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

Abstract: Appendicitis is a disease of modern civilization. Acute appendicitis is the most common acute surgical abdomen. Post operative complications occur in 5% of the patients with uncomplicated appendicitis, 30% in complicated appendicitis. The diagnosis of appendicitis and executing early surgery within 24 hours is mandatory to reduce incidence of complications. Appendicitis has been the hunting ground for testing various combination of systemic anitibiotics. The ideal regime should cover both gram positive aerobes and gram negative aerobes. Various antibiotic prophylaxis has been shown to minimize the incidence of SSI and duration of hospital stay. Our study concentrates on use of single dose of prophylactic antibiotic VS full course post operative antibiotic in acute appendicitis.

[1]. Guidelines for clinical care: Anti-infective agents for intra abdominal infection. Arch Surg 127:83-89, 1992.
[2]. Altemier WA: the pathogenicity of the bacteria of appendicitis peritonitis: An experimental study. Surgery ;374-384, 1992
[3]. Amgwerd R, Biegger P: Prospective study on the prevention of wound infections after appendectomy for acute appendicitis. Schweiz Med WochenSchr 111(35): 1269-1273, Aug 1991.
[4]. Bendtsen A, Holbraad L, Schantz A: Wound infections after appendicectomy. ActaChirScand 138: 531-536, 1992.
[5]. Bates T, Down RHL, Houghton MCV, Lloyd GJ: Topical ampicillin in the prevention of wound infection after appendectomy. Br J Surg 61: 489-492, 1974.

Abstract: Introduction: To assess the presence and extent of response to Tamsulosin 0.4mg in African men with lower urinary tract symptoms (LUTS) due to Benign Prostatic Hyperplasia (BPH) over a short term. Materials and Methods : A total of 106 men were enrolled in the study. After assessing the severity of their LUTS using the International Prostate Symptom Score (IPSS) and the Quality Of Life (QOL) Score, patients were assigned to 0.4mg Tamsulosin (ContifloR). At 4 weeks the IPSS and QOL were re-assessed. Results : Two patients (1.9%) were lost to follow up along the course of the study. Mean age of patients was 63.9years age while range was 41-90 years.............

Keywords: Tamsulosin, BPH, Africans

[1]. Briganti A, Capitanio U, Suardi N, Gallina A, Salonia A, Bianchi M, et al. Benign Prostatic Hyperplasia and Its Aetiologies. Eur
Urol Suppl. 2009; 8(13):865–7.
[2]. Chute CG, Panser LA, Girman CJ, Oesterling JE, Guess HA, Jacobsen SJ, et al. The prevalence of prostatism: a population based
survey of urinary symptoms. J Urol 1993; 150:85-9.
[3]. Chapple CR. BPH Disease Management. Introduction and concluding remarks. Eur Urol 1999; 36(3):1-6.
[4]. E.A. Badoe, E.Q Archampong, JT da Rocha-Afodu (eds): Principles and practice of surgery including pathology in the tropics. 3rd
edition. University of Ghana Medical School, Accra. 2000; 852.
[5]. Caine M. Reflections on alpha blockade therapy for benign prostatic hyperplasia. B. J. Urol 1995; 75: 265.

Abstract: Sturge-Weber syndrome is one of the neurocutaneoussyndromes and was first described by Sturgein 1879. Weber demonstrated the characteristic intracranial calcifications in 1929. It is a rare, nonfamilial disease that is characterized bythe following features: port-wine stain (nevus flammeus), leptomeningeal angiomatosis, choroidal angioma, buphthalmos, intracranial calcification, cerebral atrophy, mental retardation, glaucoma, seizures, hemiparesis, and hemiatrophy. We report a rare case of Sturge-Weber syndrome in 6 month old baby.

[1] Anne G. Osborn, Karen L. Salzman, and Miral D. Jhaveri.Diagnostic Imaging: Brain 3rd ed. ( Elsevier,Philadelphia, 2016)

Abstract: Type 2 A multiple endocrinal neoplasia is a rare familial cancer syndrome caused due to mutation in the RET proto-oncogene characterized by medullary carcinoma of thyroid, pheochromocytoma, parathyroid hyperplasia and occasionally cutaneous lichen amyloidosis and Hirschsprung's disease. RET is expressed in neuroendocrine cells, urogenital tract cells and branchial arch cells. All patients with MEN2Adevelopes medullary carcinoma of thyroid, approximately half develop pheochromocytomas, and 30% develop
hyperparathyroidism. 50% of those with RET mutation developes the disease by the age of 50 years, and 70% develop the disease by the age of 70 years..........

