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

Abstract: Aims: To asess the association between glycemic control and Diabetic Retinopathy [DR] in patients attending a diabetic clinic. Methods: In this study 750 diabetic patients who reported for executive check up in a preventive clinic were evaluated for DR. Retinopathy was graded as Non proliferative DR [NPDR] and Proliferative DR [PDR ].Risk factors for DR like glycemic control, duration of diabetes and treatment details were evaluated. Investigations included complete blood count, blood sugar, serum lipids, ECG, Renal function tests and complete clinical examination.We have given more importance to the relation of DR and glycemic control in this article.............

Keywords: Diabetic Retinopathy, Fasting blood sugar, Glycemic control

[1]. Clinci E .Ahiskal I,Cetin N,Suleyman B,Kulkula O,Altuner D,etal.Effect of thiamine pyrophosphate on retinopathy induced by
hyperglycemia in rats:A biochemical and pathological evaluation .Indian J Ophthalmol 2016:64:434-9
[2]. Das A. Diabetic retinopathy. Battling the global epidemic .Indian J Ophthalmol.2016:64:2-3
[3]. Gadkari.s.s,,Maskati QB,Nayak BK. Prevalence of Diabetic Retinopathy in India:The All India Ophthalmological Society Diabetic
Retinopathy Eye screening study 2014.Indian J ophthalmol 2016; 64:38-44.
[4]. Murthy G Das T.Diabetic care initiatives to prevent blindness from diabetic retinopathy in India. Indian J ophthalmol 2006;64:50-4
[5]. JJ Mukherjee,Sujoy Majumdar,Subir Ray.Assessment of glycemic control in patients with diabetes on insulin therapy.Journal of
the Indian Medical Association.2013;761-65

Abstract: In India, we compute the sex ratio in terms of number of females per thousand males. Among the various components of population composition, sex composition holds a prime place in the context of demographic composition of any region. The separate data for male and female are vital for various types of planning and also for the analysis of other demographic characteristics such as mortality, migration, marital status, and economic relationships within a community. The balance between the two sexes affects the social and economic relationship within a community............

Keywords: Demographic composition, Nursing facilities, Medical care, Mortality rate, Egalitarian society

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293.
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[3]. Gosal, G.S (1961), "The Regionalism is Sex Composition of India's Population", Rural Sociology, vol. 26, p.124
[4]. Government of Arunachal Pradesh (2014): Statistical Abstract, Directorate of Economics and Statistics, Itanagar.
[5]. Krishan, G & Chandna, R.C. (1973), "Sex Composition of Haryana's Population", Geographical Review of India, June, p.17

Abstract: Salivary gland tumors are a relatively rare and morphologically diverse group of lesions. Pleomorphic adenoma is a benign tumor of the salivary gland that consists of a combination of epithelial and mesenchymal elements. The tumor most commonly arises from the parotid (60-70%) or submandibular glands. It develops less frequently in a minor salivary gland, presenting as an intraoral mass. We are reporting a rare case of benign pleomorphic adenoma of soft palate with a brief discussion and review of literature.

[1]. Dhanuthai K, Sappayatosok K, Kongin K. Pleomorphic adenoma of the palate in a child: a case report. Med Oral Patol Oral Cir
Bucal. 2009 Feb 1;14(2):E73-5.
[2]. Van Heerden WF, Raubenheimer EJ. Intra-oral salivary gland neoplasms: a retrospective study of seventy cases in an African
population. Oral Surg Oral Med Oral Pathol1991; 71:579-82.
[3]. Wang D, Li Y, He H, Liu L, Wu L, He Z. Intra-oral minor salivary gland tumors in a Chinese population: a retrospective study on
737 cases. Oral Surg Oral Med Oral Pathol Oral RadiolEndod2007; 104:94-100.
[4]. Toida M, Shimokawa K, Makita H, Kato K, Kobayashi A, Kususnoki Y, et al. Intra-oral minor salivary gland tumors: a
clinicopathological study of 82 cases. Int J Oral MaxillofacSurg2005; 34:528-32.
[5]. Kaur S, Thami GP, Nagarkar NM. Pleomorphic adenoma of the hard palate. Indian J DermatolVenerolLeprol2003; 69:74-5.

Abstract: Adrenal metastasis from esophageal carcinoma is quite uncommon. The identification of adrenal metastasis and their differentiation from incidentally detected benign adrenal tumors is challenging especially when functional imaging facilities are unavailable. Here we present a case report of a 43 year old male presenting with adrenal metastasis from an esophageal squamous cell carcinoma. The use of minimally invasive surgery to confirm the metastatic nature of disease in a resource limited setup has been described.

