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

Abstract: Background: Postoperative discitis is an uncommon complication of spine surgery with estimated incidence rate usually less than 1%1. It is defined as primary infection of nucleus pulposus with secondary involvement of cartilaginous end plates and adjacent vertebral bodies following lumbar disc surgeries2. Early diagnosis based on clinical, laboratory, imageological findings and identification of causative agent and appropriate management of discitis is essential to reduce morbidity. The aim of this study was to identify the associated risk factors, most common level of discitis and outcome of conservative management in cases of post operative discitis of single level discectomy....................

Keywords: C Reactive protein, Magnetic resonance imaging(MRI), Post op discitis

[1]. Ford LT, Key JA (1955) Postoperative infection of intervertebral disc space. South Med J 48(12):1295–1303.
[2]. Hamdan TA. Postoperative disc space infection after discectomy: a report on thirty-five patients. Int Orthop. 2012 Feb;36(2):445-
50.
[3]. Turnbull F. Postoperative inflammatory disease of lumbar discs. J Neurosurg. 1953 Sep;10(5):469-73.
[4]. Adam D, Papacocea T, Hornea I, Croitoru R. Postoperative spondylodiscitis. A review of 24 consecutive patients. Chirurgia
(Bucur). 2014 Jan-Feb;109(1):90-4.
[5]. Santhanam R, Lakshmi K. A Retrospective Analysis of the Management of Postoperative Discitis: A Single Institutional
Experience. Asian Spine J. 2015;Aug;9(4):559-64.

Abstract: Background/Aim: Pre-eclampsia (PE) and eclampsia are major obstetric problem in developing countries and remains an important cause of maternal mortality worldwide. The study aimed to compare the platelet count and platelet indices in pre-eclampsia patients with normal pregnancies.............

Keywords: Eclampsia, Hypertension, Indices, platelets, Pre-eclampsia, Pregnancy

[1]. Sibai B, Dekker G, Kupferminc M. Preeclampsia. Lancet, 365, 2005, 785–799.
[2]. Stekkinger E, Zandstra M, Peeters LL, Spaandernen ME. Early-onset preeclampsia and the prevalence of postpartum metabolic
syndrome. Obstet Gynaecol, 114(5), 2009, 1076-1084.
[3]. Semenovakaya Z and Erogul M. Pregnancy, Preeclampsia. eMedicine – Medical Reference, 2010,
http://emedicine.medscape.com/article/796690-overview.
[4]. Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look P. WHO analysis of causes of maternal death: a systemic review.
Lancet, 367(9516), 2006,1066-1074.
[5]. Duley L. The global impact of pre-eclampsia and eclampsia. Semin Perinatol, 33, 2009, 130–137.

Abstract: Background: Hypertropia is a condition of misalignment of the eyes where the visual axis of one eye is higher than the fellow fixating eye. Hypotropia is the similar condition focus being on the eye with the visual axis lower than the fellow fixating eye. Dissociated Vertical Deviation is a special type of hypertropia leading to slow upward drift of one or rarely both eyes usually when the patient is inattentive. Vertical Deviation may be congenital or acquired and misalignment is due to imbalance in extra ocular muscle function.........

Keywords: Superior oblique palsy / Congenital fourth cranial nerve palsy, Inferior oblique over action, Inferior Rectus muscle palsy, Double elevator palsy.

[1]. David A.Plager.,Edward G.Buckley, Marshall M.Parks, Gunter K.Noorden " Strabismus surgery basic and advance strategies" page
106-109.2004.
[2]. Duke.Elder S., "System of Ophthalmology". Volume VIStrabismus1949
[3]. E.Ugene M.Helveston " The strabismus minute" Vol II, no 16., Copy right© 2000.
[4]. EM Helveston Trans Am ophthalmol Soc.1980:78:734-779" Dissociated vertical deviation-a clinical and laboratory study."
[5]. E. Aurell and K. Norrsell,Department of Ophthalmology, County Hospital, Mölndal, Sweden, "

Abstract: Today point-based two-dimensional Brachytherapy (BT) is most often used for definitive radiotherapy in cervical cancer [1]. Results of Computer tomography (CT)/Magnetic Resonance Imaging (MRI) guided 3-Dimensional brachytherapy are very promising and paving the way to image based Brachytherapy. Feasibility to conform dose in image based BT allowed clinicians to adapt dose distribution in organs at risk and tumor in each fraction. Centers practicing image based BT showed improved dose distribution and outcome and decreased morbidity [1]............

