iosr-JDMS   Volume-16 ~ Issue-1 ~ January-2017

Abstract: A randomized placebo controlled single blind study was conducted to compare the effects of bolus doses of metoprolol and esmolol heart rate ,systolic blood pressure and rate pressure product during laryngoscopy and intubation.60 patients of ASA I and II randomly received placebo or study group(1 mg/kg of esmolol) or 80 μg/kg of metoprolol in 20 ml normal saline.Heart rate,systolic b.p were recorded serially after study drug , before induction,during laryngoscopy and intubation and1/2min,1min,11/2 min ,2 min each minute till parameters reach baseline or 20 minutes whichever is earlier. Rate pressure product was calculated and statistically evaluated in all 3 groups..............

Keywords: (Esmolol metoprolol,laryngoscopy ,intubation,rate pressure product)

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pressure,heart rate and plasma concentration of catecholamines, ACTH and cortisol .British Journal of anaesthesia 1983, 55(5);405-
414.
[2]. Prys - Roberts C et al: Studies of anaesthesia in relation to hypertension,adrenergic beta receptor blockade.British journal of
anaesthesia.1973,45;671-680.
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58;251-260.
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1980, 35:972-978.
[5]. Freysz M. Timourt Q, Betril L et al. Propofol and bradycardia. Canadian J Anaesthesia 1991; 28:137-138.

Abstract: Thirty participants of SGT University Budhera, Gurgaon (Haryana) India including anesthesiologists, surgeons and paramedical staff were surveyed by giving a structured questionnaire regarding their preference for small or large surgical incision for laparotomy and for finding reasons for their preference for a particular incision. Most participants were in favor of small surgical incision. The most common reason for their preference was better cosmetic results.

Keywords: Large Incision, Small Incision, Preference.

[1]. Guillou, P.J., Hall, T.J., Donaldson, D.R., Broughton, A.C., Brennan, T.G. (1980): Vertical abdominal incisions - a choice? British
Journal of Surgery, 67(6): 395-9.
[2]. Clarke, J.M. (1989): Case for midline incisions. Lancet, Mar 18; 1 (8638): 622.
[3]. Stone HH, Hoefling SJ, Strom PR, et al. Abdominal incisions: transverse vs vertical placement and continuous vs interrupted
closure. South Med J. 1983 Sep. 76(9):1106-8.
[4]. Makela JT, Kiviniemi H, Juvonen T, Laitinen S. Factors influencing wound dehiscence after midline laparotomy. Am J Surg. 1995
Oct. 170(4):387-90.
[5]. Weiland DE, Bay RC, Del Sordi S. Choosing the best abdominal closure by meta-analysis. Am JSurg. 1998 Dec. 176(6):666-70.

Abstract: Introduction:Epilepsy describes a condition in which a person has recurrent seizures due to chronic underlying process. Epilepsy refers to a clinical phenomenon than a single disease entity, since there are many forms and causes of epilepsy. Objective:Toanalyse the etiological agents of late onset epilepsy. Method:Data for the study was collected from patients with epilepsy admitted in Department of Medicine at R.I.M.S RANCHI. Total of 60 patients were included in this study and their detailed etiological analysis was done. Conclusion:Neurocysticercosis was the most common cause of late onset epilepsy at R.I.M.S, RANCHI in this study.

Keywords: Epilepsy,LateOnset,Neurocysticercosis.

[1]. Daniel HL, Seizures and Epilepsy. In :Dan Longo,DennisL.Kasper, J. Larry Janeson, Antony S. Fauci, Stephen L. Hauser, Joseph
Loscalzo, Harrison's Principles of internal Medicine. 18th ed. McGraw Hill,2012.P:3251-3270
[2]. Sridaharan R, Murthy BN. Prevalence and Pattern of Epiliepsy in India. Epilepsia 1999;40(5):631-6.
[3]. Radha Krishnan K, Pandian JD. Prevalence, Knowledge attitude and practice of epilepsy in kerala, south India. Epilepsia
2000;41(8):1027-35

[4]. Pradeep PV, BalasubramaniamP,Rao SN, Clincal profile and etiological analysis of late onset epilepsy. JAPI 2003;51:1192.
[5]. Ray BK, Bhattacharya S. Epidemiology OF Epilepsy-Indian perspective. J Indian Med Assoc 2002;100(5):322-326
[6]. Sander JW. The epidemiology of epilepsy revisited. Current opinion in Neurology 2003;16(2):165-70

Abstract: Aims: To study the prevalence of poisonous and non-poisonous snake bites in nellore district with reference to age, sex, occupation, part of body bitten, time of bite and seasonal variation, and the types of poisonous snakes common in this locality and their clinical manifestations along with the systemic envenomation from various types of poisonous snakes and their effective management in reducing the mortality rate. Materials and Methods: This was a retrospective study conducted between May 2015 to May 2016 at government general hospital, nellore................

