iosr-JDMS   Volume-14 ~ Issue-12 ~ December-2015

Abstract: Global warming is the increase in the average temperature of the Earth's near-surface air and oceans since the mid-20th century and its projected continuation. According to best estimates the earth could warm up by a minimum of 3ºC by 2100. There will also be profound Health effects. Various studies conducted worldwide concluded that majority of the population across the globe, specifically in the developing countries, were unaware of climate change and its impacts on environment and human health. Our study aims to assess the existing knowledge of global warming among school students in West Bengal, India as well as to determine the effectiveness of knowledge intervention in them.

[1] ITD/ GEMET 2000.http:// glossary.eea.europa.eu
[2] UNFCCC (1992). Convention on Climate Change. Germany: UNEP/IUC for Climate Change Secretariat.
[3] N Sasikumar, M parimala Fathima. An Overview Study on Awareness of Global Warming Among Graduate Teacher Trainees. Journal of Education and Practice.2011; 2(9):1-5.
[4] Canadel, J.G., Ciaia, P.,Dhakal ,S., Dolman, H., Friedlingstein , P., Gurney, Raupach, M.R. (2010). Interactions of the carbon cycle, human activity, and the climate system : a research portfolio. Current Opinion in Environmental Sustainability, 2, 301-311.
[5] Weart , S.R. (2010). The idea of anthropogenic global climate change in the 20th Century. WIREs Climate Change, vol.1,pp. 67-81.
[6] Cook, J., Nuccitelli, D., Green, S.A., Richardson , M., Winkler B., Painting R., Skuce,A. (2013). Quantifying the consensus on anthropogenic global warming in the scientific literature. Environmental Research Letters, 8(2), 1-7.

Abstract: Backgound: Intussusception is a rare cause of intestinal obstruction in adults. Most of the information available on this unusual entity in adults is in the form of case reports. We present a single centre experience of this enigmatic entity over a period of 10 years. Methods :33 cases of intususceptions involving various parts of gastro intestinal tract of adults were retrospectively studied from medical records. The clinical, radiological and pathological aspects these cases were evaluated. The treatment methods adapted were studied.

[1] De Moulin D. Paul Barbette (1985) A seventeenth-century Amsterdam author of best-selling textbooks. Bull Hist Med 59:506-514
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[3] Azar T, Berger DL (1997) Adult intussusception. Ann Surg 226:134–8.
[4] Begos DG, Sandor A, Modlin IM (1997) The diagnosis and management of adult intussusception. Am J Surg 173:88-94
[5] Erkan N, Haciyanli M, Yildirim M, Sayhan H, Vardar E, Polat AF (2005) Intussusception in adults: an unusual and challenging condition for surgeons. Int J Colorectal Dis 20:452-456

Abstract: Organophosphorus poisoning results from exposure to organophosphate (OP) which causes the inhibition of acetylcholinesterase, leading to the accumulation of acetylcholine. This nerve poisoning is a common problem in rural areas. The Present study was conducted to analyze the OP poisoning cases in a rural block, Sabang, Paschim Midnapur, West Bengal. Poisoning cases admitted from January 2014 to December 2014 were included the study. The socio demographic profile and outcome were studied. Keywords - Organophosphorus poisoning, Rural block

[1] Kora SA et al. Socio demographic profile of the Organophosphorus poisoning cases in Southern India. www.jcdr.net
[2] Gupta SK et al. study of organophosphorus poisoning in Surat India. JIAFM, 2006:28 (3) ISSN : 0971-0973
[3] Karki P et al. A clinico-epidemiological study of organo phosphorus poisoning in a rural based teaching hospital in Eastern Nepal. Trop Doct2001:31(1):32-34
[4] Sahin HA et al. sociodemographic factor in organophosphorus poisoning, a prospective study. Hum Exp Toxicol 2003; 22(7): 349-53
[5] Siwach SB et al. The profile of acute organophosphorus poisoning in Haryana-a Rohtak study. JAPI 1995; 43 (11); 756-59.