Keywords: adrenal metastasis, adrenalectomy, esophageal squamous cell carcinoma

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[4]. Mohammad K, Sadikot RT. Adrenal insufficiency as a presenting manifestation of non small cell lung cancer. South Med J 2009;102:665-7.
[5]. Karanikiotis C, Tentes AA, Markakidis S, et al. Large bilateral adrenal metastases in non- small cell lung cancer. World J Surg Oncology 2004;2:37.

Abstract: Aim: To evaluate and compare the prevalence of micro- organisms on affected versus normal side of intaglio surface of the obturator prosthesis provided to maxillectomy patients. Materials and Methods: After ethical approval and informed consent, 48 recent postsurgical maxillary defect subjects with age group of 40- 60 years were selected for the study on basis of predetermined inclusion and exclusion criteria. The subjects were rehabilitated with heat cured acrylic obturator prosthesis following standard protocol.......

Keywords: Intaglio, microflora, obturator

[1]. SocranskySS, Manganiello SD. The microbiota of man from birth to senility. Journal ofPeriodontology 1971;42,485-496.
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Company Philadelphia,London, Mexico City, New York, Sao Paolo, Sidney1984.
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disease implications. J Am Osteopath Assoc.2001;101:92-4.
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dependent elderly.Gerodontology 2002; 19-1: 25-29.

Abstract: The aim of this study was to assess the prevalence and identify the patterns of lumbar spinal epidural lipomatosis in our institute (Dr. Pinnamaneni Siddhartha Institute of Medical Sciences & Research). The study included the Spinal Epidural Lipomatosis (SEL) detected on lumbar spine Magnetic resonance imaging (MRI) scans performed at the author's hospital and to compare the frequency& patterns of SEL in these cases with that reported in the literature. The total number of MRI examinations of the lumbar spine performed at this hospital over 30 months was 400. After the MRI data was analyzed (T1- and T2-weighted sagittal and axial images and myelography), A total number of 30 patients shown to be having SEL.

Keywords: Spinal epidural lipomatosis ,low back pain, lumbar spine MRI.

[1]. Kuhn MJ, Youssef HT, Swan TL, Swenson LC. Lumbar epidural lipomatosis: the "Y" sign of thecal sac compression. Comput Med
Imaging Graph. 1994; 18(5):367–372.
[2]. Borré DG, Borré GE, Aude F, Palmieri GN. Lumbosacral epidural lipomatosis: MRI grading. EurRadiol. 2003; 13(7):1709–1721.
doi:10.1007/s00330-002-1716-4.
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1(7):201–203.
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2005; 5(2):202–211.
[5]. Kawai M, Udaka F, Nishioka K, Houshimaru M, Koyama T, Kameyama M. A case of idiopathic spinal epidural lipomatosis
presented with radicular pain caused by compression with enlarged veins surrounding nerve roots.ActaNeurol Scand. 2002;
105(4):322–325.

Abstract: Purpose: To evaluate the efficacy of 0.5 % Sodium hypochlorite and 2% Glutaraldehyde spray disinfectants on impression compound and irreversible hydrocolloid impressions. Material and Methods: Twenty edentulous patients (age group of 45-65 years) were randomly selected for the present study. Maxillary and mandibular impressions of 10 patients were made in compound and remaining 10 patients in alginate. All 40 impressions were swabbed and incubated on nutrient agar culture media. Both alginate and compound impressions were divided into two groups of 10 each ............

Keywords : Disinfectants, impressions, infection

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1991;35:299- 308.
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[3]. McNeill MR, Coulter WA: Disinfection of irreversible hydrocolloid impressions- A comparative study. Int. J. Prosthodontics.1992;
5(6): 563-567
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control in dental office and commercial dental laboratory. J. Am. Dent Assoc.1985; 100 : 969 - 972.
[5]. British Dental Association Guide to blood borne viruses and the control of cross infection in dentistry. London, 1987

Abstract: Morbidity and mortality due diabetes in all over world is alarming .We submit a study done over 3 months in the tertiary care hospital in southern part of Tamil nadu Aim Of The Study: The aim of the study is to check the knowledge of the patients prove that educating will improve the outcome. Material And Methods: This is a prospective observational study in a tertiary medical care hospital , in southern part of Tamil Nadu , south India, during september 2016with in 50 patients all are presented with diabetes, on regular treatment (type1 and type 2 on insulin)............

