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

Abstract: Purpose: Acrylic dentures frequently fracture during service due totheir poor strength characteristics. The aim of this study was to evaluate the effects of adding 5%, 10% and 15% aluminum oxide powder on the flexural strength, surface hardness of a conventional heat-polymerized acrylic resin. Materials and methods: One of the commonly used conventional heat cure denture base resin (DPI) and high impact heat cure denture base resin(lucitone) with incorporation of three different percentage of aluminum oxide concentration was studied in 4 groups of 10 samples each.............

Key words:- Conventional heat cure denture base resins; flexural strength; aluminum oxide powder,hardness.

[1]. Meng TR LM. Physical properties of four acrylic denture base resins. . J Contemp Dent Pract. 2005;6:93-100.
[2]. Sehajpal SB SV. Effect of fillers on some physical properties of acrylic resin. J Prosthet Dent 1986;61:746-51.
[3]. Dabbar UR HR, Harrison A. . Denture fracture-survey. . Br Dent J 1994;176:342-5.
[4]. Asar NV AH, Korkmaz T, Turkylmaz I. Influence of various metal oxides on mechanical and physical properties of heat-cured polymethyl methacrylate denture base resins. Journal Adv Prosthodont. 2013;5(3):241-7.
[5]. AR. R. Effect of steel strengtheners on fracture resistance of the acrylic resin complete denture base. . J Prosthet Dent. 1985;54:75-8.

Abstract: Background: Intussusception is a relatively rare cause of intestinal obstruction in adult patients. Adult invagination is mostly caused by benign tumours. Intussusceptions caused by inflammatory fibroid polyps (IFPs) are uncommon. IFPs (Vanek's tumour) are benign tumour masses occurring in stomach, small intestine and less commonly, large intestine. They can occur at any age & are not related to any medical condition or syndromes.

Keywords: Intussusception, polyps, inflammatory fibroid polyp, Vanek's tumour

[1] Stewart D, Hughes M, Hope WW. Laparoscopic-assisted small bowel resection for treatment of adult small bowel intussusception:
a case report. Cases J. 2008;1:432.
[2] Chiang JM, Lin YS. Tumor spectrum of adult intussusception. J Surg Oncol. 2008;98:444–7.
[3] Vanek J. Gastric submucosal granuloma with eosinophilic infiltration. Am J Pathol. 1949;25:397–411.
[4] Wysocki AP, Taylor G, Windsor JA. Inflammatory fibroid polyps of the duodenum: a review of the literature. Dig Surg.
2007;24:162–8.
[5] Begos D G, Sandor A, Modlin I M. The diagnosis and management of adult intussusception. Am J Surg. 1997;173:88–94.

Abstract: Background: Children between the age group of 1 to 12 years suffering from cerebral palsy with and without seizures have a higher risk of mortality and morbidity. Few interventions likely to be beneficial like maternal risk factors, antenatal, natal, postnatal growth and development, neonatal seizures and its related complications1. Aims and objectives: To find out the risk factors for Seizures in children with Cerebral Palsy. To study maternal physical and socio-economic risk factors responsible for cerebral palsy and seizures in cerebral palsy also to identify significant modifiable risk factors for cerebral palsy in the locality, if any, and point out strategic measures to favourably modify those.............

Keywords: Cerebral Palsy, Maternal Risk Factors, Seizures.

[1] Hadjipanayis, A., Hadjichristodoulou, C., Youroukos, S. Epilepsy in patients with cerebral palsy. Dev Med Child Neurol. 1997;39:659–663.

[2] Kwong, K., Wong, S.N., So, K. Epilepsy in children with cerebral palsy. PaediatrNeurol. 1998;19:313–316.

[3] Zafeiriou, D.I., Kontopoulos, E.E., Tsikoulas, I. Characteristics and prognosis of epilepsy in children with cerebral palsy. J Child Neurol. 1999;14:289–294.

[4] Wallace, S.J. Epilepsy in cerebral palsy. Dev Med Child Neurol. 2001;43:713–717

[5] Gururaj, A.K., Sztriha, L., Bener, A., Dawodu, A., Eapen, V. Epilepsy in children with cerebral palsy.Seizure. 2003;12:110–114.

Abstract: Objectives: Is to find the accuracy rate of FNAC in Thyroid swelling and to analyse false negative FNAC Methods and Materials: A prospective study done for a period of 2 yrs in Tanjavur Medical College Hospital FNAC taken from Thyroid swelling and Histopathological examination of operated Thyroid specimen compared for false negativity. Results: Out of 96 cases 75 cases were found as True positive (78.12%) correlating with FNAC and Biopsy reports. 2 cases were found as false positive (2.08%) 19 cases were found to be false negative (19.805) Conclusion: With the significant negativity 19.80% we cannot rely on FNAC alone and we have to consider clinical examination, FNAC and postoperative Biopsy all together for complete treatment of thyroid swellings

Keywords: Fine needle aspiration cytology (FNAC), Thyroid swelling, Benign, Malignant, Thyroiditis, Histopathalogical reports.

[1] Shah A fine needle aspiration Biopsy of thyroid, a syudy of 262 cases with histologicai correlation.Journal of cytology 1998;15(2):11-15.
[2] Kline TS Thyroid gland Hand book of FNAC 85-113,1981.
[3] Mather SR et al.Role of FNAC in the diagnosis of goitre. Indian J Pathol Microbiol 2005;48(2):166-169.
[4] Damjanov Ivan.Anderson's pathology.Mosby year book Ed10.1943-1979.St Louis:1996.
[5] Endocrinology by Degroot.

