iosr-JDMS   Volume-16 ~ Issue-5 ~ May-2017

Abstract: Waldenstrommacroglobulinemia a chronic beta cell lymphoproliferative disorder characterised by IgM monoclonal gammopathy, bone marrow infiltration by lymphocyte, lymphocytoid cells & plasma cells.It accounts for approx. 2% of all haematological malignancies. It is rarely seen below 50 yrs. of age. A small child (3 yrs.old girl) having monoclonal gammopathy, bone marrow lymphoplasmacytosis, organomegaly& lymphadenopathy was diagnosed as WALDENSTROM MACROGLOBULINEMIA. It is a rare disease and rarest at this age.

KeyWords: Waldenstrommacroglobulinemia, child, monoclonal gammopathy, lymphoplasmacytosis, organomegaly,

[1]. McMaster ML. Familial Waldenstrom'sMacroglobulinemia.Semin Oncology 2003; 30:146-52.
[2]. Jaffe ES, Harris NL, Stein H, Vardiman JW. WHOclassification of tumors. Pathology and genetics of tumors ofhematopoietic and
lymphoid tissues. Lyon, France, IARCPress, 2001.
[3]. Owen RG, Treon SP, Al-Katib A, Fonesca R, Greipp PR,Mcmaster ML, et al. Clinicopathological definition
ofWaldenstrom'smacroglobulinemia: Consensus panelrecommendations from the second international workshopon
Waldenstrom'smacroglobulinemia. SeminOncol2003; 30:110-20
[4]. Morel P, Monconduit M, Jacomy D, Lenain P, Grosbois B,Bateli C, et al. Prognostic factors in Waldenstrom'smacroglobulinemia:
A report on 232 patients with thedescription of a new scoring system and its validation on 253other patients. Blood 2000;96 :852-
58.

Abstract: Background: Joint replacement surgeries are associated with major blood loss intra-operatively as well as post-operatively to the tune of 700 to 2100 ml. Thus generating a need for blood conservation modalities. Material: Double blinded case control study was done for 78 patients undergoing joint replacement surgeries out of which 37 were in experimental group and 41 in control. Results: We found a significant reduction in experimental group to an average of 150ml for Hemiarthroplasty, 200ml for Total Hip Replacement and 300ml for Total Knee Replacement. Summary: Tranexamic Acid is a safe, efficient and a cost effective drug to control intra-operative as well as post-operative blood loss.

Keywords: Joint Replacement, Blood Loss, Tranexamic Acid

[1]. Hays MB, Mayfield JF. Total blood loss in major joint arthroplasty. A comparison of cemented and noncemented hip and knee operations.J Arthroplasty 1988;3:S47.
[2]. Klenerman L, Chakrabarti R, Mackie I et al: Changes in haemostatic system after application of a tourniquet. Lancet, 1977; 1: 970–2
[3]. Sculco TP. Global blood management in orthopedic surgery. Clin Orthop Relat Res. 1998;357:43–9.
[4]. Buckwalter JA, Saltzman C, Brown T: The Impact of Osteoarthritis. Clinical Orthopedics and Related Research. 2004;427:S6-15.
[5]. Maurizio M and Paul RJA. Congenital platelet disorders in: A Victor Hoffbrand(ed) Postgraduate Haematology, 7th edition. West Sussex, JohnWiley & Sons, Ltd; 2011. p.761-72.

Abstract: Aims And Objectives 1. To study the role of Cockett and Dodd operation of subfascial ligation of below knee perforator veins in the treatment of varicose veins of the lower limb. 2. To study the results and the incidence of various complications after the Cockett and Dodd operation. Materials And Methods This prospective study is based on the analysis of 26 cases of varicosities of the lower limbs with perforator incompetence with or without saphenofemoral incompetence. The patients were treated with perforator ligation alone with the Cockett and Dodd method or in combination with the stripping procedure. The study was conducted in the period between August 2014 and August 2015..........

[1]. Steven G. Friedman. A History of Vascular Surgery Book: venous surgery. 2 nded. Massachusetts, USA: Wiley/Blackwell future; 2005. P 147-158.
[2]. Royle J, Somjen GM; Varicose veins: Hippocrates to Jerry Moore. ANZ J Surg. 2007 dec; 77(12): p 1120-7.
[3]. Porter JM and Moneta GL. Reporting standards in venous disease: An update international consensus committee on chronic venous disease. J. Vasc Surg. 1995 Apr; 21(4): p 635-645
[4]. Norman S.Williams, Christopher J.K Bulstrode, P. Ronan O'Connell. Bailey and Love's Short Practice of Surgery: Venous disorders. 26th ed. Boca Raton, London, New York: CRC Press; 2013.p 927-940.
[5]. Courtney M. Townsend Jr, R. Daniel Beauchamp, B. Mark Evers, Kenneth L. Mattox. Sabiston Textbook of Surgery The Biological Basis of Modern Surgical Practice: venous disease. 19th ed, Philadelphia: Saunders Elseiver; 2012. p 1801-1816.

