iosr-JDMS   Volume-15 ~ Issue-4 ~ April-2016

Abstract: With a view to prevent the immediate and late complications of operative procedures of spleen, especially the risk of Overwhelming post-splenectomy syndrome (OPSS), non operativemanagement has been proposed when the haemodynamic condition of the patient permits. This study was done to evaluate the prevalence, severity and mode of splenic trauma, management techniques (non operative& operative) and complications amongst the blunt abdominal trauma cases admitted in NRI General Hospital, a tertiary referral centre between the period October 2013 to September 2015........

Keywords: Blunt abdominal trauma ; spleeninjury ; non operativemanagement.

[1]. Maung AA , KaplanLJ , FrankelHL , CollinsKA; Management of splenic injury in the adult trauma patient . Available from
http://www.uptodate.com/contents/managemen t-of-splenic-injury-in-the-adult-trauma-patient.
[2]. Visrutaratna P, Na-Chiangmai W; Computed tomography of blunt abdominal trauma in children. Singapore Med J ., 2008;49 (4):
352–358.
[3]. Koo TY , RaYM , LeeSE , ChoiIS , YoonDS , Jo YJ et al .; Extension of nonoperative management on spleen injury with
judicious selection and embolization; 10 years of experience. J Korean Surg Soc .,2011; 80: 56 – 60
[4]. Buccoliero ,F. and Ruscelli ,P. Splenic trauma. In the management of trauma.From the territory to the Trauma Center. Edited by:
Cenammo A. Napoli: Italian Society of Surgery, 2010. p. 138 - 50.
[5]. Cohn SM, Arango JI, Myers JG; Computed tomography grading systems poorly predict the need for intervention after spleen and
liver injuries.Am Surg., 2009; 75:133-139

Abstract: This Paper Focuses The Correlation Of Radiological Index For Osteoporosis With Histological Status Of Bone. This Study Was Conducted In Orthopaedics Department In December 2012 To September 2014. A Total 25 Patients Were Recruited For The Study Of Age Group Between 35-80 Years And Suffering From Low Energy Trauma Was Considered. The Detailed History And Socio-Demographic Profile Of Each Patient Were Recorded To Rule Out Polytrauma........

Keywords: Osteoporosis, Singh's Index, Radiological Index

[1]. A Prentice- Diet, nutrition and the prevention of osteoporosis Public Health Nutrition: 7(1A),227–243DOI:10.1079/PHN2003590 http://www.who.int/nutrition/publications/public_health_nut8.pdf
[2]. Dr. Gaurav Lodha, Prof Ajay Kulkarni- A Study Of the Role of Health Camps and Patient Awareness Programs as a Promotional Strategy in Pharmaceutical Brand Promotion RESEARCH HUB – International Multidisciplinary Research Journal Volume-1, Issue-4, November 2014 ISSN: 2349-7637
[3]. http://www.iitk.ac.in/hc/Osteoporosis.pdf
[4]. La Fianza A, Taverna E, Parrini M, Campani R. Ultrasound densitometry and the index of Jhamaria in the diagnosis of senile osteoporosis Radiol Med. 1994 Oct;88(4):359-63.
[5]. N. D. Aggarwal, G. D. Singh, R. Aggarwal, R. P. Kaur, S. P. Thapar A survey of osteoporosis using the calcaneum as an index. International Orthopaedics 1986, volume 10, issue 2, pp 147-153

Abstract: Objective: The present comparative study was aimed to evaluate the efficacy of Pioglitazone and Metformin in improvement of menstruation patterns in symptomatic cases of PCOS patients. Materials and methods : The present study was a prospective , parallel group trial in 40 proven cases of PCOS , all the patients underwent clinical evaluations and detailed menstrual history at baseline....

Key Words: Oligomenorrhea, insulin resistance, hyperandrogenism

[1]. Azziz R, Woods KS. The prevalence and features of PCOS in an unselected population. J Clin Endocrinol Metab 2004; 89:2745-9
[2]. Hart R, Hickey M.Definitions, prevalence and symptoms of PCOS , Best Pract. Res. Clin Obstet Gynaecol 2004; 18: 671-89
[3]. Asunction M, Clavo RM.A prospective study of the prevalence of PCOS in unselected Caucasian women from Spain. J Clin Endocrinol Metab 2000; 85: 2434-8
[4]. Revised 2003 consensus on diagnostic criteria and long term health risks related to PCOS . Fetil Steril 2004; 81: 19-25
[5]. Miller K, Nixson C Boots LR. Prevalence of polycystic ovary syndrome (PCOS) in first-degree relatives of patients with PCOS. Fertil Steril 2001; 75: 35-8

Abstract: Back ground:Tetanus is a neurological disorder characterised by increased muscle tone, spasms and autonomic instability with high a mortality .Though it is easily preventable with highly effective vaccine, tetanus is still a major health problem in India and other developing countries and is associated with high morbidity and mortality. Aims: The aim of our study is to assessthe epidemiological and clinical profile of tetanus and outcome of the patients in relation to the clinical grading of the patients......

