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

Abstract: Neoplastic transformation is a multistep process that results in a continuous spectrum from the physiological state to a fully established neoplasm. Papillary carcinoma thyroid(PTC), the most prevalent of all thyroid carcinomas has been associated with Hashimoto's thyroiditis(HT). Although the gold standard for the diagnosis of PTC is conventional histology,the other criteria being increasingly used include immunohistochemical staining and molecular profile. The aim of this study is to analyse the histopathological types and to establish the association between...........

Keyword: Hashimoto's thyroiditis, papillary carcinoma, p63

[1]. De Lellis R.A., Williams ED 2004 Thyroid and parathyroidtumors. Introduction. In: De Lelis RA, Llyoid RV, Heitz P U et al(eds) Pathology and genetics. Tumors of endocrine oxaus.World Health Organisation classification of tumors.IARC Lyon P. 49-56. .
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[3]. Gilliland FD, Hunt WC, Morris DM et al, 1997 Prognostic factors for thyroid carcinoma. A population based study of 15, 698 cases from the surveillance, Epidemiology and end results (SEER)program 193-1991, Cancer 79: 564-573
[4]. Schlumberger MJ 1998, Papillary and follicular thyroid CarcinomaN. Engl J Med 338: 297-306.
[5]. McConahey W, et al Papillary thyroid cancer treated at the mayo clinic, 1946 through 1970: initial manifestation pathologic findings, therapy and outcome Mayo clicProc 1986; 61: 978-996.

Abstract: Serum alanine aminotransferase (ALT) and aspartate aminotransfarese levels and AST/ALT ratio in 28 alcoholic and 26 nonalcoholic cases suffering from acute uncomplicated anicteric plasmodium falciparum malaria, age ranging from 18-70 years of both sexes. No. Of males and females were 18 and 10 in alcoholic uncomplicated falciparum malaria and 14 & 12 in non-alcoholic uncomplicated falciparum malaria cases respectively. Cases for study were selected by random sampling among the patients suffering from fever admitted in department of medicine,rajendra institute of medical sciences, ranchi,who were subsequently proved by clinical and laboratory assessment to be cases of acute uncomplicated anicteric falciparum malaria and not associated with any other systemic and organic involvements...........

[1]. Harrison's principle of internal medicine, 18th edition, 1688-1710
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[4]. Huncrantz R. Galuman Liver investigation in 149 asymptomatic patients with moderately elevated activities of serum
aminotransferases 1986; 21: 109-113
[5]. Rosentnal P, Hasgut M aminotransferase as a prognostic index in patients with liver disease. Clin chem. 1989; 36: 346-348

Abstract: Context: Prevention and treatment of postoperative nausea and vomiting continues to be a major challenge in postoperative care. Gabapentin is an antiepileptic drug .Its antiepileptic action is demonstrated in chemotherapy-induced acute and delayed onset of nausea and vomiting in breast cancer patient. Aims: The aim of this study was to evaluate the antiemetic effect of gabapentin on incidence and severity of postoperative nausea and vomiting in laparoscopic surgery...............

Keywords: Antiemetic, gabapentin, postoperative nausea, vomiting.

[1]. Naguib M, el Bakry AK, Khoshim MH, et al. Prophylactic antiemetic therapy with ondansetron, tropisetron, granisetron and
metoclopramide in patients undergoing laparoscopic cholecystectomy: a randomized, double blind comparison with placebo. Can J
Anaesth 1996 ; 43:226–31.
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Anesth Analg 1994; 78:7–16.
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vomiting in patients undergoing laparoscopic cholecystectomy: a randomized, double-blind, placebo-controlled study. J Postgrad
Med 2006; 52:97–100.
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27

Abstract: All thyroid nodules are not cancer and the fine needle aspiration cytology is an accepted cost effective simple method for screening the nodules for malignancy. A three-year study of thyroid lesions (March 2012 to march 2015) with aspiration and non- aspiration cytology for each. The main purpose of the study was to detect the prevalence of carcinoma by cytology and quality assessment of non -aspiration over aspiration cytology. The main findings of the study are non-aspiration technique is diagnostically much superior than aspiration techniques. Prevalence of carcinoma by cytology is 5.6%.

