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

Abstract: Diabetes mellitus is associated with long term damage, dysfunction and failure of various organs and its complications are mostly due macro vascular and micro vascular damage. Like other target organs lung is also affected in diabetes. The presence of an extensive micro vascular circulation and abundant connective tissue in the lungs, raises the possibility that lung tissue may be affected by microangiopathy process and non-enzymatic glycosylation of tissue proteins, included by chronic hyperglycemia, there by rendering the lung a ―target organ‖ in diabetic patients...............

[1]. Committee report: Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetic Care.
2002;25:S5-S20.
[2]. Boulbou MS, Gourgoulianis KI, Klisiaris VK, Tsikrikas TS, Stathakis NE, Molyvdas PA. Diabetes mellitus and lung function. Med
Princ Pract.2003; 12(2): 87-91.
[3]. Ali MO, Begum S, Ali.T and Ferdousi.S.FVC,FEV1, and FEV1/FVC% in type 2 diabetes and their relationships with duration of
the disease. J. Bangladesh Soc Physiol.2009;4(2):81-87.
[4]. Kanyakumari DH, Natraj S M. Correlation of duration of diabetes and pulmonary function tests in type 2 diabetes mellitus patients.
Int J Biol Med Res. 2011;2(4):1168-1170.
[5]. Sandler M.Is the lung a ―target organ‖in diabetes mellitus? Arch int Med.vol. 1990;150:1385-1388

Abstract: India is called Diabetic capital of the world as there are going to be 80% of all diabetes from the entire world population, concentrated here. The complications which are caused by diabetes mellitus have become a challenging health problem. Like other target organs lung is also affected in diabetes.the present study was conducted to see the effect of duration of Type 2 Diabetes Mellitus on Lung function tests. Method: Study Group consisted of 50 subjects with type 2 Diabetes mellitus and is further divided into 2 subgroups:Sub-Group A:-Patients with duration of diabetes for 5 to 10 years. Sub-Group B:-Patients with duration of diabetes for more than 10 years. Pulmonary function tests were performed using computerized spirometer, Spiro – Excel..........

Keywords: ..........................

[1]. Ahmed AM. History of Diabetes Mellitus. Saudi Med J. 2002;23(4): 373-78.
[2]. Albert RE KH, Herman NH. Global burden of diabetes, 1995-2025:
[3]. Prevalence, Numerical Estimates and Projection. Diabetes Care 1998;21:141431.
[4]. Committee report: Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetic Care.
2002;25:S5-S20.
[5]. Boulbou MS, Gourgoulianis KI, Klisiaris VK, Tsikrikas TS, Stathakis NE, Molyvdas PA. Diabetes mellitus and lung function. Med
Princ Pract.2003; 12(2): 87-91.

Abstract: Aim: To evaluate the role of Joshi's external stabilization system in the management of neglected, resistant and relapsed CTEV, in the age group of 1-10 years. Methods And Material: Total 18 patients (20 feet's) underwent JESS fixation surgery at Department of Orthopedics, S.R.N.Hospital, M.L.N. Medical College Allahabad, from January 2012 to July 2015. This prospective study was conducted on every third patient coming with neglected, relapsed or resistant CTEV in OPD of Orthopedics.........

Keywords: neglected, relapsed, resistant, distraction.

[1]. ASAMI group. Operative principles of llizarov. Williams and Wilkins 1991.
[2]. Joshi B.B., Laud N.S. et. al.: Controlled differential distraction for correction of complex congenital talipesequinovarus. The Clubfoot. The present and a view of the future. Ed. Simosns, G.W. Springer Verlag 1994.
[3]. Dimeglio, A, Bensahel H, Souchet P, Mazeau P, Bonnet F. Classification of clubfoot, J PediatrOrthop 1998; 4;129:36.
[4]. Dimeglio, A.: Classification of talipesequinovarus. The Clubfoot. The present and a view of the future. Ed. Simons, G.W. Springer Verlag 1994.
[5]. Paley. D.: Complex foot deformity correction using the llizarov circular external fixator with distraction but without osteotomy. The Clubfoot the present and a view of the future. Ed. Simons, G.W. Springer Verlag 1994.