Keywords: Non-poisonous bite, neuroparalytic bite, poisonous bite, vasculotoxic bite

[1]. Al-Homrany M. Acute renal failure following snake bites: a case report and review of the literature. Saudi J Kidney Dis Transpl.
1996;7:309-12.
[2]. Basu J, Majumdar G, Dutta A, et al. Acute renal failure following snake bites (viper). J Assoc Physicians India. 1977; 25:883-90.
[3]. Bhat RN. Viperine snake bite poisoning in Jammu. J Indian Med Assoc. 1974; 63:383-92.
[4]. Halesha B.R., Harshavardhan L., Lokesh A J., Channaveerappa P.K., Venkatesh K.B. Study on the Clinico-Epidemiological Profile
and the Outcome of Snake Bite Victims in a Tertiary Care Centre in Southern India. Journal of Clinical and Diagnostic Research.
2013 January, Vol-7(1): 122-126
[5]. Simpson ID, Norris RL. Snakes of medical importance in India: Is the Concept of the" Big 4" still relevant and useful? Wilderness
Environ Med. 2007; 18:2-9.

Abstract: Aim : To evaluate LH: FSH ratio in obese and non-obese patients of Polycystic Ovarian Syndrome(PCOS). Material and method:The study was conducted in Rajendra Institute of Medical Sciences, Ranchi. 102 patients were selected from patients visiting department of obstetrics and gynaecology, dermatology and medicine for complaint of menstrual irregularities, acne, hirsuitism, obesity and infertility. Ethical consent was taken. After proper counselling, informed consent of patients were taken. Fasting blood sample was taken on 3rd day of normal or induced menstrual cycle. Serum Luteinizing Hormone (LH) and Follicular stimulating hormone (FSH) was estimated with the help of chemiluminescence ABBOTT 1000 isr................

Keywords: Luteinizing Hormone (LH), Follicular stimulating hormone (FSH), Polycystic Ovarian Syndrome, Obesity.

[1]. Holte, Jan, et al. "The independent effects of polycystic ovary syndrome and obesity on serum concentrations of gonadotrophins and sex steroids in premenopausal women." Clinical endocrinology 41.4 (1994): 473-481.
[2]. Polycystic ovarian syndrome (PCOS): Condition information http://www. Nichd.nih.gov/ 2013-05-23. Retrieved 13 march 2015.
[3]. Polycystic ovarian syndrome (PCOS) fact sheet women health. December 23, 2014. Retrieved 11 August 2016.
[4]. Diamanti-Kandarakis, Evanthia, Helen Kandarakis, and Richard S. Legro. "The role of genes and environment in the etiology of
PCOS." Endocrine 30.1 (2006): 19-26.
[5]. Teede, Helena, Amanda Deeks, and Lisa Moran. "Polycystic ovary syndrome: a complex condition with psychological,
reproductive and metabolic manifestations that impacts on health across the lifespan." BMC medicine 8.1 (2010): 41.

Abstract: This was a clinical descriptive study of congenital malformations in new born in a tertiary level hospital in north-east India from the period 1st January 2015 to 30th April, 2016. Out of 14912 births, 159 had congenital malformation making an incidence of 1.06%. The incidence was more in males, in preterm babies, and more in stillborn. Oligohydramnios was associated with the highest risk of congenital malformation. The most common congenital malformation was cleft lip followed by CTEV.

Keywords: Birth, Congenital, Incidence, Malformation, Stillborn

[1]. Taksande A,Vihekar K,Chaturvedi P,Jain M.Congenital malformations at birth in Central India: A rural medical college hospital based study.Indian J Hum Genet.2010;16(3);159-163.
[2]. Abdolahi MH,Maher KHM,Afsharnia F,Dastgiri S.Prevalence of Congenital Anomalies:A Community-Based Study in the Northwest of Iran.ISRN Pediatrics.2014;1-5.
[3]. Parmar A,Rathod PS,Patel VS,Patel MS.A Study of congenital Anomalies In Newborn.NJIRM.2010;1(1):13-17.
[4]. Sarkar S,Patra C,Dasgupta KM,Nayek K,Karmakar RP.Prevalence of Congenital Anomalies in Neonates and Associated Risk Factors in A tertiary Care Hospital in Eastern India.Journal of Clinical Nenatology.2013;2(3):131-137.
[5]. Baruah J,Kusre G,Bora R.Pattern of Gross Congenital Malformations in a tertiary Hospital in Northeast India.Indian J Pediatr.2015;82(10):917-22.

Abstract: Background: The variable prognosis of gastrointestinal lymphoma within a pathological stage necessitates the identification of subgroups of patients with a more aggressive disease. Aims and Objectives: The aim of the present study was to identify the incidence and distribution of paediatric lymphomas, to assess conventional morphological prognostic parameters among the various histopathological subtypes by immunophenotyping and to evaluate the expression of Ki67 in GI lymphoma and correlate with several clinico-pathological features and prognosis..............

Key words: B Cell Type,CD20,CD45, Gastrointestinal lymphoma,Ki-67.

