 Aug;74 (4):487-90.
[2]. Vishram Singh and Poonam Kharb. A paradigm shift from teaching to learning gross anatomy: meta-analysis of implications for instructional methods. The journal of anatomical society of India.2013; 62: 84 – 89.
[3]. Pallab K. Ganguly. Teaching and Learning of Anatomy in the 21st Century: Direction and the Strategies. The Open Medical Education Journal. 2010; 3: 5-10.
[4]. S K Nagar, Ojaswini Malukar, Dharti Kubavat, Vipul Prajapati,Dimple Ganatra, Ajay Rathwa. Students' perception on anatomy teaching methodologies. National Journal of Medical Research. Jan – March 2012; Volume 2 Issue 1:111-112.
[5]. Gayatri Rath. Krishna Garg. Inception of cadaver dissection and its relevance in present day scenario of medical education. Journal of Indian Medical Association. July2006; 104 (6): 331-33
[6]. Abay Mulu and Desalegn Tegabu. Medical students' attitudinal changes towards cadaver dissection: A longitudinal study. Ethiop J Health Sci. March 2012; Vol.22 (1): 51-58.
[7]. Gaurav Agnihotri, Mandeep Gill Sago. Reactions of first year Indian Medical Students to the dissection hall experience. NJIRM. 2010; Vol.1(4): oct – Dec 4-9.

Abstract: When a newborn is born there is lot of difference in opinion, when to clamp the cord,is there any beneficial or harmful effects of clamping the cord early or visa versa. Hence to know the outcome of delayed cord clamping and early cord clamping this study was undertaken.

[1]. Ramnik sood, Concise Book of Medical Laboratory Technology. 4th edition 2006.
[2]. Robin K, Ohis and Robert D, Christensen: Nelson Textbook of Paediatrics. 18th edition, 2008; 1997-1998.
[3]. Jose M Ceriani Cernades MD GUILERMO Carrali MD Liliana Pellegrim MD: official journal of the American Academy of Pediatrics. April 2006, Vol.117, No.4:PP. 2779-2786.
[4]. Gupta R, Ranji S: Effect of delayed cord clamping on iron stores in infants born to anaemic others; a randomized controlled trials: Indian Paediatr 2002 Feb;39(2):130-1355
[5]. Bhargava, Kumar R, Iyer PU, Ramji S, Kapani 5, Bhargava SK: Effect of maternal anaemia and iron depletion on fetal iron stores, birth weight and gestations. Acta Pediatr Scand 1989;78:321-322.

Abstract:Introduction: Intussusception in adult is an uncommon clinical entity. An intussusception involving left sided colon due to a benign tumor such as angiolipoma still more uncommon. Prompt pre-operative diagnosis using imaging technique helps in appropriate surgery. Case report: We present a 60years old patient who presented with features of intestinal obstruction who was evaluated with CECT and found to have multiple lipoma on left colon with diverticuli on right colon.

[1]. Chen YY, Soon MS. Preoperative diagnosis of colonic angiolipoma: A case report. World J Gastroenterol 2005; 11 (32): 5087-5089.
[2]. Howard WR, Helwig EB. Angiolipoma. Arch Dermatol 1960; 82: 924-931.
[3]. Ackermano LV, Rosai J. Tumors of adipose tissue. In: Rosai J, editor: Akerman's surgical pathology.8th ed Vol 12.St Louis: Mosby 1996: 2053-2060.
[4]. Enzinger FM, Weiss SW. Soft tissue tumors 3rd ed. Benign lipomatous tumors, St. Louis Mosby 1995: 390.
[5]. Ginzburg L, Weingarten M, Fischer MG. Submucous lipoma of the colon. Ann Surg 1958;148:767-72.
[6]. Pfeil SA, Weuver MG, Abdul- Karim FW et al. colonic lipomas: outcome of endoscopic removal. Gastrointest Endosc 1990; 36: 435-438.