Abstract: Objective: To assess the risk factors for acquired labial agglutination in infancy. Methods: Newborn female babies with normal labia minora enrolled between Feb 2014 and Jan 2015 were followed till 18 months of age. Pre designed questionnaire was used at each visit to register details on breastfeeding, diaper use, frequency of diaper change, perineum cleaning methods including use of tissue wipes, use of talcum powder, creams in the vulva, positioning of older infants during micturition, wetness of the vulva between voiding, frequency and consistency of stools and medications used. Vulval examination at each visit was recorded. Presence of labial agglutination at any time and a normal labia minora at 18 months of age were regarded as endpoint.............

Keywords: breastfeeding, diaper, labial agglutination.

[1]. Papagiani M, Stanhope R. Labial adhesions in a girl with isolated premature thelarche: the importance of estrogenization. J Pediatric Adolesc Gynecol 2003; 16(1): 31-32

[2]. Pokorny SF. Prepubertal vulvovaginopathies. Obstet Gynecol Clin North Am. 1992 Mar. 19(1):39-58.

[3]. .Parulekar SV. Adhesion of Labia Minora. JPGO 2015; 2: 8.

[4]. Kellong ND, Para JM, Menard S. Children with anogenital symptoms and signs referred for sexual abuse evaluations. Arch Pediatr Adolesc Med 1998; 152(7): 634-641.
[5]. McCann J, Voris J, Simon M. Labial adhesions and posterior fourchette injuries in childhood sexual abuse.Am J Dis Child. 1988 Jun. 142(6):659-63..

Abstract: Objective: The primary objective is to assess the awareness of Pharmacovigilance (Pv) and to evaluate the impact of Pharmacovigilance Awareness Program in Medical, Dental and BSc Nursing students of Govt. tertiary care teaching hospital in Telangana. Secondary objective is to impress upon them ADR monitoring and educating patients about ADRs are two important duties of the medical professional........

Keywords: ........

[1]. Lazarou J, Pomeranz BH, Corey PN. Incidence of adverse drug reactions in hospitalized patients: A meta-analysis of prospective
studies. JAMA. 1998; 279:1200–5. [PubMed]
[2]. Pirmohamed M, James S, Meakin S, Green C, Scott AK, Walley TJ, et al. Adverse drug reactions as cause of admission to hospital:
Prospective analysis of 18 820 patients. BMJ. 2004;329:15–9. [PMC free article] [PubMed]
[3]. www.who.int; The importance of Pharmacovigilance: Safety monitoring of medicinal products; A short history of involvement in
Drug safety monitoring by WHO, page no 5,6.
[4]. www.who-umc.org; about UMC
[5]. www.who-umc.org; Annual report July 2014 to June 2015.

Abstract: Identification is recognition of an individual by means of various physical features and biological parameters, which are unique to each individual. There are various established parameters for identification of an individual. These are external features (such as birth marks, scar, tattoo marks , occupational marks, malformations), personal features (such as clothes, speech, habits, intelligence, handwriting), assessment of age and sex, determination of race and stature, anthropometric measurements, finger prints, foot prints, lip
prints, DNA finger printing and DNA profile, etc. Question of identification arises in every medico legal case be it civil or criminal. The determination of sex is a major criterion for the identification of an individual. It segregates lot of cases for easy and quick identification in a given sample. Age estimation is an integral part of the biological profile in achieving an identification of unknown deceased individual...........

Keywords:age, dna ,identification ,race, sex

[1]. Buikstra ,Ubelkar. Documentation of sex difference (1994);39-46.
[2]. Komar , Buikstra J. Forensic anthropology : contemporary theory and practice.2008.
[3]. Anderson MF, Anderson DT, and Wescott DJ. 2010. Estimation of adult skeletal age-atdeath using the sugeno fuzzy integral. AJPA
142:30-41.
[4]. Brooks ST. 1955. Skeletal age at death: Reliability of cranial and pubic age indicators. AJPA 13:567-597.
[5]. White TD. 2000. Human Osteology (2nd ed.). San Diego, California: Academic Press.