Keywords: MEN2A ,pheochromocytoma , parathyroid adenoma , RET

[1]. Devita ,hellman, and rosenberg's principles of oncology
[2]. LIC - Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical practice
[3]. By Courtney M. Townsend Jr., R. Daniel Beauchamp, B. Mark Evers, Kenneth L. Mattox
[4]. MelanieLRichards,MD;ChiefEditor:GeorgeTGriffing, Type 2 multiple endocrine neoplasia overview, updated 11
december,2015 , Medscape
[5]. Bilezikian JP. Clinical review 51: Management of hypercalcemia. J ClinEndocrinolMetab 1993; 77:1445..

Abstract: Intrauterine growth retardation increases perinatal mortality and morbidity. Aim: we have evaluated the usefulness of various indices of the uterine, umbilical and middle cerebral arteries and their ratios in the prediction of adverse perinatal outcome in intrauterine growth restriction . Materials And Methods: This is a prospective observational study conducted from May 2013 to November 2015 in our Department of Radiology, IOG,Egmore. A total of 100singleton pregnancies were studied and their Doppler indices were studied...........

Keywords:Doppler ultrasound, IUGR,Perinatal mortality.

[1]. AcharyaG,WilsgaardT,Berntsen GKR ,MaltauM,KIserudT,Reference ranges for serial measurements of umbilical artery Doppler indices in seconf half of pregnancy,AM J Obstet Gyne,2005 192:937-944.
[2]. AlfirevieZ,NeilsonJP,Dopller ultrasonography in high risk pregnancies :Systemic review with meta analysis.AM J Obste-Gyne 1995 may:172(5): 1379-87
[3]. Arduini D Rizzo,RomaniniC.The development of abnormal heart rate patterns after absent end diastolic velocity in umbilical artery.Analysis of risk factors. AM J Obste-Gyne 1993, 168:43-50.
[4]. Bhatt CJ,Arora J and shsMS,Role of colour Doppler in Pregnancy Induced Hypertension, Ind J Radiology Imaging 2003:13-4:417-420.
[5]. Ferrazi E, BozzoM,Rigano S et al Temporal sequence of abnormal Doppler changes in IUGR.UltrasoundObs-Gyne 2002;19;140-6..

Abstract: Introduction: The most obese persons exhibit anatomically intact pulmonary structure. However, indirect negative influences of obesity abound, principally regarding distortion of respiratory spaces and dynamics. Subjects with excessive body weight tend to be chronically hypo ventilated and have reduced aerobic capacity, probably because of sedentarism as well as heavy thoracic wall and abdominal mass and diminished compliance........

[1]. Anna ferrety, Pietro Giampiccolo; Alberto cavalla. Expiratory flow limitation and orthopnea in massively obese subjects. Chest.
2001; 119: 1401 – 1408
[2]. Biring M S, Lewis M I, Liujt. Pulmonary Physiology changes of morbid Obesity Am jj med sci, 1999 Nov; 318 [5]: 293 – 7
[3]. Boris I. Medarov, MD, Paul Strachan, Rubin Cohen.Effects of body mass index on pulmonary function tests.
[4]. Lung. 2005 Sep – Oct. 183 [5]: 311 – 23
[5]. Bottai M, F. Pistelli, F. Dipede. Longitudinal changes of body mass index, Spirometry and diffusion in general population

Abstract: Introduction: With rise in proportion of elderly people, there keen interest in understanding the factors influencing their well being. Objectives. i) To find out the perceived physical health problems of elderly people, ii) Assess prevalence of depression of elderly people. iii) To predict the relationship of subjective well being of community dwelling elderly people with geriatric depression. Material and methods: A non-experimental approach as well as descriptive survey was conducted to collect the data after taking written consent from the participants.The data was collected from 109 elderly people (>65yrs) who were selected with help of random sampling from community settings..........

[1]. Nayak L.M and Panda B; national and international approaches to reduce vulnerability among elderly in India, ISRJ vol-2 issue III; April.12pp-1-4
[2]. G Dhanasekaran and Sujamol Scaria, a study to assess the ADL disability and level of depression among elderly women, Indian Streams Research Journal; Jan 2014. Volume 3.Issue 12:
[3]. Cuijpers, P., Smith, F. (2002) Excess mortality in depression: a meta-analysis of mmunity studies. Journal of Affective Disorders, 72, 227-236.
[4]. Wilson, L.R., Vaillant, G.E., Wells, V.E. A systematic review of the mortality of epression. Psychosomatic Medicine, 1999; 61, 6-17.
[5]. Papakostas, G.I., Petersen, T., Mahal, Y. et al. Quality of life assessments in major depressive disorder: a review of the literature. General Hospital Psychiatry, 2004; 26, 13-17.