Abstract: Aims & Objectives: To assess the functional efficiency and adaptation of tongue musculature in surgically treated cleft Patients by measuring the amplitude of contraction, fractional shortening of tongue musculature and to compare the changes in functional adaptive efficiency following surgery using m-mode ultrasonography. Methods: The study was carried out on 90 cleft patients both with complete (Type 1 - 47 patients) and incomplete cleft defects (Type 2 - 43 patients). The patients were divided into 3 groups- 30 each based on age i.e., Group 1: 5-10 yrs, Group 2: 10-15 years, Group 3: 15-20 yrs Tongue muscle function was evaluated in various phases of swallowing- tip, body and basal portions of the tongue using 2-D and M-Mode Ultrasonography and the results were analyzed statistically.............

Keywords: M-Mode Echomyography, Fractional shortening, Swallowing.

[1]. Miline IM, Cleau JF. Cine–fluorographic study of functional adaptation of oropharyngeal structures. Angle ortho. 1970; 40; 267-83.
[2]. Schonle PW, Grabe K. Electro magnetic articulography as a method for detecting the influence of on tongue movement Eur. J.
Orthod. 1995; 17; 411-7.
[3]. Lauder R, Muhl Z. Estimation of tongue volume from Magnetic resonance imaging. Angle Orthod 1991; 61: 175-83.
[4]. Lowe AA, Giohaka N, Takeuchi K, Fleetham JA. Three-dimensional CT reconstructions of the tongue and airway in adult subjects
with obstructive sleep apnea. American J. orthod Dentofac. Orthop. 1986; 90; 364-74.

Abstract: Hodgkin lymphoma is one of the most enigmatic diseases known. Our aim is to study the epidemiology of Hodgkin lymphoma including age and sex incidence and to highlight the differences in the clinical and pathological profile of Indian Hodgkin lymphoma from its western counterparts. Materials and methods: A total of 142 cases were studied. The case records were reviewed for clinical presentation. The H&E slides were studied to assess the morphology, presence of Reed Sternberg cells and its variants and background infiltrate..............

Keywords: epidemiology, Hodgkin lymphoma, staging

[1]. Pier Paolo Piccaluga, Claudio Agostinelli, Anna Gazzola, Claudio Tripodo,Francesco Bacci, Elena Sabattini, Maria Teresa Sista, ClaudiaMannu,Maria Rosaria Sapienza, Maura Rossi, Maria Antonella Laginestra,Review Article.Pathobiology of Hodgkin Lymphoma .Advances in HematologyVolume 2011, Article ID 920898, 18 pages.
[2]. Ramani A, Kumar K A, Rao K K,et al. clinicopathological profile of lymphomas in south India: A prospective rural referral hospital study of 103 cases. J Assoc physicians India 1991; 39:322-5.
[3]. Abu El Hassan MS. Ahmed ME, A/Fatah- A/Gadir, et al. Differences in presentation of Hodgkin's disease in Sudan and Western countries. TropGeogr-Med, 1993; 45:28-29.
[4]. Sudipta chakrabarthi, Supriya Sarkar, Bidyut Krishna Goswami, et al. Hodgkin and Non Hodgkin lymphomas in an Indian rural medical Institution: Comparative Clinicopathological analysis. Asian Pacific J cancer prev 2010; 11:1605-1608.

Abstract: Introduction: Stress urinary incontinence is defined as involuntary leakage of urine on effort or exertion,or sneezing or coughing in the absence of bladder contraction. Modified transobturator (inside out) approach was described to improve the intraoperative safety profile of the obturator approach. The risk of lower urinary tract injury or other visceral injury is negligible with this approach. Materials And Methods: A prospective study conducted between January 2015 to December 2016 in Government Stanley medical college and hospital , Chennai.including patients in the age group between twenty five and eighty five years and patients with Clinical as well as urodynamic diagnosis of stress urinary incontinence and with Positive pad test, stress test............

Keywords: Stress urinary incontinence, transobturator (inside out) approach, transobturator vaginal tape

[1]. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, Van KP, Victor A, Wein A.The Standardisation Of Terminology In Lower Urinary Tract Function:Report From The Standardisation Sub-Committee Of The International Continence Society . Urology2003;61:37-49
[2]. Singh Abha, Agrawal Priti, Sachdev Nanakra. Incidence And Epidemiology Of Urinary Incontinence In Women: J Obstet Gynecol India Vol.57,No.2: March/April 2007 Pg 155-157
[3]. Isabelle Kaelin-Gambirasio. "Complications Associated With Transobturator Sling Procedures:Analysis Of 233 Consecutive Cases With A 27 Months Follow-Up" ,BMC Women S Health ,2009
[4]. Francois Haab. "Tension-Free Vaginal Tape:Why An Unusual Concept Is So Successful:", Current Opinion In Urology , May 2001
[5]. Jorgensen L, Lose G, Andersen JT. One Hour Pad –Weighing Test For Objective Assessment Of Female Urinary Incontinence.Obstet Gynecol 1987;69:39-42.

Abstract: Introduction: Acute abdominal pain is one of the most common presenting complaints at emergency of general surgery department and due to its varied aetiology it poses significant diagnostic challenges for surgeons, Acute abdomen is a term used to encompass a spectrum of surgical, medical and gynaecological conditions ranging from trivial to life threatening conditions, which require hospital admission, investigations and treatment. Materials & Methods: All Female patients with pain abdomen ,attending OPD / admitted in a tertiary care Hospital, during the period from Sep 2014 to Oct 2016 about 100 patients were evaluated with clinical examination, ultrasonography..............