Keywords: Tetanus, trismus, outcome, immunization.

[1]. Lau LG, Kong KO, Chew PH. A ten-year retrospective study of tetanus at a general hospital in Malaysia. Singapore Med
J. 2001;42(8):346–50. [PubMed]
[2]. Edlich RF, Hill LG, Mahler CA, Cox MJ, Becker DG, Horowitz JH. Management and prevention of tetanus. J Long Term Eff Med
Implants. 2003;13(3):139–54. doi: 10.1615/JLongTermEffMedImplants.v13.i3.20. [PubMed] [Cross Ref]
[3]. Mchembe MD, Mwafongo V. Tetanus and its treatment outcome in Dar es Salaam: need for male vaccination. East African Journal
of Public Health. 2005. pp. 22–23.
[4]. Bleck TP. Clostridium Tetani. In: Mandell GL, Bennett JE, Dolin R, editors. Principles and Practices of Infectious Diseases. 6th
edition. vol 2. Philadelphia: Churchill Livingstone; 2005. pp. 2817–22.
[5]. Sandford JP. Tetanus-Forgotten but not gone. N Engl J Med. 1995;332:812–3. doi: 10.1056/NEJM199503233321209. [PubMed] [Cross Ref]

Abstract: By exploiting the synergism between intrathecal opioids and local anaesthetics it may be possible to augment the quality of spinal anaesthesia both intra and post operatively. We had evaluated in this prospective randomized double blind study to evaluate the effect of 25μg of fentanyl added to 12.5mg hyperbaric bupivacaine regarding time of onset and level of sensory block,intensity of motor block, duration of analgesia, haemodynamic stability and complications (if any).........

Keywords: Intrathecal, Spinal Anaesthesia, Fentanyl, Bupivacaine

[1]. Abouleish E, Rawal N, Shaw J. et al. Intrathecal morphine 0.2 mg versus epidural bupivacaine 0.125 % or their combination:
effects on parturients. Anaesthesiology 1991;74:711-6.
[2]. Hunt CO, Naulty JS, Bader AM. et al. Perioperative analgesia delivery with subarachnoid fentanyl - bupivacaine for cesarean
delivery. Anaesthesiology. 1989; 71: 535-40.
[3]. Leighton BL, DeSimone CA, Norris MC et al. Intrathecal narcotics for labor revisited: the combination of fentanyl and morphine
intrathecally provide rapid onset and profound prolonged analgesia. Anesth. Analg. 1989; 69: 122-5.
[4]. Rueben SS, Dunn SM, Dupart KM et al. An intrathecal fentanyl dose response study in lower extremity revascularization
procedures. Anaesthesiology 1994; 81: 1371-5.
[5]. Wang C, Whitman G, Chakrabarti K et al. Specific enhancement by fentanyl of the effects of intrathecal bupivacaine on nociceptive
afferent but not on sympathetic efferent pathways in dogs. Anaesthesiology (1993) 79: 766-773.

Abstract: Purpose: The aim of this study is to evaluate effectiveness of regularly used disinfectant solution in the disinfection of acrylic resin specimens contaminated with Candida albicans. Materials and methods: Thirty six acrylic resin specimens contaminated in vitro with 1.5×108 cfu/ml suspensions of microorganisms were immersed in disinfectants for 10 minutes, the control group was not submitted to any disinfection process. Final counts of microorganisms per ml were performed by plating method for evaluation of microbial level reduction. Results were compare statistically by wilcoxon test (p<0.05)........

Keywords: Acrylic resins, antimicrobial activity, Candida albicans, disinfectants.

