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

Abstract: Background/Purpose: Color matching on metal-ceramic crown towards the natural teeth is a key for aesthetics success in prosthodontics. Dark shadow which was reflected by the metal coping often happened on the metalceramic crown and it causing the color that is resulted in laboratory process didn't match with the shade guide which has been determined in the clinic, so aesthetically is less satisfying. The porcelain layer thickness is one of factors that takes a role to produce the color matching. The aim of this in vitro study was to know the effect of opaque layer thickness with dentine layer thickness to the shade guide color matching on metal-ceramic crown..............

Keywords: The opaque layer thickness, dentine layer thickness, color matching,shade guide, metal-ceramic crown.

[1]. Shillingburg HT, et al.Fundamental of fixed prosthodontics. Edisi 4.Quintessence Publishing Co, Inc. 2012:455-483.
[2]. O'Brien WJ. Text Book of Dental material and their selection.3rd Ed. Quint Publish Co Inc (2002):44-68, 345-381.
[3]. Rosentiel, Land, Fujimoto. Text book of contemporary fixed prosthodontics. Edisi 4; 2004:418-430, 488-642.
[4]. Wee AG., Monaghan P., Johnston WM. Variation in color between intended matched shade and fabricated shade of dental
porcelain. J ProsthetDent 2002;87:657-66.
[5]. Ahmad S, et al. Scientific and artistic principles of tooth shade selection: A Review. J Pakistan Oral Dent. 2011;31(1).

Abstract: Background and Objectives: To study the raised level of LDH in patients with acute intestinal obstruction and to correlate with bowel viability. Methodology: In this study, the estimation of serum LDH was conducted in 45 cases of acute intestinal obstruction admitted in surgery ward of Government Mohan Kumaramagalam Medical College during period of sep2014 to sep2015. Results: Ischemic changes in any part of bowel can cause elevation in serum levels of LDH and a higher value of >1000 IU/L indicates gangrenous changes. It is less invasive, cost effective and easily available.

Keywords: Gangrene, intestinal obstruction, serum LDH.

[1]. Contemporary management of acute mesenteric ischemia: factors associated with survival. Woosup M Park, Peter Gloviczki,
Kenneth J Cherry JrJVascsurg 2002 mar; 35(3): 445-52 11877691 Cit 52.
[2]. Mesenteric venous thrombosis and factors associated with mortality : a stastical analysis with 5 year follow up. S AduDaff,M Al-
Shahed,Jgastrointestsurg 2009 jul; 13(7):1245-50 19296183.
[3]. Morbidity and mortality after bowel resection for acute mesenteric ischemia. Pratheek K Gupta, BalaNatrajan, Himani Gupta,
Xiang Fang, Robert J Fitzgibbons JrSurgey, 2011 Oct;150(4):779-87 22000191.
[4]. Mucha P.(1987) small intestinal obstruction. Surgclin North Am. 67, 597-620.
[5]. Thompson J, Bragg, L. West W. (1990). Serum enzyme levels during intestinal ischemia. Ann Surg 211, 369-73

Abstract: Background: Intracranial meningiomas are relatively common extra axial primary neoplasms which arises from arachnoid cap cells. The purpose of the study was to analyse the demographics, location, various clinical presentations, radiological characteristics, histological variants and grading of intra cranial meningiomas and their surgical outcome by simpson grading & recurrence if present. Materials and methods: A prospective observational study at single centre with all surgically treated patients of intracranial meningiomas during the period of August 2013 to December 2015 were included for analysis. Age, Sex incidence, different clinical features, Radiological findings, Location of meningiomas , Grading and typing of meningiomas based on histological features, Simpsons Grade of Resection and recurrence were studied.............

Keywords: Meningiomas, Simpsons grading, Recurrence

[1]. Cushing H, Eisenhardt L. Meningiomas: Their Classification, Regional Behaviour, Life History, and Surgical End Results.
Springfield, IL: Charles C Thomas; 1938.
[2]. Bondy M, Ligon BL: Epidemiology and etiology of intracranial meningiomas: a review. J Neurooncol 29:197–205, 1996.
[3]. Kepes JJ. Meningiomas: Biology, Pathology and Differential Diagnosis. New York, NY: Masson, 1982.
[4]. Longstreth WT Jr, Dennis LK, McGuire VM, Drangsholt MT, Koepsell TD. Epidemiology of intracranial meningioma. Cancer
1993; 72(3):639–48.
[5]. Perry A, Louis DN, Scheithauer BW, Budka H, von Deimling A. Meningiomas. In: WHO Classification of Tumours of the Central
Nervous System. Loius DN, Ohgaki H, Wiestler OD, Cavenee WK (Eds.). Lyon, France: IARC Press, 2007.

