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

Abstract: Introduction: Foreign bodies in aerdigestive tract are one of the common emergencies in ENT. A suspicious mind with meticulous history taking may save many lives. The study is about the experience of aerodigestive tract foreign bodies in tertiary care hospital. Material & Methods: This prospective analysis was done in department of ENT,Burdwan Medical College & Hospital in a subgroup of 97 patients in a tenure of 2 yrs , from June2015-June2017. Results: This study includes total 97 cases. Out of them 86 were digestive and 11 were airway foreign bodies. Conclusion: It is the childhood era which got affected most followed by elderly in cases of denture impaction.

Keywords –Foreign body, coin, denture

[1]. H. Ekim. Management of esophageal foreign bodies: A report on 26 patients and literature review. E J Med 2010;15(1):21–5.
[2]. Bane A, Bekele A. Management of gastrointestinal foreign bodies using flexible endoscopy: An experience from Addis Ababa, Ethiopia. East Cent Afr J Surg 2012;17(3):25–31.
[3]. Roura J, Morello A, Comas J, Ferran F, Colome M, Traserra J. Esophageal foreign bodies in adults. ORL J Otorhinolaryngology Relat Spec 1990;52(1):51–6.
[4]. Al-Sarraf N, Jamal-Eddine H, Khaja F, Ayed AK. Headscarf pin tracheobronchial aspiration: A distinct clinical entity. Interact CardiovascThoracSurg 2009;9(2):187–90.
[5]. Kamat P, Bhojwani KM, Prasannaraj T, Abhijith K. Foreign bodies in aerodigestive tract – A clinical study of cases in the coastal area. American Journal of Otolaryngology, head and neck medicine and surgery 2006; 27: 373-377..

Abstract: Aneurysmal bone cyst is a benign cystic lesion of bone known since 1942 mainly involving the long bones. We present a rare case report of 32 year old femalewith complaint of upper back ache. It was diagnosed on basis of MRI findings and then surgically excised and confirmed on histopathological examination.

Key words:Aneurysmal bone cyst,benign,osteolytic lesion

[1]. 1.Jaffe HL, Lichtenstein L. Solitary unicameral bone cyst with emphasis on the roentgen picture, the pathologic appearance and the pathogenesis. Arch Surg. 1942;44:1004–25.
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[3]. 3.Ameli NO, Abbassioun K, Saleh H, Eslamdoost A. Aneurysmal bone cyst of the spine. Report of 17 cases. J Neurosurg. 1985;63:685–90.
[4]. 4. Leithner A, Windhager R, Lang S, Haas O, Kainberger F, Kotz R. Aneurysmal bone cyst. A population based epidemiologic study and literature review. ClinOrthopRelat Res. 1999;363:176–179. doi: 10.1097/00003086-199906000-00023
[5]. 5.Boriani S, De Iure F, Campanacci L, et al. Aneurysmal bone cyst of the mobile spine: report on 41 cases. Spine. 2001;26:27–35. doi: 10.1097/00007632-200101010-00007.

Abstract: Introduction: Several methods have been proposed to alleviate pain after hysterectomy. Local infiltration of the surgical wound is one of the important components of multimodal analgesia for post-operative pain relief. This study determines the post-operative analgesic effect of addition of dexmedetomidine and fentanyl to bupivacaine for local infiltration of the surgical wound.
Methods: 40 patients with ASA class of I or II scheduled for abdominal hysterectomy were recruited for the study. The patients were randomly assigned to Group A` (control group) where patients received wound infiltration with 30 mL 0.25% bupivacaine and 25μg of fentanyl.........

Keywords: general anesthesia, dexmedetomidine, fentanyl, bupivacaine, wound infiltration.

