iosr-JDMS   Volume-14 ~ Issue-9 ~ September-2015

Abstract: The pulp and periodontium have embryonic, anatomic and functional inter-relationships. The simultaneous existence of pulpal problems and inflammatory periodontal disease can complicate diagnosis and treatment planning. This case report evaluates the efficacy of Alloplast material along with bio-absorbable barrier membrane periocol in the management of fenestration associated with an endo-perio lesion in a right mandibular first molar. A 32-year-old female patient with an endo-perio lesion in the right mandibular first molar was initially treated with endodontic therapy. Patient complaint of pain in the same region after 2 weeks following the endodontic treatment, the patient was then referred to periodontics department, a 5 mm pocket was noticed in the buccal aspect of 46. Fenestration was seen with distal root of 46 after open flap debridement. Defect was treated using graft substitute material along with guided tissue regeneration (GTR) membrane.There was a significant bony fill on radiographic examination. After 6 month there was a significant gain in CAL and PD reduction.

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[3]. Yoneda.M, Motooka.N, Naito.T, Maeda.K, Takao.H. (2005): Resolution of furcation bone loss after non-surgical root canal treatment: application of a peptidase-detection kit for treatment of type I endoperiodontal lesion, J.Oral Sci. 47: 143-147.
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[5]. Dejean KS, Reinheimer DM, Piva MR, Silva LCF, Martins Filho PRS. Disseminação de infecçãoodontogênicaoriginada de umalesãoendoperiodontal – relato de caso. Academia Tiradentes de Odontologia. Revista Online deOdontologia. 2009;10:861-6. [6]. Seltzer S, Bender IB, Ziontz M. The interrelationship of pulp and periodontal disease. Oral Surg Oral Med Oral Pathol. 1963;16(12):1474–90.

Abstract: Brain dominance and handedness have been of great interest to physicians and neurologists from time immemorial. While handedness deals with motor dominance and cerebral hemisphere producing language , brain hemisity deals with learning characteristics and behavioural styles. A Edinburgh handedness inventory (EHI) published in 1971 (1) measures hand dominance in daily activities. After nearly 35 years of use of EHI a revision (2) was made in EHI by discarding activities like opening box, broom and drawing and incorporating a new one , that is use of a computer mouse. Likert scale format was added.

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[2]. Dragovic M. Categorization and validation of handedness using latent class analysis. Acta Neuropsychiatrica.2004;16:212-218.

[3]. Morton BE. Behavioral laterality of the brain: support for the binary construct of hemisity. Frontiers in psychology.2013; 4.

[4]. Morton BE and Stein R. Behavioral laterality advance: neuroanatomical evidence for the existence of hemisity. Personality and Individual Differences.2010; 49:34-42.

[5]. Morton BE. Left and right brain-oriented hemisity subjects show opposite behavioral preferences. Frontiers in physiology.2012; 4.

Abstract:The objectives of the study were to compare the progress of labour, need of medical and surgical interventions and fetomaternal outcome in primigravidae with cord round neck versus without cord round neck at term or onset of labour. This study was performed at Mahila chiktsalaya, SMS Medical college Jaipur l from dec 2010 to December 2011. A total of 200 cases were studied over a 1 yr period. Among these, 100 had cord round neck and 100 control without cord round neck. 75% cases had delivered vaginally and cesarean was done in 24% cases . Instrumental delivery in1% .

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Abstract: Twenty-four (24) male and female adult Wistar rats weighing between 190 kg – 240 kg were randomly divided into four (4) groups: the Control group (A) received pelletized growers mesh and distilled water for four weeks while groups B, C and D were administered 400 mg/kg, 800 mg/kg and 1200 mg/kg of aqueous extract of areca nut respectively for four (4) weeks consecutively.The animals were sacrificed following 24 hours of fasting using chloroform anaesthesia. The oesophagus from each rat in each group were immediately harvested and processed for histological observations. In the histological assessment of the oesophagus, the aqueous extract of areca nut induced hyperplasia of the oesophageal mucosa at step-wise degrees, as the dosage increased with papillary projection of the mucosa into the sub mucosa region.The results of this study generally revealed that aqueous extract of areca nut caused morphological distortion in the oesophageal mucosa of Wistar rats.

