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

Abstract: BACKGROUND : Sepsis has high morbidity and mortality potential. Hence it becomes necessary to have some readily available tool which can be used both to predict the prognosis and also monitor it through out. Critically ill patients are more prone for electrolyte disturbances and especially hyponatremia. Being a readily available biochemical parameter this study is conducted to evaluate the effectiveness of serum sodium levels to predict and monitor the prognosis in sepsis. METHODS : In this prospective study conducted from may-2016 to october-2016 at department of general surgery, coimbatore medical college the patients admitted with features of sepsis based on SIRS criteria were subjected to serum sodium estimation on admission, 2nd day and on 7th day. The results and the recovery from illness were noted and statistically analysed.............

Keywords: Hyponatremia, sepsis, eunatremia, SIRS, mortality.

[1]. DeVita MV, Gardenswartz MH, Konecky A, Zabetakis PM. Incidence and etiology of hyponatremia in an intensive care unit. Clin Nephrol. 1990;34:163–6.[PubMed]
[2]. Vincent JL, de Mendonça A, Cantraine F, Moreno R, Takala J, Suter PM, et al. Use of the SOFA score to assess the incidence of organ dysfunction/failure in intensive care units: Results of a multicenter, prospective study. Working group on "sepsis-related problems" of the European Society of Intensive Care Medicine. Crit Care Med. 1998;26:1793–800.[PubMed]
[3]. Bartter FC, Schwartz WB. The syndrome of inappropriate secretion of antidiuretic hormone. Am J Med. 1967;42:790–806.[PubMed]
[4]. Bone RC, Balk RA, Cerra FB, Dellinger RP, Fein AM, Knaus WA, et al. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine. Chest. 1992;101:1644–55.[PubMed]
[5]. Moritz ML, Ayus JC. Dysnatremias in the critical care setting. Contrib Nephrol. 2004;144:132–57. Ayus JC, Arieff AI. Brain damage and postoperative hyponatremia: The role of gender. Neurology 1996;46:323-8. [PubMed]

Abstract: Background: Acute pancreatitis is a sudden inflammation that lasts for a short time. It may range from mild discomfort to a severe, life-threatening illness.Acute pancreatitis (AP) is a potentially lethal disorder with no specific medical treatment. AP is characterized by a spectrum of symptoms, ranging from a local inflammatory process to more severe form (acute necrotizing pancreatitis). In addition, pancreatitis may be further classified into acute interstitial and acute hemorrhagic disease. In the first type, the gland architecture is preserved but is edematous. Inflammatory cells and interstitial oedema are prominent within the parenchyma. Haemorrhagic disease..............

Keywords: Sudanese, Acute pancreatitis, PT, APTT, Platelets.

[1]. Melinda Ratini, DO, MS, WebMD Medical Reference ,on September 25, 2015 .
[2]. Chung, Joo Won; Ryu, Sung Ho; Jo, Jung Hyun; Park, JeongYoup; Lee, Sak; Park, Seung Woo; Song, Si Young; Chung, Jae Bock "Clinical Implications and Risk Factors of Acute Pancreatitis after Cardiac Valve Surgery". Yonsei Medical Journal. (2013). 54 (1): 154.
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[5]. Sir John V .Dacie ∕ S.M.Lewis ,Practical Haematology, Eighth Edition, New York 1995.

Abstract: Mental disorders are very common among medical students but are neglected till now & its magnitude is rising day by day. A self administered questionnaire based cross sectional study was undertaken to determine the predictors of mental distress, anxiety and depression among the undergraduate students of Medical College, Kolkata, India using General Health Questions (GHQ-12), Zung Self Rating Anxiety Scale, Zung self-rating Depression scale etc. 39.1% students were distressed, 15.6% students were suffering from anxiety & 12% were depressed. multivariate logistic regression result shows that 'lack of concentration', 'pursuing M.B.B.S as per others........

