iosr-JDMS   Volume-16 ~ Issue-3 ~ March-2017

Abstract: This study aims at identifying the prevalence of multiple variants in CT of paranasal sinuses(PNS) done in our institution and to find out correlation to sinusitis if any. A retrospective analysis of 200 cases (100 in sinusitis group and 100 in asymptomatic group) of CT PNS was done at our institution. The prevalence of variants including those with surgical importance were studied. Comparison was done using Pearson's Chi square test.The most common variant was deviated nasal septum, followed by lamellar concha followed by agger nasi cell in both the groups. ...........

Keywords: CT PNS, anatomical variants, sinusitis, minimally invasive surgeries.

[1]. Perez - PINAS, I., et al. "Anatomical variations in the human paranasal sinus region studied by CT." Journal of anatomy 197.2
(2000): 221-227.
[2]. Dasar, Ufuk, and Erkan Gokce. "Evaluation of variations in sinonasal region with computed tomography." World journal of
radiology 8.1 (2016): 98.
[3]. Shpilberg, Katya A., et al. "CT of anatomic variants of the paranasal sinuses and nasal cavity: poor correlation with radiologically
significant rhinosinusitis but importance in surgical planning." American Journal of Roentgenology 204.6 (2015): 1255-1260.
[4]. Smith, Kyle D., et al. "The prevalence of concha bullosa and nasal septal deviation and their relationship to maxillary sinusitis by
volumetric tomography." International journal of dentistry 2010 (2010).
[5]. Reddy, Uma Devi Murali Appavoo, and Bhawna Dev. "Pictorial essay: Anatomical variations of paranasal sinuses on multidetector
computed tomography-How does it help FESS surgeons?." The Indian journal of radiology & imaging 22.4 (2012): 317...

Abstract: Health seeking behaviour among married women of reproductive age group in a rural area was studied by community based cross sectional method. In a sample of 270 women 72.6% reported taken treatment for their perceived symptoms.Socio-demographic factors like literacy of women, joint family system were significantly associated with the treatment seeking behaviour (p<0.005).Most of the treatment seekers preferred private health facility (44.4%) and the most common reason (48.50%) reported by the non treatment group was that the symptoms were not affecting their routine activity............

Keywords: Health seeking ,women,reproductive age ,rural

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[2]. Keith Tones. Health promotion, Health education & the public health (oxford university press :oxford textbook of public health,
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[4]. International Institute for population science (IIPS).district level household survey (DLHS-3), 2007-2008:India.Mumbai;Available
at: http://jsk.gov.in/dlhs3/Indiapdf.
[5]. Chauhan.R,Kandan.M, Purty.A., Samuel.A. and Singh. Z, Determinants of health care seeking behavior among rural population of a
coastal area in South India, International Journal of Scientific Reports, 1(2)2015, 118..

Abstract: Aims And Objective: To study the spectrum of infection amongst patients with end-stage renal disease on maintenance haemodialysis in western part of UP. Material And Method: The study was conducted in Department of Medicine, ChhatrapatiShivajiSubharti Hospital, Meerut, U.P. A prospective study of 100 patients was conducted undergoing maintenance haemodialysis in dialysis unit fulfilling the inclusion criteria were selected for study. These patients were observed for any evidence of infection as per pre-defined criteria.Demographic and clinical information will be collected at base line from the study population including detailed history followed by a complete general physical and systemic examination for all the selected population..........

[1]. D'AgataEM.,Mount DB, Thayer V,et al. Hospital acquired infections among chronic hemodialysis patients. Americal Journal of
Kidney disease 2000; 35: 1083-1088.
[2]. Jaber BL: Bacterial infections in hemodiaysis patients: Pathogensis and prevention. Kidney International 2005; 67: 2508-2519
[3]. Mokrzycki MH, Schroppel B, Gersdorff GV, et al: Tunneled-Cuffed Catheter associated infections in hemodialysis patients who are
seropositive for the human immunodeficiency virus. Journal of American society of nephrology 2000; 11: 2122-2127
[4]. Ponce P, Cruz J, FerreiraA,et al: A Prospective Study on Incidence of Bacterial Infections in Portuguese Dialysis Units. Nephron
ClinPract 2007;107:c133-38
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Kidney disease 2000; 35: 1083-1088..