Abstract: Background: Hyphema is a common sequalae following blunt trauma. Aims: To determine the causes, associated ocular findings and visual acuity on presentation and at discharge in accordance with the hyphema grades on presentation. Materials and methods: A case series study was carried out on admitted patients in Department of Ophthalmology, RIMS Imphal during the period of January 2015 to June 2015. The data were analysed using SPSS v 21 program. Results: A total number of 15 patients were studied. The mean age of the patients was 24.33 ± 13years. There were 80% males and 20% females. Maximum eye injury occurred at home (40%) during play with toygun. Conjunctival congestion(73.33%) was seen in most patients...........

Keywords: Blunt trauma, hyphema, visual outcome

[1]. Walton W, Von Hagen S, Grigorian R, Zarbin M. Management of traumatic hyphaema. Surv Ophthalmol 2002 Jul-Aug;47(4):297-
334.
[2]. Khan BS, Hussain I, Nawaz A. Management of traumatic hyphaema with raised intraocular pressure. Pak J Ophthalmol
2007;23(4):217-20.
[3]. Ghafari AB, Siamian H, Aligolbandi K, Vahedi M. Hyphaema caused by trauma. Med Arh. 2013 Oct;67(5):354-6.
[4]. Cho J, Jun BK, Lee YJ, Uhm KB. Factors associated with the poor final visual outcome after traumatic hyphaema. Korean J
Ophthalmol 1998;12(2):122-9.
[5]. Ulagantheran V, Ahmad Fauzi MS, Reddy SC. Hyphema due to blunt injury: a review of 118 patients. Int J Ophthalmol
2010;3(3):272-6.

Abstract: The use of Niti open coil springs to open spaces between the teeth is quite frequent in orthodontics. However, when the coil spring becomes passive after the tooth has moved, it necessitates the removal of arch wire and placement of a new larger Niti open coil spring to activate further tooth movement. Another way of activating the coil spring with the help of composite bead was suggested1. However, we believe that it unnecessarily increases the inventory and chair-side time. We have devised a simple effective way of reactivating the coil spring with the use of Anterior band material (0.125 x 0.003 inches) and instruments which are readily available in the clinic.

[1]. Sahu SK, Barik AK, Nayak TK. Reactivation of open coil springs: A Novel Intraoral Procedure. J Ind
Orthod Soc 2012;46(3): 167:168.

Abstract: Impaction of the mandibular 3rd molar is one of the most commonly seen dental aberration. A severe mesioangular impacted mandibular third molar is usually extracted to avoid potential damage to distal root of the second molar or food impaction leading to caries in second and third molar. In cases with early loss of permanent mandibular 1st molar there is usually a mesial tipping of the adjacent 2nd molar and loss of space for an ideal prosthesis.In such cases if a mesioangular impacted third molar is present then an ideal treatment would be the orthodontic uprighting of the impacted third molar and closure of the first molar space by mesialising the second and the uprighted third molar. One of the effective appliances for molaruprighting is the tip-back cantilever technique. This article presents uprighting of severely mesioangular impacted 3rd molar using modified Begg's uprighting spring.

Keywords: 3rd molar impaction, molar uprighting, Modified Begg's uprighting spring

[1]. Mead, S. V.: Incidence of impacted tooth. Orthodont., 16: 885-890. 1930.
[2]. Dachi, S.F. and Howell, F.V.: Astudy of impacted wisdom teeth.: Oral Surg., Oral Med., And Oral Path., 14: 1165-1169. Oct
1961.
[3]. Shapira Y, Borell G, Nahlieli O, Kuftinec M, StomD.Uprightingmesially impacted mandibular permanent second molars. Angle
Orthod, 68: 173-178, 1998.
[4]. Sawicka M, Racka-Pilszak B, Rosnowska-Mazurkiewicz A. Uprighting partially impacted permanent second molars. Angle Orthod,
77: 148-154, 2007.
[5]. Lang R. Uprighting partially impacted molars. J ClinOrthod, 19: 646-650, 1985.

Abstract: Angiotensin convertase enzyme inhibitors(ACEi) or angiotensin receptor blockers(ARBs) in patients with diabetes mellitus(DM) and hypertension decreases urinary albumin excretion rate(UAER). Studies on head to head comparison of ACEi and ARBs with reduction of proteinuria as a primary outcome in the above mentioned patients are limited. This study was done to compare the efficacy of losartan and enalapril in controlling moderately increased albuminuria in hypertensive type 2 DM Indian population..........

