iosr-JDMS   Volume-15 ~ Issue-2 ~ February-2016

Abstract: With the addition of laparoscopy in the armamentarium of surgeon, a prospective randomized study was carried out by a single surgeon regarding safety and feasibility of early laparoscopic appendicectomy for appendicular mass. The single surgeon study is having the added advantage of maintenance of uniformity in the evolution of patients, operative and post operative management.

Key Words: Appendicular mass, Appendicectomy, conservative, Laproscopy

[1]. Vargas HI, Averbook A, Stamos MJ. Appendiceal mass: conservative therapy followed by interval laparoscopic appendectomy. Am erican .j. Surg. 1994;(60):753–8.
[2]. Al-Sammarai AY. Surgery for appendicular mass. Saudi J Gastroenterol. 1995;(1):43–6.
[3]. Choudhry ZA, Syed AS, Mishra P. Early exploration of appendicular mass. Pak J Surg. 1996;12(2):64–6.
[4]. Garg P, Dass BK, Bansal AR, Chitkara N. Comparative evaluation of conservative management versus early surgical intervention in appendicular mass—a clinical study. J Indian Med Assoc.1997;95(6):179–80.
[5]. De 6. U, Ghosh S. Acute appendicectomy for appendicular mass:a study of 87 patients. Ceylon Med J. 2002;47(4):117–8.
[6]. Senapathi PS ,Bhattacharya D, Ammori BJ;‖Early laparoscopic appendectomy for appendicular mass‖; Surg Endosc 2002 Dec , 16 (12),1783-5
[7]. Ahmed I,Deakin D,Parsons SL,‖Appendix mass :do we know how to treat?‖ Ann R Coll Surg Engl.2005, May:87(3):191-5

Abstract: Urinary bladder carcinoma is one of the most common cancer worldwide, it is the fourth most common cancer in men and the eighth in women in the world. In Iraq bladder carcinoma is the second most common cancer in males and the tenth in females according to Iraqi Cancer Registry. About 95% of bladder tumors are of epithelial origin, and TCC accounts for 90% of all bladder cancers. Few studies had been done about the role of (Her2/Neu and Ki-67) in urothelial carcinoma of the bladder .The present study has used the 2004 WHO grading system of urothelial carcinoma and the AJCC/UICC T staging system of the urothelial carcinoma of the bladder .

[1]. Jamal A, Tiwari RC and Murray T. Cancer statistics . CA Cancer J Clin 2004, 54: 8-29.
[2]. 2010 Results of Iraqi Cancer Registry. 17th ed. Baghdad, Iraqi: Cancer Board, Ministry of Health; 2012.
[3]. Kumar V, Abbas AK, and Fausto N, 2010, Robbins and Cotran, pathologic basis of disease, 8th ed, Elsevier, Philadelphia USA, p976-980

Abstract:Re-establishing a patient's lost natural dental esthetics is one of the most important topics of today's dentistry, in addition to function and phonation.A major factor in achieving an elusive dominant characteristics called personality is a captivating smile showing an even row of natural gleaming white teeth. In order to solve such problems, the technique preferred most frequently is to cover teeth with dental crowns.However, major disadvantages of crowns is excessive preparations of teeth and damages to surrounding tissues, such as gingiva.Therefore, in recent years, laminate veneer restorations, are more esthetic and conservative treatment option, used in dentistry.
Key words: aesthetic, ceramic, fracture, indirect, veneers

[1] Bora Korkut, FundaYanikoğlu,MahirGünday, Direct Composite Laminate Veneers: Three Case Reports, Journal of Dental
Research, Dental Clinics, Dental Prospects 7(2), 2013,105-111.
[2] GalipGurel-.The Science and Art of Porcelain Laminate Veneers-1st edition(Quitntessence publishing)19-47
[3] Francesco Mangani, Antonio Cerutti, Angelo Putignano, Raffaele Bollero, Lorenzo Madini, Clinical Approach to Anterior
Restorations Using Resin Composite Veneer, The European Journal Of Esthetic Dentistry, Vol 2, No,2 Summer 2007.
[4] Dino Re, Gabriele Augusti, Massimo Amato, Giancarlo Riva and DaugustiEsthetic Rehabilitation of Anterior Teeth with Laminates
Composite Veneers, Case Reports in Dentistry, Vol 2014.
[5] SuhaTURKASLAN, Arzu TEZVERGIL-MUTLUAY, Bora BAGIS, Akikazu SHINYA, Pekka K VALLITTU and Lippo V
LASSILAEffect of Intermediate Fiber Layer on the Fracture Load and Failure Mode of Maxillary Incisors Restored with Laminate
Veneers, Dental Materials Journal, 27(1), 2008, 61-68.
[6] Roberson,Sturdevant'sart and science of operative dentistry- 5th edition(Elsevier, New Delhi, India2008) 623-681

