iosr-JDMS   Volume-15 ~ Issue-7 ~ July-2016

Abstract: Ascites‟ means collection of excessive free fluid in the peritoneal cavity. Ascites is a manifestation of various number of diseases and the aetiopathogenesis of ascites is varied. Clinically ascites can be recognized when the amount of fluid exceeds 1500 ml. Ultrasound can detect as little as 100 mililitres in the common sites i.e. hepatorenal recess and pelvic cul-de-sac (normal fluid amount =50ml). Ultrasound performs better than CT in localizing asceitic fluid in relation to peritoneal spaces becauses it allows instant visualization in different planes. Ultrasound is also less hazardous in relation to CT. it involves minial patient‟s preparation and additionally is the least expensive of available imaging tests It can also be performed in very sick non ambulatory patients at beside.

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Abstract: The Patent Ductus Arteriosus ( PDA ) is one of the commonest acynotic congenital heart disease. Most of these can be managed by device closure. But very large , long or very short PDA are prone for failure. Simple ligation of PDA has been shown to have high recurrence rate. We in our institute categorized PDA depending on the size of PDA at the pulmonary end .Accordingly ,the operative procedure was determined either direct ligation or by modified division and suturing tehnique. Keywords: Calcific PDA, Patent ductus arteriosus, large PDA, division and suturing of PDA

[1]. Division, or ligation of patent ductus arteriosus? Alberto Rangel,* Héctor Pérez-Redondo,** Javier Farell, Marcelo Noé Basave,
Carlos Zamora. Volumen 13, Número 4 Octubre – Diciembre 2002 pp 158 – 161
[2]. John C. Johns : 25 years experience of surgery of PDA . Journal of Thoracic and Cardiovascular surgery . 50 : 149, 1965
[3]. Touroff, A. S. W. (1942). A modified technique of surgical ligation of patent ductus arteriosus. Surgery, 12, 24-30.
[4]. Ambalavanan SK, Mehta AV. Correspondence to the editor (Letter). J Pediatr Surg 1997; 32: 661.
[5]. Gross RE. Surgical management of patent ductus arteriosus with summary of four surgical treated cases. Ann Surg 1939; 110: 321.

Abstract: Objective: To study the role of iron deficiency as a risk factor for Simple febrile seizure. Methods: This case-control study evaluated 50 children aged 6-60 months with first episode of simple febrile seizure (cases) and 50 age and sex matched children with febrile illness but without convulsion (controls) from the Pediatric ward of a peripheral state medical college& hospital. Iron deficiency anemia was assessed in all participants by measuring Hemoglobin concentration (Hb %), Mean corpuscular volume (MCV), Mean corpuscular hemoglobin (MCH) and serum ferritin level...........

Keywords: Iron deficiency, anemia, serum ferritin, febrile seizure

[1]. Commission on Epidemiology and Prognosis, International League Against Epilepsy. Guidelines for epidemiological studies on
epilepsy. Epilepsia 1993; 34:592-96.
[2]. Berg AT. Febrile seizures and epilepsy: the contribution of epidemiology. Paediatr Perinatal Epidemiol 1992; 6:145–52.
[3]. Nelson KB, Ellenberg JH. Prenatal and perinatal antecedents of febrile seizures. Ann Neurol 1990; 27:127–31.
[4]. Berg AT, Shinnar S, Shaprio ED, et al. Risk factors for a first febrile seizure: a matched case-control study. Epilepsia 1995; 36:334–
41.
[5]. National Family Health Survey-3. Mumbai: IIPS; 2006. From: http://www.nfhsindia.org /data/India/ indch7.pdf. Accessed on
December 10, 2015.

Abstract: Synonyms: Clear cell sarcoma of soft tissue, Clear cell sarcoma of the tendons and aponeuroses, malignant melanoma of the soft parts. Background: Rodriguez-Martin, Ortiz-Cruz, Del Rio, Vivanco, & Lopaz-Amor in 2011 stated "Clear cell sarcoma is a high-grade soft tissue sarcoma seen in adolescents and young adults, with melanosytic differentiation typically involving tendons and aponeuroses". Clear cell sarcoma of soft tissue (CCSST) was originally described by Dr. Franz M. Enzinger in 1965 as a distinct entity of tumors arising from tendons and aponeuroses in young adults. Clear cell sarcoma (CCS) of soft tissue is a rare sarcoma with morphologic similarities to malignant melanoma..............

