iosr-JDMS   Volume-15 ~ Issue-12 ~ December-2016

Abstract: This study defines the laboratory investigations and the outcome in acute organophosphate poisoning patients admitted to medicine indoor department of R G Kar Medical College and Hospital, Kolkata 700004, India. Out of 276 OP poisoning patients, it was noticed that suicidal and intentional poisoning being a major cause as recorded in most cases.58 patients could not survive during the treatment. The cases were selected with definite history of OP poisoning coming with poison samples with major signs and symptoms seen by the physicians which were mostly muscarinic and nicotinic manifestations. The activities of serum Total Bilirubin, Direct bilirubin, SGPT, SGOT and ALP.............

Keywords: Organ phosphorus, SGOT, SGPT, ALP,

[1]. Afshari R, Majdzadeh R, Balali-Mood M. Pattern of acute poisonings in Mashhad,Iran 1993-2000. J ToxicolClinToxicol. 42:
2004,965-75.
[2]. Balali-Mood M, Shariat M. Treatment oforganophosphate poisoning. Experience ofnerve agents and acute pesticide poisoningon
the effects of oximes. J Physiol Paris.
92: 1998, 375-8.
[3]. Eddleston M, Gunnell D, Karunaratne A, deSilva D, Sheriff MH, Buckley NA. Epidemiologyof intentional self-poisoning in rural
Sri Lanka.Br J Psychiatry. 187: 2005; 583-4.
[4]. Eddleston M. Patterns and problems ofdeliberate self-poisoning in the developingworld. QJM. 93: 2000, 715-31.
[5]. Leikin JB, Thomas RG, Walter FG, Klein R,Meislin HW. A review of nerve agent exposure for the critical care physician. CritCare
Med.30: 2002, 2346-54

Abstract: Incisional Hernia is a common surgical condition. Mesh repair technique showed reduced number of postoperative complications and recurrence compared to other techniques. The aim of the study was to evaluate the technique of mesh repair of incisional hernias with octomesh. This prospective study consisting of 30 cases was done. Octomesh repair was done in all the 30 cases. Follow up of 6 to 12 months was carried in the OPD of Institute for Medical Sciences and Research Centre, JNU, Jaipur, Rajasthan, India with regards to postoperative complications and recurrences if any. Recurrence of only 6 was noticed in the present study. Less number of postoperative complications were noticed in the present study. It was concluded that octomesh repair is one of the effective techniques for incisional hernia repair

Keywords: Incisional hernia, octomesh, postoperative complication

[1]. Da-silva al; Patroiaanu. A. Incisional hernias;factor influencing development. South Med. J. 1991; 84 : 1500-155.
[2]. Cassar K, Munro A. Surgical treatment of incisional hernia. B J Surg 2002; 89:534-545.
[3]. George CD, Ellis H. The results of Incisional hernia repair. A twelve year review. Ann R Coll Surg Engl 1986; 68: 185-7.
[4]. Bauer JJ, Harris MT, Gorfine SR, Kreel I. Rives stoppa repair of giant incisional hernias. Experience with 57 patients. Hernia 2002; 6: 120-3.
[5]. Ahmed; D. Mahmood; J.Khan. Use of Mesh in the management of recurrent incisional hernias.Pak. J. Surg. 1995: 11: 101-2.

Abstract: Papulosquamous disorders are characterized by scaly papules and plaques and they form quite a common group amongst the wide spectrum of skin diseases in children. The present observational study was conducted in the Department of Dermatology, Assam Medical College & Hospital, Dibrugarh during a period of 12 months from June 2014 to May 2015, with an objective to study the magnitude and pattern of papulosquamous disorders in children All children upto 13 years presenting with papulosquamous disorders in the Dermatology out-patient Department of Assam Medical College & Hospital, Dibrugarh, for the period of one year were taken as study subjects.............

Keywords: Children, papulosquamous disorders, pediatric dermatoses, psoriasis, seborrheic dermatitis

[1]. Sharma NK, Garg BK, Goel M, Pattern of skin diseases in urban school children. In J DermatolVenereolLeprol, 52, 1986, 330-331.
[2]. Fox BJ, Odom RB, Papulosquamous diseases: a review, J Am AcadDermatol, 12(4), 1985, 597-624.
[3]. Vetrichevvel TP, Thappa DM, A clinical study of papulosquamous diseases in children,In 34th national conference of Indian
association of dermatologists, venereologists and leprologists, 2006 Feb 1-5, Hyderabad, Andhra Pradesh, India, 2006, p.333
(Abstract no. P241).
[4]. Gül U, Cakmak SK, Gönül M, Kiliç A, Bilgili S, Pediatric skin disorders encountered in a dermatology outpatient clinic in Turkey,
PediatrDermatol, 25(2), 2008, 277-278.
[5]. Balai M, Khare AK, Gupta LK, Mittal A, Kuldeep C M, Pattern of pediatricdermatoses in a tertiary care centre of South West
Rajasthan,Indian J Dermatol, 57, 2012, 275-278.