Keywords: Diabetes, insulin, hypoglycemia, hyperglycemia

[1]. Prevalance and awareness regarding diabetes mellitus in rural Tamaka ,Kolar C.Muninarayana ,G.Bakachandra1 ,S.G.Hiremanth
Krishna Iyengar ,and N.S.anil ,Int J Diabetes Dey Ctries .2010 Jan –Mar : 30(1): 18-21. PMCID :PMC2859279
[2]. Mohan D Raj D ,Shanthirani CS ,Datta M ,Unwin NC Kapur A ,et al. Awareness and knowledge of diabetes in chennai _ The
Chennai Urban rural Epidemiology study . J Asso physcians India . 2005:53 :283 -7
[3]. Kaur K ,Singh MM ,kumar ,Walia I.Knowledge and self care practices of diabetes in a resettlement colony of chandigarh .Indian J
Med Sci .1998 :52 :341 -7
[4]. Risk factors ,knowledge and health status in diabetic patients Syad S.Habib MBBS,FCPS, Mohammad Aslam ,MBBS ,PHD
Stadl E ,Hillerbrand B .Educating the diabetic patients as a basis for therapy . Z.Gesamte Inn Med 1993 ;48:112-119
[5]. Speight J, Bradley C. The AD Knowledge: identifying knowledge deficits in diabetes care. Diabet Med 2001; 18: 626-633.
[6]. Franciosi M, Pellegrini F, De Berardis G, Belfiglio M, Cavaliere D, Di Nardo B et al. The impact of blood glucose self-monitoring

Abstract: Background: Hypothyroidism is one of the most common endocrine complications in thalassemia major patients due to iron overload. Objective: To evaluate thyroid profile in thalassemia major patients for early detection of hypothyroidism. Methodology: This study was a hospital based prospective cross sectional study conducted from February 2015 to April 2016 in Department of Paediatrics and Neonatology, Rajendra Institute of Medical Sciences, Ranchi. In this study, 60 confirmed cases of thalassemia diagnosed on the basis of HPLC {High Performance Liquid Chromatography) were included for assessment of their thyroid profile and its correlation with serum ferritin level............

Keywords: Hypothyroidism, Haemosiderosis

[1]. Choudhary V.P, R. Kashyap, S.K. Acharya, N. Tandon, A. Saxena : Challenges in the management of Thalassemia, Mediquest
Medicl Information series- 1997: Vol.15: No.3: 1-19
[2]. Sarnaik SA. Thalassemia and Related Haemoglobinopathies. Indian J paediatrics 1975; 12: 195-199
[3]. Khan FR. Thalassaemia: Still a challenge. Gomal J Med Sci 2006; 4: 47-8.
[4]. Satwani H, Raza J, Alam M, Kidwai A. Endocrine Complications in Thalassaemias: Frequency and Association with Serum Ferritin
Levels. Pak Paediat Assoc J 2005; 29: 113-9.
[5]. Landau H, Matoth I, Landau-Cordova Z, Goldfarb A, Rachmilewitz EA, Glaser B. (1993). Cross-sectional and longitudinal study of
the pituitary-thyroid axis in patients with thalassaemia major, Clin Endocrinol (Oxf), Vol.38(1), pp. 55-61.

Abstract: Background: Saliva is a complex mixture of fluids which regulates oral health. Studies have stated that calcium and phosphorous content of saliva is low in caries active persons. But most investigators have been unable to confirm this finding .This is attributed to the interplay of other factors including proteins and enzymes. Thus levels and state of calcium and phosphorous in saliva may be an indicator of susceptibility to dental caries.Thus the current study aims to determine the levels of salivary constituents like calcium, phosphorous, proteins and alkaline phosphatase in caries group and caries free group and assess their relationship with prevalence of dental caries............

Keywords: Saliva, dental caries, remineralization ,demineralization

[1]. Sturdevant. Art and science of operative dentistry.4TH edition.
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Humans. J Dent Edu 2001;65(10):1054-1062
[4]. Survey of literature of dental caries: By national research council (U.S.) committee on dental health. VijayaprasadKE,Ravichandra
KS. Relation of salivary calcium, phosphorus and alkaline phosphatase with the incidence of dental caries in children. journal of
Indian society of pedodontics and preventive dentistry 2010;28(3) :156-161.
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Abstract: Wegener's granulomatosis is an uncommon autoimmue disease with multi-system involvement that manifests as vasculitis, granulomatosis and necrosis. We present a case in a young male adult patient presenting with symptoms of chronic sinusitis having extensive sinosal and nasal disease on initial CT, with detection of lung lesions and renal involvement and histo-pathological confirmation by antineutrophil cytoplasmic antibody positivity and nasal biopsy along with detection of infection of the nasal and paranasal tissue by Staphyloccocus aureus.............