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

[1]. Simonson DC. Etiology and Prevalence of Hypertension in Diabetic Patients. Diabetes Care. 1988; 11(10): 821-827.
[2]. Gall M-A, Rossing P, Skøtt P, et al. Prevalence of micro- and macroalbuminuria, arterial hypertension, retinopathy and large vessel
disease in European type 2 (non–insulin-dependent) diabetic patients. Diabetologia. 1991; 34:655-661.
[3]. Tarnow L, Rossing P, Gall M-A, et al. Prevalence of arterial hypertension in diabetic patients before and after the JNC-V. Diabetes
Care. 1994; 17 (11):1247-1251.
[4]. Tomlinson JW, Owen KR, Close CF. Treating Hypertension in Diabetic Nephropathy. Diabetes Care. 2003; 26:1802–1805.
[5]. Ritz E , Dikow R. Hypertension and antihypertensive treatment of diabetic nephropathy. Nature Clinical Practice
Nephrology. 2006; 2: 562-567.

Abstract: Regenerative endodontics is the creation and delivery of tissues to replace diseased, missing, and traumatized pulp. Current regenerative procedures successfully produce root development but still fail to reestablish real pulp tissue and give unpredictable results. There are several drawbacks that need to be addressed to improve the quality and efficiency of the treatment. This review provides an overview of regenerative endodontics and its goals, and describes possible techniques that will allow regenerative endodontics to become a reality.

Keywords: Regeneration, Stem Cells, Scaffolds, Growth Factors, Tissue Engineering

[1]. Murray PE, Garcia-Godoy F, Hargreaves KM: Regenerative endodontics: a review of current status and a call for action. J Endod
33:377, 2007.
[2]. Sloan AJ, Smith AJ: Stem cells and the dental pulp: potential roles in dentine regeneration and repair. Oral Dis 13:151, 2007.
[3]. Hermann BW: [On the reaction of the dental pulp to vital amputation and calxyl capping.]. Dtsch Zahnarztl Z 7:1446, 1952.
[4]. Nygaard-Østby B: The role of the blood clot in endodontic therapy: an experimental histologic study. Acta Odontol Scand 19:323, 1961.
[5]. Polezhaev LV. Restoration of lost regenerative capacity of dental tissues. Loss and Restoration of Regenerative Capacity in Tissues and Organs of Animals. O. Weiss Editor.Volume 1. 1st ed. Jerusalem: Keterpress; 1972. P.141-52.

Abstract: Background:Bowel anastomosis are common procedures in both elective as well as emergency GI surgeries.The anastomotic technique selected depends upon site of anastomosis, bowel calibre, bowel quality and underlying disease process. Important factor in the decision to perform anastomosis however remains individual surgical experience and preference. The theory behind creating a safe, healthy bowel anastomosis remains constant, irrespective of the technique chosen. Aims And Objective:To compare hand suturing with surgical stapling in a comparative study in patients undergoing elective gastrointestinal surgeries........

Keywords: Bowel Anastomosis, GI Staplers, Gastro-Intestinal Surgeries, Hand Sewn Anastomosis

[1]. Kirk RM, Winslet M. Essential General Surgical Operations. Edinburgh: Churchill Livingstone; 2001.
[2]. Afsar Ali Bhatti et al: Comparison of Outcome between Stapled verses Hand Sewn Intestinal Anastomosis. PJMHS 7:921, 2013.
[3]. Hassanen A, Darwish A, Bieh HA. Stapled versus hand-sewn anastomosis of the large bowel due to abdominal trauma: a
prospective comparative study. Egyptian Journal of Surgery. 2008 Oct;27(4):208-212.
[4]. Kracht M, Hay JM, Fagniez PL, Fingerhut A. Ileocolonic anastomosis after right hemicolectomy for carcinoma: stapled or handsewn?
A prospective, multicenter, randomized trial. Int J Colorectal Dis 1993; 8: 29-33.
[5]. Himabindu et al: Comparative Study between Staplers and Conventional(Hand-Sewn) Anastomosis in Gastrointestinal Surgery.
Indian J Surg. 2012 Dec; 74(6): 462–467.

Abstract: Aim: To evaluate whether ultrasonography could be used as a potential tool in addition to the clinical and laboratory profile in diagnosing and predicting the severity of dengue fever. Settings and Design: Retrospective study. Ultrasonography was done in 210 patients who were suspected to have dengue fever between November2015 to February 2016. Upon follow up, 150 patients proved to be serologically positive and 60 patients proved negative. Ultrasonographic imaging findings in these patients were assessed and correlated with platelet count and the day of febrile illness. Results: Among 150 patients, 96 (64%) had gall bladder wall edema, 46(30.6%) had bilateral pleural effusion, 32 (21.3%) had unilateral pleural effusion, 33(22%) had minimal ascites, 74(49.3%) had significant ascites, 52(34.7%) had splenomegaly and 47(29.3%) had hepatomegaly.

