iosr-JDMS   Volume-15 ~ Issue-10 ~ October-2016

Abstract: GRACE and TIMI score are risk stratification tools that are able to predict the short term and long term mortality in patients with Acute Coronary Syndrome (ACS). There is insufficient evidence from the literature on the value of risk scores in predicting need for coronary revascularization. Hence, we performed the study to assess the utility of GRACE and TIMI score to predict the requirement for coronary revascularization. A total of 515 patients with ACS participated in the study. Patients with co-morbid medical conditions were excluded. Baseline characteristics of all the patients were recorded...........

Keywords: Acute Coronary syndrome, co-morbid, GRACE, in-hospital mortality, revascularization, Thrombolysis in Myocardial Infarction (TIMI) .

[1]. Sathyamurthy I, Dalal JJ, Sawhney JPS, Mohan JC, Chogle SA, Desai N, et al. Cardiac Biomarkers for Better Management of Acute Coronary Syndromes. J Assoc Physicians India. 2015 ;63:46–50.
[2]. Lu M, Tang J, Wu J, Yang J, Yu J. Discharge planning for acute coronary syndrome patients in a tertiary hospital: a best practice implementation project. JBI Database Syst Rev Implement Rep. 2015;13:318–34.
[3]. Bawamia B, Mehran R, Qiu W, Kunadian V. Risk scores in acute coronary syndrome and percutaneous coronary intervention: a review. Am Heart J. 2013 ;165:441–50.
[4]. Zhou B-D, Zu L-Y, Mi L, Wang G-S, Guo L-J, Gao W. An analysis of patients receiving emergency CAG without PCI and the value of GRACE score in predicting PCI possibilities in NSTE-ACS patients. J Geriatr Cardiol JGC. 2015;12:246–50.
[5]. Fox KAA, Fitzgerald G, Puymirat E, Huang W, Carruthers K, Simon T, et al. Should patients with acute coronary disease be stratified for management according to their risk? Derivation, external validation and outcomes using the updated GRACE risk score. BMJ Open. 2014;4:e004425

Abstract: Ethylene Diamine Tetra-acetic Acid (EDTA) has great significance in human physiology to cure myocardial, atherosclerosis, occlusive peripheral arterial disease and cholesterol metabolism. Many medical researcher's/ scientist's and also clinical practitioners around the world have great interest to cure such problems at low dose without bypass surgery. Many medical researchers/ scientist says that the bypass surgery does not cure the patients and does not remove the actual causes of the problems and does not prevent the heart attacks. EDTA can greatly reduce the release of free radicals which develops as a Bi-products of oxidation-reduction in metabological reactions..........

Keywords: Myocardial problem, EDTA, cholesterol metabolism and free radicals

[1]. JR Kitchell , F. Palmon , N Aytan , L E Meltzer, The treatment of artery disease with disodium EDTA, a reappraisal, Am. J. Cardial. 11, 1963; 501-506.
[2]. L W. Cashin , M.E. Sanmarco , S. A. Nersim , D.H. Blonkohorn , Accelerated progression of atherosclerosis in coronary vessels in the minimal lesions that are bypassed. N. Egl. J. Med. 311(13), 1984; 824-828.
[3]. N. E. Clarke , C.N. Clarke, R E. Mosher, The "in-vivo" dissolution of metastatic calcium: an approach to atherosclerosis. Am. J. Med. Sci. 229, 1955; 142-149.
[4]. L.E. Meltzer , M. E. Ural, J.R Kitchell , The treatment of coronary artery disease with disodium EDTA, In: seven MJ; Johnson LA, eds. Metal Binding in Medicine Philadelphia J.B. Lippincott Co., 1960: 132-136.
[5]. A. Soffer, Chelation therapy for cardiovascular disease. In: Soffer A., ed. Chelation Therapy Springfield: Chales C. Thomas; 1964:15-33.s

Abstract: We surveyed seventy medical and paramedical personals at SGT Medical College Hospital Budhera , Gurgaon , Haryana ( India ) to know their preferred technique of anaesthesia for appendicectomy surgery and to determine the frequency of various reasons of preference of a particular technique. Participants were interviewed according to a structured questionnaire and allowed to select one option. Forty three participants expressed their preference for Regional Anesthesia ( RA). Most common reason for their preference was safety associated with RA. Remaining twenty seven participants showed their preference for General Anaesthesia ( GA ). The main reason for their preference for GA was fear of remaining awake under regional anaesthesia. This survey may help to promote patient centered care in department of anesthesiology

