iosr-JDMS   Volume-15 ~ Issue-11 ~ November-2016

Abstract: Carcinoid tumors are classified as neuroendocrine tumours. It is the most common tumour of the small bowel and its incidence is rising. Most carcinoid tumours grow slowly and mostly asymptomatic or may present with nonspecific abdominal pain or carcinoid syndrome. We came across one such case who presented with mass per abdomen since 1 year, on examination mass felt in the umbilical region. On admission patient was hemodynamically stable. Exploratory laparotomy segmental resection and anastomosis done. Postoperative period uneventful. Histopathology Section features are suggestive of Ileal "Carcinoid tumor''.............

Keywords: Adult Intestinal obstruction, Ileal Carcinoid, complete resection

[1]. Parimal Bhattacharyya: Recurrent peptic ulcer due to carcinoid tumour of jejunum; Indian j surg [July-august 2011] 73(4):298-300
[2]. Eileen M Ten Cate,Leslie A Wong, Walter L Groff and Aaron T muller :post-surgical surveillance of locally advanced ileal
carcinoids found by routine ileal intubation during screening colonoscopy: a case series. Journal of medical case report 2014, 8:444
[3]. John L. Cameron, Andrew M. Cameron; Current surgical therapy: 342-343.
[4]. Sriram Bhat M: Manual of Surgery: Jaypee Brothers Medical Publishers (P) LTD; 2013,939.
[5]. K.Landerholm , N.Zar , R.E. Anderson , S.E. Falkmer et al.,Survival and prognostic factors in patients with small bowel carcinoid
tumour; British Journal of Surgery2011;98:1617-1624

Abstract: Peudoaneurysm of infrarenal abdominal aorta due to blunt trauma is uncommon identity. Here we are reporting a case of 35 years old man who had history of automobile accident at an age of 5 years and was asymptomatic for next 30 years. After that he developed symptoms of abdominal distension and dragging abdominal pain. Later CT angiography and USG abdomen showed peudoaneurysm of infrarenal abdominal aorta and right common iliac artery with retroperitoneal hematoma.............

Keywords: Infrarenal abdominal aortic peudoaneurysm, blunt trauma, open surgery

[1]. Osgood MJ, Heck JM, Rellinger EJ, Doran SL, Garrard CL 3rd, Guzman RJ, Naslund TC, Dattilo JB. Natural history of grade I-II
blunt traumatic aortic injury. J Vasc Surg. 2014 Feb;59(2):334-41.
[2]. Harris DG, Drucker CB, Brenner ML, Sarkar R, Narayan M, Crawford RS. Patterns and management of blunt abdominal aortic
injury. Ann Vasc Surg. 2013 Nov;27(8):1074-80.
[3]. Mustafa S, Gokhan O, Bilgin E, Dervis V, Ahmet B. Surgical treatment of an abdominal aortic pseudoaneurysm as a late
complication of blunt injury. Anatol J ClinInvestig 2008;2(4):179-182
[4]. Pisters PW, Heslin MJ, Riles TS. Abdominal aortic pseudoaneurysm after blunt trauma. J Vasc Surg. 1993 Aug;18(2):307-9.
[5]. Mellnick VM, McDowell C, Lubner M, Bhalla S, Menias CO. CT features of blunt abdominal aortic injury. EmergRadiol. 2012
Aug;19(4):301-7.

Abstract: Introduction: Skin fold thickness measurement provides an estimated size of the subcutaneous fat, which is the layer of subcutaneous tissue and composed of adipocytes. Subcutaneous fat is the major determinant of insulin sensitivity and has a strong association with insulin resistance. However, evidence to predict, duration of diabetes on skin fold thickness still remains unclear.
Aim & Objectives: To assess the relation between progression of diabetes and skin fold thickness.........