Abstract: Background: To study Retinitis Pigmentosa as a cause of blindness in patients attending Regional Eye Hospital, Kurnool for blind certificate Methods: A total of 370 patients of all age groups attending to Regional Eye Hospital, Kurnool for blind certificate during the period June 2015 to June 2016 were included and examined which include visual acuity testing using Snellen chart, refraction, slitlamp biomicroscopy, intra ocular pressure measurement using Goldmann Applanation Tonometer, fundus examination with indirect ophthalmoscope, visual field testing using Humpry field analyser. Fundus picture was taken using Zeiss fundus camera. Patients having retinal pathology were exclusively included in the study and others were excluded.......

Keywords: Retinitis Pigmentosa, blindness, consanguinous marriage, inherited disease

[1]. Schémann JF, Leplège A, Keita T, Resnikoff S. From visual function deficiency to handicap: Measuring visual handicap in Mali.
Ophthalmic Epidemiol 2002;9:133-48.
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p://whqlibdoc.who.int/trs/WHO_TRS_518.pdf [last accessed on 2016. August 29].
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Section 1: No 154.Avialable from: http://www.ccdisabilities.nic.in/eval2/page6.htm [last accessed on 2016. August 30].
[4]. 4"Bardet-Biedl (Laurence Moon)"
[5]. Koenekoop, Robert K; Loyer, Magali; Hand, Collette K; Al Mahdi, Huda; Dembinska, Olga; Beneish, Raquel; Racine, Julie;
Rouleau, Guy A (2003). "Novel RPGR mutations with distinct retinitis pigmentosa phenotypes in French-Canadian
families". American Journal of Ophthalmology. 136 (4): 678–87

Abstract: Background:In traditional medicine, asafetida obtained from rhizomes of Ferula asafetida plant is used for whooping cough, pneumonia, bronchitis and bronchial asthma. Objective:This study aimed to evaluate the bronchoprotective effect of aqueous extract of Ferula asafetida gum on histamine induced bronchospasm in Guineapigssand its potential mast cell stabilizing activity. Materials and Method: In this study, the aqueous extract of Ferula asafetida gum was subjected for preliminary phytochemical screening. Its effect on histamine induced bronchospasm in guineapigs and Compound 48/80 induced mast cell degranulation was evaluated at different doses.............

Keywords: Ferula asafoetida, aqueous gum extract, bronchoprotection, mast cell degranulation, Compound 48/80

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Abstract: Background: Ocular trauma is an important, preventable public health problem worldwide. It is the single most important cause of acquired monocular blindness in the world .Around half million people are blind as a result of ocular injuries. Cataract formation is a serious visually challenging sequel after trauma. Aim: 1. To evaluate visual outcomes following cataract surgeries in the eyes with traumatic cataract. 2. To study the associated ocular morbidities of traumatic cataract. Materials And Methods: A total number of 50 patients were selected from the outdoor as well indoor patients after fulfilling the inclusion and exclusion criteria. Detailed history, ocular examinations and investigations were performed. Subsequently appropriate surgical management was done and the visual outcome was evaluated on follow ups...........

Keyword:- Trauma, cataract, lens dislocation, PCIOL

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[5]. Singh D et al. The role of intraocular lens in traumatic cataract. Indian J Ophthalmol, 31; 294-297.

Abstract: Pumpkin ( cucurbita maxima ) belongs to cucurbitaceae which include pumpkin, gourds, melons and squashes. They are characterized by their seed oil. Pumpkin plant has been grown since the earliest history of mankind1. ( Brucher – 1989 ). Pumpkin are grown around the world for variety of agricultural purposes, the seeds show anti helmintic, taenicide diuretic, cardio tonic, anti-inflammatory, anti - diabetic, anti-hyperlipidemic, anti – giardial activity CNS stimulant, melanogenesis inhibitory activity and immune modulatory action. Oil from seeds is nervine tonic.........

Keywords: Tocopherols, phytase, triterpenes, unsaturated fatty acids, anti diabetic, diuretic, cytotoxicity, cardiotonic.

