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

Abstract: Loss of tooth in the aesthetic zone is a traumatic experience with or without compromise in phonetics. Implant placement in anterior region has most aesthetic challenges in implant dentistry because tooth loss leads to bone resorption and collapse of gingival architecture, which leads to aesthetic compromise and inadequate bone for implant placement. Immediate implant placement is time saving, possibly with one surgical intervention required, although allowing maximal preservation of peri-implant tissues. Clinical and radiographic examination revealed width and extent of the tooth for selecting implant size and design. Due to less trauma, reduction in overall treatment time, decrease in hard and soft tissue resorption, increase in patients acceptance, along with better function, aesthetics and has psychological benefits. In this case report, harmony of hard and soft tissue was preserved by immediate placement of implant in fresh extraction socket.

Keywords –Esthetics, Extraction of teeth, Function, Healing of the extraction socket, Immediate Implant, phonetics.

[1]. Schwartz-Arad D, Chaushu G (1997) The ways and wherefores of immediate placement of implants into fresh extraction sites: A literature review. J Periodontol 68: 915-923.
[2]. Den Hartog L, Slater JJ, Vissink A, Meijer HJ, Raghoebar GM (2008) Treatment outcome of immediate, early and conventional single tooth implants in the aesthetic zone: a systemic review to survival, bone level, soft tissue, aesthetics and patient satisfaction. J Clin Periodontol 35: 1073-1086.
[3]. Schwartz-Arad D, Chaushu G (1997) Placement of implants into fresh extraction sites: 4 to 7 years retrospective evaluation of 95 implants. J Periodontol 68: 1110-1116.
[4]. Lops D, Mosca D, Müller A, Rossi A, Rozza R, et al. (2011) Management of peri-implant soft tissues between tooth and adjacent immediate implant placed into fresh extraction single socket: a one-year prospective study on two different types of implant-abutment connection design. Minerva Stomatol 60: 403-415.
[5]. Guida L, Iezzi G, Annunziata M, Salierno A, Iuorio G, et al. (2008) Immediate placement and loading of dental implants: A human histological case report. J Periodontol 79: 575-581.

Abstract: Controversy still exists regarding the ideal treatment of incisional hernias. The purpose of this study was to compare open and laparoscopic methods of incisional hernia repair in terms of complications, recurrence and post operative recovery. In our study laparoscopic repair was followed by shorter hospital stay, less ileus, faster recovery and early return to work and recurrence rate in both groups were equal.

Key words: Incisional Hernia, IPOM,Open Repair.

[1]. Homans, J.: Three Hundred and Eighty Four Laparotomies for Various Diseases, Boton, Nathan sawyer and Son, Printers
[2]. Mayo W.J.: Radical cure of Umbilical hernia. Ann. Surg. 1901; 31:276
[3]. Poonka, Joseph l.: Hernias of Abdominal wall (Book).
[4]. Obney N. Analysis of 192 consecutive cases of incisional hernia. Can Med Assoc J 1957; 77: 463-9.
[5]. King, E.S.G.: incisional Hernia. Br. J. Surg., 1935; 23:35
[6]. Holzman MD, Purut CM, Raingten K, Eubanks S, Pappas TN. Laparoscopic ventral and incisional hernioplasty, Surg Endose 1997; 11: 32-5..

Abstract: Objective: Early identification of ototoxic hearing loss provides physicians the opportunity to adjust the therapeutic treatment in order to minimize or prevent hearing loss requiring rehabilitation, depending on a patient's overall treatment picture Method: About fifty newly patiens of MDR-TB who are to be treated by second line drug will be enrolled to the purposed study.-Hearing status of these patient would we advised to undergo evaluation of their audiometry status before the commencement of the treatment.The auditory status evalution comprising of tuning fork test pure tone audimatory would be performed at the interval of 1month. Results: Hearing loss of 15 decibels (dB) at two or more frequencies, or at least 20 dB hearing loss at at least........