Keywords: Diabetes Mellitus, Skin fold thickness, Biceps, Triceps, Infra scapular, Iliac Crest

[1]. David S Freedman, Mary K Serdula, Sathanur R Srinivasan and Gerald S Berenson-Relation of circumferences and skinfold thickness to lipid and insulin concentrations in children and adolescents. The Bogalusa Heart Study. Am J ClinNutr. 1999;69:308-17.
[2]. Maria Ines Schmidt, Md, Phd,Bruce B. Duncan, Md,Luis Henrique Canani, Md,Cristina Karohl, Md,Lloyd Chambless, Phd
Association Of Waist-Hip Ratio With Diabetes Mellitus Strength And Possible Modifiers
[3]. Robert Feldman, A. Joseph Sender, and A. B. Siegelaub, Oakland- Difference in diabetic and non-diabetic fat distribution patterns by skinfold measurements. Diabetes. 1969;18;7.
[4]. Dimitriadis G, Mitrou P, Lambbadiari V, Maratou E, Raptis SA- Insulin effects in muscle and adipose tissue. Diabetes Res ClinPract. 2011;93:52-9.
[5]. Article in Turkish Sönmez HM1, Karabaş MK, Soysal N. Relationship of the blood pressure's level and skinfold thickness

Abstract: Due to difficulty in obtaining and maintaining stable anatomical reduction, treatment of unstable intertrochanteric fractures has been challenging. Many fixation devices have been developed to overcome the intraoperative difficulties and postoperative complication of unstable intertrochanteric fractures of the femur. Till recent times most of the intertrochanteric fractures were treated by a sliding hip screw system, previously considered to be gold standard for such fractures,but had high failure rates[3]........

Keywords: Diabetes Mellitus, Skin fold thickness, Biceps, Triceps, Infra scapular, Iliac Crest

[1]. Integrity of the Lateral Femoral Wall in Intertrochanteric Hip Fractures : An Important Predictor of a Reoperation. Henrik Palm.
JBJS Am. 2007; 89 : 470-475.
[2]. The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip. MR Baumgaertner. JBJS
Am. 1995; 77 : 1058-1064.
[3]. Prediction of Fixation failure after sliding hip screw fixation. Pervez et al. Vowler S. Injury 2004 Oct.; 35(10) : 994-998.
[4]. Delee JC, Clanton To, Rockwood CA. Closed treatment of sub trochanteric fractures of femur in modified cast-brace. J Bone and
Joint Surgery Am 1981 ; 63: 773-779.
[5]. Jiang LS, Shen L, Dai LY. Intramedullary fixation of sub trochanteric fractures with a long proximal femoral nail or a gamma nail:
Technical notes and preliminary results. Ann Acas Med Singapore. 2007; 36: 821-826.

Abstract: Introduction: Patients suffering from heel pain feels like walking on a sharp object in the first few steps after gets up from sleep or a brief rest but disturb the routine and in its severe form force the patient to crawl this suffering given the consensus to categorize, analyze the factors responsible for these sufferings. The factors like traumatic, neurologic,arthritic,metabolic, and others were excluded only patients with Type 2 Diabetes mellitus (T2dm) and Obesity were included. The prevalence of heel pain in general population range from 3.6 to 7% Methods: This study was conducted in the Out Patient Department of Orthopedics'HEEL PAIN CLINIC' at Madha Medical College& Research Institute from august 2015 to august 2016 after obtaining ethical committee permission..........

Keywords: calcaneal spur C.S, Plantar Fasciitis PF, Heel pain Type 2 D.M., Obesity,

[1]. Bassiouni M Incidence of calcanial spurs in osteo-arthrosis and rheumatoid arthritis and in control patients. Ann Rheum Dis 1965; 24:490-3
[2]. Cornwall MW .McPoil TG. Plantar fascititis : etiology and treatment J Orthop Sports pins Tlicr1999:29:756-76
[3]. Craig ME, Duffin AC, GallegoPH , Lam A , Cusumano J, Hing S , et al . Plantar facia thickness , a measure of tissue glycation, predicts the development of complication in adolescents with type -1 Diabetes . Diabetes Care 2008 ;31: 1201-6
[4]. DeMaio M, Paine R. Mangie RE. Dre /D Jr.Plantar fasciitis Orthopedics 1993:16:1153-1163
[5]. Hsu TC , Wang CL , Tsai WC, Kuo JK , Tang FT. Compaison of the mechanical properties of the heel pad between young and elderly adults. Arch Phys Med rehabil 1998; 79: 1101-4