Keywords: Dengue fever, ultrasonography, platelet count, gall bladder wall edema

[1]. K.PARK.2011."Textbook of preventive and social medicine"21 edition.Social preventive medicine;224-225
[2]. Monograph on Dengue/Dengue Haemorrhagic fever, Compiled by Prasert Thongchroen, Regional Publication, WHO (1983);
SEARO No. 22
[3]. Setiawan MW, Samsi TK, Wulur H, et al. Dengue haemorrhagic fever: ultrasound as an aid to predict the severity of the disease.
PediatrRadiol. 1998;28:1-4.
[4]. Nelson ER. Hemorrhagic fever in children :report of 69 cases.JPaediatric 1960 ;56;101-8
[5]. Shlaer WJ , Leopold JR, Scheible FW .sonography of thickened gall bladder wall : a non specificfinding.AJR Am J Roentgenol
1981 ;136:337-9

Abstract: Background: Hypertension is a major cause of morbidity and mortality in India. Present study was undertaken to correlate microalbuminuria and QTc interval in patients with hypertension. Methodology: Thirty patients of hypertension fulfilling the inclusion criteria coming to OPD/Wards of MGUMST, Jaipur were recruited. They were subjected to detailed history (as per the performa), clinical and diagnostic examination. Data analysis was done using SPSS software. Results: Prevalence of QTc prolongation was 46.7% and prevalence of microalbuminuria was 73.33% in hypertensive patients. There was a significant association between QTc interval prolongation and microalbuminuria..........

Keywords: Hypertension, microalbuminuria, electrocardiography

[1]. He J, Whelton P. Epidemiology and Prevention of Hypertension. Medical Clinics of North America. 1997; 81(5):1077-97.
[2]. Whelton PK. Epidemiology of Hypertension. Lancet. 1994; 344:101-06.
[3]. Ezzati M, Lopez AD, Rodgers A, Hoorn VS, Murray CJ. Selected major risk factors and global and regional burden of disease. Lancet. 2002; 360:1347–60.
[4]. Sarnak J, Levey S, Schoolwerth C. Kidney disease as a risk factor for development of cardiovascular disease : A statement from the
American Heart Association Councils on Kidney in Cardiovascular Disease, High Blood Pressure Research, Clinical Cardiology,
and Epidemiology and Prevention. Circulation .2003; 108:254.
[5]. Li X, Ren H, Xu Z, Liu Y, Yang X, Liu J. Prevalence and Risk Factors of Prolonged QTc Interval among Chinese Patients with
Type 2 Diabetes. Experimental Diabetes Research. 2012; 2012:1-6.

Abstract: Background: As for early prediction of preeclampsia along with other parameter age is also recommended, so the purpose of this study was to show any relationship if exists between maternal age and preeclampsia. Aim: To find out whether the maternal age can be used to predict the development of preeclampsia. Objective: To study what age group is more prone for development of preeclampsia in normal pregnancies. Methodology: 220 pregnant women were included in study after proper consent...........

Keywords: Maternal age, preeclampsia

[1]. Ananth CV, Keyes KM, Wapner RJ. Pre-eclampsia rates in the United States, 1980-2010: age-period-cohort analysis. BMJ
2013;347:f6564 doi: 10.1136/bmj.f6564.
[2]. h t tp : / /www.n h p .go v. in /d i s ea s e/g yn a eco log y - an d ob s t et r i c s /p r e ec lamp s i a .
[3]. National Collaborating Centre for Women's and Children's Health. 2008. Antenatal Care: Routine Care for the Healthy Pregnant
Woman. Clinical Guideline. Commissioned by the National Institute for Clinical Excellence. RCOG Press: London, UK; 218–
27.
[4]. Zibaeenazhad MJ, M Ghodsi, P Arab, Gholzom N. The prevalence of hypertensive disorders of pregnancy in Shiraz, Southern
Iran. Iranian Cardiovascular Research Journal.2010;4:169-72.

Abstract: Background : Though the incidence of Transfusion Transmitted Viral diseases have come down, bacterial contamination of Transfusion products is a long standing problem. The main risk of transfusion related infectious diseases is currently that of bacterial sepsis. The clinical consequences of transfusing bacterially contaminated blood range from minimal or no reaction to fatal septic shock and death. The prevalence of bacterial contamination of whole blood in India is not known. Objectives: This study was conducted to determine the prevalence and type of bacterial contamination of whole blood, at Rajiv Gandhi Institute of Medical Sciences (RIMS) blood bank, Ongole, Prakasam district of Andhra Pradesh...........