[1]. Vidya Bhat S, Karkala Sayed Suhaim, K. Kamalakanth Shenoy. Comparative study on effect, denture cleanser and disinfectant have on flexural strength of PMMA. International Journal of Applied Dental Sciences 2015; 1(3): 24-26.
[2]. Ana Patricia Fernandes Macedo Dantas, Rafael Leonardo Xediek Consani,
[3]. Janaina De Cassia Orlandi Sardi, Marcelo Ferraz Mesquita, Manoela Capla De Vasconcellos Dos Santos Da Silva And Mario Alexandre Coelho Sinhoretibiofilm Formation In Denture Base Acrylic Resins And Disinfection Method Using Microwave. Journal of Research and Practice in Dentistry
[4]. Francine Cristina Da Silva, Esteva O Tomomitsu Kimpara, Maria Nadir Gasparotto Mancini, Ivan Balducci, Antonio Olavo Cardoso Jorge & Cristiane Yumi Koga-Ito. Effectiveness of six different disinfectants on removing five microbial species and effects on the topographic characteristics of acrylic resin. Journal of Prosthodontics 17 (2008) 627–633.
[5]. Ghasemi E.a, Badrian H.b, Khalighinejad N. Investigating the Effects of Spraying Deconex on Disinfection of three Different Impression Materials. J Dent Shiraz Univ Med Scien 2012; 13(3): 97-102

Abstract: Malaria is a common transfusion-transmissible infection. There has been growing evidence that ABO blood group antigens influence susceptibility and resistance to parasitaemia. This study was aimed at determining the prevalence of parasitaemia in blood donors and the association between blood group antigens and parasitaemia. Malaria parasitaemia was determined by microscopy of Giemsa- stained thick and thin blood smears made from donor samples.........

Keywords:Malaria, Parasitaemia, Blood Groups, Donor, Transfusion.

[1]. World Health Organisation (December 2014). Malaria Fact sheet N°94. Available at http://www.who.int/mediacentre/factsheets/fs094/en/. Accessed 23rd February, 2015.
[2]. P.R. Fischer, P.Boone. Short report: Severe malaria associated with blood group. Am J Trop Med Hyg. 58, 1998, 122-123
[3]. B. Lell, J. May, R.J Schmidt-Ott , L.G Lehman , D. Luckner , B. Greve . The role of red blood cell polymorphism in resistance and susceptibility to malaria. Clin infect Dis 28.1999, 794-799.
[4]. F. Montoya, M.Restrepo, A.E.Montoya, W. Rojan. Blood groups and malaria. Rev Inst Med Trop Sao Paulo,36, 1994, 33-38
[5]. S.K Martin and M. Miller. Frequency of blood group antigens in Nigerian children with falciparum malaria. Transactions of the Royal Society of Tropical Med and Hygiene.73, 1979, 216-218

Abstract: The respiratory effects of exposure to air conditioner have been investigated in numerous studies; but results of these studies have not been consistent. The aim of the present study was to investigate the respiratory effects of air conditioner exposure in a group of air conditioner users. The 35 air conditioner users were subjected to spirometry to assess the respiratory functions. Forced expiratory volume at the end of one second i.e. FEV1 and forced vital capacity i.e.........

Keywords: Air conditioner FEV1 FVC

[1]. Dhaar GM, Rabbani I. Environmental Pollution. In: Dhaar GM, Rabbani I, editors. Foundation of Community Medicine. 2 nd ed. Noida, UP: Elsevier; 2008. p. 91.
[2]. Rundell KW, Jenkinson DM. Exercise induced bronchospasm in the elite athlete. Sports Med 2002;32:583-600.
[3]. Kippelen P, Caillaud C, Robert E, Connes P, et al. Effect of endurance training on lung function: A one year study. Br J Sports Med 2005;39:617-21.
[4]. Feyrouz Al Ashkal, Peles J Muzzone. Interpreting pulmonary function tests: Recognise the pattern and diagnosis will follow. Cleveland Clinic Journal of Medicine 2003; 70(10)860-62).
[5]. Timothy j. Barreiro, and irene perillo, Am Fam Physician. 2004 Mar 1;69(5):1107-1115

Abstract: Avulsion of tooth is a common emergency situation that may occurs after a traumatic accident. It requires immediate care because the time elapsed between the trauma and the start of treatment is considered the most important factor in the prognosis. This case report describes the successful management of an avulsed tooth that has been stored in saliva for a period of 18 hours. The tooth was root canal treated extraorally, immersed in Doxycycline hydrochloride for 20 minutes and immediately replanted. Anterior maxillary teeth were splinted by a semi-rigid splint. After 2 weeks splint was removed and a radiographic review was done. 6 months follow-up revealed no radiographic or clinical signs and symptoms.