[1]. Patel JM, Lanzalene RJ, William JS, Mullen BV, Hinshaw JR. The effect of incisional infiltration of bupivacaine hydrochloride upon pulmonary function, atelectaisis and narcotic need following elective cholecystectomy. SurgGynacolObst. 1983;15:338–40.
[2]. Egan TM, Harman SJ, Doucette EJ, Normand SL, McLeod RS. A randomized controlled trial to determine effectiveness of fascial infiltration of Bupivacaine in preventing respiratory complication after elective abdominal surgery. Surgery. 1988;104:734–40 [3]. Mehta TR, Parikh BK, Bhosale GP, Butala BP, Shah VR. Postoperative analgesia after incisional infiltration of bupivacaine v/s bupivacaine with buprenorphine. J AnaesthesiolClinPharmacol 2011; 27(2): 211-14
[4]. Yoshitomi T, Kohjitani A, Maeda S, Higuchi H, Shimada M, Miyawaki T. Dexmedetomidine enhances the local anesthetic action of lidocaine via an alpha-2A adrenoceptor. AnesthAnalg 2008;107:96-101.
[5]. Ravipati P, Reddy PN, Kumar C, Pradeep P, Pathapati RM, Rajashekar ST. Dexmedetomidine decreases the requirement of ketamine and propofol during burns debridement and dressings. Indian J Anaesth 2014;58:138-42

Abstract: Aim:To evaluate the influence of the type of mastication (temporal and masseteric) on the functional state of the masticatory system. Material and method:The examinations were conducted at the Institute of Medical and Experimental Physiology, Faculty of Medicine in Skopje. The study included 96 respondents (35 males and 63 females). The type of mastication is determined by examining the biopotentials of the masseter and temporal muscles of the subjects. Subsequently, their masticatory efficiency with determined using a specially constructed instrument, ELECTROMASTICIOGRAPH, which graphically processes and records the mandibulemovements and the chewing muscles during the masticatory act. The mechanical efficacy is determined by the number of chewing cycles and the time of mastication. Walnuts.... .......

Keywords: mastication, electromasticatiography, masticatory muscles, temporal type, masseteric type

[1]. Jankulovska E., "Chewng effect in subjects with natural dention", Skopje, 1990
[2]. Jankulovska E., Anatomy and morphology of teeth and jaws", Skopje, 2001
[3]. Jankulovska V., Masticatory efficiency in subjects with class II division 1 and division 2, Skopje 2012.

Abstract: Background: Infertility is a major health problem among young couples in India and it is associated with psychological morbidity like depression, anxiety and stress etc. Among psychological problems, Depression is a one of the major consequences of infertility. Objectives: To determine the magnitude of the depression, anxiety and stress among males attending infertility clinic of tertiary care hospital. Methods: This is a descriptive cross-sectional study of 80 male subjects attending infertility clinic of GTB Hospital Delhi. DASS, a 42 item, self-reported questionnaire used to measure the three related negative emotional states of depression, anxiety and stress..........

Keywords: Anxiety, depression, infertility, stress

[1]. World Health Organization. Infertility: A tabulation of available data on prevalence of primary and secondary infertility. Geneva: Programme on maternal health and family planning, Division of Family Health. 1991.
[2]. Dey S. Infertility rises at alarming pace in India. English news. 2010 July. 15:04:38.
[3]. Sadock BJ, Sadock VA. Kaplan and Sadocks symptoms of psychiatry behavioural sciences clinical psychiatry, 9th ed. Lippincott Williams & Wilkins: Philadelphia; 2003. 872-4.
[4]. Mendiola J, Torres-Cantero AM, Agarwal A. Lifestyle factors and male infertility: a evidence based review. Arch.Med.Sci. 5, 2009, S3-12
[5]. Peterson BD, Newton BD, Rosen KH et al. Gender differences in how men and women who are referred for IVF cope with infertility stress, Hum Reprod.21, 2443-9..

Abstract: Surgery plays a major role in ovarian cancers. Successful cytoreductive surgery is significantly associated with improved survival. As the disease load increases, the surgical complexity also increases. Complex surgical procedures require specialized training. This study aims to determine the need for complex surgical procedures in the management of epithelial ovarian cancers. A retrospective analysis of hospital records of cases of ovarian cancers, from May 2015 to June 2017 was done . 54 cases of surgically treated Epithelial Ovarian Cancers were taken for final analysis .Interval cytoreduction was the most common surgical procedure performed , accounting for 75.9% of cases. Optimal cytoreduction , defined as less than 1 cm residual disease , was achieved.............

