iosr-JDMS   Volume-16 ~ Issue-10 ~ October-2017

Abstract: Introduction :Subarachnoid block using local anesthetics is choice of anesthesiafor lower limb surgeries .We conducted study on 75 patients 25 each group of 1,2 and 3ml of 0.5% heavy bupivacaine(8% glucose) for spinal anesthesia in lower limb surgeries. We compared effect of spinal block between dependent limb and non dependent limb after giving spinal anesthesia in lateral decubitious position. Aim: To study and compare dependent with nondependent limb fortime taken for onset, highest sensory dermatomal level and duration of recovery of subarachnoid block in lateral decubitious position using different volumes of 0.5% heavy bupivacaine in patients posted for lower limb surgeries............

Keywords –Subarachnoid block, lower limb surgeries, dependent limb,nondependent limb

[1] Förster, Johannes G.; Rosenberg, Per H. Revival of old local anesthetics for spinal anesthesia in ambulatory surgery.Current Opinion in Anaesthesiology: December 2011 - Volume 24 – Issue 6 - p 633–637
[2] Wildsmith JAW, McClure JH, Brown DT, Scott DB. Effects of posture on the spread of isobaric and hyperbaric amethocaine.Br J Anaesth 1981;53:273-8.
[3] Alston R. P. - Spinal anesthesia with 0.5 % Bupivacaine 3 ml :comparison of plain and hyperbaric solution administered to seated patients. BJA. Oct.1988, vol. 61 ,385-389.
[4] Anelsson K. H.,Edstrom H. H., Sundberg A. E. A. and Widman G. B. -Spinal anesthesia with hyperbaric 0.5 % Bupivacaine : Effect of volume. Acta. Anesthesia - Scand.Suppl. 1982-26, 439-445.
[5] Sundnls K. O. ,Vaagenls P. - Spinal anaesthesia with hyperbaric bupivacaine : Effects of volume ofsolution. British journal of anesthesia, 1982, vol.- 54, 69.

Abstract: Carcinoma of the stomach is still remained among the most common cause of cancer death worldwide. In an effort to understand interaction between force of Intercellular adhesion and its disruption by propagating cancer cells we have selected 46 caresses of Gastric adenocarcinomas. As E-cadherin (ECD) is the strongest intercellular adhesion molecule in nonmalignant Gastric mucosal epithelial cell and Autocrine motility Factor (AMF) is an established propagator of its malignant counterpart, we have studied simultaneous expression of ECD and AMFR (Autocrine motility Factor Receptor).With aid of immunohistochemical technique, strong or weak expression of ECD and AMFR was determined according to predetermined parameters .Normal Gastric mucosal cell (the control cases) strongly express ECD whereas reverse was true with AFMR. We find decrease ECD and simultaneous............

Key words: Gastric Adenocrnomas; E-Cadherin: Autocrine motility Factor Receptor

[1]. Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Peter Boyle, Bernard Levin., editors. GLOBOCAN 2008, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No. 10. Lyon, France: International Agency for Research on Cancer. 2010.
[2]. Danaei G, Vander Hoorn S, Lopez AD, Murray CJ, Ezzati M. Causes of cancer in the world: comparative risk assessment of nine behavioural and environmental risk factors. Lancet. 2005;366:1784–1793.
[3]. Catalano V, Labianca R, Beretta GD, Gatta G, de Braud F, Van Cutsem E. Gastric cancer. Crit Rev OncolHematol. 2009;71:127–164.
[4]. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61:69–90.
[5]. SiddavaramNagini. Carcinoma of the stomach: A review of epidemiology, pathogenesis, molecular genetics and chemoprevention. World J Gastrotest.Oncol.2012 Jul 15; 4(7): 156–169...

Abstract: Objective Resuscitation in major burn injury-experience in tertiary care centre for better outcome. The study is a Observational and Prospective study of 100 cases of Thermal Burn ,admitted in Subharti Medical College and Hospital, Meerut, during the period from 2015 to 2017.A total of 100 patients of acute thermal burn presenting in the first 12 hrs were included in the study. Material and method- Patients were admitted from the triage who presented with in 12 hrs after thermal burn injury with second and third degree thermal burn and excluding first degree and all other burns. Patients resuscitation done based on Parkland formula and tailored according to hourly urine output and other clinical parameters............