Keywords: Aspiration, Cytology, Diagnosis,Lesions Non- aspiration, Thyroid,

[1]. J., & L. G. (1988.). Nonaspiration fine needle cytology:Application of a new technique in Nodular Thyroid Diseases. . Acta.Cytologica,32, 352-356.
[2]. Burker, D. F., & S, P. M. (1956). Fine needle cytology-Is aspiration suction necessary: A study of 100 masses in various sites. Acta. Cytologica, 33, 809-913.
[3]. Stalwart. F. W. (1933). The diagnosis of thyroid tumours by aspiration. Annuals of Surgery, 92, 169.
[4]. Martin M E., &llisE. E. (1930). Biopsy by needle punctures aspiration. Annuals of Surgery , 92, 169-181.
[5]. Ghosh A, Mishra R K, Sharma S P, Singh H N., &Chaturvedi A K . 2000). Aspiration vs non-aspiration technique of cytodiagnosis -A Critical evaluation in 160 cases. Indian Journal of Pathology and microbiology, 43, 107-112.

Abstract: A 7 yr old boy presented with diminution of vision in left eye since 6 months , with an h/o ocular trauma 1 yr back.Patients history suggestive of some procedure done on the left eye after 10 days of trauma and inability to see, present clinical examination shows a paracentesis indicating an hyphema drainage procedure done in past,and a 0.9 cupping, suggestive of an acute rise of IOP immediate to the traumatic hyphema.Special investigations like anterior segment oct and ultrasound biomicroscopy suggestive of angle recession..............

Keywords: Angle recession,cataract ,intraocular pressure,gonioscopy,glaucoma

[1]. Collins ET.On the phathological examination of three eyes lost from concussion chronic glaucoma.Trans Ophthalmol soc UK.1892;12:180-186
[2]. Girkin,C.,McGin,G.,Long,C., Morris,R., and Kunh,F.Glaucoma After OcularContusion:A Cohort Study of the United States Eye Registry.J Glaucoma.2005;14(6):470-3.
[3]. Kaufman J.Tolpin D.Glaucoma after traumatic angle recession.AM J Ophthalmol.1974;78:648-654
[4]. Alper MG.Contusion angle deformity and glaucoma.Arch Ophthalmol.1963;69;455-467.
[5]. Sihota R,Kumar S,Gupta V,et al.Early predictors of traumatic glaucoma after closed globe injurt:trabecular pigmentation,widened angle recess,and higher baseline intraocular pressure.Arch ophthalmol.2008 Jul.126(7):921-6.

Abstract: Invasive cervical resorption (ICR) is an unusual form of external root resorption which initiates below the epithelial attachment and coronal aspect of supporting alveolar process to be precise zone of connective tissue attachment. It has an unclear etiology leading to its non diagnosis or misdiagnosis as a pink tooth (internal resorption). Dr. Geoffrey Heithersay contributed immensely in diagnosis and clinical classification of ICR into 4 stages based on its clinical, pathological and radiological finding and potential pre-disposing factors............

Keywords: Cervical resorption, External resorption, Invasive lesion, Tooth resorption

[1]. Patel SS, Pitt Ford T. Is the resorption external or internal?. Dent Update 2007; 34: 218-29
[2]. Tronstad L. Root resorption- etiology, terminology and clinical manifestations. Endod Dent Traumatol 1988; 4: 241-52
[3]. Heithersay G. Invasive cervical resorption. Endod Topics 2004; 7: 73-92.
[4]. Gaskill JH. Report of a case of internal resorption. Dental Cosmos 1894; 36: 1019-1024.
[5]. Mummery JH. The pathology of "pink spots" on teeth. Br Dent J 1920; 41: 301-311.

Abstract: Herpes zoster is caused by "varicella zoster virus"- a neurodermotropic virus which is distributed worldwide. It is characterized by unilateral radicular pain and grouped vesicular eruption that is generally limited to the dermatome innervated by a single spinal or cranial sensory ganglion. A prospective observational study was conducted in the Department of Dermatology of the Assam Medical College & Hospital, Dibrugarh, Assam over a period of 1 year from July 2013 to June 2014. During this period 113 clinically diagnosed cases of Herpes Zoster attending Dermatology OPD were included in the Study. A detailed history was taken and clinical evaluation was done.........