Abstract: Purpose: To evaluate the safety and efficacy of subconjuctival bevacizumab on preventing the recurrence in primary pterygium excision Methods: This randomized, placebo controlled clinical trial was conducted on 40 eyes of 40 patients attending the ophthalmology OPD,Rajindra Hospital Patiala, randomized to Group 1 (bevacizumab) 20 patients and Group 2(balanced salt solution) 20 patients. Group 1 underwent pterygium excision and received a total of 0.5ml subconjuctival bevacizumab( 2.5mg/0.1ml on the day of surgery). Group 2 received balanced salt solution in the same manner. Recurrence defined as any fibrovascular tissue crossing the limbus, and the number of patients with >1.5mm fibrovascular overgrowth on the cornea were compared between the study groups........

Keywords: Bevacizumab; Pterygium; Pterygium Recurrence; Neovascularisation

[1]. Duke-Elder S: Diseases of the outer eye. Syst Ophthalmol 1965; 8:573-585.
[2]. Coster D: Pterygium: an ophthalmic enigma. Br J Ophthalmol 1995; 79:304-305.
[3]. Tan DTH, Chee SP, Dear KBG, Lim ASM: Effect of pterygium morphology on pterygium recurrence in a controlled trial
comparing conjunctival autografting with bare sclera excision. Arch Ophthalmol 1997; 115:1235-1240.
[4]. Saw SM, Tan D: Pterygium: prevalence, demography and risk factors. Ophthalmic Epidemiol 1999; 6(2):
[5]. Talbot G: Pterygium. Trans Ophthalmol Soc NZ 1948; 2:42-45.

Abstract: By spot gelatinase assay, minimum inhibitory concentration (MIC) of proteases was determined through pilot study. Then different combinations of proteases solutions (MIC) were used to validate their pulp tissue dissolution capability by following methodology. Pulp tissue was removed from intact, freshly extracted vital premolars and third molars. And same was cut to get an approximately 7mg of tissue for each sample. Total hundred and eight samples of standardized weight (7mg) were taken. These samples were divided into seven groups depending upon different solutions used (Group I & II of three proteases/ Group II & IV of two proteases/ Group V, VI& VII of Collagenase I, NaOCl and Normal Saline respectively) with six subgroups based on different time period i.e. 5, 10, 15, 20, 25, 30 min.........

Keywords: Dental pulp tissue dissolution, Gelatinase assay, Irrigants, Proteases

[1]. Hasselgren, Olsson, Cvek, Effect of calcium hydroxide and sodium hypochlorite on dissolution of necrotic porcine muscle tissue, J
Endod ,14,1988, 125-7.
[2]. Naenni N, Thoma K, Zehnder M, Soft tissue dissolution capacity of currently used and potential endodontic irrigants, J Endod 30,
2004, 785-787
[3]. Love RM et al. Enterococcus faecalis– a mechanism for its role in endodontic failure, Int Endod J 34, 2001, 399-405.
[4]. Sonja, et al. Tissue dissolution by Sodium hypochlorite; effect of concentration, temperature, agitation and surfactant. J Endod 36,
2010, 1558-1562
[5]. RM Clarkson, Moule, podlich , Dissolution of porcine incisor pulps in sodium hypochlorite solutions of varying compositions and
concentration, Australian Dental Journal, 51(3), 2006,245-251

Abstract: Introduction: The incidence of intrauterine growth restriction is approximately 10%. The management depends upon diagnosis, follow up and timely delivery of the fetus. Material & Methods: Prospective cohort study was conducted at a zonal hospital from Oct 2014 to Aug 2016 on 60 women with clinical suspicion of FGR. After confirming FGR with ultrasound, these patients were
followed with umbilical artery velocimetry. The neonatal outcomes - gestational age at delivery, birth weight, APGAR score, NICU admissions were noted........

