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

Abstract: Objectives: To compare the efficacy of epidural analgesia with intramuscular tramadol for labour and to study the maternal and fetal outcomes. Methods: Comparative clinical study conducted in 100 primigravida women between the ages of 18 to 30 years, in the department of obstetrics and gynaecology, GMKMCH Salem from September 2014 to august 2015. Data analysed using student t test and chi square test. Results: The epidural group had lower pain score (VAS score) than tramadol group throughout labour. The mean VAS score at 15 minutes was 1.68 in epidural group and 6.92 in tramadol group........

Keywords: Labour analgesia, Epidural analgesia, VAS score.

[1]. Williams obstetrics 23rd edition
[2]. Indian journal of anaesthesia recent advances 2010
[3]. Clinical comparative study of intrapartum epidural analgesia with intramuscular tramadol with respect to maternal and perinatal outcome.2014 october,vol1; issue8
[4]. The journal of fertilisation, reproductive medicine genetics 2015.tramadol injection vs epidural analgesia in controlling labour pain.
[5]. Pain relief during labour(American college of obstetrician and gynaecologist2004,104:213) ACOG committee opinion no 295
[6]. Text book of obstetric anaesthesia by Brenda A. Bucklin et all 4th edition

Abstract: Longterm outcomes associated with oral cancer and its management over the past several decades has caused concern. An attempt to study the outcome of treatment modalities of oral malignancies by a prospective and retrospective study was done in the Department of Surgery, Coimbatore Medical College Hospital. In this study the protocol and efficiency of multimodality management of oral cancer was done. All 325 cases of oral malignancies admitted to Coimbatore Medical College Hospital from July 2012 to August 2014 was included. After preliminary investigations and staging, treatment modalities..........

Keywords: Oral malignancy, surgery, radiotherapy, chemotherapy

[1]. Principles of surgery, Schwartz; 8th Edition, McGraw Hill.
[2]. NCCN Clinical Practice Guidelines in Oncology. Head and Neck Cancers. 2008.
[3]. Krishnan Nair, M. MD. FRCS, R. Sankaranarayan, MD. et al.,., Evaluation of the role of radiotherapy in the management of carcinoma of oral cavity.
[4]. Fein, D.A., Mendenhall, W.M. and Parsons, J.T. 2002. Carcinoma of the oral cavity : A comparison of results and complication of treatment with radiotherapy and or surgery.
[5]. Markus wolfensberger, MD, Ph.D, Peter Zoaeren, MD, Ph.D., Pavel Pulguerov, MD. 2000. Surgical treatment of early oral carcinoma. Results of a prospective controlled multicenter study.

Abstract: In this communication brief, the author proposes new, country specific, Post-Millennium Development Goal (MDG) strategy to reduce under-five mortality in Uganda by 2030. This reflection is intendedto reduce inequities, guide implementation of interventions and measure success with regard to newborn and child health, particularly focussing on country demographics, leading causes of child mortality and the specific evidence-based interventions that exist to address these problems, the challenges to implementing such interventions and how they may be overcome. The.......

Keywords: Newborn, Child-Health, Post-MDG-Strategy, Uganda

[1]. World Atlas, (2015). Available at http://www.worldatlas.com/webimage/countrys/africa/uganda/ugland.htm [Accessed 1/10/2016]
[2]. [2] Uganda Beaural of Statistics, Republic of Uganda: National Population and Housing Census 2014. Available at http://www.ubos.org/onlinefiles/uploads/ubos/NPHC/NPHC%202014%20PROVISIONAL%20RESULTS%20REPORT.pdf [Accessed 1/10/2016]
[3]. BBC. Uganda Profile Timeline, 2015. Available at http://www.bbc.com/news/world-africa-14112446 [Accessed 1/10/2016]