[1]. Peloquin CA: Pharmacology of the antimicrobial drugs. Med Clin North Am 1993,77(6):1253–1262
[2]. Espinal MA: The global situation of MDR-TB. Tuberculosis 2003, 83:44–51
[3]. deJager P, van Altena R: Hearing loss and nephrotoxicity in long term aminoglycoside treatment in patients with tuberculosis. Int J Tuberc Lung Dis 2002,6(7):622–627
[4]. Ackerman BH, Bailie GR, Zaske DE: Aminoglycoside therapy: Improving patient response and safety. Postgrad Med 1984,75(2):177–86.
[5]. Chambers HenryF, SandeMerleA: The Aminoglycosides. The Pharmacological Basis of Therapeutics 9 Edition (Edited by: Goodman, Gilman's). McGraw-Hill, New York, USA 1996, 1103–1117..

Abstract: Objective: To observe the incidence, clinical presentation and to perform comparative study of different sinonasal masses. The present prospective study "clinico-pathological study and endoscopic management of sino-nasal masses" was carried out in the Department of Otorhinolaryngology and Head and Neck Surgery, JLN Medical College and Hospital, Ajmer. Materials and methods: Study included the 50 patients presented with sino-nasal masses and willing to participate in the study and completed minimum of 6 months follow up on out-patient basis. Study based on history, clinical, radiological, laboratory and histopathological examination.........

Keywords: Sino nasal mass, Polyp, Nasal obstruction, Squamous cell carcinoma, FESS

[1]. Bateman N, Fahy C, Woolford T. Nasal polyps: still more questions than answers. J Laryngol. 2003;117:1–9.

[2]. Watkinson JC, Gaze M, Wilson JA, et al.. Stell and Maran's head and neck surgery. 4. Oxford: Butterworth-Heinemann; 2000.

[3]. Somani S, Kamble P, Khadkear S. Mischievous presentation of nasal masses in rural areas. Asian J Ear Nose Throat. 2004;2:9–17. [4]. Diamantopoulos I, Jones N, Lowe J. All nasal polyps need histological examination: an audit-based appraisal of clinical practice. J Laryngol Otol .2000;114:755–759.

[5]. Lathi A, Syed MM, Kalakoti P, Qutub D, Kishve SP. Clinico pathological profile of sinonasal masses: a study from a tertiary care hospital of India. Acta Otorhinolaryngol Ital. 2011;31(6):372–377.

Abstract: Introduction: Major orthopaedic surgeries are commonly associated with marked blood loss, and a subsequent need for blood transfusion is often encountered. The causes of bleeding are multifactorial, increased fibrinolytic activity being one of them. Administration of antifibrinolytic agents such as tranexamic acid(TA) perioperatively to stabilize the multiple microclots that form within the surgical wound. We wish to compare the effects of tranexamic acid in a preoperative dose of 15 mg/kg and effect of local tranexamic acid. Methodology: A randomised controlled study in a single blind fashion was carried out in the Department of Orthopaedics, Gauhati Medical College and Hospital, Guwahati (Assam), from August 2015 to July 2017.The study was conducted on a total of 135 patients with patients undergoing hemireplacement arthroplasty surgery with bipolar prosthesis to evaluate the role of tranexamic acid in reducing blood loss........

Keywords: hemireplacement arthroplasty, tranexamic acid.

[1]. Vijay BS, Bedi V, Mitra S, Das B. Role of tranexamic acid in reducing postoperative blood loss and transfusion requirement in
patients undergoing hip and femoral surgeries. Saudi J Anaesth 2013;7:29-32
[2]. JOSEPH DOOLEY ,AND PETER J.Papadakos ;surgical field hemostasis , perioperative use of anticoagulants and
thrombolytics,1999;17:881-894.
[3]. Neilipovitz DT. Tranexamic acid for major spinal surgery. Eur Spine J 2004;13(Suppl 1):62–5
[4]. Mannucci PM, Levi M. Prevention and treatment of major blood loss. N Engl J Med. 2007;356:2301–11 .
[5]. LEMAIRE R.Strategies for blood management in orthopaedics and trauma surgery.J Bone Joint Surg Br2008;90-B:1128-36..

Abstract: This is the case of a 45 years old female who presented with non-healing ulcer measuring 2x2 cm. below umbilicus. Excisional biopsy of ulcer with wide margin was done with primary closure. Histopathology revealed it to be a BCC. Margins of excised specimen were negative. In follow, up patient was found healthy without recurrence. Ours is a unique case as BCC. occurs in sun exposed body parts whereas suprapubic region is a covered area.