Abstract: A gummy smile or a high smile line may lead to a poor smile which can have impact on patient's appearance and confidence. This case report summarizes the use of surgical lip repositioning technique for the management of a gummy smile. Clinical considerations: The procedure limits the muscle pull of the elevator muscles of the lip by shortening the vestibule, thus reducing the gingival display when smiling.

[1]. Harpreet Singh Grover, Anil Gupta, Shailly Luthra. Lip repositioning surgery: A pioneering technique for perioesthetics. Contemporary Clinical Dentistry 2014; 5(1):142-145.
[2]. Peck S, Peck L, Kataja M. The gingival smile angle. Angle Orthodo 1992; 62:91-100.
[3]. Rosenblatt A, Simon Z. Lip repositioning for reduction of excessive gingival display: A clinical report. Int J Periodontics Restorative Dent 2006; 26:433-7.
[4]. Silberberg N, Goldstein M, Smidt A. Excessive gingival display- Etiology, diagnosis, and treatment modalities. Quintessence Int 2009; 40:809-818.
[5]. Garber DA, Salama MA. The aesthetic smile: Diagnosis and Treatment. Periodontol 2000 1996; 11:18-28.
[6]. Tejal Sheth, Shilpi Shah, Mihir Shah, Ekta shah. Lip reposition surgery: A new call in periodontics. Contemporary Clinical Dentistry 2013; 4(3):378-381.

Abstract:Stroke is the fourth leading cause of mortality in Puerto Rico. Tissue plasminogen activator (t-PA) improves acute ischemic stroke(AIS) outcomes when administered timely; however, there is limited information regarding the association of t-PA administration and mortality in Hispanics. Objective: To investigate if t-PA affects mortality rate among AIS patients in Puerto Rico.
Material And Methods: We conducted a secondary data analysis of 1950 patients in the Puerto Rico Stroke Registry, a non-concurrent cohort study , during years 2007, 2009, and 2011.We reviewed medical record of adult patients with AIS .Patients with transient ischemic attacks (TIA) were excluded. We conducted initially a descriptive analysis of all variables; then, abi-variate analysis, and finally a logistic regression analyses to adjust for potential confounders in the relation between t-PA administration and mortality.

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Abstract:Sciatic nerve is a branch of the lumbo-sacral plexus that controls the neurological activities of thehamstrings and all the other muscles of the lower limb below the knee. Study on the course and variations of sciatic nerve and its division in developing foetuses on both lower limbs of 30 foetuses from (14 weeks to 40 weeks). Formalin fixed foetuses were dissected at Department Of Anatomy, RIMS, Imphal, after getting formal permisssion from the Institutional Ethics Committee, RIMS, Imphal. The highest incidence of sciatic nerve division was found at lower1/3 -70%, whereas upper 1/3 and middle 1/3 had 23.3% and 6.6% respectively. This might be useful for regional anaesthesia particularly in children as this is now the prefer route of anaesthesia for surgical intervention of the foot in children. Complete sciatic nerve blockade with local anaesthetics may fail even after multiple attempts if the sciatic nerve is present as separately sheathed bundle up to the lower level.

[1]. Mahadeven V, editor. Pelvic girdle and lower limb. In Standring S , Borley NR, Collins P, Crossman AR, Gatzoulis MA, Healy
JC, Johnson D, et al. editors. Gray's Anatomy: The Anatomical Basis of Clinical Practice. 40th ed. London: Churchill
Livingstone Elsevier, 2008: 1329-1463.
[2]. Hollinshead WH. Anatomy for surgeons- the back and limb. 2nd ed. New York: Harper & Row Publishers, Inc. 1968
[3]. Moore KL, Persaud TVN. The Developing Human Clinically oriented embryology. 5th ed. Philadelphia: WB Saunders Company;
1993.
[4]. Sadler TW. Langman's medical embryology. 11th ed. New Delhi: Lippincott Williams & Wilkins; 2010.
[5]. Arey LB. Developmental anatomy–a textbook and laboratory manual of embryology. 7th ed. Philadelphia: W.B. Saunders
Company; 1966.