Keywords: Clear cell sarcoma, immunohistochemistry, sarcoma, diagnosis, soft tissue neoplasm, radiotherapy, chemotherapy, malignant melanoma

[1]. Enzinger FM. Clear-cell sarcoma of tendons and aponeuroses. An analysis of 21 cases. Cancer.1965;18:1163–74. [PubMed]
[2]. Lasithiotakis K, Protonotarios A, Lazarou V, Tzardi M, Chalkiadakis G. Clear cell sarcoma of the jejunum: A case report. World J
Surg Oncol. 2013;11:7. [PMC free article] [PubMed]
[3]. Hantschke M, Mentzel T, Rutten A, Palmedo G, Calonje E, Lazar AJ, et al. Cutaneous clear cell sarcoma: A clinicopathologic,
immunohistochemical, and molecular analysis of 12 cases emphasizing its distinction form dermal melanoma. Am J Surg
Pathol. 2010;34:216–22. [PubMed]
[4]. Crowson A, Magro C, Mihm MC., Jr Unusual histologic and clinical variants of melanoma: Implications for therapy. Curr Oncol
Rep. 2007;9:403–10. [PubMed]

Abstract: Objective: The aim of this study was to differentiate tremors on the basis of the electromyographic examination. Methods: A total of 100 patients, having different kind of tremors were prospectively analyzed. A detailed neurological and electromyographic examination was performed. The tremor was studied in all limbs positions. Clinically, patients were divided into seven diagnostic groups fulfilling the respective diagnostic criteria; Parkinson's disease (n= 45), Essential tremor (n=33), Psychogenic tremor (n =07), Valproate induced tremor (n =07), Cerebellar tremor (n =03), Primary writing tremor (n =03) and Rubral tremor (n = 02)...........

[1]. Britton TC. Essential tremor and its variants. Curr Opin Neurol 1995;8:314±319.
[2]. Rajput AH. Pathological and neurochemical basis of essential tremor. In:Findley LJ, Koller WC, editors. Handbook of tremor disorders,
New York: Marcel Dekker, 1995. pp. 233±244.).
[3]. Fahn S. Differential diagnosis of tremors. Med Clin North Am 1972;56:1363-75.
[4]. Findley LJ, Cleeves L. Classification of Tremor. In: Disorders of Movement: Clinical, Pharmacological and physiological aspects.
Academic Press 1989:505-19.
[5]. Milanov I. Electromyographic differentiation of tremors. J Clin Neurophysiol 2001;112: 1626-32.

Abstract: Hospital acquired infections (HAI) are a frequent and serious problem encountered in every health care setup, worldwide. Prevention of hospital-acquired infections is the responsibility of health authority, and training of health care workers regarding infection control practices is essential to bring down the rate of HAI. One such training program conducted in a rural based secondary care hospital was assessed and inferred. Materials & Methods – 61 participants in the training program were given a same set of questionnaires both before and after the test. The scores of the both tests were statistically compared and analyzed............

Keywords: Infection control, training program, pre test and post test scores

[1]. Practical guidelines for infection control practices in Health care facilities : WHO
[2]. Prevention of healthcare-associated infections in general practice: Current practice and drivers for change in a French study, IJMM
2012, VOL 30, issue 1, page, 69 – 75.
[3]. Infection control with limited resources, why and how to make it possible?
[4]. JB Sarma, GU Ahmed, IJMM, 2010, VOL 28, issue 1, page 11 – 16.
[5]. On the path of continual improvement, an evaluation of bio medical waste management training , L Joseph, H Paul, J
Premkumar, Rabindranath , R Paul, JS Michae, IJMM, Year 2015, Volume 33, Issue 1 [p. 129-131]

Abstract: AntiHBs is the protective antibody against Hepatitis B infection, which reaches maximum titre after one month of booster dose. Individuals' not developing antiHBs after booster dose are called non responders. This study aims to detect no of non responders to Hepatitis B vaccine, among paramedical students. Materials and methods – 74 paramedical students, who were screened negative for HBsAg and antiHBS were included in the study. They were given 3 doses of Hepatitis B vaccine at the interval of 0 – 1 – 6 months. At the end of one month of last dose of vaccine, presence of antiHBs was determined. Rate of non responders was assessed by the percentage of paramedical students' not developing antiHBs after completion of vaccine course..........