[1] Gibran NS, Heimbach DM. Current status of burn wound pathophysiology. Clin Plast Surg. 2000;27:11–22
[2] Scott JR, Muangman PR, Tamura RN, Zhu KQ, Liang Z, Anthony J, et al. Substance P levels and neutral endopeptidase activity in acute burn wounds and hypertrophic scar. Plast Reconstr Surg. 2005;115:095–102.
[3] Azzopardi EA, McWilliams B, Iyer S, et al: Fluid resuscitation in adults with severe burns at risk of secondary abdominal compartment syndrome–an evidence based systematic review. Burns 2009; 35:911–920
[4] Gaoxing Luo, Yizhi Peng, Zhiqiang Yuan.Fluid resuscitation for major burn patients with the TMMU protocol. Burns. 2009; 35:1118–1123.
[5] Engrav LH, Colescott PL, Kemalyan N, et al. A biopsy of the use of the Baxter Formula to resuscitate burns or do we do it like Charlie did it? J Burn Care and Rehabil 2000;21:91–4.

Abstract: Objective: To study clinical profile and etiology of liver ,to determine the role of ultrasonography in the management of liver abscess and the outcome associated with different treatment strategies of liver abscess. Materials and methods:All patients with liver abscess 2015 to 2018 were included in this study.50 patients with Liver abscess who reported to various departments of Subharti medical College, Meerut, were included in the study. The patients were treated with antibiotic alone for abscess size<5 cm, patients were treated with percutaneous needle aspiration for abscess size 5-10cm and for abscess more than 10cm patients were treated with pigtail catheterization. Those patients who presented with rupture liver abscess were treated by surgical approach by laparotomy. PNA was repeated every third day if the cavity size had not declined to 50% of the original for up to twice times on repeat USG. Persistence of cavity or of clinical symptoms was considered failure of treatment..............

[1] C L Rajak,Saurabh Gupta, Shashank Jain, SamikshaSuri. Percutaneous treatment of liver abscesses: needle aspiration versus catheter drainage.American Journal of Roentgenology April 1998; 170(4):1035-9.

[2] Rustam Khan, Saeed Hamid, ShahabAbid, WasimJafri, Zaigham Abbas, Mohammed Islam,HasnainShah,Shaalan. Predictive factors for early aspiration in liver abscess. Begwjgast;April;2008;14(13);2089-2093.

[3] S. Ch Yu 1, R. Hg Lo, P.S. Kan, C. Metreweli. Pyogenic liver abscess: treatment with needle aspiration.ClinRadio;Dec1997;52;(12);912-916

[4] Mohsen AH, Green ST, Read RC, et al. Liver abscess in adults: ten years experience in a UK centre. QJ Med2002; 95:797-802.

[5] Lübbert C, Wiegand J, Karlas T .Therapy of liver abscesses.Viszeralmedizin. Oct 2014;30(5):334-41..

Abstract: Objectives: To study the efficacy of intralesional triamcinolone acetonide injection in the management of chalazion. Materials And Method: A prospective clinical study on patients with chalazion less than 5mm in size attending the OPD of department of ophthalmology in a tertiary centre. RESULT:Patient with chalazia of size<5mm responded well to the treatment. CONCLUSION:We conclude from the present study that intralesional triamcinolone acetonide injection is a simple, safe and effective alternative to surgery in the treatment of small chalazia.

Keywords: Chalazion, Intralesional triamcinolone acetonide

[1]. Khanna KK, Mittal OP; Non-surgical treatment of chalazion; Indian J Ophthalmol; 1981; 29; 83-85.
[2]. Palva J, Pohjanpelto PE; Intralesional corticosteroid injection for the treatment of chalazia; Acta Ophthalmol (Copenh); 1983 Oct; 61(5); 933-937.
[3]. Ben Simon GJ et al; Intralesional triamcinolone acetonide injection for primary and recurrent chalazia: is it really effective?; Ophthalmology; 2005 May; 112(5); 913-7.
[4]. Pavicić- Astalos J et al; Intralesional triamcinolone acetonide injection for chalazion; Acta Clin Croat; 2010 Mar; 49(1); 43-8.
[5]. Ben Simon GJ et al;Intralesional triamcinolone acetonide injection versus incision and curettage for primary chalazia: a prospective, randomized study; Am J Ophthalmol; 2011 Apr; 151(4); 714-718..

