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

Abstract: Cogan Reese syndrome belongs to a group of ocular disorders known as Iridocorneal Endothelial Syndrome(ICE).It is a unique ophthalmic disorder characterized by the presence of an abnormal corneal endothelium which leads to varying degrees of corneal edema,progressive iris atrophy and secondary angle closure glaucoma without pupillary block.We report a 32year old male patient who was diagnosed to have the Cogan-Reese variant of ICE Syndrome based on clinical findings.

[1]. Eagle RC,Font RL,Yanoff M,et al.Proliferative endotheliopathy with iris abnormalities.The iridocorneal endothelial syndrome.Arch Ophthalmol.1979;97(11):2104-2111

[2]. Shields MB.Progressive essential iris atrophy, Chandler's syndrome, and the iris nevus (Cogan-Reese) syndrome:A spectrum of disease.Surv Ophthalmol.1979;24:3

[3]. Hirst LW,Quigley HA,Stark w,et al.Specular microscopy of iridocorneal endothelial syndrome.AmJ Ophthalmol 1980;89:11-21.Cambell DG,Shields MB,Smith TR.The corneal endothelium and the spectrum of essential iris atrophy.AmJ Ophthalmol 1978;86:317-324.

[4]. Alvarado JA,Underwwod JL,Green WR et al.Detection of herpes simplex viral DNA in the iridocorneal endothelias syndrome.Arch Ophthalmol.1994;112:1601-1609

Keywords: The accessory ADM is the most common anomaly among all the accessory hypothenar muscles , with a prevalence of 24%, and present bilaterally in 50% of the cases . During routine dissection of undergraduates we have come across the presence of this accessory muscle in the wrist when the carpal tunnel is opened. This presents with Abductor Digiti Minimi (ADM) muscle bilaterally , involving ulnar artery (UA) and ulnar nerve (UN) distribution.

Key words:- Hypothenar, Accessory, Abductor digiti minimi, ulnar artery, ulnar nerve .

[1]. Curry B, Kuz J. A new variation of abductor digiti minimi accessorius. J Hand Surg. 2000;2:585– [2]. Soldado-Carrera F, Vilar-Coromina N, Rodriguez-Baeza A. An accessory belly of the abductor digiti minimi muscle: a case report and embryologic aspects. Surg Radiol Anat. 2000;2:51–4.

[3]. Kanaya K, Wada T, Isogai S, Murakami G, Ishii S. Variation in insertion of the abductor digiti minimi: an anatomic study. J Hand Surg. 2002;2(2):325–8. doi: 10.1053/jhsu.2002.31155.

[4]. Bozkurt MC, Tagil SM, Ersoy M, Tekdemir I. Muscle variations and abnormal branching and course of the ulnar nerve in the forearm and hand. Clin Anat. 2004;2:64–6.

[5]. Sheppard JE, Prebble TB, Rahn K. Ulnar neuropathy caused by an accessory abductor digiti minimi muscle. Wis Med J. 1991;2:628–31.

[6]. Netscher D, Cohen V. Ulnar nerve compression at the wrist secondary to anomalous muscles: a patient with a variant of abductor digiti minimi. Ann Plast Surg. 1997.

Abstract: Indian medicinal plants are profoundly used in the ancient Siddha system of medicine. These plants are attaining an immense interest in the field of research, due to their safety, efficacy and easy acessibility. Avirai Kudineer is being widely used in this traditional system of medicine whose scientific aspects are only minimally explored. The current review focuses on the phytochemical screening and various in-vitro and in-vivo studies on Cassia auriculata (Avirai), Cassia fistula (Kondrai), Syzygium cumini (Naval), Salacia reticulata (Kadalazhinjil), Saussurea lappa (koshtam), Terminalia arjuna (Marutham) and Cyperus rotundus( Korai kizhangu) which are the ingredients of Avirai Kudineer.

[1]. Y. Sachdev, Clinical endocrinology and diabetes mellitus: A comprehensive (Jaypee brothers Medical Publishers P Ltd), 2008, 2, 871-905.
[2]. K.S.N.Jyothi, P.Hemalatha, A.Avanthi, Suresh challa, A Comparative analysis on the alpha amylase inhibitory potential of six ornamental medicinal plants, J. nat. prods. Plants resour, 3(3) 2013,1-6.
[3]. Amala sowmyanath (Nee Raman) and Sairavee srijayanta, Traditional medicines for modern times: Anti-diabetic plants, (CRC Press, Taylor and Francis group LLC, 2006)101-102.
[4]. Krishna Bihari Pandeya, et.al, A Critical review on Traditional herbal drugs: An Emerging alternative drug for diabetes, International journal of organic chemistry, 3, 2013, 1-22.
[5]. K.Veluchamy, S.Jagajothipandian, .K.Meenakshisundaramoorthy, Theraiyar kudineer (CCRAS, 2nd edition, 1996), 40.