Keywords: Avulsion, Doxycycline, Root Canal Treatment, Splint, Trauma

[1]. Andreasen JO, Andreasen FM. Avulsions. In: Andreasen JO, Andreasen FM, editors. Textbook and colour atlas of traumatic injuries to the teeth. Copenhagen: Munksgaard; 1994. p. 383-425.
[2]. Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. 2. Factors related to pulpal healing. Endod Dent Traumatol 1995; 11(2):59-68.
[3]. Iqbal MK, Bamaas N. Effect of enamel matrix derivative (EMDOGAIN) upon periodontal healing after replantation of permanent incisors in beagle dogs. Dent Traumatol, 17(1), 2001,36-45.
[4]. Marzola C, Toledo-Filho JL, Valarelli TP, Rosa-Marques R. Avulsão dental: a comunidade leiga e o cirurgião dentista sabem o que fazer? [dissertação]. São Paulo (SP): Associação Hospitalar de Bauru; 2006.
[5]. Marzola C. Fundamentos de cirurgia buco maxilo facial. Bauru: Ed. Independente; 2005. CDR com 70 capítulos de Cirurgia e Traumatologia.

Abstract:Distal diametaphyseal tibia fracture though requires operative treatment is difficult to manage. Conventional osteosynthesis is not suitable because distal tibia is subcutaneous bone with poor vascularity. Closed reduction and minimally invasive plate osteosynthesis (MIPO) with locking compression plate (LCP) has emerged as an alternative treatment option because it respects biology of distal tibia and fracture hematoma and also provides biomechanicaly stable construct especially in patient with Co-morbid factors and addictions. Our study aimed to manage fractures of the distal third tibia by the minimally invasive plate osteosynthesis technique and follow them prospectively.

[1]. Greys anatomy. Howard JJ, Barie et al. A prospective study of evaluating incision placement and wound healing for tibial plafond
fratures. J Orthop trauma. 2008; 5: 250-255.
[2]. Mu"ller ME, Allgo"wer M, Schneider R, et al. Manual of Internal Fixation. Techniques recommended by the AO-ASIF group.
Berlin, Springer-verlag, 1991.
[3]. Reudi T, Matter P, Allgower M et al. Intra-articular fractures of the distal tibial end. Helv Chir Acta. 1968; 35: 556-582.
[4]. Reudi TP, Allgower M et al. The operative treatment of intra-articular fractures of the lower end of the tibia. Clin Orthop Rel at at
Ras 1979(138): 105-110.
[5]. Kai H, Yokoyama K, Shindo M, Itoman M. Problems of various fixation methods for open tibia fractures: experience in a Japanese
level I trauma center. Am J Orthop 1998; 27: 631-6.

Abstract:Oral anticoagulant is often prescribed in patients at risk of thromboembolic diseases, for prophylactic reason. The drug is associated with attendant risk of bleeding as side effect, often due to over dosage or synergistic interaction with other drugs. We report a case of patient on oral anticoagulant, with unsuspected massive mesenteric haematoma, haemoperitoneum and haemorrhagic infarction of small bowel, accidentally discovered at laparotomy.

Keywords:Haemoperitoneum, haemorrhagic infarction of small bowel, mesenteric haematoma and Oral anticoagulant.

[1]. Frederic SO and Mary-Anne P deep venous thrombosis, in Gideon PN, Frederic SO and Demetrios D (ed.), Trauma Secret; 29
(New Delhi: Jaypee Brothers Medical Publishers 2001), 167-170
[2]. Jacobs LG, Warfarin pharmacology, clinical management, and evaluation of haemorrhagic risk for the elderly, Clin Geriatr Med.
2005; 22:17-32.
[3]. Timothy RL, Alehegn G and Christopher D, Acute Warfarin toxicity: An unanticipated consequence of amoxicillin/clavulanate
administration, Am J Case Rep, 2014; 15:45-48.
[4]. Irina P, Colin R, Trudi J and Steven B, Warfarin toxicity and individual variability- clinical case, Toxin, 2010,2:2584-2592. Doi:
10.3390/toxins2112584.
[5]. Markis M, Watson HG, The management of coumarin –induced over-anticoagulation, Annotation. Br. J. Haematol.2001, 114,271-
280

Abstract: Turmeric, the golden herb has been in use since time immemorial. The recent resurgence in interest in this herb has lead to its tremendous use in multiple ailments. Scientific evidence has been gathering gradually with dental applications have come to light only recently. This article suggests the possible mechanism of action and probable potential uses of turmeric in recent time and coming future.

