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

Abstract: Background & objectives: The role of iron deficiency with thyroid status in pregnancy was not studied in detail. Therefore, in this study, we assessed the levels of iron, folic acid, vitamin B 12, thyroid function and its association with iron levels in first trimester of pregnancy. Materials and methods: Forty pregnant women who didn't start any supplementation were recruited from the obstetrics & gynecology out patient department. Forty age matched controls were recruited from the residents and staff of the hospital. Thyroid profile, iron, folic acid and vitamin B12 levels were measured in both the groups. The association was seen between iron levels and thyroid stimulating hormone (TSH) levels............

Key words:- Thyroid stimulating hormone, Vitamin B12, Folic acid, Plasma iron levels.

[1]. Mother and Child Nutrition in the Tropics and Subtropics - mcnts_chap4.pdf [Internet]. [cited 2015 Jul 11]. Available from: http://www.oxfordjournals.org/our_journals/tropej/online/mcnts_chap4.pdf
[2]. Allen LH. Pregnancy and iron deficiency: unresolved issues. Nutr Rev. 1997 ;55(4):91–101.
[3]. Scholl TO, Johnson WG. Folic acid: influence on the outcome of pregnancy. Am J Clin Nutr. 2000;71(5):1295s – 1303s.
[4]. Djukic A. Folate-responsive neurologic diseases. Pediatr Neurol. 2007;37(6):387–97.
[5]. Rondo PH, Tomkins AM. Folate and intrauterine growth retardation. Ann Trop Paediatr. 2000;20(4):253–8.

Abstract: Background: Previous studies in the past about morphometry of thoracic vertebrae mainly focused on pedicle diameters and their angulations. The vertebral body were not studied particularly in Telangana Region that is the reason the present study has given importance to the morphometry of vertebral body. Objective: To measure the various parameters of vertebral body in typical thoracic vertebrae by using vernier caliper. Material and methods: Hundred dry human typical thoracic vertebrae of undetermined gender and age were selected for the study. The various parameters of vertebral body were measured.............

Keywords: Anterior height, Posterior height, Vertebral body width, Typical thoracic vertebra

[1]. Standring S. et al. The Back. In: Newell RL, editor. Gray's Anatomy: Anatomical Basis of Clinical Practice. 40th ed. Edinburgh: Elsevier Churchill Livingstone; 2008: 712724.
[2]. Snell RS. Clinical Anatomy by Systems. Philadelphia: Wolters Kluwer HealthLippincott Williams & Wilkins; 2006:170
[3]. Pal GP, Routal RV. A study of weight transmission through the cervical and upper thoracic regions of the vertebral column in man. Journal of Anatomy 1986; 148:245261.
[4]. Pal GP, Routal RV. Transmission of weight through the lower thoracic and lumbar regions of the vertebral column in man. Journal of Anatomy 1987; 152:93-105.
[5]. Chaynes P, Sol JC, Vaysse P, Bécue J, Lagarrigue J. Vertebral pedicle anatomy in relation to pedicle screw fixation: a cadaver study. SurgRadiolAnat 2001; 23:85-90.

Abstract: Liver abscess ccan be a potentially life threatening condition requiring immediate intervention. It can be pyogenic or amoebic. The aim of this study is to know about the incidence,etiopathogenesis,clinical presentation and prognosis of 100 cases of liver abscess alng with comparison of USG guided aspiration vs USG marked site aspiraton of liver abscess at bedside.Amoebic liver abscess is the commonest extraintestinal manifestation of amoebiasis. This study was from June 2014 to November 2015.incidence was higher in 4th decade and in men. Alcohol intake had a strong association with amoebic liver abscess. Abdomen pain was present in all.right lobe was commonly involved...........

Keywords: Amoebiasis ,Liver abscess, Pyogenic,USG guided.

[1]. Raolekha et al management of pyogrnic liver abscess department of general surgery university of limpopo
[2]. memon as et al management of ruptured liver abscess 22 years experienxe abbotabad]
[3]. B.D. chaurasia text book of human anatomy volume 2 5th edition
[4]. Sabiston text book of surgery 18th edition volume 2.
[5]. meingott abdominal operation 11 th edition
[6]. Ananthakrishnan ramani et al USG guided needle aspiration of amoebic liver abscess

Abstract: Background: Diabetes Mellitus Type 2 is a major global non-communicable disease among adults causing micro and macrovascular complications, one being cardiovascular system. QT dispersion represents the summation of several adverse conditions in myocardium like fibrosis, hypertrophy, dilatation and autonomic dysfunction. Aim and Objective: To study QT dispersion in diabetics and non-diabetics of age group 30-60 year and compare the two according to age, gender, duration of diabetes, BMI, and other clinical determinants..........