Keywords: Fetal growth restriction (FGR), Umbilical artery doppler

[1]. Unterscheider J, Daly S, Geary MP, et al: Optimizing the definition of intrauterine growth restriction: the multicenter prospective
PORTO study. Am J Obstet Gynecol 208(4):290.e1, 2013
[2]. B.M. Lakhakar, H.V. Rajgopal P.T.Gourishankar: Doppler prediction of adverse perinatal outcome in PIH and IUGR. Indian Jn of
Radiology, Vol 16 ,2006,109-116.
[3]. Dasgupta S. Current concepts and management of IUGR in Indian scenario. Saraiya UB, Rao KA, Chatterejee A, Principles and
Practice ofObstetrics and Gynecology for Postgraduates (2nd edition) New Delhi: FOGSI Publication,Jaypee Brothers,2003:112.
[4]. Meghna Toal, Shafagh Fallah, Cynthia, Chan : Usefulness of placental profile in high risk pregnancies. Am. J. ObstetGynecol 2007
; 196(4) 363.
[5]. Seyam YS, Al Mehmaid et al. Umbilical artery doppler flow velocimetry in IUGR and its relation to perinatal outcome. Int journal
of Obs & Gynaecology 2002 May; 77(2):131-7.

Abstract: Introduction: The relative safety of dilatation and suction curettage performed for various reasons with either local or general anaesthesia has not been clearly established. Material and methods: Seventy five participants of SGT University including anaesthesiologists, gynaecologists, surgeons and paramedical staff were given a structured questionnaire regarding preference of regional or general anaesthesia for minor gynaecological procedure of D and C and finding the most preferred reason for a particular technique or the for its non preference........

[1]. Sng, B. L., & Schug, S. A. The role of opioids in managing chronic non-cancer pain. Ann Acad Med Singapore. 2009;38(11):960-6.
[2]. Suchdev PK. Pathophysiology of Pain. In: Warfield CA, Fausett HJ. Manual of Pain Management: 2nd edition. Philadelphia:
Lippincott Williams and Wilkins; 2002. 6-12.
[3]. Practice Guidelines for Obstetric Anaesthesia. An Update Report by the American Society of Anesthesiologists Task Force on
Obstetric Anaesthesia. Anesthesiology 2007; 106:843-63.
[4]. Oyama IA, Wakabayashi MT, Frattarelli LC, Kessel B. Local anesthetic reduces the pain of colposcopic biopsies: a randomized
trial. American journal of obstetrics and gynecology. 2005.
[5]. Crane JCC, Dawson L, O'Grady T, Bartellas E, Hutchens D. Randomized trial of oral misoprostol before endometrial biopsy. J
Obstet Gynaecol Can. 2009; 31(11):1054–9.

Abstract: Background: Plaque formation, gingival health, salivary microorganisms (mainly Streptococcus mutans) plays a critical role in the maintenance of oral health.The frequent use and misuse of the current chemical therapeutic agents has led to adverse effects. This paper will discuss the potential use of curcumin as an anti-plaque, antiinflammatory and antimicrobial agent in the maintenance of oral health. Aim: To clinically evaluate the effectiveness of Curcumin lozenges on plaque formation, gingival health and levels of salivary Streptococcus mutans........

Keywords: Curcumin lozenge, plaque, gingival health, salivary Streptococcus mutans.

[1]. Amita M, Mali R, Behal, Suhit S, Gilda. Comparative evaluation of 0.1% turmeric mouthwash with 0.2% chlorhexidine gluconate
in prevention of plaque and gingivitis: A clinical and microbiological study. J Indian Soc Periodontol. 2012;16(3):386–91.
[2]. Monika, Nagpal, Shwetha. Role of curcumin in systemic and oral health: An overview. J Nat Sci Biol Med.2013;4(1):3–7.
[3]. Ivan, Ross A. Chemical constituents, traditional and modern medicinal uses Medicinal plant of the world Text book.Tatowa, New
Jersy: Humana press; 1999; 2.
[4]. Waghmare PF,Chaudhari AU,Karhadkar VM, Jamkhande AS.Comparative evaluation of turmeric and chlorhexidine gluconate
mouthwash in prevention of plaque formation and gingivitis: a clinical and microbiological study. J Contemp Dent Pract. 2011 Jul

Abstract: Background: Pterygium is a triangular, fibrovascular, connective tissue overgrowth of bulbar conjunctiva onto the cornea. Surgery is indicated for the visual impairment caused by the astigmatism induced by the pterygium and its progression into the pupillary area or for patient's cosmetic needs. Aims: To determine the amount of refractive changes following pterygium surgery and to compare the refractive changes between bare sclera technique and conjunctival autografting in pterygium surgery. Materials and methods: A prospective comparative study was conducted on a total of 60 eyes of 59 patients with primary pterygium. The study cases were randomly distributed into two groups of 30 eyes each. One.........