Abstract: Distal tibia-fibula is one of the most commonly fractured long bone of the body .The management of distal tibial fractures is complicated because of compromised soft tissue, precarious blood supply, higher risk of infection &delayed union or nonunion. Distal tibia fractures can be managed withopen reduction and internal fixation with plating or closed reduction and minimally invasive percutaneous plating orclosed reduction and intramedullary interlocking nailing .Open reduction and internal fixation with plating is a popular method but usually requires a relatively extensive soft-tissue dissection and hence often associated with delayed healing, infection, and hardware problems

Keywords: Distal tibial fracture, intramedullary interlocking nail, percutaneous plating.

[1]. Blick, S.S., Brumback, R.J., Lakatos, R., et al. (1989) Early Bone Grafting of High-Energy Tibial Fractures. Clinical
Orthopaedics and Related Research, 240, 21-41. http://dx.doi.org/10.1097/00003086-198903000-00005.
[2]. Teeny, S.M. and Wiss, D.A. (1993) Open Reduction and Internal Fixation of Tibial Plafond Fractures. Variables Contributing to
Poor Results and Complications. Clinical Orthopaedics and Related Research, 292, 108-117.
[3]. Wyrsch, B., McFerran, M.A., McAndrew, M., Limbird, T.J., Harper, M.C., Johnson, K.D. and Schwartz, H.S. (1996)
Operative Treatment of Fractures of the Tibial Plafond. A Randomized, Prospective Study. Journal of Bone and Joint Surgery, 78,
1646-1657.
[4]. E. Hasenboehler, D. Rikli, R. Babst, Locking Compression Plate with Minimally Invasive Plate Osteosynthesis in diaphyseal and
distal tibia fracture: A retrospective study of 32 patients, Injury; 38(3): 365-370 Mar 2007.
[5]. Guo J. J., Tang N., Yang H. L., Tang T. S, A prospective, randomised trial comparing closed intramedullary nailing with
percutaneous plating in the treatment of distal metaphyseal fractures of the tibia, J Bone Joint Surg Br, 2010: (92): 984-8.

Abstract: Background: Acute intestinal obstruction ,one of the important cause of surgical emergencies, has varied etiology, and it varies between developed and developing countries. This study evaluate epidemiology, causes ,management of acute intestinal obstructon in semi urban govt medical college Material and methods: It is a retrospective study of 100 patients admitted with acute intestinal obstruction between 2014 february to 2016 february at Govt medical college chengalpattu. Results: Incidence of Acute intestinal obstructon of all patients admitted in surgical ER was around9%. Male patents more than female patients, age group presented were between 20 to 60 years. In our study the main cause of IO was obstructed inguinal hernia 48% followed by sigmoid volvulus 18%, with third common cause being tumours........

Keywords: Intestinal obstruction, etiology, outcome

[1]. Mc Entee G. Pender D et al.Current spectrum of intestinal obstruction Br.Journal1987;74,976-980
[2]. The pattern of intestinal obstruction in Malaysia. Ti Tk, Yong NK. Br J Surg 1976; 63: 963-5.
[3]. Mechanical intestinal obstruction caused by Abdominal wall hernias Akcakaya A, Alimoglu.O,et al Ulus Travma Derq 200 Oct;6 (4) 260-5
[4]. Richards W.O., Williams L.F.Junior et al, Obstruction of large and small intestine ,Surg. Clin. North America1988;68:355-76
[5]. World Journal of Surgery 2000, vol.24, p.885-980.

Abstract: The aim of this study was to compare between extraoral and intraoral distraction for anterior maxillary advancement in patients with maxillary deficiency associated with cleft lip and palate(CLP). Materials &Methods:This study included twelve nonsyndromic patients suffering from maxillary hypoplasiawho were randomly selected and divided into two groups. Group I included six patients treated with extraoral device, in group II six patients were treated with intraoral device. All patients received preoperative orthodontic treatment for teeth alignment as well as creating spaces for osteotomies..........

Keywords:Anterior maxillary segmental distraction, Maxillary hypoplasia, Computer assisted surgical simulation.