Abstract: Evaluation of chest radiograph findings in 200 children\\\'s below 5 years over a period of 10 months. The aim of this study was to evaluate the findings of the chest radiographs after exposing the child *patients to the harmful radiation , no d11oubt: X-rays can be helpful, even life-saving but exposure to ionizing radiation causes damage to living tissue, and can result in mutation, radiation sickness and cancer. 0ne rare case with vertebral segmentation defects, ribs anomaly and associated dextrocardia which was presented on 20 days of her life with progressive respiratory insufficiency was detected...........

KeywordsJarcho Levin syndrome, Dextocardia ,chest x rays.

1]. Kulkarni ML, Navaz SR, Vani HN, Manjunath KS, Matani D. Jarcho-Levin syndrome. Indian J Pediatr.2006;73:245–7.(Pub Med)
[2]. Reyes MG, Morales A, Harris V, Barreta TM, Goldbarg H. Neural defects in Jarcho-Levin syndrome. J Child Neurol. 1989;4:51–4. (Pub Med)
[3]. Young S, Reyes MG, Uzoaru IL, Harris V. Arnold-Chiari malformation in Jarcho-Levin syndrome. J Child Neurol. 1989;4:229–30. (Pub Med)
[4]. Campbell RM, Jr, Smith MD, Mayes TC, Mangos JA, Willey-Courand DB, Kose N, et al. The characteristics of thoracic insufficiency syndrome associated with fused ribs and congenital scoliosis. J Bone Joint Surg Am. 2003;85-A:399–408. (Pub Med)
[5]. Turnpenny PD, Kusumi K. DLL3 and spondylocostal dysostosis. In: Epstein CJ, Erickson RP, editors.Inborn Errors of Development: The Molecular Basis of Clinical Disorders of Morphogenesis. New York: Oxford University Press; 2004. pp. 470–81..

Abstract: Aim: To evaluate the efficacy of tacrolimus 0.03% eye ointment in treatment of chronic ocular surface inflammation in severe dry eye. Material and Methods: We evaluated the effectiveness of tacrolimus 0.03% eye ointment in treatment of chronic ocular surface inflammation in severe dry eye. A total of 30 eyes of 15 patients were included in this study, who used tacrolimus 0.03% eye ointment BD (twice a day) for three months. Evaluation of patient was done by subjective and objective scores, before the study, at follow up visit and end of the study. Results: Clinically and statistically significant improvement was seen both objectively and subjectively in
patients of severe dry eye treated with topical Tacrolimus............

Keywords: Chronic ocular surface inflammation, tacrolimus, dry eye.

[1]. Pleyer U, Lutz S, Juske WJ, et al. Ocular absorption of topically applied FK506 from liposomal and oil formulations in the rabbit
eye. Invest Ophthalmol Vis Sci 1993; 34:2737-42.
[2]. Moscovici BK, Holzchuh R, Chiacchio BB, Santo RM, Shimazaki J, Hida Ry. Clinical treatment of dry eye using 0.03% tacrolimus
eye drops, Cornea 2012;31:945-9
[3]. Busuttil RW, Holt CD. Tacrolimus is superior to cyclosporine in liver transplantation. Transplant Proc 1998; 30(5):2174-8.
[4]. Liu J, Farmer J, Lane W, et al. Calcineurin is a common target of cyclophilin cyclosporin A and FKBP-FK506 complexes. Cell
1991; 66(4):807-15.
[5]. Kino T, Hatanaka H, Hashimoto M, et al. FK-506, a novel immunosuppressant isolated from a Streptomyces: I. Fermentation,
isolation, and physico-chemical and biological characteristics. J Antibiot 1987; 40:1249-55..

Abstract: Mouth gags are surgical devices placed between the upper and the lower jaw to prevent the mouth from closing during dental procedures. Over the years many innovative techniques for isolating the operative field have been invented and described.Aimof this study was to assess the effectiveness and acceptability of a recent device OptraGate and conventional Bite Block as an aid to assist mouth opening during dental restorative procedures.A total of 30 children were included in the study. OptraGate and Bite Block were used for restorative procedures in all patients using cross over design. An inter operator comparison of patient response to relative comfort of the two devices, was used to rule out operator bias..........

Keywords: Acceptability, Bite Block, Comfort, Mouth Gag, OptraGate

[1]. Shanthi M, Exploit restraints in managing Maladaptive behaviors,Asian Pac. J. Health Sci. 1(4), 2014,354-361.