Keywords: Depression, Anxiety, Stress, MBBS examination, factors of stress

[1]. Sarrokhani D, Delpisheh A et al, prevalence of depression among university students: A systemstic review and meta analysis study. Depression research and treatment. Vol 2013, 373857. [2]. Kulsoom B, Afsar NA. Stress, anxiety, and depression among medical students in a multiethnic setting. Neuropsychiatr Dis Treat. 2015; 11: 1713–1722
[3]. S. Iqbal, S.Gupta,E. Venkatarao:stress, anxiety & depression among medical undergraduate students & their socio-demographic correlates,Indian J Med Res 141, March 2015, pp 354-357
[4]. Table 1: logistic regression showing different predictors of stress (n=332)

Abstract: The case of a 64-year-old women that was admitted due to back pain, dyspnea , anemia and mild leukocytosis is presented,patient was on ATT for continuous 2 year initially for pulmonary koch's and after that for pott's spine.Patient further evaluated for bonytenderness and back pain,patient diagnosed as a case of multiple myeloma with serum electrophoresis, biochemistry and radiological findings.

[1]. Teo HEL. Primary bone tumors of adulthood. Cancer Imaging 2004;4:74–83
[2]. Melton LJ, Kyle RA, Achenbach SJ, et al. Fracture risk with multiple myeloma: a population-based study. J Bone Miner Res 2005;20:487–93
[3]. Mundy GR, Bertolini DR. Bone destruction and hypercalcemia in plasma cell myeloma. SeminOncol 1986;13:291–9
[4]. Alexanian R, Dimopoulos M. The treatment of multiple myeloma. N Engl J Med 1994;330:484–9

Abstract: Tubercular meningitis(TBM) is very common problem in paediatrics age group.It occurs when tubercle bacilli invades the membrane or the fluid surrounding the brain and spinal cord.Till now there is no such geniuine predictor has been found to predict the mortality in TBM.The CSF chloride in these patients have been done to see its any association with mortality in TBM.

Keywords: TBM,CSF,Chloride.

[1]. Tuberculosis in children-kab ra-4th edition
[2]. Nelson textbook of paediatrics-20th edition
[3]. Paediatrics Neurology-Veena karla-2nd edition
[4]. G.J. Owens study on csf.

Abstract: Background: Obesity is a leading cause for mortality and morbidity in world wide. Previous literature demonstrated high ADA activity and uric acid levels in obese than in non obese. Aim and Objectives: To estimate ADA levels, Lipid profile and serum uric acid levels in an obese and healthy subjects and its clinical significance in predicting the pathogenesis of obesity and MS. Materials and methods: A group of sixty subjects in which thirty were obese and thirty age sex matched healthy subjects were recruited in this study. We have estimated serum uric acid, ADA levels and lipid profile in both healthy and obese subjects. Waist circumference and BMI is also taken as common metabolic risk factors in both the groups. We have seen these parameters in both obese and healthy subjects..........

Keywords: ADA: adenosine deaminase, BMI: body mass index, COPD: chronic obstructive pulmonary disease,MS: metabolic syndrome, T2DM: type 2 Diabetes Mellitus

[1]. Wang, Y. and T. Lobstein, Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes, 2006. 1(1): 11-25.
[2]. Petekkaya, I., U. Sahin, G. Gezgen, M. Solak, D. Yuce, O. Dizdar, et al., Association of breast cancer subtypes and body mass index. Tumori, 2013. 99(2): 129-33.
[3]. Zhou, Y., D. Wang, S. Liu, J. Lu, J. Zheng, N. Zhong, et al., The association between BMI and COPD:the results of two population-based studies in Guangzhou,China.COPD, 2013.10(5): 567-
[4]. 72.
[5]. Choi, H.K., D.B. Mount, A.M. Reginato, P. American College of and S. American Physiological, Pathogenesis of gout. Ann Intern Med, 2005. 143(7): 499-516.

Abstract: Background: Complications arising from treatment of musculoskeletal injuries by traditional bone setters (TBS) are a constant threat to limbs in our environment. Gangrene of usually a part of a limb is one such complications that is not uncommon. However gangrene involving a whole limb in a neonate due to treatment of birth injury by traditional bone setters is not common. Case Report: A 4 week old female neonate presented to our emergency room with gangrene of the whole of the left upper limb that resulted from treatment of a birth injury by traditional bone setters. She subsequently had an open left shoulder disarticulation after initial resuscitation...........

Keywords: Whole limb gangrene, Traditional bone setters (TBS), neonate, limb loss.