[1]. Hirano A, Suzuki H: Factors related to relapse after LeFort I maxillary advancement osteotomy in patients with cleft lip and
palate. Cleft Palate Craniofac J 38:1, 2001
[2]. CheungLK,ChuaHD,Ha ̈ggMB:Cleftmaxillarydistraction versus orthognathic surgery: clinical morbidities and surgical relapse.
Plast Reconstr Surg 118:996, 2006
[3]. Cohen SR, Rutrick RE, Burstein FD:Distraction osteogenesis of the human craniofacial skeleton: initial experience with a new
distraction system. J Craniofac Surg 6:368, 1995
[4]. Cheung LK, Chua HD:A meta-analysis of cleft maxillary osteotomy and distraction osteogenesis. Int J Oral Maxillofac Surg
35:14, 2006
[5]. Ilizarov L, Mikhail L: Biomechanical considerations of mandibular lengthening and widening by gradual distraction using a
computer model. J Oral Maxillofac Surg 56:51,1988

Abstract: Introduction :Cardiovasculardiseasesgenerally go undiagnosedbefore the onset of symptoms and thereforethereis a need for modalitiesthat are reliable, cost-effective, easy to perform, with minimal limitations and thatcanact as earlyindicators of CoronaryArteryDisease. In recentyears, a multitude of studies have focused on CarotidArtery Intima Media Thickness (CAIMT) as an earlypredictor of CoronaryArteryDisease (CAD). This studyaims to find the co-relation between CAIMT and CAD..........

Keywords:Carotid Artery Intima Media Thickness, Coronary Angiogram, Coronary Artery Disease, Ultrasound

[1]. Cardiovascular Diseases (CVD's)-WHO Factsheet
a. http://www.who.int/mediacentre/factsheets/fs317/en/ [last checked on 30.11.2016]
[2]. Lloyd-Jones D, Adams RJ, Brown TM, et al. Heart disease and stroke statistics—2010 update: a report from the American Heart
Association. Circulation. 2010 Feb 23;121(7):e46-e215.
[3]. Kasliwal, Ravi R., et al. "Carotid intima–media thickness: Current evidence, practices, and Indian experience." Indian journal of
endocrinology and metabolism 18.1 (2014): 13.
[4]. Tavakol M, Ashraf S, Brener SJ. Risks and complications of coronary angiography: a comprehensive review. Global Journal
of Health Science. 2012 Jan;4(1):65-93.
[5]. Skelly AC, Hashimoto R, Buckley DI, et al. Noninvasive Testing for Coronary Artery Disease .Comparative Effectiveness
Reviews, No. 171. Rockville (MD): Agency for Healthcare Research and Quality (US) 2016 Mar.

Abstract: Gunshot injuries are a relatively rare surgical intervention for Maxillofacial Surgeons. At present the numbers of cases in the Indian subcontinent are few and rarely reported. The protocol and choice of treatment are less than uniform, often relying on the surgeon's personal experience and beliefs. Nonetheless, maxillofacial surgeons must keep abreast of the ever expanding scope of their branch and constantly strive to provide the best treatment for their patients. We present a case of gunshot injury involving the lip, mandible, floor of mouth and submandibular salivary gland.

Keywords: Gunshot injury, mandibular fracture, salivary fistula

[1] Motamedi MH, Primary management of maxillofacial hard and soft tissue gunshot and shrapnel injuries, J Oral Maxillofac Surg; 2003 Dec; 61(12):1390-8.
[2] Hollier L, Grantcharova EP, Kattash M, Facial gunshot wounds: a 4-year experience, J Oral Maxillofac Surg. 2001 Mar; 59(3):277-82.
[3] William R. Nemzek, Stephen T. Hecht, Paul J. Donald, Russell A. McFall, and Virginia C. Poirier, Prediction of Major Vascular Injury in Patients with Gunshot Wounds to the Neck, AJNR Am J Neuroradiol 17:161–167, January 1996.
[4] Dasani BM, Kawanishi H., The gastrointestinal manifestations of gunshot-induced lead poisoning, J Clin Gastroentrol 1994;19:296–9
[5] Akinwande JA, Ogunbanjo B, Ladeinde A, et al, Armed robbery gunshotinjuries to the maxillofacial region, J Clin Pract 1998;1:9–14.

Abstract: Background: Leprosy presents commonly with mononeuritis multiplex, affecting mainly the exteroceptive sensations. Neuropathy with a significant afferent large fiber element is considered to be an uncommon manifestation of leprous neuropathy. Aims: To evaluate the clinical and neurophysiologic aspects of a sub set of patients with leprous neuropathy having clinical proprioceptive loss. Settings and Design: Prospective study of patients with a diagnosis of peripheral neuropathy secondary to leprosy having proprioceptive loss..........

Keywords: Leprosy, proprioception, electrophysiology, multibacillary, mononeuritis multiplex, polyneuropathy.