[1]. Aisenberg AC. Coherent view of Non- Hodgkin's lymphoma. J Clin Oncology.1995, 13:2656-75.

[2]. Kliegman R. Epidemiology of Childhood and Adolescent Cancer. In: Nelson Textbook of Pediatrics. 18th ed. Philadelphia, PA: WB Saunders; 2007:491

[3]. Primary Gastrointestinal Malignancies in Childhood and Adolescence - an Asian Perspective Amna Khurshed, Rashida Ahmed, Yasmin Bhurgri. Asian Pacific journal of cancer prevention: 8(4):613-7.

[4]. Radman I, Jasminka K, Ayrer I. Surgical resection in the treatment of primary gastrointestinal NHL, Retrospective Study. Croat Med J. 2002, 43:555- 560.

[5]. LaQuaglia M, Stolar C, Krailo M. The role of surgery in abdominal NHL: Experience from the Children Cancer Study Group. Journal of Pediatric Surgery.1992, Vol 27, No 2: 230-235.

Abstract: Purpose: To determine the correlation of central corneal thickness (CCT) with intraocular pressure measurement (IOP) & to reclassify the patients of Primary Open Angle Glaucoma (POAG), Normal Tension Glaucoma (NTG) & Ocular Hypertension (OHT) based on their corrected IOP. Design: Retrospective analysis. Material & Methods: It was a retrospective non- interventional, observational study. 100 cases & 20 controls were inducted in the study. Central corneal thickness was measured by ultrasonic pachymeter...........

Keywords: IOP (Intraocular pressure) CCT (Central corneal thickness) POAG (Primary open angle glaucoma) OHT (Ocular hypertension) NTG (Normal tension glaucoma)

[1]. McKinnon SJ. Glaucoma: Ocular Alzheimer's disease. Front Biosci. 2003;1:11401156.
[2]. Wilson MR. Epidemiological features of glaucoma. Int Ophthalmol Clin. 1990;30:153 160.
[3]. Horowitz GS, Byles J, Lee J, D'Este C. Comparison of the Tono-Pen and Goldmann tonometer for measuring intraocular pressure in patients with glaucoma. Clin Exp Ophthalmol 2004;32:584-589.
[4]. Whitacre M, Stein R, Hassanein K. The effect of corneal thickness on factors that predict the onset of primary open-angle
glaucoma. Arch Ophthalmol. 2002;120:714-720. applanation tonometry. Am J Ophthalmol. 1993;115:592-596.
[5]. Gordon M, Beiser J, Brandt J, et al. The Ocular Hypertension Treatment Study: baseline Arch Ophthalmol. 2002;120:714-720.

Abstract: Antimicrobial Resistant (AMR) is rapidly increasing across the globe. This increasing number of reports on continued emergence of resistance to antimicrobial drugs makes the physicians to know periodic monitoring of the emergence of resistance in the microorganisms in their local area. Development of resistance is not only in bacteria and also in some fungus. This study was conducted at the Central laboratory of Medical Microbiology, Al-khoms teaching hospital, Al- Khoms, Libya. Bacteria and fungi were isolated from the samples arrived to the laboratory. Frequently isolated bacteria and fungi were taken for this study............

Keywords: Antibiogram, Al-khoms teaching hospital, Libya

[1]. Arendrup MC (2014) Update on antifungal resistance in Aspergillus and Candida. Clinical microbiology and infection 6:42-48.
[2]. Ayoade E, Moro DD and Ebene OL (2014) Prevalance and antimicrobial susceptibility pattern of asymptomatic urinary tract
infections of bacterial and parasitic origins among university students in redemtion camps, Ogun state, Nigeria. Open J. Of Med.
Microbiology 3:219-226.
[3]. Bayram Y, Parlak M, Aypak C and Bayram İ (2013)Three-year review of bacteriological profile and anti-biogram of burn
wound isolates in Van, Turkey. Int J Med Sci.10(1):19–23
[4]. Clinical and Laboratory Standards Institute (CLSI) (2011) Performance standards for antimicrobial susceptibility testing; Eighteenth
Informational supplement. CLSI document M100S18. Wayne PA: Clinical and Laboratory Standards Institute.
[5]. Howard SJ, Cerar D and Anderson MJ (2009) Frequency and evolution of Azole resistance in Aspergillus fumigatus associated with treatment failure. Emerging infectious diseases 15:1068-1076

Abstract: The successful replacement of lost natural teeth by tooth root analogues is a major advancement in the field of dentistry. The success greatly depends on adequate integration of these implants within the bone. This bone-implant integration is known as osseointegration. The science of osseointegration has widened the scope of treatment options for edentulous patients.

