iosr-JDMS   Volume-16 ~ Issue-2 ~ February-2017

Abstract: In patient with Diabetes mellitus or impaired immunity lower UTI are common but it's a rare entity to see a renal fungal ball. Renal fungal ball or fungal bezor in the saprophytic colonization of a pre-formed cavity lay a conglomerate of fungal mycelia without invasion of adjacent tissue. Here we will be discussing a rare case of a young male 27 year old who was presented with T1 DM with left kidney fungal ball.

[1]. Alvin C. Powers "Diabetes mellitus:Diagnosis,classification and pathophysiology". Harrison's Principle of internal medicine ,
Kasper, Fauci, Hauser, Longo, Jameson et al: Mc graw hill education vol2 ,edition 19 2015 page no.2136 ISBN978-0-07- 180214-7.
[2]. K.L gupta: "Fungal infections and the kidney". Oxford desk refrences nephrology. Jonathan Baratt, Kevin Harris , Peter
Topham. Oxford university press 2009 . ISBN 978-0-19-922956-7.
[3]. Devimeenal jegannathan, Kanagasbai Ramanathan :Renal fungal ball-two case reports and review of literature. Doi
:http://dx.doi.org/10.1259/bjcr:20150247

Abstract: Vaginal agenesis is congenital anomaly of female genital tract. It is estimated to occur in 1 in 4000- 5000 live births.In our case an unmarried girl presented to us with amenorrhoea her vaginoplasty was done using amniotic membrane as graft: The postoperative period was uneventful and patient was discharged with advice as how to wear the mould. This technique is simple and safe and provides satisfactory and functional vagina in majority of patients.

Keywords: Vaginoplasty, vaginal agenesis, graft, amenorrhoea

[1]. SaxenaAK,Herman MI. Vaginal Atresia .Webpage. Cited June 02 2009.
[2]. SarafS,SarafP.McIndoevaginoplasty:revisited Internet J GynecolObstetr 2007:6 Online Journal Cited August 18,2008
[3]. Dua HS, Azuara- Blanca A. Amniotic membrane transplantation. Br J Opthalmol 1999;83:748-52
[4]. Brindeau A Creation d 'unvaginartificiel a l'aide des membranes ovulaires d'un oeuf a terme. GynecolObstet(Paris )1934:29:385

Abstract: Graduate in Dept Of Surgery, Subharti Medical College, Meerut5- Post Graduate in Dept Of Medicine ,Subharti Medical College, Meerut6- Post Neurocysticercosis is the result of accidental ingestion of eggs of Taeniasolium (ie, pork tapeworm), usually due to contamination of food by people with taeniasis. In developing countries, neurocysticercosis is the most common parasitic disease of the nervous system and is the main cause of acquired epilepsy. In the United States, neurocysticercosis is mainly a disease of immigrants.We report here a case of involvement of six different cranial nerves (IInd,VIth,VIIth,IXth,Xth,XIth) with cerebellar involvement and no sensory/motor involvement.

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Abstract: Anterior open bite is considered as one of the most complex and difficult problems to treat in aesthetic dentistry. Over the years, various multidisciplinary treatment modalities involving orthodontic or surgical correction of anterior open bite have been successfully implemented. However, these options require multiple clinical visits as well as long term treatment duration. This paper presents a case report of immediate non- invasive aesthetic management of anterior open bite using composite resin restoration.

Keywords: Anterior open bite, composite, aesthetic, time constraint.

[1]. Subtelny JD, Sakuda M. Open-bite: diagnosis and treatment Am J Orthod. 1964;50:337–358.
[2]. Burford D, Noar JH. The causes, diagnosis and treatment of anterior open bite. Dent Update. 2003;30:235–241.
[3]. Arat ZM, Isxeri H, Arman A. Differential diagnosis of skeletal open bite based on sagittal components of the face. World J Orthod. 2005;6: 41–50.
[4]. Araujo EM Jr, Baratieri LN, Monteiro S Jr, Vieira LC, Andrada MA. Direct adhesive restoration of anterior teeth: part 2. Clinical protocol. Pract Proced Aesthet Dent. 2003;15(5):351-7.
[5]. Robert Marus et al.Treatment planning and smile design using composite resin. pract Proced Aesthet Dent. 2006 May;18(4):235-41.