Abstract: Objective: To study the prevalence of group A beta haemolytic streptococcal (GABHS) infection among children aged between 5 to 15 years suffering from acute tonsillopharyngitis and its antibiogram. Research Design And Methods: This was a crossectional prospective study done over two years, by procuring data from the total 123 patient records of OPD patients. The clinical settings including history, examination and the throat swab cultures with anti-microbial sensitivity testing performed under standard conditions.

[1] Michael AG, Diagnosis and Treatment of Pharyngitis in Children, Pediatr Clin N Am, 52, 2005, 729– 47.
[2] Abdulwahab MA T, Hani O, A study of group A streptococcal bacterial isolation from children less than 12 years with acute tonsillitis, pharyngitis and healthy primary school children, J Family Community Med, 9(2), 2002, 23-6.
[3] Ozturk CE, Yavuz T, Kanya D, Yucel M, The rate of asymptomatic throat carriage of GAS in school children and associated ASO titre in Duzu Turkey, Jpn J Infect Dis, 57(6), 2004, 27-32.
[4] Azavedo De, Yeung RH, Bast DJ, Duncan CL, Borgia SB, Low DE, Prevalence and mechanism of macrolide resistance in clinical isolates of group A streptococci from Ontario, Canada, Antimicrob Agents Chemother,43, 1999, 2144–7.
[5] Giovanetti E, Montanari MP, Mingoia M, and Varaldo PE, Phenotypes and genotypes of erythromycin-resistant Streptococcus pyogenes strains in Italy and heterogeneity of inducibly resistant strains, Antimicrob Agents Chemother, 43, 1999, 1935–40.
[6] Jasir A, and Schalen C, Survey of macrolide resistance phenotypes in Swedish clinical isolates of Streptococcus pyogenes, J Antimicrob Chemother, 41, 1998, 135–37.

Abstract: Axillary artery begins at the outer border of the rib, divides into 3 parts by the pectoralis major muscle. Though anomalies in the origin, course and branching pattern is not frequent with axillary artery, previous research reports shows different types of anomalies in it. We observed an unusual unilateral variation in a 55 year old male cadaver, during routine dissection, in the branching pattern of the axillary artery. The variation reported in this study is in the second part of the axillary artery where the lateral thoracic and subscapular artery arises from the common trunk which arises at the junction between the second and third part of the axillary artery.

[1]. Standring S. Gray's Anatomy: The anatomical basis of clinical practice. 40th edition. Churchill-Livingstone: Elsevier. 2008.
[2]. Snell R. Clinical anatomy for medical students. 7th edition. Elsevier. 2004; 475-477.
[3]. Hollinshed WH. Anatomy for surgeons in general surgery of upper limb. The back and limbs. A Heber Harper book, Newyork. 1958; 290-300.
[4]. Romanes GJ. Cunningham's manual of practical anatomy. Vol 1 – upper limb and lower limb. 15th edition. Oxford university press, NewYork. 2003; 27-35.
[5]. DeGaris CF, Swartley WB. The axillary artery in white and negro stocks. Amer J Anat. 1928; 41:353
[6]. Trotter M, Henderson JL, Gass H. The origins of branches of the axillary artery in whites and in American negroes. Anat Rec. 1930;46: 133-137
[7]. McCormack LJ, Cauldwell EW, Anson BJ. Brachial and antebrachial arterial patterns. Surg Gynecol Obstet. 1953; 96: 43-54.
[8]. Huelke DF. Variation in the origins of the branches of the axillary artery. Anat Rec. 1959; 35: 33-41.

Abstract: Hibiscus sabdariffa juice, commonly known as "zobo drink" is a type of beverage taken by many people due to its medicinal effect. HS is a medicinal plant which has been used for various purposes. This study was therefore, carried out to study the effect of oral administration of HS on blood glucose, serum sodium and serum potassium concentrations in albino rats. Twenty albino rats were divided into four groups of 5 rats each. Group A served as Control, while groups B, C & D were the experimental rats fed on aqueous extract of HS orally at a 12 hr interval, daily for 7, 14 and 21 days, respectively. The rats were sacrificed weekly by anaesthetizing them with chloroform and blood samples were collected through cardiac puncture.

