iosr-JDMS   Volume-14 ~ Issue-7 ~ July-2015

Abstract: Purpose: To report the midterm outcome of displaced neck of femur fractures in the independent adults in the age range 50-65 years, managed with total hip arthroplasty through a lateral approach. Methods: Between 1998 and 2008, a surgeon performed a cemented hip replacement using a modified lateral approach in 50 consecutive patients with garden type III or IV fracture neck of femur. Their clinical records were reviewed with respect to outcomes, with particular reference to complications. Independent review of functional outcome was completed at one year post surgery and final assessment at 10 years post op.

[1]. Singer BR, Mc Lauchlan GJ, Robinson CM et al. Epidemiology of fractures in 15,000 adults: the influence of age and gender. J Bone Joint Surg Br. 1998; 80(2): 243-248.
[2]. Dennisen E, Mohamed MA, Cooper C. Epidemiology of osteoporosis. Rheum Dis Clin North Am 2006;32(4):617-629.
[3]. Holmberg S, Kalen R, Thorngren KG. Treatment and outcome of femoral neck fractures: an analysis of 2418 patients admitted from their own homes. Clin Orthop 1987;218:42-52.
[4]. Bhandari M, Devereaux PJ, Tornetta P 3rd et al. Operative management of displaced femoral neck fractures in elderly patients. An international survey. J Bone Joint Surg Am 2005;87(9):2122-2130.
[5]. Garden RS. Malreduction and avascular necrosis in subcapital fractures of the femur. J Bone Joint Surg Br 1971;53:183-196.
[6]. Hunter GA. Should we abandon primary prosthetic replacement for fresh displaced fractures of the neck of the femur? Clin Orthop 1980;152:158-161.

Keywords: A beautiful smile is almost always the foremost priority of a patient coming for the dental treatment but complete oral rehabilitation of patients demanding a beautiful & attractive smile involves the change of both the morphologic aspect of teeth, architecture of oral tissues, and occlusion. An organised and systematic approach is required to analyze, evaluate and resolve esthetic problems predictably. It is of prime importance that final results are not dependant on looks alone. Our ultimate goal as clinicians is to achieve pleasing composition in smile by creating an arrangement of various esthetic, functional elements and improving the overall oral health of the patient. This case presents an interdisciplinary treatment approach for the damaged maxillary anterior teeth to achieve an optimally aesthetic and functional result.

[1] Case Report : TREATMENT OF MUTILATED MAXILLARY PRIMARY INCISORS: TWO CASE REPORTS. Int J Dent Case Reports Jan 2012, Vol.2, No. 1
[2] Case Report : A simple method for reconstruction of severely damaged primary anterior teeth,. Dental Research Journal / Oct 2011 / Vol 8 / Issue 4
[3] Case Report : Custom-Made Polyethylene Fiber-ReinforcedComposite Resin used as a Short Post for Pediatric Anterior Teeth. Asian Journal of Oral Health & Allied Sciences - Volume 1, Issue 1, Jan-Mar 2011
[4] Restoration of endodontically treated teeth. RSBO. 2011 Jul-Sep;8(3):e33-46
[5] Multidisciplinary Approach in Restoration of Form, Function and Aesthetics of Grossly Decayed Anterior Teeth, Journal of Case Reports, Vol. 3, No. 1, Jan-June 2013
[6] Contemporary Restoration of ENDODONTICALLY TREATED TEETH. Evidence-Based Diagnosis and Treatment Planning. Nadim Z. Baba, dmd, msd

Abstract: Background: Pre-eclampsia is a syndrome affecting all organs and has both maternal and foetal complications. Maternal multi organ vascular endothelial damage in pre-eclampsia leads to excessive leakage of lactate dehydrogenase into the maternal serum. Objective: (1) Role of serum lactate dehydrogenase as a biochemical marker in pre-eclampsia so as to decrease maternal morbidity and mortality. (2) Correlation of the levels of serum lactate dehydrogenase with Severity And Complications Of Pre-Eclampsia.