Abstract: Obesity is one of the most common and most neglected public health problems in both developed as well as developing countries. Abdominal obesity is strongly associated with other metabolic disorders like diabetes, hypertension, and cardiovascular diseases and has higher rates of mortality and morbidity compared to non obese individuals. This pilot study is an attempt to elicit the impact of six days Naturopathic treatment protocol on abdominal obesity. Twenty participants with Waist Circumference cut-off point with 90cms for men and 80cms for women, and completed the full 6 days of treatment protocol, were taken for final analysis..........

Keywords: Abdominal obesity, obesity, Naturopathy, metabolic disorders, alternative medicine

[1]. World Health Organization (WHO). Obesity: Preventing and managing the Global Epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 2000; 894 : i-xii, 1-253
[2]. James WPT, Jackson-Leach R, Ni Mhurchu C, Kalamara E, 3. Shayeghi M, Rigby NJ, et al. Overweight and obesity (high body mass index). In: Ezzati M, Lopez AD, Rodgers A, Murray CJL, editors. Comparative quantification of health risks: global and regional burden of disease attributable to selected major risk factors. vol I. Geneva: World Health Organization; 2004. p. 497-596.
[3]. Flegal KM, Kit BK, Orpana H, Graubard BI., Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA 2013; 309 : 71-82.
[4]. Mohan V, Deepa R. Obesity & abdominal obesity in Asian . Indians. Indian J Med Res 2006; 123 : 593-6.
[5]. Bhardwaj S, Misra A, Misra R, Goel K, Bhatt SP, Rastogi . KV, et al. High prevalence of abdominal, intra-abdominal and subcutaneous adiposity and clustering of risk factors among urban Asian Indians in North India. PLoS One 2011; 6 : e24362.

Abstract: Background: Anemia has been a very important nutritional disorder in the world and it is a common medical problem in pregnancy. India has reported high prevalence of anemia in pregnancy. Maternal anaemia is commonly considered a risk factor for low birth weight (LBW) babies. The aim of this study was to determine whether maternal anaemia would affect the birth weight of the baby and compare this with that of non-anaemic mothers. It was a cross-sectional study carried out in the Department of Paediatrics in collaboration with Department of Obstetrics and Gynaecology, Regional Institute of Medical Sciences Hospital (RIMS), Imphal, Manipur........

Keywords: Birth weight, Maternal anemia.

[1]. Borja JB, Adair LS. Assessing the net effect of young maternal age on birth weight. Am J Hum Biol 2003;15(6):733–40.
[2]. Bernabe VD, Soriano T, Albaladejo R, Juarranz M, Calle ME, Martinez D. Risk factors for low birth weight: a review. Eur J Obstet
Gynecol Reprod Biol 2004;116(1):3-15.
[3]. Bharati P, Pal M, Bandyopadhyay M, Bhakta A, Chakraborty S. Prevalence and causes of low birth weight in India. Malays J
Nutr 2011;17(3):301-13.
[4]. Barker DJ. The fetal and infant origins of adult disease. BMJ 1990;301(6761): 1111.
[5]. Zimbabwe. J Acquir Immune Defic Syndr 2005;34(3):289–94..

Abstract: Catecholaminergic polymorphic ventricular tachycardia (CPVT) is an inheritable arrhythmogenic cardiac disease, which represent by exercise or emotional stress induced ventricular arrhythmias in the nonappearanceof structural heart disease. CPVT is linked to disorder in calcium handling and the changes in Genes coding for ryanodine receptors are generally considered as responsible for the disorder. Fifty percent of cases have been reported mutations in the ryanodine receptor 2 (RyR2) gene, which regulates release of
calcium from the sarcoplasmic reticulum..........

Keywords:Bidirectional Ventricular Tachycardia (BDVT), Catecholaminergic polymorphic ventricular tachycardia (CPVT), Polymorphic ventriculat tachycardia (PMVT), RyR2 gene, Sudden Death

[1]. A. Leenhardt, V. Lucet, I. Denjoy, F. Grau, D.D. Ngoc, P. Coumel, Catecholaminergic Polymorphic Ventricular Tachycardia in
Children, A 7-Year Follow-up of 21 Patients 91(5) (1995) 1512-1519.
[2]. A. Pflaumer, A.M. Davis, Guidelines for the diagnosis and management of Catecholaminergic Polymorphic Ventricular
Tachycardia, Heart, Lung and Circulation 21(2) (2012) 96-100.
[3]. I. Andrsova, I. Valaskova, P. Kubus, P. Vit, R. Gaillyova, J. Kadlecova, L. Manouskova, T. Novotny, Clinical Characteristics and
Mutational Analysis of the RyR2 Gene in Seven Czech Families with Catecholaminergic Polymorphic Ventricular Tachycardia,
Pacing and Clinical Electrophysiology 35(7) (2012) 798-803.
[4]. D.S. Reid, M. Tynan, L. Braidwood, G.R. Fitzgerald, Bidirectional tachycardia in a child. A study using His bundle electrography,
British Heart Journal 37(3) (1975) 339-344.
[5]. M. Hayashi, I. Denjoy, F. Extramiana, A. Maltret, N.R. Buisson, J.-M. Lupoglazoff, D. Klug, M. Hayashi, S. Takatsuki, E. Villain,
J. Kamblock, A. Messali, P. Guicheney, J. Lunardi, A. Leenhardt, Incidence and Risk Factors of Arrhythmic Events in
Catecholaminergic Polymorphic Ventricular Tachycardia, Circulation 119(18) (2009) 2426.