[1]. www.embracestudy.dk last logged on 31st August 2012

[2]. Haie-Meder C, Pötter R, Van Limbergen E, Briot E, De Brabandere M, Dimopoulos J, Dumas I, Hellebust TP, Kirisits C, Lang S, Muschitz S, Nevinson J, Nulens A, Petrow P, Wachter-Gerstner N; Gynaecological (GYN) GEC-ESTRO Working Group (I): Recommendations from Gynaecological (GYN) GEC ESTRO Working Group (I): concepts and terms in 3D image based 3D treatment planning in cervix cancer brachytherapy with emphasis on MRI assessment of GTV and CTV; Radiother Oncol 2005;74(3):235–45

[3]. Pötter R, Haie-Meder C, Van Limbergen E, Barillot I, De Brabandere M, Dimopoulos J, Dumas I, Erickson B, Lang S, Nulens A, Petrow P, Rownd J, Kirisits C;GEC ESTRO Working Group. Recommendations from gynaecological (GYN) GEC ESTRO working group (II): Concepts and terms in 3D image based treatment planning in cervix cancer brachytherapy—3D dose volume parameters and aspects of 3D image-based anatomy, radiation physics, radiobiology. Radiother Oncol 2006;78(1):67–77

[4]. Wachter-Gerstner N, Wachter S, Reinstadler E, Fellner C, Knocke TH, Wambersie A, Pötter R. Bladder and rectum dose defined from MRI based treatment planning for cervix cancer brachytherapy: comparison of dose–volume histograms for organ contours and organ wall, comparison with ICRU rectum and bladder reference point. Radiother Oncol 2003;68(3): 269–276
[5]. Olszewska AM, Saarnak AE, de Boer RW, van Bunningen BNFM, Steggerda MJ. Comparison of dose volume histograms and dose-wall histograms of the rectum of patients treated with intracavitary brachytherapy. Radiother Oncol 2001; 61(1):83–5.

Abstract: Anatomical variations in the origin and course of cystic artery are very common which is encountered during surgical and laparoscopic procedures. The knowledge of relevant anatomy of this region is very important for safe execution of cholecystectomy and other procedures. Misinterpretation of anatomy and presence of anatomical variations can lead to major intraoperative and post-operative complications. In present study a unique origin of cystic artery was found in one cadaver...........

Keywords: Cystic artery, Right hepatic artery, Calot's triangle, Anatomical variations, Cholecystectomy

[1]. Standring S ,Ellis H , Healy JC ,Johnson D, Williams A ,Collins P ,et al .Gray's Anatomy ,The anatomical basis of clinical practice.40th ed .New York.pg. 1179
[2]. .Flint ER.Abnormalities of the right hepatic ,cystic and gastroduodenal arteries and of the bile ducts.Br JSurg 1923;10:509-19
[3]. Daseler EH, Anson BJ, Hambley WC,Riemann AF.The cystic artery and constituents of the hepatic pedicle. Surg Gynecol Obst 1947 ;85:47-63
[4]. Michels NA, variation anatomy of the hepatic, cystic and retroduodenal arteries.A statistical analysis of their origin ,distribution & relation to the biliary ducts in two hundred bodies .Arch Surg 1953 ;66:20-34
[5]. Desilva M, Fernando D. Anatomy of the Calot's triangle and its relevance to laparoscopic cholecystectomy. Ceylon Mec t J2001;46(1) :33-4

Abstract: Objective: To measure the changes in orthodontically induced white spot lesion size , using 18% hydrochloric acid microabrasion & 37% orthophosphoric acid microabrasion techniques. Materials & Methods: Patients who had developed multiple white demineralised enamel lesions on teeth after post fixed orthodontic therapy were treated in this study. The study consisted of 20 patients, 10 patients in 18% hydrochloric acid (HCl) microabrasion group and 10 patients in 37% orthophosphoric acid microabrasion group. Both the groups underwent micro abrasion once in a week for a month...........

Keywords: white spot lesions,18% HCL , 37% orthophosporic acid

[1]. Pashley DH. Dentin permeability: theory and practice. Experimental Endodontics1990:19 49.
[2]. Gorelick L, Geiger A, Gwinnet AJ. Incidence of white spot formation after bonding and banding. Am J Orthod. 1982;81: 93–98.
[3]. Ogaard B. Prevalence of white spot lesions in 19 year olds: a study on untreated and orthodontically treated persons 5 years after
treatment. Am J Orthod Dentofacial Orthop.1989;98:423–437.
[4]. Van Der Linden RP, Dermaut LR. White spot formation under orthodontic bands cemented with glass ionomer with or without
fluor protector. Eur J Orthod. 1998;20:219–224.
[5]. Boersma JG, van der Veen MH, Lagerweij MD, Bokhout B, Prahl AndersenB. Caries prevalence measured with QLF after
treatment with fixed orthodontic appliances: influencing factors. Caries Res 2005;39:417.