Keywords: Curcuma, Curcumin, Indigenous medicine, Traditional medicine, Turmeric extract

[1]. Nadkarni AK. Indian Materia Medica. Bombay: Popular Prakashan PVP; 1954.
[2]. Srivastava KC, Bordia A, Verma SK. Curcumin, a major component of food spice turmeric (Curcuma longa) inhibits aggregation and alters eicosanoid metabolism in human blood platelets. Prostaglandins Leukot Essent Fatty Acids 1995;52:223-7.
[3]. Conney AH, Lysz T, Ferraro T, Abidi TF, Manchand PS, Laskin JD, Huang MT. Inhibitory effect of curcumin and some related dietary compounds on tumor promotion and arachidonic acid metabolism in mouse skin. Adv Enzyme Regul 1991;31:385-96.
[4]. Skrzypczak-Jankun E, McCabe NP, Selman SH, Jankun J. Curcumin inhibits lipoxygenase by binding to its central cavity: theoretical and X-ray evidence. Int J Mol Med 2000;6:521-6.
[5]. Wallace JM. Nutritional and botanical modulation of the inflammatory cascade- -eicosanoids, cyclooxygenases and lipoxygenases-as an adjunct in cancer therapy. Integr Cancer Ther 2002;1:7-37

Abstract: India nurtures a large population of Tuberculosis unlike Crohn's which is mainly a disease of Western population. Clinicopathological similarity between these two diseases often creates a dilemma and divert the physician from choosing the right path of healing. Besides Tuberculosis, being endemic in India, we often misdiagnose the cases of Crohn's as TB and thereby complicating the overall scenario. In our case report, we are showing three such cases of Crohn's misdiagnosed pre-operatively as tuberculosis, thus hampering the proper management and treated surgically. Cases of crohn's are now increasing in India especially in the last two decades. The purpose of this publication is, to report, thus creating an awareness among caregivers to diagnose these types of cases, keeping both Crohn's and Tuberculosis in mind so as not only to execute a proper plan of management but also to alleviate the sufferings of the patients at its minimum.

[1]. Crohn BB, Ginzburg L, Oppenheimer GD. Regional ileitis, pathological and clinical entity. JAMA 1932;99:1923-9.
[2]. Antia FP. Crohn's conundrum in Indians. Indian J Gastroenterology;1986;5:79-80.
[3]. Das P, Shukla HS. Clinical diagnosis of abdominal tuberculosis; Br J Surg 1976;63:941-6.
[4]. Kapoor VK. Abdominal tuberculosis: the Indian contribution. Indian J Gastroenterol 1998;17:141-7.
[5]. Amarapurkar DN, Patel ND, Amarapurkar AD, Agal S, Baigal R, Gupte P. Tissue polymerase chain reaction in diagnosis of intestinal tuberculosis and Crohn's disease. J Assoc Physicians India 2004;52:863-7.

Abstract: Peptic ulcers include gastric ulcers, Esophageal ulcers and Duodenal ulcers. The aim of this study is to have a clinical presentation of peptic ulcer perforation and to study the various method and management of peptic ulcer perforation .The treatment of perforated ulcer disease continues to evolve because of recent advances in pharmacology, bacteriology, and operative technique. The main surgical treatment option was simple closure with Graham patch.

[1]. Nomani AZ, Malik AK, Qureshi MS.A new prognostic scoring system for perforation peritonitis secondary to duodenal ulcers. J Pak Med Assoc. 2014 Jan;64(1):50-6.

[2]. Liubskaia LA, KolesnikovaIIu, Grigor'evaIuV. Clinical and endoscopic features and treatment problems in patients with perforated duodenal ulcer. TerArkh. 2013; 85(12):51-4.

[3]. Leeman MF, Skouras C, Paterson-Brown S.The management of perforated gastric ulcers.Int J Surg. 2013;

Abstract:Giant cell tumor is a common neoplasm which may affect subchondral bone and aggressively destroy bone and surrounding soft tissues. Such tumors need to be removed without residual cells. The bone defect thus created needs to be filled up, either by reconstruction with graft or the joint be entirely replaced by arthroplasty with custom made megaprosthesis. In some cases, resection with fusion of the joint may be attempted. This prevents joint movement but is much more affordable than arthroplasty. Here we are presenting one such case of giant cell tumor of right tibia with resection arthrodesis of knee who has had reasonably satisfactory outcome.