Abstract: Background: wound healing is a complex, well- coordinated process whereby an injured tissue is removed and replace by normal tissue this process involves an interplays of inflammatory cells, mediators, cytokines and growth factors. Platelets plays a pivotal role in growth factors, Materials and Methods : A 2 years hospital based prospective study was carried out in the burn unit of department of plastic surgery, RIMS, Imphal to evaluate the effectiveness of autogenous platelet- rich plasma (PRP) in the treatment of second degree burns..........

Keywords: Platelets, Plasma, Deep dermal burn.

[1]. Lund L, Romer J, bugge T, Nieson B, Frandson T, Deden J et al. Functional overlap between two closes of matrix degrading proteases in wound healing. The EMBO J 1999; 18: 4645-56.
[2]. Galeano M, Altavilla D, Cucinotta D, Russo G, Calo M, Bitto A et al. Recombinant Human Erythropoietin Stimulates Angiogenesis and wound Healing in the Genetically Diabetic Mouse. DIABETES 2004;53:2509-10.
[3]. Gallucci R, Simeonova P, Matheson J, Kommineni C, Guriel J, Sugawara Tetal Impaired cutaneous wound healing in interleukin -6- deficient and immune suppressed mice. FASED J 2000;14:2525-31.
[4]. Nazaroglou I, Matoulas E, Kafas P, dabarakis N. The Effect of PRP (platelet Rice Plasma) on Recomstruction of Mandibular and Maxillary Bone Defects: A Review of Recent Experimental studies on human and Animals. Surgery J 2009;4(1):1-7.
[5]. Stuart J, Kenney JG, Lettieri J, Spotinitz W, Baker J, Application of single-donor fibrin glue to burn. J. Burn Care Rehabil 1988,9:619-22...

Abstract: Background: The double fold operation is the most widely performed among cosmetic surgery procedures in Asia. Between 40% and 60% of Asians do not have double eye lip folds: thus upper eye lip skin sagging, pseudoptosis that obstructs the visual field, and / or western influences all likely contribute to the high frequency of upper eye lip surgery among Asians. Materials and method: a 2year hospital based descriptive, cross-sectional study was conducted at Regional Institute of Medical Sciences, Imphal to analyse the clinical profile of cases having Asian eye lip and outline the surgical management..........

Keywords: Asian eyelids, Tarsal plate, Orbital septum, Blepharoplasty.

[1]. Mc Curdy JA. Cosmetic surgery of the Asian face. New York, NY: Thieve medical publisher; 1990.
[2]. Gradinger GP. Cosmetic upper blepharoplastic. Clin plast surg 1988;15:289-297.
[3]. Cheng J, Xu FZ. Anatomic microconstructure of the upper eyelid of the oriental double fold. Plast Reconstr surg 107:1665-1668, 2001.
[4]. Ishikawa , Harii K. Double fold in adults: morphology and change with ageing. Plast Reconstr surg 37:206, 1989.
[5]. Hiraga Y. Blepharoplasty in oriental. Probl Plast Reconstr surg 1: 504, 1991

Abstract: This study was conducted to determine the association between the serum lipid profile and meibomian gland dysfunction (MGD). The study was carried out on patients attending Outpatient Department Of Ophthalmology at M.L.B Medical College, Jhansi. 100 patients with dry eye symptoms, satisfying the inclusion criteria were selected . After complete ocular examination , Tear film tests and lid margin examination to detect MGD were done and allotted two groups as: patients with meibomian gland dysfunction(MGD) [cases] and without MGD [control] ,with no history of dyslipidemia. Both the groups were investigated and compared for Serum Fasting Lipid Profile .Unpaired t test was used to calculate the p- value..........

Keywords: holesterol ,Dyslipidemia ,Dry Eye,Gland Dysfunction ,Lipid Profile, Meibomian.

[1]. "eye, human." Encyclopædia Britannica. Encyclopaedia Britannica Ultimate Reference Suite. Chicago: Encyclopædia Britannica, 2010.