Keywords: Granulomatosis, vasculitis, CT, c-ANCA, Staph. aureus

[1]. Seaton A. Pulmonary lymphocytic angitis and granulomatosis. In, Seaton A (ed). Crofton and Douglas's Respiratory Diseases. 5th
edition, London, Blackwell Science Inc, 2000;1063
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and relapse rate in pulmonary Wegener's granulomatosis. J Physiol Pharmacol. 2008;59 Suppl 6:825-31.
[3]. Cotch MF, Hoffman GS, Yerg DE, Kaufman GI, Targonski P, Kaslow RA. The epidemiology of Wegener's granulomatosis.
Estimates of the five-year period prevalence, annual mortality, and geographic disease distribution from population-based data
sources. Arthritis Rheum 1996;39:87-92.
[4]. Sneller MC, Langford CA, Fauci AS. The vasculitis syndromes. In, Kasper DL (ed). Harrison's principles of internal medicine, 16th
edition. New York, McGraw-Hill Companies, 2005; 2005
[5]. Leavitt RY, Fauci AS, Bloch DA, Michel BA, Hunder GG, Arend WP et al. The American College of Rheumatology 1990 criteria
for the classification of Wegener's granulomatosis. Arthritis Rheum 1990;33:1101–7.

Abstract: Pilonidal cyst, sinus or abscess commonly occurs in the natal cleft often containing hair and skin debris. Proposed cause of pilonidal cysts is ingrown hair, excessive sitting is thought to predispose the condition. Attempted repairs involve high chance of wound failures and recurrence. This disease causes lots of morbidity because of prolonged wound healing time and its related failure. Ten cases were operated in a single surgical unit using an innovative approach. Limberg flap reconstruction technique was found superior to other traditional techniques

Keywords: Pilonidal, Sinus, Limberg, Flap, Reconstruction

[1]. Harlak A, Mentes O, Kilic S, Coskun K, Duman K, Yilmaz F. Sacrococcygeal pilonidal disease: analysis of previously proposed
risk factors. Clinics 2010;65(2):125–131
[2]. Harlak A, Mentes O, Ozer MT, Ersoz N, Coskun AK. Evaluation of history and physical examination data of 587 patients with
sacrococcygeal pilonidal disease. Eurasian J Med 2006;38(3):103–106
[3]. Akin M, Gokbayir H, Kilic K, Topgul K, Ozdemir E, Ferahkose Z. Rhomboid excision and Limberg flap for managing pilonidal
sinus: long-term results in 411 patients. Colorectal Dis. 2008 Nov;10(9):945–8.
[4]. Aslam MN, Shoaib S, Choudhry AM. Use of Limberg flap for pilonidal sinus–a viable option. J Ayub Med Coll Abbottabad. 2009
Oct–Dec;21(4):31–3.

Abstract: Introduction:-In the cancer research field, vitamin D has emerged as the most prolific topic in the last decade with work connecting it with risk reduction in various epithelial cancers. The role of vitamin D with histological type and hormone receptor status of breast cancer is particularly controversial. Materials and Methods :- 58 diagnosed cases of carcinoma breast and 60 control groups were taken, grading and staging and hormone receptor status was done. Vitamin D total assay was done by 25OH vitamin D Total ELISA kit by Competition principle and correlated with the grade, stage and hormone receptor status. Statistical analysis was done by chi square test .............

Keywords: Breast carcinoma , Grade and Stage , Hormone receptor status, Vitamin D .

[1]. J. Ferlay, I. Soerjomataram, R. Dikshit, S. Eser, C. Mathers, M. Rebelo, D.M. Parkin, D. Forman, F. Bray (2014). Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. International Journal of Cancer doi:10.1002/ijc.29210 PMID:25220842 Published online 9 October 2014.
[2]. G. Viale, The current state of breast cancer classification ,Annals of Oncology 23 (Supplement 10): x207–x210, 2012.
[3]. Prentice A, Goldberg GR, Schoenmakers I. Vitamin D across the lifecycle: physiology and biomarkers. Am J Clin Nutr
2008;88(2):500S-506S.
[4]. Holick MF. Vitamin D: extraskeletal health. Rheum Dis Clin North Am. 2012; 38:141-60.
[5]. Holick MF, Vitamin D deficiency. N Engl J Med.2007;357:266-81.