Keywords: Acute Abdomen, Appendicitis, Pain Abdomen, Ultrasonography

[1]. Kamin RA, Nowicki TA, Courtney DS, Powers RD. Pearls and Pitfalls in the Emergency Department Evaluation of Abdominal
Pain. Emerg Med Clin North Am 2003;21:61-72.
[2]. Levine MS, Bree RL, Foley WD, et al., for the Expert Panel on Gastrointestinal Imaging. American College of Radiology ACR
Appropriateness Criteria. Left lower quadrant pain.2000 Jun;215 Suppl:167-71.
[3]. Bree RL, Blackmore CC, Foley WD, et al., for the Expert Panel on Gastrointestinal Imaging. American College of Radiology ACR
Appropriateness Criteria. Right lower quadrant pain. 2000 Jun;215 Suppl:159-66.
[4]. Shelton T, McKinlay R, Schwartz RW. Acute appendicitis: current diagnosis and treatment. Curr Surg 2003; 60: 502-505
[5]. Howell JM, Eddy OL, Lukens TW, Thiessen ME, Weingart SD, Decker WW. Clinical policy: Critical issues in the evaluation and
management of emergency department patients with suspected appendicitis. Ann Emerg Med 2010; 55: 71-116 6.Ebell MH.
Diagnosis of appendicitis: part 1. History and physical examination. Am Fam Physician 2008; 77: 828-830

Abstract: Introduction: Leprosy is a chronic, infectious disease caused by Mycobacterium leprae. It is classified into five groups based on clinical, histological, microbiological and immunological criteria (Ridley & Jopling Classification). However a great variation is seen in interpretation of clinical and histopathological examination of these lesions. The present research was taken to study the correlations between the clinical and histological diagnosis and to evaluate the importance of skin biopsy as an important diagnostic and spectrum defining tool...............

Keywords: Clinico-histopathological, mycobacterium leprae, fite faraco, acid fast bacilli, granulomas

[1]. Abulafia J, Vignale RA. Leprosy: Pathogenesis updated. Int J Dermatol 1999;38:321-334.
[2]. Nitesh Mohan, Nitin Mishra. Clinico Histopathological Correlation Within The Spectrum Of Hansen's Disease: A Multicentric Study In North India. Int J Med Res Health Sci 2013; 2(4):887-92.
[3]. Mathur MC, Ghimire RBK, Shrestha P,Kedia SK. Clinico histopathological Correlation in Leprosy. Kathmandu Univ Med J. 2011;36(4):248-51.
[4]. Giridhar M, Arora G, Lajpal K, Chahal KS. Clinicohistopathological concordance in Leprosy- A Clinical, Histopathological and Bacteriological study of 100 cases. Indian J Lepr 2012;84:217-25.
[5]. Kalla G, Salodkar A and Kachhawa D (2000).Clinical and histopathological correlation in leprosy. Int J Lepr. 68: 184-185.

Abstract: Magnetic Resonance Urography (MRU) is increaingly replacing Intravenous Urography (IVU) which has been the traditional modality for uro-imaging. However, the effectiveness and advantages of this new and costly modality need to be proven before defining its place in the uro-radiological armamentarium. We conducted a prospective study to assess the role of MRU in 100 consecutive cases where IVU was inconclusive or contra-indicated. As 4 patients had solitary functioning kidney, a total of 196 renal units were evaluated. In all the cases the results of IVU and MRU were cross-checked for accuracy by multi- modality imaging or surgical feedback...............

[1]. Kawashima A, Glockner JF, King Jr. BF ; CT Urography and MR Urography Radiologic Clinics of North America ; 2003; 41(5) : 945 – 961
[2]. Regan F, Bohlman ME, Khazan R, et al ; MR Urography using HASTE imaging in the assessment of Ureteric obstruction ; Am. J. Roentgenol. ; 1996; 167 : 1115 – 1120
[3]. Smith RC, Verga M, McCarthy S, Rosenfield AT ; Diagnosis of acute flank pain: value of Unenhanced Helical CT ; Am. J. Roentgenol.; 1996; 166 : 97-101
[4]. Shokeir AA, El- Diasty T, Eassa W, et al; Diagnosis of non calcareous hydronephrosis: role of magnetic resonance urography and non-contrast computed tomography ; Urology 2004 Feb;63(2):225-9
[5]. Locua G ; MR Urography in diagnosis of Urinary Tract Obstruction ; European Urology ; 1999; 35 : 102-108

Abstract: Objective: The purpose of this study was to evaluate the immediate effect of mulligan bent leg raise and neural mobilization on hamstring tightness in college going students. Methods: This experimental study was conducted in Krishna institute of medical sciences, faculty of Physiotherapy, karad. Fifty students (aged 18-25 years) with hamstring tightness were randomly assigned to 2 groups. Active knee extension and straight leg raise was measured using universal goniometer...............

Keywords: Hamstring, mulligan bent leg raise, neural mobilization, and tightness.