Keywords: Whole blood, Bacterial contamination, Sepsis, RIMS, Andhra Pradesh, India

[1] Brecher, ME and Hay. SN: Bacterial contamination of blood products . clin Microbiol Rev 15 (1): 195-204,2005.
[2] Robak, JD(ed):Technical manual , 16th ed. American Association of blood banks, Bethesda, MD, 2008.
[3] Kuehnert, MJ, et al. Tranfusion transmitted bacterial infection in the United States, 1998 through 2000, Transfusion 41:1493, 2001.
[4] Dodd, R.Y(2003). Bacteria contamination and transfusion safety, Experience in the United States, Transfus.Clin.Biol 10,6-9.
[5] Dykstra, A. Hoeltge, G. Jacobs, M. et al (1998): Platelet bacterial contamination (PBC) rate is surveillance method (SM)
dependent. Transfusion, 38(Suppl), 104S.

Abstract: Taurodontism is characterized by teeth with enlarged and elongated pulp chambers and apical displacement of the bifurcation or trifurcation of roots. This anomaly occurs either as an isolated, singular trait or in association with syndromes and with some ectodermal anomalies. The aim of this review is to address the etiology, radiographic features and clinical considerations in the treatment of such teeth. It can be seen that taurodontism has until now received insufficient attention from clinicians.

Keywords: Taurodontism, taurodont, Hertiwig's epithelial root sheath (HERS), bull teeth

[1]. Hargreaves, K and Goodis, H., 2002. Seltzer and Bender‟s Dental Pulp, 3rd ed, Chicago: Quintessence Pub Co
[2]. Witkop, C., 1971. Manifestation of genetic disease in the human pulp. Oral Surgery, Oral Medicine and Oral Pathology, 32: 278–
316.
[3]. Witkop, C., 1976. Clinical aspects of dental anomalies. International Dental Journal, 26: 378–90.
[4]. Reichart , P and Quast, U. 1975. Mandibular infection as a possible aetiological factor in taurodontism. Journal of Dentistry, 3:
198–202.
[5]. Llamas, R., Jimenez-Planas, A., 1993. Taurodontism in premolars. Oral Surgery, Oral Medicine and Oral Pathology,75: 501–5

Abstract: Cerebral contusions are one of the most common form of traumatic brain injury. This most commonly occur in areas where sudden deceleration of the head causes the brain to impact on bony prominences like frontal, temporal and occipital poles in coup or contrecoup fashion. It need surgical treatment if there is progressive neurological deterioration, contusion volume is more than 50 cm3 or Glasgow Coma Score is 6-8 with frontal or temporal contusion volume is more than 20cm3 with midline shift is more than 5mm. Hemorrhagic progression of contusions is due to continued bleeding of micro vessels fractured at the time of primary injury.2 When head trauma results in a cerebral contusion, the hemorrhagic lesion often progresses during the first several hours after impact, either

[1]. Van Beek J.G. Mushkudiani N.A. Steyerberg E.W. Butcher I. McHugh G.S. Lu J. Marmarou A. Murray G.D. Maas A.I. Prognostic
value of admission laboratory parameters in traumatic brain injury: results from the IMPACT study. J. Neurotrauma. 2007; 24:315–
328.
[2]. Alahmadi H. Vachhrajani S. Cusimano M.D. The natural history of brain contusion: an analysis of radiological and clinical
progression. J. Neurosurg. 2010;112:1139–1145
[3]. Engstrom M. Romner B. Schalen W. Reinstrup P. Thrombocytopenia predicts progressive hemorrhage after head trauma. J.
Neurotrauma. 2005;22:291–296
[4]. Greuters S. van den Berg A. Franschman G. Viersen V.A. Beishuizen A. Peerdeman S.M. Boer C. Acute and delayed mild
coagulopathy are related to outcome in patients with isolated traumatic brain injury. Crit. Care. 2011;15
[5]. Stein S.C. Smith D.H. Coagulopathy in traumatic brain injury.Neurocrit. Care. 2004;1:479–488

Abstract: Background & Objectives: Trunk control and balance impairment are commonly occurring features in poststroke hemiparetic patients which affects the various abilities to perform activities of daily living.Therefore, the objective of the study was to determine the effectiveness of trunk rehabilitation programme on trunk control and balance and also to assess whether the trunk control is pre-requisite for improving dynamic balance in acute ischemic hemiparetic stroke patients. Methods:A pre and post study design was carried out at Kempegowda Hospital and Research Centres,Bangalore.Total 30 participants (17 male and 13 female)were screened as per inclusion and exclusion criteria and were recruited for the study...........