[2]. Henry Vandyke Carter - Henry Gray (1918) Anatomy of the Human Body. Bartleby.com: Gray's Anatomy, Plate 1205

[3]. "Managing and Making Sense of MGD". Review of Ophtamology. 2012. Retrieved 26 February 2014.

[4]. "Rethinking Meibomian Gland Dysfunction: How to Spot It, Stage It and Treat It". American Academy of Ophthalmology. 2014. Retrieved February 26, 2014.

[5]. "The Role of Meibomian Gland Dysfunction and Lid Wiper Epitheliopathy in Dry Eye Disease". American Academy of Optometry. 2012. Retrieved February 26, 2014...

Abstract: Raised haematocrit can cause abnormal hyperdensity of intracranial vessels and dural venous sinuses on NCCT producing an appearance of contrast enhanced scan. Increased attenuation of venous sinuses may also be seen in cortical venous thrombosis on NCCT. Here we report a case of a child with double outlet right ventricle who showed the hyperdense intracranial arteries and venous sinuses on non contrast scan mimicking the dural sinus thrombosis and also showed the presence of cerebral abscess. Presence of hyperdense arteries along with normal enhancement of the venous sinuses on contrast enhanced scans suggested high haematocrit as the cause of vascular hyperdensity

Keywords:Cortical venous thrombosis; cyanotic heart disease; haematocrit; hyperdense vessels;Non contrast CT(NCCT).

[1]. HealyJF ,NicholsC. Polycythemia mimicking venous sinus thrombosis.AJNR Am J Neuroradiol 2002;23:1402-3
[2]. Gayathri S, Prasad A, Sachdeva N, Baruah BP, Aggarwal S .Unique features of polycythemia observed on plain non-contrast scan
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121:635-40.
[4]. Black DF, Rad AE, Gray LA, Campeau NG, Kallmes DF.Cereberal venosus sinus density on non contrast CT correlates with
haematocrit.Am J Neuroradiolo2011;32(7):1354-1357
[5]. Chatterejee A, Dhiber T, Dey D. Abnormally hyperdense intracranial vessels on non contrast Computed Tomography scan
simulating dural sinus thrombosis in a case with high haematocrit. Medical journal of Dr D.Y.patil University. 2013;6(3):308-309

Abstract: Background: Prevalence of mental and behavioural disorders are common and their occurrence has been increasing tremendously, affecting more than 25% of all people at some time during their life.(1) Materials and Methods: A cross sectional study was conducted from March 2014 to March 2015 in which 423 people were screened with the help of a pretested questionnaire by SRQ-20. Each house was visited and head of the family was interviewed to start with the information, followed by individual interview..........

Keywords: Mental disorder, urban slum, SRQ-20.

[1]. W.H.O report: Chapter 2; Burden of Mental and Behavioral Disorders. 2000.
[2]. Kishose. J Text book of National Health Program of India. 10th Edition New Delhi Century Publication. 2011
[3]. Chandrashekar R, Sudhir kumar C T, 'Epidemiology of Mental disorders' in Vyas and Ahuja. Textbook of Postgraduate
Psychiatry, 2nd Edition 2004 pg no 28-41.
[4]. Math SB, Chandrashekar CR, Bhugra D. Psychiatric epidemiology in India. Indian J Med Res Sept 2007; 126:183-92.
[5]. Ganguli H C. Epidemiological findings on prevalence of Mental Disorders in India. Indian J Psychiatry 2000; 42:1 4-20.

Abstract: Evidence - based orthodontics (EBO) means integration of the best research evidence with clinical expertise, patient values and patient circumstances. The goal of this article is to assist the practitioner in understanding the evidence based orthodontics and provide them with the best available clinical guidelines on treatment of class II and class IIImalocclusions.

[1]. Evidence-Based Orthodontics, First Edition, By Greg J. Huang, Stephen Richmond AndkatherineW.L. Vig. 1st Ed Wiley-
Blackwell 2011; Pp 214. ISBN: 978-0-8138-0614-3.
[2]. An Introduction To Orthodontics, 3rd Edition By Laura Mitchell. Oxford University Press 2013 4th Edition ISBN:
9780199594719
[3]. Contemporary Orthodontics, 4th Edition By Willam R. Proffit,Henry W. Fields, JR And David M. Sarver. Elsevier Sales &Deals
2007; Pp 121.
[4]. Interceptive Orthodontics, 4th Edition By Andrew Richardson. Paperback – 29 Nov 1999
[5]. Declan Millet, Richard Welbury. Clinical Problem Solving In Orthodontics And Paediatric Dentistry Text And Evolve
EbooksPackage, 3nd Edition 2015; E VOLVE. ISBN-13: 978-0702044694

Abstract: Introduction-Peripheral neuropathy (PN) is commonly associated with cirrhosis of liver. Vitamin B12 is stored in liver and its storage is hampered in liver cirrhosis. Vitamin B12 deficiency appears to be the most common reversible cause for PN. Aims&Objectives- We evaluated correlation between serum vitamin B12 levels and PN in patients of cirrhosis of liver. 2. To study prevalence and pattern of PN and its association with different etiology and severity in patients of cirrhosis of liver. Methodology-Cross sectional study was conducted in which total 100 patients with liver cirrhosis were assessed clinically for PN and confirmed by nerve conduction studies.........