Abstract: Objective: Bheemili is a suburb of Visakhapatnam which is 30km from the port city of Visakhapatnam.To estimate the Liver Function Tests in symptomatic individuals to know the incidence of hyperbilirubinemia and deranged liver function tests in population of Bheemili. Method: LFT's like total bilirubin (both direct and indirect),Alanine transaminase (ALT), Aspartate transaminase (AST),Alkaline phosphatase (ALP),Total protein, Seruma albumin and globulin were estimated.50 individuals(more than 15yrs age) suffering from Right abdominal pain reporting to medical and surgical Outpatient departments of NRI Institute of Medical Sciences, Sangivalasa, Bheemili, Visakhapatnam were taken and samples estimated for the above tests.50 asymptomatic healthy individuals(more than 15 yrs age) were taken as a controls...............

[1]. "Jaundice". Medline plus. Retrieved 13 August 2016.
[2]. Buttaro, Terry Mahan; Trybulski , JoAnn;Polgar-Bailey ,Patricia ;Sandberg-Cook,Joanne(2012).Primary care: A Collaborative Practice (4ed.). Elsevier Health Sciences. p.690. ISBN 0323075851.
[3]. 3.Maisels , MJ (17 March 2015) . " Managing the jaundiced newborn : a persistent challenge ". CMAJ : Canadian Medical Association journal (Journal de l' Association medicale canadianne) . 187 (5) : 335-43. PMID 25384650.
[4]. 4.Winger ,J ;Micherfelder , A(September 2011 )."Diagnostic approach to the patient with jaundice.". Primary care. 38 (3) : 469-82 viii. PMID 21872092.
[5]. Goljan, Edward F.(2007) Rapid Review Pathology, 2nd ed., Elselvier Health Sciences, pp. 368-369 ISBN 032304414X.

Abstract: Chronic obstructive pulmonary diseases (COPD) carries a risk of bronchospasm and hypoxaemia airway instrumentation. Use of laryngeal mask airway (LMA) is a safe alternative to endotracheal intubation in laparoscopic surgeries. Earlier studies noted that LMA can be used in providing pressure controlled ventilation (PCV). Aim was to evaluate and compare between ProSeal LMA (PLMA) and endotracheal intubation for maintaining adequate oxygenation, using PCV in COPD patients undergoing laparoscopic cholecystectomy. 60 adult patients with COPD of ASA II, were randomized into two groups to secure airway either using endotracheal tube (Group A) or ProSeal LMA (Group B)..............

Keywords: COPD, Laparoscopic cholecystectomy; Pressure controlled ventilation; ProSeal LMA; Endotracheal intubation.

[1]. Marini JJ, Gattinoni L. Ventilatory management of acute respiratory distress syndrome: a consensus of two. Crit Care Med (2004);32(1):250-255.
[2]. Koh Y. Ventilatory Management in Patients with Chronic Airflow Obstrution. Crit Care Clin (2007):169-181.
[3]. Nicholas D, Haranath S. Pressure Control Ventilation. Crit Care Clin 23 (2007):183 -199.
[4]. Cadi P, Guenoun T, Journois D, Chevallier JM, Diehl JL, Safran D. Pressure control ventilation improves oxygenation during laparoscopic obesity surgery compared with volume control ventilation. British Journal of Anaesthesia (2008);100(5):709-716.
[5]. Rosenblatt WH. Use of the Laryngeal Mask Airway with Positive Pressure Ventilation in an Asthmatic Patient. LMA North America, Inc. (1999);(800):788-799.

Abstract: Knowledge of contraception among indigenous peoples of Manipur coming for abortion in a Tertiary Hospital. Methods: This is a cross sectional study conducted in Obstetrics and Gynaecology Department of Regional Institute of Medical Sciences, Imphal, Manipur from July 2015 to December 2015. 100 patients were included in the study. Their knowledge attitude and practice of various methods of contraceptive methods were asked in detail. Results: Only 5% among all the women were adolescents. Maximum number of women were in the age group 31 to 35 (36%). Abortion seeking trend increases with parity till second parity then it shows a declining trend. 78% of women were having knowledge of various contraceptive methods...........