Abstract: Since time immemorial, the diagnosis of haematological disorders were mainly done by using bone marrow aspiration. The available statistics show that the diagnosis of haematological disorders taking complete clinical history, careful physical examination, complete haemogram and Bone marrow examination by either aspiration (or) biopsy. Even though aspiration is diagnostic jamshidi introduced a biopsy needle that was easier to use and which provided similar intact biopsy specimens. The biopsy is more superior than aspiration.

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[5]. Mckenna R, Heamandez JA, Bone marrow in malignant lymphoma hematology/oncology clinics of North America 1988: 2:4:617-635...

Abstract: Acute Kidney Injury (AKI) refers to a reversible accumulation of urea, creatinine and nitrogenous waste products and disturbances in maintenance of fluid and electrolyte homeostasis. The incidence of AKI continues to increase in the Paediatric age group particularly in critically ill children with the etiology shifting from primary renal disorders to multifactorial cause. A prospective observational study was done with 342 children aged between 1-12 years, admitted in Paediatric Intensive Care Unit (PICU) of Institute of Child Health & Research Centre, Madurai Medical College, Madurai during July 2015 to June 2016. Aim of the study was to determine to incidence, clinical profile and outcome..............

Keywords-:Acute Kidney Injury, PICU children, AKIN staging

[1]. Andreoli SP. Acute kidney injury in children. Pediatr Nephrol. 2009 Feb;24(2):253-63.
[2]. Basu RK, Devarajan P, Wong H, Wheeler DS. An update and review of acute kidney injury in pediatrics. Pediatr Crit Care Med. 2011 May;12(3):339-47.
[3]. Schneider J, Khemani R, Grushkin C et al. Serum creatinine as stratified in the RIFLE score for acute kidney injury is associated with mortality and1length of stay for children in the pediatric intensive care unit. CritCareMed 2010; 38: 933–939
[4]. Bellomo R, Ronco C, Kellum JA, Mehta RL, Palevsky P. Acute renal failure - definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care. [Consensus Development Conference Guideline Practice Guideline Review]. 2004 Aug;8(4):R204-12.
[5]. Akcan-Arikan A, Zappitelli M, Loftis LL, Washburn KK, Jefferson LS, Goldstein SL. Modified RIFLE criteria in critically ill children with acute kidney injury. Kidney international. [Research Support, Non-U.S. Gov't]. 2007 May;71(10):1028-35

Abstract: Introduction: Acute pancreatitis being a frequent casuality in the surgical department with griever consequences need an early diagnosis and treatment. In a developing country it is utmost important to diagnose such case and refer it to the tertiary care hospital for further evaluation and treatment to decrease the mortality rate. With this background the present study was carried out to examine the possibility of an easily conclusive test for acute pancreatitis which can be performed at the side laboratory of any hospital. Acute pancreatitis due to various etiology was diagnosed with the classical test, depedent on amylase and lipase activity. In this study the effect of protease fraction of pancreatic enzyme (mainly trypsinogen) which produce free amino acids and small peptides (2-8 amino acids prod, protease activated product PAP) was evaluated. During a phase of acute pancreatitis these fractions are expected to reflect the effect of circulating protease activity either as a relatively direct observable parameter or as an index derived from computation of some functional test.........

Keywords: Acute pancreatitis, protease activated product ( PAP), trypsinogen, amylase, lipase, total protein.

[1]. Phillip V, Steiner J M , Algül H , " Early phase of acute pancreatitis: assessment and management". World Journal of Gastrointestinal Pathpphysiology, 2014; vol.5, no. 3: 158-168
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[3]. Weitz G, Woitalla J, Wellhӧner P, Schmidt K , Büning J , Fellermann K, "Does etiology of acute pancreatitis matter ? A review of 391 consecutive episodes ," Journal of the Pancreas,2015; vol.16 , no2: 171-175
[4]. Spainer B W M , Dijkgraff M G W , Burno M J , "Epidemiology, aetiology and outcome of acute and chronic pancreatitis : An update", Best Practice and Research in Clinical Gastroenterology2008; vol. 22 , no.1: 45-63
[5]. P , Lowenfels A B, " Acute pancreatitis: does gender matter ?" Digestive Diseases and Sciences , 2001; vol. 46 no.11: 2470-2474.