[2]. Hoefert S, The Evolution of Mouth Gags. Presentation of a New Modificated Denhart Mouth Gag, J. Maxillofac. Oral Surg, 12(4),
2013, 475-479.
[3]. Smales RJ, Rubber dam usage related to restoration quality and survival, Br Dent J, 174(9), 1993, 330-3.
[4]. Christensen, Using rubber dams to boost quality, quantity of restorative services, J. Am Dent Assoc, 125(1), 1994, 81-2.
[5]. Alhareky M.S, Mermelstein D, Finkelman M, Alhumid J, Loo C, Efficiency and patient satisfaction with the Isolite System Versus
Rubber Dam for Sealant Placement in Pediatric Patients, Pediatr Dent,36, 2014,400-4.
[6]. Ranjan SS, Acharya SR,A paradigm Shift: An aid in the isolation of multiple mutilated teeth, JDOB 3(1),2012, 33-35.

Abstract: Introduction: The most common anatomical variations of nasal air sinuses are concha bullosa and deviated nasal septum according to many authors, but their relationship with Chronic Rhino sinusitis (CRS) is under debate. Their role in pathogenicity and chronicity of CRS warrants further detailed study. Aims: To find out any possible association among Chronic rhino sinusitis, Concha bullosa and Deviated Nasal Septum (DNS) in Central India...........

Keywords:Chronic rhino sinusitis; Concha bullosa; Deviated Nasal Septum

[1]. Metson R, Sindwani R. Chronic Sinusitis. Up-To-Date. 2006:1-14.
[2]. Slavin RG. The diagnosis and management of sinusitis: A practice parameter update. J Allergy Clin Immunol. 2005; 116: (6 Suppl):
13-47.
[3]. Subramanian S, Lekhraj Rampal GR, Wong EF, Mastura S, Razi A. Concha bullosa in chronic sinusitis. Med J Malaysia. 2005;
60(5):535-9.
[4]. Stammberger H. Secretion transport. In: Functional endoscopic sinus surgery. Philadelphia: BC Decker. 1991;17-46.
[5]. Dhingra P. L. Diseases of Ear, Nose and Throat and Head and Neck Surgery;2003:148-149.
[6]. Ariyurek OM, Balkanci F, Aydingoz U, Onerci M. Pneumatized superior turbinate: a common anatomic variation. Surg Radiol Anat
1996;18:137-9.

Abstract: Solitary fibrous tumors (SFTs), are a group of rare, spindle-cell derived fibrous neoplasms most commonly found in the thoracic (pleural) cavity (80%). However, it has been described that SFTs can affect a wide range of anatomic sites outside the pleura, including retroperitoneum, meningeal, nasal cavity and others (20%). Solitary fibrous tumors are usually described in patients between 40 and 70 years of age, and are primarily benign. We present the case of a 46-year-old male presented with a vague abdominal mass, its radiological features, its surgical resection and histopathological findings and immunohistochemistry study...........

Keywords:sextra-thoracic, KI-67, retroperitoneum, Solitary fibrous tumor

[1]. England DM, Hochholzer L and McCarthy MJ. Localized benign and malignant fibrous tumors of the pleura. A clinicopathologic
review of 223 cases. Am J SurgPathol. 1989; 13:640-58. | Article | PubMed
[2]. Penel N, Amela EY, Decanter G, Robin YM and Marec-Berard P. Solitary fibrous tumors and so-called
hemangiopericytoma. Sarcoma. 2012; 2012:690251. | Article | PubMed Abstract | PubMed Full Text
[3]. Nomura T, Satoh R, Kashima K, Yamasaki M, Hirai K, Satoh F and Mimata H. A case of large solitary fibrous tumor in the
retroperitoneum. Clin Med Case Rep. 2009; 2:21-5. | Article | PubMed Abstract |PubMed Full Text
[4]. Goodlad JR and Fletcher CD. Solitary fibrous tumour arising at unusual sites: analysis of a series.Histopathology. 1991; 19:515-22.
| Article | PubMed
[5]. Gold JS, Antonescu CR, Hajdu C, Ferrone CR, Hussain M, Lewis JJ, Brennan MF and CoitDG.Clinicopathologic correlates of
solitary fibrous tumors. Cancer. 2002; 94:1057-68. | Article | PubMed.