Keywords: Cirrhosis of liver, homocysteine, peripheral neuropathy, vitamin B12.

[1]. Schuppan D, Afdhal NH. Liver cirrhosis. Lancet 2008; 371: 838–51.
[2]. Dooley J, Lok A, Burroughs AK, Heathcote E, eds. Sherlock's diseases of the liver and biliary system, 12th edn. Oxford:Wiley-
Blackwell, 2011
[3]. García-Pagán JC, Gracia-Sancho J, Bosch J. Functional aspects on the pathophysiology of portal hypertension in cirrhosis. J
Hepatol 2012; 57: 458–61.
[4]. Areekul S, Panatampon P, Doungbarn J. Vitamin B12 and vitamin B12 binding proteins in liver disease. Southeast Asian J Trop
Med Pub Hlth 1977; 8:322–8.
[5]. Hagelskjaer L, Rasmussen K. Methylmalonic acid concentration in serum not affected in hepatic disease. ClinChem 1992; 38:493–
5.

Abstract: Tuberous Sclerosis is a hereditary neuro-cutaneous disorder with multi-system manifestations, esp. the brain, heart and kidneys. Here a case series of tuberous sclerosis with multi-system involvement is reported. In Case 1: A neonate on 10th day of postnatal life was referred to our department for screening of the abdomen due to complaints of intermittent vomiting. Incidentally multiple echogenic mass lesions were found related to her myocardium. Ultrasound and Computerised tomography of her brain were also performed and revealed positive findings. In Case 2: A 15 year old male with red papules over his cheeks and a two year history of recurrent seizures underwent MRI of the brain and subcortical tubers were observed.........

Keywords: Angiomyolipoma, subependymal nodules, rhabdomyoma

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9:315-326.
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Abstract: Fetus-n-fetu is a fascinating diagnosis explaining the development of 'baby within a baby'. It results out of a monozygotic diamniotic twin pregnancy in which a twin is absorbed into the body of its sibling. The surviving twin often presents with abdominal mass and the diagnosis is only confirmed by surgical exploration. It is often mimics retroperitoneal teratoma on imaging and poses a challenge for a physician in diagnosing preoperatively. Surgical excision is often curative

Keywords: Fetus-in-fetu, mass, surgery, teratoma, twin

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Abstract: Background:To find out various pre-operative and intra-operative factors affecting non-biliary complications during laparoscopic cholecystectomy and their outcome. Patients and Methods:This study presents analysis of non-biliary complications which occurred during laparoscopic cholecystectomy performed in the dept. of surgery in JAH, Gwalior. The study population included patients with biliary lithiasis in whom laparoscopic cholecystectomy was done. The non-biliary complications were divided into two broadsubsets: (i) complications during access and (ii) complications during procedure...........

Keywords: Laparoscopic cholecystectomy, non-biliary complications

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Laparoendosc Adv Surg Tech A. 2001;11:259–62.
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[5]. Bazoua, George, and Michael P. Tilston. "Male Gender Impact on the Outcome of Laparoscopic Cholecystectomy." JSLS : Journal
of the Society of Laparoendoscopic Surgeons 18.1 (2014): 50–54. PMC. Web. 18 Sept. 2016.

Abstract: Odontogenic myxoma (OM) is a rare tumourarising in the jaws. It is considered to be derived from ectomesenchymal portion of tooth germ.They are slow growing, non-metastasizing, often asymptomatic with local aggressiveness due to its infiltrative nature and hence high recurrence rate, with a high incidence of occurrence in the mandible. Most frequently occurs in second to third decade of life, seldom occurs beyond these age groups. According to the World Health Organization (WHO), the odontogenic myxoma is classified as an odontogenic tumor ofectomesenchymal origin..........

Keywords: Myxoma, maxillary sinus, odontogenic tumors.