Abstract: Introduction: Health problem screening can assist in the timely provision of healthcare services to older adults with declining function and improve their quality of life. There is limited tool to measure perceived health problem of elderly people in India. Materials and Methods: A non-experimental approach as well as descriptive survey was conducted to collect the data after taking written consent from the participants. The data were collected from 239 elderly people (>65yrs) who were selected with help of random sampling from Paschim Medinipur, W.B in community setting.

[1]. Sharma D, MaztaR.S, Parashar A. Morbidity Pattern and Health-seeking Behavior of Aged Population residing in Shimla Hills of North India. J Family Med Prim Care. 2013;2(2): 188–193.
[2]. World Population Prospects: The 2002 Revision, Highlights. New York: United Nations Population Division; 2003. (ESA/P/WP. 180).
[3]. Population Aging: Facts, challenges, and responses. Working paper. Available http://www.hsph.harvard.edu/pgda/WorkingPapers/2011/PGDA_WP_71.[Last accessed on 2012 May 3].
[4]. Joshi K, Kumar R, Avasthi. A Morbidity profile and its relationship with disability and psychological distress among elderly people in Northern India. Int Jr of Epid 2003; 32:978-987.

Abstract: Purpose: To evaluate the cases of uveitis with regards to age of presentation, type, clinical presentation and etiology. Material and Methods: A total 130 eyes of 100 patients of uveitis, with average age of 36.5 years, were selected consecutively to find out the clinical presentation of uveitis and its possible etiological factors. Detailed present, past and family history was taken from all the patients. The patients were examined from head to toe and help of other specialists was also sought when required. Relevant laboratory investigations were also done to reach the final etiological diagnosis.

[1]. Henderly DE, Genstler AJ, Smith RE, Rao NA. Changing pattern of uveitis. Am. J Ophthalmol. 1987; 103:131-36.
[2]. Rodriguez A, Calonge M, Pedroza-Seres M, et al. referral patients of uveitis in a tertiary eye care centre. Arch Ophthalmol. 1996; 114:593-9.
[3]. Perkin ES, Folk J. Uveitis in London and IOWA. Ophthalmologica Basel. 1984; 189:36-40.
[4]. Schelegel TF Jr. Differential diagnosis of uveitis. Ophthalmol Digest. 1973; 35:34.
[5]. Darell RW, Wegener HP, Kurland LT. epidemiology of uveitis. Incidence and prevalence in small urban community. Arch ophthalmol. 1962; 68:502-14.
[6]. Gritz DC, Wong IG. Incidence and prevalence of uveitis in Northern California. Epidemiology of Uveitis study. Ophthalmology. 2004; 111:491-500.
[7]. Reeves SW, Sloan FA, Lee PP, Jaffe GJ. Uveitis in elderly: epidemiological data from the National long-term case survey Medicare cohort. Ophthalmology. 2006; 113:307.
[8]. Holger Baatz, Gaber B, Scharioth. Age distribution of patients presenting with uveitis. The Open Ophthalmology journal. 2007; 1:23-24.

Abstract: Objectives: Organ donation and transplantation is an important aspect of treatment of chronic condition in today's era of medicine.But still there is no formal education provided to the medical students on this topic. Through this study, we aim to determine the level of knowledge among medical students regarding organ donation and their overall attitude towards the concept of organ donation in a medical college in Southern part of India.

[1]. TaimurSaleemet al: Knowledge, attitude and practices survey on organ donation among selected adult population of Pakistan. BMC Medical Ethics 2009 10:5.
[2]. Ali et al: Knowledge and ethical perception regarding organ donation among medical students. BMC Medical Ethics 2013 14:38.
[3]. Symvoulakiset al: Organ donation knowledge and attitudes among health science students in Greece: Emerging Interprofessional needs. International Journal of Medical Sciences 2014; 11(6): 634-640.
[4]. Jain et al: Do medical students have the knowledge to maximize organ donation rates? Canadian Journal of Surgery 2003.
[5]. Inthomet al: Impact of gender and professional education on attitude towards financial incentives for organ donation: results of survey among 755 students of medicine and economics in Germany. BMC Medical Ethics 2014, 15:56.
[6]. Coad et al: Attitudes of young adults from the UK towards organ donation and transplantation. Transplantation Research 2013, 2:9.
[7]. MaciejKosieradzkiet al: Attitude of healthcare professionals: A major limiting factor in organ donation from brain dead donors. Journal of Transplantation, volume 2014, ID 296912, 6 pages.