Abstract: Recurrentoral ulcers have been estimated to affect more than 10 million people per year in India.Though it is a much common condition which presents as recurrentsmall, ovoidoral ulcers with circumscribed margins, erythematous halos and yellow floors, still etiology remains a debatable one. Recurrent aphthous ulcers may be a manifestation of a disorder rather than a separate entity (1). So a better drug with maximal efficacy andminimal side effect is the need of the hour and so we conducted a prospective study on efficacy of Rebamipide in recurrent oral aphthous stomatitis.Rebamipide is already marketed as a gastro protective agent. Our study conducted in a tertiary care centre has approved the efficacy of Rebamipide in recurrent aphthous stomatitis, which can be marketed as a promising drug for the same.

Keywords: Recurrent aphthous stomatitis, Rebamipide

[1]. Preeti L.et al, recurrent aphthous stomatitis. J oral maxillofacilliary pathology,2011 september 15 (3):252-6 (medicine)
[2]. Mohan H Kudur et al; Rebamipide: A novel agent in the treatment of recurrent aphthous ulcer and Behcet`s syndrome, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC 3778773/ Indian journal of Dermatology.
[3]. Tangawa T et al, Rebamipide, a mucoprotective drug, inhibits NSAIDs – induced gastric mucosal injury, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC 3045688/ .

Abstract: Introduction: The injection of local anesthesia with adrenaline in oral surgical procedures is associated with the metabolic changes in blood glucose level.The present paper aims to study the changes in blood glucose level after injection of lignocaine with adrenaline Materials and Methods: The study was carried out on 30 healthy subjects who needed minor oral surgical procedure under local anesthesia.The patients were excluded for any blood sugar or other metabolic and endocrine disorders.The procedure was carried out with with 2ml of lignocaine with adrenaline and the blood glucose was measured pre and post operatively after 10 minutes. Results: The study showed that there is no significant ( p value..........

Keywords:Blood glucose.adrenaline,local anesthesia.

[1]. Meral G, Tasar F, Sayin F, Saysel M, Kir S, Karabulut E. Effectsof lidocaine with and without epinephrine on plasma epinephrine and lidocaine concentrations and hemodynamic values during third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005 Aug;100(2):e25-e30.
[2]. Kämmerer PW, Palarie V, Daubländer M, et al. Comparison of 4% articaine with epinephrine (1: 100,000) and without epinephrine in inferior alveolar block for tooth extraction: double-blind randomized clinical trial of anesthetic efficacy.
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[4]. Bronzo AL1, Cardoso CG Jr, Ortega KC, Mion D Jr.. Felypressin increases blood pressure during dental procedures in hypertensive patients. Arq Bras Cardiol 2012;99(2):724-31. Epub 2012.
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Abstract: Introduction: Prednisone (PDN) is the most commonly used first-line treatment for primary immune thrombocytopenia (ITP) in children. Recently, a short-course high-dose dexamethasone (HD-DXM) therapy has been reported to be efficacious in childhood primary ITP. However, the choice of best corticosteroid as an initial therapy in primary ITP in children is still a matter of debate. Methods: This single-blind prospective randomized clinical trial was conducted at Pediatrics Department, NRS Medical College and Hospital, Kolkata, a tertiary care teaching institute in the state of West Bengal from the month of July 2014 to June 2017 to compare the efficacy and safety of HD-DXM and conventional PDN as first-line strategies for newly diagnosed primary ITP in children. Patients enrolled were randomized to receive DXM 20 mg/m2/day for 4 days (n=49) or PDN 2.0 mg/kg/day for 10 day and then tapered.........

Keywords: Randomized clinical trial; Newly diagnosed primary immune thrombocytopenia; Children; High-dose dexamethasone; Prednisone.

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[2]. Stasi R, Evangelista ML, Stipa E, Buccisano F, Venditti A, Amadori S. Idiopathic thrombocytopenic purpura: current concepts in pathophysiology and management. Thromb Haemost. 2008 Jan;99(1):4-13.
[3]. Provan D, Stasi R, Newland AC, et al. International consensus report on the investigation and management of primary immune thrombocytopenia. Blood. 2010;115(2):168-186.
[4]. Neunert C, Lim W, Crowther M, Cohen A, Solberg L Jr, Crowther MA. The American Society of Hematology 2011 evidence-based practice guideline for immune thrombocytopenia. Blood. 2011;117(16):4190-4207.
[5]. Buchanan GR, Holtkamp CA. Prednisone therapy for children with newly diagnosed idiopathic thrombocytopenic purpura. A randomized clinical trial. Am J Pediatr Hematol Oncol. 1984 Winter;6(4):355-61...