Abstract: Background: Acute Encephalitis Syndrome (AES) is a leading cause of mortality and morbidity. Japanese encephalitis (J.E.) is the most prevalent mosquito borne viral encephalitis , occurring in Japan, China, Southeast Asia and India, affecting around 50,000 people and 15,000 deaths annually (4, 5). Acute Encephalitis Syndrome (AES) is a major health problem in the state of Assam. In the state of Assam, several districts of upper Assam , have been experiencing recurrent episodes of AES ( J E and non JE ) with different magnitudes in the post monsoon period leading to many deaths and greater numbers as disabled (7) ...........

Keywords: Acute encephalitis syndrome (AES), fever with altered sensorium, seizure, J.E.vaccine , neurological sequelae, mortality

[1]. Dan L. longo, Dennis L. Kasper, J Larry Jameson, Anthony S Fauci,Stephen L hauser, Joseph Loscalzo. : Harrison's Principles of Internal Medicine: Mc Graw Hill,2012: 18th edition, volume 2; pages 3421-3426.
[2]. Resource manual, National vector borne disease control programme, in India: Directorate General of Health services, 2014: Govt. of India.
[3]. Gendleman HE, Persidsky Y. Infections of the Nervous system. Lancet Neurol 2005; 4: 12-13.
[4]. Sejvar JJ. The evolving epidemiology of viral encephalitis. Curr opin Neurol 2006; 19: 350-357.
[5]. Panagariya A, Jam RS, Gupta S, Garg A, Sureka RK, Mathur V. Herpes simplex encephalitis in North West India. Neurol India. 2001 ; 49: 360-365.

Abstract: Acquired lymphangioma of vulva is popularly known as acquired or secondary lymphangioma circumscriptum of vulva but the more valid and descriptive terminology should be 'benign acquired lymphangiectasia of vulva'. Clinically, it presents with the surface lymph blisters seen as multiple, grouped, translucent papules, blisters and nodules chiefly over vulva and labia majora..............

Keywords: Acquired lymphangioma, lymphangiectasia, lymphangioma circumscriptum, lymph blisters

[1]. Mallett RB, Curley RK, Mortimer PS. Acquired lymphangiomata: report of four cases and a discussion of the pathogenesis. Br J
Dermatol 1992; 126: 380–382.
[2]. Sharma R, Tomar S, Chandra M. Acquired lymphangiectases mimicking genital warts. Indian J Dermatol Venereol Leprol.
2002;68:166–7.
[3]. Enjolras O, Wassef M, Chapot R. Color Atlas of Vascular Tumors and Vascular Malformations. Cambridge: Cambridge University
Press, 2007.
[4]. Verma SB. Lymphangiectasias of the skin: victims of confusing nomenclature. Clin Exp Dermatol 2009; 34(5): 566–569.
[5]. Brown JV, Stenchever MA. Cavernous lymphangioma of the vulva. Obstet Gynecol. 1989 May; 73(5 Pt 2):877-9

Abstract: Background & Aim: Addition of opiates with nonopioid adjuvants to local anaesthetics is becoming popular in perioperative pain management, as no single agent has yet been identified to specifically inhibit nociception without the usual side effects. Research continues concerning different techniques and drugs that could provide optimal operative conditions and postoperative pain relief. The present study is designed to assess the effectiveness of adding magnesium to a combination of intrathecal bupivacaine and fentanyl...............

Keywords: Adjuvants, analgesia, bupivacaine, fentanyl, intrathecal, magnesium sulphate

[1] Sirvinskas E, Laurinaitis R: Use of magnesium sulphate in anesthesiology. Medicina 2002;38:695-8.
[2] Woolf CJ, Thompson SW. The induction and maintenance of central sensitization is dependent on N-methyl D-aspartic acid
receptor activation: Implications for the treatment of post-injury pain and hypersensitivity states. Pain 1991;44:293-9.
[3] Woolf CJ, Chong MS. Preemptive analgesia: Treating postoperative pain by preventing the establishment of central sensitization.
Anaesthesia Analgesia 1993;77:362-79.
[4] Ascher P, Nowak L. Electrophysiological studies of NMDA receptors. Trends Neurosci 1987; 10:284-88.
[5] Lysakowsi C, Dumont L, Czarnetzki C, Tramer MR. Magnesium as an adjuvant to postoperative analgesia: A systemic review of
randomized trial. Anaesthesia analgesia 2007;104:1532-9.

Abstract: Musculoskeletal disorders are common problems in primary health care. Chronic painful tendon disorders are common in both athletic and sedentary individuals1,2. Lateral epicondylitis is relatively more common among working-age individuals in the general population3. Typical signs and symptoms include pain and tenderness over the lateral epicondyle, exacerbated by resisted wrist extension and passive wrist flexion, and impaired grip strength. This study aims to find whether autologous blood provides comparable functional outcome over local steroids and hence whether it can replace steroids in treatment of tennis elbow...............