Abstract: A 64 year old woman presented with symptoms of renal lesion. She had nephrectomy done after series of laboratory and radiologic investigations. Histology later showed features consistent with xanthogranulomatous pyelonephritis (XPN). No evidence of malignancy was seen. She was managed post operatively with no adjuvant chemotherapy but only antibiotics and has been clinically stable. XPN is commoner in females and often presents with diagnostic dilemma. High index of suspicion with histopathologic analysis of all biopsy is of importance for proper management of such patient.............

Key words: xanthogranulomatous pyelonephritis, renal tumour

[1]. Kumar V, Abbas A, Fausto N, editors. Robbins and Cotran Pathologic Basis of Disease. 8th ed. Philadelphia, Pa: Saunders
Elsevier; 2010
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[3]. MattaceRaso D, Autorino R, Schiaro M, D'Armiento M. Xanthogranulomatous pyelonephritis, Our experience and review of the
literature. The Italian journal of urology and nephrology (impact factor 0.7). 01/2001; 52(4): 173-8.
[4]. Rajesh A, Jakanani G, Mayer N, Mulcahy K. Computed Tomography Findings in Xanthogranulomatous Pyelonephritis. J Clin
Imaging Sci [serial online] 2011 [cited 2015 Jan 8];1:45. Available
from: http://www.clinicalimagingscience.org/text.asp?2011/1/1/45/84323
[5]. Rubin R and Strayer DS, Editors. Chronic Pyelonephritis, Rubin's Pathology,clinico-pathologic foundation of medicine, 5th edition.
Lippincott and Williams; 2012: p732.

Abstract: Background:Periodontal diseases are a group of inflammatory diseases that affect the periodontium of the tooth. It results from interactions between microorganisms and the host's immune response.Breast cancer is the malignant tumor of breast tissue that forms from uncontrolled growth of abnormal breast cells. Vitamin D exhibits physiological and pharmacological effects in human body; it is present in normal breast tissue and has antiproliferative effects on the differentiation of breast cancer cells.............

Keywords: Periodontal diseases, breast cancer, Vitamin D.

[1]. Kats J, Yang QB, Zhang P, Potema J, Travis J, Michalek SM, et al.. Hydrolysis of epithelial junctional proteins by Porphyromonas gingivalis gingipains. Infect Immune; 70: 2512_8.2002
[2]. Taubman MA, Kawai T..Involvement of T-lymphocytes in periodontal disease and in direct and indirect induction of bone resorption. Crit Rev Oral Biol Med; 12:125_135.2001
[3]. Craig RG, Yip JK, Mijares DQ, LeGeros RZ, Socransky SS, Haffajee AD.. Progression of destructive periodontal diseases in three urban minority populations: role of clinical and demographic factors. J Clin Periodontol; 30:1075-1083.2003
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Abstract: Odontogenic Cysts and Tumors are commonly encountered in Oral and Maxillofacial Surgical practice.These cysts usually originate from cells/tissues associated with development of Tooth bearing apparatus. The management of these cysts and tumors presents as a significant challenge and is very critical as well, as majority of these lesions are asymptomatic and usually discovered in routine examination or once they are pronounced extra orally.

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Dent J, 39(3): 165-167.
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Oral MaxillofacSurg, 62(5): 559-562.
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premolars associated with dentigerous cysts. Am J OrthodDentofacialOrthop, 124(5): 515-520

Abstract: In spite of successful interventions and safety measures to prevent accidental poisoning in paediatric population, toxic exposure continues to be a common occurrence. [1-4] By definition, poisoning is exposure of an individual to a substance that can cause symptoms and signs of organ dysfunction leading to injury or death.[5] A prospective observational study was done from March 2014 to February 2015. The study was conducted at the Paediatric Emergency Unit at Mahatma Gandhi Memorial Hospital, Warangal. All patients under 12 years who visited the emergency department with a history of accidental exposure to toxic substances were included in the study..............