Keywords: Pterygium excision, bare sclera technique, conjunctival autografting, astigmatism.

[1]. Duke-Elder S. Diseases of the Outer Eye. In: System of Ophthalmology. Vol VIII. Part-1. Henry Kimpton Publishers, London.
1965:573
[2]. Walton HH. A practical treatise on the diseases of the eye. 3rd ed. J and A Churchill.London.1875:435-7
[3]. Detels R, Dhir SP. Pterygium: A geographical study. Arch Ophthalomol 1967;78(4):485-91
[4]. Karai I, Horiguchi S. Pterygium in welders. Br J Ophthalmol 1984;68(5):347-9
[5]. Oldenburg JB, Garbus J, McDonnell JM. Conjunctival Pterygia: Mechanism of corneal topographic changes. Cornea 1990;9:200-4

Abstract: The perception of support received by a medical intern from a mentor paves the path in the process of development and learning in the mentees professional life. An active approach is the need of the hour in the medical education system, wherein the support from the mentor is considered to help the mentee to excel in his or her professional life (Ramanan RA, Phillips RS, Davis RB, Silen W, Reede JY; Frei E, Stamm M, Buddeberg-Fischer B2010). The role of a faculty advisor is paramount in helping an intern choosehis or her future stream of specialty training (Paukert JL, Hsieh G.,JAMA 2001, Osborn EH 1993). Medical internship is demanding and it leads to conflict, fatigue and even resentment among medical students ultimately even leading to stress and burnout (Bellini LM, Baime M, Shea JA 2002). Practices.........

Keywords: Medical Interns, Mentor, Mentee

[1]. Aagaard EM, Hauer KE (2003) A cross-sectional descriptive study of mentoring relationshipsformed by medical students. J Gen
Intern Med.
[2]. Bellini LM, Baime M, Shea JA (2002) Variation of mood and empathy during internship. JAMA
[3]. Bussey-Jones J, Bernstein L, Higgins S, et al.(2006) Repaving the road to academic success:The IMeRGE approach to peer
mentoring. Academic Medicine.
[4]. Cho CS, Ramanan RA, Feldman MD (2011) Defining the ideal qualities of mentorship:A qualitative analysis of the characteristics
of outstanding mentors. Am J Med.
[5]. FreiE, Stamm M, Buddeberg-Fischer B (2010) Mentoring programs for medicalstudents-a Review of the PubMed literature 2000-
2008. BMC Med Educ.

Abstract: Back ground : Vernal keratoconjunctivitis (VKC) is an allergic disease that typically affects young individuals with male preponderance.[1,2] Prevalence of VKC is seen in the regions with hot, humid climate, and higher load of airborne allergens. Patients with VKC experience significant morbidity, which affects the quality of life;[8] moreover, vision-threatening corneal complication in severe and chronic cases coupled with potential iatrogenic side effects makes VKC a concerning ocular surface disorder. Material&methods:........

Keywords: Allergic Eye Disease, Papillae, Shield ulcer, Vernal Keratoconjuctivitis

[1]. Leonardi A, Secchi AG. Vernal keratoconjunctivitis. IntOphthalmolClin. 2003;43:41–58.
[2]. Bonini S, Coassin M, Aronni S, Lambiase A. Vernal keratoconjunctivitis. Eye (Lond) 2004;18:345–51.
[3]. Leonardi A, Busca F, Motterle L, Cavarzeran F, Fregona IA, Plebani M, et al. Case series of 406 vernal keratoconjunctivitis
patients: A demographic and epidemiological study. Acta Ophthalmol Scand.2006;84:406–10.
[4]. Lambiase A, Minchiotti S, Leonardi A, Secchi AG, Rolando M, Calabria G, et al. Prospective, multicenter demographic and
epidemiological study on vernal keratoconjunctivitis: A glimpse of ocular surface in Italian population. Ophthalmic
Epidemiol. 2009;16:38–41. 5. Tabarra KF. Ocular complications of vernal keratoconjunctivitis. Can J Ophthalmol. 1999;34:88–92.
[5]. Ukponmwan CU. Vernal conjunctivitis in Nigerians: 109 consecutive cases. Trop Doct. 2003;33:242–5.