Keywords: Dermatome, herpes zoster, radicular, varicella zoster virus

[1]. Pavithran K. An clinical study of five hundred cases of herpes zoster. Antiseptic 1986;83:682-5.
[2]. Peeneys N. Diseases caused by viruses. In: Elder D, editor. Lever's Histopathology of the skin. 8th ed. Philadelphia:Lippincott – Raven; 1997. p. 569-89.
[3]. Whitley RJ. Varicella zoster virus. In: Mandell GL, BennetJE,Dolin R, editors. Principles and practice of infectious diseases.4th ed. New York: Churchill Livingstone; 1995. p. 1345-51.
[4]. Donahue JG, Choo PW, Manson JE, Platt R. The incidence of herpes zoster. Arch Intern Med 1995; 155: 1605-1609.
[5]. Schacker T, Corey L. Herpes virus infections in HIV infected person. In: Devita VT, Samuel Hailman, Lisenberg SA, editors.Textbook of AIDS. 4th ed. Philadelphia: Lippincott – Raven;1997. p. 267-80.

Abstract: Objectives: According to schedule H only few drugs can be sold over the counter with out the prescription. This study is done to know whether pharmacists have awareness of schedule H.In Kadapa there are roughly 140 pharmacies,out of which approximately 40 pharmacies are attached to the clinics.The dispensing practices of these pharmacies is studied in a hope to ensure good pharmacy practices at these pharmacy settings. Materials And Methods: A cross-sectional study of 60 pharmacies were included in this research.In these 60,40 pharmacies were independent while 20 pharmacies were attached to the clinics. A prevalidated questionnaire on the knowledge and dispensing practices was given to the pharmacists and the input was analysed..........

Keywords: Antipyretics,Clinics,Dispension,Drugs,Pharmacy.

[1]. Indian Pharmacopoeia Commission. National Formulary of India (NFI). 4th ed. Ghaziabad: Indian Pharmacopoeia Commission,
[2]. Ministry of Health and Family Welfare Ministry of Health and Family Welfare, Government of India; 2011.)
[3]. 2)Management Sciences for Health, Managing medicine supply 1997.Kumarian press, West Hartford, USA. 3) World Health Organization 1997. Quality assurance of pharmaceuticals: a compendium of guidelines and related materials. Geneva, Vol.1
[4]. Tietze KJ 1997. Clinical skills for pharmacists: a patient focused approach.Mosby, Inc., Philadelphia International Pharmaceutical Federation. Joint FIP/WHO Guidelines on GPP: Standards for Quality of Pharmacy Services, No. 961, 45th Report of the WHO Expert Committee; 2011.
[5]. Available from: http://www.whqlibdoc.who.int/trs/WHO_ TRS_961_eng.pdf. [Last accessed 2014 Aug 25]

Abstract: Introduction: Communication is the essence of life. Speech, Language and Hearing are involved rigorously in any communication around us. Children Hearing loss in children constitutes a considerable handicap because it is an invisible disability & compromises optimal development & personnel achievement of a child. Screening is one of the most important methods for early diagnosis of hearing loss. Otoacoustic Emissions (OAE's) is an easy, cost effective and reliable method of testing of large number of infants for hearing loss..........

Keywords: Infant; Distortion Product Otoacoustic Emissions; Brainstem Evoked Response Audiometry. Conventional Methods

[1]. Watkins P, Baldwin M, Mc Enery G (1991) neonatal at risk screening and the investigation of deafness. Arch Dis Child 66:1130-1135.
[2]. Parving A. (1993) Congenital hearing disability: epidemiology and identification: A comparison between two health authority districts. Int J Pediatr Otorhimolaryngo. 27:29-46.
[3]. Auk GW, Behrens TR, (1993) Historical, Political a technological context associated with early identification hearing loss. Seminars in Hearing 14:1:17.
[4]. Northerm JL, Hayes DH, (1994) Universal screening for infant hearing impairment Necessary, beneficial and justifiable. Audilogy Today 6:10-13.
[5]. Kim SY, Bothwell NE, Backousn DD, (2002) The expanding role of the otolaryngologist in managing infants and children with hearing loss. Otolaryngol clin. N Am 35:699.

Abstract: Introduction: Epistaxis is one of the commonest medical emergencies. It affects all age groups and both sexes. The areas for epistaxis are the Little's area and the Woodruff's plexus. The causes are divided into local or general causes. Trauma is considered to be a major etiological factor. Various treatment protocols are utilized to control epistaxis depending upon the type severity and cause of bleeding. The present work was undertaken to study the etiopathogenesis and management of epistaxis by non-surgical and surgical approaches.........