Abstract: Background: Restoration of dentition lead to an improvement in the oral health related quality of life. Complete dentures are used to restore this oral cavity disability to an acceptable condition. Aim of the study: was to compare the retention of complete denture bases made by sectional border molding using the low fusing compound and putty type condensation silicone for border molding material and metallic oxide and light body condensation silicone as a final impression materials.

[1]. Jayaprakash MB., Sahu K, Khan M, Khoriya S, Jadhav S, Rendre B, Lukaram A. Management of flabby ridge cases: A chanllenge in clinical practice. Int. adv health sci 2014; 1(5): 32-7.
[2]. Tasleem R, Bin Saeed MH, Javed MU. Comparison of complete denture fabricated by two different border molding materials, interms of patients' satisfaction. J Ayub Med Coll Abbottabad 2013; 26(3-4): 78-80
[3]. Yarapatineni R, Vilekar A, Kumar JP, Kumar GA, Aravind P, Kumar PA. Comparative evaluation of border molding, using two different techniques in maxillary edentulous arches-An in vivo study. Int oral heath 2013; 5(6): 82-7.
[4]. Patel JR, Sethuraman R, Chaudhari J. Comparative evaluation of border morphology produced by three different border molding materials. Int. Journal of Contemporary Dentistry 2010; 1(3).

Abstract: Background: One of the key surgical issues in the management of teeth, which are erupting aberrantly angulated, is the exposure of the crown to allow eruption. The specific surgical procedure and the orthodontic mechanics, vary depending upon the tooth and its position. Aim: The aim of this study was to evaluate the esthetics and periodontal status of impacted canine using two different surgical procedures namely: apically positioned flap and closed-eruption techniques. Subjects and Methods: The study consisted of 13 patients with unilateral labially impacted maxillary canine. Six of the patients had undergone an apically positioned flap (APF) procedure, and the remaining seven had undergone the closed-eruption (CE) technique.

[1]. Stewart JAet al.Factors that relate to treatment duration for patients with palatally impacted maxillary canines. Am J Orthod Dentofacial Orthop. 2001 Mar; 119(3): 216-25.
[2]. Richards A. The buccal object rule. Dental Radiography and Photography 1980;3:53
[3]. Watchel HC. Session 11. In: Lang NP, Karring T, eds. Proceedings of the 1st European Workshop on Periodontology Surgical-periodontal therapy pp.159-171.London: Quintessence, 1994.
[4]. Vermette ME, Kokich VG & Kennedy DB. Uncovering labially impacted teeth: apically positioned flap & closed eruption techniques. Angle Orthod. 1994; 65 (1): 23-34.
[5]. Prato GP, Baccetti T, Magnani C, Agudio G &Cortellini P. Mucogingival interceptive surgery of buccally-erupted premolars in patients scheduled for orthodontic treatment. I. A 7- year longitudinal study. J periodontol 2000; 71: 172-181.

Abstract: Sacrococcygeal teratoma (SCT) is the most common congenital germ cell tumor, with an incidence of 1 in 35,000-40,000 live births, This birth defect is more common in female than in male babies.female predominance (3:1-4:1 ratio). The tumor arises from embryologically multipotent cells from the Hensen node, which is located in the coccyx. Most SCTs are now diagnosed prenatally, because of the widespread use of routine obstetric ultrasonography.

[1]. Avni FE, Guibaud L, Robert Y et-al. MR imaging of fetal sacrococcygeal teratoma: diagnosis and assessment. AJR Am J Roentgenol. 2002;178 (1): 179-83.AJR Am J Roentgenol (full text) - Pubmed citation

[2]. Danzer E, Hubbard AM, Hedrick HL et-al. Diagnosis and characterization of fetal sacrococcygeal teratoma with prenatal MRI. AJR Am J Roentgenol. 2006;187 (4): W350-6. doi:10.2214/AJR.05.0152 - Pubmed citation.