Abstract: Background: Ischemic stroke, a subtype of acute stroke is one of the leading causes of death and major cause of morbidity and mortality throughout the world. The incidence is increasing with a gradual increase in obesity, diabetes mellitus, dyslipidemia, hypertension, and some other cardiac problem. Objective: To find the demographic and clinical pattern of patients of stroke attending in the emergency medicine department. Methods: This was a cross sectional observational study conducted in the Emergency Department in a tertiary care hospital in north India. All eligible patients clinically diagnosed as stroke (As defined by WHO. A clinical syndrome consisting of rapidly developing clinical signs of focal (or global in case of coma) disturbance of cerebral function lasting more than 24 hours or leading to death with no apparent cause other than a vascular origin) were included in this study..............

Keywords: Stroke, Incidence, Risk factors

[1]. Maskey A, Parajuli M, Kohli S C. A Study of Risk Factors of Stroke in Patients Admitted in Manipal Teaching Hospital, Pokhara. Kathmandu Univ Med J 2011;36(4):244-7.
[2]. Smith WS, English JD, Johnson SC. Cerebrovascular diseases. In: Favei AS, Bravnald E, Kasper DL, Hsusor SL, Longo DL, Joneson J, et al., editors. Harrison's Principles of Internal Medicine. 18th ed. USA: McGraw Hills; 2012. p. 2513-35.
[3]. Vaidya CV, Majmudar DK. A clinical study of ischemic stroke from capital of Gujarat, India. Sahel Med J 2015;18:177-81.
[4]. Feigin VL, Lawes CM, Bennett DA, Barker-Collo SL, Parag V. Worldwide stroke incidence and early case fatality reported in 56 population-based studies: A systematic review. Lancet Neurol 2009;8:355-69.
[5]. Pandian JD, Jaison A, Deepak SS, Kalra G, Shamsher S, Lincoln DJ, et al. Public awareness of warning symptoms, risk factors, and treatment of stroke in northwest India. Stroke 2005;36:644-8.

Abstract: Progressive Macular Hypomelanosis is often an underdiagnosed hypo pigmented, nonscaly, macular eruption involving the trunk, abdomen, face,extremities and the buttocks with great cosmetic concern to the sufferer. Topical antifungal, corticosteroid has been ineffective in its treatment but phototherapy and topical antimicrobial has proven effective over time. Objective: This study seeks to determine the clinical presentation of Progressive Macular Hypomelanosis in our environment and its response to Narrowband-Ultraviolet B (NB-UVB) Methods: Twenty-three patients who were diagnosed as having Progressive Macular Hypomelanosis and had NB-UVB exposure were retrieved from dermatology unit records. Their pattern of presentation and their treatment outcome analyzed..............

Keywords: Progressive Macular Hypomelanosis, clinical presentation, NB-UVB`

[1]. Guillet G, Hélénon R, Gauthier Y, Surleve-Bazeille JE, Plantin P, Sassolas B. Progressive macular hypomelanosis of the trunk:
Primary acquired hypopigmentation. J. Cutaneous Pathol 1988; 15: 286-289
[2]. Lesueur A, Garcia-Granel V, Helenon R, Cales-Quist D. Progressive macular confluent hypomelanosis in mixed ethnic
melanodermic subjects: An epidemiologic study of 511 patients. Ann Dermatol Venereol. 1994; 121: 880-883
[3]. Westerhof W, Relyveld GN, Kingswijk MM, de Man P, Menke HE. Propionibacterium acnes and the pathogenesis of Progressive
macular hypomelanosis. Arch Dermatol, 2004; 140: 2010-2014
[4]. Relyveld GN, Menke HE, Westerhorf W. Progressive macular hypomelanosis: An overview. Ann J. clinical Dermatol 2007; 8: 13-
19
[5]. Desai SR, Owen JL. Progressive macular hypomelanosis: An update. Pigment Int 2014; 1:52-55

