iosr-JDMS   Volume-15 ~ Issue-3 ~ March-2016

Abstract: Isocyanates are used in various industries including paints. Isocyante induced asthma and extrinsic allergic alveolitis (Hypersensitivity pneumonitis) are known occupational hazards. Hypersensitivity pneumonitis is characterized by both restrictive (acute/subacute) and obstructive (chronic) pattern. Isocyanates are potent agents known to provoke immunological responses leading to a Hypersensitivity pneumonitis. This is a cross sectional study to observe the incidence of obstructive as well as restrictive pattern of disease....

Keywords: Isocyanates, restrictive pattern, spray painters

[1] Fisseler-Eckhoff A, Bartsch H, Zinsky R and Schirren J, Environmental Isocyanate-Induced Asthma: Morphologic and Pathogenetic Aspects of an Increasing Occupational Disease, Int J Environ Res Public Health 2011, 8, 3672-3687.
[2] International Labour Organization (ILO). Work-Related Fatalities Reach 2 Million Annually (ILO: Geneva, Switzerland, 2002).
[3] Pronk A et al. Respiratory Symptoms, Sensitization, and Exposure-Response Relationships in Spray Painters Exposed to Isocyanaes, American Journal of Respiratory and Critical Care Medicine 2007, 176, 1090-1097.
[4] Redlich CA, Bello D and Wisnewski AV, Isocyanate Exposure and Health Effects (4th ed. Lippincott William & Wilkins, Philadelphia, USA).
[5] Pronk A et al. Inhalation Exposure to Isocyanates of Car Body Repair Shop Workers and Industrial Spray Painters, Ann Occup Hyg 2006, 50, 1-14.

Abstract:Viral STD's are common STD's and their incidence has increased in the last two decades and has assumed major public health significance especially because of their association with HIV. Aim: Present study was under taken to know HIV seropositivity in patients with viral STD's attending OPD at tertiary care hospital. Patients were diagnosed clinically and followed by laboratory investigations including Tzanck smear where required. VDRL and ELISA were done in all patients........

Keywords: Herpes genitalis,HIV,Seropositivity,Viral

[1]. Mayaud P and McCormick D. Interventions against sexually transmitted infections (STI) to prevent HIV infection. Brit Med Bull (2001); 58 (1): 129-153
[2]. Backer DA. Diagnosis and treatment of viral STDs in women. Int J FertilWomens Med (1997); 42(2):107-114.
[3]. Sharma VK, Khandpur S. Changing patterns of sexually transmitted infections in India..Natl Med J India (2004);17:310-9.
[4]. Center for disease control and prevention. 1993 Revised classification system for HIV infection. Morbidity and Mortality Weekly Report (MMWR)1992,41:96
[5]. RaghunandanGovindTorsekar, Rujata K Sathe, Viral STDs, IADVL Textbook of Dermatology 4th edition( 2015,Bhalani publishing house, Mumbai)2871-2896.

Abstract: Tuberculosis is an ancient human disease that has long been a major public health challenge in the world and remains a problem in most developing countries. India is the highest TB burden country accounting for one fifth (21%) of the global incidence (Global annual incidence estimate is 9.4 million cases out of which it is estimated that 2 million cases are from India). India is 17th among 22 High Burden Countries in terms of TB incidence rate. (Source: WHO global TB report 2010)......

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Abstract: This study evaluated the sealing ability of Resin Modified GIC, White MTA and Biodentine as furcation repair materials using a dye penetration method seen under Confocal Laser Microscopy. Forty mandibular molars were randomly divided according to the material used for perforation repair. Group I- positive control, Group II- RMGIC, Group III – White MTA, Group IV– Biodentine. All samples were subjected to retrograde Rhodamine B dye challenge and analyzed under Confocal Laser Microscopy.....