[1]. Kwaja CMA. Setting the Bones of Traditional Bone Setting: Wonder Cures. West African Insight. 2011; Available from: www.westafricaninsight.org/articles/PDF/144
[2]. Odatuwa-Omagbemi DO. Complications of Traditional Bone Setters Practice in Nigeria: The Need for Urgent Action. Nig Research Clin Sci. 2012(April); 2(1): 1-5.
[3]. Odatuwa-Omagbemi DO, Enemudo RET, Enamine SE, Esezobor EE. Traditional Bone Setting in the Niger Delta region of Nigeria. Nig J Med. 2014. ; 23 (2): 157-161.
[4]. Thanni LOA. Factors Influencing Patronage of Traditional Bone Setters. West Afr J Med. 2000; 19(3): 220-224.
[5]. Aderibigbe SA, Agaja SR, Bamidele JO. Determinants of Utilisation of Traditional Bone Setters in Ilorin. Journal of Preventive Medicine and Hygiene. 2013; 54: 35-40.

Abstract: OBJECTIVE: To evaluate the influence of the initial vertical position of impacted maxillary incisor on spontaneous eruption frequency and its timing after surgical removal of the supernumerary tooth. Material And Methods: 44 patients with unilateral impaction of maxillary permanent central incisor with an average age of 10.5 years were studied for spontaneous eruption of impacted tooth. Orthopantomograms were taken of every patient. The time (in months) of spontaneous eruption was registered as a time from surgical removal of the supernumerary tooth till visible emergence of impacted central incisor.............

[1]. Snow K. Articulatory Proficiency in Relation to Certain Dental Abnormalities. Journal of Speech and Hearing Disorders 1961; 26: 209–12.
[2]. Shaw WC, O'Brien KD, Richmond S, Brook P. Quality control in orthodontics: risk/benefit considerations. Br Dent J1991; 170: 33–37.
[3]. Mac Phee CG. The incidence of erupted supernumerary teeth in consecutive series of 4000 school children. Br Dent J1935; 58: 59–60.
[4]. Huber KL, Suri L, Taneja P. Eruption disturbances of the maxillary incisors: a literature review 1.J ClinPediatr Dent. 2008;32(3):221–230.
[5]. Smailiene D, Sidlauskas A, Bucinskiene J. Impaction of the central maxillary incisor associated with supernumerary teeth: initial position and spontaneous eruption timing. Stomatologija. 2006;8(4):103–107.

Abstract: Background Thyroid lesions are one of the common conditions encountered in clinical practice. In India especially Uttrakhand region Iodine deficiency is a major public health problem so many of the patients presents with solitary or diffuse goitre. FNAC is found to be the most effective tool for the evaluation of these lesion and helps to differentiate infective, inflammatory benign lesions to neoplastic and malignant lesions. Aim& Objectives The aim of the present study was to determine the epidemiological profile of various thyroid lesions Using fine needle aspiration cytology (FNAC) at our institute. Material And Method...........

Keywords: Thyroid, FNAC, benign, malignant, Uttrakhand.

[1]. Ambika Gopalakrishnan Unnikrishnan and Usha V. Menon Thyroid disorders in India: An epidemiological perspective Indian J Endocrinol Metab. 2011 Jul; 15(Suppl2): S78–S81.doi: 10.4103/2230-8210.83329 PMCID: PMC3169866
[2]. Kelley DJ. Thyroid, Evaluation of the solitary thyroid nodule. Medscape, 2011. emedicine.medscape.com/article/850823-overview (accessed January 2016).
[3]. Pacini F, Schlumberger M, Dralle H, Elisei R, Smit JW, Wiersinga A. European consensus for the management of patients with differentiated thyroid carcinoma of the follicular epithelium. Eur J Endocrinol. 2006;154:787–803. [PubMed]
[4]. Castro MR, Gharib H. Thyroid fine-needle aspiration biopsy: Progress, practice, and pitfalls. Endocr Pract. 2003;9:128–36. [PubMed]
[5]. Guidance on the reporting of thyroid cytology specimens January 2016, Dr P Cross (Chair), Dr A Chandra, Dr T Giles, Dr S Johnson, Dr G Kocjan, Dr D Poller and Professor T Stephenson.Royal college of pathologist

Abstract: Worldwide, cancer is the second leading cause of death next to cardiovascular disease. It was estimated that in the year of 2008, over 12.7 million new cancer cases have occurred worldwide and 7.6 million people died due to cancer. It accounted for around 20% of all deaths in the year of 2008. Environmental factors are responsible for most of the cancers, in which, modifiable risk factors play a major causative role and these are avoidable. The main risk factors associated with cancers are tobacco use, alcohol consumption, infections, dietary habits and physical inactivity. Tobacco use accounts for 50% of all cancers in males.