Keyords: BCC, Cutaneous, India, Rare, Suprapubic

[1]. Dourmishev A, Popova L, Dourmishev L. Basal-cell carcinoma and squamous-cell carcinomas: Epidemiology, location and radiotherapy. Skin Cancer. 1996;11:195–200.

[2]. Scotto J, Kofp AW, Urbach F. Non-melanoma skin cancer among Caucasians in four areas of the United States. Cancer 1974;34:1333-8.

[3]. 3.Mamata M, Karuna R. Basal Cell carcinoma: evaluation of clinical and histologic variables. Indian J Dermatol2004;49:25-7

[4]. Shrivastava R, Singh KK, Shrivastava M. Soft tissue metastasis in basal cell carcinoma. Indian J Dermatol2007;52:206-8.

[5]. Mulvany NJ, Allen DG. Differentiated intraepithelial neoplasia of the vulva. Int J Gynecol Pathol.2008;27:125–35. [PubMed]..

Abstract: Background: Old unreduced dislocations of knee are relatively uncommon in adults but in our hospital we have seen many cases presenting with neglected knee dislocation and neglected distal femur fractures, fracture of patella and fracture of proximal tibia with a minimum period of neglect of 1 week. Due to the increased need for restoration of the normal knee in Indians we have attempted to devise a strategy for treatment of these neglected injuries to produce the best outcome possible for the patient. Materials and Methods: 17 patients with neglected injuries around knee joint were selected based on a set criteria and was put on a treatment protocol according to various factors like age, outcome expected, occupation of the patient etc and they evaluated at three stages.............

Keywords-:Knee Injury, Neglected Injury, Distal femur, Proximal tibia, Knee dislocation, Patella

[1]. World Health Organization. Global burden of disease project 2002. Available at: http://www.who.int
healthinfo/bodproject/en/index.html
[2]. Mock C, CherianMN.the global burden of musculoskeletal injuries challenges and solutions.ClinOrthopRelat Res. 2008 Oct;
466(10): 2306–16.
[3]. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty- five open fractures of long bones:
retrospective and prospective analyses. J Bone Joint Surg Am. 1976;58(4):453–58. [PubMed]
[4]. Smith WR, Ziran BH, Anglen JO, Stahel PF. Locking plates: tips and tricks. J Bone Joint Surg Am. 2007;89(10):2298–
307. [PubMed]
[5]. Neer CS, Grantham SA, Shelton ML. Supracondylar fracture of the adult femur. A study of one hundred and ten cases. J Bone
Joint Surg Am. 1967;49(4):591–613. [PubMed]

Abstract: Background: Blood loss in TKA(Total Knee Arthroplasty) patients is multifactorial. Ischemia increases fibrinolysis, related to the proteolytic action of plasmin, with subsequent fibrinogen scission which limits postoperative coagulation and favours bleeding. Aims: This study was designed to assess the efficacy of Tranexamic Acid (TXA) in reducing blood loss and postoperative blood transfusions following TKR. Settings and Design: Randomized, prospective and comparative study Methods and Material: In this study, patients were randomly allocated into two groups of 25 each. Group I received Inj Tranexamic Acid before inflation of tourniquet.........

[1]. Cid J, Lozano M. Tranexamic acid reduces allogeneic red cell transfusions in patients undergoing total knee arthroplasty: results of a meta-analysis of randomized controlled trials. Transfusion. 2005;45(8 ):1302–7.
[2]. Benoni G, Carlsson Å, Petersson C, Fredin H. Does tranexamic acid reduce blood loss in knee arthroplasty? Acta Orthop Scand 1994;65:Suppl 256:101.
[3]. Ho KM, Ismail H. Use of intravenous tranexamic acid to reduce allogeneic blood transfusion in total hip and knee arthroplasty: a meta-analysis. Anaesth Intensive Care. 2003; 31 : 529–537.