Abstract:In India NAFLD is emerging as an important cause of liver disease. It is known to be associated with various metabolic abnormalities . This study evaluated the clinical profile of patients of NAFLD and its relationship with metabolic syndrome. Methodology: This was a prospective cross sectional study carried out in the OPD of a private medical college. All patients diagnosed as NAFLD were investigated for metabolic syndrome according to the NCEP ATP 3 Criteria and a relationship between NAFLD and metabolic syndrome was studied. Results: Out of 226 cases, 46.02%, 44.7% and 9.29% of cases had grade I, II, and III fatty liver respectively. 146(64.6%) had metabolic syndrome.

[1] Farrell GC, Larter CZ. Nonalcoholic Fatty Liver Disease: from Steatosis to cirrhosis. Hepatology 2006;43:S00-S112.

[2] Suzuki A, Angulo P, Lymp J, St Sauver J, Muto A, Okada T, Lindor K.; Chronological development of elevated aminotransferases in a nonalcoholic population. Hepatology 2005;41:64–71.

[3] Angulo P. Nonalcoholic fatty liver disease. N Engl J Med 2002;346:1221-31

[4] Lazo M, Clark JM., The epidemiology of nonalcoholic fatty liver disease: a global perspective. Semin Liver Dis 2008;28:39-50.

[5] Bellentani S, Scaglioni F, Marino M, Bedogni G., Epidemiology of non-alcoholic fatty liver disease. Dig Dis 2010;28:155-61.

[6] Duseja A., Nonalcoholic fatty liver disease in India - a lot done, yet more required. Indian J Gastroenterol 2010;29:217-25.

[7] Gupte P, Amarapurkar D, Agal S, et al. Non-alcoholic steatohepatitis in type 2 diabetes mellitus. J Gastroenterol Hepatol 2004;19:854– 858.

Abstract: A recent promising innovation in regeneration procedures is the preparation and use of PRF, a concentrated suspension of growth factors found in platelets. Platelet-rich fibrin (PRF) may be considered as a second-generation platelet concentrate widely used to accelerate soft and hard tissue healing because of presence of many growth factors. For complete periodontal regeneration, delivery of growth factors in the local environment holds a great deal in adjunct to bone grafts. This case report present the application of PRF along with bone graft in the treatment of intrabony defect.

KEY WORDS: Platelet-rich fibrin, intrabony defect, bone graft

[1] American Academy of Periodontology. (1992) Glossary of Periodontal Terms, 3rd edition American Academy of Periodontology, Chicago.
[2] Giannobile WV. The potential role of growth and differentiation factors in periodontal regeneration. J Periodontol 1996;67:545-53.
[3] Takata T. Oral wound healing concepts in periodontology. Curr Opin Periodontol 1994;1:199-127.
[4] Choukroun J, Adda F, Schoeffer C, Vervelle A. PRF: an opportunity in perio-implantology (in French). Implantodontie 2000;42:55–62.
[5] Choukroun J, Diss A, Simonpieri A, et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part IV: clinical effects on tissue healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:56–60.
[6] Choukroun J, Diss A, Simonpieri A, et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part V: histologic evaluations of PRF effects on bone allograft maturation in sinus lift. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:299–303.

Abstract: Background: Neonatal magnetic resonance imaging (MRI) is a relatively new technique which has rapidly became the study of choice for the evaluation of central nervous system disorder in the newborn. MR imaging provides excellent anatomical depiction of the brain which surpasses intracranial ultrasound and computed tomography of brain. MR imaging is directed at understanding the prognostic implications of the CNS disease in newborn. Objectives: To study is to know the MRI brain changes in neonatal seizures and to correlate type of seizure with MRI changes.

[1]. Miller sp, Weiss j, Barnwell a et al. Seizure-associated brain injury in term newborns with perinatal asphyxia. Neurology 2002; 58:542-8.

[2]. Volpe JJ (1989) neonatal seizures: current concepts and revised classification. Pediatrics84:422–428

[3]. Sarnat HB, Sarnat MS (1976) neonatal encephalopathy following fetal distress. Arch neurol33:696–705.

[4]. Barkovich Aj. Pediatric Neuroimaging. 3rd ed. Philadelphia: LippincottWilliams&Wilkins.