Keywords:- Epistaxis; Emergency; Trauma; Nasal packing; Hypertension

[1]. The American Heritage. Stedman‟s Medical Dictionary. Houghton Miffin Company; 2002.
[2]. Watkinson JC. Epistaxis. 6th ed. Chapter 18. In: Rhinology, Scott Brown‟s Otorhinolaryngology Head and Neck Surgery, Ian S Mackay, Bull TR, eds. Oxford: Butterworth Heinemann; 1998. pp. 942-61.
[3]. Gerald W McGarry. Epistaxis. 7th ed. Chapter 126. In: Scott Brown‟s Otorhinolaryngology Head and Neck Surgery, Michael Gleeson, ed. London: Hodder Arnold; 2008. pp. 1596-608.
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[5]. Akinpelu OV, Amusa YB. A retrospective analysis of aetiology and management of epistaxis in a south-western Nigerian teaching hospital. West African Journal of Medicine 2009 May;28(3):165-8.

Abstract: Background: Metabolic disturbance and immunological imbalance are the key factors in the pathogenesis of Type 2 Diabetes Mellitus. In the present study we measured Plasma Adenosine Deaminase (ADA) activity, a marker of cell mediated immunity in Type 2 Diabetics with Good and Poor glycemic control. Materials & Methodology: The study included 25 Type 2 diabetic patients with good glycemic control (HbA1c<7), 25 Type 2 diabetic patients with poor glycemic control (HbA1c>7) and 30 healthy controls with no history of diabetes mellitus. Fasting Blood sugar, HbA1c and Plasma ADA activity were estimated in all these subjects............

Keywards: Type 2 diabetes mellitus, HbA1c, ADA, Cell-mediated immunity, Fasting plasma glucose.

[1]. World health organization. Definition, diagnosis and classification of diabetes mellitus and its complications. Geneva: World health organization; 1999.

[2]. Shiva prakash, S.Chennaiah, YSR Murthy, E.Anjaiah, S. Ananda Rao, C.Suresh. Altered Adenosine Deaminase activity in the Type 2 Diabetes Mellitus. JIACM 2006; 7(2): 114-7.

[3]. Kirkpatrick, C.H.R.R.Rich and J.E.Bennett.1971.chronic mucocutaneous candidiasis : model building of cellular immunity. Ann.Intern.Med.74:955-978.

[4]. Thornton, G.F.19171. Infections and diabetes. Med.Clin.North Am. 55:931-938.

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Abstract: The first few hours after intensive care unit admission, are crucial to patient outcome. The availability and quality of personnel and technology are often different during weekday as compared to weekends and holidays. So, the current study was undertaken to investigate mortality among patients admitted to intensive care unit on weekends and holidays as compared with weekdays. Data of all the patients admitted on weekends and holidays as well as weekdays were retrieved from the medical records of intensive care unit. Out of 288 admissions in intensive care unit, 12.8% of the patients were admitted on the weekends and holidays. A total of 72 patients (25%) died in one year.............

Keywards: Holidays, Intensive care unit, Weekends, Weekday, Mortality

[1]. Cavallazzi R, Marik PE, Hirani A, Pachinburavan M, Vasu TS, Leiby BE, Association between time of admission to the ICU and mortality: a systematic review and meta-analysis, Chest, 138(1), 2010, 68-75.
[2]. Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, et al, Early goal-directed therapy in the treatment of severe sepsis and septic shock, N Engl J Med, 345(19), 2001, 1368-1377.
[3]. Uusaro A, Kari K, Ruokonen E, The effects of ICU admission and discharge times on mortality in Finland, Intensive Care Med, 29(12),2003, 2144- 2148.
[4]. Laupland KB, Shahpori R, Kirkpatrick AW, Stelfox HT, Hospital mortality among adults admitted to and discharged from intensive care on weekends and evenings, J Crit Care, 23(3), 2008, 317-324.
[5]. Luyt CE, Combes A, Aegerter P, Guidet B, Trouillet JL, Gibert C, et al, Mortality among patients admitted to intensive care units during weekday shifts compared with off hours, Crit Care Med, 35(1), 2007, 3-11.