[1]. B.Y. Adegunloye, J.O. Omoniyi, O.A. Owolabi, O.P. Ajagbona, O.A. Sofola, H.A. Coker, Mechanisms of the blood pressure lowering effect of Calyx extract of Hibiscus sabdariffa in rats, African Journal of Medical Science, 25(3), 1996, 235-38
[2]. O.P. Ajagbona and A.A. Adebayo, Blood glucose lowering effect of Hibiscus sabdariffa in albino rats, Nigerian Journal of Physiological Science, 15, 1999, 1-2
[3]. P.A. Jackson, C. Sylvian, S.C. Christopher, N. Dossin, Effect of the hepatic denervation on the conterregulatory response to insulin-induced hyperglycemia in drugs, American Journal of Physiology, Endocrinology and Metabolism, 279, 2000, E1249-E1257
[4]. F.O. Agoreyo, B.O. Agoreyo, M.I. Onuorah, Effect of aqueous extracts of Hibiscus sabdariffa and Zingiber officinale on blood cholesterol and glucose levels in rats, Afr J of Biotech, 7(21), 2008, 3949-51
[5]. K. Yurdakok and O. Oran, The relationship between blood glucose and serum electrolyte levels in children with acute diarrhea, Turkish Journal of Pediatrics, 34(3), 1992, 145-52
[6]. B.M. Muller, and G. Franz, Clinical structure and biological activity of polysaccharides form Hibiscus sabdariffa, Planta Medica, 58(1), 1992, 607

Abstract:Objective of the study: This randomized controlled trial was undertaken to evaluate the effectiveness of acupuncture and Proprioceptive neuromuscular facilitation (PNF) as a treatment for supraspinatus tendinitis. Methods: Thirty-five patients with a diagnosis of supraspinatus tendinitis were randomly allocated to either to a PNF group or a PNF plus acupuncture group and treated twice weekly for a period of 6 weeks. Functional mobility, power, and pain were assessed by a blinded assessor using the Constant Shoulder Assessment, at baseline, 6 weeks and 20 weeks. Analysis was based on the intention-to-treat principle.

[1] Cyriax J.H. (1983) Cyriax‟s illustrated Manual of Orthopaedic Medicine 2nd Edition Butterworth, Heinemman 42-45

[2] Linder H, (2000) Clinical Anatomy Appleton and Lange Norwalk California 525-526

[3] Jacobson, E. Lockwood, M. (1989), Shoulder pain and repetition strain injury to the supraspinatus muscle American Osteopathic Association 98 (8) 1037-1045

[4] Harmeyer R.. (1995) Chiropractic Rehabilitation of the Frozen shoulder Journal of the American Chiropractic Association 32(7) 59-6012
[5] DeBerardino T. (2013) Supraspinatus Tendinitis Treatment & Management. Medscape Reference. http://www.emedicine.medscape.com/article/93095-treatment

Abstract: Background: Interleukin-1β (IL-1β) is one of the most important cytokines which seems to have an important role in the inflammatory process in periodontal tissue and it has been correlated with periodontal diseases . The present study is aimed to evaluate the levels of interleukin-1β (IL-1β) in gingival crevicular fluid and Serum of patients with gingivitis and chronic periodontitis and to explore whether the effect of IL-1 β is due to its local production.