[4]. Benoni G, Fredin H. Fibrinolytic inhibition with tranexamic acid reduces blood loss and blood transfusion after knee arthroplasty. A prospective, randomised, double-blind study of 86 patients. J Bone Joint Surg [Br] 1996;78-B:434–440.
[5]. Camarasa MA, Olle G, Serra-Prat M, Martín A, Sánchez M, Ricós P, Pérez A, Opisso L. Efficacy of aminocaproic, tranexamic acids in the control of bleeding during total knee replacement: a randomized clinical trial. Br J Anaesth. 2006;96:576–582. doi: 10.1093/bja/ael057

Abstract: The purpose of this study To study serum magnesium levels in acute gastroenteritis. 2.Correlation of severity of diarrhea with serum magnesium level. 3.Correlationofserummagnesiumlevelindiarrheawithserum potassium and calcium levels. 4.To correlate the severity of hypomagnesemia if present with its clinical and ECG manifestations To study serum magnesium levels in acute gastroenteritis. 2.Correlation of severity of diarrhea with serum magnesium level. 3.Correlationofserummagnesiumlevelindiarrheawithserum potassium and calcium levels..........

Keywords: Diabetes Mellitus, Vitamin D3.

[1]. Dalgard C, Petersen MS, Weihe P, Grandjean P. Vitamin D status in relation to glucose metabolism and type 2 diabetes in
septuagenarians. Diabetes Care 2011 Jun;34(6):1284- 1288

[2]. Scragg R, Sowers M, Bell C, Third National Health and Nutrition Examination Survey. Serum 25-hydroxyvitamin D, diabetes, and
ethnicity in the Third National Health and Nutrition Examination Survey. Diabetes Care 2004 Dec;27(12):2813-2818.
[3]. Scragg R, Holdaway I, Singh V, Metcalf P, Baker J, Dryson E. Serum 25-hydroxyVitamin D3 levels decreased in impaired glucose
tolerance and diabetes mellitus. Diabetes Res ClinPract 1995 Mar;27(3):181-188.
[4]. Pietschmann P, Schernthaner G, Woloszczuk W. Serum osteocalcin levels in diabetes mellitus: analysis of the type of diabetes and
microvascular complications. Diabetologia 1988 Dec;31(12):892-895.
[5]. Isaia G, Giorgino R, Adami S. High prevalence of hypovitaminosis D in female type 2 diabetic population. Diabetes Care 2001
Aug;24(8):1496... .

Abstract: Objective: The objective of study was to assess the efficacy of tragal perichondrium and cartilage, the functional capacity in restoring hearing acuity, it's mechanical survival, it's extrusion rate and it's functional integrity in tympanomastoid reconstruction. Materials and methods: The present study was a prospective study of tympanomastoid surgeries performed on 50 patients. The main outcome measures were both anatomical and functional in form of graft incorporation and postoperative hearing function, over 3 months of follow-up. Results and conclusion: There were 50 patients (mean age 27.8±10.8 years). Preoperatively, 23 patients had near-total perforation, 29 had Cholesteatoma, 8 had postero-superior...........

Keywords: Tragal Cartilage and Perichondrium Graft, Pure Tone Audiometry, Air Bone Gap

[1]. Heermann H. Tympanic membrane repair with temporalis fascia. Hals Nas Ohrenh 1960;9:136-9
[2]. Milewski C. Composite graft tympanoplasty in the treatment of ears with advanced middle ear pathology. Laryngoscope
1993;103:1352-6.
[3]. Indorewala S. Dimensional stability of the free fascia grafts: an Animal experiment.Laryngoscope.2002;112:727-30

[4]. Utech H. Tympanotomy in disorders of sound conduction; its diagnostic and therapeutic possibilities. Laryngol Rhinol Otol
1959;38:212-21
[5]. Levinson RM. Cartilage-perichondrial composite graft tympanoplasty in the treatment of posterior marginal and attic retraction
pockets. Laryngoscope 1987;97:1069-74

Abstract: Aim:To assess the role of corticosteroid deflazacort in combination with alpha blocker tamsulosin in medical management of symptomatic lower ureteric calculus. Introduction:Urinary stone disease is a common condition accounting for 15-20% of our OPD. Ureteric stone with colic is a common Urological emergency, Ureteroscopy with intra corporeal lithotripsy is a proven method of treatment and it is not free of complications. Recently medical expulsive therapy with drugs has been used which reduces the symptoms and helps in stone expulsion. We performed a randomized prospective study to evaluate the role of corticosteroid Deflazacort in combination with alpha blocker Tamsulosin in medical management of symptomatic lower ureteric stones of 5-10mm size...........