Keywords: Pediatrics, Poisoning, Kerosene

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[2]. Fazen LE 3rd, Love FH Jr, Crone RK. Acute poisoning in a children's hospital: a 2-year experience. Pediatrics 1986; 77: 144-51.
[3]. Walton WW. An evaluation of the poison prevention packaging act. Pediatrics 1982; 69: 363-70.
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Abstract: The permanent teeth with open apex and large periapical lesion are diffcult to treat as a traditional root canal procedure, therefore calcium hydroxide place an important role in reducing the periapical infl ammation. Management of open apex can be done using mineral trioxide aggregate (MTA) which can be placed in apical 3-4 mm. The aim of This case report describes the use of mineral trioxide aggregate (MTA) for management of a periapically compromised immature tooth

Keywords: Intra canal rehabilitation, mineral trioxide aggregate, open apex

[1]. Abu-Hussein Muhamad ,Abdulgani Azzaldeen ,Abdulgani Mai( 2016); Single-Step Apexification with Mineral Trioxide Aggregate
(MTA) –Case ReportsJournal of Dental and Medical SciencesVolume 15, Issue 2, 49-53DOI: 10.9790/0853-15284953
[2]. Abu-Hussein M.,Abdulghani A.,Abu-Shilabayeh H.,(2013); Mineral Trioxide Aggregate (MTA) in apexification
ENDODONTOLOGY , 25(2) ,97-101
[3]. Abu-Hussein M.,Abdulghani A.,Abu-Shilabayeh H.(2014); Apexificatie met mineraal trioxideaggregaat (MTA): een casus .dental
tribune - netherlands edition oktober ,10-11
[4]. Abu-Hussein Muhamad , Jabareen Ayah , Abdulgani Mai , Abdulgani Azzaldeen (2016;)MANAGEMENT OF OPEN APEX IN
PERMANENT TEETH WITH CALCIUM HYDROXIDE PASTE Int J Dent Health Sci ; 3(1): 1305-1310
[5]. Torabinejad M (2004) Clinical applications of mineral trioxide aggregate. Alpha Omegan 97, 23-31.

Abstract: Background: School teachers with high calibre of their training can persuade a large number of children thereby play major role in the planning and implementation of oral health preventive programs. Hence, this study was undertaken with the objective of assessing the knowledge, attitude and practice of school teachers towards oral health. Materials & Method: A cross-sectional questionnaire study was conducted in various government and private schools of Srinagar, Kashmir, India A questionnaire containing three sections to ascertain the Knowledge about oral health among the teachers, Oral health practices among teachers and Teachers' response about oral health education..............

Keywords: Knowledge, Oral health education, Attitude, School teachers, Practice

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[4]. Lal S, Paul D, Vashisth BM. National Oral Health Care Programme (NOHCP) implementation strategies, Editorial, Indian Journal of Community Medicine 2004;29(1):3.
[5]. An oral health preventive programme for school children in argentina. www.whocollab.od.mah.se/amro/argentina/.../argentinaoralhealth.html

Abstract: Palliative care is defined as an approach that improves the quality of life of patients and their families facing the problems associated with life threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial, and spiritual Palliative care is best administered by an interdisciplinary, multidimensional team comprising of doctors, nurses, counselors social workers and volunteers

[1]. Expert group report . Strategies for palliative care in India . Ministry of health and Family Welfare. November 2012 : 1-138
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[3]. Sureshkumar.Kerala , India: A regional community based palliative care model. J of pain symptom manage 2007; 33: 623-27
[4]. Sureshkumar , Mathews Numpeli . Neighbourhood Network in palliative care. Indian J of palliative care 2005;11:5-6
[5]. Palliative care policy for Kerala - National Rural Health Mission. Kerala state.Available from http//www.arogyakeralam.gov.in/index.php/special-initiatives/palliative- care-project.

Abstract: Immediate dental implants have greatly reduced the treatment time and the number of surgical intervene tions. Recently it has been noted that this treatment modality can be used in aesthetically demanding cases especially the anterior maxilla. The aim of this article is to describe a clinical case in which a fractured maxillary canine was replaced by an osseointegrated implant using a simplified technique in a patient who was a smoker and presented poor oral hygiene. The technique adopted permits a reduction of the number of implant components and consequently a lower cost of treatment, while at the same time maintaining acceptable aesthetic and functional outcomes.

Keywords: Immediate implant, Immediate loading, postextraction implant, Aesthetic zone

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Abstract: Introduction: Intestinal parasitic infections are among the major public health problems in developing countries like India. They are the important causes of morbidity and mortality and also reduced physical development. Objective: The aim of this study is to assess the prevalence of intestinal parasitic infections in patients coming to tertiary care hospital in Jaipur and also to know the awareness among people, regarding practising hygienic practices. Material and Methods: The 2875 stool samples, were examined over a period of 3 years (Jan 2013 – Dec 2015), by doing routine microscopy by observing wet mounts for identification of cyst and eggs and other stages of intestinal parasite.....................

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