Keywords: Furcal Perforations, RMGIC, MTA, Biodentine, Rhodamine B dye

[1] American Association of Endodontists glossary of endodontic terms, 7th ed. Chicago, IL: American Association of Endodontics, 2003.
[2] Sanghavi T, Shah N, Shah RR. Comparative analysis of sealing ability of biodentine and calcium phosphate cement against mineral trioxide aggregate as a furcal perforation repair material: An in vitro study. National Journal of Integrated Research in Medicine 2013;4:56-60.
[3] Adiga S, Ataide I, Fernandes M. Nonsurgical approach for strip perforation repair using mineral trioxide aggregate. J Conserv Dent. 2010;13(2):97–101.
[4] Mente J, Hage N, Pfefferle T, Koch MJ, Geletneky B, Dreyhaupt J, Martin N, Staehle HJ. Treatment outcome of mineral trioxide aggregate: repair of root perforations. J Endod. 2010;36(2):208–13.
[5] Seltzer S. Endodontic failures – an analysis based on Clinical, roentgen graphic and histologic findings. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 1967;34:517-30.

Abstract:Objective: To show utility of small incision (4 cm or less) in parotidectomy where incision is purely cervical. Study design: Prospective study. Setting: Tertiary care centre. Materials and Methods: In the study period of 7 years, from July 2008 to June 2015, 40 patients were included in this study, and were considered pre-operatively for possible attempt to perform minimally invasive small incision parotidectomy. All these patients with parotid swelling were included based on ultrasound and fine needle aspiration cytology......

Keywords: Parotidectomy, Small Incision, Extra Capsular Dissection, Frey's Syndrome, Cervical Incision

[1] Grays Anatomy – The Anatomical Basis Of Medicine And Surgery, Late Peter L Williams, Churchill Livingstone, 38th Ed, Reprint 2000, P1691
[2] Funda Aksu, Nazh Gulriz Ceri, Candan Arman, Suleyman Tetik. "Anastomosis Between Temporal Branch Of Facial Nerve And Auriculotemporal Nerve." Dokus Eylul Universitesi Tip Fakultesi. 2008;22(2):83- 88
[3] Torres Ts ; Lucena Neto, B; Silva, A. J. M; Dionisio, Rf ; Chaves, Ea N Sousa Rodriguez, C. "Surgical Anatomy Of Auriculotemporal Nerve In Preauricular Access." Int. J. Morphol. 2004:22(4): 327-330.
[4] Grover Nancy, D'souza Alwyn. Facelift Approach For Parotidectomy: An Evolving Aesthetic Technique. Otolaryngology–Head And Neck Surgery. 2013;148(4):548–556
[5] Mcgurk M., Thomas B. L. , Renehan A. G. "Extra Capsular Dissection For Clinically Benign Parotid Lumps : Reduced Morbidity Without Oncological Compromise." Br. Jr. Cancer. 2003:89:1610 -13.

Abstract: Influenza virus a common human pathogen that has caused serious respiratory illness and death over the past century.The onset of winter of 2014-2015 saw an alarming spurt in influenza A (H1N1) pdm 09 leading to a significant mortality. We describe the clinical profile of patients who were found H1N1 positive from January 2015 to December 2015. Prospective data of 112 patients with suspected influenza like illness was collected and subjected to throat swab testing for H1N1......

Keywords: H1N1, ARDS, RT PCR, Mechanical ventilation.

[1]. Saxena SK, Mishra N, Saxena R, Saxena S. Swine flu: influenza A/H1N1 2009: the unseenandunsaid. FutureMicrobio 2009;4(8):945–947.
[2]. Ministry of Health and Family Welfare, Government of India. Pandemic Influenza (H1N1)-Situational Update. http://mohfw-h1n.nic.in/document/PDF.
[3]. Fouchier R, Osterhaus AB, Steinbruner J et al. Preventing pandemics: the fight over flu. Nature 2012;481(7381):257–259.
[4]. Choi YK, Pascua PN, Song MS. Swine influenza viruses: an Asian perspective. Curr.Top.Microbiol.Immunol2012.
[5]. Reber AJ, Chirkova T, Kim JH et al. Immunosenescence and challenges of vaccination against influenza in the aging population. Aging Dis 2012;3(1):68–90.