Keywords: Abortion, contraception knowledge, indigenous people

[1]. Hiralal Konar,Contraception, in Hiralal Konar(Ed), DC Dutta's Textbook of Gynaecology, 6th edition. ( Kolkata,New Central Book Agency (P) Ltd, 2013) 455-483.
[2]. Park K, Medical termination of Pregnancy act 1971, in Park K(Ed), Park's Textbook of Preventive and Social Medicine, 18th edition (Jabalpur, Banarsidas Bhanot, 2005) 371-381.
[3]. Reeta Bansiwal, Pushpa Singh, Shruti Bajpai, Practice of contraception in this modern world:still a myth? International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 4(3), 2015,674-677.
[4]. Srivastava Reena,Srivastava Dhirendra Kumar, Jina Radha, Srivastava Kumkum, Sharma Neela, Saha Sushma, Contraceptive knowledge attitude and practice (KAP) survey. Journal of Obstetrics and Gynecology of India, 55(6), 2005,546-550.
[5]. Mehra Reeti, Goel Poonam, Dua Deepti, Huria Anju, Knowledge of emergency contraception among women coming for induced abortion. Journal of Obstetrics and Gynecology of India, 56(3), 2006, 233-235.

Abstract: Salivary gland tumors alternately neoplasm is a development arising from tissue for gland origin. Mucoepidermoid carcinoma is a malignant epithelial tumor that is made from Different proportions from mucous, epidermoid (e. g., squamous), intermediate, columnar, and clear cells Also regularly shows unmistakable cystic Growth. It is those the vast majority malignant neoplasm detected in the in the major and minor salivary glands. A large portion salivary gland tumors emerging from significant organs display as gradually enlarging growths, nontender and painless........

Keywords: Salivary gland tumor; malignant epithelial tumor; enlarging growths; Fine needle aspiration.

[1]. Chandak, R., Chandak, M., & Rawlani, S. (2015). Case Report Mucoepidermoid Carcinoma of submandibular salivary gland-A Case Report, 2, 116–118.
[2]. Kumar, K. M., Reddy, C. K., Swetha, K., & Kulkarni, G. (2014). Case Report Intra-Oral Mucoepidermoid Carcinoma in a Young Male, 2(9), 647–650.
[3]. Salazar CM, Saa J, Sánchez-Jara MR, García JL, González M; Carcinoma mucoepidermóide de
[4]. vestíbulo nasal. Acta Otorrinolaring Esp, 2000; 51(7):729-) .s

Abstract: Objectives: To evaluate effectiveness of collagen dressing in comparison to Vaseline gauze dressing in healing of Split Skin Graft donor site wound. Rate of epithelialization, pain, pruritus, type and duration of need of analgesics was compared between both groups Methods: comparative study, purposive sampling technique based on inclusion and exclusion criteria with a sample size of 30 under collagen group and 50 under Vaseline gauze group, study carried out in hospitals under KMC, Mangaluru. Patients and outcome assessment: Epithelialization assessed on 12th, 14th, 16th, 18th POD till complete epithelialisation occurs post op where 1=complete epithelialization...........

Keywords: Donor site wound (DSW), collagen, Vaseline gauze, epithelialization, pain, pruritus, VAS.

[1]. FeldmanDL. Which dressing for split-thickness skin graft donor sites? Ann PlastSurg 1991; 27: 288–91.
[2]. Feldman DL, Rogers A, Karpinski RH. A prospective study comparing Biobrane, Duoderm and xenoform for skin graft donor sites. SurgGynecolObstet 1991; 173: 1–5.
[3]. Dornseifer U, Lonic D, Gerstung TI, Herter F, Fichter AM,Holm C et al. The ideal split-thickness skin graft donor-sitedressing: a clinical comparative trial of a modified polyurethane dressing and aquacel. PlastReconstrSurg 2011; 128: 918-24.
[4]. Wiechula R. The use of moist wound-healing dressings in the management of split-thickness skin graft donor sites: a systematic review. Int J NursPract 2003; 9: S9–S17.
[5]. Voineskos SH, Ayeni OA, McKnight L, Thoma A. Systematic review of skin graft donor-site dressings.Plast ReconstrSurg 2009; 124: 289–306