[1]. Verma, Sheethal et, al current and future status of herbal medicine. Veterinary world2008; 1:347_350.
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[4]. A new protein inhibitor OF trypsin and activated Hageman factor from cucurbita maxima seeds. Department Of Biochemistry,Kansas State University, Manhattan, ks66506, USA. Department of biological science, University of Durham, UK.
[5]. Isolation of partial amino acid sequence of the trypsin inhibitor from the seeds of cucurbita maxima. Acta biochimica polanica (1980,27(3-4):371-382.Journal article, Research support , Non –US, govt.

Abstract: Aim: To analyse bacteriological and its sensitivity pattern in peritoneal fluid in cases of perforative peritonitis admitting in CMCH and MMCH so as to select appropriate empirical antibiotic therapy. Methods: Patients presenting to the casualty of CMCH and MMCH with features of Perforative peritonitis such as abdominal guarding , rigidity and Chest Radiograph showing bilateral air under diaphragm are taken up for emergency laparotomy and the peritoneal fluid is sent for bacterial culture and sensitivity and according to the laboratory results appropriate antibiotics are initiated in the post-operative period. Results: From this study it was analysed that the most common organism isolated from peritoneal fluid of perforative peritonitis patients is Klebsiella species and second most common was Escherichia Coli. Appropriate antibiotics such as cephalosporins were started for the patient according to the culture and sensitivity reports..............

Keywords: Perforative peritonitis , Klebsiella , Escherichia coli , Cephalosporins

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Abstract: Aims And Objectives: As of 2016, An estimated 180 million people in India have primary hypertension. We set out to investigate the pharmacotherapeutic profile in this vast and varied population. Our objective was to assess what fraction of our study population was on medication in accordance to the best available contemporary medical evidence by comparing our results with 05 International guidelines published in the past 06 years. Methods: We studied 1081 patients with a previous diagnosis of primary hypertension and analyzed the anti-hypertensives they were on, which had been prescribed from various urban and rural centers. Some of these patients were on our follow up as outpatients, while others were migrating from other medical setups. It was our endeavor to study a sample size large enough so that extrapolation to the general population was not an obstacle...........

Keywords: Hypertension, JNC 8, angiotensin converting enzyme inhibitors, angiotensin receptor blockers

[1]. Kasper DL, & Harrison, T. R. Harrison's Principle of Internal Medicine 19th Edition. K K, editor. Philadelphia2015. 3199 p.
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Abstract: Gastrointestinal anastomosis is one of the most common procedures performed for a widevariety of surgical conditions either as the primary treatment or as part of a major surgerysuch as cancer surgery to restore anastomosis following resection. Despite meticuloustechnique, anastomotic surgeries tend to have frequent complicationsranging from issuesas simple as anaemia following surgery to requiring ventilatory support and repeatsurgery for their management. This study aims to evaluate the efficacy of the SubjectiveGlobal Assessment (SGA) Score in predicting postoperative morbidity in patientsundergoing these surgeries depending on their preoperative.................

Keywords: Gastrointestinal anastomosis, Subjective Global Assessment, SGA score.

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Abstract: Introduction:Caesarean delivery defines the birth of a fetus via laparotomy and then hysterotomy. Caesarean section rates have continued to increase worldwide in recent years. The reasons for increase in the caesarean delivery rates may be due to increase in number of elderly primi gravidae, caesarean delivery on maternal request, fear of litigation in obstetric practice and the reluctance on the part of obstetricians and the patients to accept even minute errors and many more. Rise in caesarean section rate should be assessed for improving quality of care for the pregnant woman. We evaluated the rate of caesarean births according to Robson criteria in our birth centre and aimed to determine the cause of this rising trend and assess the efficacy of various measures taken to reduce the rate of caesarean section.............

Keywords: ACOG Obstetric Consensus Caesarean section rates Robson's classification

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Abstract: This study characterized structural abnormalities associated with onset of seizures in children using MRI and a standardized classification system in a large prospective cohort. A total of 281 children aged 6 to 14 years completed an MRI within six months of their first recognized seizure. Most MRI examinations were performed with a standardized, dedicated seizure protocol, and all were scored using a standard scoring system. At least one MRI abnormality was identified in 87 of the 281 (31%) of children with first recognized seizure. Two or more abnormalities were identified in 34 (12%). The most common abnormalities were ventricular enlargement............