Abstract: Psoriasis Is A Chronic Skin Disease That Can Have Severe Psychosocial Effects, Course Being Punctuated By Remissions And Relapses. Psychiatric Issues In Patients With Psoriasis Are Slowly Getting Momentum. The Aims Of This Study Was To Estimate The Prevelance Of Depressive And Anxiety Disorders In Psoriasis Patients And To Assess The Relationship Between Psychiatric Comorbidities And Psoriasis And Their Impact On Patients Well Being And Quality Of Life.......

Keywords:Anxiety, Depression, Psoriasis, Psychiatric Co morbidity, Quality Of Life..

[1] Kurd Sk, Gelfand Jm. The Prevalence Of Previously Diagnosed And Undiagnosed Psoriasis In Us Adults: Results From Nhanes 2003-2004. J Am Acaddermatol 2009; 60:218–24.
[2] Kimball Ab, Jacobson C, Weiss S, Vreeland Mg, Wu Y. The Psychosocial Burden Of Psoriasis. Am J Clindermatol 2005;6 :383-392.
[3] Barker Jn. The Pathophysiology Of Psoriasis. Lancet 1991; 338:227-30.

[4] Sunil Dogra, Savita Yadav. Psoriasis In India: Prevalence And Pattern. 2010;76:595-601.

[5] Picardi A, Abeni D, Melchi Cf. Psychiatric Morbidity In Dermatologic Outpatients: An Issue To Be Recognized. Br J Dermatol 2000;143:983-91.

Abstract: Calcium Channel Blockers (Ccbs) Are Prescribed In A Wide Variety Of Cardiovascular Conditions. Nevertheless, They Remain A Major Cause Of Cardiovascular Drug Overdose That Often Leads To A Lethal Outcome. We Report The Case Of Intoxication With Amlodipine, Which Caused Severe Hypotension, In A Middle Aged Man. The Patient Was Initially Treated With Gastric Lavage And Fluids. He Was Given Calcium Gluconate, And Inotropic Support. Patient Was Improved On Fourth Day Without Need Of Glucagon And Hyperinsulinemic Euglycemia. Later The Patient Was Discharged From The Hospital After Psychiatric Consultation.

Keywords: Amlodipine Overdose, Calcium, Calcium Channel Blocker(Ccb) Poisoning

[1] B. D. Adams And W. T. Browne, "Amlodipine Overdose Causes Prolonged Calcium Channel Blocker Toxicity," American Journal Of Emergency Medicine, 1998:16(5):527–528,.- View At Google Scholar
[2] D. R. Abernethy And J. B. Schwartz, "Calcium-Antagonist Drugs," The New England Journal Of Medicine, 1999;341(19):1447–1457. - View At Google Scholar
[3] Buckley NA, Whyte IM, Dawson AH. Overdose With Calcium Channel Blockers. BMJ 1994;308:1639.
[4] Kenny J. Treating Overdose With Calcium Channel Blockers. BMJ 1994;308:992-3.
[5] Saravu K, Balasubramanian R. Nearfatal Amlodipine Poisoning. J Assoc Physicians India. 2004;52:156–157.

Abstract: We Performed An Autopsy Analysis (N=16, 5women, 11 Men Of SCD Which Occurred In Patients Aged Over 50 Years During 2011 To 2014. The Following Variables Were Considered: Sex, Age, Medical History, Autopsy Findings To Macroscopic And Histological Evaluation Of The Heart. The Autopsies Were Performed According To Standard Techniques. In All Subjects, The Heart Was Dissected Following Standard Autopsy Protocol And A 5 Cm Section Of The Right Coronary Artery (RCA) In The Atrio-Ventricular Groove From Its Origin, A 5 Cm Segment Of The Left Anterior Descending Artery (LADA) Distal To The Origin Of The Circumflex Artery, But Including The Region Of Origin Of The Circumflex Branch And Left Coronary Artery (LCA) From Its Origin Till The Circumflex Branch Were Excised, Dissected Out, Fixed In 10 % Formalin, Marked For Identification And Sent For Histopathological Analysis.........