Abstract: Objective: The purpose of this study was to assess the prevalence of Traumatic Dental Injuries (TDI) in children who attended the Department of Pedodontics and Preventive Dentistry, SRM Dental College, Chennai between the years 2013-2016 and to analyze the factors associated with it. Materials and Methods: A retrospective study was carried out to retrieve data about the prevalence, gender, age, etiology of trauma, reasons for dental visit, number of injured teeth, type of injury, time elapsed and treatment rendered from the records of patients aged below 15years..............

Keywards: Prevalence, retrospective study, dental injuries, children, characteristics

[1]. Cortes MI, Marcenes W, Sheiham A. Impact of traumatic injuries to the permanent teeth on the oral health-related quality of life in 12-14-year-old children. Community Dent Oral Epidemiol,30 (3),2002,193-8.

[2]. Atabek D, Alaçam A, Aydintug I, Konakoglu G. A retrospective study of traumatic dental injuries. Dent Traumatol,30(2), 2014,154-61.

[3]. Choi SC, Park JH, Pae A, Kim JR. Retrospective study on traumatic dental injuries in preschool children at Kyung Hee Dental Hospital, Seoul, South Korea. Dent Traumatol,26(1),2010,70-5

[4]. Haug RH, Foss J.Maxillofacial injuries in the pediatric patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod,90(2),2000,126-34.

[5]. http://www.who.int/oral_health/disease_burden/global/en/

Abstract: Background: Liver involvement in celiac disease is not precisely known in India. Liver involvement of celiac disease has wide spectrum of manifestations. Aims & Objective: To know the effect of gluten free diet on outcome of liver disease among patients of celiac disease. Materials & Method: Out of 94 patients attending gastroenterology OPD who have celiac disease 39 patients diagnosed as liver disease, correspondence to 41.5%. Diagnose of celiac disease is done on Modified ESPGAN criteria. Among patients on follow up with gluten free diet on these patients, there is significant improvement in Gastro intestinal symptoms, extra intestinal symptoms and signs. Same trend was also shown in Blood parameters such as hemoglobin, MCV, MCHC, Platelets counts........

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[3]. Makharia G, Verma A, Amarchand R, Bhatnagar S, Das P, Goswami A et al. prevalence of celiac disease in the northern part of India. A community based study. J Gastroenter Hepatol. 2011; 26(5) :894-900.
[4]. Shewry P. Halford N, Belton P, Tatham A. The structure and properties of gluten: an elastic protein from wheat grain.
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Abstract: Malignant oropharyngeal tumours are far more common as compared to benign tumours. Oropharyngeal squamous papilloma typically presents in adults. Squamous cell papillomas are result of infection with Human Papilloma Virus(HPV). Histopathological examination shows multiple papillary projections lined by stratified squamous epithelium and supported by delicate fibrovascular core. Here we present a case of squamous papilloma in posterior pharyngeal wall of Oropharynx in 3½ -year-old female child.

Keywards: Oropharyngeal, Papilloma, Excision, Histopathology

[1]. National Library for Health (2007). "Squamous cell papilloma". National Library for Health. Retrieved December 19,2007.
[2]. K.A. Ward, S.S. Napier, P.C. Winter Detection of human papilloma virus DNA – sequences in oral squamous-cell papillomas by the polymerase chain reaction New Zealand Dermatological Society (2007). "Squamous cell papilloma". New Zeala Dermatological Society. Retrieved December 19, 2007.
[3]. Abbey LM, Page DG, Sawyer D. The clinical and histomorphologic features of a series of 464 oral squamous cell papillomas. Oral Surg Oral Med Oral Pathol 1980;49:419–428.
[4]. Oral cavity and oropharynx J. Rosai (Ed.), Rosai and Ackerman's Surgical Pathology (9th ed.), Mosby, Elsevier, Missouri (2004), pp. 247–278
[5]. Abbey LM, Page DG, Sawyer D. The clinical and histomorphologic features of a series of 464 oral squamous cell papillomas. Oral Surg Oral Med Oral Pathol 1980;49:419–428.