Keywords: Complex Surgery, Interval cytoreduction, Optimal debulking, Ovarian cancer

[1]. Moore DH. Primary surgical management of early epithelial ovarian carcinoma. In Rubin SC, SuttonGP, eds. Ovarian Cancer, 2nd edn. Philadelphia:Lippincott Williams & Wilkins, 2001: 201–18
[2]. Elattar A, Bryant A, Winter-Roach BA, Hatem M, Naik R, Optimal primary surgical treatment for advanced epithelial ovarian cancer, Cochrane Database Syst Rev. 2011 Aug 10;(8)
[3]. Murthy NS, Shalini S, Suman G, Pruthvish S, Mathew A. Changing trends in incidence of ovarian cancer – The Indian scenario. Asian Pac J Cancer Prev 2009;10:1025-30.
[4]. Surendra Kumar Saini, Shelly Srivastava, Yuvraj Singh, Awadhesh Kumar Dixit, Shambhu Nath Prasad Epidemiology of epithelial ovarian cancer, a single institution-based study in India,Clinical Cancer Investigation Journal , 5( 2), 2016, 20-24
[5]. Young RH, Steinberg S. Diagnostic Surgical Pathology. New York: Raven Press; 1994..

Abstract: Meticulous autopsy not only provides information regarding cause and circumstances leading to death but also helps in estimating time since death. The inspection of gastric contents must be part of every post-mortem examination because if the time of taking last meal is known, the approximate time since death may be calculated indirectly. It has been determined through extensive research that under ordinary circumstances the stomach empties its contents 4 to 6 hours after intake of meal. Present study was conducted on randomly selected 1000 postmortem cases, out of which in 507 cases, history regarding time of last meal was available. Gastric emptying of food contents was divided............

Keywords: Gastric contents , liquid , semisolid , pulpy food , Gastric emptying , Gastro stasis, Gastro paresis

[1]. Vernon J, Geberth. Estimating the time of Death in Practical Homicide Investigations. Reprint: Law and Order Magazine. 2007; 55(3)Mar.
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[3]. Viral patel INt:J.cur Res Rev, June 2013/volume 05 (11) Page 125. 2001(2)
[4]. Subrahmanyam, BV,Modi's Medical Jurisprudence and Toxicology, 22ndEdition, Butterworths 2001, pg 247.
[5]. Platek SF, Crowe JB, Ranieri N et al: Scanning electron microscopy determination of string Mozerella cheese in gastric contents. J Forensic Sci;2001:46(1),131..

Abstract: Background: Acute pancreatitis is a very common surgical cause of acute abdomen with many associated morbidities and mortality. Therefore it is imperative to diagnose the condition at an early stage and accurately. Serum amylase or lipase levels when elevated to more than 3 times the upper limit of normal can accurately diagnose acute pancreatitis in most of the cases. Serum lipase has a better sensitivity and specificiy than serum amylase, still serum amylase is the most frequent biochemical test performed worldwide for diagnosis of acute pancreatitis. The levels of these enzymes have no correlation with the severity of the disease. Aim of study: The aim of this study was to evaluate whether serum amylase alone can help in the diagnosis acute pancreatitis............

Keywords: Acute pancreatitis; lipase; amylase; combined lipase and amylase

[1]. Peter A Banks, Thomas L Bolen, Christos Dervenis, Hein G Gooszen, Colin D Johnson , Michael G Sarr, Gregory G Tsiotos, Santhi Swaroop Vege, Acute Pancreatitis Classification Working Group : Classification of acute pancreatitis—2012: revision of the Atlanta classification and definitions by international consensus Gut 2013;62:102-111 doi:10.1136/gutjnl-2012-302779
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[5]. Batra H, Kumar A, Saha T, Misra P, Ambade V. Comparative Study of Serum Amylase and Lipase in Acute Pancreatitis Patients. Indian Journal of Clinical Biochemistry. 2015;30(2):230-233. doi:10.1007/s12291-013-0416-y..

Abstract: Aims: To study the use of propranolol as a single therapy in problematic infantile hemangioma and its outcome. Methods: Single institutional prospective study of patients of problematic infantile hemangioma treated with propranolol between January 2010 to December 2013. Assessment was done by change in acolour , redness ,size and parental satisfaction. Outcome was defined in terms of complete, excellent, good/partial and no response. Results: 23 girls and 9 boys with infantile hemangioma were initiated treatment with propranolol at the mean age of 9.9 months(range 2-48 months) for a mean duration of 21 months(range 8-35 months). Head and neck was the most common site(75%). Complete/............