[1]. Kee Hak Lim,MD,Associate Professor,Department of Obstetrics and Gynaecology, Harvard Medical School,July 31,2009. Pre-eclampsia: eMedicine Obstetrics and Gynaecology.
[2]. Fernando Arias,Shrish N. Daftary,Amarnath G. Bhide. Hypertensive disorder of pregnancy. Practical guide to high risk pregnancy and delivery; 3 rd edition:398.
[3]. K .Jan, M. Jamil. Management of pre-eclampsia and eclampsia. JPMI 2000; 14(11): 7-19.
[4]. Fernando Arias,Shrish N. Daftary,Amarnath G. Bhide. Hypertensive disorder of pregnancy. Practical guide to high risk pregnancy and delivery; 3 rd edition :421-431.
[5]. ACOG. Committee on Practice Bulletins- Obstetrics.Diagnosis and managementof pre-eclampsia. Obstet Gynecol 2001; 98:159-167.

Abstract: Aim: To access the knowledge and practice of brushing technique of parents /caretaker on their children. Objective: The purpose of the study was to access the knowledge and practice of brushing technique of parents/ caretaker on their children ranging 12years and below. The survey was done on a number of 110parents who were seeking care within dental service provided by Saveetha Dental college,Chennai . Background: Parents are generally the primary decision makers on matters affecting their child's health including oral health. Tooth brushing twice daily is recommended component of oral health care soon after eruption of primary dentition.

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Abstract: Globally, the incidence and prevalence are increasing. India is its race to become "Word Diabetes Capital". Diabetes is a lifelong serious disease and should be treated as such. Left unchecked, it shortens life. It is not a condition that goes away by itself. Diabetes is defined as a state in which homeostasis of carbohydrate, lipid and protein metabolism is improperly regulated by insulin. This results primarily in elevated fasting and in postprandial blood glucose levels .

[1]. Parks Text Book Of Preventive And Social Medicine: Author K. Park., 23rd Edition, Jan.2015, Page:393.
[2]. Wild S,Roglic G,Green A,Sicree R,King H.Global Prevalence Of Diabetes :Estimation For The Year 2000 And Projections For 2030 .Diabetes Care 2004;27:1047-53.
[3]. Dennis LK, Eugene B, Anthony F. Harrison's Principle Of International Medicine. New York : Mcgraw-Hill Companies ;2003.
[4]. Haslett C, Chilvers ER , Hunter John AA, Boon NA. Davidson's Principles And Practice Of Medicine .Philadelphia: Churchill Livingstone ;1999.
[5]. Chow CK, Raju PK, Raju R, Reddy KS, Cardona M, Celermajer 52. DS, Et Al. The Prevalence And Management Of Diabetes In Rural India. Diabetes Care 2006; 29 : 1717-8.
[6]. Mohan V, Mathur P, Deepa R, Deepa M, Shukla DK, Menon 11. GR, Et Al. Urban Rural Differences In Prevalence Of Self-Reported Diabetes In India - The WHO-ICMR Indian NCD Risk Factor Surveillance. Diabetes Res Clin Pract 2008; 80 : 159-68.

Abstract: Road traffic injuries (RTIs) are included under unintentional injuries. The definition of road traffic fatality varies in different countries and is defined as 'any person killed immediately or dying within 30 days as a result of an injury or accident' (Mohan et al, 2006). According to WHO, RTIs are the sixth leading cause of death in India with a greater share of hospitalizations, deaths, disabilities and socioeconomic losses in young and middle-age populations (Ministry of Health and Family Welfare, 2004).

[1] Mohan D, Tiwari G, Khayesi M, Nafukho FM. Road traffic injury prevention: Training manual. Geneva, Delhi:World Health Organization, Indian Institute of Technology; 2006.
[2] Ministry of Health and Family Welfare. Integrated Disease Surveillance Project: Project Implementation Plan 2004–09. New Delhi:Government of India; 2004: 1–18.
[3] Marcin JP, Pollack MM.Triage scoring systems, severity of illness measures, and mortality prediction models in pediatric trauma. Crit Care Med 2002; 30:S457–S467.
[4] Stevenson M, Segui-Gomez M, Lescohier I, Di Scala C, McDonald-Smith G. An overview of the injury severity score and the new injury severity score. Injury Prevention 2001; 7:10–13. [5] Verma PK, Tewari KN. Epidemiology of road traffic injuries in Delhi: Result of a survey, Regional Health Forum WHO South-East Asia Region; 2004.