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epilepsy: a prospective MRI study. Neurology 2005;64:62–68. [PubMed: 15642905]
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Abstract: Schwannoma is one of the benign nerve sheath tumor which may arise from any myelinated nerve. It is a truely encapsulated neoplasm of the human body and always solitary. It occurs only 1 -2% intraorally in which tongue is being the most common site. This article reports a case of schwannoma on the right lateral aspect of the tongue in a 27 year old female patient and its diagnosis and management.

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Abstract: Spontaneous intracranial hemorrhage is one of the major causes of acute cerebrovascular accidents. Hemorrhagic stroke accounts for approximately 15% of all stroke and is classified according to anatomic compartmentalization as intracerebral hemorrhage (ICH) (approximately two thirds) or subarachnoid hemorrhage (SAH) (approximately one third).It is very important to detect intracranial hemorrhage as early as possible for proper management as it may lead to rapid neurological deterioration and even death. Hence it is an indication for urgent neuro imaging. The aim of this work was to evaluate the computed tomography (CT) findings of spontaneous intracranial............

Keywords: Computed tomography, intraparenchymal hemorrhage, subarachnoid hemorrhage

[1]. Robert R Edelman, John Hesselink, Michael Zlatkin. Clinical Magnetic Resonance Imaging ; brain intracranial hemorrhage, Third edition 2005 , Saunders; 1287-1288.
[2]. Adnan I QureshI, Stanley Tuhri ,Joseph P Broderick, H Hunt Batjer, Hideki

[3]. Hondo, Danielf Hanley. Spontaneous intracerebral hemorrhage. N Engl J Med 2001; 344( 19):1450-1460.
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Abstract: Zirconia implants were familiarized into dental implantology. Zirconia appears to be an appropriate implant material due to its low plaque affinity, tooth like color, biocompatibility and mechanical properties. The following a case presentations will show how the acid-etched zirconia Implant can be used to functionally and aesthetically replace congenitally missing left lateral incisor tooth germ in the maxilla, and achieve optimal soft tissues and health.

Keywords: Zirconia , Ceramics, Dental Implants, Aesthetics.

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[2]. Pilathadka S., Vahalová D., Vosáhlo T. The Zirconia: a New Dental Ceramic Material. An Overview. Prague Med Report. 2007;
108(1): 5–12
[3]. Edward A McLaren, Russell A Giordano. Zirconia-Based Ceramics: Material Properties, Esthetics, and Layering Techniques of a
New Veneering Porcelain, VM9. Quint Dental Technol. 2011; 99-111
[4]. Ahmad A Jum'ah, Bart MN Beekmans, David J Wood, Hassan Maghaireh. Zirconia Implants: The New Arrival in the Armoury of
Successful Aesthetic Implant Dentistry. Smile Dental J. 2012; 7(2): 12-26
[5]. 5.Brüll F, van Winkelhoff AJ, Cune MS (2014) Zirconia dental implants: a clinical, radiographic, and microbiologic evaluation up
to 3 years. Int J Oral Maxillofac Implants 29: 914-20.

Abstract: This case report describes extraction of a fractured left maxillary central incisor tooth, followed by immediate placement of an one-piece implant in the prepared socket and temporization by a bonded restoration. Materials And Methods: The tooth was extracted with minimal hard and soft tissue trauma and without flap reflection. The socket was prepared to the required depth and a Implant was inserted. Results: The atraumatic operating technique and the immediate insertion of the one-piece Implant resulted in the preservation of the hard and soft tissues at the extraction site...........

Keywords: Immediate placement, Immediate temporization; One-piece implant; Primary stability

[1]. Chen S.T., Buser D. Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants.
2009;24 Suppl:186-217.
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esthetic zone: a systematic review and pooled analysis. J Periodontol. 2014;85(7):e241-50.
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literature and presentation of a series of three cases. J Oral Implantol 2008;34:97-106.
[4]. Abu-Hussein Muhamad ,Chlorokostas Georges , Abdulgani Azzaldeen ; Immediate Implants Placed Into Infected Sockets: Clinical
Update with 3-Year Follow-Up. . J Dent Med Sci2017,16,1,105-111DOI: 10.9790/0853-160109105111
[5]. Abu-Hussein M,, Abdulghani A., Sarafianou A., Kontoes N.; Implants into fresh extraction site: A literature review,case immediate
placement report, Journal of Dental Implants. 2013;3(2):160-164.