[1]. Maffulli N, Wong J, Almekinders L C. Types and epidemiology of tendinopathy. Clin Sports Med 2003;22:675–92.
[2]. Woo SLY, Renstro´m PAFH. Tendinopathy in Athletes, the Encyclopaedia of Sports Medicine Vol. XII. Hong Kong: Blackwell
Publishing, 2007,1–9
[3]. Shiri R, Viikari-Juntura E, Varonen H, Heliovaara M. Prevalence and determinants of lateral and medial epicondylitis: a population
study. Am J Epidemiol,2006. 164(11):1065-74.
[4]. Ekberg K, Bjorkqvist B, Malm P, Bjerre- Kiely B, Karlsson M, Axelson O. Case-control study of risk factors for disease in the neck
and shoulder area. Occup. Environ Med, 1994. 51(4): 262-6.
[5]. Jobe FW, Ciccotti MG. Lateral and medial epicondylitis of the elbow. J Am Acad Orthop Surg 1994;2:1 – 8.

Abstract: Cerebral Palsy (CP) has emerged as one of the major causes of chronic childhood disability. A cross sectional study was conducted in Inpatient and Out Patient Department of Pediatrics in GMCH, Composite Regional Centre (CRC), and also from SishuSarothi, Spastics society of Assam for a period of 1 year from July 2014 to June 2015. The aims and objectives of the study were tostudy the clinical pattern and etiological factors of Cerebral Palsy and to determine the prevalence of associated disabilities or handicaps in Cerebral Palsy.Our study population included one hundred cases of diagnosed Cerebral Palsy cases upto 12 years of age..............

Keywords: Cerebral Palsy, severe asphyxia, spasticity

[1]. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M. A report: the definition and classification of Cerebral Palsy April 2006.
Dev Med Child Neurol. 2007;109:8–14.
[2]. CDC. Data and Statistics for Cerebral Palsy.[ updated on: July 31, 2015] http://www.cdc.gov/ncbddd/cp/data.html
[3]. Jones Kathy. Incidence of Cerebral Palsy Remains Constant in India on Indian Health News. [Internet]. 2010.[updated on 2010 Oct
04; Accessed on 2013 Jan 22]. Available from: http://www.medindia.net/news/Incidence of Cerebral Palsy Remains Constant in
India 749121.html .
[4]. Minear WL. A classification of Cerebral Palsy. Pediatrics 1956;18:841–52.
[5]. Behrman RE., Kliegman RM., Arvimn AM. Nelson Textbook of Pediatrics. 15th ed. Saunders. Philadelphia; 1996. Chapter 548,
Cerebral Palsy; p.1713-14

Abstract: Introduction: Allergic rhinitis is an inflammatory disorder of the nose which occurs when the membranes lining the nose become sensitised to allergens. Although not classed as a life-threatening disease, allergic rhinitis can reduce the patient's quality of life. Mometasonefuroate is a glucocorticosteroid used topically to reduce inflammation of the skin or in the airways. It is a prodrug of the free form mometasone. Fluticasonefuroate is a synthetic corticosteroid with a very high affinity for the glucocorticoid receptor and has a potent antiinflammatory action...............

[1]. Kalish L, Snidvongs K, Sivasubramaniam R, Cope D, Harvey RJ. Topical steroids for nasal polyps. Cochrane Database of
Systematic Reviews 2012, Issue 12. Art. No.: CD006549. DOI: 10.1002/14651858.CD006549.pub2.
[2]. Clinical Knowledge Summaries. Allergic rhinitis. November 2012. Available at: http://cks.nice.org.uk/allergicrhinitis#azTab
[3]. McCormack PL, Scott LJ. Fluticasonefuroate: intranasal use in allergic rhinitis. Drugs 2007; 67: 1905–15.
[4]. British National Formulary September 2013. Available at http://www.bnf.org/bnf/index.htm
[5]. Al Sayyad JJ, Fedorowicz Z, Alhashimi D, Jamal A. Topical nasal steroids for intermittent and persistent allergic rhinitis in
children. Cochrane Database of Systematic Reviews 2007, Issue 1. Art. No.: CD003163

Abstract: Introduction: Quality indicators (QIs) are fundamental tools enabling users to quantify the quality of laboratory services. Pre-analytical errors account for more than 70% of the total number of laboratory errors. Objective: To quantify performancein the pre analytical phase of testing in Clinical Biochemistry Laboratory, using quality indicators and compare our results with those in the literature to assess the quality of our laboratory services. ............

Keywords: pre analytical phase, quality indicators, six sigma metrics.

[1]. Plebani M. Quality indicators to detect pre-analytical errors in laboratory testing.ClinBiochem Rev. 2012;33:85–88.

[2]. Institute of Medicine Committee on Quality of Health Care in America.To Error is Human: Building a Safer Health System. Washington, DC: National Academies Press; 2000.

[3]. International Organization for Standardization. ISO 15189:2012:medical laboratories:particular requirements for quality and competence. Geneva, Switzerland: InternationalOrganization for Standardization; 2012.