Abstract: Background Febrile seizures (FS) are the most common type of seizures in childrenand iron deficiency anaemia is most common type of anaemia in children. The relationship between iron deficiency anaemia (IDA) and first FS has been examined in several studies with conflicting results. Patients and Methods In this prospective case-control study we assessed 84 children with a diagnosis of first FS, aged between 6 months and 5years who were admitted in department of paediatrics of SPMCHI, SMS Medical College JaipurRajasthan, during August 2006 to Oct..............

Keywords: Iron status,Febrile seizure

[1]. Michael V. Johnston, Seizure in Childhood. Nelson: febrile seizure Text Book of Pediatrics. 17th edi. 2004: page 1994
[2]. Pisacane A, Sansor R, Impagilazzo N, et al. Iron deficiency anaemia and febrile convulsion : Case control study in children under 2
years. BMJ 1996; 313: 343.
[3]. ParadeeAuvichayapat, NarongAuvichayapat et al. Incidence of Febrile Seizures in Thalassemic Patients. J. Med. Assoc. Thai 2004;
87(8): 970-3
[4]. Daoud AS, Batieha A, Abu-Ekteish F, Gharaibeh N, Ajilouni S., Hijazi S. Iron status : a possible risk factor for the first febrile
seizure. Epilepsia 2002; 43: 740-3.
[5]. Naveed-ur-Rehman, A.G. Billoo.Association between iron deficiency anemia and febrile seizures.J.Coll.Phy.Surg.Pak. 2005, Vo.
15(5): 338-340.

Abstract: Pulmonary function abnormalities in Type 1 diabetes has been evaluated in various studies but the data regarding this is scanty in Type 2 diabetes. The aim of this study was to assess the presence of pulmonary function abnormalities in Type 2 diabetic patients and to find out the co-existence of this with retinal and renal involvement abnormalities. 32 diabetic patients were taken into the study. They were divided into 2 groups: Group1- patients with retinopathy and or nephropathy and Group2- patients without any complications. An advanced spirometry was done on all patients which included pulmonary diffusion capacity (DLCO) which was done by single breath method.............

Keywords: Pulmonary diffusion capacity, Type 2 diabetes, microangiopathy.

[1]. Marvisi M, Lino Bartolini L, del Borrello P, Brianti M, Marrani G, Guariglia A, et al. Pulmonary Function in non-insulin-dependent diabetes mellitus. Respiration 2001; 68: 268-72.
[2]. Kasper, Braunwald, Fauci, 2004, Harrisons principals of Internal Medicine, 17thedition vol 2, 2286-2290.
[3]. Ljubic S, Metelko Z, Car N, Roglic G, Drazic Z. Reduction of diffusion capacity for carbon monoxide in diabetic patients. Chest 1998; 114:1033-5.
[4]. Sandler M, Bunn AE, Stewart RI: Cross-section study of pulmonary function in patients with insulin dependent diabetes mellitus. Am Rev Resp
[5]. Dis 1987; 135: 223-229

Abstract: Anchorage plays an important role in orthodontics. Miniscrews as a temporary anchorage device have gained popularity because of its small size, ease of insertion and removal, low cost, immediate loading and ability to be inserted in different locations of the alveolar bone. The aim of this narrative review is to discuss the evolution, clinical applications, and risk factors advantages and disadvantages of using miniscrews implants.

Keywords: Biomarker,immediateloading,mini implant,miniscrew,orthodontics,temporary anchorage device

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[4] Bousquet F, Bosquet P, Mauren G, et al. Use of an impacted post for anchorage. J Clin Orthod 1996; 30:261-265.
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