[1]. Armitage GC (). Development of a Classification System for Periodontal Diseases and Conditions. Ann. Periodontol1999. 4: 1-6.
[2]. Kornman KS, Knobelman C, Wang HY. Is periodontitis genetic? The answer may be Yes! J Mass Dent Soc. 2000;49:26–30
[3]. Herbert I Bader.Clinical and Systemic Implications of Periodontal Disease Susceptibility: The Importance of IL-6 Polymorphism Bader, Dentistry 2014, 4:1.
[4]. Rayyan A Kayal. The Role of Osteoimmunology in Periodontal Disease. BioMed Research International .Volume 2013 (2013), ArticleID639368,12pages. Gemmell E, Seymour GJ. Immunoregula- tory control of Th1/Th2 cytokine profiles in periodontal disease. Periodontol 2000. 2004;35: 21–4.
[5]. Commins SP, Borish L, Steinke JW. Immunologic messenger molecules: cytokines, interferons, and chemokines. J Allergy Clin Immunol 2010;125(2 Suppl 2):S53-72.

Abstract: Objectives: The purpose of this study is to assess the effectiveness of self-instructional information on knowledge regarding office ergonomics among computer users. Methods: 170 computer users among the staffs of selected higher educational institutions in Nigeria participated in this study. Occupational Safety and Health Administration (OSHA) workstation checklist was used to assess the level of knowledge of office ergonomics. Work Safely with Visual Display Terminal (WSVDT) booklet was used to provide instructional information on office ergonomics. Both OSHA and WSVDT were administered and collected by hand. Paired t-test and Kendall's correlation coefficients were used for data analysis. Statistical significance was set at alpha level of 0.05

[1] Bergvis, U,Sotoyama M, Saito, S, Piccoli B. Computer in Schools, an international project under planning 1997 [Cited at 2014, August 15]. Available from http//tmc03.human.waseda.ac.jp/wwdu97/PrcHp [2] Computer Workstation Ergonomics: A Guide for UMNDJ Computer Users 2008. Environmental & Occupational Health & Safety Services
[3] OSHA W-1 Basic Screening Tool. Occupational Safety and Health Administration [cited at 2014 August 15]. Available fromhttp://www.osha.gov.

[4] Omokhodion, FO, and Sanya, AO. Risk factors for low back pain among office workers in Ibadan, southwest Nigeria. Occupational Medicine, 2003 53: 87-289

[5] Woods V. 2005. Musculoskeletal disorders and visual strain in intensive data processing workers. Occupational Medicine, 2005, 55:121–127.

Abstract: Hydatid disease is a parasitic infestation by a tapeworm of the genus Echinococcus. Hydatid disease most commonly involves the liver and lungs; the abdominal cavity organs stand next in frequency, the parotid gland is a rare site of this disease. The disease is prevalent in most part of the world, though it is most extensive in the sheep and cattle raising areas. Human echinococcosis is a zoonotic infection caused by the tapeworm of the genus Echinococcus and transmitted by dog and other canine animals. It is a serious problem in tropical areas and is seen in many parts of India. In children lungs are the most common site of infection, whereas in adults liver is infected most frequently. Primary hydatid cyst of the parotid gland is extremely rare, even in the endemic areas and very few cases are reported in parotid gland.

[1]. Amir-Jahed, A. K., Fardin, R. and Bakshandeh, K.: Clinical echinococcosis. Ann. Surg., 182: 541-546, 1975.
[2]. Azizi, D.: Remarks on the compiled cases of hydatid cyst operated on in Tehran. Sci. J. Iranian Med. Council, 2: 127. Cited by Emamy and Asadian.
[3]. Saxena S K, Chaudhary S K, Saxena G R, Rao S S. Hydatid cyst of the parotid gland (a case report). J Postgrad Med 1983;29:105
[4]. Darabi M, Varedi P, Mohebi AR, Mahmoodi S, Varedi P, Nabavizadeh SA, Erfan A, Ostadali Makhmalbaf A, Saedi D, Saadat Mostafavi SR, Mousavi SM. Hydatid cyst of the parotid gland. Oral Maxillofac Surg. 2009 Mar;13(1):33-5.
[5]. Saidi, F.: "Surgery of Hydatid Disease", 1st Ed., W. B. Saunders Co. Ltd., London, Philadelphia and Toronto, 1976, p. 282
[6]. K.D. Chatterjee. "Parasitology – protozoology and helminthology" 12th edition, published 1980, Calcutta, 1995, p.121-126