[4]. International Organization for Standardization (ISO).ISO 15189:2007: Medical laboratories: particular requirements for quality andcompetence. Geneva, Switzerland: International Organization forStandardization; 2007

[5]. Plebani M, Carraro P. Mistakes in a stat laboratory: types and frequency. ClinChem1997;43:1348–51.

Abstract: Amidst several controversies involving orthodontic treatment and gingival recession, periodontal complications of tongue thrust habit especially in adults have not yet been fully investigated. This case report presents a successful clinical case of progressive spacing of incisors (PSI) with gingival recession treated with proper alveolar root housing and autogenous grafting. A 24 year old girl reporting with mobility in mandibular anterior teeth was diagnosed Miller's class-II gingival recession of 7 mm and grade-II mobility in mandibular central incisors along with anterior tongue thrust habit..............

Keywords: Anterior tongue thrust, creeping attachment, connective tissue graft, gingival recession, progressive spacing of incisors

[1]. The American academy of Periodontology. Glossary of periodontal terms (3rd ed). Chicago: The American academy of
Periodontology 1992:41.
[2]. Greenwell H, Fiorellini J, Giannobile W, Offenbacher S, Salkin L, Townsend C, et al. Oral reconstructive and corrective
considerations in periodontal therapy. J Periodontol 2005;76:1588-600.
[3]. Richman C. Is gingival recession a consequence of an orthodontic tooth size and/or tooth position discrepancy? "A paradigm shift.".
Compend Contin Educ Dent 2011;32:62-9.
[4]. Artun J, Krogstad O. Periodontal status of mandibular incisors following excessive proclination. A study in adults with surgically
treated mandibular prognathism. Am J Orthod Dentofacial Orthop. 1987;91:225–232.

Abstract: Fanconi Anaemia (FA) is an inherited autosomal recessive disease which is characterized by multiple physical abnormalities (especially the fore arm and thumb), bone marrow failure, and a higher than normal risk of cancer. A 31/2year old male child presented with a congenital absence of the thumb with associated flexure deformity of the middle and ring finger. On examination he was neither pale nor icteric..............

Keywords: Fanconi Anaemia, absent radius and thumb, ventricular septal defect.

[1]. Diagnosis of Fanconi anaemia- through clinical evaluation. National Organization for rare disorder (NORO) Danbury CT 2013.
[2]. Fanconi anaemia- Genetic home reference (A service of the US National library of medicine) your guide to understanding genetic
condition 2012.
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[4]. Fanconi anaemia- Healthline- Reference library 2016.
[5]. 5. Swischuk, L.F. Fanconi's anaemia imaging of the new born infant and young child. 4th edition Williams and Wilkins Baltimore
1997:781783.

Abstract: Objective: Laparoscopic approach for ovarian cysts during pregnancy would be a better method for a good obstetric outcome. Design: The following study is a prospective analysis of surgical and obstetric outcome among five pregnant women with incidental ovarian cysts during 2nd trimester. Subjects: Five ANC patients who presented with vague symptoms to emergency department who were diagnosed with ovarian cysts in pregnancy...............

[1]. Hoover and jerkins, 2011;lieseroueitz, 2006; runowiez and brawer, 2014; [telischaket al, 2008]
[2]. Management of ovarian cysts in pregnancy; a care report, journal title European journal of gynecological oncology
[EUR.J.GYNAECOL.ONCOL.] ISSN 0392-2936_2005,VOL.26, N0.6, PP.651-653.
[3]. Hermans RHM , Fischer DC , Van der Putten HWHM; Adnexal masses in preganancy2003, 26:167-172.
[4]. Ultra sound review of obstetrics and gynecology [NLM - MEDICINE] Jul. 1 2004,vol.24, ISS 1; pg. 622
[5]. Al –Fozan H, Tulandi T : Safety and risks of laparosopy in pregnancy. Obstet Gynecol 2002, 14(4):375 – 379.

Abstract: A chronic subdural hematoma (CSDH) is defined as chronic (≥3weeks) intracranial bleeding between the dura mater (which adheres to the skull), and the arachnoid mater which envelops the brain. It is usually traumatic and unilateral but rarely, spontaneous hematoma occurs especially in the elderly. Both could be bilateral. The neurological symptoms are usually non specific and may not be readily recognized in the absence of a clear history of head trauma. This is more so in resource limited environments where there is paucity of diagnostic facilities like the computerized tomography (CT) scan...............