Keywords: Anti HBs, Hepatitis B vaccine, non responders

[1]. Mauss, Berg, Rockstroh, Sarrazin, Wedemeyer, "Hepatology‟ A Clinical Textbook, edition 2012.
[2]. Margolis HS, Alter MJ, Halder SC, Hepatitis B: evolving epidemiology and implications for control ,1991 : May 11( 2) : 84- 92
[3]. Vaccine M.S Plotkin, Walter Orenstein, Paul OFFIT, "VACCINE‟,6th edition, page no – 217
[4]. Kim J et al, "Revaccination of healthy non responders with Hepatitis B vaccine and prediction of seroprotection response", Pubmed, 2003 March, 7:21 (11 – 12):1174/9
[5]. Jaferzadeh A ,Montazerifar SJ, "Persistence of anti HBs antibody and immunological memory in children vaccinated with hepatitis B vaccine at birth" Pubmed 2006 oct-Dec:18(4);4-9.

Abstract: Abdominal aortaserves as the main arterial supply for abdominal wall, abdominal organs, lower limbs as well as the male and female genitals. Preoperative computed tomographic angiographyis a precious tool for demonstration of arterial variations and appropriate surgical planning.The present study discusses the presence and clinical significance of vascular variations along with review of literature and comment on embryological development of arterial abnormalities..............

Keywords: Aorta, variations, celiac trunk, left gastric artery, renal artery, computed tomographic angiography

[1]. Mcminn RHM. Last's Anatomy, regional and applied, 8th ed. Edinburgh: Churchill Livingstone; 1990.
[2]. Standring S.Gray's Anatomy- The anatomical basis of clinical practice. 39thed. New York: Elsevier/Churchill Livingstone; 2008.
p 1116-1117.
[3]. Petrella S, Rodrigues CFS, Sgrott EA, Fernandez GJM, Marques SR. & Prates JC. Anatomy and variations of the celiac trunk.
Int. J. Morphol. 2007; 25(2): 249-257
[4]. Jones RM, Hardy KJ. The Hepatic artery: a reminder of surgical anatomy. J R Coll. Surg. Edinb. 2001; 46: 168–170.
[5]. Chen H, Yano R, Emura S, Shoumura S. Anatomic variation of the celiac trunk with special reference to hepatic artery patterns.
Ann Anat. 2009; 191: 399–407.

Abstract: Aim: To compare the efficacy of topical phenytoin with that of a control group using conventional wound dressings ,in healing of diabetic ulcers, in terms of: Number of days required for healing, Rate of granulations tissue formation, Rate of reduction in mean ulcer surface area, Quality of graft bed, Skin graft take up, Serial culture and sensitivity of wound swabs to assess the effect of topical phenytoin on bacterial load. Study design: Randomized control trial. Place and duration of study: General Surgery Department, NRI Medical College & General Hospital, Chinakakani from October 2013 to September 2015. ............

Keywords: Chronic wounds,phynytoin, vascularity, dressing

[1]. Boulton AJ. The diabetic foot: a global view. Diabetes Metab Res Rev. 2000; 16 Suppl 1:S2-5. PubMed

[2]. Centers for Disease Control and Prevention (CDC). History of foot ulcer among persons with diabetes-United States, 2000-2002. MMWR Morb Mortal Rep 2003; 52:1098-1102.

[3]. Ratner D. Skin grafting. Semin Cutan Med Surg 2003; 22(4):295-305.

[4]. Calhoun J.H., Overgaard K.A., Stevens C.M., Dowling J.P., and Mader J.T., 2002, Diabetic foot ulcers and infections: Current concepts, Adv. Skin Wound Care, 15: 31-42 (quiz 44-45)

[5]. Younes N., Albsoul A., Badran D., and Obedi S., 2006, Wound bed preparation with 10 percent phenytoin ointment increases the take of split-thickness skin graft in large diabetic ulcers, Dermatol Online 1, 12: 5

Abstract: Introduction: Cardiac arrest predominantly observed in children younger than 1 year. About 60,000 children per year suffer from Cardiac arrest in united states. The aim of the present study is to know the magnitude and epidemiology of cardiopulmonary arrest & cardiopulmonary failure and outcome in existing pediatric intensive care units. Materials and Methods: All children were assessed according to PALS guidelines [8] for cardio pulmonary failure and cardio pulmonary arrest, which consist of general assessment, primary assessment, secondary assessment and tertiary assessment............

Keywords: Cardiac arrest, Cardiopulmonary Failure, Mortality rate.