Keywords:Atherosclerosis; Coronary Artery; Autopsy; Inflammation; Plaque

[1] Bairey Ncb, Merz Bd, Johnson Bl, Sharaf Wise. Hypoestrogenemia Of Hypothalamic Origin And Coronary Artery Disease In Premenopausal Women. J Am Coll Cardiol. 2003; 41:413-419.
[2] Bertomeu A Et Al.Preclinical Coronary Atherosclerosis In A Population With Low Incidence Of Myocardial Infarction: Cross Sectional Autopsy Study. British Med J. 2003; 327(7415):591-592.
[3] Sharma K, Gulati M. Coronary Artery Disease In Women: A 2013 Update. Glob Heart. 2013; 8(2):105-12
[4] Campbell La, Rosenfeld Me. Infection And Atherosclerosis Development. Arch Med Res. 2015 May 21
[5] Bielak Lf, Yu P, Ryan Ka, Rumberger Ja, Sheedy Pf, Turner St, Post W, Shuldiner Ar, Mitchell Bd, Peyser Pa. Differences In Prevalence And Severity Of Coronary Artery Calcification Between Two Non-Hispanic White Populations With Diverse Lifestyles. Atherosclerosis. 2008; 196(2):888-95.

Abstract: Background: Generalisedskin rashes are among the most common conditions seen by primary care physicians and dermatologists. Accurate diagnosis is important as diagnostic errors are common and some rashes can be life threatening if not treated promptly. Aim: To know the etiology of different generalised skin rashes and to categorise them into broad groups for better approach. Methods: In the study, 120 cases of all ages,both sexes with varied presentations are included. Their detailed history, clinical examination are carried out, apart from routine investigations, blood VDRL,biopsy are also done for better approach towards the diagnosis.............

Keywords: Drug rash, pityriasisrosea, psoriasis, secondary syphilis, viral exanthem

[1] John W. Ely, Md, Msph, And Mary Seabury Stone, Md.The Generalized Rash: Part I. Differential Diagnosis:Am Fam Physician. 2010 Mar 15;81(6):726-734.
[2] Ely Jw, Osheroff Ja, EbellMh, Et Al. Analysis Of Questions Asked By Family Doctors Regarding Patient Care. Bmj. 1999;319(7206):358–361.
[3] Fleischer Ab Jr, Feldman Sr, McconnellRc. The Most Common Dermatologic Problems Identified By Family Physicians, 1990–1994. Fam Med. 1997;29(9):648–652.
[4] Fleischer Ab Jr, Feldman Sr, Bullard Cn. Patients Can Accurately Identify When They Have A Dermatologic Condition. J Am AcadDermatol. 1999;41(5 Pt 1):784–786.
[5] PariserRj, Pariser Dm. Primary Care Physicians' Errors In Handling Cutaneous Disorders. A Prospective Survey. J Am AcadDermatol. 1987;17(2 Pt 1):239–245.

Abstract: Background:Neonataljaundice is one of the common clinical findings in the neonates. It is bothphysiological and pathological. The risk of morbidity and mortality of pathological jaundice is amplified by associated risk factors which are preventable.

Aims and objectives of the study: To study the incidence of pathological jaundice, associated risk factors, and to assess the mortality and morbidity of neonatal jaundice associated with various risk factors in both term and preterm babies............

Keywords: Mortality, Morbidity, Neonatal jaundice, Pathological jaundice, risk factors

[1]. National Institute for Health & Care Excellence (NICE) Guidelines.clinicalguidancecg98: jaundice in newborns babies under 28 day. www.nice.org.uk, 2010.
[2]. John.PCloherty M.D. and Ann R. Stark, M.D., Mannual Of Neonatal Care. Pages 175-209.
[3]. Forfar and Arneils Text Book Of pediatricsed. By AGM Campbell Neil McINTOSH, 7TH edition, churchilLivingStone .
[4]. Behrman RE ,Kliegman RM, Jenson HB, Jaundice and hyperbilirubinaemia in newborn, eds, Nelson Text Book of pediatrics, 19th edition .
[5]. M.L. kulkarniMannual of Neonatology 2000P. 274-297.