Keywords: Giant cell tumor, Knee Arthrodesis, Locking Plate,Pathological Fracture.

[1]. Heck RK: Benign/ Aggressive Tumors of Bone. In :Canale ST, Beaty HJ (ed). Campbell's Operative Orthopaedics. 12th Edition.
(Mosby,Elsevier ; 2013)887-8.
[2]. Ghert M, Rizzo M, Harrelson J, et al:Giant cell tumor of the appendicular skeleton , ClinOrthopRelat Res 2002:400:201.
[3]. Campanacci M, Baldini N, Boriani S, et al: Giant-cell tumor of bone. J Bone Joint Surg 1987; 69A:10
[4]. Blackley HR, Wunder JS, Davis AM, et al: Treatment of giant-cell tumors of long bones with curettage and bone-grafting. J Bone
Joint Surg 1999; 81A:811.
[5]. Labs K, Perka C, Schmidt R: Treatment of stages 2 and 3 giant-cell tumor. Arch Orthop Trauma Surg 2001; 121:83.

Abstract:The examined material consisted of 71 examinees from both genders at the age of 12, from which the experimental group consisted of 40 children and the control group consisted of 31 examinees.A survey was carried out in order to assess the socio-economic status of the families, to assess the nutritional status (BMI) of the examinees, to verify the dental health while noting the DMFS, DMFT and the intensity of dental caries. The data that presented the socio-economic status of the examinees in both groups showed......

Keywords: Dental Caries, Permanent Teeth, Nutritional Status, BMI

[1]. Newbrun E. (1967) Sucrose, the arch criminal of dental caries. Odontol Revy. ,18(4):373–386.
[2]. Muller-Bolla M, Zakarian B, Lupi-Pegurier L, Velly AM. (2006) État de santé bucco-dentaire et risque de carie individuel en
fonction de la zone de scolarisation à éducation prioritaire ou non : enquête épidémiologique en 2004-2005 dans la ville de Nice.
Rev Odonto Stomato,,35(4):219-38.
[3]. Wondwossen F, Astrøm AN, Bjorvatn K, Bårdsen A.(2004) The relationship between dental caries and dental fluorosis in areas
with moderate- and high-fluoride drinking water in Ethiopia. Community Dent Oral Epidemiol.,32(5):337–44. [PubMed]
[4]. Meyer-Lueckel H, Paris S, Shirkhani B, Hopfenmuller W, Kielbassa AM. Caries and fluorosis in 6- and 9-year-old children residing
in three communities in Iran. Community Dent Oral Epidemiol. 2006;34:63–70.[PubMed]
[5]. Marmot M.(2005) Social determinants of health inequalities. The Lancet. 365; 1099-104.

Abstract:Attention deficit hyperactivity disorder (ADHD) is a highly prevalent neurodevelopmental disorder in childhood. It is characterized by definite behavioral patterns of inattention, impulsivity and hyperactivity, which might lead to performance problems in the social, educational, or work environments. This article reviews the current evidence about the diagnosis and treatment of children and adolescents.............

Keywords: Attention deficit, hyperactivity, impulsivity, dental

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33
[2]. Kaplan, H. I.; Sadock, B. J. (2009). Kaplan & Sadock's comprehensive textbook of psychiatry. Philadelphia, Wolters Kluwer
Health/Lippincott Williams & Wilkins
[3]. Scahill L, Schwab‑Stone M, Merikangas KR, Leckmaz JF, Zhang H, Kasl S. Psychosocial and clinical correlates of ADHD in a
community sample of school‑age children. J Am Acad Child Adolesc Psychiatry 1999;38:976‑8
[4]. Venkata JA, Panicker AS. Prevalence of attention deficit hyperactivity disorder in primary school children. Indian J Psychiatry
2013;55:338-42
[5]. Pliszka SR. Patterns of psychiatric comorbidity with attention deficit/hyperactivity disorder. Child Adolesc Psychiatr Clin North
Amer 2000; 9: 525-40

Abstract:Objective: To study the incidence of eclampsia and determine maternal and perinatal outcome associated with eclampsia in a tertiary hospital. Methods: A retrospective study was conducted in Gandhi hospital, OBG Department, on all eclampsia cases during 1 year period i.e from Jan 2015 – Dec 2015. Different parameters including age, parity, gestational age, booking status, mode of delivery, admission to delivery interval, hospital stay, maternal and perinatal outcome were studied.