Keywords: Type 2 diabetes mellitus, QT dispersion, cardiovascular complication, prognostic marker, screening tool.

[1]. Shimaburuko M, Chibana T, Yoshida H, Nagamine F, Komiya I, Takasu N. Increased QT dispersion and cardiac adrenergic
dysinnervation in diabetic patients with autonomic neuropathy. Am J Cardiol. 1996 Nov 1; 78(9): 1057-9.
[2]. Naas A A, Davidson N C, Thompson C, Cummings F, Ogston S A, Jung R T, et al. QT and QTc dispersion are accurate predictors of cardiac death in newly diagnosed non-insulin dependent diabetes: cohort study. BMJ . 1998 Mar 7; 316 (7133): 745-6.
[3]. Singh M et al. "QT dispersion and cardiac autonomic dysfunction in patients with type 2 diabetes mellitus" JAPI 2001;49:70
[4]. Clemente D, Pereria T, Riberio S. Ventricular repolarization in Diabetic Patients: characterization and clinical implications.
[5]. Psallas M, Tentolouris N, Cokkinos A, Dimitrius P, COkkins D. QT dispersion: comparison between diabetic and non diabetic and
coorelation with CAN; Hellenic J Cardiol 2006. 47; 255-262.

Abstract: Objectives:Role of Triple vessel umbilical, middle cerebral and uterine artery wave pattern by colour Doppler study in low and high risk pregnancies in relation to perinatal outcome. Methods:Fifty (50 )patients with gestational age between 31-40weeks who werediagnosed to have severe preeclampsia, preeclampsia with IUGR were studied andsubjected to colour Doppler ultrasonography. Findings of Doppler studies werecorrelated with the following adverse Perinatal outcomes; Perinatal deaths,Emergency CS for foetal distress, Low Apgar score (5 min Apgar <7), and admissionto NICU for complications of low birth weight. Pregnancy outcome was consideredto be Uneventful or Favourable when the above complications were absent............

Keywords: High risk pregnancy; severe preeclampsia, IUGR and Triple vesselDoppler study; Perinatal outcome.

[1]. Aris T. Papageorghious, Christian K H. Yu, II se E. Erasmur, Howard S.Cuckle.,Kypros H. Nicolaides, Br. J. ObstetGynaecol June
2005, vol.112 pp-707-709
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Number 33, January 2002,American college of obstetrician and gynecologist, Int. J. Gynaecol 2002; 77; 65-75.
[4]. Schulman H, FleiscerA Steen W, FarmakidesG.Jagani N. Blattner P Umbilicalvelocity wave rations in human pregnancy Am J
Obstetgynaecol 1984, 148:985-90.
[5]. Deane C, Harrington K. A practical approach to obtaining optimum Dopplersignals. In: Harrington K, Campbell S, editors. A
colour atlas of Dopplerultrasonography in obstetrics. London: Arnold, 1995: 35-46.6. Fitzgerald DE, Drumm JE. Non-invasive
measurement of human fetal circulationusing ultrasound: a new method. BMJ 1977; 2:1450-1451.

Abstract: Background: Many adjuvant drugs have been used to enhance postoperative neuraxial opioid analgesia while reducing the adverse effects. Methods: We randomized 50 patients undergoing various lower abdominal operations into 2 equal groups to receive either 2 mL saline or 0.1 mg/kg dexamethasone IV before the administration of intrathecal anesthesia (15 mg bupivacaine heavy and fentanyl 25mcg). After surgery, pain was assessed with the help of a 100mm visual analogue scale where 0 means no pain at all and 100 signifies the worst pain experience possible. The rescue analgesic was administered...........

[1]. Singh H, Yang J, Thornton K, Giesecke AH. Intrathecal fentanyl prolongs sensory bupivacaine spinal block. Can J Anaesth 1995;
42:987-91.
[2]. Gran JA. Sufentanil: Clinical use as postoperative analgesia - epidural/intrathecal route. J Pain Symptom Manage 1992 7; 5:271-86.
[3]. Abboud TK, Dror A, Mosaad P, Zhu J, Mantilla M, Swart P, et al. Mini dose intrathecal morphine for the relief of post-cesarean
section pain: safety, efficacy and ventilatory responses to carbon dioxide. Anesth Analg 1988; 67:137-43.
[4]. Palmer CM. Early respiratory depression following intrathecal fentanyl-morphine combination. Anesthesiology 1991; 74:1153-5.
[5]. Hays RL, Palmer CM. Respiratory depression after intrathecal sufentanil during labor. Anesthesiology 1994; 81:511-2.