Keywords: Propranolol, problematic infantile hemangioma, outcome

[1]. Kanada KN, Merin MR, Munden A, Friedlander SF. A prospective study of cutaneous findings in newborns in the United States: correlation with race, ethnicity and gestational status using updated classification & nomenclature. J Pediatr 2012; 161: 240-5
[2]. Leaute- Labreze C, Harper JI, Hoeger PH. Infantile haemangioma. Lancet. 2017;390:85-94
[3]. Smithson SL, Rademaker M,Adams S, Bade S, Bekhor P, Davidson S, et al. Consensus statement for the treatment of infantile haemangiomas with propranolol. Australas J Dermatol. 2017;58:155-159
[4]. Leaute-Labreze C, Dumas de la Roque E, Hubiche T, Boralevi F, Thambo JB, Taieb A. Propranolol for severe hemangiomas of infancy. N Engl J Med 2008; 358: 2649-51.
[5]. Storch CH, Hoeger PH. Propranolol for infantile haemangiomas insights into the molecular mechanisms of action. Br J Dermatol 2010; 163:269-74...

Abstract: In the 21st century, we have witnessed an explosion in the internet usage. Though the benefits offered by internet are many, there is a rising concern about its negative effects. Adolescents and young adults are particularly more vulnerable to the psychological effects of internet Globally there is an 82 % increase in 2009 with an average of 5.5 hours spend on internet and other social networks (Nielsenwire, 2010).This wide usage of internet made people get addicted to it. The prevalence of internet addiction in various studies have been in the range of 4 to 7 % The term " Internet addiction disorder " was first coined by New York psychiatrist Ivan Goldberg (1995) which means excessive use of internet with symptoms like anger, tension, and anxiety..................

[1]. Kaplan and Sadock's synopsis of psychiatry 11th ed
[2]. International Journal of Humanities and Social Science Vol. 4 No. 1; January 2014
[3]. The Relationship between Internet Addiction and Anxiety among students of University of Sargodha
[4]. Quality of life in medical students with internet addiction Article in ActamedicaIranica·November2016
[5]. Internet 'Addiction' Linked to Drug-like Withdrawal-PLoS One study Feb 2013/online published article/medscape

Abstract: Diabetes mellitus induced dyslipidemia is the root cause of life threatening micro and macro vascular complications in type-2 diabetic subjects. The principle predictor of diabetes induced cardio vascular complications which are normally employed are becoming less consistent due to use of various lipid lowering agents. It has been suggested that plasma triacylglycerol levels alone is an independent risk factor of cardio vascular complications in diabetes mellitus. The cholesterol profile and their internal ratios may through much light on prediction of dyslipidemia induced cardio vascular complications in diabetes mellitus. Hence a study was planned to assess the plasma cholesterol profile and their internal reciprocals in type-2 diabetes mellitus. A fasting blood sample from both Normal subjects...........

Keywords: Diabetes Mellitus(DM), Total cholesterol(TC),Triacylglycerol(TAG), HDL, VLDL, LDL & TC/VLDL .

[1] American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes care. (2010) 33:62-9.

[2] Altan, V. Melih. "The pharmacology of diabetic complications."Current medicinal chemistry 10.15 (2003): 1317-1327.

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Abstract: Background: Post operative complications following acutely inflamed appendicitis make a threaten to the patient which may depend on the state of the appendix & need early diagnosis & management . Objective: to compare risk & pain onset of acutely non perforated appendicitis to that of perforated one & to see the importance of making diagnosis early. Patients & methods: our study is a prospective study have been done in Al kadhimiya teaching hospital, include 135 patients in the surgical department for the period from November 2015 to March 2017. The cases classified into two groups: Group I: Acutely inflamed non perforated appendicitis........

Keywords: perforated appendix, non perforated appendix

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[2]. Sandy Criag , MD, Appendicitis , Medscape reference drug ,disease & procedure . 26 oct . 2012.
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[4]. Silen, W. Cope's Early Diagnosis of the Acute Abdomen, 19th edition, Oxford University Press 1996. p.70.