Keywords: Ureteric calculus, Tamsulosin, Deflazacort, medical expulsive therapy

[1]. Segura, J. W., Preminger, G. M., Assimos, D. G., Dretler, S. P., Kahn, R. I., Lingeman, J. E., Jr. et al: Ureteral Stones Clinical
Guidelines Panel summary report on the management of ureteral calculi. J Urol, 158: 1915, 1997
[2]. Porpiglia, F., Destefanis, P., Fiori, C. and Fontana, D.: Effectiveness of nifedipine and deflazacort in the management of distal
ureteralstones. Urology, 56: 579, 2000.
[1]. Borghi, L., Meschi, T., Amato, F., Novarini, A., Giannini, A., Quarantelli, C. et al: Nifedipine and methylprednisolone in facilitating
ureteral stone passage: a randomized, double blind, placebo-controlled study. J Urol, 152: 1095, 1994.
[2]. Francesco Porpiglia etal Corticostroids and Tamsulosin in the Medical Expulsive therapy for symptomatic distal ureter stones: Single drug or Association? European urology 50 (2006) 339-344.
[3]. Marco Delllabella, Giulio Milanese and Giovanni Muzzonigro. Efficacy of Tamsulosin in the medical management of juxta vesical
ureteral stones J urology 2003 170: 2202-5.
[4]. Francesco Porpiglia, Gianpaolo Ghinone, Cristian Fiori, Dario Fontana and Roberto Mario Scarpa. Nefedipine versus Tamsulosin for the managemnet of Lower ureteral stones. J urology 2004; 172: 568-71.
[5]. Obara, K., Takeda, M., Shimura, H., Kanai, T., Tsutsui, T., Komeyama, T. et al: Alpha-1 adrenoreceptor subtypes in the human ureter. Characterization by RT-PCR and in situ hybridization. J Urol, suppl., 155: 472A, abstract 646, 1996..

Abstract: Since approval of Food & drug administration (FDA) on Cardiac resynchronization therapy (CRT) in 2001, CRT become one of the mainstay in treatment of patients with heart failure and left bundle branch Block (LBBB). Hence ; specific echocardiographic parameters is mandatory to identify patients who did respond and those who didn't respond to CRT and to extent of linking baseline Dyssynchrony parameters & risk factors history of Ischemic Heart Disease & diabetes with their response. The aim of this study is to identify the role of Longitudinal strain & Dyssynchrony parameters in three months follow up of patients with CRT.........

Keywords-: Global Longitudinal Strain, Dyssynchrony, Cardiac resynchronization therapy, Left ventricular Function

[1] Bers DM:, ―Calcium cycling and signaling in cardiac myocytes,‖ Annu Rev Physiol, no. 70, p. 23, 2008.

[2] W. Mądry and M. A. Karolczak, ―Physiological basis in the assessment of myocardial mechanics using speckle-tracking echocardiography 2D. Part I,‖ J. Ultrason., vol. 16, no. 65, pp. 135–144, Jun. 2016.

[3] et al: Pirat B, Khoury DS, Hartley CJ, ―A novel feature-tracking echocardiographic method for the quantitation of regional myocardial function: Validation in an animal model of ischemia-reperfusion,‖ J Am Coll Cardiol, no. 51, p. 651, 2008.

[4] et al: Tatsumi K, Tanaka H, Yamawaki K, ―Utility of comprehensive assessment of strain dyssynchrony index by speckle tracking imaging for predicting response to cardiac resynchronization therapy,‖ Am J Cardiol, no. 107, p. 439, 2011.

[5] et al: Knappe D, Pouleur AC, Shah AM, ―Dyssynchrony, contractile function, and response to cardiac resynchronization therapy. Multicenter Automatic Defibrillator Implantation Trial—Cardiac Resynchronization Therapy Investigators,‖ Circ Hear. Fail, no. 4, p. 433, 2011..

Abstract: Introduction: Surgical pain relief in children can be given by general anaesthesia or by regional nerve blocks. The present study was carried out to evaluate the effectiveness of penile block for penile surgeries with the standard technique of general anaesthesia (GA) of duration of less than two hours, and also to evaluate the postoperative analgesia obtained by penile block. Objectives of the study: We designed a study in our hospital to compare the effectiveness of penile block for penile surgery with standard technique of general anaesthesia of duration of less than two hours and to evaluate the postoperative analgesia obtained by penile block...............