Abstract: This study was conducted to evaluate efficacy and safety of topical 0.1% tacrolimus eye ointment for treatment of refractory vernal keratoconjunctivitis (VKC) and included 60 eyes of 30 patients ,who had active symptomatic disease despite conventional medications including topical steroids. Mean age of patients was was 22.9 ± 3.6 years and mean duration of VKC was 61.7±4.3 months . After starting tacrolimus eye ointment ,patients were followed and was found that all symptoms including itching, redness , foreign body sensation improved after the treatment ; itching was the first symptom to show dramatic relief.............

Keywords: Vernal keratoconjunctivitis , ointment , tacrolimus , papillae , steroid resistant.

[1]. Tabbara AK, El-Asrar A. Progress in Allergy and Clinical Immunology. Seattle: Hogrefe and Huber; 1997. Immunopathogenesis of
ocular allergy; pp. 381–5.
[2]. Clark AF. Basic sciences in clinical glaucoma:Steroids, ocular hypertension, and glaucoma. J Glaucoma. 1995;4:354–69. [PubMed:
19920699]
[3]. Sacchetti M, Baiardini I, Lambiase A, Aronni S, Fassio O, Gramiccioni C, et al. Development and testing of the quality of life in
children with vernal keratoconjunctivitis questionnaire. Am J Ophthalmol. 2007;144:557–63. [PubMed: 17693381]
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32. [PubMed: 11112882]
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Abstract: Perforative peritonitis is one of the most commonly encountered surgical acute abdominal emergencies in surgery casuality. The importance of this study is to reduce the postoperative complications like septicemia, wound infection, burst abdomen, bronchopneumonia, long hospital stay etc., by identifying the inciting organisms and its sensitive antibiotics rather than using empirical antibiotic therapy which is followed at present, in immediate postoperative period. Among hollow viscus perforations duodenal perforation is the most common site. The organisms setting up the peritonitis features are diverse according to the location of perforation..............

Keywords: Duodenal ulcer, perforative peritonitis.

[1]. Dale M. Mosdell, M.D., Don M. Morris, et al. 1991.Antibiotic Treatment for Surgical Peritonitis, Dept. of New Mexico: Ann Surg,
214 ( 5 ) : 543-549
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[3]. Punamiya AR, Chougule PG, Ahuja BR et. al. Commonest organisms and antibiotic sensitivity in peritonitis due to duodenal ulcer
perforation in Krishna hospital, Karad. Int J Health Sci Res. 2014;4(8):93-97.
[4]. René G Holzheimer. Surgical Treatment: Evidence-Based and Problem-Oriented. http://rene- holzheimer.de/ Medical Faculty,
Martin Luther University Halle-Wittenberg, Halle, Germany.
[5]. Ramakrishnaiah VPN, Chandrakasan C, Dharanipragadha K, Sistla S, Krishnamachari S. Surgical Gastroenterology. DOI:
http://dx.doi.org/10.7869/tg.2012.70.

Abstract: Carcinoma cervix is the most common genital tract carcinoma encountered among females in clinical practice in India. Pap smear is the most commonly used screening tool for early detection of cervical carcinoma. Also HPV (Human papilloma virus)VLP (Virus like particles) serology may act as an adjunctive screening procedure. Aims and Objectives:1)To evaluate the cytological findings in clinically suspected cases of cervical cancer in perimenopausal women by conventional pap smear and correlate with biopsy findings; 2)To determine the HPV serological status and its role as a screening procedure...................

Keywords: Cervical cancer, HPV VLP Serology,PAP smear,Perimenopausal women.

[1]. Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C et al. GLOBOCAN 2012, Cancer Incidence and Mortality
Worldwide. International Agency for Research on Cancer; Lyon,France:2013.
[2]. Bray F, Ren JS, Masuyer E, FerlayJ.Global estimates of cancer prevalence for 27 sites in the adult population in 2008. Int J Cancer
2013; 132:1133–45.
[3]. Janicek MF, Averette HE: Cervical cancer: Prevention, diagnosis, and therapeutics. CA Cancer J Clin 2001;51:92-114.
[4]. Papanicolaou GN, TrautAF.The diagnostic value of vaginal smears in carcinoma of the cervix. Am J ObstetGynecol 1941;42:192-
206.
[5]. Koss LG, Melamed MR, editors. Koss' Diagnostic cytology and its histologic bases.5th ed. New York: Lippincott Williams and
Wilkins; 2006. 306-08p.

Abstract: Background & objectives: The introduction of ART therapy has been able to improve the survival of HIV infected individuals but non-adherence to ART is a major cause of HIV drug resistance. Globally around 33% to 38% of HIV infected adults do not adhere to treatment. However, there is a dearth of research in India in understanding the reasons for non adherence to ART regimen. The present study was conducted at the ART centre of tertiary care hospital in West Bengal, with the objectives to study the sociodemographic and clinical profile of the patients, to estimate the prevalence of non adherence and to assess the causes of non adherence to ART regimen among the study population...............