Abstract: We present two cases of childhood and one case of adult Lymphomatoid papulosis (LyP), an entity which is commonly misdiagnosed and poorly described in the paediatric dermatology literature. Clinically and histologically, the features of LyP in children can mimic insect bite reaction, with prominent dermal neutrophils and eosinophils. However, CD30 immunohistochemical staining of atypical lymphocytes within a mixed inflammatory infiltrate should point to the diagnosis of LyP. There is no consensus to guide management of childhood LyP due to its rarity and largely unknown natural course. We discuss our experience with LyP in two children who are blood related and one adult case. Although none of our cases have experienced malignant transformation to date and life long monitoring is advocated.

Keywords: CD30+, Cutaneous lymphomas, Childhood LyP, Lymphomatoid papulosis, Lymphoproliferative disorder.

[1]. Nijsten T,curiel – lewandrowski C,kadin ME, Lymphomatoid papulosis in children: A retrospective cohort study of 35 cases.Arch.Dermatol.2004:306-12
[2]. Van Neer FJ, Toonstra J, Van voorsi vader PC et al. Lymphomatoid papulosis in children: A study of 10 children registered by the Dutch cutaneous lymphoma working group.Br.J.Dermatol.2001;144:351-4.
[3]. Zirbel GM, Gellis S E, Kadin ME et al. Lymphomatoid papulosis. Hum.Pathol.1989;20:747-52
[4]. de.Souza A,camilleri MJ, Wada DA et al. Clinical, histopathologic and immuno-phenotypic features of Lymphomatoid papulosis with CD 28 predominance in 14 paediatric patients. J.Am.Acad.Dermaol.2009;61:993-1000.
[5]. Paul MA, Krowcuhk DP, Hitchcock MG et al, lymphomatoid papulosis: Successful weekly pulse superpotent topical corticosteroid therapy in three paediatric patients.pediatr.Dermatol.1996;13:501-6

Abstract: Histoid leprosy, once thought to occur in patients on dapsonemonotherapy is a well recognised entity also occurring in patients after multidrug therapy, as well as denovo. Since it resembles many conditions like dermatofibromas, neurofibromas, molluscumcontagiosum, sarcoidosis etc., it is likely to be missed out and hence forms the reservoir of infection. Here we report 5 cases of denovohistoid leprosy out of whom 2 patients developed type 2 reaction. The diagnosis was confirmed by slit skin smears and histopathological examination.

Keywords : denovo, histoid leprosy, spindle shaped cells, type 2 reaction.

[1]. Wade HW (1963) Thehistoid variety of lepromatous leprosy. Int J Lepr 31: 129-43.
[2]. Sehgal VN and Srivastava G (2004) Histoid Leprosy. 3rd ed. New Delhi: Jaypee Brothers Medical Publishers, 12.
[3]. Sehgal VN, Aggarwal A, Srivastava G, Sharma N, Sharma S (2005) Evolution of histoid leprosy (de novo) in lepromatous (multibacillary) leprosy. Int J Dermatol 44: 576-578. [4]. S. R. Annigeri, S. C. Metgud, and J. R. Patil, "Lepromatous leprosy of histoid type," Indian Journal of Medical Microbiology, vol. 25, no. 1, pp. 70–71, 2007. [5]. Sehgal VN, Srivastava G. Histoid leprosy – a prospectivediagnostic study in 38 patients. Dermatologica, 1988; 177:212–217.
[6]. Kalla G, Purohit S, Vyas MC. Histoid, a clinical variant ofmultibacillary leprosy: report from so-called nonendemicareas. Int J Lepr Other Mycobact Dis 2000; 68: 267–271.