Abstract: Many innovations have enhanced the profession of orthodontics since the days of Edward. H. Angle. Diagnostics models are most important key tool in diagnosis & treatment planning .Study models should be neat, clean and free from bubbles, so conventional vibrator is used while pouring. Here is a cost effective vibrator which can be made with simple items in just minutes , few bucks and it is cordless, rechargeable. It is just a body kneader; yet an innovation modified that can be used as a laboratory vibrator

Keyword: vibrator, portable, model pouring

 Mixing of dental plaster in bowl and vibrating by just pushing down bowl with spatula. fig .5
 Pouring impression fig .6 & fig .7

Abstract: Papillon lefevre syndrome is a rare autosomal recessive disorder with a characteristic clinical features of palmoplantar hyperkeratosis with severe early onset periodontal destruction followed by the premature shedding of both the deciduous and permanent teeth18. It was first described by two French physicians papillon MM and Lefevre in 1924.

[1]. AlKhenizan. S. Papillon lefevre syndrome, the response to acitretin. Int. J. Dermatol 2002 Dec, 41 (12): 938-41.
[2]. Almuneef M, Al Khenaizam & et al., Pyogenic liver absess and Papillon Lefevre syndrome: not a rare association. Pediatrics, 2003 Jan; 111 (1): e85-88.
[3]. Blanchet Badon C, Nazzaro V et al., Acitretin in the treatment of severe disorders of Keratinizaiton. Results of an open study. J. Am. Acad Dermatol 1991 Jun; 24 (6 Pt-1) 982-6.
[4]. Cury, VF, Costa JE et al., A Novel mutation of cathep C gene in papilon lefevre syndrome. J. periodontal. 2002 March; 73 (3): 307-12.
[5]. Gorlin RJ, Pindborg JJ, Cohen M.M. Jr. et al., syndromes of the head and neck, 2nd ed, New York ; Mc Graw Hill, 1976; 373-376.

Abstract: Abscess formation in the infra temporal and temporal fossae is rare. It is a serious sequel of odontogenic infection. Their presentation is unusual and consequently causes problems with diagnosis. Once diagnosed, treatment should be aggressive with intravenous antibiotics and surgical drainage. We report an unusual case of isolated infra-temporal space infection in a young and healthy patient who had irreversible pulpitis in first left mandibular molar.

[1]. MuhammadIshfaq, Muslim Khan, Qiamud Din: Odontogenic Primary Facial space infections — A study ,JKCD June 2012, Vol. 2, No. 2
[2]. Chunxu Z, Yaling T, Min Zet al. Maxillofacial space infection experience in West China: a retrospective study of 212 cases. International Journal of Infectious Diseases2010. 14; 414–417
[3]. Ali H M,Mohammad A G,Gulşen G.Infratemporal Space Infection Following Maxillary Third Molar Extraction in an Uncontrolled Diabetic.Journal of Dental Research, Dental Clinics, Dental Prospects.2012:6;(3); 113-115.
[4]. Sidika SS, Burak B, Gorkem M. A rare complication following maxillary third molar extraction: infratemporal fossa abscess. Cumhuriyet Dent J 2012;15(4):344-347 doi:10.7126/cdj.2012.1599
[5]. Guru KN,Moghe S, PIllai AK.et la.Incidence of anaerobic bacteria in 118 patient with deep space head and nech infection from the peoples hospital of maxillofacial surgery,BhopalIndai . Journal of Orofacial Research, July-September 2012;2(3):121-126.
[6]. M S Diacono, A R Wass. Infratemporal and temporal fossa abscesscomplicating dental extraction.Journal of AccidEmerg Med 1998;15:59-7.