Abstract: Peripheral arterial occlusive disease (PAOD), commonly referred to as peripheral arterial disease (PAD) or peripheral vascular disease (PVD), refers to the obstruction or deterioration of blood flow through the arteries, exclusive of the coronary and intracranial vessels.1 The incidence of symptomatic PAD increases with age, from approximately 0.3%/ year for men aged 40 to 55 years to approximately 1%/year for men older than 75 years.2 Peripheral arterial occlusive disease is an important manifestation of atherosclerosis involving the arteries of legs.3 Vascular surgeons continue to encounter complications of atherosclerosis as their most common clinical challenge...............

Keywords: Peripheral arterial occlusive disease, intermittent claudication, claudication distance.

[1]. Ouriel K. Detection of peripheral arterial disease in primary care. JAMA 2001 sep;286:1380-1.
[2]. Sabiston textbook of surgery, The biological basis of modern surgical practice, 19th edition.
[3]. Hiatt WR. Medical treatment of peripheral arterial disease and claudication. N Eng J Med 2001;344:380-1.
[4]. De Palma RG. Atherosclerosis: Pathology, pathogenesis and medical management, 6th ed. Chapter 6. In: Moore WS, editor. Vascular surgery: A Comprehensive Review. Philadelphia: WB Saunders Company;2002.p91-04.
[5]. Nehler MR, Taylor LM, Moneta GL, Porter JM. Natural history and non-operative treatment of chronic lower extremity ischemia. 6th ed. Chapter 15. In: Moore WS, editor. Vascular surgery: A Comprehensive Review. Philadelphia: WB Saunders Company;2002.p 264-75.

Abstract: We carried out the study to assess the incidence of eyelid neoplasms with respect to age, sex, location and histopathological type. We done a retrospective study and studied 78 cases of eye lid tumours from aug. 2014 to dec.2016, through histopathological confirmation. A total of 130 cases of ocular neoplasms were seen, among which eyelid tumours accounted the maximum with 78 cases (60%). The most common age group affected was between 51-60 yrs (23.25%). Benign tumours accounted for 42(53.8%) cases and malignant tumours were encounted in 36(46.1%) cases..............

Keywords: Eyelid, malignant tumours, sebaceous cell carcinoma

[1]. Lee SB, Saw SM, Eong KGA, Chan TK, Lee HP. Incidence of eyelid cancers in Singapore from 1968 to 1995. Br J Ophthalmol 1999; 83: 595–597.
[2]. Ni Z. Histopathological classification of 3,510 cases with eyelid tumor. Zhonghua Yan Ke Za Zhi 1996; 32: 435–437
[3]. Lin HY, Cheng CY, Hsu WM, Kao WH, Chou P. Incidence of eyelid cancers in Taiwan: a 21-year review. Ophthalmology. Nov 2006;113(11):2101-7.
[4]. Jahagirdar SS, Thakre TP, Kale SM, Kulkarni H, Mamtani M.A clinicopathological study of eyelid malignancies from central India. Indian J Ophthalmol. 2007MarApr;55(2):109-112.
[5]. Wang JK, Liao SL, Jou JR, Lai PC, Kao SC, Hou PK, Chen MS. Malignant eyelid tumours in Taiwan. Eye 2003; 17: 216–220.

Abstract: Background: Iron deficiency anemia is the most common form of anemia in India. Hemoglobin A1c (HbA1c) is used in diabetic patients as an index of glycemic control reflecting glucose levels of the previous 3 months. Like blood sugar levels, HbA1c levels are also affected by the presence of variant hemoglobins, hemolytic anemias, nutritional anemias, uremia, pregnancy, and acute blood loss. Previous studies suggest that iron deficiency anemia (IDA) affects the levels of HbA1c.We conducted study to analyze the effect of iron deficiency anemia on glycated hemoglobin (HbA1c) in non diabetic Indians..........