Keywords: Subdural, hematoma, acute, chronic, headache

[1]. H.S. Wang, S.W. Kim, S.H. Kim,Chronic Subdural Hematoma in an Adolescent Girl .J Korean Neurosurg Soc 2013,53,3,201-203.
http://dx.doi.org/10.3340/jkns.2013.53.3.201.**
[2]. I.W Crandon, D.Eldermire-Shearer, D. Fearon –Botha, C. Morris, K.James. A Report of Chronic Subdural Hematoma in two
Elderly Patients. West Indian Med J 2007,56, 6,547-549 **
[3]. A.O Jimoh, D. A Guga, S.Danjuma, M. Mesi. Chronic Subdural Haematoma in Zaria. Orient Journal of Medicine 2015, 27,3-4
,109-114**
[4]. J.Soleman, P.Taussky, J. Fandino and C.Muroi. Evidence-Based Treatment of Chronic Subdural Hematoma in Farid Sadaka, Tamya
Quin (Eds) Traumatic Brain Injury Open Access: InTech 249-281 http://dx.doi.org/10.5772/57336.

Abstract: Background: Miliary tuberculosis (TB) is a potentially lethal disease if not diagnosed and treated early. However, diagnosing miliary TB poses a challenge that can perplex even the most experienced clinician. Cryptic miliary TB is miliary TB where the classical and radiological features of miliary TB are not present. Diagnosis is often delayed resulting in high mortality because of the nonspecific features. We report cryptic miliary tuberculosis in an 85 year old Nigerian...............

Keywords: Cryptic, Miliary, Disseminated, Tuberculosis

[1]. WHO Global tuberculosis report 2015. http:/www.who.int/tb/publications/global-report/gtbr 2015.accessed 3.12.2015
[2]. A. Chijioke, A. Aderebigbe, P.M Kolo, T.O Olarewaju, A.M Makusidi, A.E Ogutoyin, Miliary tuberculosis masquerading as
pyrexia of obscure origin: A case report, Sahel Medical Journal 2010,13, 1 ,50-52
[3]. 3.M.M.Modkour etal (Eds),Tuberculosis (BerlinHeidelberg,Springer-Verlag,2004).273-300 doi.10.1007/978-3-642-18937-1_18.
[4]. 4.J.Jacques and J.M.Sloan, The changing pattern of miliary tuberculosis, Thorax 1970,25, 237-240 Downloaded from
http://thorax.bmj.com/ on June 13, 2016.
[5]. 5. S.K. Sharma, A.Mohan , A. Sharma, Challenges in the diagnosis & treatment of miliary tuberculosis, Indian J Med Res
2012,135,5.703-730

Abstract: Objective: To study the use of Platelet Rich Fibrin (PRF) as a healing aid in different routine oral surgical procedures. Methods: 5 cases of each type of routine oral surgical procedures like intra alveolar molar extraction, trans alveolar extraction of root stump, surgical extraction of 3 rd molar, small cyst enucleation and preprosthetic alveoplasty were selected. PRF was put in all the cases and healing and pain were observed. We mainly focused on soft tissue healing as it indirectly creates good environment for hard tissue formation..............

Keywords: Healing, Pain, PRF

[1]. Sujata Mohanty, Himani Pathak, Jitender Dabas. Platelet rich fibrin: A new covering material for oral mucosal defects.
Journal of oral biology and craniofacial research 2014(4)144-146.
[2]. Preeja C, Arun S. Platelet-rich fibrin: Its role in periodontal regeneration. The Saudi Journal of Dental Research 2014;5:117-122.
[3]. Eduardo Borie, Daniel Garcia, Iara Augusta Orsi et al. Platelet rich fibrin application in dentistry: a literature
review. Int J Clin Exp Med 2015;8(5):7922-7929.
[4]. Mustafa Tunha, Hakam Ozdemir, Zafer Kucukodaci et al. A novel platelet concentrate: Titanium prepared platelet rich
fibrin. Biomed Research International vol. 2014, Article ID 209548.
[5]. Harish Saluja, Vipin Dehane, Uma Mahindra. Platelet rich fibrin: A second generation platelet concentrate and a new friend
of oral and maxillofacial surgeons. Annals of Maxillofacial Surgery January – June 2011;vol 1;issue 1.

Abstract: The most challenging job for a prosthodontist is to rehabilitate the partial edentulous patient especially distal extension cases where fabrication of fixed prosthesis is quite impossible without using implants. Several conventional and contemporary treatment options were available for treating long span edentulous situations. For such cases ,attachment retained cast partial dentures would be the best solution as they give economically, functionally as well as esthetically good results. This article provides a simplified approach for rehabilitating the partially edentulous situations using precision attachment via case report

Keywords: Precision attachment, Cast partial denture, Removable partial denture

[1]. JainD, Gupta A, ChhabraS,SangwanA. Prosthodontic Rehabilitation using Attachment Retained Overdenture- Case ReportsIOSRJDMS2015: 14 (8) Ver. II):17-23.
[2]. Jain AR, Philip JM, Ariga P. Attachment-retained Unilateral Distal Extension (Kennedy's Class II Modification I) Cast Partial
Denture. Int J ProsthodontRestor Dent 2012; 2(3):101-107.
[3]. Patel H, Patel K, ThummerS,PatelK.R.Use of precision attachment and cast partial denture for long-span partially edentulous mouth - A case reportIJADS 2014; 1(1): 22-25.
[4]. Preiskel HW. Precision attachment in prosthodontics.1&2.London: Quintessence Publishing Co Ltd 1995:69-78.
[5]. MakkarS,Chhabra A, KhareA. Attachment Retained Removable Partial Denture: A Case Report IJCDS: 2011:2(2).