Keywords: Osseointegration, Osseodensification, Implants, Bone

[1]. Branemark R, Branemark PI, Rydevik B, Myers RR. Osseointegration in skeletal reconstruction and rehabilitation: A review. JRRD 2001;38(2):175-81.
[2]. Osborn JF, Newesely H. Dynamic aspects of the implant bone interface. In: Heimke G, ed. Dental implants: materials and systems. München. Carl Hanser Verlag 1980:111-23.
[3]. Albrektsson T, Branemark P-I, Hansson H-A, Lindstrom J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting direct bone-to-implant anchorage in man. Acta Orthop Scand 1981;52:155–170.
[4]. Huwais S, Meyer E. Osseodensification: A novel approach in implant o preparation to increase primary stability, bone mineral density and bone to implant contact. Int J Oral Maxillofac Implants. 2015.
[5]. EG, Huwais S. Osseodensification Is A Novel Implant Preparation Technique That Increases Implant Primary Stability By Compaction and Auto-Grafting Bone. American Academy of Periodontology. [abstract]. San Francisco, CA. 2014

Abstract: The absent of antimicrobial properties in composite resin was partly ascribed to the recurrent caries therefore the resin composite plus antimicrobial activity be useful to prevention of the secondary caries which frequently are seen around the restorations. Aim of the present study is evaluating the effectiveness of ZnO nanoparticles incorporating into composite resin as antimicrobial agent against bacteria causing dental caries in oral cavity. This study examined the antibacterial effects of the nanoparticles zinc oxide as inorganic antibacterial agent on pathogenic bacteria associated with oral infectious disease, in which the bactericide of ZnO/NPs was immobilized.........

Keywords: Antimicrobialagents; nanomaterials; dental composites; ZnOnano particles.

[1]. Pereira-Cenci, T., et al., Antibacterial agents in composite restorations for the prevention of dental caries. Cochrane Database Syst
Rev. 12:2013 p.
[2]. SKJöRLAND, K.K., Plaque accumulation on different dental filling materials. European Journal of Oral Sciences. 81(7):1973 p.
538-542.
[3]. Syafiuddin, T., et al., In vitro inhibition of caries around a resin composite restoration containing antibacterial filler. Biomaterials.
18(15):1997 p. 1051-1057.
[4]. Van Houte, J., Role of micro-organisms in caries etiology. Journal of dental research. 73(3):1994 p. 672-681.
[5]. Cummins, D., Zinc citrate/Triclosan: a new anti‐plaque system for the control of plaque and the prevention of gingivitis: short‐term
clinical and mode of action studies. Journal of clinical periodontology. 18(6):1991 p. 455-461.

Abstract: The objective of this study is to present our experience in endoscopic surgery of lesions in the anterior skull base, to describe the transcribrifom endoscopic technique and show its indications and contraindications. We present a series of 73 patients operated at Ali AitIdir Hospital by extended endoscopic approach (trans cribriform endoscopic approach) including: 16 fronto-ethmoidal meningo-encephalocoele, 04 esthesioneuroblastoma, 04 ethmoidal adenocarcinomas with intracranial extension, 45 dural defects at the cribriform plate of ethmoidal bone and 04 olfactory meningiomas..............

Keywords: Cribriform plate of the ethmoid bone, meningoencephalocoele,rhinorrhea;; trans-ethmoidal transcribriform endoscopic route, radiotherapy.

[1]. Amin B. Kassam, M.D.,1,2 Daniel M. Prevedello, M.D.,1 Ricardo L. Carrau, M.D.,1,2Carl H. Snyderman, M.D.,1,2 Ajith Thomas,
M.D.,1 Paul Gardner, M.D.,1Adam Zanation, M.D.,2 Bulent Duz, M.D.,3 S. Tonya Stefko, M.D.,1,4 Karin Byers, M.D.,5 and Michael B. Horowitz, M.D.1 :Endoscopic endonasal skull base surgery: analysis of complications in the authors' initial 800 patients A review.J Neurosurg 114: 2011.1544–1568.
[2]. Castelnuovo P, Bignami M, Delù G, Battaglia P, Bignardi M, Dallan I :Endonasal endoscopic resection and radiotherapy in olfactory neuroblastoma: our experience.Head Neck. 2007 Sep; 29(9):845-50.
[3]. Ceylan S, Koc K, Anik I: Extended endoscopic approaches for midline skull-base lesions. Neurosurg Rev. 2009 Jul; 32(3):309- 19.
[4]. Darlene Lubbe, Patrick Semple, Johan Fagan: Advances in endoscopic sinonasal and anterior skull base surgery.August 2008,
Vol. 98, No. 8 SAMJ
[5]. Davide locatelli, M.D. federicorampa, M.D. ilariaacchiardi, M.D. Francesca de bernardi, M.D. paolocastelnuovo, m.d: endoscopic
endonasal approaches for repair of cerebrospinal fluid leaks: nine-year experience. Jns-246 | volume 58 | operative neurosurgery 2 | April 2006.