[1] AkinpeluAo ,Bakareu, Adegokeboa. Influence of age on hamstring tightness in apparently healthy Nigerians: Journal of the Nigeria Society of Physiotherapy Vol 115: 35 – 41, (2005).
[2] B Dadebo, J White, K P George. A survey of flexibility training protocols and hamstring strains in professional football clubs in England: British Journal of Sports Medicine 2004; Vol 38: 388–394.
[3] Michael R.Rehorn, Silvia S.Blemker: The effects of aponeurosis geometry on strain injury susceptibility explored with a 3D muscle model: Journal of Biomechanics 43 (2010) 2574–2581.
[4] Odunaiya NA, Hamzat TK, Ajayi OF. The effects of static stretch duration on the flexibility of hamstring muscles. Journal of biomedical research. 2005; 8: 79-82.
[5] Nagarwal AK, Zutshi K, Ram CS and Zafar RI. mprovement of hamstring flexibility: A comparison of two PNF stretching techniques. International journal of sports science and engineering, 2010; 04(01): 025-033.

Abstract: Aims: To know whether reduction of hypertrophied Inferior turbinate in addition to Septoplasty improves outcome of nasal obstruction in patients with deviated nasal septum with inferior turbinate hypertrophy. Methods: 30 patients with septal deviation and contralateral inferior turbinate hypertrophy were recruited in the study, which was carried out at tertiary level center from May 2014 – May 2016. Results: The results of study showed that both following septoplasty & TRS, post-operative mean NOSE score improvement were highly significant but among these two groups, patient who underwent septoplasty along with TRS had better result. (p<0.05) Study Limitations- longer follow up, larger sample size.

Keywords: Deviated nasal, deviated nasal septum, inferior turbinate hypertrophy, septoplasty, turbinate reduction, submucosal diathermy, NOSE Scale.

[1]. Akerlund A, Millqvist E, Oberg D, Bende M. Prevalence of upper and lower airway symptoms: the Skovde population-based study. Acta Otolaryngol. 2006;126:483-88.
[2]. Gleeson M, Browning GG, Burton MJ, Clarke R, Hibbert J, Jones NS, Lund VJ,editors. Scott-Brown's otorhinolaryngology, head and neck surgery. 7th ed. London:Hodder Arnold. 2008 p: 1315-43, 1356-77, 1386-90, 1439-44, 1549 -57, 1569-1581.
[3]. Brain D. The nasal septum. In: Mackay IS, Bull TR, eds.Scott-Brown's Otolaryngology, ed 5. London: Butterworth& Co. Ltd. Rhinology, vol 4, 1987:154–179.
[4]. Gilead Berger, MD; Ilan Hammel, DSc; Rachel Berger, BA; Shabtai Avraham, MD; Dov Ophir, MD: Histopathology of the inferior turbinate with compensatory hypertrophy in patients with deviated nasal septum, Laryngoscope 110:2100-2105.
[5]. Kim DH, Park HY, Kim HS et al. Effect of septoplasty on inferior turbinate hypertrophy. Arch Otolaryngol Head Neck Surg 2008; 134 : 419-423..

Abstract: Background: There is an increase in number of second trimester pregnancy termination due to better prenatal screening. Medical methods, using combination of mifepristone and Misoprostol, frequently being used for mid-trimester pregnancy termination. Objective: Objective of study was to study safety and effectiveness of combination of mifepristone and Misoprostol for mid-trimester MTP. Material & Methods: A prospective study of 68 women who underwent Mid-trimester MTP (between 13-20 weeks gestation) Karnataka Institute of Medical Sciences Hubli, Karnataka, India during 2012 – June 2015 Results: Data was analysed for 48 cases who fulfilled the inclusion criteria...............

[1]. Medical Termination of Pregnancy Act, 1971.

[2]. World Health Organization (1997) Medical Methods for Termination of Pregnancy. WHO Technical Report Series 871. World Health Organization, Geneva

[3]. Lalitkumar S, Bygdeman M, Gemzell-Danielsson K. Mid-trimester induced abortion: a review. Hum Reprod Update 2007;13(l):37-52

[4]. Hammond C. Recent advances in second-trimester abortion: an evidence-based review. Am J Obstet Gynecol 2009;200(4):347-56. [5]. Ashok PW, Templeton A, Wagaarachchi PT, Flett GM. Midtrimester medical termination of pregnancy: a review of 1002 consecutive cases. Contraception 2004;69(l):51-8.

Abstract: Introduction: Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome is a rare congenital absence of uterus and the upper two-thirds of the vagina in women who have normal development of secondary sexual characteristics and normal 46 XX karyotyping. Case report: We here report on a 17 years old girl with type I MRKH syndrome. Discussion: Laboratory studies should include, Chromosomal analysis to exclude karyotypic abnormalities of the X chromosome and androgen insensitivity syndrome (AIS). Normal levels of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) indicate appropriate ovarian function. On the other hand, Ultrasound and MRI plays a pivotal role in highlighting the exact anatomical details................

Keywords: MRKH Syndrome, Paramesonephric (Mullerian) ducts, Mesonephric (Wolffian) ducts, Aplasia of the uterus, Genital renal ear syndrome, Mullerian agenesis, Mullerian aplasia, Mullerian dysgenesis, Rokitansky syndrome.