[1]. Sculpher M, Gafni A, Watt I. Shared treatment decision making in a collectively funded health care system: possible conflicts and some potential solutions. Soc Sci Med. 2002;54:1369–1377. [PubMed]

[2]. Ogden J, Ambrose L, Khadra A, Manthri S, Symons L, Vass A, Williams M. A questionnaire study of GPs' and patients' beliefs about the different components of patient centredness. Patient Educ Couns. 2002;47:223–227. [PubMed]

[3]. Matthey PW, Finegan BA, Finucane BT. The public's fears about and perceptions of regional anesthesia. Reg Anesth Pain Med. 2003;29:96–101

[4]. Oldman M, McCartney CJ, Leung A, Rawson R, Perlas A, Gadsden J, et al. A survey of orthopedic surgeons' attitudes and knowledge regarding regional anesthesia. Anesth Analg. 2004;98:1486–90. [PubMed]

[5]. Pelinka LE, Hartmut P, Leixnering M, Mauritz W. Why patients choose regional anesthesia for orthopedic and trauma surgery. Arch Orthop Trauma Surg. 2003;123:164–7. [PubMed]

Abstract: The aim of the study was comparison of multifocal IOLs with the current standard mono-focal IOLs in Senile Cataract undergoing surgery with phacoemulsification in respect to visual acuity (uncorrected and best corrected for both distant and near). Materials and Methods: This was a prospective randomized study at Sarojini Devi Eye Hospital, Hyderabad from September 2013 to September 2014, in 50 patients of senile cataract. The study group was divided randomly into two groups with 25 patients in each group. All the in the study group underwent phacoemulsification with implantation............

Keywords: Uncorrected Distant visual acuity (UCDVA), Best corrected Distant visual acuity (BCDVA) Uncorrected Near visual acuity (UCNVA), Best corrected Near visual acuity (BCNVA), Intraocular Lens (IOL), Multifocal and Unifocal

[1]. Yanoff and duker edition 10: part 5.2 page no. 394

[2]. Yanoff and Duker edition 10: Part 5.1 page no. 381.
[3]. Brelluci R; Multifocal intra ocular lenses. Curr Ophthal 2005 Feb; 16(1); 33-7.
[4]. Konnen T, Allen D, Doureau C, et al. European multicenter study of the AcrySof ReStor apodized diffractive intraocular lens.
Ophthalmology 2006; 1 13(4); 584.
[5]. Vingolo EM, Grenga P, lacobelli I. Visual acuity and contrast sensitivity: AcrySof ReStor apodized fifractive versus AcrySof
SA60AT monofocal intraocular lenses J Cataract Refract Surg 2007; 33(7); 1244-7.

Abstract: One of today's reliable treatment option to replace both anterior and posterior missing teeth,is an implant therapy due to its excellent esthetics and function.Replacement of single tooth,multiple missing teeth and complete edentulous cases or abutment of partial or complete dentures can be well achieved by dental implant therapy. The purpose of this case study is to briefly focusing on guidelines of placing a single-tooth dental implant in esthetic area with a high clinical and technical sensitivity for patient who missed his central left incisor and to communicate the outcomes of the case with other dental professionals...........

Key words - Dental implant,Smile,Single tooth ,Implant restoration

References
[1]. El Askary, A.e.-S., Esthetic considerations in anterior single-tooth replacement. Implant Dent, 1999. 8(1): p. 61-7.
[2]. Al-Sabbagh, M., Implants in the esthetic zone. Dent Clin North Am, 2006. 50(3): p. 391-407, vi.
[3]. Tischler, M., Dental implants in the esthetic zone. Considerations for form and function. N Y State Dent J, 2004. 70(3): p. 22-6.
[4]. Bashutski, J.D. and H.L. Wang, Common implant esthetic complications. Implant Dent, 2007. 16(4): p. 340-8.Tischler, M.,
[5]. Simeone, P., et al., Interdisciplinary treatment planning for single-tooth restorations in the esthetic zone. J Esthet Restor Dent, 2007.
19(2): p. 79-88; discussion 89.