Keywords: Malignancy, Squamous cell carcinoma, histopathological study, incidence.

[1]. Vinay Kumar, Abul K. Abbas, Nelson Fausto, JonC.Aster. Neoplasia. Robbins and Cotran, Pathologic Basis of Disease. Eighth edition: Elsevier Publ 2010; 259-330.
[2]. Rajesh Dikshit, Chinthanie Ramasundarahettige, Prakash C Gupta, Lukasz Aleksandrowicz, Vendhan Gajalakshmi, Rajesh Kumar, Sandip Roy, Wilson Suraweera, Rajendra Badwe, et al. Cancer mortality in India: a nationally representative survey, March 28, 2012, DOI:10.1016/S0140- 6736(12)60358-4
[3]. Usha K. Luthra, L.D. Sanghvi , A Nandhakumar. Ten-Year Consolidated Report of the Hospital Based Cancer Registries: 1984 – 1993 An Assessment of the Burden and Care of Cancer Patients. National cancer registration programme.
[4]. N.K Ganguly, A. Nandhakumar, Uska K. Luthra, S.K. Battacharya et al. ICMR. National Cancer Registry Programme, Consolidated Report of Population Based Cancer Registries, 2001-2004. Incidence and distribution of cancer, Bangalore, India, 2006.
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Abstract: Background- Peripheral lymphadenopathy(LAP) is a common clinical condition and presents a diagnostic dilemma especially when there is no obvious cause. Fine needle aspiration cytology(FNAC) is usually the first step diagnostic procedure. The patterns and etiologies of peripheral lymphadenopathy can vary depending on geographical areas. The present study was undertaken to investigate the patterns of presentation and the various etiologies of peripheral lymphadenopathy in Ranchi, on the basis of cytological & radiological examination, and correlate the findings. Methods- This observational descriptive study included 119 subjects of peripheral lymphadenopathy visiting the Deptt. of TB & Chest , RIMS, Ranchi...........

Keywords: Peripheral Lymphadenopathy, FNAC, Ranchi, Tuberculous Lymphadenitis, LAP

[1]. Mohseni S, Shojaiefard A, Khorgami Z, Alinejad S, Ghorbani A, Ghafouri A . Iran J Med Sci Supplement March 2014; 39(2):158-70
[2]. Bazemore AW , Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002 Dec 1;66(11):210310.
[3]. Ochicha O, Edino ST, Mohammed AZ, Umar AB, Atanda AT. Pathology of peripheral lymph node biopsies in Kane, Northern Nigeria. Ann Afr Med. 2007 Sep;6(3):1048
[4]. A.K. Chakraborty. Epidemiology of tuberculosis : Current status in India. Indian J Med Res 120, October 2004: 248-76
[5]. Sreenidhi G.M, Nandeeshkumar G.N, Clinicopathological study of Cervical Tubercular Lymphadenopathy at KIMS Hospital Bangalore. Journal of Evolution of Medical and Dental Sciences Nov 2013; 2(44):8655-66

Abstract: Capillary hemangioma is a benign vascular tumour composed of proliferating endothelial cells within fibrous tissue. Other names for this tumour include "benign hemangioendothelioma" and "strawberry nevus." It is the most common tumour of infancy, occurring in 1 to 2 per cent of infants with a female predilection. Capillary hemangioma is a hamartomatous localized proliferation of vascular tissue in a normal location. They manifest by 18 months of age. Most hemangiomas regress spontaneously by age of seven years. We reported a female child of 7 years with gradually increasing...........

Keywords: Capillary hemangioma, Eyelid tumour, hamartomas

[1] Frank RC, Cowan BJ, Harrop AR, et al. Visual development in infants: Visual complications of periocular hemangiomas. J Plast Reconstr Aesthet Surg 2010;63:1–8.
[2] Tambe K, Munshi V, Dewsberry C, et al. Relationship of infantile periocular hemangioma depth to growth and regression pattern. J AAPOS. 2009;13:567–570.
[3] Wilson MW, Hoehn ME, Haik BG, et al. Low-dose cyclophosphamide and interferon alfa 2a for the treatment of capillary hemangioma of the orbit. Ophthalmology 2007;114:1007–1011.
[4] Elflein HM, Stoffelns BM, Pitz S. Laser and other treatment options in the therapy of infantile capillary eyelid and periorbital hemangiomas: An overview. Med Laser Appl 2010;25:242–249.