[1]. Telen MJ, Kaufman RE. The mature erythrocyte. In: Greer JP, Forester J, et al., editors. Wintrobe's clinical hematology. 11th ed.
Lippincot: Williams and Wilkins; 2004. p. 230
[2]. American Diabetes Association. Standards of medical care in diabetes—2016. Diabetes Care. 2016;39(suppl 1):S1- S106.
[3]. Starkman HS, wacks M, Soeldner JS, Kim A. Effect of acute blood loss on glycosylated hemoglobin determination in normal
subjects. Diabetes care 1983;6:291-4
[4]. Mayer TK, Freedman ZR. Protein glycosylation in diabetes mellitus: a review of the laboratory measurements and their clinical
utilities. Clin Chim Acta. 1983;127:147e84
[5]. Chowdhury TA, Lasker SS. The elevated glycated haemoglobin in nondiabetic patients is associated with an increased mortality in
myocardial infarction. Postgrad Med J. 1998;74:480e1

Abstract: This study was conducted to determine the correlation between axial length of eye ball and peripapillary RNFL thickness measured by OCT in myopes .The study was carried out on patients attending Outpatient Department Of Ophthalmology at M.L.B Medical College, Jhansi. Myopic subjects >18 years of age without other ocular pathology were invited to participate . Subjects for the study were selected based on strict inclusion and exclusion criteria as indicated. All subjects underwent a thorough ophthalmic examination (FMR) to confirm the lack of ocular pathology other than refractive error..............

Keywords: RNFL , Axial lengh , OCT , Myopes , Spherical number.

[1]. Masood S, Hussain Z, Ahmad A, Tanveer ZH, Ahmad I. Incidence of myopia in school going children in Rahim Yar Khan Professional Med J. 2007; 14: 422-5.
[2]. Alam H, Siddiqui I, Jafri SI, Khan AS, Ahmed SI, Jafar M. Prevelance of refractive error in school children of Karachi. J Pak Med Assoc. 2008; 58: 322-5.
[3]. Budenz DL, Anderson DR, Varma R. Determinants of normal retinal nerve fiber layer thickness measured by Stratus OCT. Ophthalmology. 2007; 114: 1046-52.
[4]. In focus: Glaucoma is second leading cause of blindness globally. Bull World Health Organ. 2004; 82: 887.
[5]. Wong TY, Klein BE, Klein R, et al. Refractive errors, intraocular pressure, and glaucoma in a white population. Ophthalmology 2003;110:211–217. [PubMed: 12511368]

Abstract: It is assumed that the anatomical variations of lateral wall of nose contribute to various disease symptoms by blocking normal sinus drainage.This prospective study was conducted on hundred patients suffering from chronic rhinosinusitis, to study the various anatomical variations of lateral wall of nose by CT scan and diagnostic nasal endoscopy.A statistically significant correlation was found between concha bullosa and maxillary sinusitis (right and left concha bullosa with ipsilateral maxillary sinusitis p value was 0.033 and 0.01, respectively which are < 0.05), right and left agger nasi cell and ipsilateral frontal sinusitis..............

Keywords:Chronic rhinosinusitis, Diagnostic nasal endoscopy, Concha bullosa, Agger nasi cells, Paradoxical middle turbinate.

[1]. Bhargawa D. Health related quality of life in patients with rhinosinusitis. In a guide to endoscopic sinus surgery. 2002:47-48.
[2]. Ramalingam R and Ramalingam KK. A Hand book on Endoscopic sinus Surgery. ENT Medical Education & Research Foundation,
Chennai, India 1998:4-5.
[3]. Mamatha H, Shamasundar NM, Bharathi MB, Prasanna LC. Variations of ostiomeatal complex and its applied anatomy: a CT
study. Indian Journal of Science and Technology. 2010;3(8):904-07.
[4]. Wani AA, Kanotra S, Lateef M, Ahmad R, Qazi SM, Ahmad S. CT scan evaluation of the anatomical variations of the ostiomeatal
complex. Indian J Otolaryngol Head Neck Surg. 2009;61:163-68.
[5]. Fadda GL, Rosso S, Aversa S, Petrelli A, Ondolo C, Succo G. Multiparametric statistical correlations between paranasal sinus
anatomic variations and chronic rhinosinusitis. Acta Otorhinolaryngol Ital. 2012;32(4):244-51.