Abstract: We are reporting a case of anterior vulval varicosities as it is a very rare case , occurring in 4 % of pregnant women and also because of the complications associated with it. Whenever a pregnant lady presents with the complaint of bulging mass , precautions should be taken while doing per speculum examination as they are liable to bleed if appropriate precautions are not taken. They are the consequences of portal hypertension or obstructive pelvic lesions. They may become thrombosed , bleed and cause problems in delivery. But vaginal varicosities per se are not a indication for caesarean section . In the case which we are reporting patient was taken up for caesarean section for obstetric indication.

Keywards: Vulval varicosities, pregnancy, thrombosis,vaginal haematoma.

[1]. Purslow CE, Branson GJ. Severe antepartum haemorrhage due to spontaneous rupture of vaginal varix. Br Med J 1910, 1:319,20
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[5]. Ridley CM. General dermatological conditions and dermatosis of the vulva. In : Ridley CM,ed. The vulva Edinberg : Churchill livingstone, 1988;199.
[6]. Hye Ji Kim, A case of vaginal varix during pregnancy, Korean J ObstetGynecol 2012;55(1)

Abstract: Backround:Eclampsia remains a significant cause of maternal and peri-natal morbidity and mortality worldwide, particularly in resource poor countries,Nigeria inclusive.It is to a great extent, a preventable obstetric complication and measures required for its prevention, to minimize adverse maternal and peri-natal outcome, are well known and inexpensive. Objectives: To determine the socio-demographic profile, incidence and feto-maternal outcome ofeclampsia at the University Of Port Harcourt Teaching Hospital. Method: This was a prospective study of all pregnant women who presented with eclampsia to the University of Port Harcourt Teaching Hospital from April 1, 2010 to March 31, 2011. The data was collected on excel spreadsheet and analyzed using SPSS statistical package version 16.0............

Keywards: Eclampsia, Feto-maternal outcome, Port Harcourt, Nigeria.

[1]. Itam IH, Ekabua JE. A review of pregnancy outcome in women with eclampsia at the University of Calabar Teaching Hospital, Calabar. Trop J ObstetGynaecol 2001; 18 (2): 66 – 68.
[2]. Tukur J, Umar BA, Rabi'u A. Pattern of eclampsia in a tertiary health facility situated in a semi – rural town in Northern Nigeria. Annals of African Medicine 2007; 6 (4): 164 – 167.
[3]. Walfisch A, Hallak M. Hypertension. In James DK, Steer PJ, Weiner CP, Gonik B (Eds.). High-risk pregnancy: management options, 3rd ed. Elsevier Inc. 2006: 772 – 797.

[4]. Vigil-De Garcia P. Maternal death due to eclampia and HELLP syndrome. Int J Gynaecol

[5]. Obstet. 2009;97(4):90–94.

Abstract: Borderline ovarian tumors (BOTs) are neoplasms with benign and malignant characteristics, affecting young women in childbearing age. Finding incidental adnexal mass in pregnancy is more common with the use of ultrasound, incidence is about 2% to 10% of pregnancies. Treatment varies depending upon the gestational age: before 24 weeks of period of gestation treatment is usually conservative and surgical staging. Radical management is reserved to patients with suspected malignancy. A 27-years-old woman with period of gestation 32 weeks 5 days of her first pregnancy presented.............

Keywards: Pregnant, Borderline, Ovarian Tumour

[1]. Karseladze AI. WHO histological classification of ovarian tumors. Arkh Patol. 2005; Suppl: 1-64. PMid: 16108150.
[2]. Lorusso D, Ratti M, Ditto A, et al. High-risk borderline ovarian tumors: analysis of clinicopathological features and prognostic impact of different follow-up strategies. Oncology. 2014; 87(3): 183-92.
[3]. Hannibal CG, Vang R, Junge J, et al. A nationwide study of serous "borderline" ovarian tumors in Denmark 1978-2002: centralized pathology review and overall survival compared with the general population. Gynecol Oncol. 2014; 134(2): 267-73. http://dx.doi.org/10.1016/j.ygyno.2014.06.002
[4]. Seidman JD, Kurman RJ. Pathology of ovarian carcinoma. Hematol Oncol Clin North Am. 2003; 17(4): 909-25, vii. http://dx.doi.org/10.1016/S0889-8588(03)00061-3 .
[5]. Fauvet R, Brzakowski M, Morice P, et al. Borderline ovarian tumors diagnosed during pregnancy exhibit a high incidence of aggressive features: results of a French multicenter study. Ann Oncol. 2012; 23(6): 1481-7.