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[3] S. Warnakulasuriya, Areca nut use following migration and its consequences. Journal of Addiction Biology. 7, 2002, 127-132.

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[5] B.J. Boucher and N. Mannan, Metabolic effects of the consumption of Areca catechu. Journal of Addiction Biology. 7, 2002, 103-110.

[6] J. Maji, B.C. Maria,P.Vidya,V.Ipe, and S. Manjula, Antimicrobial Properties of Areca Catechu (Areca Nut) Husk Extracts against Common Oral Pathogens. International Journal of Research in Ayurveda Pharmacy 3 (1), 2012, 81-84.
[7] R. Juniper, The Effects of Chewing Betel Nut. Published at www.livestrong.com/article/129158.2013. Assessed on 2nd of August 2014 at 6:05am.

[8] T.S. Lohith, N.B.Shridhar, K. Jayakumar,M.L.Sathyanarayana, S.M. Dilip, andK.H.Gowda, Acute Oral Toxicity of Raw Areca Nut Extracts in Rats. Indian Journal of Animal Research. 47(5), 2013, 431-434.

Abstract: chronic lower limb ischemia is the common cause of limb ulceration and is due to atherosclerosis and thrombo angiitis obliterans. Smoking is a major adverse factor for causation and relief of symptoms.The common symptoms are intermittent claudication and rest pain along with ulceration and gangrene. Due to public ignorance the patients present at a later stage and are not relieved of pain by conservative means, requiring surgical teratment in the form of lumbar sympathectomy and major amputations. Limb salvage can be attempted with early presentation and cessation of smoking.

[1]. Jaap AJ, Tooke JE. Diabetic angiopathy and Diabetic foot. Chapter 17. In: Tooke JE, Lowe GDO, editors. A textbook of vascular medicine. London: Arnold; 1996. p 254-71.
[2]. Faries PL, Teodorescu VJ, Morrissey NJ, Hollier LA, Marin ML. The role of surgical revascularization in management of Diabetic foot wounds. Am J Surg 2004 May;187(5A):34-7.
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Abstract: Background and Objectives: With the increase in life expectancy and modification of life style, hypertension is emerging as a major health problem in elderly. ISH is the commonest cause of raised blood pressure in the elderly. Hence this study was undertaken. STUDY SUBJECTS AND METHODS: Cross sectional study of 75 elderly patients, 60 years & above (Males – 39, Females – 26), with SBP > 140 & DBP  90, patients attending OPD & in-patients of Government General Hospital, Kurnool, during the period from July 2009 to October 2011.Evaluation of these patients as per prescheduled proforma.

[1]. Hypertension Study Group. Prevalence, awareness, treatment and control of hypertension among the elderly in Bangladesh and India: A multicentre study Bull World Health Organ2001; 79:490‐500.

[2]. Pinto E. Blood pressure and ageing. Postgraduate Medical Journal. 2007;83(976):109-11.
[3]. Aram V. Chobanian, George L. Bakris, Henry R. Black William C. Cushman, Lee A. Green. The VII report of JNC on prevention, detection, evaluation and treatment of high blood pressure. JAMA, May 2003, 289; 2560 – 72.

[4]. Fayad A, Yang H. Is Peri-Operative Isolated Systolic Hypertension (ISH) a Cardiac Risk Factor? Current Cardiology Reviews. 2008;4(1):22-33.

[5]. McCarthy CG, Goulopoulou S, Wenceslau CF,et.al . Toll-like receptors and damage-associated molecular patterns: novel links between inflammation and hypertension. American Journal of Physiology - Heart and Circulatory Physiology. 2014;306(2):H184-H196.
[6]. Martin A. James, Jayne Tullett, Anthony G. Hemsley, Angela C. Shore. Effects of Aging and Hypertension on the Microcirculation Hypertension. 2006;47:968-974.