Abstract: Inflammatory myofibroblastic tumor is a histologically distinctive lesion that occurs primarily in the viscera and soft tissue of children and young adults. It is considered a tumor of borderline malignancy because of its tendency to recur locally (at least at certain sites) and its ability to metastasize rarely. It is composed of a variable mixture of collagen, inflammatory cells, and usually cytologically bland spindle cells showing myofibroblastic differentiation. There are many uncertainties about the pathogenesis of IMT. Currently, surgery is the mainstay of the treatment for IMTs..............

Keywords: IMT, Multinucleated tumor cells, borderline malignancy.

[1]. Goldblum JR, Folpe AL, Weiss SW. Borderline and malignant fibroblastic/myofibroblastic tumours. In : Enzinger & Weiss's Soft Tissue Tumors. 6th edt. Philadelphia: ELSEVIER Saunders; 2014. p. 304-10.
[2]. Hammas N, Chbani L, Rami M, Boubbou M, Benmiloud S, Bouabdellah Y, et al. A rare tumor of the lung: inflammatory myofibroblastic tumor. Diagn Pathol. 2012;7:1-4.
[3]. Firat O, Ozturk S, Akalin T, Cocker A. Inflammatory myofibroblastic tumour. J can chir. 2009 (June);52(3):E60-61.
[4]. Kubal C, Ghotkar S, Gosney J, Carr M. Pleural inflammatory myofibroblastoma: a locally aggressive intra-thoracic tumour. J Cardiothorac Surg. 2007;2(1):1–3.

Abstract: Periodontal disease have been associated with several oral anaerobes such as P. gingivalis , A. actinomycetemcomitans etc. A number of adjuncts have been used to improve the outcome of mechanical & surgical periodontal therapy example chemical plaque control agents & systemic antibiotics, but these have certain side effects. Currently Ozone is gaining popularity in various treatment modalities in field of medicine & dentistry. Ozone has a broad spectrum action which has presently been researched in managing in various oral infections. The objective of this study is to evaluate the efficacy of ozonized water in management of patients with Aggressive periodontitis .

[1]. Enzo A. Palombo. Traditional medicinal plants extracts and natural products with activity against oral bacteria: Potential application in the prevention and treatment of oral diseases. Evidence based complementary and alternative Medicine. 2011:10:.15-31
[2]. H.F. Jenkinson and R.J.lamont. oral microbial communities in sickness and in health, trends in microbiology 2005,13(12): 589-595
[3]. Meng H, Xu L, Li Q, Han J, Zhao Y. Determinants of host susceptibility in aggressive periodontitis. Periodontol 2000, 2007; 43:133–59.
[4]. Maria Emanuel Ryan. Nonsurgical Approaches for the treatment of periodontal diseases. Dent Clin N Am 49 (2005) 611–636.
[5]. Sagar Bansal, Shruti Rastogi and Meenakshi Bajpai. Mechanical, chemical and herbal aspects of periodontitis: a review. IJPSR, 2012; Vol. 3(5): 1260-1267.

Abstract: Background: 8% of India's population is above 60 years of age warranting an institution based study of patterns of neuropsychiatric disorders in elderly psychiatry outpatients. Objectives: to document the profile of neuropsychiatric disorders and physical co-morbidities among geriatric patients. Material And Method: This was a retrospective chart review of OPD records of all patients of age 60 years and above who attended RIMS Psychiatry OPD between Jan 2012 and Sept 2016. Result: A total of 4076 geriatric patients attended the Psychiatry OPD during the study period. Mean age was 67.53 years Age ranged from 60-98 years, 63.7% (n=1380) belonged to the age group of 60-69 years and 53.2% (n=2168) were male. 98.3% (n=4006) were found to have neuropsychiatric disorder..............

Keywords: Geriatric, mood disorder, generalised anxiety disorder.