Abstract: Freshly extracted 80 intact, non-carious single rooted human maxillary central incisors that were extracted for periodontal reasons within six months period of start of the study were collected from the Department of Oral and Maxillofacial Surgery. The root canals were instrumented using a step-back technique. Obturation was done with cold lateral compaction method using Gutta-Percha. Peeso reamer no 4 was used to remove the Gutta-Percha upto 3mm below the CEJ. The teeth were randomly allocated into four groups with twenty teeth in each group as follows: GroupA :- Conventional glass ionomer cement. GroupB :- Light cured glass ionomer cement. GroupC :- Glass cermet. GroupD :- White mineral trioxide aggregate...........

Keywords-: coronal barrier filling material, coronal dye microleakage, stereomicroscope, white mineral trioxide aggregate..

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[2]. Barcellos DC, Borges AB, Silva RCDSP, Riberio LM, Pucci CR, Torres CRG. PH- changes during intra coronal bleaching: An in vivo study. jContemp Dent Pract.2011;12(2):109-113.
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Abstract: The cranial base area of the craniofacial complex has long been of interest to orthodontists and craniofacial anthropologists. The cranial base provides support for the brain and adaptation during growth between the developing neurocranium and viscerocranium. The aims of this investigation was to assess if there is any evidence that the cranial base angle predisposes the jaw base relationship in a Dravidian population, and to gain data specific for this population with particular reference to the angular and linear cranial base morphology. Materials And Methods: The study involved 105 subjects (male:52 ; female:53 : age: 18± 5 SD years) from Chennai who were classified into 3 sagittal discrepancy group on the basis of their ANB angle.A cephalometric analysis of the angular and linear measurements of the cranial and jaw bases was carried out. The morphological characteristics of the cranial and jaw bases in the three groups were compared and assessments were made as to whether a relationship existed between the cranial base and the jaw base discrepancy.............

Keywords: Cranial base, Jaw Base, Cephalometry

[1]. Bhattacharya A, Bhatia A, Patel D, Mehta N, Parekh H, Trivedi R. Evaluation of relationship between cranial base angle and maxillofacial morphology in Indian population: A cephalometric study. J OrthodontSci 2014;3:74-80.
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Abstract: Oral squamous cell carcinoma is the most common malignancy of the oral cavity. Although oral cancers are usually visible and accessible, delays in diagnosis are not uncommon. The aim of the present study was to characterize diagnostic delay of oral cancers in a cohort of Bulgarian patients. The mean total delay of oral cancer diagnosis was found to be 7.3 months (median 4 months) in 288 patients included in the study. It was possible to determine patient and professional delay in 52 cases. The mean patient delay in diagnosis was 5.7 months (median 3 months) and the mean........

Keywords: oral cancer, diagnosis, delay.

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Abstract: Tramadol and fentanyl both have analgesic and sedative properties when used as adjuvant in regional anaesthesia. Analgesic and anaesthetic requirement get reduced by use of these adjuvant. They have stable hemodynamics and enhanced sympathoadrenal stability. Pain relief is essential for optimal control of patients in the intraoperative and post operative period. Epidural technique has opened a new horizon in modern anaesthesia for pain relief. Benefits of good quality epidural analgesia include- early ambulation, faster postoperative anaesthetic recovery, better post operative analgesia ,earlier return of bowel function, decreased incidence of thromboembolic phenomenon. Epidural ropivacaine & opioid derivative combination has better perioperative analgesia than intravenous patient controlled analgesia...............