Abstract: Health as defined by WHO 1 ―is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity‖. Similarly health system, also sometimes referred to as health care system or healthcare system, is the organization of people, institutions, and resources that deliver health care services to meet the health needs of target populations. Patient satisfaction is a critical health care outcome indicator and should be given focus by the hospital administrators. From a management perspective, patient satisfaction with health care is important for several reasons 2 . First, satisfied patients are more likely to maintain a consistent relationship with a specific provider. Second, by identifying sources of patient dissatisfaction, an organization can address system weaknesses

[1]. Huber M,Knttnerus JA, Green,L.,Vander Host:Constitution of the World Health Organization. World Health Organization: Basic documents.British Medical Journal 2011; 45:1136.
[2]. Saleh MA, Hattan A, Hassan A, Basem SE and Ahmed AK : Determinants of Patient Satisfaction in the Surgical ward at a University Hospital in Saudi Arabia. Life Science Journal 2012; 9(1):277-280.
[3]. Delbanco TL: Quality of care through the patients' eyes. British Medical Journal 1996; 313: 832-833.
[4]. Bruster S, Jarman B, Bosanquet N, Weston D, Erens R, Delbanco TL:National survey of hospital patients. British Medical Journal 1994, 309: 1542-1546.
[5]. Delbanco TL: Enriching the doctor-patient relation: inviting the patient's perspective. Ann Intern Med 1992; 116: 414-418.

Abstract: Background: subclinical hypothyroidism is more common than overt hypothyroidism and it is associated with Coronary artery disease and many biochemical abnormalities Aim and objectives: A study to compare the clinical profile and laboratory abnormalities in the subclinical hypothyroidism patient with healthy controls Methods: this is hospital based analytical study done in department of medicine at SMS medical college and AG hospital from July 2012 to June 2013. All the subjects diagnosed with elevated TSH and normal free T3 T4 TSH. Total 50 patients of subclinical hypothyroidism diagnosed as per criteria and compared with 50 healthy individuals of same age group.............

[1]. Ayala A danese MD, Ladenson PW. When to treat mild hypothyroidism metabolic clin Am 2000;29:399-415.
[2]. Cooper DS.Subclinical hypothyroidism. JAM Med assoc 1987;25:256-7
[3]. Unnilroshnan AG, mean UV. Throid disorders in india: an epidemiological perspective. Indian J endocr metab 2011;15:78-81.
[4]. Bhaskaran S kumar H, Nair V, Unnikrishan RV, Jayakumar C. Subclinical Hypothroidism. Indications for thyroxine therapy.
Thyroid research $ practice 2004;1:10-4.
[5]. Caraccio, N Ferrannini, E Monzani, F. Lipoprotein profile in subclinical Hypothyroidism: response to levothyroxine replacement, a
randomized placebo-controlled study. J clin Endocrinol metabol 2002;87(4):1533-8

Abstract: Introduction: The increased overjet in Class II Division 1 malocclusion subjects may be due to hyperdivergent growth pattern or Bolton's tooth size discrepancy. The aim of this investigation was to find the rational factor for overjet in Class II Division 1 malocclusion as growth pattern or Bolton's discrepancy in these subjects. Methods: 120 untreated Class II Division 1 cases who reported to the department for orthodontic treatment were included in this study. The lateral cephalometric radiographs were evaluated for growth pattern and grouped into vertical and horizontal growers. The Bolton's ratio and overjet was measured from the study models obtained...............

[1]. Bolton WA. The clinical application of a tooth-size analysis. Am J Orthod. 1962 Jul;48(7):504–29.
[2]. Zupancic S, Pohar M, Farcnik F, Ovsenik M. Overjet as a predictor of sagittal skeletal relationships. Eur J Orthod. 2008
Jun;30(3):269–73.
[3]. Al-Khateeb EAA, Al-Khateeb SN. Anteroposterior and vertical components of class II division 1 and division 2 malocclusion.
Angle Orthod. 2009 Sep;79(5):859–66.
[4]. Hassan AH. Cephalometric characteristics of Class II division 1 malocclusion in a Saudi population living in the western region.
Saudi Dent J. 2011 Jan;23(1):23–7.

Abstract: ABO Blood group system is a well known risk factor clinically linked to thrombotic vascular diseases.Since 1901 When DR.Carl Landsteiner discovered the Blood groups it has been linked with Cognitive Impairment,Preeclampsia ,Bleeding and Longevity.ABO Blood group may also be related to caisation of Coronary artery disease.We did a Prospective study on Patients Who were admitted to the Intensive Coronary Care Unit Of Coimbatore medical College Hospital And tried to correlate the Various Blood Groups with Coronary Artery Disease

Keywords: Blood Groups,Coronary Artery Disease ,Complications,Risk Factors in MI,Thrombotic Factor

[1]. ABO Blood group system and Coronary artery disease-An updated systematic review and Meta analysis-Zhuo Chen
[2]. ABO Blood groups and Coronary artery disease-A systematic review and Meta analysis-Wu,Bayoumi ,Vickers and clark
[3]. Association of Blood group A in coronary artery disease in Young adults in Taiwan-Lee,Lin,Wang and Chang
[4]. ABO Blood groups and coronary artery disease-atvb.ahajournals.org
[5]. ABO Blood group alleles and risk of CAD-www.sciencedirect.com

Abstract: La sarcoïdose est une maladie inflammatoire granulomateuse. L'atteinte thyroïdienne est exceptionnellement isolée et rarement confirmée histologiquement. Il s'agit le plus souvent d'une atteinte purement morphologique: goitre simple ou nodule bénin. Les anomalies fonctionnelles sont plus rares : thyroïdites, hypothyroïdie. Nous rapportons le cas d'une patiente âgée de 52 ans qui présente une sarcoïdose thyroïdienne déclarée par un goitre euthyroïdien et confirmé à l'examen anatomopathologique.