Abstract: Background: Metabolic syndrome (MS) and hypothyroidism are well known risk factors for atherosclerotic cardiovascu¬lar disease (ASCVD). Insulin resistance is a common pathogenic mechanism in both, and may result in to significant convergence between MS and hypothyroid population. Aims and Objective: The present study was done to evaluate the relation between hypothyroidism in patients with MS. Materials and Methods: One hundred patients with MS selected according to WHO criteria were studied in present study. Patients were evaluated based on anthropometry, evaluation of vital parameters, lipid and thyroid profile............

Keywords: subclinical hypothyroidism, metabolic syndrome, ASCVD

[1]. Grundy SM. Metabolic syndrome: Connecting and reconciling cardiovascular anddiabetes worlds. J Am Coll Cardiol 2006; 47:1093-100.
[2]. Fernández-Real JM, López-Bermejo A, Castro A, Casamitjana R, Ricart W. Thyroid function is intrinsically linked to insulin sensitivity and endothelium-dependent vasodilation in healthy euthyroid subjects. J Clin Endocrinol Metab 2006; 91:3337-43.
[3]. Meher LK, Raveendranathan SK, Kota SK, Sarangi J, Jali SN. Prevalence of hypothyroidism in patients with metabolic syndrome. Thyroid Res Pract 2013; 10:60-4.
[4]. Gyawali P, Takanche JS, Shrestha RK, Bhattarai P, Khanal K, Risal P. Pattern of Thyroid Dysfunction in Patients with Metabolic Syndrome and Its Relationship with Components of Metabolic Syndrome. Diabetes Metab J 2015;39:66-73
[5]. Garduño-Garcia J de J, Alvirde-Garcia U, López-Carrasco G, Padilla Mendoza ME, Mehta R, Arellano-Campos O et al. TSH and free thyroxine concentrations are associated with differing metabolic markers in euthyroid subjects. Eur J Endocrinol 2010; 163:273-8.

Abstract: As per World Health Organization , Stroke is defined as a clinical syndrome consisting of 'rapidly developing clinical signs of focal (at times global) disturbance of cerebral function, with duration lasting more than 24 hours or leading to death with no apparent cause other than that of vascular origin'. A transient ischemic attack (TIA) is defined as stroke symptoms and signs that resolve within 24 hours. The above definition do not include retinal symptoms (sudden onset of monocular loss), which should be considered as part of the definition of stroke and TIA. A non-disabling stroke is defined as a stroke with symptoms that last for more than 24hours but later resolve, without any permanent disability. This definition includes stroke due to cerebral infarction, primary intra cerebral hemorrhage (PICH), intra ventricular hemorrhage, and subarachnoid hemorrhage

[1]. MacKay J, Mensah GA. World Health Organization. Global Burden of Stroke.The Atlas of Heart Disease and Stroke.Available at
http://www.who.int/cardiovascular_diseases/en/cvd_atlas_15_burden_stroke. pdf.
[2]. Body iron stores and the risk of carotid atherosclerosis Stefan kiechl, MD; Johann Willeit ,MD; George Egger,MD; Werner Poewe,
MD; Friedrich Oberhollenzer, MD
[3]. Serum Ferritin is a Risk Factor for Stroke in postmenopausal Women D.L. Van der, D.E. Grobbee, M. Roest,
J.J.M.Marx,H.A.Voorbij, and Y.T.VanderSchouwWHO.
[4]. Body iron stores and early neurologic deterioratin in acute cerebral infarction A.Davalos,J. Castillo, J.Marrugat,
J.M.FernandezReal, A. Armengou, P.Cacabelos and R.Rama
[5]. Fernández-Real JM,Peñarroja G, Castro A, García-Bragado F, López-Bermejo A, Ricart W Bloodletting in high ferritin type 2
diabetes: effects onvascular reactivity. Diabetes Care2002;25:2249-55.)

Abstract: Aim: Evaluation of axial length –central anterior chamber depth (AXL-ACD) factor as an objective assessment tool for diagnosis and prognosis of primary angle closure glaucoma .(PACG) Patients and methods: 116 eyes of 58 newly diagnosed cases with primary angle closure configurations (PACC) were evaluated. Refraction , gonioscopy , intraocular pressure recording, axial length and central anterior chamber depth was recorded. AXL-ACD factor was calculated. Comparison with controls and correlation with presence of peripheral anterior synechiae (PAS) was carried out...............

Keywords: Axial length (AXL), anterior chamber depth (ACD) , factor , Peripheral anterior synechiae.