Abstract: Aims: Knowledge about the anatomy of mandible and its variations in age, sex and race will be useful for anatomists, anthropologists, anesthetist, orthopedics and experts in the field of forensic medicine to give correct interpretations for the diagnostic procedures in living as well as post mortem confirmation of findings. Methods:100 (Males 50,Females 50) human mandibles of known sex from the department of Anatomy,Government Medical College,Aurangabad,Maharashtra, India for the sexual dimorphism with the help of 14 different morphometricparameters.

[1]. InderbirSingh ,Text book of Anatomy with Colour Atlas.2nd Edition, Vol.i., p.141-144
[2]. Morant,G. A Biometric study of Human Mandible. Biometrica.1936, Vol.28.p.84-112.
[3]. Martin,E.S. A study of an Egyptian series of Mandibles with special reference to Mathematical methods of sexing.1936 Biometrica.28:119-178
[4]. Clever.1937. Biometric study of human mandible. Biometrics.28:84-122.
[5]. Hrdlicka,A. Lower jaw. The gonial angle. The bigonial breadth. American journal of physical Anthropology. 1940,Vol.27,p.284.
[6]. Brues.1958. Attribution of sex: Complete skeleton of subadult.p.27-31.

Abstract: A 40 year old male patient was admitted with history of nausea, vomiting, loss of appetite, loss of weight and severe fatigue with past history of tuberculosis and had ATT for 6 months. Findings in physical examination were mild dehydration, hyper pigmentation of face, hands (creases), elbows and feet, and low blood pressure. Lab evaluation was normal except for raised ESR. Biochemical workup showed hyponatremia, hyperkalemia , and raised Creatinine. Ultrasound of abdomen showed bilateral enlarged adrenals with calcifications, and also thickened ileocaecal junction noted..

[1]. Williams textbook of endocrinology.-12thed. I ShlomoMelmed [et al.J.p. ; cm.
[2]. J Assoc Physicians lndia2000 Sep; 48(9):919-20.Disseminated tuberculosis causing bilateral adrenal enlargement and Addison's disease .
[3]. J Assoc Physicians India SEPTEMBER 2013 • VOL. 61, Addison's Disease presenting with Muscle Spasm
[4]. Kenneth L Becker. Principles and Practice of Endocrinology and metabolism. 3rd ed. 2001; Lippincott Williams & Wilkins: 1918.
[5]. Martorell PM, Roep BO, sss JWA. Autoimmunity in Addison's disease. The Netherlands Journal of Medicine 2002;60:269-275.
[6]. Agarwal G, Bhatia E, Pandey R. Jain SK. Clinical profile and prognosis of Addison's disease in India. Natl Med J India 2001;14:23-5

Abstract: Background and objectives: Malaria is one of the leading causes of morbidity and mortality in tropical countries. The objectives of the study are(1) to study epidemiological pattern of malaria.(2) to emphasis the accurate diagnosis or species identification of mixed-species malaria and consequences of underreporting of the same (3)to report a rare case of congenital malaria.

[1]. Wilson WR, Sande MA, Drew WL. Current Diagnosis and Treatment in Infectious Diseases. New York: Lange Medical Books/McGraw Hill; 2001: 798. [2]. Biggar RJ, Collins WE, Campbell CC: The serological response to primary malaria infection in urban Ghanaian infants. AmJTrop Med Hyg 1980, 29:720-724. [3]. Sehgal VM,Siddjiqui WA,Alpers MP: A seroepidemiological study to evaluate the role of passive maternal immunity to malaria in infants. Trans R Soc Trop Med Hyg 1989,83(Suppl):105-106. [4]. Brabin B: An analysis of malaria parasite rates in infants: 40 years after Macdonald. Trop Dis Bull 1990, 87:1-21. [5]. Fischer PR: Malaria and newborns.J Trop Pediatr 2003,49:132-134.