Abstract: The aim of this study was to evaluate the treatment of adolescent/young adults patients after multidisciplinary therapy including implants insertion and effect of diameter of dental implants on osseointegration. A prospective study of 73 implants (Osseo Speed™ ASTRA TECH Implant System™, Ltd, UK) was prepared. The patients at implants surgery ranged from 16 to 23 years of age (13 men and 20 women; average age 20.4 years). The patients were followed up for a 6 - year period. The aesthetic appearance was checked mainly from the point of view of vertical position of the framework. The effect of microthread on the maintenance of marginal bone level was evaluated. The influence of fixture diameter on marginal bone level was ranged from +0.34 (SD 0.40) (3mm fixture diameter) to + 0.40 (SD 0.33) (4.5 mm fixture diameter).

[1]. Kawanami M, Andreasen JO, Borum MK, Schou S, Hjorting – Hansen E, Kato H. Infraposition of ankylosed permanent maxillary incisors after replantation related to age and sex. Endod Dent Traumatol 1999; 15: 50-56.
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Abstract: Blind nasal intubation was introduced in 1928 by Stanley Rowbotham and popularized by both Stanley Rowbotham and Evan Magill. In a difficult airway scenario, when combined with topical anesthesia of nasal passages, superior laryngeal nerve block, transtracheal block and appropriate decongestion of airway it is probably the safest and the easiest technique in the opinion of the author. A Prospective study of 30 cases with anticipated difficult airway in a 5 month period from Jan 2015 to May 2015 in Siddhartha Medical college Govt General Hospital was done after approval by ethics committee of the institute as alternative technique of intubation where fibre optic equipment is unavailable. Combined with topical anesthesia of nasal passages superior laryngeal nerve block, transtracheal block and appropriate decongestion of airway awake nasal intubation was done. It is a very useful alternative technique in patients with anticipated difficult airway, when fibreoptic equipment is not available.

Key Words: Airway, awake, Blind, Difficult, Nasal

[1]. Miller's Anaesthesia,volume-1,8/edition
[2]. Anaesthesia for maxillofacial surgery-Dr.Patil

Abstract: Introduction: Sickle hemoglobin is the most common pathological hemoglobin mutation worldwide in which upon deoxygenation RBCs convert into sickle form. Heterozygotes(AS) are usually asymptomatic and Homozygotes(SS)suffer from sickle cell anemia. Aim: To study hematological profiles of sickle cell disorders from Sir.T.Hospital, Bhavnagar. Materials and Methods: Prospective cross-sectional study was done in the Department of pathology, Government medical college, Bhavnagar from January 2013 to May 2015. Blood collected in EDTA vaccute and hematological indices measured by Abott cell dyne 3700 along with peripheral smear examination and confirmed by sickle solubility test and Hb electrophoresis. Results: Among 30 cases of sickle cell disease and 15 cases of sickle cell trait, male most commonly affected with mean age group 10 year. Hematological profile shows low Hb, MCH, MCHC and Hematocrit values with high MCV. Peripheral smear demonstrate anisopoikilocytosis(98%),sickle cell(68%) and target cell.(48%).

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[6]. Rao S, Goyal JP, Raghunath SV, Shah VB. Hematlogy profile of sickle cell disease from South Gujarat, India. Hematol Rep 2012;4: e8.

Abstract: Application of skull pins during craniotomy produces a significant haemodynamic response. We hypothesized that oral premedication of gabapentin would attenuate this response. Forty ASA I and II patients of age group 16 – 40 years, scheduled to undergo elective craniotomy for intracranial tumour resection were randomly divided into two groups. Group A received vitamin tablet and group B patients received 900 mg of gabapentin 2 hours before the induction of anaesthesia along with lignocaine scalp infiltrations. We assessed heart rate and blood pressure responses every 1 minute interval after pin insertion until the end of 10 minutes.

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[2]. Levin R, Hesselvik JF, Kourtopoulos H, et al. Local anesthesia prevents hypertension following application of the Mayfield skullpin head holder. Acta Anaesthesiol Scand. 1989;33:277–279.
[3]. Mathieu D, Beaudry M, Martin R, et al. Effect of the local anesthetic agent bupivacaine prior to application of the skull-pin holder for craniotomies. J Neurosurg. 2003;98:1194 - 1197.
[4]. Geze S, Yilmaz AA, Tuzuner F. The effect of scalp block and local infiltration on the haemodynamic and stress response to skull-pin placement for craniotomy. Eur J Anaesthesiol. 2009;26:298–303.