Keywords: Eclampsia, maternal outcome, perinatal outcome.

[1]. Agida ET, Adeka BI, Jibril KA. Pregnancy outcome in eclamptics at the University of Abuja Teaching Hospital, Gwagwalada,
Abuja: a 3 year review. Niger J Clin Pract. 2010 Dec;13(4):394-8.
[2]. Swende TZ, Abwa T. Reversible blindness in fulminating preeclampsia.Ann Afr Med. 2009 Jul-Sep;8(3):189-91. doi:
10.4103/1596-3519.57247.
[3]. Sibai BM, Sarinoglu C, Mercer BM. Eclampsia. VII. Pregnancy outcome after eclampsia and long-term prognosis. Am J Obstet
Gynecol. 1992 Jun;166(6 Pt 1):1757-61; discussion 1761-3.
[4]. Turner JA. Diagnosis and management of pre-eclampsia: an update.International Journal of Women's Health. 2010;2:327-337.
doi:10.2147/IJWH.S8550.
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WHO;1999.

Abstract: Patient satisfaction is one of the most important parameter of quality of services provided to the patients in a hospital. It is essential to be aware of how the patients evaluate the quality of health care service so as to facilitate hospital administration to enhance quality of services and satisfy patients to a great extent. Objective: to assess the quality of services obtained from a tertiary care hospital in Ranchi, Jharkhand..............

Keywords: Patient satisfaction, behavior, cleanliness.

[1]. WHO, World Health Organization, Technical Report Series, 706. Geneva: WHO; 1984.
[2]. Demir C, Celik Y. Determinants of patient satisfaction in a military teaching hospital. JHealthcQual 2002;24:30-4
[3]. Quality Management in Healthcare ,Subhash S. Dodwad, Indian Journal of Public Health, Volume 57, Issue 3, July-September, 2013.
[4]. Agrawal D. Health Sector Reforms: Relevance in India. Indian Journal of Community Medicine 2006; 31:220-2
[5]. Jenkinson C, Coulter A, Bruster S, Richards N,Chandola T. Patient's experiences and satisfaction with healthcare: Results of a questionnaire study of specific aspects of care. Qual Saf Health Care 2002; 11:335-9

Abstract:Background: Rectopexy is one of the accepted treatment options for rectal prolapse. We compare laparoscopic rectopexy to open rectopexy, and have used three techniques: mesh, suture, and resection. Methods: From 2006 to 2015, 15 patients underwent open rectopexy (8 mesh rectopexy, 4 suture rectopexy and 3 suture rectopexy with resection). 20 patients underwent laparoscopic rectopexy (4 mesh rectopexy, 10 suture rectopexy and 6 suture rectopexy with resection)..............

[1]. Theuerkauf Jr FJ, Beahrs OH, Hill JR: rectal prolapsed: Causation and surgical treatment . Ann surg 1970;171:819-835
[2]. Karulf RE ,Madoff RA ,Goldberg SM (2001) Rectal prolapsed.curr Probl Surg 38:757-832
[3]. Madiba TE ,Baig MK ,Wexner SD (2005) Surgical management of rectal prolapsed.Arch Surg 140:63-73
[4]. Aitola PT, Hiltunen KM ,Matikainen MJ (1999) Functional results of operative treatment of rectal prolapse over an 11- year
period: emphasis on transabdominal approach .Dis Colon Rectum 655-660
[5]. Eu KW Seow –Choen F (1997) Functional problems in adult rectal prolapse and controversies in surgical treatment. Br J Surg 84
:904-911

Abstract: Background: Laparoscopic cholecystectomy (LC) is first line treatment of symptomatic cholecystectomy. We compare standard (4 ports) laparoscopic cholecystectomy to three ports laparoscopic cholecystectomy. Methods: From November 2011 to July 2012, total of 60 patients underwent LC, out of which 30 had standard ports LC and next 30 had three ports LC. Results: Intra-operative findings were similar in both groups. There was no postoperative mortality observed in either group. There was no significant difference observed in two groups regarding operative time and conversion to open cholecystectomy.............