[1]. Leiser Y, Abu-El-Naaj I, Peled M. Odontogenic myxoma – A case series and review of the surgical management. J
CraniomaxillofacSurg, 37, 2009:206-9.
[2]. Singaraju S, Wanjari SP, Parwani RN. Odontogenic myxoma of the maxilla: A report of a rare case and review of the
literature.JOralMaxillofacPathol, 14, 2010:19-23.
[3]. Shah A, Lone P, Latoo S, Ahmed I, Malik A, Hassan S, et al. Odontogenic myxoma of the maxilla: A report of a rare case
andreview on histogenetic and diagnostic concepts. Natl J MaxillofacSurg 2011; 2:189-95.
[4]. Nayak MT, Singh A, Astekar M. Maxillary odontogenic myxoma: A rarity. Int J Oral MaxillofacPathol 2011; 2:32-5.
[5]. Carvalho de Melo AU, de FariasMartorelli SB, Cavalcanti PH, Gueiros LA, MartorelliFde O. Maxillary odontogenic myxoma
involving the maxillary sinus: Case report. Braz J Otorhinolaryngol 2008; 74:472-5.

Abstract: Objective: To compare the graft success rates and audiological outcomes of performed type 1 tympanoplasty using cartilage or temporal fascia in childrenandtragal cartilage were used. Method: In Total 60 childrenwhounderwent Type 1 Tympanoplasty, in Our Dept of ENT J.L.N.M.C.Hwere included. Temporalfasciaand tragal cartilage were used as graft material.Demographic ,anatomical and functional outcome were collected. Anatomical and functional outcome of cartilageand fascia were conducted at 6 month and we continued to follow the patient to 1year after surgery. Results:The graft success rate for the fascia group was83.3%, and that for the cartilage group was 96.6%. The difference was statistically significant .Audiological improvements were seen in both groups, and the difference was statistically insignificant Conclusion: Our data suggest that anatomical success rate for cartilage tympanoplasty was higher than for fascia tympanoplasty .Functional result with cartilage were not different than with fascia, even though we did not thin the tragal cartilage.

[1]. Pruett JP, Clement DJ, Carnes DL. Cyclic fatigue testing of nickel-titanium endodontic instruments. . J Endod 1997;23:77-85.
[2]. Arens FC, Hoen MM, Steiman HR, Dietz GC. Evaluation of single-use rotary nickel-titanium instruments. . J Endod 2003;29:664-6.
[3]. Berutti E, Chiandussi G, Paolino DS, Scotti N, Cantatore G, Castellucci A, et al. Canal shaping with WaveOne Primary
reciprocating files and ProTaper system: a comparative study. J Endod 2012;38:505-9.
[4]. Peters O, Barbakow F. Dynamic torque and apical forces of ProFile. 04 rotary instruments during preparation of curved canals. Int
Endod J 2002;35:379-89.
[5]. Sattapan B, Nervo GJ, Palamara JE, Messer HH. Defects in rotary nickel-titanium files after clinical use. J Endod 2000;26:161-5.

Abstract: Objective: To study the efficacy of use of 1000 micrograms per rectal Misoprostol combined with 0.2mg IV Methergine in comparison with conventional use of 0.2mg of IV Methergine in the active management of third stage of labour, in preventing atonic post partum haemorrhage. Materials &Methods: The present study was conducted from June 2016 to Nov 2016 on 200 cases of vaginal deliveries at labour ward of Department of Obstetrics and Gynaecology, Guntur Medical College, Guntur.The cases were divided into two groups, 100 for each treatment regimen- 0.2 mg IV Methergine and Per rectal 1000 micrograms of Misoprostol in addition to IV Methergine respectively..........

Keywords: Methergine, Misoprostol,Post Partum Haemorrhage.

[1]. American college of Obstetrics & Gynaecologists, Diagnosis and Management of Post partum haemorrhage, ACOG1980, ACOG
Technical Bulletin 143, ACOG Technical Bulletin 1998, ACOG Technical Bulletin 243.
[2]. Abdel –Aleem H El-Nashar, Abdel-Aleema, Management of severe Post partum haemorrhage
[3]. with Misoprostol, In.J.Gynaecol Obs P-72, 75, 2001.
[4]. Bamigboye A A et.al; Rectal Misoprostol in the prevention of PPH-a placebo controlled trial. Am.J. Obs& Gynaec. 1998 Jun; 180;
1601-2.
[5]. Elbourne D, Prendiville W,Chalmers I, Choice of oxytocic preparation for routine use in the management of the third stage of
labour; BJOG 95,17-30.

Abstract: Introduction: Pulp revascularization is a therapeutic option for the treatment of teeth with incomplete rhizogenesis and tissue necrosis that proposes the control of the infection of the root canal system in order to eliminate the symptoms and to show repair of periapical tissues, promoting thickening of the wall and continuity of apical formation, being biologically more acceptable. Objective: The objective of this study was to report the revascularization process in 2 young patients with clinical and radiographic signs of pulp necrosis and the presence of dental fistula, following the same endodontic protocol..........