[1]. Pandya SS, Bhakti WB: Severe pan-sensory neuropathy in leprosy. Int J Lepr 1994; 62: 24-31.
[2]. Ridley DS, Jopling WH: Classification of leprosy according to immunity: a five group system. Int J Lepr. 1966;34: 255-273.
[3]. Pandya SS, Shetty VP: The Neuropathy of Leprosy, In Wadia NH (editor): Neurological Practice- an Indian Perspective; Elsevier Publications, 1s` edition, 167-195.
[4]. Aminoff MJ. In: Electromyography in clinical practice. 3rd Ed. New York: Churchill Livingstone; 1998.
[5]. Soysal A, Atay T, Ozu T, Arpaci B.: Electrophysiological evaluation of peripheral and autonomic involvement in leprosy. Can J Neurol Sci 2004; 31: 357-362

Abstract: Cerebrovascular stroke is a leading cause of long term disability and death. There are many established risk factors of stroke like hypertension, diabetes mellitus, hyperlipidemia etc. However in about 30% of cases cause remains undetermined. Anaemia is the most common haematological disorder and had been related to cerebrovascular accidents,sickle cell anaemia being most commonly associated. Very little is known about the association between non sickle cell anaemia and stroke..........

Keywords: Stroke, risk factor, iron deficiency anaemia

[1]. Adams and Victors Principles of Neurology,9th Edition ,chapter 34 page 746-747
[2]. U.K.Misra and J.Kalita,Diagnosis and Management of Neurological disorders,1st edition S.Panda and B.Nagraja,chapter
19,page307.
[3]. Ramesh Chellan, Lopamudra Paul, Prevalence of Iron Deficiency Anaemia in India: Results from large Nationwide survey,
JOURNAL OF POPULATION AND SOCIAL STUDIES January 2010; 18(2):59
[4]. Baiju Sam Jacob, Sreekumar B, V. Baby Paul- A Clinical Study of stroke in young in a teaching hospital. J of evolution of Med and
Dent Sci/eiSSN-2278-4802, PISSN-2278-4748/Vol 3/Issue 12/Mar 24,2014 pg 3199-3204.
[5]. Preema J. Mehta, Sherita Chapman et al- Acute Ischemic Stroke Secondary to Iron Deficieny Anaemia: A Case Report Case
Reports in Neurological medicine Vol. 2012(2012) Article ID-487080, 5 pages Part 4.

Abstract: Journey through birth canal is the first but probably the most hazardous journey an individual undertaken. Umbilical artery reflects most accurately fetal blood and tissue acid base status (1). It has since become widely accepted that umbilical cord blood gas analysis can provide important information about the past, present and possibly the future condition of the infant. Identification and prevention of fetal academia is, therefore, the aim of intra partum fetal monitoring, the cord arterial blood pH is considered a crucial outcome measure (2).........

[1]. Chauhan SP, Gupta LM, Assel Barbara, Magann EF, Magnann JC, Gupta Usha. Intrapartum featal survillence: summary of four national evidence based guidelines and need to develop Indian guidelines. The Journal Of Obstetrics and Gynecology Of India May/June2011;61(3):267-274. .

[2]. Yeh P, Emary K, Impey L. The relationship between umbilical cord blood arterial pH and serious adverse neonatal outcome: analysis of 51519 consecutive validated samples. Br J Obstet Gynecol 2012; 119:824-31.

[3]. White RH, Doherty DA, Henderson JJ, Kohan R, Newnham JP, Pennell CE. Benefits of introducing universal umbilical cord blood gas and lactate analysis into an Obstetric Unit. Aust NZ J Obstet Gynecol 2012; 50:318-28.

[4]. Waugh J, Johnson A, Farkas A. Analysis of cord blood gas at delivery: questionnaire study of practice in the United Kingdom. BMJ 2001; 328:727.6 [5]. Goldabar KG, Gilstrap LC, Leveno KJ, Dax JS, Mc Intyre DD, Pathologic fetal acidemia. Obstet Gynecol 1991; 78:1103-7
[5] Akinwande JA, Ogunbanjo B, Ladeinde A, et al, Armed robbery gunshotinjuries to the maxillofacial region, J Clin Pract 1998;1:9–14.

Abstract: To evaluate and compare the effect of ultrasonic scaling on two different tooth coloured class V restorative materials using surface roughness tester before and after ultrasonic scaling. Methodology: Ninety human freshly extracted teeth extracted for orthodontic or periodontal purpose were taken. Thirty were randomly selected and included in control group (Group I).Control group were marked with area of 2x4 mm to simulate outline of class V cavity; no cavity preparation was done on them. On remaining sixty teeth standardized class V cavities of 4 mm width, 2 mm length, and 1.5 mm depth were prepared on facial surface with carbide bur............