Abstract: Aims: To investigate the temperature changes in the cortical bone during intraosseous anesthesia with Quicksleeper and Anesto. Materials and Methods: 12 swine fresh jaws were used for each of the examined intraosseous systems. The target point of anesthesia and the places of fixing of the thermocouples were pre-marked. The process of needle's rotation into the bone was stopped at the moment the felling of sinking, which is an indication for perforating of the cortical bone and entering the cancellous bone. For both systems were measured the dynamic temperature changes generated by needle rotation into the cortical bone.............

Keywards: Intraosseous anesthesia, thermal osteonecrosis, Anesto, Quicksleeper

[1]. S. S. Virdee, D. Seymour and S. Bhakta, Effective anaesthesia of the acutely inflamed pulp: part 1. The acutely inflamed pulp, British Dental Journal 2015; 219: 385-390.
[2]. G. Gazal, Comparison of speed of action and injection discomfort of 4% articaine and 2% mepivacaine for pulpal anesthesia in mandibular teeth: A randomized, double-blind cross-over trial, European Journal of Dentistry 2015; 9: 201–6.
[3]. J. G. Meechan, Supplementary routes to local anaesthesia, International Endodontic Journal 2002;35:885–96.
[4]. R. Matthews, M. Drum, A. Reader, J. Nusstein, M. Beck, Articaine for supplemental buccal mandibular infiltration anesthesia in patients with irreversible pulpitis when the inferior alveolar nerve block fails,Journal of Endodontics 2009;35:343-6.
[5]. T. Asarch, K. Allen, B. Petersen, S. Beiraghi, Efficacy of a computerized local anesthesia device in pediatric dentistry. Pediatric Dentistry 1999;21:421–424.

Abstract: A 60 year old female presented with complaints of chest pain and breathlessness since 1 week. She was a known case of pulmonary tuberculosis and was on treatment for the same. Her chest x ray showed presence of gross pneumopericardium. 2D ECHO was apparently normal. HRCT thorax was suggestive of Koch's sequel in the form of gross pneumopericardium with cavitatory changes and consolidation in left lung and an ill-defined soft tissue density lesion in left main bronchus. Left antero –lateral thoracotomy with pericardectomy with pleuro – pericardial fistula closure with glue insertion was performed.............

Keywards:Pneumopericardium, bronchogenic carcinoma

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Abstract: Introduction: Diabetes mellitus is a major challenge and a clinical and public health problem in 21st century. India is the country with largest numbers of diabetic persons and has nearly 15% of global diabetic burden with about 45 million people with 10-15% in urban and 5-8% in rural area population. In India there are very scanty data on the level of awareness of people and prevalence of this disease to plan public health program. Therefore the study was conducted in this tertiary centre after approval of institutional ethical committee. Total 440 cases were included in this study from both rural and urban are who were either already diabetic or those found to have fasting blood sugar > 126 mgm% & PP > 220 mgm% were considered as diabetic............

[1]. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3354948/
[2]. http://www.ijem.in/article.asp?issn=2230-8210;year=2014;volume=18;issue=3;spage=379;epage=385;aulast=Deepa
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[4]. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3395295/
[5]. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2859279

Abstract: The need for accurate diagnosis of HIV infection has become a major global issue of interest over the years. This study sets out to determine the sensitivity and specificity of HIV test kits used in Barau Dikko Specialist Hospital Kaduna, Kaduna State, Nigeria. The kits assessed were Determine, Stat-Pak and Uni-Gold HIV1/2 test kits. A total of 200 gold standard positive and 200 gold standard negative sera by ELISA method were used for this study. Of the 200 HIV positive (gold standard) sera tested against each of the kits, 196 were truly positive and 4 were falsely negative using Determine HIV ½ giving sensitivity of 98%, 198 were truly positive and 2 were falsely negative with Stat-Pak.............