Keywords: Regeneration, Calcium Hydroxide, Dental Pulp.

[1]. LEONARDO M, Leal JM. Tratamento De Canais Radiculares. 3ª Ed. São Paulo: Panamericana; 1998.
[2]. NOSRAT A, SEIFI A, ASGARY S. Regenerative Endodontic Treatment Revascularization For Necrotic Immature
Permanent Molars: A Review And Report Of Two Cases With A New Biomaterial. J Endod. 2011; 37(4):562-7.
[3]. DING RY, CHEUNG GS, CHEN J, YIN XZ, WANG Q, ZHANG C. Pulp Revascularization Of Immature Teeth With Apical
Periodontitis: A Clinical Study. J Endod. 2009; 35(5):745-9.
[4]. COTTI E, MEREU M, LUSSO D. Regenerative Treatment Of A An Immature Traumatized Tooth With Apical Periodontitis:
Report Of A Case. J Endod. 2008;34(5)611-6.
[5]. SHABAHANG S, TORABINEJAD M, BOYNE PP, ABEDI H, Mcmillan P. A Comparative Study Of Root-End Induction
Using Osteogenic Protein-1, Calcium Hydroxide, And Mineral Trioxide Aggregate In Dogs. J Endod.
1996;29(2):118-24

Abstract: Nasyakarma is one of the most important Panchakarma procedures for Urdhwajatrugata vikara. As Manyastambha is an Urdhwajatrugata vyadhi, Nasyakarma is the treatment of choice. The study "Comparative & clinical study of Marsh Nasya and Grivabasti with Karpasasthyadi taila in Manyastambha (Cervical Spondylosis)" is focused on important procedure i.e. Marsh Nasya, Grivabasti and also common clinical entity Manyastambha and about Cervical Spondylosis. Manyastambha is a Vatavyadhi; the principle line of treatment of Vatavyadhi is Snehana. Grivabasti is one such procedure which gives both Snehana and Swedana effect..........

Keywords: Marsh Nasya, Grivabasti, Manyastambha, Cervical Spondylosis

[1]. Dr.Satyanarayana Shastry, Caraka Samhita,Chaukambha Bharati Academy, Ca.Si.2/22.
[2]. Dr.Satyanarayana Shastry, Caraka Samhita,Chaukambha Bharati Academy Ca.Su.5/59.
[3]. Dr.Kaviraj Atrideva Gupta & Vaidya Yadhunandana Upadhyaya, Ashtanga Hridaya,Chaukambha Prakashana. A.H.Su.22/27-29,
A.H.Su.22/31.
[4]. Dr.G.Shrinivas Acharya Panchakarma illustrated: 259.
[5]. Dr.Satyanarayana Shastry, Caraka Samhita,Chaukambha Bharati Academy, Ca.Ci.28/43,Ca.Su.20/10,Ca.Su.20/11,Ca.Su.20/13.

Abstract: Aim: To compare the cyclic fatigue resistance of Revo-S and G-Star 25/.06 NiTi files using artificial canals. Materials and Methods: Twenty Revo-S (25/.06) and 20 G-Star 25/.06 NiTi files were included to this study. Two artificial stainless steel canals with 60° and 90° radii of angle, 5 mm radii of curvature and 1.5 mm inner diameter were used in the present study. Files were divided into 4 groups (n: 10) and rotated until fracture occurs using an artificial canal with torque-control endodontic motor. Time to failure of the files was recorded by a digital chronometer. Than the number of cycles to failure were calculated. The data were analyzed statistically using Independent-Samples t test. A total of 8 specimens from 2 per groups were observed under scanning electron microscope to confirm the failure of cyclic fatigue..........

Keywords: Cyclic fatigue; Static model; Revo-S; G-Star; Endodontics

[1]. Pruett JP, Clement DJ, Carnes DL. Cyclic fatigue testing of nickel-titanium endodontic instruments. . J Endod 1997;23:77-85.
[2]. Arens FC, Hoen MM, Steiman HR, Dietz GC. Evaluation of single-use rotary nickel-titanium instruments. . J Endod 2003;29:664-6.
[3]. Berutti E, Chiandussi G, Paolino DS, Scotti N, Cantatore G, Castellucci A, et al. Canal shaping with WaveOne Primary
reciprocating files and ProTaper system: a comparative study. J Endod 2012;38:505-9.
[4]. Peters O, Barbakow F. Dynamic torque and apical forces of ProFile. 04 rotary instruments during preparation of curved canals. Int
Endod J 2002;35:379-89.
[5]. Sattapan B, Nervo GJ, Palamara JE, Messer HH. Defects in rotary nickel-titanium files after clinical use. J Endod 2000;26:161-5.