Keywords: ART, socio demographic, adherence, causes

[1]. Global report: UNAIDS report on the global AIDS epidemic 2013."UNAIDS/ JC2502/1/E"- Revised and reissued, November 2013.
[2]. Pandey, Geeta (2016-08-30). "The woman who discovered India's first HIV cases". BBC News. Retrieved 2016-12-08.
[3]. India HIV Estimates: Technical Report, 2015.(NACO )
[4]. Marfatia YS, Sharma A. Overview of HIV/AIDS in India .Indian Journal of Sex Transm Dis. 2007.Vol 28; No.1

Abstract: Abdominal tuberculosis accounts for about 10% among the acute abdomen cases. The diagnosis of acute abdomen cases is confusing, especially when there is no history of primary pulmonary tuberculosis. It is a diagnostic challenge to differentiate it from other diseases such as infectious processes, tumors, peri - appendiceal abscesses and Crohn's disease. We report a case series of acute abdomen cases which created a perplexity in our diagnosis and there arises a necessity to remember about tuberculosis as a probability in acute abdomen cases. Irrespective of surgery, all patients of abdominal tuberculosis require a full ATT [Anti Tuberculosis Treatment]course.

Keywords: Acute abdomen, Abdominal Tuberculosis, Acute Appendicitis, Intestinal Obstruction

[1]. Kumar s, pandey HI, Saggu P, Abdominal tuberculosis in: Taylor 1and Johnson CD (Eds) Recent Advances of Surgery: 2008;
28:47-58.

[2]. Kapoor VK, Modern Management of Abdominal Tuberculosis, In: Taylor 1 and Johnson CD (Eds) Recent Advances of Surgery 35
th vol.2013: pp 156-69.
[3]. Butt J, Karamat KA, Ahmed RN, Mahmood A: Advances in diagnosis of Tuberculosis.Pak J Pathol. 2001,22:1-3.
[4]. Lonnroth K, Raviglion M: Global epidemiology of tuberculosis: Prospects for control semin Respiratory critical care Medicine
2008, 29:481.
[5]. Shaikh MS, Dholia KR, Jalbani MA: Prevelence of intestinal tuberculosis in cases of acute abdomen Pakistan J surg 2007, 23: 52-56.

Abstract: The anxiety is an emotional state that cannot be controlled by the consciousness, thus it causes many symptoms which can interfere on dental care. This work reviews the anxiety concepts and evaluates the physiological parameters related to anxiety in 55 patients subjected to surgical procedure on the Surgery Course of the third molar at Unipar's clinic of Cascavel, through a questionnaire, measurement of arterial pressure and heart rate before and after the surgical procedure. Onwards the ANOVA tests and t-student test for data analysis, it was determined that the female patients seemed more anxious than the male gender. On the post-operative was found values with higher peaks of arterial pressure, as well it was observed a statistically difference in both genders in situations which some complication happened

Keywords: Anxiety. Odontological treatment. Arterial pressure. Heart rate.

[1]. CM Ferreira, ED Gurgel-Filho, G Bonecker-Valverde, EH Moura, G Deus, T Coutinho-Filho. Ansiedade Odontológica: Nível, prevalência e comportamento. RBPS, 2004; 17(2):51-55.
[2]. K Kanegane. Ansiedade ao tratamento odontológico de urgência e a sua relação com a dor e os níveis de cortisol salivar [Dissertação de Mestrado] São Paulo: Faculdade de Odontologia da USP; 2007.
[3]. DCF Boleta-Ceranto, FJ Bianchi, CSN Miura, MCFA Veiga, LL Bremm. Influence of orofacial pain, in superficial and deep tissue, on the anxiety levels in rats. Rev odonto ciênc. 2010; 25(4):376-381.

[4]. ED Andrade. Terapêutica medicamentosa em odontologia: procedimentos clínicos e uso de medicamentos nas principais situações da prática odontológica. 1ª ed. São Paulo: Artes Médicas; 2000. p.39
[5]. RC Barreto, GAS Pereira. Farmacoterapia na clínica Odontológica. 1ª ed. João Pessoa: Editora Universitária (UFPB); 2008.

Abstract: The orthodontist as the clinician is continuously challenged to curb and eliminate White Spot Lesions (WSL) in their patients during orthodontic treatment due to alterations in the oral flora and plaque accumulation leading to enamel decalcification. Orthodontic patients are faced with the hazard of increased retention of food particles and plaque accumulation due to the presence of multiple attachments like brackets and other auxiliaries in the oral cavity forming encatchment areas for plaque.A number of controlled clinical trials have demonstrated that tooth brushing with herbal dentifrices reduces supragingival plaque and gingivitis. Streptococcus mutans is
a potent initiator of caries because there are a variety...........