[3]. Hogge WA, Thiagarajah S, Barber VG et-al. Cystic sacrococcygeal teratoma: ultrasound diagnosis and perinatal management. J Ultrasound Med. 1987;6 (12): 707-10. J Ultrasound Med (citation) - Pubmed citation

[4]. Keslar PJ, Buck JL, Suarez ES. Germ cell tumors of the sacrococcygeal region: radiologic-pathologic correlation. Radiographics. 1994;14 (3): 607-20.Radiographics (abstract) - Pubmed citation

[5]. Kocaoglu M, Frush DP. Pediatric presacral masses. Radiographics. 26 (3): 833-57. doi:10.1148/rg.263055102 - Pubmed citation

Abstract: Neurofibroma of the trachea is a rare tumour. We present a case of a 55-year-old male with a solitary neurofibroma in the upper part of the trachea without any evidence of neurofibromatosis. The patient presented with dyspnoea on exertion of 6 months and intermittent coughing lasting for 2 years. The preoperative flexible bronchoscopy and computed tomographic (CT) scan neck revealed an intraluminal polypoidal mass with attachment on the right posterolateral tracheal wall with 2/3rd occlusion of the tracheal lumen .The mass was resected through a vertical tracheostomy approach using bipolar cautery under local anaesthesia. To our knowledge this is the first case reported in which tracheal neurofibroma is excised under local anaesthesia through vertical tracheostomy.

Key words: Solitary neurofibroma, trachea, vertical tracheostomy.

1] I.S. Lassos, R. Breuer, J.S. Lafair, Endotracheal neurofibroma in a patient with von Recklinghausen's disease, Eur Resplr J, 1,1988,464- 465.

[2] R. Rahbar, B.G. Litrovnik, S.O.Vargas, C.D.Robson, R. C.Nuss,M.B.Irons et al,The Biology and Management of Laryngeal Neurofibroma, Arch Otolaryngol Head Neck Surg,130(12),2004.1400-1406.

[3]. P. B. Nichkaode, R. Umalkar, N. Tulaskar, K. Panchbhai, R. Zamad,A rare case of endobronchial neurofibroma,JEMDS, 2(17),2013,2974-2979.

[4]. R.A.linsay,D.A Sauer,J. L Weismann,J. S. Schindler,Diffuse subglottic laryngeal neurofibroma in an adult,Otolaryngology head and neck surgery,141, 2009,545-546

[5]. M. J Pugnale,A. Maresh,P. Sinha,C. Rossi,J. Murnick,B.K reilly,Paediatric tracheal tumour masked by a history of travel:case report and literature review,The laryngoscope,125(4),2015,1004-1007.

Abstract: Objectives: To study the antepartum fetal surveillance with modified biophysical profile and perinatal outcome in 50 cases of pre-eclampsia. To prove the efficacy of modified biophysical profile as an effective tool for antepartum surveillance and assessment of perinatal outcome through timely diagnosis and treatment of fetal compromise. Methods: 50 pregnant women admitted to the wards in the department of obstetrics and gynaecology, Government general hospital, Vijayawada diagnosed with both severe and non-severe pre-eclampsia having gestational age more than 34 weeks over a period of 6 months were recruited randomly into the study. All the cases were investigated by modified biophysical profile and the results were analyzed.

[1]. Manning FA, Platt LD, Sipar L. Anterpartum foetal evaluation – Development of a fetal BPP. Am J ObstetGynaec, 1980; 136: 787.
[2]. Read JA, Miller FC. FHR acceleration response to acoustic stimulation as a measure of foetal well being, Am J ObstetGynaec, 1977; 129: 512.
[3]. Eden RD, Scifert LS, Kodack LD et al. A MBPP for antenatal fetal surveillance. ObstetGynecol 1988; 71 (3): 365-369.
[4]. Nageotte MP, Towers CV, Aerat T, Freeman RA, Dorchester W. The value of a negative antepartum test: CST and MBPP. ObstetGynecol 1994; 84: 231-234.
[5]. Phattanachindakun B, Booyagulsrirung T, Chanprapaph P. The correlation in antepartum fetal test between full fetal biophysical profile (FBp) and rapid biophysical profile (rBPP). J Med Assoc Thai. 2010 Jul;93(7):759-64.

Abstract: Patients who are misdiagnosed with ventricular fibrillation because of electrocardiographic artifact may be subjected to unnecessary procedures. Physicians should include artifact in their differential diagnosis of ventricular fibrillation to minimize unneeded procedures and interventions

[1]. Tarditi DJ, Hollenberg SM. Cardiac arrhythmias in the intensive care unit. Semin Respir Crit Care Med 2006;27:221–9.

[2]. Srikureja W, Darbar D, Reeder GS. Tremor-induced ECG artifact mimicking ventricular tachycardia. Circulation 2000;102:1337–8. [3]. Vereckei A. Pseudo-ventricular tachycardia: electrocardiographic artefact mimicking non-sustained polymorphic ventricular tachycardia in a patient evaluated for syncope. Heart 2004;90:81.

[4]. Knight BP, Pelosi F, Michaud GF, Strickberger SA, Morady F. Clinical consequences of electrocardiographic artifact mimicking ventricular tachycardia. N Engl J Med 1999;341:1270–74.