Keywords: General anaesthesia, pediatric urological anaesthesia, penile block, penile surgery

[1]. Yaster M, Maxwell LG. Paediatric regional anaesthesia. Anaesthesiology 1989;70:324-38.
[2]. Bajwa SJ, Kaur J, Bajwa SK, Bakshi G, Singh K, Panda A. Caudal ropivacaine-clonidine: A better post-operative analgesic
approach. Indian J Anaesth 2010;54:226- 30.
[3]. Martin LVH: Post operative analgesia after circumcision in children. Anaesth Analg 1982;54:1263-6.
[4]. Tree-Trakarn T, Pirayavaraporn S, Lerakyamanee J. Topical analgesia for relief of post-circumcision pain. Anaesthesiology
1987;67:395-9.
[5]. James TK, Loon K. Penile block for pain relief after circumcision in children: A randomized, prospective trial. Amer J Surg
1984;147:797.

Abstract: The restoration of the endodonticallytreatedtoothis awidelydebated topic in the literature and has been for manyyears. The criteriastudied are somany and the analyticalmethods are varied. Indeed, the "gold standard" is to choose the technique thatoffers the least invasive preparationwith maximum dental tissue preservation and improvedretention and resistance to fracture. The endocrownscouldbe an alternative torestoratea posterior endodonticallytreatedteeth. Therefore, the presentarticledescribes a case report of restoration of a non-vitallower molaran endocrown.

Keywords: endodonticallytreatedteeth, molars, endocrown, CAD/CAM technique

[1]. RoopadeviGarlapati, BhuvanShome Venigalla1, Shekhar Kamishetty1, JayaprakashThumu ; Ceramic onlay for endodonticallytreatedmandibularmolar ; Journal of Orofacial Sciences 69 Vol. 6• Issue 1• January 2014
[2]. Gaye Sevimli, SedaCengiz, M. SelçukOruç ;Endocrowns: Review ; J Istanbul UnivFac Dent 2015;49(2):57-63.
[3]. Gislaine Rosa Biacchi, BeatrizMello, Robertatarkany Basting, The Endocrown: An Alternative Approach for RestoringExtensivelyDamagedMolars ; Journal of Esthetic and RestorativeDentistryVol 25 • No 6 • 383–390 • 2013
[4]. GRBiacchi, RT Basting ; Comparison of Fracture Strength of Endocrowns and Glass Fiber Post- RetainedConventional Crowns ; OperativeDentistry, 2012, 37-2, 130-136
[5]. Rafael Menezes Silva, Rafael Francisco LiaMondelli, Sérgio Kiyoshi Ishikiriama, Endocrown: a conservative approach, Braz Dent Sci 2016 Apr/Jun;19(2):121-131.

Abstract: Mortality rate due to by cardiac arrest outside hospital is still common and it becomes public concern. There are five emergency chains set by AHA that should be applied in every emergency situation. PAROS (Pan Asian Resuscitation Outcome Study) of outside hospital service system is expected to be able to give comprehensive description on service system and its gap in order to improve the quality of system of pre hospital service. therefore, mortality rate caused by cardiac arrest might be reduced. This research aims to find out inhospital factors affecting survival time of out hospital cardiac arrest. It is analytical observational research with cross sectional approach and uses retrospective data to find out the effect of inhospital factors on survival time. The number of sample is 32 patients...............

Keywords: sudden cardiac arrest, out of hospital cardiac arrest, initial cardiac rhythm, survival time