Abstract: Rickettsial diseases are being under reported from India but they are significant contributors of pyrexia. The present study deals with utilization of Weil Felix test (WF) as screening test for diagnosis of rickettsial diseases in patients of fever and rash. Latex agglutination test PROGEN from Tulip Diagnostics (P) Ltd. was used for screening 156 samples out of which 27 samples (17.30%) were positive. Maximum positivity was shown towards OX-2 antigen (88.88%) followed by OX-19 (66.66%) and least towards OX-K (11.11%). Weil Felix test though being non specific is user friendly, non-tedious and cannot be discarded altogether from laboratory set-up.

Key words : Pyrexia, rickettsial infections, Weil Felix test.

[1]. Marmion BP, Worswick DA. Coxiella burnetii and other medically important members of the family Rickettsiaceae. In:Collee JG,Fraser AG, Marmion BP, editors.Mackie & McCartney‟s Practical Medical Microbiology. 14th edn. Churchill Livingstone: Elsevier India Pvt. Ltd; 2008.p 577.
[2]. Walker DH, Bouyer DH. Rickettsia and Orientia. In: Murray PR, Editor in Chief. Manual of Clinical Microbiology Vol 1. 9th edn. Washington DC: ASM press; 2007. p 1041-42
[3]. Ananthanarayan & Paniker‟s. Rickettsiacea. In: Arti Kapil, editor. Textbook of Microbiology. 9th edn. Universities press (India) Pvt. Ltd. 2013; p 410 .
[4]. Sinha P, Gupta S, Dawra R, Rijhawan P. Recent outbreak of scrub typhus in North-Western part of India. IJMM July 2014; 32 (3): 247-250
[5]. WHO (1983) "Bull WHO‟ 61: 443

Abstract: The cardiovascular system is the first organ system of an embryo to reach a functional state. The heart is supplied by the right and left coronary arteries which arise from the ascending aorta. The artery giving off the posterior interventricular branch is defined as the dominant artery. Materials and method: Thirty fetal hearts ranging from gestational age of 17 wks to 40 wks are studied. Results and observation: Right dominance in 70%, left dominance in 20% and co dominant in 10%. Myocardial bridges are also a common finding in the course of the arteries.

[1]. Moore KL, Persuad TVN, Torchia MG. The developing human. 8th ed. Philadelphia: Saunders; 2008.
[2]. Hutchins GM, Kessler-Hanna A, Moore GW. Development of the coronary arteries in the embryonic human heart. Pathophysiology and natural history Embryonic heart development 1988 Jun;77(6): 1250-57
[3]. Gatzoulis MA. Thorax. In: Standring S, Borley NR, Crossman AR, Healy JC, John D, Mahadevan V, Newell RLM, editors. Grays Anatomy. 40th ed Philadelphia: Churchill Livingstone; 2008.p.907-1013.
[4]. Sinnatamby CS. Last's Anatomy. 12th ed. Edinburg: Churchill Livingstone; 2011.

Abstract: During an infectious disease outbreak, it is critical to learn as much as possible about the concerns, knowledge, attitudes and behaviour of the public. Such information can be crucial to the improvement of communication efforts by public health officials and clinicians. The aim of this study was to assess the knowledge, attitudes and practices related to influenza A (H1N1) among the OPD patients of Tertiary Care Hospital, Surat. Methods: A hospital based cross sectional study was carried out in the tertiary Care Hospital; 507 participants were selected by convenient sampling method from different OPDs.

[1]. Hanan H Balkhy, Mostafa A Abolfotouh, Rawabi H Al-Hathlool, Mohammad A Al-Jumah. Awareness, attitudes, and practices
related to the swine influenza pandemic among the Saudi public. BMC Infectious Diseases 2010;10:42:1-7.
[2]. Tiffany L. Marchbanks, Achuyt Bhattarai, Ryan P. Fagan, Stephen Ostroff, Samir V. Sodha, Ma` ria E et al. An Outbreak of 2009
Pandemic Influenza A (H1N1) Virus Infection in an Elementary School in Pennsylvania. Clinical Infectious Diseases 2011;52:154–160.
[3]. Datta SS, Kuppuraman D, Boratne AV, Abraham SB, Singh Z. Knowledge, Attitude and Practice Regarding Swine Flu among
Para medical Workers in Tertiary Care Hospital in Pondicherry. J. Commun. Dis. 2011;43(1):1-9.
[4]. Influenza A ‐ H1N1 Information Manual, Epidemic branch, Health and Family Welfare Department Government of Gujarat.
2012;1-70.