Keywords: Class V restorations, surface roughness, ultrasonic scaling.

[1]. Bansal K, Acharya SR, Saraswathi V. Effect of alcoholic and non-alcholic beverages on color stability and surface roughness of
resin composites: An in vitro study. Journal of Conservative Dentistry 2012:15(3):283-8.
[2]. Hasija M, Wadhwa D, Miglani S, Meena B, Ansari I, Kohli S. Analysis and comparison of stress distribution in class V restoration
with different restorative materials using finite element analysis. Endodontology 2014; 26(2):301-04.
[3]. Da Costa J, Ferracane J, Paravina RD, Mazur RF, Roeder .The effect of different polishing systems on surface roughness and gloss
of various resin composites. J Esthet Restor Dent 2007; 19(4):214-24:225-6.
[4]. Gladys S Van Meerbeek B,Barem M,Lambrechts P, Vanherle G. Characterization of glass ionomer cements containing resin. Rev
Beldge Med Dent (1984)1996;51(1):36-53.
[5]. Kim KL, Namgung C, Cho BH. The effect of clinical performance on the survival estimates of direct restorations. Restor Dent
Endod 2013;38(1):11-20..

Abstract: Background: Intussusception is a frequent cause of bowel obstruction in children but is rare in adults. In about 90% of cases, adult intussusception has identifiable cause acting as the lead point. A lipoma may develop as a benign tumor in any organ but rarely in large or small intestines. Intussusception due to a gastrointestinal lipoma constitutes an infrequent clinical entity. We present a case of intussusception due to a lipoma in the sigmoid colon that was surgically resected. Case report: Elderly female of 76 years presented to emergency department with the complaint of something coming out of rectum and bleeding per rectum for 5 days............

Keywords: colonic lipoma; adult intussusception; left sided.

[1]. Vecchio R, Ferrara M, Mosca F, Ignoto A, Latteri F. Lipomas of the large bowel. Eur J Surg. 1996;162:915–919.
[2]. Corman, M., Less common tumors and tumorlike lesions of the colon, rectum and anus, in Colon & Rectal Surgery, M. Corman, Editor. 1998, Lippincott-Raven Publishers: Philadelphia, New York. p. 884–958.
[3]. Geetha Nallamothu, Douglas G. Adler : Large Colonic Lipomas, Gastroenterology & Hepatology Volume 7, Issue 7 July 2011
[4]. Atmatzidis S, Chatzimavroudis G, Patsas A, et al: Pedunculated cecal lipoma causing colo-colonic intussusception: a rare case report. Case Rep Surg 2012: 279213, 2012.
[5]. Corman, M., Less common tumors and tumorlike lesions of the colon, rectum and anus, in Colon & Rectal Surgery, M. Corman, Editor. 1998, Lippincott-Raven Publishers: Philadelphia, New York. p. 884–958..

Abstract: Nevus sebaceous also known as Nevus sebaceous of Jadassohn [NS] is an epidermal nevi predominantly congenital sebaceous hamartoma. It is composed of sebaceous glands and commonly presents as single yellowish plaque over the head and neck. The morphology of the lesion changes around puberty when it becomes thickened and nodular. Sebaceous nevus has definite potential for malignant transformation in later life therefore prophylactic surgical excision is recommended in childhood. We report this case in a twelve year old boy with a plaque over the posterior surface of the right ear and had multiple soft digitate projections growing over it since last one year.

Keywords: Nevus sebaceous, Sebaceous glands, Plaque ,digitate projections

[1]. Sahl WJ: Familial nevus sebaceous of Jadassohn: occurrence in three generations. J Am Acad Dermatol 1990; 22: 853-854.
[2]. Hamilton KS, Johnson S, Smoller BR: The role of androgen receptors in the clinical course of nevus sebaceous of Jadassohn.
Mod Pathol. June 2001; 14: 539-542.
[3]. Kumar K, Garg RK: Naevus sebaceus of Jadassohn. Indian J Dermatol Venereol Leprol 1973; 39: 5-9.
[4]. Goldstein GD, Whitaker DC, Argenyi ZB, Bardach J: Basal cell carcinoma arising in naevus sebaceus during childhood. J Am
Acad Dermatol 1988; 18: 429-430.

[5]. Mehregan AH. Sebaceous tumors of the skin. J Cutan Pathol 1985;12:196-9..