[1]. American Heart Association, 2015. Highlights of the 2015 American Heart Association guidelines update for CPR and ECC. Dallas, USA. Committee, E 2005, 'Subcommittees and Task Forces of the American Heart Association. 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care', Circulation, vol. 112, no. 24 Suppl, pp. 1-203.
[2]. Gräsner, J.T., Lefering, R., Koster, R.W., Masterson, S., Böttiger, B.W., Herlitz, J., Wnent, J., Tjelmeland, I.B., Ortiz, F.R., Maurer, H. and Baubin, M., 2016. EuReCa ONE—27 Nations, ONE Europe, ONE Registry: a prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation, 105, pp.188-195.
[3]. Halperin, HR, Tsitlik, JE, Guerci, AD, Mellits, E, Levin, H, Shi, A-Y, Chandra, N & Weisfeldt, M 1986, 'Determinants of blood flow to vital organs during cardiopulmonary resuscitation in dogs', Circulation, vol. 73, no. 3, pp. 539-50.
[4]. Hollenberg, J, Herlitz, J, Lindqvist, J, Riva, G, Bohm, K, Rosenqvist, M & Svensson, L 2008,'Improved survival after out-of-hospital cardiac arrest is associated with an increase in proportion of emergency crew–witnessed cases and bystander cardiopulmonary resuscitation', Circulation, vol. 118, no. 4, pp. 389-96.
[5]. Jameson, J. N., Kasper, D.L., Harrison, T.R., Braunwald, E., Fauci, A.S., Hauser, S.L., Longo, D.L. 2005.Harrison's Principles of Internal Medicine. New York: McGraw-Hill Medical Publishing Division. Mitrani, R.D. and Myerburg, R.J., 2016. Ten advances defining sudden cardiac death. Trends in cardiovascular medicine, 26(1), pp.23-33.

Abstract: Introduction: As an anesthetist securing airway is the key in management of severe fractures of face and for this different techniques have been described. Blind nasal intubation is one of the technique for securing airway. Aim: We share our experience of performing novel technique of blind nasotracheal intubation in airway management of 30 facial fracture patients planned for facial fracture repair. We evaluated a new thyroid bulge as landmark for guiding blind nasal intubation, its success rate and complications. Material and Method: After taking patient consent total 30 patients posted for facial fracture repair requiring GA were enrolled for the study. Their age ranged from 16 to 50 yrs, weight ranged from 40 to 60 kg and they were belonging to ASA I and II. Conventional general anesthesia was administered in all cases. A well lubricated proper size Ivory tube was inserted through more............

Keywords: Ivory tube, Blind nasotracheal intubation, Thyroid bulge, Facial fractures, General anesthesia.

[1]. Rowbotham ES, Magill IW: Anesthetics in the plastic surgery of the face and jaws. Proc Roy Soc Med 14:17, 1921
[2]. Magill IW: Blind nasal intubation.Anaesthesia 30:476-479, 1975.
[3]. Gillespie NA: Blind nasotracheal intubation.Curr Res Anesth Analg 29:217-222, 1950.
[4]. Elder CK: Nasoendotracheal intubation;advantages and technic of "blind intubation. "Anesthesiology 5:392-400,1944.
[5]. Shah JP. Head and Neck Surgery, 2nd edn. London: Mosby-Wolfe, 1996: 186–226.

Abstract: The purpose of this study is to compare and evaluate the antibacterial effects of various newer dentine bonding systems. Streptococcus mutans was used as the test micro-organism and the Agar Diffusion Test was performed to determine the antibacterial property. The dentin bonding agents to be evaluated were grouped as Group A (Clearfil SE Protect Primer), Group B (Prime & Bond NT), Group C (Single Bond Universal) & Group D (XenoV+) and 0.2% Chlorhexidine `were used as the positive control. Mueller Hinton blood agar plates were swabbed with Streptococcus mutans from BHI Broth and they were divided into five sections. In each section, sterile...............

Keywords: Antibacterial property, blood agar, dental caries, dentin bonding agents, Streptococcus mutans

[1]. Arora R, Rao MH, Comparative evaluation of the antibacterial effects of four dentine bonding systems: An in vitro study. Journal of Conservative Dentistry, 16(5), 2013, 466.
[2]. Forssten SD, Björklund M, Ouwehand AC,Streptococcus mutans, caries and simulation models. Nutrients, 2(3), 2010, 290-8.
[3]. Nishimura J, Saito T, Yoneyama H, Bai LL, Okumura K, Isogai E,Biofilm formation by Streptococcus mutans and related bacteria. Advances in Microbiology, 2(03), 2012, 208.
[4]. Taha MY, Al-Shakir NM et al,Antibacterial effect of Dentin Bonding Agents (An in vitro study) Al-Rafidain Dent J, 12(2), 2012, 228-234.
[5]. Prabhakar AR, Betur AP, Orekondi RS,Comparative evaluation of antimicrobial and physical properties of a newer dentin bonding agent with cetylpyridinium chloride: An in vitro study, Int J Oral Health Sci,5, 2015, 1520..