Abstract: Bone fractures are commonly encountered in today's industrial era. Various treatment modalities were introduced from time to time and each of them had some edge over the previous one. Fractures of the forearm bones may result in severe loss of function unless adequately treated. Excellent results for plate fixation in displaced diaphyseal fractures of both the radius and ulna have been reported by various authors, but only a few authors have focused on plate fixation in the management of open diaphyseal fractures of both the radius and ulna [1-10].

[1]. Duncan R, Geissler W, Freeland AE, Savoie FH. Immediate internal fixation of open fracture of the diaphysis of the forearm. J Orthop Trauma, 1992; 6: 25– 31.
[2]. Naiman PT, Schein AJ, Siffert RS. Use of ASIF compression plates in selected shaft fractures of the upper extremity. A preliminary report. Clin Orthop, 1970; 71: 208–16.
[3]. Reilly TJ. Isolated and combined fractures of the diaphysis of the radius and ulna. Hand Clin, 2002; 18: 179–94.
[4]. Knight RA, Purvis GD. Fractures of both bones of the forearm in adults. J Bone Joint Surg Am, 1949; 31: 755–64.
[5]. Hicks JH. Fractures of the forearm treated by rigid fixation. J Bone Joint Surg Br, 1961; 43: 680–7.
[6]. Moore TM, Klein JP, Patzakis MJ, Harvery JP. Results of compression- plating of Galeazzi fractures. J BoneJoint Surg Am, 1985; 67: 1015–21.

Abstract: Duodenal Atresia has been reported with multiple associated anomalies which are rare .here we report two such cases, their management,outcome and review of relevant literature.

KeyWords: Duodenal Atresia, Multiple Congenital Anomalies.

[1]. Harry Applebaum,Steven L Lee,and Devin P.Puaong. Duodenal atresia and Stenosis-Annular pancreas. In: Grosfelf JL, O' Neill JA Jr, Coran AG, Fonkalsrud EW, (ed). Pediatric Surgery, 6th edn. St. Louis: Mosby Elsevier. 2006:p 1260-68.
[2]. Choudhry MS, Rahman N, Boyd P, Lakhook K. Duodenal atresia: associated anolamies, Prenatal diagnosis and outcome. Pediatr Srug Int. 2009; 25: 727-30
[3]. Mriza B, Ijaz L, Saleem M, Sheik A. Multiple associated anomalies in a single patient of duodenal atresia: a case report. Cases J. 2008; 1:215
[4]. Goncalves MEA, Viana DC, Rodrigues JC, Macedo DB, Lima TL. Duodenal atresia combined with annular pancreas: a case report. Rev Para Med. 2008;22:601289.

Abstract: 38 cases of sacrococcygeal Pilonidal Sinus underwent wide excision and closure by advancement Flaps .Lesser pain, hospital stay ,good healing, lower SSI and wound related complications and no recurrence was noted in the study population .The results are gratifying from our experience . Rhomboid flap should be considered in all cases undergoing excision of pilonidal sinus as the first choice. Key words: Pilonidal Sinus , Limberg Flap .

[1]. Muhammad Nadeem Aslam, Sidra Shoaib, Abdul Majeed Choudhry.Use of Limberg Flap for Pilonidal sinus –A Viable Option. J Ayub Med Coll Abbottabad 2009;21(4)

[2]. Mentes BB, Leventoglu S, Cihan A, Tatlicioglu E, Akin M, Oguz M. Modified Limberg transposition flap for sacrococcygeal pilonidal sinus Surg Today. 2004;34(5):419-23

[3]. Chasmar LR. The versatile rhomboid (Limberg) flap. Can J Plast Surg. 2007 Summer; 15(2): 67–71.