[1]. Central Statistics Office, Ministry of Statistics & Programme Implementation, Government of India; Situation analysis of the elderly in India. New Delhi: Ministry of Statistics & Programme Implementation; 2011.
[2]. World Health Organisation. Accessed at http://www.who.int/ageing/events/idop_rationale/en/ on 24.01.2017.
[3]. Census 2011. Office of the Registrar General and Census Commissioner. New Delhi: Government of India; 2011.
[4]. Population Reference Bureau. Today's research on ageing. Washington DC: Population Reference Bureau; 2012:25.
[5]. UN population Division: World population prospects, the 2015 revision. New York: United Nations publication 2015.

Abstract: In India, there is an accelerating demographic switch to non-communicable diseases among which congenital malformations and genetic disorders are important causes of morbidity and mortality. Due to the high birth rate in India , large number of infants with genetic disorders are born every year almost half a million with malformations and 21,000 with Down syndrome and pose a big financial and social burden to nation and family. Hence identifying down syndrome in antenatal ultrasound and karyotyping will help to reduce the incidence of down syndrome and thereby reducing the social and economical constraints...............

[1]. Association between first trimester absence of fetal nasal bone on ultrasound and Down syndrome by Otaño L1, Aiello H, Igarzábal
L, , Gadow EC, Matayoshi T
[2]. First-trimester examination of fetal nasal bone in the Chinese population by Chen M1, Lee CP, Tang R, Ou CQ, Tang M,HChan B.
[3]. Ultrasonographic evaluation of fetal nasal bone in a low-risk population at 11-13 + 6 gestational weeks by Ramos-Corpas
D1, Santiago JC, Montoya F
[4]. First-trimester nasal bone evaluation for aneuploidy in the general population by Malone FD1, Ball RH, Nyberg DA, Comstock
CH, Saade G, Berkowitz RL, Dugoff L, Craigo SD, Carr SR, Wolfe HM, Tripp T, D'Alton ME; FASTER Research Consortium
[5]. Integrated ultrasound and biochemical screening for trisomy 21 using fetal nuchal translucency, absent fetal nasal bone, free betahCG
and PAPP-A at 11 to 14 weeks.by Cicero S1, Bindra R, Rembouskos G, Spencer K, Nicolaides KH

Abstract: Actinomycosis is a rare, chronic, and slowly progressive granulomatous disease caused by filamentous Gram positive anaerobic bacteria from the Actinomycetaceae family (genus Actinomyces).1In humans, actinomyces are often normally found in the oral cavity, the gastrointestinal tract and the female genital tract. Infections of the oral and cervicofacial regions are the most commonly reported cases.2We present three cases where actinomycosis was diagnosed incidentally. The first case was of scalp where it presented as a soft tissue swelling. The second case was of dorsum of foot where it was found in a cyst and the third diagnosis was done in a specimen of appendicectomy.

Keywords: Actinomycosis, scalp, dorsum of foot, appendicectomy

[1]. Wong,V. K., &Turmezei, T. D. (2011).Clinical review, 1–7. http://doi.org/10.1136/bmj.d6099
[2]. Kalioras, V., Thanos, L., Mylona, S., Pomoni, M., &Batakis, N. (2006). Scalp actinomycosis mimicking soft tissue mass, 117–118. http://doi.org/10.1259/dmfr/61817095
[3]. Bettesworth, J., Gill, K., & Shah, J. (2009). Primary Actinomycosis of the Foot : A Case Report and Literature Review. Journal of the American College of Certified Wound Specialists, 1(3), 95–100. http://doi.org/10.1016/j.jcws.2009.06.004
[4]. Lustig, S. (2014). Actinomycosis : etiology , clinical features , diagnosis , treatment , and management, 183–197.
[5]. Liu, V., Val, S., Kang, K., &Velcek, F. (2016). Case report: actinomycosis of the appendix 2014;an unusual cause of acute appendicitis in children. Journal of Pediatric Surgery, 45(10), 2050–2052. http://doi.org/10.1016/j.jpedsurg.2010.06.015

Abstract: Background: Urolithiasis is stone formation in the urinary tract which can be removed surgically to relieve symptoms or passed spontaneously in urine. They are sent to the laboratory for analyses, because knowledge of the chemical composition of stones aids appropriate treatment in order to prevent reoccurrence. We therefore aimed to determine the chemical composition of urinary calculi in our patients. Method: This was a retrospective study of the chemical composition of urinary calculi submitted to the Chemical Pathology laboratory at University of Nigeria Teaching Hospital...............