Keywords: Acute abdomen, Abdominal Tuberculosis, Acute Appendicitis, Intestinal Obstruction

[1] Rosenbloom RG. Salivary Smutans levels in patients before, during & after orthodontic treatment. Am JOrthod Dentofacial
Orthop.1991; 100(1):35-7.
[2] Sukontapatipark W, Agroudi MA. Bacterial colonization associated with fixed orthodontic appliances.Eur J Orthod. 2001 Oct;
23(5):475-84.
[3] Patricia A1, Fernando AM. A Comparative study of invitro antibacterial activity of neem and Meswak extracts against isolated
cariogens from dental caries patients. J. Chem. Pharm. Res., 2004, 3(5):638-645
[4] Golpar R, Faranak M, Ehsan K. Chitosan-based polyherbal toothpaste: As novel oral hygiene product. Indian J Dent Res 2010;
21(3): 380-384.
[5] Nitin CM, Adhikrao VY. Polyherbal toothpaste: Oral hygiene product. Indian J Dent Res 2010; 21:380-4.

Abstract: Oral health can have a modulating or aetiological role in other systemic diseases (Mustapha et al& Tonetti et al. 2007) (Parahitiyawa et al. 2009) As postulated by Danesh et al. 2004 oral stimulus causes systemic elevation of inflammatory marker Periodontal Tissue Inflammation: Mechanical stimulus - orthodontic tooth movement causes - acute inflammatory reaction in periodontal tissues- results in bone resorption to accommodate movement of the tooth (Sandy et al., 1993). C-Reactive Protein - first inflammatory marker to be described. Marker of inflammation and tissue damage(Pepys and Baltz,1983). Noack et al.(2001) related periodontal status to circulating CRP and a relationship between the severity of periodontitis and circulating CRP.......

[1] Mustapha I Z, Debrey S, Oladubu M, Ugarte R 2007 Markers of systemic bacterial exposure in periodontal disease and
cardiovascular disease risk: a systematic review and meta-analysis. Journal of Periodontology 78: 2289–2302
[2] Tonetti M S, D'Aiuto F, Nibali L 2007 Treatment of periodontitis and endothelial function. New England Journal of Medicine 356:
911–920
[3] Danesh J 2000 Low grade inflammation and coronary heart disease:prospective study and updated meta-analyses. British Medical
Journal321: 199–204
[4] Danesh J, Wheeler J G, Hirschfield G M 2004 C-reactive protein and other circulating markers of inflammation in the prediction of
coronary heartdisease. New England Journal of Medicine 350: 1387–1397
[5] Sandy J R, Farndale R W, Meikle M C 1993 Recent advances in understanding mechanically induced bone remodeling and
theirrelevance to orthodontic theory and practice. American Journal ofOrthodontics and Dentofacial Orthopedics 103: 212–222

Abstract: The oral cavity harbors a diverse and abundant number of complex oral pathogens causing different oral diseases. The development of dental caries and periodontal diseases has been found to be closely associated with various gram positive and gram negative microrganisms. Miswak has been documented as a potent antibacterial aid and its use is encouraged in different countries because of its good taste, texture, availability, cost and beneficial effect on teeth and supporting tissues. Different researches have been carried out to evaluate the antimicrobial effects of miswak. Aim: The aim of this randomized, clinical trial was to compare the effect of miswak and fluoride toothpastes on the count of S. mutans in dental plaque..............

Keywords: Antimicrobial effects, Miswak, oral pathogens, salvadorapersica.

[1] Sofrata A. : SALVADORA PERSICA (MISWAK) An effective way of killing oral pathogens. ISBN .2010; 978-91-7409-915-7.
[2] Edgar W. M. & O'mullane D. M. : Salivary and Oral Health: clearance of substances from the oral cavity implications for oral
health. In: ASSOCIATION, B. D. (ed.)1996; Second edition ed. London.
[3] Al lafi T, Ababneh H. : The effect of the extract of the miswak (chewing sticks) used in Jordan and the Middle East on oral
bacteria.1995; Int Dent J; 45:218-222
[4] Almas K, Al-Bagieh N, Akpata ES. : In vitro antibacterial effect of freshly cut and 1- month-old Miswak extracts. Biomed Letters;
1997;56:145 ±149..
[5] Almas K. : The antimicrobial effects of extracts Azadirachtaindica (Neem) and Salvadorapersica (Arak) chewing sticks.Indian J
Dent Res; 1999;10:23- 26.