Keywords: sarcoidose, thyroïde, granulome épithéloide.

[1]. Spencer J, Warren S. Boeck's sarcoid: Report of a case with clinical diagnosis confirmed at autopsy. Arch Intern Med. 1938;
62:285-296
[2]. Bell NH. Endocrine complications of sarcoidosis. Endocrinol Metab Clin North Am 1991; 20:645-54.
[3]. Cabibi D, Di Vita G, La Spada E, Tripodo C, Patti R, Montalto G.. Thyroid sarcoidosis as a unique localization Thyroid.
2006;16:1175-1177.
[4]. Viswanath L, Pallade S, Krishnamurthy B, Naveen T, Preethi BL, Pramod KP, Reddy O, Padma G., Darier–Roussy sarcoidosis
mimicking metastatic breast cancer, Case Rep. Oncol. 2 (2009) 251–254
[5]. Vailati A, Marena C, Aristia L, Sozzé E, Barosi G, Inglese V, Luisetti M, Bossolo PA.. Sarcoidosis of the thyroid: report of a case
and a review of the literature. Sarcoidosis. 1993;10:66-68

Abstract: Context: Evaluation of hearing acuity after small fenestra stapedotomy for stapedialotosclerosis. Aim: The aim of this study was to profile the age/ gender distribution, symptoms and hearing evaluation (before and after surgery) of patients diagnosed with otosclerosis. Setting and design: The study was done at a tertiary care hospital. It was a cross sectional record based study. Subject and Methods: Forty three patients diagnosed with stapedialotosclerosis who satisfied the selection criteria and consented were included in the study. Age/ gender distribution, symptoms and hearing acuity (before and after surgery) were profiled. Statistical analysis used: Statistical analysis was performed using Statistical Package for Social Sciences (SPSS) version 11.5 (SPSS: An IBM company). For the current study frequency and percentage were considered..................

Keywords: Otosclerosis; small fenestra; stapedotomy

[1]. Goodhill V. The use of cortisone in otosclerosis. Trans Am AcadOphthalmolOtolaryngol. 1952 Jul-Aug;56(4):635-46.
[2]. Quaranta N, Besozzi G, Fallacara RA, Quaranta A.Air and bone conduction change after stapedotomy
and partial stapedectomy for otosclerosis.Otolaryngol Head Neck Surg. 2005 Jul;133(1):116-20.
[3]. Ueda H, Miyazawa T, Asahi K, Yanagita N. Factors affecting hearing results after stapes surgery. J Laryngol Otol. 1999
May;113(5):417-21.
[4]. Palva T, Karja J, Palva A.Otosclerosis surgery. ActaOtolaryngol. 1977 Mar-Apr;83(3-4):328-35.
[5]. Salvinelli F, Casale M, Trivelli M, Di Peco V, Greco F. Otosclerosis and stapedoplasty in older adults. J Am Geriatr Soc. 2002
Aug;50(8):1396-400.

Abstract: The management of pediatric intracranial meningiomas poses a big challenge. We are presenting the role of extent of tumor resection and adjuvant therapy in the survival of children with ependymomas. This is a retrospective study of 56 children with non-metastatic intracranial ependymomas treated between 2010 and 2015.The mean age was 8 years ranging between 3 months and 15 years.The most frequent location was infra tentorial location in 67.8% of patients............

Keywords: Chemotherapy.surgery, survival, radiotherapy, recurrent tumor.

[1]. Frederick A. Boop& Spyros Sgouros:Intracranialependymoma in children: current status and future trends on diagnosis and management.ChildsNervSyst (2009) 25:1163–1165.
[2]. SunandaPejavar • Mei-YinPolley • Sarah Rosenberg-Wohl et al:Pediatric intracranial ependymoma: the roles of surgery, radiation and chemotherapy.
[3]. J Neurooncol (2012) 106:367–375.
[4]. Rousseau P, Habrand JL, Sarrazin D et al:Treatment of intracranial ependymomas of children: review of a 15-year experience.Int J RadiatOncolBiolPhys(1993) 28:381–386.

Abstract: They are benign tumors of which surgical excision should be total so as to avoid recurrences. The operative difficulties rests in the lose relationship between the tumors and major arteries of the anterior part of the circle of Willis in one part and with the optic pathways and the pituitary stalk in the other part. Clinical symptoms are dominated by the optochiasmatic syndrome with visual disturbances in 95 % of patients. We report a series of 64 cases , who have been operated on at Ali Ait Idir Hospital in Algiers, during a period of 10 years..............