Keywords:Stroke, Trunk control, balance,sitting balance,Trunk Impairment Scale,Sit and reach test, Trunk rehabilitation,Truncal exercises, Trunk training exercise.

[1]. Poungvourin N.Stroke in the developing countries. Lancet 1998;352:19-22
[2]. Subhash Kaul.Stroke in India: Are We Different From The World? Pak J Neurol Sci 2007; 2(3):158-64
[3]. Rajrupinder Kaur Rai, Lalit Arora, SmatiSambyal, Reena Arora. " Efficacy of Trunk Rehabilitation and Balance Training On Trunk
Control, Balance and Gait in Post Stroke Hemiplegic Patients "A Randomized Controlled Trial.IOSR-JNHS.May -Jun 2014;2320–
1940 ,3:27-31
[4]. Juandejes‟usLlibre,AdolfoValhuerdi,OtmanFernandez,JuanCarlosLLibre,RudbeskiPorto,AnaM.Lopez,BeatrizMarcheco,Carmen
Moreno. "Prevalence of Stroke and Associated Risk Factors in Older Adults in Havana City and Matanzas
Provinces".Cuba;MEDICCReview;July 2010;Vol 12:No.3.
[5]. Strong.K,Mathers.C,BonitaR. "Preventing stroke :Saving lives around the world".LancetNeurol;February 2007;6(2):182-7

Abstract: Background: Chronic otitis media- mucosal type is a chronic inflammation of middle ear and mastoid cavity presenting with recurrent ear discharge through a tympanic perforation. In a discharging ear both topical and systemic therapy is employed to control the infection. Inadequate antibiotic treatment, misuse of antibiotic, improper choice of antibiotic and poor compliance of the patients have resulted in changes in susceptibility to antibiotics of the causative organisms and also development of resistance to commonly used antibiotics. Aim: To identify bacteriological profile in chronically discharging ears and to analyse the antibiotic sensitivity pattern............

Keywords: Chronic otitis media, Bacteriology, Culture and Sensitivity, Antibiotics, Susceptibility

[1]. Afolabi OA, Salaudeen AG, Ologe FE, Nwabuisi C, Nwawolo CC. Pattern of bacterial isolates in the middle ear discharge of patients with chronic suppurative otitis media in a tertiary hospital in North central Nigeria. African Health Sciences 2012; 12(3):365.
[2]. Raakhee T, Unguturu SR. Bacteriological study of discharging ear in patients attending a tertiary care hospital. Int J Res Med Sci 2014; 2:602-6.
[3]. Gaur RS, Mathew J, Varghese AM, Mathew GA, Chandrasekharan R, Anandan S. Microbiological pattern of ear swabs in chronically discharging ears in a tertiary care hospital in India. Indian J Otol 2013; 19:51-4.
[4]. Rama Chandra Rao, K. Srilatha, S. Visweswara Rao, K. N. Manohar."Microbiological Study of Ear Discharge and their Antibiotic Sensitivity Pattern in Chronic Suppurative Otitis Media". Journal of Evolution of Medical and Dental Sciences October 02, 2014; 3(49): 11698-11705
[5]. R Shyamala and P Sreenivasulu Reddy. The study of bacteriological agents of chronic suppurative otitis media - Aerobic culture and evaluation. J Microbiol Biotech Res., 2012, 2 (1):152-162.

Abstract: Background: Exploratorytympanotomy is done to identify the cause ofconductivehearingloss in a patient withintacttympanic membrane. Objective: Toenlist and analyze the middle ear pathologies in patients with conductive hearing loss with intact tympanic membrane. Methods: 50 patients in age group between 20 years and 50 years, with hard of hearing, consulting department of ENT at a tertiary care hospital, were evaluated. Clinical examination, pure tone audiometry and tympanometry were done for all patients. Patients with conductive hearing loss with intact tympanic membrane were taken up for exploratory tympanotomy...........

Keywords: Exploratorytympanotomy,tympanosclerosis,ossicularnecrosis,adhesivebands,anomalousfacialcanal

[1]. ShabbirIndorewala. The anterior tympanotomy. Indian J Otolaryngol Head Neck Surg.1997; 49: 122-24.
[2]. Kim SH, Cho YS, Kim HJ, Kim HJ. Operative findings of conductive hearing loss with intact tympanic membrane and normal temporal bone computed tomography. Eur Arch Otorhinolaryngol. 2014; 271(6):1409-14.
[3]. Asarkar A, GosaviS.Tympanosclerosis – a Beginner"s Worry: a Case Series and Review of Literature. Otolaryngology. 2013; 3: 133-34.
[4]. Pal Indranil, Sengupta A. Clincopathological and audiological study of tympanosclerosis. Ind J Otolaryngol.2005; 57: 235-39.
[5]. KamaljitKaur, Nishi Sonkhya, A.S. Bapna. Tympanosclerosisrevisited.Indian J Otolaryngol Head Neck Surg.2006; 58: 128-32.