Abstract: Background: In the formation of Ankle joint, tibio-fibular mortice receives superior, medial and lateral articular surfaces of body of Talus. Because of very limited availability of the data on the Morphometry of the articular facets on the Body of the dry human Tali, this study was undertaken. Aims: To prepare morphometric data of the articular facets on the superior, medial and lateral surfaces of body of Talus, to find if there is any difference between both the sides of measurements and to compare the results with the previous studies. Methods and Material: 42 Dry Human Tali (20 Right and 22 Left) were measured with Digital vernier caliper for the following Measurements: 1.On the Trochlear surface: Medial length, Central length, Lateral length, Anterior width, Central width, Posterior width. 2.On the lateral triangular articular facet: Central height, Central width. 3. On the coma shaped medial articular facet: Central height, Central width.............

Keywords: Articular facets, Talus, Trochlear surface, Comma shapedfacet, Triangular facet.

[1]. Datta AK. Essentials of Human Anatomy, Part 3, 3rd Edition, Current Books Internationals. 2004; 151-52.
[2]. Gray's Anatomy. The Anatomical Basis of clinical Practice. 40th Edition, Elsevier Churchil Livingstone. 2008; 4279.
[3]. Javia MD, Patel MM, Kubavat DM, Dixit Daksha, Singel TC. Morphometry of the Talus on the Basis of Sexual Dimorphism. Indian Journal of Research. June 2013, 3(5): 208-12.
[4]. Motagi MV, Kottapurath SR, Dharwadkar Kavitarati. Morphometric analyses of human dry tali of South Indian origin. International Journal of Medical Science and Public Health 2015;4(2): 237-40.
[5]. Khadija I, Sundus A, Shirza N. Anatomical Variations of Trochlear surface of Talus. JUMDC 2012; 3(1): 38-41.

Abstract: Salivary duct lithiasis is a condition characterized by obstruction of a salivary gland or its excretory duct due to the formation of calcareous concretions or sialolith resulting in salivary ecstasia and even provoking the subsequent dilation of the salivary gland. Sialolithiasis commonly involves the submandibular gland and less frequently the parotid and sublingual gland.We report a case of lithiasis of stenson's duct, its surgical management with modified technique. This modified technique is aimed at maintaining the duct patency using an 18G catheter (IV).

Keywords: Sialolithiasis, Parotid gland, Stenson's duct, Sialolith

[1]. Bodner L. Salivary gland calculi: Diagnostic imaging and surgical management. Compendium, 1993;14:572-86.
[2]. Bernier, J. L.: The Management of Oral Disease, St. Louis, 1959, The C. V. Mosby Company.
[3]. Thoma, K. H.: The Use of Radiopaque Media in Roentgen Diagnosis of Oral Surgical Conditions, Am. J. Orthodontics & Oral
Surg, 27: 64-69, 1941.
[4]. Archer, W. H.: Manual of Oral Surgery, Philadelphia, 1952, W. B. Saunders Company.
[5]. Levy, D. M., ReMine, W. H., and Devine, K. D.: Salivary Gland Calculi, J.A.M.A, 181: 11151121, 1962.
[6]. Erickson, R. I., and Hale, M. L.: Minor Salivary Gland Sialolithiasis; Report of a Case, Oral Surg Oral Med Oral Pathol Oral Radiol
Endod 15: 200-203, 1962.

Abstract: Thoracoscopic thymectomy which has a steeper learning curve is now becoming a reality in many centers in developing countries. The aim of the study is to highlight the advantage of thoracoscopic thymectomy over conventional methods in a minimal resource setup. Case records of patients diagnosed as anterior mediatinal masses from may 2006 to may 2016 were reviewed and those pertaining to diagnosis of thymus were Retrospectively analysed. Study was done in the department of pediatric surgery, Coimbatore medical college.We had twelve cases of thymic lesions out of which six were operated by median sternotomy approach and by supraclavicular approach. Our last five cases were operated thoracoscopically...........

Keyword:- Thoracoscopy, thymoma, video-assisted thoracic surgery

[1]. Rodgers BM, Talbert JL. Thoracoscopy for diagnosis of intrathoracic lesions in children. J Pediatr Surg. 1976;11:703-8.
[2]. Sugarbaker DJ. Thoracoscopy in the management of anterior mediastinal masses. Ann Thorac Surg.1993;56:653-6.

[3]. Xuan Xie, Xiangfeng Gan, Baishen Chen, Zhuojian Shen, Minghui Wang, Huizhong Zhang 'et al'. Left- and right-sided video-assisted thoracoscopic thymectomy exhibit similar effects on myasthenia gravis. J Thorac Dis. 2016; 8(1): 124–132.

[4]. Wolfer RS, Krasna MJ, Hasnain JU, McLaughlin JS. Hemodynamic effects of carbon dioxide insufflations during thoracoscopy. Ann Thorac Surg.1994; 58(2): 404-7.

[5]. Behnam Sanei et al. Distribution of mediastinal ectopic thymic tissue in patients without thymic disease. Adv Biomed Res. 2015; 4: 18

Abstract: Background: Upper Gastrointestinal (GI) endoscopy is the gold standard for the diagnosis of diseases involving the upper gastrointestinal tract the world over. However, in most developing countries such as Nigeria, this service is not readily available. Aims and objectives: The aim of this presentation is to share our experience with upper GI endoscopy in Calabar and to compare findings in our environment with those in other parts of the world. Methodology: A prospectively kept data of all patients who had upper GI endoscopy in two centres (The Endoscopy Unit of the University of Calabar Teaching Hospital and JIL Endoscopy, a privately owned endoscopy outfit in Calabar) over a 2year period were reviewed. This period covered from April 2012 to April 2014..........