Keywords: meningioma, surgery ,tuberculum sellae, total excision, visual function.

[1]. Al Mefty O, Holoubi A, Rifai A, Fox JL :Microsurgicalremoval of suprasellar meningiomas.Neurosurgery 16:364-72,1985.
[2]. Chi JH, McDermott MW :Tuberculumsellaemeningiomas.Neurosurg Focus14(6) :Article 6,2003.
[3]. Ciric I, Rosenblatt S :Suprasellarmeningiomas(operative nuances).Neurosurgery 49:1372-77,2001.
[4]. Cook S, Smith Z, Kelly D:EndonasalTranssphenoidal Removal of Tuberculum Sellae Meningiomas.
[5]. Neurosurgery 55 (1):239-246, 2004.

Abstract: The objective of this work is to elaborate the role and the indications of the trans cranial surgery in the treatment of pituitary adenomas.This is a retrospective series of 29 cases of pituitary macroadenomas operated at Ali Ait Idir hospital from 2010 to 2015. Mean age of the patients was 35 years. The sex ratio was 17females / 12males. The time to consultation was between 11 months and 2 years after onset of symptoms. Clinical signs were predominantlyopto-chiasmatic syndrome with blurred vision in 95% of cases. 10patients hormonal imbalance syndrome, a cavernous sinus syndromewith involvement ofunilateral third cranial nerve III in 04 patients (drooping of the upper eyelid)...........

Keywords: endocrine disorders, pituitary adenoma, , visual function, total resection transcranial surgery.

[1]. Buchfelder M.Treatment of pituitary tumors: surgery. Endocrine. 2005 Oct;28(1):67-75.
[2]. Hardy J.History of pituitarysurgery.Neurochirurgie. 2010 Aug;56(4):358-62
[3]. Buchfelder M, Kreutzer J.Transcranialsurgery for pituitary adenomas.Pituitary.2008;11(4):375-84.
[4]. Cappabianca P, Cavallo LM, de Divitiis O, de Angelis M, Chiaramonte C, Solari D.Endoscopic Endonasal Extended Approaches for the Management of Large Pituitary Adenomas.NeurosurgClin N Am. 2015 Jul;26(3):323-31
[5]. Solari D, Cavallo LM, CappabiancaP.Surgical approach to pituitarytumors.HandbClin Neurol. 2014;124:291-301.

Abstract: Introduction: The rising incidences of Poisoning with prevalence of certain groups of poisons in this particular geographical area has prompted us to undertake this study to know the etiological patterns, epidemiological aspects & their outcomes. The observations of various other authors are compared in scientific discussion. Materials and methods: This study is conducted and designed as retrospective study with 241 subjects, who came to our hospital in past 2 years. Results: Among the 241 subjects males were more in number which is 61.8%. The most common poison consumed has been found to be organo phosphorous compounds which is 18.6% followed by other insecticides...........

Keywords: Organo phosphorous poisoning, Paraquat poisoning, Poisons.

[1]. Karthik P, Saumil P Merchant, Parthik R Patel. Trends of Suicidal Poisoning In Ahmedabad (Retrospective Study). NHL J of
Medical Sciences 2012; 1(1): 18-22.
[2]. Saxena V, Atal DK, Das S. Retrospective Analysis of Pattern of Poisoning in Uttarakhand. J Indian Acad Forensic Med 2014;
36(3):230-233.
[3]. Linto M T, Prabhu G. A Prospective Study on Pattern of Poisoning Cases in a Tertiary Care Hospital. World J of Pharmacy and
pharmaceutical sciences 2016; 5(6):1860-1865.
[4]. Celine TM, Jimmy A. A profile of acute poisonings: A retrospective study. J of scientific society 2015;42(3):156-160.
[5]. Gargi.J, Tejpal.H.R, Ashok C, Gurmanjit R, Rajeev C. A Retrospective Autopsy study of Poisoning in the Northern Region of
Punjab. JPAFMAT 2008; 8(2): ISSN 0972-5687.

Abstract: Necrotizing fasciitis (NF) is a severe disease of sudden onset that spreads rapidly. The disease is more common in the adults and is rare in the children. The infection enters the body through a break in the skin such as cut or burn. Majority of the cases involve methicillin resistant Staphylococcus aureus(MRSA),anaerobic species, Enterobacteriaceae, hemolytic streptococcus group A are isolated alone or in combination. Streptococcal infections also associated with toxic-shock syndrome. Symptoms include inflammation, fever, and fast heart rate, diarrhea, vomiting, and crepitus may be present, discharge of fluid said to resemble "dish water". Fournier's gangrene is a form of NF occurring about the male genitals. Gold standard for diagnosis is surgical exploration, with LRINECscore...........