[1]. Banerjee, I., P. Dam, and S.D. Roy, Mullerian Developmental Defect Along with Multisystem Abnormalities: A Rare Case with Rare Association. International Journal of Scientific Study, 2015. 2(12): p. 201-3.
[2]. Nath, K., B. Boro, and S. Naskar, A Rare Case of Mayer-Rokitansky-Kuster-Hauser Syndrome Presenting with Acute Psychosis. Journal of Clinical Diagnosis Research, 2016. 10(4): p. VD03-VD04.
[3]. Fontana, L., B. Gentilin, L. Fedele, C. Gervasini, and M. Miozzo, Genetics of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. Journal of Clinical Genetics, 2017. 91(2): p. 233-46.
[4]. Bjørsum-Meyer, T., M. Herlin, N. Qvist, and M. Petersen, Vertebral defect, anal atresia, cardiac defect, tracheoesophageal fistula/ esophageal atresia, renal defect, and limb defect association with Mayer-RokitanskyKüster-Hauser syndrome in co-occurrence: two case reports and a review of the literature. Journal of Medical Case Reports, 2016. 10: p. 374-84.
[5]. Sharma, B., S. Sharma, Y. Singh, and J. Balesa, Mayer-Rokitansky-Kuster-Hauser Type I Syndrome -A Case Report. Indian Journal of Case Reports, 2015. 1(1): p. 8-10..

Abstract: Background: Dental treatment is the greatest unattended health need of physically/mentally disabled individuals. However, oral hygiene can be improved significantly by effectual daily brushing and self-training workshops.With this background, an effort was made to compare the efficacy of manual and electronic toothbrushes in plaque control of visually impaired individuals. A comparison of efficacy of touch perception and audio aids as patient education and motivation tools and a preference of toothbrush from blind individuals was obtained..............

Keywords: Audio Aids, Electronic tooth brush, Braille, Manual toothbrush, Crossover

[1]. Socransky S, Haffajee A (1992)The bacterial etiology of destructive periodontal disease:current concepts.J Periodontol 63:322–331 [2]. Axelsson P, Nyström B, Lindhe J (2004) The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance. J ClinPeriodontol 31:749–757

[3]. Greeley CB, Goldstein PA, Forrester DJ. (1976). Oral manifestations in a group of blind students. ASDC J Dent Child, 43: 39–41.

[4]. Anaise Z. J. (1979). Periodontal disease and oral hygiene in a group of blind and sighted Israeli teenagers (14- 17 years age). Comm Dent Oral Epidemiol, 7, 353-6.

[5]. Edwards DM, Merry AJ. Disability part 2: access to dental services for disabled people. A questionnaire survey of dental practices in Merseyside. Br Dent J. 2002; 13(5):253–255. [6]. Schembri A, Fiske J. The implications of visual impairment in an elderly population in recognizing oral disease and maintaining oral health. Spec Care Dent 2001; 21: 222-226..

Abstract: Objectives: The aim of this investigation was to assess the influence of different surface treatments and repair material on the repair shear bond strength (SBS) of GC Fuji IX GP Packable Posterior Restorative, Filtek Bulk Fill, and Filtek Supreme Ultra Flowable.
Methods: Thirty cylindrical specimens were prepared from each material and randomly allocated into 3 groups/10 each. Group 1: no surface treatment (control), group 2 (treatment 1) where a GC G-Bond was applied while group 3 (treatment 2) the G-Bond was applied after roughening the surface with a finishing diamond bur. All specimens were bonded to Heliomolar Flow. The SBS was measured using a universal testing machine................

Keywords: Shear bond strength, surface conditioning, aging, repair, resin composite

[1]. L. Wendt, G. Koch, and D. Birkhed. Replacements of restorations in the primary and young permanent dentition. Swed Dent J
22(4), 1998, 149-155.
[2]. V. Gordan,I. Mjör, I. Blum, and N. Wilson. Teaching Students the Repair of Resin-Based Composite Restorations: A Survey of
North American Dental Schools. J Am Dent Assoc 134(3), 2003, 317-323.
[3]. E. Swift EJ, B. LeValley, and D. Boyer. Evaluation of new methods for composite repair. Dent Mater 8(6), 1992, 362-365.
[4]. E. Swift Jr, B. Cloe, D. Boyer. Effect of a silane coupling agent on composite repair strengths. Am J Dent 7(4), 1994, 200-202.
[5]. R. Frankenberger, N. Kramer, J. Ebert, U. Lohbauer, S. Kappel, S. ten Weges, and A. Petschelt. Fatigue behavior of the resin-resin
bond of partially replaced resin-based composite restorations. Am J Dent 16(1), 2003, 17-22..

Abstract: Autism is a complex psychopathology caused by an abnormal neuropsychological development to which an individual is not able to self-regulate their feelings towards a coherent and correct psychomotor activity and communicative.Many factors contribute to the onset of this disease, and recent studies have highlighted, which important causes, in addition to the neuro-immunological interactions, the increased presence in the blood of inflammatory substances such as cytokines. Our research has been devoted to the identification of inflammatory cells in the nose in autistic patients by panoptic staining and microscopic observation. From the results obtained it proved the presence of a greater number of inflammatory cells in autistic subjects compared to normal individuals.

Keywords: Autism, Nasal Citology, Immunity, Allergy

[1]. G. Baird, H.Cass,V.Slonim Diagnosis of autisms BMJ 327(7413),2003,488-93.
[2]. T.P.Berney Autism an evolving concept. Br J Psychiatry. 176, 2000, 20-25
[3]. P. Szatmari The causes of autism spectrum disorders. BMJ. 326(7382), 2003,173-4
[4]. A.Meltzer , J.Van de Water The Role of the Immune System in Autism Spectrum Disorder. Neuropsychopharmacology.42(1),
2017, 284-298.
[5]. DL Vargas, C.Nascimbene, C.Krishnan, AW Zimmerman, CA Pardo Neuroglial Activation and Neuroinflammation in the Brain
of Patients with Autism. Ann Neurol 2005,67-81.