Abstract: Background and objectives: Lung cancer is the leading cause of cancer death around the world and the incidence is increasing. Lung Cancer incidence is also increasing in India with being the most common cancer in males in India. More than 70% of lung cancers are in stage III or IV when diagnosed making curative surgery difficult. Bronchoscopy for early detection of lung cancer is a promising tool. Bronchoscopy is beneficial for visualizing central lung cancer in very early stages or in a premalignant state, such as carcinoma in situ............

Keywords: Computed Tomography of chest, Broncho-alveolar lavage, Brush cytology, Bronchoscopic biopsy

[1]. Humphrey EW, Smart CR, Winchester DP, Steele GD (jr), Yarbro JW, Chu KC, et al. National Survey of the Pattern of the pattern
of care for carcinoma of the lung. J ThoracCardiovascSurg 1990;100:837-43.
[2]. Herbst RS, Heymach JV, Lippman SM, Lung Cancer. N Engl J Med 2008;359(13):1367-80.
[3]. Doll R, Hill AB, Smoking and carcinoma of the lung; preliminary report. Br Med J 1950;2(4682):739-48.
[4]. Liu NS, Spitz MR, Kemp BL, et al. Adenocarcinoma of the lung in young patients: the M. D. Anderson experience. Cancer
2000;88(8):1837-41.
[5]. Mattson ME, Pollack ES, Cullen JW. What are the odds that smoking will kill you? Am J Public Health 1987; 77:425. (22)

Abstract: Anthropometric measurement is useful in application of reconstructive surgery, oral surgery and identification in forensic science .There are various factors that affect facial index, which includes age, gender and ethnic race. The present study conducted is to identify the facial index among the different ethnic races of Malaysian population - Malay, Chinese and Indian.Measurements of facial height and facial width were obtained using Verniercaliper. A total number of565 students between the ages of 20 – 25 years, 179 Malays, 215 Chinese and 171 Indians were used in the present study. Facial index calculated from the measurements made............

Keywords: Facial height, Facial width, Facial index, Forensic anthropometry.

[1]. Ngeow WC, Aljunid ST, Craniofacial anthropometric norms of Malays, Singapore Medical Journal, 50, 2009, 525-528.
[2]. Elder R, Agarwal P, Wertheim D, Greenhill D, The use of anthropometric proportion indices in the measurement of facial
attractiveness, Eur J Orthod, 28, 2006, 274-281.
[3]. Lee HJ, Park SJ, Comparison of Korean and Japanese head and face anthropometric characteristics, Hum Biol, 80, 2008, 313-330.
[4]. Farkas LG, Anthropometry of the Head and Face, New York: Raven Press, 1994.
[5]. Shah S, Pandya P, Vadgama J, Chavda S, Rathod SP, Patel SV, The Study of the Total Facial Index in Living Subjects in Gujarat
Region, National Journal of Integrated Research in Medicine, 3(4), 2012, 95-97.

Abstract: Pheochromocytomas are rare catecholamine secreting tumors of adrenal gland with 10% of cases found in children. They have a varied clinico-imaging spectrum of appearances and they may mimic other adrenal lesions, both benign and malignant. On Computed tomography, they may also demonstrate rapid contrast material washout and be mistaken for an adenoma owing to their deenhancement profile; however, their washout pattern can be inconsistent. Other atypical features include fatty, hemorrhagic, cystic, and calcific changes. Their early diagnosis is imperative due to poor clinical outcome and surgical complications.

Keywords: Adenoma; adrenal, Computed tomography, pheochromocytoma

[1]. Remine WH, Chong GC, Van Heerden JA,Sheps SG, Harrison EG. Current management of pheochromocytoma. Ann Surg,
179,1974,740-8.
[2]. Stackpole RH, Melicow MM, Uson AC. Pheochromocytoma in children. J Pediatr,63,1963,315-30.
[3]. Hamilton BP, Landsberg L, Levine RJ. Measurement of urinary epinephrine in screening for pheochromocytoma in multiple
endocrine neoplasia type II. Am J Med,64, 1978,1027-32.
[4]. Blake EL, Gifford RW. Current concepts: pheochromocytoma- diagnosis, localization and management. N Engl J
Med,311,1984,1298-1303.
[5]. Newhouse JH, Heffess CS, Wagner BJ, Imray TJ, Adair CF, Davidson AJ. Large degenerated adrenal adenomas: radiologicpathologic
correlation. Radiology,211, 1999,385-391.