Keywords: Gastroscopy, indications, Calabar, Nigeria.

[1]. EABadoe, JFKTandoh, BNBaako. Stomach and Duodenum.In: EABadoe, EQArchampong, JTda-Rocha-Afodu (Eds). Principles
and Practice of Surgery –Including Pathology in the Tropics, 3 (Accra: Assemblies of God Literature Centre Ltd. 2000) 588-89.
[2]. J Lindsay. Gastrointestinal endoscopy. In NSWilliams,CJKBulstrode,P Ronan O'Connell (eds.) Bailey and Love's Short Practice
of Surgery,25( London: Arnold 2008)163-166.
[3]. B LBass, D J Turner. Acute gastrointestinal hemorrhage. In MCourtney, R Beauchamp, BEvers, KMattox (Eds). Sabiston Textbook
of Surgery, 17(Elsevier Saunders 2004)1247-48.
[4]. Ndububa DA, Agbakwuru AE, Adebayo RA, Olasode BJ, Olaomi OO, Adeosun OA, Arigbabu AO. Upper gastrointestinal findings
and incidence of Helicobacter pylori infection among Nigerian patients with dyspepsia. West Afr J Med. 2001; 20(2):140-5.
[5]. Adisa AC; Al Hassan, Sanni; Mbanaso AU. Epidemiology of Upper GI Bleeding in a Nigeria Teaching Hospital .European Journal
of Scientific Research, 2006; 15(4):514

Abstract: Introduction: Magnesium has been implicated in the pathogenesis of acute myocardial infarction and its complication like arrhythmia. Magnesium improves myocardial metabolism, inhibits calcium accumulation and myocardial cell death. It improves vascular tone, peripheral vascular resistance, after load and cardiac output, reduces cardiac arrhythmias and improves lipid metabolism. Magnesium also reduces vulnerability to oxygen derived free radicals, improves endothelial function and inhibits platelet function including platelet aggregation and adhesion............

[1]. Burch GE, Gibs TD. Importance of magnesium deficiency in cardiovascular disease. American Heart Journal. 1977; 94: 649.
[2]. Burch GE, Gibs TD. Importance of magnesium deficiency in cardiovascular disease. American Heart Journal. 1977; 94: 649.
[3]. Whang R, Chrysant S, Dillard B et al. Hypomagnesemia and hypokalaemia in 1000 treated ambulatory hypertensive patients. J Am CollNutr. 1982; 1: 317.

Abstract: Cerebral venous thrombosis (CVT) is a life threatening condition with varied clinical presentations. It is mainly a diagnosis by means of radiological tool. CT Brain is the initial investigation of choice. It may be normal in 30 – 40 % of the population .MRI with MRV is the gold standard for the diagnosis of CVT. D Dimer is a product of fibrinolysis which is usually used as an exclusion marker of venous thrombosis. Our study aims to analyse the usefulness of D Dimer as an initial diagnostic marker in CVT. Methodology: The patients diagnosed to have CVT by MRI in Coimbatore Medical College above 18 yrs of age are included in the study. A total of 50 patients are included in the study. After confirming the diagnosis, blood samples were drawn, plasma separated and sent to laboratory.............

Keywords: Cerebral Venous Thrombosis, D Dimer, Magnetic Resonance Imaging

[1]. Bousser MG, Chiras J, Bones J, Castaigne P .Cerebral venous thrombosis. A review of 38 cases .Stroke 1985; 16: 199-213.
[2]. Ribes MF. Des recherché faites sur la phle bite .Re vue Medicale Francaise et Etrangere et. Journal de clinique de 1 Hotel – Dieu ET de la Charite de Paris 1825; 3:5-41.
[3]. Aberombei J. Superior Sagittal Thrombosis in puerperium .In pathological and practical Researches of the Brain and spinal cord, Edinburgh: John Carrfare and Sons Publishers; 1828.
[4]. Stam J. Thrombosis of the Cerebral Veins and Sinuses. New England Journal of Medicine 2005; 352; 1791-8.
[5]. Bounameaux H, de Moerlooh P, Peureiu A, Reber G. Plasma measurement of D Dimer as a diagnostic tool in suspected venous thromboembolism. An overview Thromb Hemostat .1954; 71:1-6.

Abstract: Introduction: Choledocholithiasis is the most common cause of obstructive jaundice.................