[1]. J.N. Jameson St C, Dennis L Kasper, Harrison Tinsley Randolph, Braunwald Eugene, Fauci Anthony S Hauser, Stephen L Longo,
Dan L, Harrison's principles of internal medicine, (New York: McGraw-Hill Medical Publishing Division 2005).
[2]. P. Safar, F. Xiao, A. Radovsky et al, Improved cerebral resuscitation from cardiac arrest in dogs with mild hypothermia plus blood
flow promotion, Stroke, 27 (1), 1996 Jan, 105–13.
[3]. M. Rippe James M, S. Irwin Richard S, Irwin and Rippe's intensive care medicine, Hagerstwon MD, (Lippincott Williams &
Wilkins, 2003)
[4]. Erika E Tress, Patrick M Kochanek, Richard A Saladino, and Mioara D Manole J, Cardiac arrest in children Emerg Trauma
Shock,3(3), 2010 Jul-Sep, 267–272.
[5]. D.L. Atkins, S. Everson-Stewart, G.K. Sears, M. Daya, M.H. Osmond, C.R Warden et al, Epidemiology and outcomes from out-ofhospital
cardiac arrest in children: The resuscitation outcomes consortium epistry-cardiac arrest. Circulation, 119, 2009, 1484–91.

Abstract: Aim & Objectives: The present study attempts to assess the level of expressed emotions prevailing among the caregivers of inpatients with mental illness in a general hospital psychiatric set up at Government Medical College and Hospital Nagpur by quantification. Background: Expressed Emotion (EE) refers to caregivers' attitude towards a person with a mental disorder as reflected by comments about the patient made to an interviewer. Expressed Emotion is a significant characteristic of the family milieu that has been found to predict symptom relapse in a wide range of mental disorders..............

[1]. Anekal. C, Amresha and Ganesan Venkatsubramanium.Expressed emotions in Schizophrenia An overview Indian Journal of
Psychological Medicine . 2012 Jan-Mar;34(1):12-20.
[2]. Reinhard S, Brooks-Danso A, Kelly K and Mason D. State of the Science: Professional Partners Supporting Family Caregiver.
American Journal of Nursing. 2008 September; 108 (Suppl 9): 28 -34.
[3]. Ogbolu RE, Adeyemi JD, Erinfolami AR.Expressed emotion among schizophrenic patients in Lagos, Nigeria: a pilot study. African
Journal of Psychiatry.2013; 16:329-331.
[4]. Nations for Mental Health: Schizophrenia and Public Health.[Online] World Health Organization, 1996 [2013 November 23];[55].
Available from:URL:http://www.who.int/mental health/media/en/55.
[5]. World development Report. Investing in health, published for the World Bank. Oxford University Press. 1993. [Cited 2013 January
17].

Abstract: Falciparum malaria is known to cause severe malaria with multiorgan involvement while Vivax malaria is thought to run a benign course. However recent studies have reported complications even in vivax malaria and mixed infections. A prospective observational study was conducted for a period of 2 years on all patients who tested positive for malaria by smear examination or antigen test. A comparative evaluation of clinical features diagnostic methods, hematological profile and biochemical profile of patients presenting with vivax falciparum and mixed infection was done..Appropriate statistical analysis was done to compare the various parameters........

Keywords: Biochemical profile, clinical features, hematological parameters, vivax, falcipaum

[1]. World Malaria Report, 2015,Geneva Switzerland:WHO press:2015
[2]. Kumar A, Valecha N, Jain T, Dash A P. Burden of Malaria in India: Retrospective and Prospective View. Am J Trop Med Hyg
2007; 77(S6):69–78.
[3]. Abdallah TM, Abdeen MT, Ahmed IS, Hamdan HZ, Magzoub M, Adam I; Severe Plasmodium falciparum and Plasmodium vivax
malaria among adults at Kassala Hospital, eastern Sudan. Malar J 2013;12:148.
[4]. Vinayak V Shelat, Harshal T Pandve, Gayatri Pathak; Socio-demographic characters, clinical profile and laboratory parameters in
malaria cases due Plasmodium falciparum and Plasmodium vivax: A comparative study. Journal of Medicine in the Tropics 2014;
16:2:76-80
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2006; 43:29-33

Abstract: Dentigerous cysts are developmental odontogenic cysts and are always associated with an unerupted or developing tooth bud. Mesiodens is a supernumerary tooth found in the anterior maxilla. Supernumerary teeth seldom associate with dentigerous cysts and dentigerous cysts around supernumerary teeth account for 5% of all dentigerous cysts. Here we report a case of dentigerous cyst in association with a mesiodens in an 8 year old boy. The cyst was treated by enucleation with minimal tissue trauma and nerve preservation.