Abstract: Aim: To Compare the role of Terlipressin And Octreotide in Esophageal Varices Methods: 30 Cirrhotic Patients with esophageal variceal bleed were taken into consideration.15 Patients (Group A) were given Terlipressin in the does of 2g bolus i.v every 4 hours first 2 days.The dose is halved after bleeding controlled & maintained up to 5 days and other 15 Patients were given octreotide in the dose of initial IV bolus 50μg followed by a continuous infusion of 50μg per hour .The infusion maintained for 5 days.Two groups were compared for efficacy and safety...............

Keywords: Variceal Bleed,Cirrhosis,Portal Hypertension,Terlipressin,Octreotide

[1]. Graham DY,Smith JL.The course of patients after variceal hemorrhage.Gastroenterology 1981;80:800-809.
[2]. Gines P,Quintero E,Arroyo V,Teres J,Bruguera M,Rimola A.Compensated Cirrhosis:natural history and prognostic factors.Hepatology 1987;7:122-128.
[3]. El-Serag HB,Everhart JE.Improved survival after variceal hemorrhage over an 11-year period in the Department of Veterans affairs.Am J Gastroenterol 2000;95:3566-3573.
[4]. Mc Cormick PA,O'Keefe C.Improving prognosis following a first variceal haemorrhage over four decades.Gut 2001;49:682-685.
[5]. Augustin S,Muntaner L,Altamirano JT,Gonzalez A,Saperas E,Dot J,Abu-Suboh M,Armengol JR,Malagelada JR,Esteban R,Guardia
J,Genesca J,Predicting early mortality after acute variceal hemorrhage based on classification and regression tree analysis.Clin Gastroenterol Hepatol 2009;7:1347-1354..

Abstract: Pain control during immediate post operative period is necessary in Total Knee Arthroplasty(TKA) patients for early mobilization. The use of COX-2 inhibitors preoperatively has shown significant reduction in opiod usage and in pain relief post operatively. Furthermore, some studies have suggested that the addition of pregabalin preoperatively has led to further reduction in postoperative pain and opiod use.The aim of this study is to compare pain scores in a group of patients who receive a single preoperative dose of pregabalin combined with a COX-2 inhibitor and a control group which receives only COX-2 inhibitor...............

Keywords: selective COX-2 inhibitors, pregabalin, pain management, VAS score, TKA.

[1]. Borgeat A.The role of regional anaesthesia in patient outcome : orthopaedic surgery.Tech Reg Anesth Pain Manag 2008;12:178.
[2]. Asokumar Buvanendran,Jeffrey S. Kroin,et al.Perioperative Oral Pregabalin Reduces Chronic Pain After Total Knee Arthroplasty: A Prospective, Randomized, Controlled Trial. Pain Medicine Vol. 110, No. 1, January 2010 (199)
[3]. Capdevila X, Barthelet Y, Biboulet P, et al. Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery. Anaesthesiology 1999;91:8.
[4]. Parvizi J,Miller AG and Gandhi K.Multimodal pain management after total joint arthroplasty.J Bone Joint Surgggg Am 93:1075-1084.
[5]. Brokelman RB,van Loon CJ, Rijnbergg WJ. Patient versus surgeon satisfaction after total hip arthroplasty. J Bone Joint Surg Br 2003;85:495.

Abstract: Introduction: To study the prevalence of diabetes mellitus in urban population of sagar. Methods; A total of 1000 individuals who came for regular check up in Bundelkhand Medical college sagar were screened for Fasting capillary blood glucose was determined using a glucose meter . The subjects were instructed to keep an overnight fast after which fasting glucose was determined.. Results: The present study had been carried out in Department of Medicine Bundelkhand Medical College and hospital It was found that the total prevalence of IFG was 22.9% with males showing a higher percentage compared to females.............

Keywords: informed consent , Impaired fasting glucose , diabetes Mellitus , urban population, Random blood Sugar, Body Mass Index.

[1]. Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V et al. prevalence of diabetes and prediabeties(impaired glucose and impaired glucose tolerance) in Urban and rural India: phase RESULTS OF THE Indian council of Medical Research-INdia DIABetes (ICMR-INDIAB) study. Diabetologia 2011: p 3022-3027.
[2]. Ramachandran A, Snehlata C, Kapoor A, Vijay V, Mohan V, Das A et al.High prevalence of diabetes and impaired glucose tolerance in India:National Urban Diabetes Survey.Diabetologia;2001:p-1094-1101
[3]. Dustan D, Zimmet P, Welborn T, Courtan M, Cameron A, Sicriee R, Dwyer T et al.The rising prevalence of diabetes and impaired glucose tolerance:The Australian Diabetes, obesity and lifestyle study.Diabetes care 25;2002:p-829-834.
[4]. Karvey A, Hayward R. Prevalence, diagnosis and treatment of Impaired fasting glucose and Impaired glucose tolerance in non diabetic US adults. Diabetes care 33;2010:p-2355-2359
[5]. Menon V, Kumar K, Gilhot A, Sugantha TN, Sundaran KR. Prevalence of known and udetected diabetes and associated risk factors in central kerala. ADEPS. 2006.