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[3]. Kleinman, W. & Mikhail, M. (2006). Spinal, epidural, & caudal blocks. In G.E. Morgan et al Clinical Anesthesiology, 4th edition. New York: Lange Medical Books.
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[5]. Yildiz TS, Ozdamar D, Bagus F, Solak M, Toker K. Levobupivacaine-tramadol combination for caudal block in children: a randomized, double-blinded, prospective study. Paediatr Anaesth. 2010;20:524–9

Abstract: Dental abfraction is non-carious cervical lesion resulting from flexure forces. As the tooth flex under occlusal load, stresses are transmitted to the cervical area, causing the cervical enamel to fracture and dislodge, and with increased flexure, a v- shaped notch develops. The pathogenesis is related to the occlusal stress that causes non-carious lesion in the enamel and dentin at the cervical region. Clinically, it presents as notches in the tooth structure near or even under the gum line usually on the cheek side of tooth. The restoration treatment is made using an aesthetic adhesive material, but we must take into account the causal factors and the specific area where the restoration is done. This report present a case of abfraction which was successfully treated by Composite restoration material.

Key words: Abfraction lesions; cervical defect; restorative treatment, tooth wear

[1]. Grippo, J O: Noncarious cervical lesions: the decision to ignore or restore: Journal of Esthetic and Restorative Dentistry 4 (1992), 55-64.
[2]. Chowdhry, A. Tandon, A. Mehta, V. and Ramesh, G: Abfraction: Concepts Revisited. International Journal of Oral and Maxillofacial Pathology 3 (2013) 58-60.
[3]. Irina-Maria, G. Loredana, M. Magdalena, M.C. AA, I. and Ioana, S: Dental abfraction-case report: ARS Medica Tomitana 20 (2014) 153-158.
[4]. Bartlett, D. and Shah, P: A critical review of non-carious cervical (wear) lesions and the role of abfraction, erosion, and abrasion. Journal of Dental Research 85 (2006) 306-312.
[5]. Fruits, T.J. VanBrunt, C.L. Khajotia, S.S. and Duncanson, M.G: Effect of cyclical lateral forces on microleakage in cervical resin composite restorations: Quintessence international 33 (2002)...

Abstract: Insulinoma is rare pancreatic islet cell neuroendocrine tumor typically sporadic, solitary and benign. We report the case of sporadic insulinoma in 16-year-old girl who presented with chief complaints of loss of consciousness episode daily since 7 month associated with palpitation, tremors, and diaphoresis. Clinical examination and laboratory investigation suggestive of pancreatic insulinoma, then patient admitted for further workup. A fasting test of 48-hour was done and ceased within 3 hours due to occurrence of hypoglycemic symptoms. During the episode, blood was drawn and results showed low blood glucose level and high insulin, pro-insulin and C-peptide levels.........

Keywords: insulinoma; whipples triad; pancreas

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Abstract: By eliminating future problems like stress concentration and a fulcrum on the pier abutment, longevity of the fixed partial denture can be maintained. An appropriate means of causing a stress breaking action is by use of a precision attachment (tenon-mortise) for adequate dissipation of forces along the long axis of the tooth and not in any other direction. Transfer of shear stresses to the underlying bone is of utmost importance to avoid loosening of the pier abutment over a period of time............

Keywords-: broken-stress principle, pier abutment, precision attachment, stress breaking, tenon-mortise attachment.

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Abstract: Introduction: Global pandemics with high mortality and morbidity occur when a virulent new viral strain emerges, against which the human population has no immunity. estimate the serum biochemical parameters especially serum LDH in suspected patients of swine flu and to compare these biochemical parameters in RT-PCR positive cases of swine flu with suspected cases of swine flu that are RT-PCR negative. Objectives: Material and methods :hospital based observation descriptive study conducted on adult patients (n=150), admitted or took consultation at Medicine OPD of SMS Hospital during one Year period of the analysis (January 2015 to 2016) and tested for the presence of (H1N1).......

Keywords :H1N1 influenza, LDH optimal cut- off value

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Abstract: Urinary calculi are the third most common problem affecting the urinary tract, followed by urinary tract infections& diseases of the prostate. Objective of this study is to evaluate and compare the efficacy and safety of Pneumatic versus laser lithotripsy in the management of ureteric stones.Stone migration was more common on pneumatic lithotripsy group than the laser group. Duration of surgery was more in laser group than pneumatic group. Both of them achieved complete stone clearance with respect to lower ureteric calculi. For upper ureteric calculi, because of less stone migration in laser group, it resulted in better stone clearance.

Keywords :Pneumatic, Laser Lithotripsy, Ureteric stones, Urospesis

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