Abstract: Introduction: The etiological factor behind degenerative changes in the temporomandibular joints (TMJs) is controversial. Tooth attrition, improper occlusal andhabits are possible causative factors. Oral habits are common and generally do not harm the stomatognathic apparatus but, when the activity exceeds the individual's physiologic tolerance, the system begins to alter. Although psychological factors are an important etiological component in producing and perpetuating TMJ disorders a comprehensive view of the problem can be understood through the concept of multifactorial etiology............

[1] Okesonjp, editor, management of temporomandibular disorders and occlusion. 4thed. stlouis: cv mosby; 1998: 149.
[2] Gavish a, oral habits and their association with signs and symptoms of temporomandibular disorders in adolescent females. J oral rehabil 2000;27:23-32.
[3] Kuttila m,.TMD treatment in relation to age,gender, stress, and diagnostic subgroup. Jorofac pain 1998;12:67-74 .
[4] Ephrain .Oral habits and their association with signs and symptoms of tempromandibular disorders in adolescents: a gender comparison. OOOE.2006;102:482-7.
[5] Samuel F. Dworkin. Research Diagnostic Criteria for Temporomandibular disorders: review, criteria, examinations and specifications, critique

Abstract: Introduction: Taurodontism is a morphologic variation which is characterized by wide elongated pulp chamber, apically displaced pulpal floor and short roots. Objective: To describe the case of bilateral taurodontism in a female patient with no other associated syndrome. Case Report: An 55 years old female was referred to the postgraduate endodontic department. The patient's medical history was noncontributory. On intraoral examination showed proximal caries with 36 and was positive to percussion. History of access opening with the same tooth. Radiographic examination showed the characteristics of taurodontism and symptomatic apical periodontitis. The tooth was endodontically treated in 2 appointments. Radiograph of contralateral tooth 46 showed features of taurodontism suggesting case of bilateral taurodontism............

Keywords: Bilateral, morphologic variation, taurodontism, pulp chamber

[1] Igor Tsesis, Arie Shifman, and Arieh Y. Kaufman. Taurodontism: an Endodontic Challenge. Report of a Case.The American
Association of Endodontists VOL. 29, NO. 5, MAY 2003.
[2] Dakshita Joy Waghela, Ashish Amit Sinha. Taurodontism of multiple teeth: a case report Lond Engl 2012.
[3] Sebastian Burklein. Endodontic treatment of two pyramidal (taurodont) mandibular molars : a case report Lond Engl 2008.
[4] H. Jafarzadeh, A. Azarpazhooh , J. T. Mayhall. Taurodontism: a review of the condition and endodontic treatment challenges.
International Endodontic Journal, 41, 375–388, 2008.
[5] Amr Radwan, Sahng G. Kim. Treatment of a Hypertaurodontic Maxillary Second Molar in a Patient with 10 Taurodonts: A Case
Report.JOE — Vol 40, Number 1, January 2014

Abstract: A 7-year-old boy with presented to the emergency department with abdominal pain that had persisted for 20 hours. The pain was located in the whole abdominal region and was described as sharp and intermittent. The patient also reported nausea and several episodes of nonbilious, nonbloody vomiting. There was known family history of Peutz-Jeghers syndrome.The patient father had died due to same complain by Peutz- Jeghers syndrome four month back. Physical examination revealed multiple pigmented lesions on the lower lip and oral mucosa. At abdominal examination, epigastric and periumbilical tenderness, diminished bowel sounds.The patient underwent an exploratory laparotomy, resection of jejuno-jejuno intussusception with high jejuno- ileo resection anastomosis was done, operative finding was multiple jejunal and sigmoidal polyp(fig3) ,Further plan was done for endoscopic removal after recovery of patient................

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Abstract: Trauma to the anterior teeth are a common sight these days, affecting children and adolescents. Coronal tooth fractures are frequently encountered. When the tooth fragment is available, reattachment of fractured tooth fragments can be a good treatment alternative which provides good and long-lasting esthetics as the tooth's original anatomic form, color, wear resistance, morphology and translucency in the restoration is maintained. It also restores function, provides a positive psychological response, and is a relatively simple procedure.. This article reports a coronal tooth fracture case that was successfully treated using tooth fragment reattachment..

Keywords: esthetics,fragment reattachment, restorations, trauma,

[1]. American Academy of Pediatric Dentistry Council on Clinical Affairs, Guidelines on management of acute dental trauma, Pediatric Dentistry,vol.30,pp.175–183,2008-2009
[2]. C. M. Forsberg and G. Tedestam, Etiological and predisposing factors related to traumatic injuries to permanent teeth, Swedish Dental Journal,vol.17,no.5,pp.183–190,1993.
[3]. A. Reis, A. D. Loguercio, A. Kraul, and E. Matson, Reattachment of fractured teeth: a review of literature regarding techniques and materials,OperativeDentistry,vol.29,no.2,pp. 226–233,2004
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[5]. B.Vishwanath, UmranaFaizudin, M.Jayadev, and SushmaShravani, Reattachment of Coronal Tooth Fragment: Regaining Back to Normal. Case Reports in Dentistry Volume2013