Abstract: The present study evaluated the position and shape of the mental foramen through Computed Tomography study. A total of 191 examinations of adult male and female toothed patients with an age range of 20 to 60 years were analyzed. The images were obtained through the I-Cat® tomography equipment and later analyzed with the device program itself, on a computer with a Microsoft Windows operating system. The data were organized into frequency tables and a descriptive analysis using the chi-square test, significance level of 5%. There was no statistical difference between genders and sides regarding the position and shape...........

Keywords: Mental foramen; Cone-Beam Computed Tomography; Anatomy

[1]. Moraes MEL, Manhães Junior LRC, Moraes LC, Medici Filho E, Castilho JCM, Varoli FP, et al. Vertical and horizontal
localization of the mental foramen in relation to the second lower premolar by the radiographic method. RGO, Rev Gaúch Odontol.
2008; 56 (1): 47-52. 23.
[2]. Santos CO. Evaluation of the neurovascular anatomy of the mandible by conical beam computed tomography [thesis]. São Paulo:
University of São Paulo; 2010.
[3]. Oliveira HF, Star C, Garrote MS, Zina O, Porto OCL. Radiographic evaluation of the position of the mental foramen in a Brazilian
subpopulation [dissertation]. Goiás: Faculty of Dentistry, Federal University of Goiás; 2011.
[4]. Guedes OA, Rabelo LEG, Porto OCL, Alencar AHG, Estrela C. Radiographic evaluation of the position and shape of the mental
foramen in a Brazilian subpopulation. Rev Odontol Bras Central. 2011; 20 (53).
[5]. Saito K, Sousa AC, Lopes VKM, Carvalho PL. Tomographic evaluation of the position of the mental foramen. In: Proceedings of
the III Congress of Health Education in the Amazon (COESA), Federal University of Pará, 2014 Nov 12-14; For.

Abstract: For securing airway as for anaesthesia or in intensive care unit we use various type of laryngoscopic blade. Each type has different design and mechanism to aid in normal or difficult airway situation. Macintosh is most commonly used among this and it has two types of designed blade, Standard and English typein this study we compared use of this type of blade in 500adult patient of either sex who are undergoing general anaesthesia for surgery. Parameter studied was Number of attempts of laryngoscopy with one blade, Cormack Lehane grading, Time taken for the attempt, Complications, Haemodynamic parameters duration of laryngoscopy and intubation............

Keywords: Macintosh, Standard blade, English blade, Cormack Lehane, Intubation

[1]. Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia 1984;39:1105-11.
[2]. Arino JJ, Velasco JM, Gasco C, Lopez-Timoneda F. Straight blades improve visualization of the larynx while curved blades
increase ease of intubation: A comparison of the Macintosh, Miller, McCoy, Belscope and Lee-Fiberview blades. Can J Anaesth
2003;50:501-6
[3]. Dorsh JA, Dorsh SE. Laryngoscopes. In: Understanding Anesthesia Equipment, 4th Edn. Baltimore: Williams and Wilkins, 1998; 505–56.
[4]. Racz GB. Improved vision modification of the Macintosh laryngoscope. Anaesthesia 1984;39:1249-50
[5]. Cook, TM, Tuckey JP. A comparison between the Macintosh and the McCoy laryngoscope blades. Anaesthesia, 1996;51:977-98

Abstract: The dentists today have to meet growing demands for prosthetic rehabilitation due to population aging and higher requirements on the quality of life. That means higher demands on the functional reliability of dental appliances, their aesthetical and biological properties. Several studies have evaluated various properties of polyamide (nylon) denture base materials. According to the results of the studies, currently, thermo-injectable, high impact, flexible or semi-flexible polyamide is thought to be an alternative to the conventional acrylic resins due to its esthetic and functional characteristics..........

Keywords: Polyamides, Nylon, Denture base material, Mechanical properties

[1]. Craig RG, Powers JM, et al. Restorative Dental Materials. 11th ed. St Louis: Mo, Mosby; 2002. p. 636-689.
[2]. Ali IL, Yunus N, Abu-Hassan MI. Hardness, flexural strength, and flexural modulus comparisons of three differently cured denture base systems. J Prosthodont 2008; 17: 545-549.
[3]. Athar Z, Juszczyk AS, Radford DR, Clark RK. Effect of curing cycles on the mechanical properties of heat cured acrylic resins. Eur J Prosthodont Restor Dent 2009; 17: 58-60.
[4]. O'Bricn WJ. Dental Material and their selection. 4th ed. Chicago: Quintessence Publishing Co, Inc.; 2008. p. 75- 90, 91-113.
[5]. Mattews E, Smith DC. Nylon as a Denture Base Material.Br Dent J, 98 (1955),231.