Keywords: Struvite, urinary calculi, urolithiasis

[1]. Balaji KC, Menon M. Mechanism of stone formation. UrolClin North Am. 1997;24(1):1-11.
[2]. Walsh PC, Retik AB, Wein A, Vaughan ED, Saunders WB (eds). Campbell's Urology. 7th ed. Philadelphia, WB Saunders
Company.
[3]. Trinchieri A. Epidemiology of urolithiasis. Arch ItalUrolAndrol. 1996;68:203-250.
[4]. Stamatelau KK, Francis ME, Jones CA, Nyberg LM, Curhan GC. Time trends in reported prevalence of kidney stones in the United States: 1976-1994. Kidney Int. 2003; 63:1817-23.
[5]. Esho JO. The rarity of urinary calculus in Nigeria. Trop Geogr Med. 1978;30(4): 477-81.

Abstract: We present a case in which sodium hypochlorite (NaOCl) was inadvertently injected into the palatal mucosa instead of local anesthetic solution. A 35 year old male reported to the postgraduate department of oral and maxillofacial surgery, Government Dental College, Srinagar J& K U 02 days after an inadvertent NaOCl injection into the palatal mucosa at a periphery dental clinic. Soft tissue necrosis was evident, without obvious bony involvement. Pa t i e n t wa s ma n a g e d b y s u r g i c a l d e b r i d eme n t o f t h e n e c r o t i c t i s s u e a n d s u b s e q u e n t i o d o f o rm d r e s s i n g s . S o f t t i s s u e h e a l i n g wa s a c h i e v e d f u l l y wi t h o u t a n y c omp l i c a t i o n s .

Keywords: Irrigation, palatal necrosis, sodium hypochlorite, iodoform.

[1]. Jeansonne MJ, White RR (1994) A comparison of 2.0% chlorhexidine gluconate and 5.25% sodium hypochlorite as antimicrobial
endodontic irrigants. Journal of Endodontics 20, 276–8.
[2]. Serper A, Ozbek M, Calt S (2004) Accidental sodium hypochlorite-induced skin injury during endodontic treatment.
Journal of Endodontics 30, 180–1.
[3]. Yes¸ ilsoy C, Whitaker E, Cleveland D, Phillips E, Trope M (1995) Antimicrobial and toxic effects of established and potential
root canal irrigants. Journal of Endodontics 21, 513–5.
[4]. Sabala CL, Powell SE (1989) Sodium hypochlorite injection into periapical tissues. Journal of Endodontics 15, 490–2.
[5]. Hu¨ lsmann M, Hahn W (2000) Complications during root canal irrigation – literature review and case reports. International
Endodontic Journal 33, 186–93

Abstract: The aim of this study was to investigate the effect of fluoridated and non-fluoridated carbamide peroxide gel on enamel microhardness (Vickers hardness number).60 extracted human premolar teeth were selected. Teeth were divided into 3 groups. Group A- Control (no bleaching), Group B- (non-fluoridated bleaching agent) group C (fluoridated bleaching agent). All specimen were bleached for 21 days with the respective bleaching agents for 4 hours. Microhardness testing was done on baseline (prior to bleaching) and on 21st day (post bleaching).Statistical analysis was done by paired t test, and (0.01) is considered as level of significance. After bleaching all samples group B showed decrease in micro-hardness, while microhardness was increased in group C. Enamel microhardness is reduced after bleaching with 16% CP gel, but fluoridated bleaching agent increased the enamel microhardness................