Keywards: Determine, HIV, Stat-Pak, Sensitivity, Specificity, Uni-Gold,

[1]. Jawetz, Melnick and Adelbergs, Medical Microbiology, 24th international edition(McGraw Hill publisher, 2004) 267- 272
[2]. MChessbrough,District lab practice in tropical countries. (Cambridge University Press, 2006) 248-266
[3]. RCGallo, SZSalahuddin, MPopovic, GMShearer, MKaplan, BFHaynes, TJPalker, RRedfield, JOleske, BSafai, et al, Frequent detection and isolation of cytopathic retroviruses (HTLV-III) from patients with AIDS and at risk for AIDS. Science 224, 1984, 500–503
[4]. PRMurray, EJBaron, MA Pfaller, CFTenovar and RHYolken, Manual of Clinical Microbiology 6th Edition(ASM Press Washington DC, W.H. 2005) 1049-1055
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[6]. Jeanne-Marie Amat-Roze, L'infection à VIH/sida en Afrique subsaharienne, propos géographiques, Hérodote, 111,2003,121-125.

Abstract: Anaemia whether clinically overt or not is a common condition encountered by family physician. The most commonly encountered disorders with mild microcytic hypochromic anaemia are iron deficiency anemia (IDA) and Thalassemia Trait (TT). The establishment of an accurate diagnosis is of great importance in ensuring correct treatment. A total of forty four patients with hypochromic microcytic anaemia were screened for various hematological profiles in the age group of 1-12 years. Out of 44 patients studied 56.8% were girls, 43.2% were boys. Mild anaemia was observed in 59.1% of cases, moderate anaemia was observed in 29.5 % of cases and severe anaemia was observed in 11.4% of cases. Hb Electrophoresis, Serum Iron profile and Red cell indices are complementary to each other in the precise diagnosis of microcytic hypochromic anaemia of varied etiology, which would enable comprehensive wholesome treatment.

Keywards: Iron deficiency anaemia, Thalassemia, Red cell indices, Microcytic Hypochromic Aneamia.

[1]. Wharton BA. Iron deficiency in children: detection and prevention. British Journal of Haematology.1999; 106(2): 270−280.
[2]. Lukens JN. The thalassemias and related disorders: an overview. Wintrobe's Clinical Hematology. 10th ed. Giza: Mass Publishing, 1999; 405-33.
[3]. Adamsky K, Weizer O, Amariglio N, Breda L, Harmelin A and Rivella S et al. Decreased hepcidin mRNA expression in thalassemic mice. British Journal of Haematology. 2004; 124(1):123–124.
[4]. Breda L, Gardenghi S, Guy E, Rachmilewitz E.A, Weizer-Stern O and Adamsky K et al. Exploring the role of hepcidin, an antimicrobial and iron regulatory peptide, in increased iron absorption in β-thalassemia. Annals of the New York Academy of Sciences. 2005; 1054:417–422.
[5]. Gardenghi S, Marongiu MF, Ramos P, Guy E, Breda L and Chadburn A. Ineffective erythropoiesis in β-thalassemia is characterized by increased iron absorption mediated by down-regulation of hepcidin and up-regulation of ferroportin. Blood. 2007; 109(11):5027–5035.

Abstract: Dental implants can be placed immediately into healthy extraction sites with high success and survival rates. It has been suggested, however, that immediate placement of implants into infected extraction sites is contraindicated due to the pathology interfering with osseointegration resulting in decreased implant survival and success With many potential implant sites presenting with a preexisting periapical or periodontal infection, treatment protocols have been advocated for immediate placement of implants in these infected sites.............

Keywards: Dental implant, immediate implant, infected sockets

[1]. Misch CE. Bone Density: A Key Determinant for Treatment Planning. In: Contemporary Implant Dentistry, (Misch CE) 3rd ed. Mosby Elsevier, St. Louis2008. pp. 130-146.
[2]. Abu-Hussein M,, Abdulghani A., Sarafianou A., Kontoes N.; Implants into fresh extraction site: A literature review,case immediate placement report, Journal of Dental Implants. 2013;3(2):160-164
[3]. Bajali M., Abdulgani Azz., Abu-Hussein M, Extraction and immediate implant placement, and provisionalization with two years follow-up: a case report, Int J Dent Health Sci 2014; 1(2): 229236.
[4]. Muhamad et al; Tooth extraction, immediate implant placement: a case report, Asian Pac. J. Health Sci., 2014; 1(4): 543-549
[5]. Abu-Hussein M., Abdulgani A., Watted N .Zahalka M.; Congenitally Missing Lateral Incisor with Orthodontics, Bone Grafting and Single-Tooth Implant: A Case Report. Journal of Dental and Medical Sciences2015, 14(4),124-130