Abstract: Hepatocellular carcinoma (HCC) causes high mortality worldwide with 50 per cent of them in China. HCC cases are as a result of a viral hepatitis(hepatitis B or hepatitis C),metabolic toxins such as alcohol or aflatoxin, conditions like hemochromatosis and alpha 1-antitrypsin deficiency or non-alcoholic steatohepatitis(NASH).The high prevalence rate of hepatitis C virus(HCV occurs in African and Asian countries. The markers of hepatitis C infection(positive-anti HCV) are found in 80% - 90% patients in Japan,70% in Egypt,40- 50% in Pakistan and 35-40% in Saudi Arabia..............

Keywords: Hepatocellular carcinoma, Hepatitis B virus, Management, Prognosis

[1]. Kumar v,FaustoN,Abbas A(editors)(2015). Robbins&Cotran Pathologic Basis ofDisease(9th ed.).Saunders pp.870-873.ISBN 978-
1455726134.
[2]. Cancer.World Health Organization.February 2006.Retrieved 2007-05-24.
[3]. Former Aljandro,LIovetJM,BruixJ.Hepatopcellular carcinoma. Lancet. 2012; 379( 9822):1245-55.
[4]. http://www.myoclinic.com/health/liver-cancer/DS00399/DSECTION=symptoms.
[5]. ArifB,LIoydCR,KhanS,etal.Imaging of liver cancer.WJgastroenterol: WJG. 2009;15(11):1289-300.
[6]. The Singapore Liver Cancer Recurrence (SLICER) Score for Relapse Prediction in patients with surgically Resected Hepatocellular
carcinoma..

Abstract: Introduction: Candida glabrata (Torulopsis glabrata) is considered to be the second most virulent yeast after Candida albicans. The incidence of Peri-prosthetic knee joint infection by Candida glabrata is very rare and very few studies have been reported in literature, Hitherto. Case Presentation: A 54 yr old non immunocompromised female presented with Candida glabrata infection of her right knee joint. She underwent Implant extraction, debridement, irrigation and placement of articulating cement spacer in-situ and supplemented with a course of intravenous and oral anti mycotic drugs and two staged Revision Arthroplasty...........

Keywords:Candida glabrata, Torulopsis glabrata, Peri-prosthetic fungal infection, cement spacer, Antifungal therapy, Revision Total Knee Replacement, Two stage Revision

[1]. Açikgöz ZC, Sayli U, Avci S, Doğruel H, Gamberzade S. An extremely uncommon infection: Candida glabrata arthritis after total
knee arthroplasty. Scand J Infect Dis. 2002;34(5):394-6.
[2]. Darouiche RO, Hamill RJ, Musher DM, Young EJ, Harris RL. Periprosthetic candidal infections following arthroplasty. Rev Infect
Dis. 1989 Jan-Feb;11(1):89-96.
[3]. Fabry K, Verheyden F, Nelen G. Infection of a total knee prosthesis by Candida glabrata: a case report. ActaOrthop Belg. 2005
Feb;71(1):119-21.
[4]. Gaston G, Ogden J. Candida glabrata periprosthetic infection: a case report and literature review. J Arthroplasty. 2004
Oct;19(7):927-30.
[5]. Klatte TO, Kendoff D, Kamath AF, Jonen V, Rueger JM, Frommelt L, Gebauer M, Gehrke T. Single-stage revision for fungal periprosthetic
joint infection: a single-centre experience. Bone Joint J. 2014 Apr;96-B(4):492-6..

Abstract: Aneurysmal bone cyst is an uncommon non- neoplastic osteolytic bone lesion that was first described by Jaffe-Lichtenstein in 1942, whichless frequently occurs in maxilla. Various theories support the origin and differentiate it as primary and secondary lesion. We represent a case of 11 year old girl with a bony hard swelling on left maxilla with a multilocular radiolucent andhighly vascularized lesion with thin internal septation present. Treatment includes conservative surgical excision of mass.Histopathological finding supported the diagnosis of aneurysmal bone cyst as a secondary lesion in association with ossifying fibroma.

Keywords: aneurysmal bone cyst, giant cells,maxilla, ossifying fibroma

[1]. Kaffe I, Naor H, Calderon S, Buchner A. Radiological and clinical features of aneurysmal bone cyst of the jaw. Dentomaxillo radio
1999;28:167-172.
[2]. Motamedi MH, YazdiE.Aneurysmal bone cyst of the jaw: analysis of 11 cases. J Oral MaxillofacSurg 1994;52:471.
[3]. Matt BH: Aneurysmal bone cyst of the maxilla: case report and review of literature.Int J PediatrOtorhinolaryngol 1993;25:217.
[4]. Bernier JL, Bhaskar SN: Aneurysmal bone cyst of the mandible. Oral Surg Oral Med Oral Pathol 1958;11:1018.
[5]. Bataneih AB. Aneurysmal bone cyst of the maxilla: a clinicopathologic review. J Oral Maxillofac Surg.1997;55:1212-1216..