Abstract:Society for Elimination of Rural Poverty (SERP) was established by the Government of Andhra Pradesh (GOAP) to facilitate poverty reduction through social mobilization and improvement of livelihoods of rural poor in Andhra Pradesh. It was observed by CEO of project that about 70 thousand deaths were registered per annum among the insured individuals in Andhra Pradesh Verbal autopsy is an investigation of train of events, circumstances, symptoms and signs of illness leading to the deaths. Objectives: 1. To investigate the causes of deaths among the insured persons of Prakasam District who were enrolled under DRDA. 2. To identify the risk factors commonly associated with the most common causes of deaths..

[1]. Quigley, Maria A. Commentary: Shifting burden of disease- Epidemiological transisition in India 2006. International Journal of
Epidemiology; 35 (6): 1530-31.
[2]. Reddy S. Prevention and control of non Communicable diseases: Status and strategies. Indian council for research on international
economic relations 2003; 104: 7-32.
[3]. Radakar A, Kamalkar T, Tawalkar M. The epidemiological transisition in Urban Maharashtra. 2010; Economic political weekly Vol
XIV (31): 23-27.
[4]. Prabhakaran D, Shah P, Chaturvedi V, Ramakrishnan L, Mahapatra A, Reddy KS. Cardiovascular risk factors prevalence among
men in large industry of North India. Natl Med J India. Mar-Apr 2005; 18 (2): 59-65.
[5]. Prbhakarn D, Yusuf S,. Cardiovascular diseases in India: Lessons learnt and challenges in a Head. Indian J Med Res 2010; 132 (5):
529-530.

Abstract:Objective:To compare & evaluate surgically induced astigmatism following bimanual phacoemulsification (BMP) (1.8mm) , Conventional coaxial phacoemulsification (CCP)(3.2mm) & manual SICS(M-SICS)(5.5mm frown) Patients & Methods: Sixty patients were enrolled between June 2014 -June 2015,all with Senile cataract. Twenty patients were randomly assigned to the bimanual microincision phacoemulsification group,twenty patients to the coaxial phacoemulsification group & another twenty to manual SICS group. All patients were followed after 1 day, 1 Week, 1 month and 3 months of the procedure.

[1]. Ruit R, Tabin G, Chang D, et al. A prospective randomized clinical trial of phacoemulsification versus manual sutureless smallincision
extracapsular cataract surgery in Nepal. Am J Ophthalmol 2007; 143:32–38.
[2]. Kurz S, Krummenauer F, Gabriel P, Pfeiffer N, Dick HB Biaxial microincision versus coaxial small-incision clear cornea
cataract surgery. Ophthalmology 2006; 113:1818–1826.
[3]. Jean, Claude. Bimanual micro-incision phacoemulsification the way forward. l‟ophthalmographe 2005;22:4–5.
[4]. Ravindran RD, Haripriya A, Minu M. In:Ashok G, Luther L, Geoffery T, et al. editors. Relevance and clinical significance of
SICS (manual phaco) in modern cataract surgery.Clinical practice in small incision cataract surgery (phaco manual). 1st ed. Jaypee
Brothers;2005. 238–240

Abstract: Indirect pulp treatment (IPT) is a conservative and minimally invasive procedure, advocated more than 200 years ago. The study was done to assess the success rate of 2% chlorhexidine gluconate disinfecting solution (CHX) with calcium hydroxide (Dycal) and with resin modified glass ionomer liner (RMGIC) in IPT of primary molars. 60 primary molar teeth in children between the age 3 to 10 years were selected. Carious lesion approaching the pulp was removed followed by a dentin excavator to remove the caries at a site of "risk for pulp exposure".

[1]. Linda Rosenberg, Michael Atar, Marcia Daronch, Amy Honig , Marshall Chey et al,Prospective Study of Indirect Pulp Treatment in Primary Molars Using Resin-modified Glass Ionomer and 2% Chlorhexidine Gluconate: A 12-month Follow-up, Pediatr Dent 2013; 35: 13-17.
[2]. Naila S. Farooq, James A. Coll, Alan Kuwabara, Preston Shelton, Success rates of formocresol pulpotomy and indirect pulp therapy in the treatment of deep dentinal caries in primary teeth, Pediatr Dent 2000; 22:278-286.
[3]. Mohammed A. Al-Zayer, MS Lloyd H. Straffon, MS Robert J. Feigal, Kathleen B. Welch, Indirect pulp treatment of primary posterior teeth: a retrospective study, Pediatr Dent. 2003;25:29-36.
[4]. Caline A. Falster, Fernando B. Araujo, Lloyd H. Straffon, Jacques E. Nor, Indirect pulp treatment: in vivo outcomes of an adhesive resin system vs calcium hydroxide for protection of the dentin-pulp complex, Pediatr Dent 2002; 24:241-248.