Abstract: Objective: The purpose of this clinical study was to assess the efficacy of Drynaria quercifolia plant (rhizome) extract as bone forming substitute in periodontal intraosseous defects. Material and methods: Twenty patients with chronic periodontitis with intraosseous defects were selected for the study. The sites were randomly divided into control and experimental group. Control group was treated with open flap debridement (OFD) whereas the experimental group with OFD and placement of drynaria plant extract. Probing pocket depth (PPD), relative attachment level (RAL), radiographic evaluation including the depth of the bone defect and the percentage of bone defect fill were recorded for both the groups, at baseline, three and six months............

Keywords: Alkaline phosphatase, Bone morphogenic proteins, Intrabony defects, Naringin, Rhizome

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Abstract: To identify the efficacy of oral misoprostol (600 μg) for the management of missed abortion. Method: A prospective study was conducted at the Gynecology Department of Muhammad Medical College Hospital (MMCH) over a period of two year from January, 2013 till December 2014. Eligible women satisfying the inclusion and exclusion criteria were recruited after written informed consent and given 600 μg of misoprostol orally at six hour interval, with a maximum of 4 doses. Patients were monitored for 24 hours following complete abortion or surgical evacuation and then discharged............

Keywords: anaemia, bleeding, pregnancy, oral, misoprostol, surgical evacuation,

[1]. Gemzell-Danielsson K, Ho PC, Gómez Ponce de León R, Weeks A, Winikoff B. Misoprostol to treat missed abortion in the first trimester. Int J Gynecol Obstet 2007;99(SUPPL. 2).
[2]. Nybo Andersen A-, Wohlfahrt J, Christens P, Olsen J, Melbye M. Maternal age and fetal loss: Population based register linkage study. Br Med J 2000;320(7251):1708-12.

[3]. Honemeyer U, Kurjak A, Monni G. Normal and abnormal early pregnancy. Donald Sch J Ultrasound Obstet Gynecol 2011;5(4): 356-84.

[4]. Yigiter AB. Early normal and abnormal pregnancy. Donald Sch J Ultrasound Obstet Gynecol 2011;5(4):385-404.

[5]. Marwah S, Gupta S, Batra NP, Bhasin V, Sarna V, Kaur N. A comparative study to evaluate the efficacy of vaginal vs oral prostaglandin E1analogue (misoprostol) in management of first trimester missed abortion. J Clin Diagn Res 2016;10(5):QC14-8.

Abstract: Osteoarthritis is a chronic progressive joint disorder characterised by articular cartilage degeneration. It is characterized by pain commonly over the medial joint line and associated with varus and valgus deformity. Physical examination usually is marked by joint line tenderness, crepitus and painful range of movements. The pathological feature are characterized by progressive cartilage destruction, osteophytes formation, capsular fibrosis and subchondral cyst formation with sclerosis of the surrounding bone. Several pharmaceutical approaches, such as analgesics, non steroidal anti.............

Keywords: visual analog score(VAS), knee society score(KSS), osteoarthritis

[1]. Seth S. Leopold, Md, Brigham B. Redd, Md, Winston J. Warme, Md, Paul A. Wehrle, Md, Patrick D. Pettis, Lvn, And Susan Shott, Phdcorticosteroid Compared With Hyaluronic Acid Injections For The Treatment Of Osteoarthritis Of The Kneeth E Journal Of Bone & Joint Surgery · Jbjs.Org Volume 85-A · Number 7 · July 2003
[2]. Altman RD, Moskowitz R. Intraarticular sodium hyaluronate (Hyalgan) in the treatment of patients with osteoarthritis of the knee: a randomized clinical trial. Hyalgan Study Group. J Rheumatol. 1998;25:2203-12.
[3]. Lohmander LS, Dalen N, Englund G, Hamalainen M, Jensen EM, Karlsson K, Odensten M, Ryd L, Sernbo I, Suomalainen O, Tegnander A. Intra-articular hyaluronan injections in the treatment of osteoarthritis of the knee: a randomised, double-blind, placebo controlled multicentre trial. Hyaluronan Multicentre Trial Group. Ann Rheum Dis. 1996;55:424-31.
[4]. Dahlberg L, Lohmander LS, Ryd L. Intraarticular injections of hyaluronan in patients with cartilage abnormalities and knee pain. A one-year double-blind, placebo-controlled study. Arthritis Rheum. 1994;37:521-8.
[5]. Creamer P. Intra-articular corticosteroid treatment in osteoarthritis. CurrOpinRheumatol. 1999;11:417-21.