Abstract: Background: Congenital knee dislocation (CDK) is a rare deformity often missed by young and upcoming orthopedic surgeons practicing in poor resource centers. The aim of this article is to document our challenges in the management of this deformity in the face of socio- cultural beliefs. Patients And Method: This is a case series. The clinical information of all patients was retrieved from our patient journal system from September 2011 – September 2016. All the patients were seen and managed at the University of Calabar Teaching Hospital...........

Keywords: Congenital knee dislocation, challenges, clubfoot, sporadic, serial manipulation

[1]. Mukesh T, Nishith S. Unilateral Congenital Knee and Hip Dislocation with BilateralClubfoot - A rare Packaging disorder. Journal
of Orthopedic Case Reports 2013 April – June; 3(2):21 – 24
[2]. Katz MP, Grogono BJ, Soper KC. The etiology and treatment of congenital dislocation of the knee. The Journal of Bone and Joint
Surgery[Br] 1967 February; 49B(1):112 – 120
[3]. Cheng CC, Ko JY. Early Reduction of congenital dislocation of the knee within 24hours of birth. Chang Gung Med J 2010 May –
June; 33(3):266 – 273
[4]. Madadi F, Tahririan MA, Karami F, Madadi F. Complicated congenital dislocation of the knee: A case report. Arch Bone Jt Surg.
2016; 4(4): 396-398
[5]. Campbell operative orthopedics 11th edition. Congenital Hyperextension and Dislocation of the Knee: 1113-1115.

Abstract: Blood donation is an important medical procedure in which blood is collected from donors to treat those in need. It is critical in treating individuals who have lost a significant amount of blood resulting from car accidents, wars, natural disasters and other sorts of injuries. In addition to this blood donation is also extremely important in treating chronic diseases that require continuous blood transfusions. The blood donor system in the Kingdom of Saudi Arabia depends on a combination of voluntary and involuntary donor's. Among the voluntary donors, studies show that the University students play a very vital role. Objectives:This study aims to investigate the attitudes, beliefs, effect of time and motivations of donors and nondonors students from scientific and non-scientific colleges regarding blood donation in Al-Imam Mohammad Ibn Saud Islamic University...........

Keywords: Attitude to blood donation, donor motivation, Saudi blood donors.

[1]. Gader, Abdel Galil M. Abdel, et al. "Attitude to blood donation in Saudi Arabia." Asian journal of transfusion science 5.2 (2011):
121.
[2]. Masser BM, White KM, Hyde MK, Terry DJ. The psychology of blood donation: Current research and future directions. Transfus
Med Rev 2008;22:215-33.
[3]. Olaiya MA, Alakija W, Ajala A, Olatunji RO. Knowledge, attitudes, beliefs and motivations towards blood donations among blood
donors in Lagos, Nigeria. Transf Med 2004;14:13-7.
[4]. Nguyen DD, Devita DA, Hirschler NV, Murphy EL. Blood donor satisfaction and intention of future donation. Transfusion
2008;48:742-8.
[5]. Schlumpf KS, Glynn SA, Schreiber GB, Wright DJ, Randolph Steele W, Tu Y, et al. Factors influencing donor return. Transfusion
2008;48:264-72..

Abstract: Background: inflammatory bowel disease (IBD) has been considered a hyperinflammatory state due to disturbed interactions between the immune system and the commensal bacterial flora of the gut and suggesting IBD asa primary immunodeficiencies (PID). Therefore a registry launched about IBD, suspected to PID (IBDSPID) for the first time in Iran to raise awareness about this disease, to identify its risk factors, to early diagnosis and treatment. Materials and Methods: Among of 365 patients, 39 have inclusion criteria that were as below:(1) IBD diagnosis before age 5 years (2) Resistance to conventional therapy of IBD (3) Severe IBD (4) Signs of SPID (Recurrent sinus or ear infections or pneumonias within a 1 year period; failure to thrive; poor response to prolonged use of antibiotics; persistent thrush or skin abscesses; or a family history of PID).The achieved data of patients was computerized using the MySQL Database........