[5]. Triulzi f, Baldoli c, Parazzini c.Neonatal MR imaging. Clin n am 2001 feb; 9(1): 57-82. [6]. Eriksson M, Zetterstorm. Neonatal convulsions. Acta pedict scand 1979; 68: 807-11.

[7]. Seay AR, Bray PF. Significance of seizures in infants less than 2500gms. Arch neurol 1977; 34: 381.

Abstract: Laparoscopy has gained popularity over open surgery in the treatment of umbilical and para-umbilical hernia repair over the last decade due to better defining and cover of the abdominal defect, shorter post-operative stay, less pain and lesser complications. The aim of our study was to compare the two procedures in terms of duration of surgery,cost outcome, complications, recovery time, and recurrence.

[1] Velasco M, Garcia-Urena MA, Hidalgo M, Vega V, Cohen M and Carnero FJ, Current concepts on adult umbilical hernia, Hernia, 3, 1999, 233–239.
[2] Jackson OJ, Moglen LH, Umbilical hernia. A retrospective study, California Medicine, 113, 1970, 8–11.
[3] Robins SB, Pofahl WE. andConzales, RR, LVHR reduces wound complication,American Journal of Surgery, 67(9), 2001,896-900.
[4] Rosen A. Brody F. Ponsky J and Walsh RM, Reoccurrence after LVHR,JournalofLaparoendoscopy and Advanced Surgical Techniques, 10(2), 2000, 6-12.
[5] Lau H, Patil NG, Umbilical hernia in adults,Surgical Endoscopy, 17, 2003, 2016–2020.
[6] McGreevy JM, Goodney PP, Birkmeyer CM, Finlayson SR, Laycock WS and Birkmeyer JD, A prospective study comparing the complication rates between laparoscopic and open ventral hernia repairs,Surgical Endoscopy, 17, 2003, 1778–1780.

Abstract: Biomedical waste (BMW) management is the need of the hour. Hospitals generate a large quantity of waste that should be properly collected, segregated, stored, transported, and safely disposed. Efforts are made to sensitize, motivate, and practice proper waste management through training programs and auditing the hospital. Objectives: 1.To assess the existing knowledge and attitude about biomedical waste management among health care professionals of a tertiary care hospital, Telangana. 2. To stipulate trainings for improvement of awareness about BMW

[1] Mathur P, Patan S, Shobhawat S. Need of Biomedical Waste Management System in Hospitals – An Emerging issue – A Review.Curr World Environ 2012; 7(1):117-124. [2] Saraf Y, Shinde M, Tiwari SC. Study of awareness status about hospital waste management among personnel and quantification. Indian Journal of Community Medicine.2006; 31: 111. [3] Govt. of India, Ministry of Environment and Forests Gazette notification No 460 dated July 27, New Delhi: 1998: 10-20 [4] Patil AD, Shekdar AV. Health-care waste management in India. J Environ Manage 2001; 63:211-20. [5] Bhuyan AL. Conference reports. Journal of the Indian Society of Health Care and Waste Management.2002; 1: 64. [6] Glenn, Mc.R&Garwal, R. Clinical waste in Developing Countries. An analysis with a Case Study of India, and a Critique of the BasleTWG Guidelines (1999)

Abstract: Neck swelling or neck mass is a very common presentation encountered in clinical practice. Because of its highly complex anatomy and physiology, neck disease manifesting as neck swelling can be varied from etiological, pathological and prognostic points of view. The radiological evaluation of neck masses has changed dramatically since the advent of multidetector computed tomography. Aims and Objectives: To assess the role of contrast enhanced CT neck in the evaluation of neck mass: location, morphological characteristics, extent, enhancement pattern and cervical nodal spread.