Abstract: Background: HIE is one of the most common cause of neonatal deaths and morbidity in children. Due to limited facilities in India, many a times HIE goes undetected only to present in later stages of life as handicapped children. Objective: To study the Magnetic Resonance Imaging (MRI) brain findings in children having suffered perinatal hypoxia, to analyze MRI findings in brain based on time of perinatal hypoxia. Material and Methods: A prospective Study was conducted on 100 patients suffered with perinatal hypoxia on Siemens 1.5 Tesla MAGNATOM AVANTO machine. Patterns of hypoxic ischemic brain injury in preterm and term infants of were evaluated.............

[1]. Qureshi AM, Anees R., Tahir S. S. Hypoxic ischemic encephalopathy in neonates. J Ayub Med Coll Abbottabad 2010; 22:4-9.
[2]. Baker LL, Stevenson DK, Enzmann DR. End stage periventricular leukomalacia: MR imaging evaluation. Radiology 1988;
168:809-815.
[3]. L. Liauw et al.Differentiating Normal Myelination from Hypoxic- Ischemic Encephalopathy on T1-Weighted MR Images: A New
Approach. American Journal of Neuroradiology 2007; 28:660-5.
[4]. Suzuki J, Ito M. Coincidence patterns of cerebral palsy in Shiga Prefecture, Japan, 1977-1991. Brain Dev 2002; 24:39-48.
[5]. Christeine PC.et al Neonatal Hypoxic Ischemic Encephalopathy: Multi Modality Imaging Radio Graphics 2006; 26:S159-S172

Abstract: Knowledge of incidence of morphological variations in the course and branching of the carotid arteries is important for radiological interpretation and surgical correction when they are symptomatic. Internal carotid artery (ICA) is known to show elongation in its extra cranial course. Previous studies have demonstrated the incidence and clinical symptoms of this morphological entity. However, the occurrence of elongation and looping of the common carotid artery (CCA) is seldom reported in the literature. During regular dissections, we came across a rare case of unilateral morphological variation of common carotid artery, in a female cadaver aged about 55 years. CCA presented a pronounced kinking or coiling, 2 cm above the origin of CCA.

Keywords: Common Carotid Artery (CCA and Siphon)

[1]. Gray H. Cardiovascular: internal carotid artery. In Gray's Anatomy (ed. Williams PL, Bannister LH, Berry MM, Collins P, Dyson
M, Dussek JE et al.) 38th edn. Edinburgh: Churchill Livingstone, 1995, pp 1523-9.
[2]. Pellegrino L, Prencipe G, Vairo F. [Dolicho-arteriopathies (Kinking, Coiling, Tortuosity) of the Carotid arteries: Study by color
Doppler Ultrasonography]. Minerva Cardioangiol 1998; 46(3): 69-76.
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pharynx: frequency, embryology and clinical implications. J Anat 2000; 197(Pt 3):373-81.
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[5]. Perdue GD, Barreca JP, Smith RB, King OW. The significance of elongation and angulation of

Abstract: Most Cases Of Myocardial Abscess Occur In The Setting Of Infective Endocarditis. When Symptoms And Signs Of Infective Endocarditis Persist Or Worsen, Myocardial Abscess Must Be Considered And Echocardiographic Imaging With A Close Look At Vegetations Must Be Performed Especially In Patients Who Have Longstanding Persistent Bacteremia And Who Do Not Respond To Antibiotic Therapy.

Keywords: Perivalvular Mitral Abscess Infective Endocarditis Transthoracic Echocardiography

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[3]. Chatterjee K, Gregoratos G. Infective Endocarditis. In: Chatterjee K. Parmley WW, Eds. Cardiology: An Illustrated Text/Reference Philadelphia: J.B.Lippincott Co.. 1991: 973-90.
[4]. Graupner C, Vilacosta I, San Roman JA, Ronderos R, Sarria C, Fernandez C, Mujica R, Sanz O, Sanmartin JV, Pinto AG. Periannular Extension Of Infective Endocarditis. J Am Coll Cardiol 2002;39:1204-11.

Abstract: Background: An accurate estimation of fetal gestation age is pivot and pillar in management of pregnancies including high risk cases. The ossification of scapula begins at 8 weeks of gestation age and is thus easily detected on ultrasound. Aims: To determine the correlation between fetal scapular length and gestational age and to determine its regression coefficient with respect to gestational age. Materials and methods: A prospective observational study was conducted on 200 women aged between 18 to 35 years with normal singleton pregnancies, over a duration of 7.5 months from December 2015 to July 2016 at Bankura Sammilani Medical College..............