[1]. Haywood VB, Heymann HO. Nightgaurd vital bleaching. Quintessence Int. 1989;20:173-6
[2]. Basting RT, Rodrigues Junior Al & Serra MC (2001). The effect of 10% carbamide peroxide bleaching material on microhardness of
sound and demineralized enamel and dentine, in situ. Operative dentistry 26(6) 531-539
[3]. Oltu U, Gurgan S (2000). Effects of three concentrations of carbamide peroxide on structur of enamel. Journal of oral rehabilitation
27:332-340
[4]. Attin T, Vollmer D,Weigand A, Attin Rand Betke F (2005) subsurface microhardness of enamel and dentin after different external
bleaching procedures. American Journal of dentistry 18(1) 8-12.

Abstract: Nous rapportons le cas d'un adolescent de 15 ans, qui consulte pour retard statural. L'examen clinique révèle une hypertension artérielle à 170/100mmHg, et l'ionogramme sanguin note une hypokaliémie à 2,51mmol/l, diffus. La tomodensitométrie surrénalienne met en évidence une hyperplasie bilatérale des surrénales. Le bilan hormonal objectif une élévation du 11-désoxycortisol (composé S) de base et de la désoxycorticostérone (DOC), le diagnostic de déficit en 11beta hydroxylase est donc retenu. Un traitement par hydrocortisone a été initié chez le patient, l'évolution a été marquée par la correction de l'hypertension artérielle et de l'hypokaliémie.

Keys words: Arterial hypertension, Adolescent, Enzymatic deficiency

[1]. André J.L. hypertension artérielle chez l'enfant et l'adolescent ;emc-cardiologie angéiologie 2005 ; 478–490.
[2]. L. Amar , C. Lepoutre , G. Bobrie , P.F. Plouin Hypertension artérielle endocrine ; La Revue de Médecine Interne 2010, Volume
31(10), 2010 ;697-704
[3]. N. Kandemira , D.Y. Didem , N. Gonca, A. Ozona , A. Alikasifoglua , A. Dursunb and al. Novel and prevalent CYP11B1 gene
mutations in Turkish patients with 11-b hydroxylase deficiency; Journal of Steroid Biochemistry & Molecular Biology 2017; 165:
57–63.
[4]. N. Krone , F.G. Riepe , D. Gotze , E. Korsch , M. Rister , J. Commentz et al. Congenitaladrenal hyperplasia due to 11-
[5]. hydroxylase deficiency: functional characterization of two novel point mutations and a three base pair deletion in the CYP11B1

Abstract: The discovery of a corpse constitutes a very important legal event and a number of questions arise, which automatically leads to the establishment of a forensic investigation that will elucidate the circumstances of the death.The author of this work propose, from a clinical sticker, recall interest of body lifting in thanatologicalpractice.

Keywords: Body lifting, discovery of o corpse

..............

Abstract: The protection of children from all forms of violence has become an ongoing concern of the public authorities.Child abuseshould be considered a public health problem.The authors of this work propose, from a clinical sticker, recall the clinical aspects, the behavior to deal with a case of child abuse, study the socio-economic and psychological profile of the perpetrators of this form of violence and propose preventive actions.

Keywords: Children abuse, familial violence,right of child.

[1]. Convention on the Right of the Child, General Assembly resolution 44/25 of 20 November 1989.
[2]. Report activity of Forensic Department of hospital university of Bab El-Oued, 2016.
[3]. The Algerian health law of 31 July 1990 relative the protection and the promotion of health, article number 206.

Abstract: To evaluate clinically and radiologicalliy the type of injury and to analyze the results of closedbimalleolar ankle fractures treated withopen reduction and internal fixation. This is prospective study done at Sri Ramachandra University, Chennai 2013to assess the functional and radiological outcome of closed bimalleolar ankle fractures treated by open reduction and internal fixation. The duration of study was 18 months with a minimum follow up of 3 months to a maximum of 18 months. (Avg-12 months). Total number of Patients assessed and evaluated in this study...............

Keywords: Baird and Jackson scoring system, Lauge – Hansen Classification, Syndesmosis, Medial and Lateral Mallelous.

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