[1] Ahuja AT, Wong KT, King AD, Yuen EH: Imaging for thyroglossal duct cyst: The bare essentials. Clin Radiol 2005; 60:141-148.
[2] Brousseau VJ, Solares CA, Xu M, et al: Thyroglossal duct cysts: Presentation and management in children versus adults. Int J Pediatr Otorhinolaryngol 2003; 67:1285-1290.
[3] Shin JH, Lee HK, Kim SY, et al: Parapharyngeal second branchial cyst manifesting as cranial nerve palsies: MR findings. AJNR Am J Neuroradiol 2001; 22:510-512.
[4] Zadvinskis DP, Benson MT, Kerr HH, et al: Congenital malformations of the cervicothoracic lymphatic system: Embryology and pathogenesis. Radiographics 1992; 12:1175-1189.
[5] Lev S, Lev MH. Imaging of Cystic Lesions. Rad Clin N Am; Sept 2000; 38:1013-1029.
[6] Som P: Cystic lesions of the neck. Postgrad Radiol 1987; 7:211-236.

Abstract: Polycystic Ovarian Syndrome(PCOS) affects about ~5-10 % of women of reproductive age. PCOS is a complex disorder involving genetic and environmental factors. Metabolic complications associated with Insulin resistance are increased in PCOS including adverse cardiometabolic syndrome. This study aims at evaluating the correlation of cardiometabolic risk factors with Serum Insulin.

[1]. Reaven GM, Banting lecture 1988. Role of insulin resistance in human disease, Diabetes 37:1595, 1988. [2]. Conway GS, Honour JW, Jacobs HS, Heterogeneity of the polycystic ovary syndrome: clinical endocrine and ultrasound features in 556 patients, Clin Endocrinol 30:459, 1989. [3]. Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, Fruchart JC, James WP, Loria CM, Smith SC, Jr., Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity, Circulation 120:1640, 2009. [4]. Ehrmann DA, Barnes RB, Rosenfi eld RL, Cavaghan MK, Imperial J, Prevalence of impaired glucose tolerance and diabetes in women with polycystic ovary syndrome, Diabetes Care 22:141, 1999. [5]. Legro RS, Kunselman AR, Dodson WC, Dunaif A, Prevalence and predictors of risk for type 2 diabetes mellitus and impaired glucose tolerance in polycystic ovary syndrome: a prospective, controlled study in 254 affected women, J Clin Endocrinol Metab 84:165, 1999.

Abstract: Tuberous sclerosis complex Syndrome (TSCs) is an autosomal dominant disorder affecting multiple organs; caused by mutations of either the TSC1 or TSC2 gene encoding hamartin and tuberin respectively. It is characterized by the development of benign tumours affecting different body systems. The most common visible manifestations of TSC are facial angiofibromas and the formation of hamartomas in multiple organ systems leading to morbidity and mortality. We report a case of 22 year old girl in Tripura with Tuberous sclerosis complex syndrome presented with facial angiofibromas, angiomyolipomas of the bilateral kidney, subependymal nodules, subependymal giant cell astrocytoma.

Key words; facial angiofibromas, angiomyolipomas of the bilateral kidney, subpendymal nodules, subependymal giant cell astrocytoma

[1] Curatolo (2003), chapter: "Historical Background".
[2] Hung CC, SuYN, ChienSC, LiouHH, ChenCC,ChenPC,et al. Molecular and clinical analyses of 84 patients with tuberous sclerosis complex. BMC Med Genet. 2006; 7:72.
[3] Inoki K, Guan KL. Tuberous sclerosis complex, implication from a rare genetic disease to common cancertreatment. Hum Mol Genet. 2009;18:R94-100.
[4] Cutando A, Gil JA, López J. Oral health management implications in patients with tuberous sclerosis. Oral Surg Oral Med Oral Pathol Oral RadiolEndod. 2000;90:430-5.
[5] TS Cheng. Tuberous sclerosis complex: an update Review Article Hong Kong J. Dermatol. Venereol. (2012) 20, 61-67.
[6] Seibert D, Hong CH, Takeuchi F, Olsen C, Hathaway O, Moss J, et al. Recognition of tuberous sclerosis in adult women: delayed presentation with life-threatening consequences. Ann Intern Med 2011;154:806-13.
[7] Curatolo P. Seizures. In: Curatolo P, eds. Tuberous sclerosiscomplex: from basic science to clinical phenotypes. London:McKeith Press, 2003: 46-76