Keywords: Necrotizing fasciitis, Flesh –eating bacteria, Pathogens, Surgery, Management

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[2]. HakkarainnenTimoW,Kopari Nicole M,etal.Nectrotizing soft tissue infections: Review and current concepts in treatment, systems
of care, andoutcomes. Current problems in surgery.2014;51(8):344-62.
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[4]. Wilson B.Necrotizingfasciitis.The American Surgeon.1952;18(4):416-31.
[5]. Steven DL.BinsoAL,ChambersHR,etal.Infectious Diseases of Society of America. Practice guidelines for the diagnosis and
management of skin and sof-t tissue infections.Clin Infect Dis.2005;41:1373-1406.

Abstract: Possible dental etiology is often overlooked in the patients with cutaneous odontogenic lesion. An accurate diagnosis requires interaction between physicians (especially dermatologists), surgeons, and dentists. Early recognition of the lesion facilitates prompt treatment, minimizes patient discomfort and esthetic problems, and reduces the possibility of further complications greatly. This article presents three case reports of cutaneous odontogenic lesion highlighting the importance of communication between medical and dental practitioners to avoid misdiagnosis.

Keywords: Dental fistula, Drainage, Endodontics, Esthetics dental, Etiology

[1]. Cantatore JL, Klein PA, Lieblich LM. Cutaneous dental sinus tract, a common misdiagnosis: a case report and review of the
literature. Cutis 7, 2002, 264-267.
[2]. Stoll HL, Solomon HA. Cutaneous sinuses of dental origin. Journal of the American Medical Association, 184, 1963, 120–124.
[3]. Cioffi GA, Terezhalmy GT, Parlett HL. Cutaneous draining sinus tract: an odontogenic etiology. Journal of American Academy of
Dermatology, 14, 1986, 94-100.
[4]. Held JL, Yunakov MJ, Barber RJ, et al. Cutaneous sinus of dental origin: a diagnosis requiring clinical and radiologic correlation.
Cutis, 43, 1989, 22-24.
[5]. Bodner L, Bar-Ziv J. Cutaneous sinus tract of dental origin: imaging with a dental CT software programme. British Journal of
Oral and Maxillofacial Surgery, 36, 1998, 311-313.

Abstract: Objective: Best fluid regime in burn resuscitation is debatable. Recent evidence supports the use of colloids. This study analyzes the effectiveness of Brooke formula. Method: Brooke formula was used exclusively over 2.5 years. Patients were followed up until discharge. Results were compared with another unit of the same institution that used Parkland formula. Overall mortality as well as the mortality and morbidity within first 72 hours of a highly selected group of patients without adverse prognostic factors were analysed. All adult patients above 15 years of age admitted with burns more than 15% were recruited. Patients with burns less than 40% and age below 60 years without co-morbid factors were included in the highly selected group...........

Keywords: Brooke formula, renal dose dopamine, Parkland formula

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[2]. Pavoni V, Gianesello L, Barboni E. Outcome predictors and quality of life of severe burn patients admitted to intensive care unit. Scand J Trauma Resusc Emerg Med. 2010 Apr 27; 18:24.
[3]. Fakhry SM, Alexander J, Smith D. Regional and Institutional variation in burn care. J Burn Care Rehabil. 1995; 16: 86–90.
[4]. Baker RH, Akhavani MA, Jallali N. Resuscitation of thermal injuries in the United Kingdom and Ireland. J Plast Reconstr Aesthet Surg. 2007; 60: 682–5.
[5]. Evans EI, Purnell OJ, Robinett PW, Batchelor A, Martin M. Fluid and electrolyte requirements in severe burns. Annals of Surgery 1952; 135:804-817.

Abstract: The advances in adhesive dentistry have allowed dentists to use the patient's own fragment to restore the fractured tooth. The present case report describes management of a complicated fracture of maxillary right central incisor treated endodontically, followed by reattachment of the same fragment using fiber post. Reattachment of fractured tooth fragments offers a viable restorative alternative, immediately restores tooth function for the clinician because it restores tooth function and esthetics with the use of a very conservative and cost-effective approach.

Keywords: Crown fracture, fiber post, reattachment, complicated crown fracture, trauma

[1]. Bruschi-Alonso RC, Alonso RC, Correr GM, Alves MC, Lewgoy HR, Sinhoreti MA, et al. Reattachment of anterior fractured teeth: Effect of materials and techniques on impact strength. Dent Traumatol 2010;26:315-22
[2]. Aggarwal V, Logani A, Shah N. Complicated crown fractures - management and treatment options. Int Endod J 2009;42:740-53.
[3]. Villat C, Machtou P, Naulin-Ifi C. Multidisciplinary approach to the immediate esthetic repair and long-term treatment of an oblique crown-root fracture. Dent Traumatol 2004;20:56-60
[4]. Reis A, Loguercio AD, Kraul A, Matson E. Reattachment of fractured teeth: A review of literature regarding techniques and materials. Oper Dent. 2004; 29:226-33
[5]. Simonsen RJ. Restoration of a fractured central incisor using original tooth fragment. J Am Dent Assoc. 1982; 105:646-48