[1]. The epidemiology of gallstone disease in Rome, Italy. Part I. Prevalence data in men. The Rome Group for Epidemiology and
Prevention of Cholelithiasis (GREPCO) 1988 Jul-Aug;8(4):904-6.
[2]. Schauer PR, Luna J, Ghiatas AA, Glen ME, Warren JM, Sirinek KR. Pulmonary function after laparoscopic cholecystectomy.
Surgery. 1993 Aug;114(2):389-97; discussion 397-9.
[3]. Mouret P. From the first laparoscopic cholecystectomy to the frontiers of laparoscopic surgery ; The future prospectives . Dig Surg
1991;8:124-5
[4]. Udwadia TE . Laparoscopic cholecystectomy . Ist ed. Bombay;Oxford University Press: 1991. p 65 – 78
[5]. Soper NJ, Barteau JA, Clayman RV, Ashley SW, Dunnegan DL. Comparison of early postoperative results for laparoscopic versus
standard open cholecystectomy. Gynecol. Obstet. 1992;174:114–8.

Abstract: Ebola virus was first discovered in 1976,WHO reports 24 outbreaks,28,633 cases and 11,315 deaths in the recent outbreak. Human to- human transmission of Ebola virus (EBOV) not been reported, the spread is due to direct contact with infected wild animal, fruit bat or contact with blood, body fluids of the infected person. Natural reservoir for Ebola virus yet to be confirmed, bats are likely reservoir species.

Keywords: Ebolavirusdisease,Ebolahemorrhagicfever,mortality,Diagnosis,andmanagement

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Abstract: Introduction: Lower urinary tract symptoms (LUTS) are a collection of symptoms related to problems with the voiding, storage and post-micturition of urine. They generally arise as a result of abnormalities or inadequate functioning of the prostate, urethra, bladder or sphincters. Methods: This is a prospective study which was conducted from 1st Sept. 2011 to 31st Aug 2012. Data was collected from patients attended surgical OPD & wards of J.A.............

Keywords: LUTS, Prostatism, BEP, BPH, Storage symptoms, Voiding symptoms, Post-micturitions symptoms

[1]. Chapple CR, Roehrborn CG. A shifted paradigm for the further understanding, evaluation, and treatment of lower urinary tract symptoms in men: focus on the bladder. EurUrol 2006 Apr; 49(4):651-8

[2]. Parsons JK, Bergstrom J, Silberstein J, Barrett Connor E. Prevalence and characteristics of lower urinary tract symptoms in men aged>or = 80 years. Urology 2008; 72: 318–321
[3]. Abrams P. New words for old: Lower urinary tract symptoms for "Prostatism". Br Med J 1994; 308: 929-30.

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Abstract: Centralserous retinopathy is commonly acquired macular disorder, seen more frequently in males of young males who have type A personality. But this is the case of sixteen year old female who experienced recurrence after 1.25 years of initial episode. The recurrence was associated with choroidal neovascularization, though there were no predisposing factors. High degree of suspicion led to early detection and prompt treatment of choroidal neovascularization, which restored the vision.So regular follow up of these patients and high index of suspicion in atypical cases is very important.

[1]. Liakapoulos S, Ongchin S, Bansal A, Msutta S, Walsh AC, Updike PG et al. Quantitative optical coherence tomography findings in various subtypes of neovascular age related macular degeneration. Invest Ophthalmol Vis Sci 2008;49(11):5048-5054.
[2]. Liegl R, Ulbig MG. Central serous chorioretinopathy. Ophthalmologica 2014;232:65-76.
[3]. Prunte C., Flammer J.: Choroidal capillary and venous congestion in central serous choroidopathy. AJO1996;121:26-34.
[4]. Aggio FB, Roisman L, Melo GB et al. Clinical factors related to visual outcome in central serous chorioretinopathy. Retina 2010;30(11): 28-34.
[5]. Loo HR, Scott IU, Gass JDM, Flynn HW, Murray T, Smiddy WE et al. Factors associated with reduced visual acuity during long term follow up of patients with idiopathic central serous retinopathy. Retina 2002Feb ;22(1):19-24.

Abstract:Background: Incidence of Primary dysmenorrhea is very high among the females of reproductive age group. It is responsible for the school, college and work absenteeism because of pain and discomfort. Objective: The objective of the present study was to find out the effectiveness of Pilates in reducing the pain and improving Quality of Life in females with primary dysmenorrhea. Methods: The Experimental study consists of 50 subjects between the age of 18 to 30 years randomly selected as per the inclusion and exclusion criteria. The participants were divided equally by alternate sampling method .25 subjects were in group A (pilates group) and the other 25 in group B (conventional).

Keywords: Primary dysmenorrhea, Pilates, Conventional Physiotherapy treatment

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