Keywords: Dentegerous cyst, supernumerary teeth, nerve, enucleation

[1]. Kasat VO, Karjodkar FR, Laddha RS. Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: A case report
and review of literature. Contemp Clin Dent 2012;3:373 6.
[2]. Kalaskar R R, Tiku A, Damle S G. Dentigerous cysts of anterior maxilla in a young child: A case report. J Indian Soc Pedod Prev
Dent [serial online] 2007 [cited 2016 Mar 20 ];25:187¬190
[3]. Naveen Kumar. M, Rama Devi. S, Shreenivas Vanaki. S, Puranik. R.S. Dentigerous Cyst Occurring in Maxilla Associated with
Supernumerary Tooth Showing Cholesterol Clefts-A Case Report. International Journal Of Dental Clinics Volume 2 Issue 2 April-
June 2010
[4]. John T, Guna Shekhar M , Koshy M. Dentigerous cyst associated with supernumerary teeth: a report of three cases.JCDR
2010.june vol : 4 issue : 3 page : 2601 ¬ 2606
[5]. Deepak JHH, Sana RM, Vinothini G, Thanigainathan R, Kandasamy M. Maxillary Dentigerous Cyst With Impacted Mesiodens - A Case Report. J Adv Med Dent Scie Res 2015;3(3):119-122

Abstract: Introduction: Supracondylar spur is a bony projection about 2-20 mm in length, occasionally projects from the anteromedial surface of the shaft of humerus about 5 cm proximal to the medial epicondyle. It represents an embryonic vestigial remnant in climbing animals and felines. It may be joined to the medial epicondyle by a fibrous band called ligament of struthers, which may ossify. It is usually asymptomatic but can present with the symptoms like median nerve and brachial artery compression when associated with struthers ligament............

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[2]. Standring S (2008) Gray's Anatomy. 40th edit. Elsevier Churchill Livingstone, Edinburgh, p 798.
[3]. R.J. Last Anatomy, regional and applied (7th ed)ELBS/Churchill Livingstone, Edinburgh, U.K (1984), pp. 73–74
[4]. Hafid Halha, Bernard Enon, Jean-Michel Chevalier, Philippe L'Hoste, Jean Pillet. Brachial artery entrapment : compression by the
supracondylar process.Journal Annals of vascular surgery.1987:1(4):479-82.
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Abstract: Platelet-rich plasma (PRP) contains high concentration of polypeptide growth factors that enhances periodontal regeneration when combined with graft materials. The aim of the present study was to evaluate the regenerative potential of a biogradable ceramic porous hydroxyapaptite and its combination with platelet rich plasma in the treatment of human periodontal intrabony defects. 20 periodontal interproximal intra-bony defects in 10 systemically healthy patients diagnosed with chronic periodontitis were included in the study. The defects were randomly divided into two group A included the defects treated by bone graft alone and ,group B a combination of platelet rich plasma and hydroxyapatite .............

Keywords: Clinical studies, periodontal regeneration, platelet rich plasma tissue engineering

[1]. Carranza F.A. 1996: "Reconstructive osseous surgery". In Carranza FA Jr., Newman MG, Clinical Periodontology, 8th Ed. W.B.
Saunders; 622-639
[2]. Marx RE. Platelet rich plasma (PRP): What is PRP and what is not PRP? J Implant Dent. 2001;10(4):225–228.
[3]. Marx RE. Platelet rich plasma: evidence to support its use. J Oral Maxillofac Surg. 2004;62:489–496.
[4]. Lekovic V, Camargo PM, Weinlaender M, Vasilic N, Aleksic Z and Kenney EB. Effectiveness of a combination of platelet-rich plasma, bovine porous bone mineral and guided tissue regeneration in the treatment of mandibular grade II molar furcations in humans. J Clin Periodontol. 2003; 30:746-51
[5]. Camargo PM, Lekovic V, Weinlaender M, Vasilic N, Madzarevic M and Kenney EB. Platelet-rich plasma and bovine porous bone
mineral combined with guided tissue regeneration in the treatment of intrabony defects in humans. J Periodontal Res. 2002; 37:300- 6.

Abstract: Periodontitis is a multi-factorial disease which has affected mankind since the dawn of an era. Prevalence of periodontal disease has considerably increased over a period of time. Periodontal research has progressed tremendously worldwide. In India in spite of increased periodontal research, many problems are faced by the clinicians. It leads to improper recording of the results and resultant failure to spread the knowledge that would help in understanding the subject better. This is a major setback in the current era of evidenced based clinical practice. Hence in this review, an attempt is made to discuss and emphasize these unsolved issues pertaining to epidemiology, disease activity and therapy.

Keywords: Epidemiology, Ethics, Finance, Pathogenesis, Solution, Therapy

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