Keywords: Choledocholithiasis, ERCP, MRCP, Sphincterotomy, cholecystectomy

[1]. Cushieri A. Disorder of the biliary tract. In: Cushieri A, Steele RJC, Moosa AR, eds. Essential surgical practice, 4th ed. London: Butterworth Heinemann; 2002. P.375-454.
[2]. Cranley B, Logan H. Exploration of the common bile duct — the relevance of the clinical picture and importance of preoperative cholangiography. Br J Surg 1980; 67:869-72.
[3]. Bartlett MK, Waddell WR. Indication for common duct exploration; evaluation in 1000 cases. N Eng J Med, 1958; 258: 164-167.
[4]. DenBesten L, Doty JE. Pathogenesis and management of choledocholithiasis. In: Symposium in biliary tract disease. Surg Clin N Am 1981; 61 (4): 893-907.
[5]. Neoptolemos JP, Shaw DE et al, A multivariate analysis of preoperative risk factors in patients with Common Bile Duct Stone, Implications for treatment, Ann Surg, 1989; 209; 157-161.
[6]. Huang ZQ. Present status of biliary surgery in china. World J Gastroenterol 1998; 4 (Suppl 2): 8-9

Abstract: Introduction and Aim of the study: In this study, the induced dysplasia model of hamster buccal pouch with DMBA (HBP/DMBA) was used to study the effect of thymoquinone (TQ), and different concentrations of thymoquinone loaded on liposomes (NTQ) formulation, as chemo-protective-/ -therapeutic agents. Materials and Method: The study was carried out on (170) male Syrian hamsters, divided into 7 groups. TQ and different concentrations of NTQ, were i.p. injected daily at 0.1mg/kg body weight for TQ and 0.1, 0.05, 0.025 and 0.01 mg/kg for NTQ, respectively, two weeks before DMBA. Then were continued with DMBA painting 3/w/6 weeks and left untreated for 2 weeks..............

Key Words: Thymoquinone, Nanothymoquinone, pro-myogenic activity, phyto-chemo-protection, phyto-chemo-therapeutic, HBP/DMBA model.

[1]. Bedi P, Priyanka S. Effects of garlic against 7-12, dimethylbenza (a) anthracene-induced toxicity in Wistar albino rats. Asian J Pharmac Clin Res. 2012; 5(4): 170-3.
[2]. Hassan MA, El-Dakhakhny M. Effect of some Nigella sativa constituents on chemical carcinogenesis in hamster cheek pouch. J Egy Soci Pharmac Exper Ther. 1992; 11: 675-91.
[3]. Schneider-Stock R, Fakhoury IH, Zaki AM, El-Baba CO, Gali-Muhtasib HU. Thymoquinone: fifty years of success in the battle against cancer models. Drug Disc Today. 2014; 19(1): 18-30.
[4]. Sethi G, Ahn KS, Aggarwal BB. Targeting nuclear factor-ĸ B activation pathway by thymoquinone: role in suppression of anti-apoptotic gene products and enhancement of apoptosis. Mol Ca Res. 2008; 6 (6): 1059-70.
[5]. Rahmani AH, Alzohairy MA, Khan MA, Aly SM. Therapeutic implications of black seed and its constituent thymoquinone in the prevention of cancer through inactivation and activation of molecular pathways. Evidence-Based Complem Altern Med.2014; 2014: 1-13.

Abstract: Gingival epithelium consists of three regions: oral gingival epithelium (OGE), sulcular epithelium (SE) and Junctional epithelium (JE). JE is a specialized gingival epithelium and it is located at a strategically important interface between the gingival sulcus, populated with bacteria, and the periodontal soft and mineralized connective tissues that need protection from becoming exposed to bacteria and their products. Its unique structural and functional adaptation enables the junctional epithelium to control the constant microbiological challenge. The antimicrobial defense mechanisms of the junctional epithelium, however, do not preclude the development of gingival and periodontal lesions.The aim of the review focus on the unique structural organization of the junctional epithelium, on the nature and functions of the various molecules expressed by its cells.

Key Words: Junctional epithelium, periodontal diseases, antimicrobial defense

[1]. Nunez J, Sanz-blasco S, Vignoletti F, Munoz F, Arzate H, Villalobos C, Nunez , Caffesse RG et al. Periodontal regeneration following implantation of cement and periodontal ligament-derived cells. J periodontal 2012;47:33-44.
[2]. Mark bartold P, Laurence J. Walsh, Sampath Narayanan A. Molecular and cell biology of the gingiva. Periodontology 2000 2000;24:28–55.
[3]. Marja Pollanen T ,Jukka Salonen.I, Veli-jukka Uitto. Structure and function of the tooth–epithelial interface in health and disease. Periodontology 2000 2003;31:12–31.
[4]. Mark bartold P. Periodontal tissues in health and disease: introduction. Periodontology 2000 2006;40:7–10.
[5]. America academy of Periodontology, "Chapter 1 Periodontium Histology," J Periodontol 1996: 1–11.

Abstract: Anterior tooth loss and restoration in the esthetic zone is a common challenge in dentistry today. The prominent visibility of the area can be especially distressing to the patient and requires a timely and esthetically pleasing solution. Immediate single-tooth implantation followed by immediate provisionalization is becoming an increasingly desirable treatment that offers numerous benefits over conventional delayed loading. Provisionalization for immediately-placed implants using the patient's existing tooth can enhance the final aesthetic outcome if certain steps are followed. If the natural tooth is intact and can be used as a provisional, the emergence profile can be very similar to the preoperative condition. This article outlines a technique to use the patient's natural tooth after extraction to provisionalize an implant.