Abstract: Background:Thoracoplasty is removal of the skeletal support of the portion of chest allowing the chest wall to fall and fill the residual space. Thoracoplasty was originally described for the treatment to the sequel of pulmonary tuberculosis but later it was also considered for patients of chronic non bronchopleural fistulas secondary to many primary etiology .As far as tuberculosis is concerned after the advent of chemotherapy, the operation of thoracoplasty became nearly obsolete but its significance for the treatment of chronic non healing bronchopleural fistula has not reduced. Thus the significance of this surgery is quite high especially in developing countries where the burden of disease is still high despite the development of chemotherapy and where the incidence of post surgical bronchopleural fistula are high.........

Keywords: Thoracoplasty, Tuberculosis, bronchopleural fistula.

[1]. Alexander J. The collapse therapy of pulmonary tuberculosis. 1937.
[2]. Barker WL. Thoracoplasty. Chest Surg Clin North Am 1994; 4: 593-615.
[3]. Peppas G, Molnar TF, Jeyasingham K, Kirk AB. Thoracoplasty in the context of current surgical practice. Ann Thorac Surg 1993;
56 : 903-909.
[4]. Pairolero PC, Trastek VF. Surgical management of chronic empyema : The role of thoracoplasty (Editorial). Ann Thorac Surg
1990; 50 : 689-690.
[5]. Jaretzki A (III). Role of thoracoplasty in the treatment of chronic empyema (Letter). Ann Thorac Surg 1991; 52 : 584-585

Abstract: To compare the clinical and radiological evaluation of plantar fasciitis. This is a prospective cohort study and a total of 110 patients were studied. All patients were diagnosed as plantar fasciitis by clinical and radiological evaluation. Patients were assessed functionally using VAS and FAOS scores and radiologically by Ultrasound of the foot and X-ray lateral view of the foot. On evaluation VAS and FAOS scores were 6.85 and 32.8 respectively. X-ray showed a calcaneal spur on lateral view. Similarly ultrasound evaluation showed thickened plantar fascia and edema around the origin of the tissue.

Keywords: foot and ankle outcome score(FAOS), plantar fasciitis ,ultrasound, visual analog pain score(VAS)

[1]. Tiwari M, Bhargava R. Platelet rich plasma therapy: A comparative effective therapy with promising results in plantar fasciitis. Journal of Clinical Orthopaedics and Trauma. 2013;4(1):31-5.
[2]. Thing J, Maruthappu M, Rogers J. Diagnosis and management of plantar fasciitis in primary care. British Journal of General Practice. 2012;62(601):443-4.
[3]. Scioli MW. Platelet-rich plasma injection for proximal plantar fasciitis. Techniques in Foot & Ankle Surgery. 2011;10(1):7-10.
[4]. Schwartz EN, Su J. Plantar Fasciitis: A Concise Review. The Permanente Journal. 2014;18(1):e105.
[5]. Sabir N, Demirlenk S, Yagci B, Karabulut N, Cubukcu S. Clinical utility of sonography in diagnosing plantar fasciitis. Journal of ultrasound in medicine. 2005;24(8):1041-8

Abstract: Meckel's diverticulum is a developmental anomaly due to patent vitellointestinal duct. Complications of meckel's diverticulum are bleeding, intestinal obstruction or torsion being one of the rare complications. Diagnosis is mostly incidental.The use of Tc 99-m pertechnetate or Tc 99-m sulfur colloid is primarily for investigating gastrointestinal bleeding and may not be applicable in a case of intestinal obstruction[1].. Treatment is mainly surgery........

Keywords: Meckel's diverticulum, vitellointestinal duct, torsion, obstruction.

[1]. Ruiz VA, Camacho LA, Díaz DC. Giant Meckel's diverticula with necrosis due to axial torsion. Rev Col
Gastroenterol. 2010;25:398–400.
[2]. Ding Y, Zhou Y, Ji Z, Zhang J, Wang Q. Laparoscopic management of perforated Meckel's diverticulum in adults. Int J Med
Sci. 2012;9:243–7. [PMC free article] [PubMed] diagnostic lap
[3]. Cartanese C, Petitti T, Marinelli E, Pignatelli A, Martignetti D, Zuccarino M, et al. Intestinal obstruction caused by torsed
gangrenous Meckel's diverticulum encircling terminal ileum. World J Gastrointest Surg. 2011;3:106–9. [PMC free
article] [PubMed]
[4]. Kiyak G, Ergul E, Sarikaya SM, Kusdemir A. Axial torsion and gangrene of a giant Meckel's diverticulum mimicking acute
appendicitis. J Pak Med Assoc. 2009;59:408–9. [PubMed]
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of Gastrointestinal and Liver Diseases, vol. 15, no. 1, pp. 67–68, 2006.