Abstract: Hemangiomas which are tumors of vascular origin constitute 7% of all benign tumours. Hemangiomas of the head and neck region comprise about 60 70%. . Hemangiomas can be infantile or congenital Hemangiomas. Infantile Hemangiomas(IH) are more common in pre mature infants. Congenital Hemangiomas are tumors that occur fully grown at birth and do not manifest the postnatal course and lifecycle of common IH. They can be sub classified as rapidly involuting congenital Hemangiomas(RICH) and Non Involuting congenital Hemangiomas(NICH). The purpose of this article is to give a comprehensive review of hemangiomas and the diverse treatment options available for this complex endothelial tumour and to stress the fact of individualizing a treatment protocol.

Keywords: congenital hemangioma,infantile hemangioma

[1]. Tarkan. Cavernous Hemangiomas of temporalis muscle: report of a case and review of the literature: Turk Neurosurg 2007 ; 17:
3336.
[2]. K. A. Kamala, L. Ashok,and G. P. Sujatha Cavernous Hemangiomas of tongue : a rarecase report : Contemp Clin Dent. 2014;
5: 95-98.
[3]. F.M Enzinger & S.W Weiss : Soft tissue tumors Mosby, St louis Mo, USA, 5th edition 2001.
[4]. Amir .J .Strawberry Hemangiomas in pre term infants. pediatr Dermato . 1986;l 3 :331332.
[5]. Marter JJ, Mulliken JB : Current management of Hemangiomas and vascular.

Abstract: Gaucher disease is the commonest lysosomal storage disorder caused due to deficiency of enzyme Glucocerebrosidase. The overall incidence is about 1: 40000. The main clinical features are organ enlargement (liver and spleen), bone marrow infiltration and skeletal involvement leading to bone pain and pathological fractures. Pancytopenia or thrombocytopenia is the commonest clinical presentation secondary to hypersplenismin type I gauchers disease. Enzyme replacement therapy (ERT) has revolutionized the treatment of Gaucher disease .Symptomatic patients of GD 1 and GD 3 merit treatment. ERT is most effective in reducing the liver and spleen size and the bone symptoms, and improving blood counts. This article describes a case of Gauchers disease in a 19 year old female patient...............

Keywords: Bone marrow infiltration, Gauchers disease, Glucocerebrosidase,Pancytopenia, Lysosomal storage disorder..

[1]. Mehta A, Epidemiology and natural history of Gaucher's disease. European journal of internal medicine, 17, 2006, S2-5.
[2]. Piran S, Roberts A, Patterson MA, Amato D, The clinical course of untreated Gaucher disease in 22 patients over 10 years: hematological and skeletal manifestations, Blood Cells, Molecules, and Diseases, 43(3), 2009, 289-293.
[3]. Nagral A, Gaucher disease, Journal of clinical and experimental hepatology, 4(1), 2014, 37-50.
[4]. Zimran A, Gelbart T, Westwood B, Grabowski GA, Beutler E, High frequency of the Gaucher disease mutation at nucleotide 1226 among Ashkenazi Jews, American journal of human genetics, 49(4), 1991, 855-859.
[5]. Binesh F, Yousefi A, Ordooei M, Bagherinasab MA, Gaucher's Disease, an Unusual Cause of Massive Splenomegaly, a Case Report, Iranian journal of pediatrichematology and oncology, 3(4), 2013, 173-175..

Abstract: MR imaging provides information on soft tissue damage and has been accepted widely for the evaluation of internal knee derangements. Hence the purpose of this study was to evaluate the usefulness of MRI in the early and precise diagnosis and to study the meniscal anatomy, normal variants, types and incidence of injuries in menisci by MRI. Out of 43 patients the males (84%) are commonly affected than females (16%). Majority of the patients fall under the age group of 15-30 years (48%). Among meniscal injuries medial meniscal tears (46.5%) were more common than lateral meniscus (37.2%), Grade III tears were common in both .Among medial meniscus tear, The posterior horn (55%) was commonest site of involvement..............

Keywords: (knee, meniscal anatomy, meniscal tear, MRI, normal variants) MRI is generally considered a valuable diagnostic tool when there is a history of knee trauma. MR imaging is the best modality for detecting meniscal tears. It is non invasive, fast can be done on an outpatient basis and is free of complications.

[1]. The present study attempts to determine the role of magnetic resonance imaging in the evaluation meniscal tears. Knee joint being the largest and most complex weight bearing joint of the body is subject to damage because of its inherent structural complexity and the various types forces it is subjected to. In the setting of traumatic knee joint, MR imaging is the best noninvasive modality for the diagnosis of meniscal tears. Familiarity with the normal anatomy and common pit falls reduces errant interpretation but does not eliminate them entirely. MR imaging of
[2]. knee is considered efficacious especially in the setting of indeterminate clinical findings and can stratify patients, guiding further surgical management. In the present study, 43 cases with history of trauma to knee joint were studied.
[3]. The most common age group to be involved between 15-30 years. The following pattern of meniscal tears were seen Among the meniscal injuries medial meniscal tears were more common and were seen in 20 patients (46.5%) than lateral meniscus. Grade III tears were common in both.
[4]. Lee K, Siegel MJ, Lau DM, Hildebolt CF, Matava MJ. Anterior cruciate ligament tear: MR imaging based diagnosis in a paediatric population. Radiology 1999; 213:697-704
[5]. Helms CA, Major NM, Anderson MW, Kaplan PA, Helms RD. Musculoskeletal MRI. 2nd ed. Philadelphia: Saunders; 2008

Abstract: Introduction: Human reproduction is the primary responsibility of women, so the choices they make in this regard will continue to shape obstetric practice in different parts of world. Methods: During the 2months period of the study of women attending antenatal care in the study centre, pretested, structured partly pre-coded questionnaires were used to sample a cross section of suitable consenting women's motherhood preferences and the reasons for such choices.............