[1]. Das J, Bhomaj S, Chaudhuri Z, Sharma P, Profile of glaucoma in a major eye hospital in North India. Indian J Ophthalmol. 2001;
49: 25-30.
[2]. Palimkar A, Khandekar R , Venkataraman V, Prevalence and distribution of glaucoma in Central India (Glaucoma Survey-2001)
Indian J Ophhalmol. 2008; 56:57-62.
[3]. Aung T, Nolan WP, Machin D, Seah SK, Baasanhu J, Khaw PT, Johnson GJ, Foster PJ. Anterior Chamber Depth and the risk of
Primary Angle Closure in 2 East Asian populations. Arch Ophthalmol, 2005;123:527-532.
[4]. Quigley HA. Number of people with glaucoma worldwide. Br J Ophthalmol. 1996;80:389-393.
[5]. Thylefors B, Negrel AD, Pararajasegaram R, Dadzie KY. Global data on blindness, Bull World Health Organ. 1995;73:115-121.

Abstract: Aims and objectives : The present study aims to establish the role and utility of color Doppler as a non invasive method in the diagnosis of unilateral acute renal obstruction 1.To study the utility of color Doppler in the diagnosis of unilateral acute renal obstruction. 2.To compare the color Doppler study with IVP. Material And Methods: The study was carried out on 30 patients who was referred to the Ultrasound with symptoms of acute unilateral renal obstruction. All patients underwent color doppler ultrasound with convex probe (3.5-5 MHz). The mean RI of the affected kidney and delta RI between the affected and the normal kidneys are correlated and compared with intravenous pyelography as the standard test.............

Keywords: Acute renal obstruction ,Colordoppler(CD),Resistive index(RI),Ultrasonogram (USG),contralateral kidney

[1]. Adel Abdel Hmied Sehata, Taghreed M.Azmy, Mohammed Ali El Beblawy, Ahmad Hassn, Mokhtar Motawe. Duplex Sonography
in Obstructive Uropathy. Suez Canal Univ Med J 2003 Oct; 6(2): 277-290.
[2]. Ahmed A Shokeir, Ahmed M Shoma, Essam A Abubieh, Mohammed A Nasser, Waleed Eassa, Ahmed El Asmy. Recoverability of
renal function after relief of acute complete ureteral obstruction:clinical prospective study of the role of renal resistive index.
Urology 2002 Apr; 59(4):506-510.
[3]. Ahmed A Shokier, Magdy Abdulmaaboud. Prospective Comparison of Non Enhanced Helical Computerized Tomography and
Doppler Ultrasound for the Diagnosis of Renal Colic. J Urol 2001 Apr; 165(4):1082-1084.
[4]. Ahmed A Shokier, Mohamed R Mahran, Magdy Abdulmaaboud. Renal colic in pregnant women: role of renal resistive index.
Urology 2000 Mar; 55(3):344-347.
[5]. Akcar N, Ojkan IR, Adapinar B, Kaya T. Doppler sonography in the diagnosis of urinary tract obstruction by stone. J Clin
Ultrasound 2004 Jul-Aug; 32(6): 286-93.

Abstract: Post operative wound infection is considered as a surgeon's nightmare. Before the mid - 19th century, surgical patients commonly developed post operative purulent discharge from their incisions, followed by overwhelming sepsis, and often death. It was not until the late 1860s, after Joseph Lister introduced the principles of antisepsis that postoperative infections morbidity decreased substantially

Keyword: Surgical Site Infection, Surgical Wound.

[1]. Leaper DJ, Vangoor H, Reilly J, Petrosillo N, Geiss HK, Torres AJ et al. Surgical site infection – a European perspective of
incidence and economical burden. Int Wound J 2004; 1: 247-73.
[2]. Sampson P. Postoperative wound sepsis rate can be cut by simple measure. JAMA. 1998; 239:9-10.
[3]. Oslon M, Lee JT Jr. Continuous 10 year wound infection surveillance. Arch Surg. 1990; 125: 749-803.
[4]. Ganguly PS, Khan Y, Malik A, Nosocomial infection and hospital procedures. Indian J Commun Med.2000; 25: 39-43
[5]. Kamat US, Fereirra AMA, Kulkarni MS, Motghare DD. A prospective study of surgical site infection in a teaching hospital in Goa.
Indian J Surg.2008; 70:120-4.