Key Words: Dental implant, immediate,natural tooth , immediate restoration

[1]. 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
[2]. Bajali M., Abdulgani Azz., Abu-Hussein M, Extraction and immediate implant placement, and provisionalization with two years follow-up: a case report, Int J Dent Health Sci 2014; 1(2): 229236.
[3]. Muhamad et al; Tooth extraction, immediate implant placement: a case report, Asian Pac. J. Health Sci., 2014; 1(4): 543-549
[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 Muhamad Chlorokostas Georges , Abusalih Ahmet , Ismail Hakki Bayraktar , Abdulgani Azzaldeen; Immediate Implant Placement and Loading in Esthetic Zone. Journal of Dental and Medical Sciences 2016 ,1, 71-79,DOI: 10.9790/0853- 15187179

Abstract: Emphysematous pyelonephritis is a severe, necrotizing renal parenchymal infection that is characterized by the production of intraparenchymal gas. In this case, patient was found to be diabetes mellitus, depressive illness, severely dehydrated with hyperglycemic and diagnosed as emphysematous pyelonephritis Class IIIa with early septic shock, an evidenced by bacterial growth in blood and urine culture and computerized tomography of abdomen. He was treated successfully by antibiotics and percutaneous drainage.

Key Words: CT scan, diabetes mellitus, emphysematous, pyelonephritis, septic shock.

[1]. Bansal RK, Lambe S, Kapoor A. Emphysematous pyelonephritis in failed renal allograft: Case report and review of literature. Urol Ann. 2016; 8(1): 111-3.
[2]. Muhammad Ali, Nauman Bashir Barlas. Emphysematous pyelonephritis: A case report. International Journal of Diabetes Mellitus 2010; 2: 130-132.

[3]. Uruc F, Yuksel OH, Sahin A, Urkmez A, Yildirim C, Verit A. Emphysematous pyelonephritis: Our experience in managing these cases. Can Urol Assoc J. 2015; 9(7-8): E480-3.

[4]. Chauhan V, Sharma R. mphysematous pyelonephritis (class IIIa) managed with antibiotics alone. Hong Kong Med J. 2015; 21(4): 363-5.

[5]. Pontin AR, Barnes RD. Current management of emphysematous pyelonephritis. Nat Rev Urol. 2009; 6(5): 272-9.

Abstract: Background: Mumps is the best-known cause inflammation of the testicles, reduced testosterone level, failure of sperm production and lead to infertility. The hypothesis of this study is to know mumps virus may be the cause of infertility in patients who have infertility problem with history of mumps infection. It is with this notion we aimed to compare and link the Th1/Th2 cytokine levels between acute mumps patients and infertility patients with history of mumps. Methods: Mumps specific IgM, MMR specific IgG antibody and Th1/Th2 cytokines, namely interferon-γ (IFN-γ), interleukin-2 (IL-2), IL-4 and IL-10 were measured simultaneously in serum from acute mumps cases, infertility cases, control subjects and supernatant of PBMCs..............

[1]. Green GF, 1964. Mumps orchitis in childhood. Practitioner, 192, 550-2.
[2]. Joe P, David S, Anthony DD. Mumps orchitis in the non-immune postpubertal male: A resurgent threat to male fertility?. BJU International 2006; 97: 138 – 141.
[3]. Niall FD, Barry BM, Jackie AM, Anna ES, Kiaran JO, John MF. The increasing incidence of mumps orchitis: a comprehensive review. BJUI 2010; 105: 1060–1065.
[4]. Basekim CC, Kizilkaya E, Pekkafali Z, Baykal KV, Karsli AF. Mumps epididymo-orchitis: sonography and color Doppler sonographic findings. Abdom Imaging 2000; 25:322–325.
[5]. Mouchel T, Le Goffic R, Patart JJ, Samson M. Mumps virus and orchitis: towards a physiopathologic approach. Prog Urol 2002; 12(1): 124-8.

Abstract: The identification of skeletal remains is of paramount importance in medico-legal investigations. Much of our understanding of modern human skeletal variation is derived from anthropological techniques based on the traditional linear metrical system (1). As evident from the earlier studies, skull is the most dimorphic and easily sexed portion of skeleton after pelvis, providing accuracy up to 92% (2). But in cases where intact skull is not found, mandible may play a vital role in sex determination as it is the most dimorphic, largest, and strongest bone of skull. The present study was conducted with the aim to measure, compare and evaluate the various measurements of mandible...............

Key Words: Bengali, Mandible, Medico-Legal, Sexual Dimorphism, Skull

[1]. Franklin D, Higgins PO, Oxnard CE. Sexual dimorphism in the mandible of indigenous South Africans: a geometric morphometric approach. S. Afr. j. sci. 2008 Apr; 104(3-4).
[2]. Indira AP, Markande A, David MP. Mandibular ramus: An indicator for sex determination - A digital radiographic study. J Forensic Dent Sci. 2012; 4(2): p. 58-62.
[3]. Saini V. Metric study of fragmentary mandibles in a North Indian population. Bull Int Assoc Paleodont. 2013; 7(2): p. 157-62.
[4]. Buikstra JE, Ubelaker DH. Standards for data collection from human skeletal remains. Arkansas Archaeological Survey research series. ; 44.
[5]. Vodanovic M, Dumanic J, Demo Z, Mihelic D. Discrimination of sex by discriminant function analysis of mandibles from two Croatian Archeological sites. Acta Somatica Croat. 2006; 40: p. 263-77.