Abstract: In the contemporary practice of endodontics, the predictability of success is high because of the ever changing knowledge, advancements in instruments, methods of instrumentation and the care and the patience of endodontist during meticulous performance of intracanal procedures, strictly adhering to cardinal principles laid down by the stalwarts in the field of endodontics. Along with the salvation of those many millions of teeth, every year comes the inevitable percentage of non-healed and unsuccessful treatments. Patients increasingly expect to retain their natural dentition and are often reluctant to have teeth extracted. Endodontic retreatment or surgery may offer the patient a second chance to save a root-treated tooth that would otherwise be destined for extraction. Management of root end during endodontic surgery involves apical resection, retropreparation and retrofilling to seal the root canal. Numerous materials have been suggested and the newer ones like MTA, Biodentin, Castor Oil Polymer and calcium phosphate have shown promising results.

Keywords: Root-end filling, Endodontic surgery, Apical resection, Retrofiiling Materlals

[1]. OÕConner RP, Hutter JW, Roahen JO. Leakage of amalgam and Super-Eba root-end fillings using two preparation techniques and
surgical microscopy. J Endod 21: 74-8, 1995.
[2]. Ingle I, Taintor J. Endodontics. 3rd ed. Philadelphia: Lea & Febiger 27-50, 1985.
[3]. Tidmarsh JO, Arrowsmith MG. Dentinal tubules at the root ends of apicected teeth: a scanning electron microscope study. Int
Endod J 1989;22:184-9
[4]. Ingle JI, Beveridge EE, Glick DH, Weichmann JA. Modern endodontic therapy. In:Ingle JI, Backland LK, eds. Endodontics.
[5]. 4th ed. Philadelphia: Lee & Febiger 33, 1994.
[6]. Harfty FJ, Parkins BJ, Wengraf AM. Success rate in root canal therapy: a retrospective study of conventional cases. Br Dent J 28:
65-70, 1970.

Abstract: The objective of the study our country stands first globally when it comes to RTA we are now the world leaders in road traffic accident rate & related mortality. In this study we bring out the epidemiological factors, risk factors, use of safety measures, compliance with traffic laws, presenting injuries & ED intervention required, in patients with road traffic accidents........

Keywords: Rta.Risk Factors,And Saftey Measures.

[1]. NilambarJha, D.K. Srinivasa, Gautam Roy, S. Jagdish. Epidemiological study of road traffic accident cases: a study from south
india. Indian Journal of Community Medicine Vol. XXIX, No.1, Jan.-Mar., 2004
[2]. Insurance Institute for Highway Safety (IIHS). Fatality facts: teenagers 2010. Arlington(VA): The Institute; 2012 [cited 2012 Sept
28].
[3]. Moskal A, Martin JL, Laumon B Risk factors for injury accidents among moped and motorcycle ridersAccid Anal Prev. 2012
Nov;49:5-11. doi: 10.1016/j.aap.2010.08.021. Epub 2010
[4]. Abhishek Singh1, Anu Bhardwaj2, RambhaPathak, SK Ahluwalia: an epidemiological study of road traffic accident cases at a
tertiary care hospital in rural haryana. Indian Journal Of Community Health, 23(2),53-55. doi:10.1234/10.1234/vol23iss2pp53-55
[5]. Banthia P, Koirala B, Rauniyar A, Chaudhary D, Kharel T, Khadka SB. An epidemiological study of road traffic accident cases
attending emergency department of teaching hospital. JNMA J Nepal Med Assoc. 2006 Apr-Jun;45(162):238-43

Abstract: And Objectives: To assess the diagnostic efficacy and accuracy of ultrasound and colour Doppler in differentiating malignant from benign cervical lymphadenopathy using the most specific and least number of parameters..........

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

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