Keywords: Caesarean section, Children, delivery, motherhood, Nigeria, preferences, reasons, refusal.

[1]. Wehmeier S, McIntosh C, Turnbull J. Meaning of motherhood. In: Hornby AS (Ed) Oxford Advanced Learner's Dictionary of current English. 7th Edition. Great Britain: Oxford University Press, 2006; 956-957
[2]. The Holy Bible Reference Edition. Kings James Version. Texas, USA: Jet Move Publishing red Letter Edition, 2008; Genesis 1:2; Genesis 35: 17-19; Exodus 1: 15-19
[3]. Todman D. Child birth in Ancient Rome: from traditional folklore to obstetrics. Australia and New Zealand Journal of Obstetrics and Gynaecology 2007; 47(2): 82-85
[4]. Chamberlain G. Child birth in ancient Egypt. Journal of the Royal Society for the Promotion of Health 2004; 124(6): 284-286
[5]. Warren HP. A brief history of caesarean section. National Library of Medicine in Bethesda, USA. 2013: part 1-4 Available: https://www.nlm.nih.gov/exhibition/caesarean/part1.html Accessed on November 24, 2016.

Abstract: Endodontic sealers are used for obturation of the root canal system in combination with heat-softenned gutta-percha in order to achieve hermetic seal throughout the canal and its irregularities. During warm condensation of gutta-percha, high temperatures are also applied to the root canal sealer which may potentially lead to change in their physical properties. Both setting time and solubility of a premixed bioceramic sealer were investigated through laboratory testing. The material was subjected to two temperature regimes. We did not find signifficant differences in the tested physical parametres under two temperature conditions.The choice of the most suitable endodontic sealer should be consistent with the specific clinical situation as well as with the obturation technique. Different environmental conditions may occur in variation the physical and chemical properties of the sealers that may result in endodontic failure..............

Keywords: Root canal obturation, bioceramic sealer, setting time, solubility

[1]. Schilder H.: Filling root canals in three dimensions. Dent. Clin. North Am. 1974, 11, 723–744.
[2]. Min-Kai Wu, Luc W. M. Van der Sluis, Paul R. Wesselnik, Fluid transport along gutta-percha backfills with and without sealer, Journal of Oral Surgery, Oral Medicine, Oral Pathology, Oral radiology, Feb. 2004, Vol. 97, Issue 2, pages 257-262
[3]. Massi S, Tanomaru-Filho M, Silva GF et al. pH, calcium ion release and setting time of an experimental mineral trioxide aggregate-based root canal sealer. J Endod 2011;37:844-6
[4]. Tanomaru JM, Tanomaru-Filho M, Hotta J et al. Antimicrobal activity of endodontic sealers based on calcium hydroxide and MTA. ActaOdontolLatinoam 2008;21:147-51
[5]. Santos AD, Moraes JC, Araujo EB et al. Physico-chemical properties properties of MTA and a novel experimental cement. Int. Endod J 2005;38:443-7.

Abstract: Background: Laparoscopic abdominoperineal resection (LAPR) for rectal cancer poses a difficult challenge for surgeons regarding pelvic peritoneal reconstruction. Therefore, in this study, we investigate the effectiveness of pelvic peritoneal reconstruction following LAPR in the treatment of rectal cancer. Methods: We retrospectively reviewed clinical data records of patients who were treated with LAPR for rectal cancer in our hospital. Patients were included if they met predetermined inclusion criteria. All included patients were divided into two groups: group A (LAPR with pelvic peritoneum reconstruction (PPR) and group B (LAPR without PPR). For each included patients, following data were record:...............

Keywords: laparoscopic surgery; rectal carcinoma; pelvic peritoneum; primary suturing; reconstruction

[1]. Wang Z1, Zhang XM, Liang JW, Hu JJ, Zeng WG, Zhou ZX. Evaluation of short-term outcomes after laparoscopically assisted
abdominoperineal resection for low rectal cancer.ANZ J Surg. 2014 Nov;84(11):842-6. doi: 10.1111/ans.12518. Epub 2014 Jan 24.
[2]. Yu-Wei Wang, Li-Yong Huang, Cheng-Li Song, Chang-Hua Zhuo Laparoscopic vs open abdominoperineal resection in the
multimodality management of low rectal cancersWorld J Gastroenterol. 2015 Sep 21; 21(35): 10174–10183.
[3]. Takehito Yamamoto, Akiyoshi Kanazawa, Hiroyuki Matsubara, and Takuya Okamoto. Safety and usefulness of needle-guided
resection of levator muscles in laparoscopic abdominoperineal resection for low rectal cancer. Wideochir Inne Tech
Maloinwazyjne. 2016; 11(3): 186–191.
[4]. Shukla PJ1, Barreto SG, Hawaldar R, Nadkarni M, Kanitkar GA, Kerkar R, Shrikhande SV.et al. Feasibility of laparoscopic
abdomino-perineal resection for large-sized anorectal cancers: a single-institution experience of 59 cases. Indian J Med Sci. 2009
Mar;63(3):109-14.
[5]. Perdawood SK, Lund T. Extralevator versus standard abdominoperineal excision for rectal cancer. Tech Coloproctol 2015;19: 145–
152..