Keywords: Correlation, regression coefficient, fetal scapular length, gestational age

[1] Pernoll ML, Taylor CM. Normal pregnancy and prenatal care. In: Decherney AH, Pernoll ML (Eds). Current Obstetric and
Gynecologic Diagnosis and Treatment. 8th ed. Fast Norwalk: Appleton and Lange, 1994: pp. 183-201
[2] Grudzinskas JG. Assessment of fetal wellbeing in early pregnancy. In: Edmonds Dk (ed). Dewhurst's Textbook of Obstetrics and
Gynaecology for postgraduates. 6 th ed. Blackwell science Ltd. 1999: pp. 133-8.
[3] Hadlock FP, Harrist RB, Hohler CW Determination of fetal age. In: Athey PA, Hadlock FP (eds).Ultrasound in Obstetrics and
Gynaecology, 2nd ed. New Delhi: B.I. Churchill Livingstone Pvt. Ltd., 1985: pp. 22-37.
[4] McClure, James G. M.D.; Raney, R Beverly M.D. Anomalies of the Scapula.Clinical Orthopaedics & Related Research. 1975
Jul/Aug;110:22-31

Abstract: Early repolarisation pattern on ECG when a patient presents with chest pain needs careful evaluation to exclude coronary artery disease. The Authors report here a deceptive ECG pattern of early repolarisation in a patient with severe chest pain which necessitated coronary angiogram revealing normal epicardial coronary arteries. Subsequently, patient developed the typical ECG pattern of early repolarisation. Awareness of the deceptive ECG variant of early repolarisation pattern can avoid invasive coronary angiograms in these patients.

Keywords: Early Repolarisation Ecg Coronary Angiogram

[1]. Rautaharju PM, Surawicz B, Gettes LS, et al. AHA/ACCF/HRS recommendations for the standardization and interpretation of the
electrocardiogram: part IV: the ST segment, T and U waves, and the QT interval: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society: endorsed by the International Society for Computerized Electrocardiology. Circulation 2009; 119:e241.

[2]. Sinner MF, Reinhard W, Müller M, et al. Association of early repolarization pattern on ECG with risk of cardiac and all-cause
mortality: a population-based prospective cohort study (MONICA/KORA). PLoS Med 2010; 7:e1000314.
[3]. Haïssaguerre M, Derval N, Sacher F, et al. Sudden cardiac arrest associated with early repolarization. N Engl J Med 2008;
358:2016.
[4]. Abe A, Ikeda T, Tsukada T, et al. Circadian variation of late potentials in idiopathic ventricular fibrillation associated with J waves:
insights into alternative pathophysiology and risk stratification. Heart Rhythm 2010; 7:675.
[5]. Priori SG, Wilde AA, Horie M, et al. HRS/EHRA/APHRS Expert Consensus Statement on the Diagnosis and Management of
Patients with Inherited Primary Arrhythmia Heart Rhythm 2013; 10:1932.

Abstract: Purpose: To do a clinical evaluation of the results of the treatment of multiple adjacent gingival recessions with VISTA technique (Vestibular Incision Subperiostal Tunnel Access) and platelet-rich fibrin membrane (PRF m). Methods and materials: The study included 30 participants (19 women and 11 men) with multiple adjacent gingival recessions on both jaws of Miller's Class I and Class II. The surgical intervention was conducted using the VISTA technique in combination with platelet-rich fibrin membrane and the results were monitored for 6 months after the surgery. A total of 129 teeth with multiple adjacent gingival recessions were treated out of which 42 maxillary and 87 mandibular teeth............

Keywords: Platelet-rich fibrin, gingival recession, VISTA technique, oral surgery

[1]. Dridi SM,Chousterman M,Danan M,Gaudy JF. Heamorrhagic risk when harvesting palatal connective tissue grafts: a reality? J
Perio.2008; 5(4):231-240
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membranes. ( La regenerazione guidata dei tessuti con Gore-Tex: nuove prospettive?) Quintessence Int. 1990;6: 465-468.(45-49).
[3]. Dodge JR, Henderson R, Greenwell H. Root coverage without a palatal donor site using an acellular dermal graft. Periodontal
Insights 1998;5:5-8
[4]. Abbas F, Wennstrom J, Van der Weijden F, Schneiders T, Vander Velden U. Surgical treatment of gingival recessions using
emdogain gel: clinical procedure and case reports. Int J Periodontics Restorative Dent 2003;23:607-13.
[5]. Petrungaro PS. Using platelet-rich plasma to accelerate softtissue maturation in esthetic periodontal surgery. Compend Contin Educ
Dent 2001;22:729-32