[5]. T. Shimizu, M. Ishizuka, and K. Kubota, "A lower neutrophil to lymphocyte ratio is closely associated with catarrhal appendicitis versus severe appendicitis," Surgery Today, 2015..

Abstract: The location of apical constriction is paramount for a successful endodontic therapy. Electronic apex locators operate on the basis of conductance of electricity through hollow tube. Useful when the apical portion of the canal is obscured by anatomic structures, such as impacted teeth, tori, the zygomatic arch, excessive bone density, overlapping roots, or shallow palatal vaults. Electronic apex locators reduce the radiation dose and treatment time. The Frequency Dependent Apex Locators are based on the principle that there is a maximum difference of impedance between electrodes depending on the frequencies used. The major advantages with these apex locators are that they operate in an electroconductive environment in the presence of pus, and pulpal tissue remnants. The aim of this study was to compare the accuracy of dual frequency based electronic apex locators under clinical conditions. This study was done on 40 single rooted non carious teeth designated for extraction for orthodontic or periodontal...........

Keywords: Working Length, Apex Locators, Root ZX, Neosono Copilot: Working Length, Apex Locators, Root ZX, Neosono Copilot

[1]. American Association of Endodontists. Glossary: Contemporary terminology for endodontics. 6th ed. Chicago, IL: American Association of Endodontists; 1998.
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[4]. Kim Euiseong, Seung – Lee. Electronic Apex Locators. Dent Clin North Am. 2004;48(1): 35-54.
[5]. Pagavino G, Pace R, Baccetti T. A SEM study of in vivo accuracy of the Root ZX electronic apex locator. J Endod 1998;24(6):438-41..

Abstract: Background: Despite advances in diagnosis, management and critical care of patients with perforation peritonitis, prognosis remains poor. Early assessment by scoring systems will influence the management and prognosis. Over the years, many prognostic systems have been developed to stratify critical patients into different categories. Some are complex in their application whereas some are not specific for the disease condition. Mannheim peritonitis index (MPI) is one such prognostic system that helps us to estimate the probability of patient survival in cases of perforation peritonitis. Aim of our study is, to confirm the predicative value of MPI and analysis of different parameters among patients with intra-operative diagnosis of perforation peritonitis............

Keywords: MPI, Perforation peritonitis, Mortality, Outcome

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Abstract: Introduction: Bone resorption is a physiological process, which occurs after tooth extraction. Reduction of the bone in horizontal and vertical dimension leads to difficulties in the following treatment plan, including implant placement and prosthetic treatment. Recently PRF has been successfully used as a soft and hard tissue regenerative material. Case Report: A 37-year old female with a non-restorable molar tooth was treated with tooth extraction and socket preservation with PRF as a sole grafting material. Clinical and histological results were reviewed 4 months after tooth extraction and a dental implant was placed..........

Keywords: advanced- platelet rich fibrin, platelet-rich fibrin, socket preservation, regeneration

[1]. Srisurang S, Kantheera B, Narit L, Prisana P. Socket preservation using platelet-rich fibrin in conjunction with epithelialized palatal free graft in minipigs. J Oral Maxillofac Surgery, Med Pathol. 2014;26(2):108–17.
[2]. Ayoub AH, Agbor A. Comparative Study of Extraction Socket Preservation Using Autogenous PRF and TCP. EC Dent Sci. 2017;1:26–37.
[3]. Chenchev IL, Ivanova V V, Neychev D, Cholakova R. Application of Platelet-Rich Fibrin and Injectable Platelet-Rich Fibrin in Combination of Bone Substitute Material for Alveolar Ridge Augmentation - Case Report. Folia Medica. 2017; 59(3): 362-66.
[4]. Kesmas S, Swasdison S, Yodsanga S, Sessirisombat S, Jansisyanont P. Esthetic alveolar ridge preservation with calcium phosphate and collagen membrane: Preliminary report. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2010;110(5): 24–36.
[5]. Festa VM, Addabbo F, Laino L, Femiano F, Rullo R. Porcine-Derived Xenograft Combined with a Soft Cortical Membrane versus Extraction Alone for Implant Site Development: A Clinical Study in Humans. Clin Implant Dent Relat Res. 2013;15(5):707–13.