Abstract: Background: Seizure is one of the common causes of childhood hospitalization with significant mortality and morbidity. There is limited data regarding acute seizures episodes form the developing countries. Objective: Current study aims to find the etiology of seizures in a tertiary care hospital of Jharkhand in the age group 6 month to 5 years. Materials and method: 200 consecutive cases admitted to the hospital with convulsions in this particular age group were studied by detailed history, thorough examination and stepwise investigations including blood counts, CSF analysis, EEG and neuroimaging studies. Results: The most common cause for seizures in our study was febrile seizures (34.5%). Other causes included viral encephalitis (18%), pyogenic meningitis (9%), TB meningitis (7.5%), epilepsy (8%)..............

Key Words: Seizures; etiology.

[1]. Friedman MJ, Sharieff GQ: Seizures in children. Pediat Clin North Am 2006, 53:257-277.
[2]. Martindale JL, Goldstein JN, Pallin DJ: Emergency department seizure epidemiology.
[3]. Emerg Med Clin North Am 2011 Feb, 29(1):15-27.
[4]. Hauser WA: The prevalence and incidence of convulsive disorders in children.
[5]. Epilepsia 1994, 35(suppl 2):S1-S6.
[6]. Murthy JM Yangala R. Acute symptomatic seizures- incidence and etiological spectrum: a hospital based study from south India. Seizure 1999; 8 (3)162-5.

Abstract: Appendiceal intussusception happens when appendix segment is pulled into itself or into the cecum. This condition can mimic various chronic and acute abdominal conditions, with an important entity to be recognized, since it could be mistaken as a cecal mass.It is an extremely rare condition that ranges from partial invagination of the appendix to involvement of the entire colon. Endometriosis is defined as the presence of ectopic endometrial tissue outside the lining of the uterine cavity. Endometriosis is an exceptionally rare cause of appendiceal intussusception and only very few cases have been reported in the literature to date.We report here a case of appendicealintussusceptionsecondary to endometriosis.

Key Words: Appendiceal intussusception- appendicitis- Endometriosis-Chronic and acute abdominal pain

[1]. Honmyo u, shimadaS, Yamamoto S etal. Reversible protruded lesion regarded as idiopathic appendiceal intussusception. Dig.
Endosc. 2001; 13,90-93.
[2]. Gupta P,chwals W, Guandalini S. intussusception of the appendix; another poorly recognized cause of rectal bleeding. J ped Gastro
enterolNutr. 2000; 30:320-3 .
[3]. Karabulut R, Sonmez k, TurkyimazZ,Yilmaz Y, Akyurek N, Basaklar A, Kale N. Mucose – associated lymphoid tissue lymphoma
in the appendix, a lead point for intussusception. J of ped surgery. 2005; 40,872-.874
[4]. Atkinson Go, Gay BB JR, Naffis D. Intussusception of the appendix in children. AmJRoentgenol. 1976; 126:1164-8.
[5]. Solomon DJ. Freson M, Price SK. Complete appendicular inversion: the inside-out appendix: An unusual presentation of crohn's
disease: A case report and review of the literature. J BelgeRedio. 1991; 74:115-6.

Abstract: A prospective observational study was carried out for a period of six months in the Cardiology department of a 700 bedded multispecialty tertiary care teaching hospital. Patients admitted to Cardiovascular Intensive Care Unit (CVICU) and Coronary Care Unit (CCU) of the cardiology department with cardiovascular disease and receiving unfractionated heparin were included in the study. The primary outcome was to understand the practice of heparin dosing in CVD patients in the selected study site and also to monitor the number of patients achieving therapeutic aPTT on Unfractionated Heparin (UFH) during first 6, 24 and 48 hours of admission..............

Key Words: Unfractionated Heparin (UFH), aPTT, Anticoagulation, cardiovascular diseases, Heparin Induced Thrombocytopenia (HIT), Coagulation profile.

[1]. Walker Roger, Cate Whittlesea. Clinical pharmacy and therapeutics. 5th ed. Churchill Livingstone Elsevier;2012.
[2]. Gilman and Goodman. Manual of pharmacology and therapeutics. Mc GrawHills;2007.
[3]. Cardiovascular disease from World Health Organisation [Internet]. 2013 [Cited 2013 March 27]. Available from
http://www.who.int/cardiovascular_diseases.org
[4]. Risk associated with cardiovascular disease from world heart federation [Internet]. 2014 [Cited 2014 July 10]. Available from
http://www.world-heart-federation.org
[5]. Christian Nordqvist. Cardiovascular diseases. Medical news today; March 2013.

Abstract: Introduction: Tuberculous meningitis is a chronic meningeal infection by Mycobacterium tuberculosis characterized by fever, headache, nausea, vomiting, various levels of conciousness, siezures and raised intra cranial pressure. Materials and methods: The present study "study of ADA levels in cerebrospinal fluid in relation to stages of tuberculous meningitis and prognostic significance of staging in the patients" was carried out in the Department of Medicine, Rajendra Institute of Medical Sciences, Ranchi.............