Abstract: Fine needle aspiration cytology findings in lymphnodes of HIV patients. Aim: The aim of the study is to find the various fine needle aspiration cytology findings in lymphnodes of HIV patients. Material And Methods: Retrospective studies done from 2014 to 2015 for a period two years. Results: Total 100 cases were reported out of 100 cases, 62 are males and 38 are female.

[1]. Shobhana et al; people living with HIV Infection / AIDS – A study on lymphnode FNAC and CD4 count. Indian Journal of Medical Microbiology; 2002; 20;2; 99-101.
[2]. Merrtens T.E., Low Beer D. "HIV and AIDS where is the epidemic going" Bulletin of World health organization 1996; 74; 12-19.
[3]. Susan coffey, lymphadenopathy, clinical manual for management of HIV Infected adult 2006; the AIDS education and training centers. National resource center.
[4]. Martin Bates E; Tanner Aetal Journal of clinical pathology, 1993, 46, 564-566.
[5]. Parikh U.R.etal Diagnostic utility of FNAC in HIV positive lymphadenopathy – Journal of Clinical research letters, volume 3, issue 2; 2012, P 37-40

Abstract: gallstone disease is one of the common problems affecting the gastrointestinal system. factors like obesity,diet, age,ethnic background play arole in development of gallstone diseases. in this study we evaluated the common age group affected by gallstone and common presenting symptoms and biochemical nature of the stone. Methodology: Fifty patients of clearly documented cases of Gallstone diseases admitted in the surgical units of SRM Medical College Hospital and Research Centre between March 2012 to June 2013 constitute the material of this study.

[1]. Mincsev M. Bilocular gallbladder.Orvoskepzes 1967; 42; 286-98.
[2]. Olsen DO. Laparoscopic Cholecystectomy In: MacJadyer BV eds. Laparascopic surgery of abdomen. New York: Springer Publication; Laparascopic surgery of abdomen. New York: Springer Publication;
[3]. Oddsdottir M, Phaas TH, Hunter JG. Gallbladder and extrahepatic biliarysystem. In: Brucardi CF Eds. Schwartz's Principles of Surgery. 9th ed.USA: McGraw Hill Companies Inc; 2009. p. 1135-66.
[4]. Chari RS, Shah SA. Biliary system In: Townsend CM Eds. SabistonTextbook of Surgery. 18th ed. India: Elsevier Publication; 2009. p. 1517-88.
[5]. van Erpecum KJ. Biliary lipids, water and cholesterol gallstones.Biol Cell 2005; 97(11):815–22

Abstract: Meckel Gruber Syndrome (MKS) is a rare and lethal autosomal recessive disorder .It is characterized by occipital encephalocele , bilateral dysplastic cystic kidneys, post axial polydactyly . We report a case of MKS which was diagnosed by antenatal ultrasound examination and confirmed later when aborted at 19 weeks of gestation by neonatal biopsy. Keywords: Meckel Gruber syndrome, occipital encephalocele , dysplastic cystic kidneys, polydactyly .

[1]. Meckel JR. Beschreibung zweier durch sehr alnliche Bildungsaweichung entseller Geschwister. Dtsch Arch Phiol 1898;7:99.
[2]. Bindu NH, Vavilala S, Geetha Meckel-gruber syndrome Associated with CNS malformations – A case report. Int J Pharm Biosci. 2011;2:B484–91
[3]. Paavola P, Salonen R, Baumer A, Schinzel A, Boyd PA, Gould S, et al. Clinical and genetic heterogeneity in Meckel syndrome. Hum Genet. 1997;101:88–92.
[4]. Alexiev BA, Lin X, Sun CC, Brenner DS. Meckel-Gruber syndrome: pathologic manifestations, minimal diagnostic criteria and differential diagnosis. Arch Pathol Lab Med.2006;130:1236–8.
[5]. Salonen R, Paavola P. Meckel syndrome. Journal of Medical Genetics. 1998;35;497-501.
[6]. .Opitz, J. M., Howe, J. J.The Meckel syndrome (dysencephalia splanchnocystica, the Gruber syndrome).Birth Defects Orig. Art. Ser. 5: 167-179, 1969.