Keywords:Crohn's disease, inflammatory bowel diseases, registry, primary immunodeficiencydisease

[1]. Agarwal S1, Mayer L. Diagnosis and treatment of gastrointestinal disorders in patients with primary
immunodeficiency.ClinGastroenterolHepatol. 2013;11(9):1050-63
[2]. R Balfour Sartor MD1 and Sarkis K Mazmanian PhD2 . Intestinal Microbes in Inflammatory Bowel Diseases Am J
GastroenterolSuppl 2012;1:15-21.
[3]. Maynard CL, Elson CO, Hatton RD, et al. Reciprocal interactions of the intestinal microbiota and immune system. Nature 2012;
489:231-241.
[4]. Atypical manifestation of LRBA deficiency with predominant IBD-like phenotype. Inflamm. Bowel Dis. Inflamm Bowel Dis 2015;
21(1):40-7.
[5]. Molodecky Natalie A, Soon IngShian, Rabi Doreen M, Ghali William A, Ferris Mollie, Chernoff Greg, et al. Increasing Incidence
and Prevalence of the Inflammatory Bowel Diseases With Time, Based on Systematic Review. Gastroenterology 2012; 142(1):46-5..

Abstract: As per literature the immediate and late carpal tunnel syndrome in colles fracture and other wrist injuries is known but tardy carpal tunnel syndrome in fracture Scaphoid is rare. I am presenting a case of tardy carpal tunnel syndrome in patient with non-union fracture scaphoid with 40 years old injury.

Keywords: carpal tunnel syndrome, median nerve, scaphoid

[1]. Weber E, Chao EY. An experimental approach to the mechanism of scaphoid waist fractures. J Hand Surg (Am) 1978; 3 (2): 142-8.
[2]. Mack GR, Bosse MJ, Gelberman RH et al. The natural history of scaphoid non-union. J Bone Joint Surg Am.
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[4]. Milliez PY, Courandier JM, Thomine JM et al. The natural history of scaphoid non-union: A review of fifty-two cases. Ann Chir
Main 1987; 6 (3): 195-202.
[5]. Ruby LK, Stinson J, Belsky MR. The natural history of non-union of the scaphoid: A review of fifty-five cases. J Bone Joint Surg
Am. 1985; 67(3): 428-32.

Abstract: Course selection is one of the most important decision makings of volunteers entering the universities. The process of course selection of volunteers can be impacted by various factors. in a , crosssectional include 275 students of the Faculty of Nursing and Paramedical in three courses of nursing, anesthesiology, and operating room assessed with a a questionnaire of demographic information and valid and reliable questionnaire of factors impacting on course selection. The effective factors on course selection in order of impact include family and social factors (28.8±5.6), individual factors (28.5±5.21), and economic and future job factors (20.8±6.6), among which family and social factors were significantly more than others (P=0.000).............

Keywords: Course selection, field of study, Paramedical Students

[1]. Crowley, C. (2004); Factor Influencing College Choice among Trackand Field Student Athletes at NCAA D-1 Conference HBC US; Unpublished
Doctoral Dissertation, Florida State University
[2]. Mirhoseni F, Mahdian M, Akbari H. A survey of the Kashan University of Medical Sciences students know ledge about this field of study before
choosing the held. IJME 2002; 7:1143. (in Persian).
[3]. Abdi, B., & Aqababa, A. (2008). Factors affecting the selection of candidates allowed to select courses entrance examination. Journal of Higher
Education, 1(3), 151-170 (in Persian).
[4]. Cristiani TS, Rickey L. Counseling theory and practice,translated by Fallahy R, Hajilu M, Tehran: Roshd;1381.p.40
[5]. Rostaminejad A. Anesthesia technician student awareness and interest in their study medical science;. Dena journal 2008;3(3,4): 43-50..

Abstract: Background: Juvenile Idiopathic Arthritis-JIA is the most common inflammatory rheumatic disease during childhood, and affects Temporomandibular Joint-TMJ among other joints. TMJ arthritis can proceed without clinical signs and symptoms and remain undiagnosed, with detrimental effects on child's normal craniofacial growth and mandibular development. Aim: This review summarizes the current developments and contemporary literature on TMJ arthritis in patients with JIA and aims to provide the highest level of evidence on the subject..........

Keywords:examination protocol, Juvenile Idiopathic Arthritis, MRI, orofacial structures, Temporomandibular Joint.

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Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001. J Rheumatol 2004; 31: 390–392.
[2] Saurenmann RK, Rose JB, Tyrrell P, Feldman BM, Laxer RM, Schneider R, Silverman ED. Epidemiology of Juvenile Idiopathic
Arthritis in a Multicenter Cohort. Ethnicity as a risk factor. Arthritis Rheum 2007; 56: 1974-1984.
[3] Twilt M, Tzaribachev N. Juvenile idiopathic arthritis: A frequent cause for chronic joint inflammation in childhood. Semin Orthod
2015; 21: 72-76.
[4] Davidson J, Cruikshank M. Outcome for juvenile idiopathic arthritis. Paediatrics and Child Health 2010; 20: 73-78.
[5] Manners PJ, Bower C. Worldwide prevalence of juvenile arthritis why does it vary so much? J Rheumatol 2002; 29: 1520–1530.