Key Words: Tuberculous meningitis, CSF ADA, MRC stages

[1]. Bernaerts A, Vanhoenacker FM, Parizel PM et al. Tuberculosis of the central nervous system: Overview of neuroradiological
findings. Eur Radiol 2003; 13: 1876-1890.
[2]. Radhakrishnan K, Kishore A, Mathuranath PS. Neurological tuberculosis. In: Sharma SK ed. Tuberculosis, 1st Ed., New Delhi;
Jaypee Brothers, 2001: PP 209-228.
[3]. Global tuberculosis report WHO 2016 http://www.who.int/tb/publications/global_report/en/
[4]. Udani PM, Parekh UC, Dastur DK. Neurological and related syndromes in CNS tuberculous meningitis: Clinical features and
pathogenesis. J Neurol Sci 1971;14:34157.
[5]. Jacobs CN et al. Non tuberculous mycobacterium infection of central nervous system in patients with AIDS. South Ed. J. 1993; 86:
638-40.

Abstract: Objective(s): To determine the prevalence and severity of depression in infertile women and to establish the relationship of duration of infertility with depression amongst them as compared with fertile women. Method: in this comparative cross-sectional study, 100 females with primary infertility and 100 healthy fertile females were assessed for depression. Subjects were completed a demographic form and self-administered questionnaire –Beck Depression Inventory (BDI). Mean BDI score measured and its relation with duration of infertility along with prevalence and severity of depression in defined population studied. Result(s): 41% of the infertile women scored in the "depressed" range, in comparison with 19% of the fertile subjects, on the BDI (p=0.005). Infertile women had significantly higher depression scores (Mean BDI= 9.98) as compared to the fertile women (Mean BDI= 5.212) (p=0.000). Women with infertility duration between 3 to 4 years had higher BDI score as compared to women with infertility duration of < 3 year and > 6 year (p=0.476)...............

Key Words: Depression, Severity, Infertile women, BDI, Psychological interventions

[1]. Vayena E, Rowe PJ and Griffin PD (eds). World Health Organisation(2001) WHO Infertility Glossary, In current practices and
controversies in Assisted Reproduction.Report of a meeting on "Medical, Ethical and Social aspect of Assisted Reproduction".
WHO Headquarter, Geneva, Switzerland.
[2]. World Health Organisation Infertility. A tabulation of available data on prevalence of primary and secondary
infertility.1991;Geneva, WHO Programme on Maternal and Child Health.
[3]. Sadock BJ, Sadock VA. Kaplans and Sadocks symptoms of psychiatry behavioral sciences clinical psychiatry, 9thed. Lippincott
Williams and Wilkins:Philadelphia; 2003. p. 872-4.
[4]. Yonkers KA, Chantilis SJ: Recognition of depression in obstetric/gynecology practices. Am J ObstetGynecol 1995, 173:632-8.
[5]. Desai HD, Jann MW: Major depression in women: a review of the literature. J Am Pharm Assoc (Wash) 2000, 40:525-37.

Abstract: Today, the diagnosis of internal root resorption is significantly improved by the three-dimensional imaging. Furthermore, the CBCT's superior diagnosis accuracy resulted in an improved management of the resorptive defects and a better outcome of Implant therapy of teeth with internal resorption.Implant has become a wide option to maintain periodontal architecture. Diagnosis and treatment planning is the key factors in achieving the successful outcomes after placing and restoring implants placed immediately after tooth extraction. The purpose of this clinical update is to report on the success and survival of Immediate restoration of single implants replacing right lateral incisor compromised by internal resorption.

Key Words: Internal Root Resorption, Extraction, Immediate implant, osseointegration

[1]. Trope M. Root resorption due to dental trauma.Endodontic Topics 2002; 1: 79–100.
[2]. Nilsson E, Bonte E, Bayet F, Lasfargues J. Management of internal root resorption on permanent teeth. International Journal of Dentistry. Volume 2013. Article ID 929486, 7 pages. Nezar Watted , Peter Proff , Vadim Reiser , Benjamin Shlomi , Muhamad Abu-Hussein , Dror Shamir ; CBCT; In Clinical Orthodontic Practice. Journal of Dental and Medical Sciences2015 ,14,2,102-115. DOI: 10.9790/0853-1427102115
[3]. Caliskan MK, Turkun M. Prognosis of permanent teeth with internal resorption: A clinial review. Dental Traumatology. 1997;13(2):75-81. Principals and Practice of Endodontics. 2nd Edition. Walton & Torabinejad. WB Saunders Company. 1996. 36. Glendor U, Marcenes W, Andreasen J O. Classification, epidemiology and etiology. In Andreasen J O, Adreasen F M, Andersson L (ed) Textbook and colour atlas of traumatic injuries to the teeth. 4th ed. pp 217–218. West Sussex: Wiley- Blackwell, 2007
[4]. Abu-Hussein Muhamad ,Chlorokostas Georges , Abdulgani Azzaldeen; Immediate Implants Placed Into Infected Sockets: Clinical Update with 3-Year Follow-Up J Dent Med Sci2017,16,105-111. DOI: 10.9790/0853-160109105111
[5]. Block M S. Techniques for grafting the extraction socket. In Block M S (ed) A colour atlas of dental implant surgery. 2nd ed. pp 189. Oxford: Elsevier, 2007

Abstract: Ethmoidal infraorbital (Haller's) cells are extensions of ethmoidal air cells into the areas of the orbit and maxillary sinus. They are located on the maxillary sinus roof, near and above the ostium of maxillary sinus at the inferior wall of the orbit and lateral border of the infundibulum. Ethmoidal Infraorbital cells may be visualized by a variety of imaging methods that show a view of the maxillary sinus. This study aimed to determine the prevalence of ethmoidal infraorbital cell on CT scan in Sudanese population and to compare them statistically with available data worldwide. The study population involved 29 males (47.5%) and 32 females (52.5 %) with a mean age of 37 years. They were explored in the radio-diagnostic department of Ribat University Teaching Hospital, Khartoum- Sudan in the period from March to September 2015............

Key Words: Computed tomography scans, Ethmoidal infraorbital cells, Haller's cells, Paranasal sinuses

[1]. Batra PS. Radiologic imaging in rhinosinusitis. Cleve Clin J Med. 2004; 71: 886–8.
[2]. Beale TJ, Madani G, Morley SJ. Imaging of the paranasal sinuses and nasal cavity: normal anatomy and clinically relevant anatomical variants. Semin Ultrasound, CT & MR. 2009; 30:2–16.
[3]. Reddy UM, Dev B. Pictorial essay: Anatomical variations of paranasal sinuses on multidetector computed tomography-How does it help FESS surgeons? Indian J Radiol Imaging 2012 Oct; 22 (4): 24-317.
[4]. M H Baradaranfar and M Labibi. Anatomic variations of paranasal sinuses in patients with chronic sinusitis and their correlation with CT scan staging. Acta Medica Iranica, 2007: 45(6): 477-480.
[5]. Aygun N, Zinreich SJ. Radiology of the nasal cavity and paranasal sinuses. In: Cummings CW. editors. Cummings Otolaryngology Head & Neck Surgery. 4th ed. Elsevier Mosby 2005; 1159-1160.

Abstract: Acupuncture has limited application in dentistry, but it can relief dental symptoms very quickly. The acupuncture plays important role in the dental science, because it can be effective in treating many dental conditions like facial pain, TMJ dysfunction, dry mouth problems, post-operative pain, dental anxiety and etc. Acupuncture is also used for treating pain aftrer tooth extraction. There are various causes of toothache. According to Traditional Chinese Medicine (TCM), toothache is caused by a stagnation of energy in the body.............

Key Words: Treatment, toothache, traditional Chinese medicine, acupuncture

[1]. Naik NP; Kiran AR; Yalamanchal S; KUmar AV; Goli S; Vashist N; Acupuncture: An Alternative Therapy in Dentistry and Its Possible Applications; Med Acupunct. 2014 Dec 1; 26(6): 308–314
[2]. Rondon N; Tooth Extraction: What is Involved and What Does it Cost?; 2017 [www.yourdentistryguide.com]
[3]. Acupuncture Associates Wilmington; Acupuncture for Pain After Tooth Extraction; 2014 [www.happyacupuncture.com]
[4]. Tavares GM; Machado PA; Motta GB; Borsatto CM; Rosa LA; Xavier PS; Electro-Acupuncture Efficacy on Pain Control after Mandibular Third Molar Surgery; Braz Dent J (2007) 18(2): 158-162 ISSN 0103-6440
[5]. Chin SJ, Hsu ML, Yip SW; Application of Acupuncture in Temporomandibular Joint Disorders; Journal of Prosthodontics and Implantology; Volume 2, Number 2, 2013

Abstract: Aim: Retrospective analysis of uterine sarcomas to identify the histological type , prognostic factors, adjuvant treatment and their outcome. Materials and Methods: From 1991 to 2009, 55 uterine sarcomas were treated in the Department of Medical Oncology at Institute of Obstetrics and Gynecology Chennai. This series consists of 27(49% ) malignant mixed mullerian tumors (MMMT) , 16( 29%) leiomyosarcoma (LMS); and 12(22%) endometrial stromal sarcoma (ESS). The median age is in 55years. In 53% of patients ,the presenting symptom was abnormal uterine bleeding .Twenty (36.4%) of patients were in stage I, 4(7.3%) in stage II, 18(32.7%) in stage III and 7 (12.7%) in stage IV according to International Federation of Gynecology and obstetrics(FIGO-1989 ) system..............

Key Words: Malignant mixed mullerian tumors , Leiomyosarcoma ; Endometrial stromal sarcoma, Uterine sarcoma, FIGO.

[1]. Harlow BL, Weiss NS, Lofton S. The epidemiology of Sarcomas of the uterus. J Natl Cancer Inst 1986; 76: 399-402.
[2]. Papadimitriou CA, Zorzou MP, Markaki S, Rodolakis A, Voulgaris Z, Bozas G, et al. Anthracycline-based adjuvant chemotherapy in early-stage uterine sarcomas: long-term results of a single institution experience. Eur J Gynaecol Oncol 2007; 28: 109-16.
[3]. Chauveinc L, Deniaud E, Plancher C, et al. Uterine sarcomas: the Curie Institute experience. Prognosis factors and adjuvant treatments. Gynecol Oncol 1999; 72:232–237.
[4]. Shumsky AG, Stuart GC, Brasher PM, et al. An evaluation of routine follow-up of patients treated for endometrial carcinoma. Gynecol Oncol 1994; 55: 229–233.
[5]. Brooks SE, Zhan M, Cote T, Baquet CR. Surveillance, epidemiology, and end results analysis of 2677 cases of uterine sarcoma 1989–1999. Gynecol Oncol 2004; 93:204–208