[5] Weiss AH, Kelly JP. Reappraisal of astigmatism induced by periocular capillary hemangioma and treatment with intralesional corticosteroid injection. Ophthalmology 2008;115:390–397.

Abstract: Introduction; Auromine is a florescent yellow , tasteless , odour less, water soluble highly lethal, easily available household poison which kills about thousands of people in Coimbatore ,Tiruppur and Erode districts and southern parts of Tamilnadu Aim of the study; This is a prospective study to analyze the clinical presentations ,symptoms, signs, biochemical changes in patients with yellow cow dung powder poisoning, and strategies of management as there is no protocol of management available except symptomatic treatment and it is highly toxic, Only Few Case Studies Are Published And No Detailed Research Papers Available.............

Keywords: Yellow Cow Dung Powder,- Saani Powder, Auramine O- Yellow Dye -Poisoning

[1]. Hisham MD, Vijayakumar A, Rajesh N, Sivakumar MN. Auramine-o and malachite green poisoning: Rare and fatal. Indian J Pharm Pract 2013;6:72-4.
[2]. Singh UK, Layland FC, Prasad R, Singh S. Miscellaneous: Poisoning in Children. 3 rd ed. New Delhi: Jaypee Publishers; 2006. p. 213-15.
[3]. Karikalan T, Murugan M. Profile of poisoning cases in a tertiary care hospital, Tamil Nadu. J Evol Med Dent Sci 2014;3:12754-60.
[4]. Krishnamoorthy A, Subramanian R, Dhanaselvi P, Prabhu RS, Jayanthi V. Clinical presentation of cow dung powder poison - A preliminary communication. J Assoc Physicians India 2001;49.
[5]. Angulo P. Use of ursodeoxycholic acid in patients with liver disease. CurrGastroenterol Rep 2002;4:37-44.

Abstract: Immediate postpartum intrauterine contraceptive (PPIUCD) device insertion is one of the newer approaches in contraception where intrauterine contraceptive devices can be inserted within 48 hours of postpartum period with low expulsion rate. Immediate post-placental insertion of IUCD within 10 minutes of delivery of placenta has much lower expulsion rate as compared to insertion later in this period. So, the study was aimed to evaluate spontaneous expulsion after immediate postpartum intra uterine contraceptive devices (PPIUCDs) insertion among 50 married pregnant of more than 18 years of age who were willing to insert immediate PPIUCD.............

Keywords: Contraception, IUCD, LSCS, Post-placental, PPIUCD, Spontaneous expulsion

[1]. Chaudhuri SK. Practice of fertility control: A Comprehensive Manual. 7th edition. Noida: Elsevier; 2013.
[2]. Cunningham FG, Lenevo KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Contraception. In: Cunningham FG, Lenevo KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Williams Obstetrics. 23rd Edition, Philadelphia: The McGraw Hill Companies Inc; 2010, p. 673-97.
[3]. Park K. Park's text book of preventive and social medicine. 23rd ed. Jabalpur (Ind): Banarsidas Bhanot;2015.
[4]. Cleland J, Bernstein S, Ezeh A, Faundes A, Glasier A, Innis J. Family planning: the unfinished agenda. Lancet 2006;368:1810–27.
[5]. Rutstein S. Further evidence of the effects of preceding birth intervals on neonatal, infant, and under-five-years mortality and nutritional status in developing countries: evidence from the demographic and health surveys. DHS working papers No. 41. Macro International; 2008.

Abstract: Gingival enlargement, the currently accepted terminology for an increase in the size of the gingiva, is a common feature of gingival disease. Local and systemic factors influence the gingival conditions of the patient. These factors results in a spectrum of diseases that can be developmental, reactive and inflammatory to eoplastic. In this article, the history, etiology, clinical and histopathological features, treatment strategies and preventive protocol of inflammatory hyperplasia are discussed.............

Keywords: Gingival enlargement, gingival hyperplasia, inflammatory hyperplasia

[1]. R. Rajendran and B. Shivpathasundharam: Shafer's Textbook of Oral Pathology, 5th ed, Elsevier 2007, page 543- 548.
[2]. Trackman P, Kantarci A. Connective tissue metabolism and gingival overgrowth. Crit Rev Oral Bio Med 2004;15:165-175.
[3]. Carranza FA, Hogan EL. Gingival enlargement. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza's Clinical
Periodontology. 11th ed. Philadelphia, Penn: W.B. Saunders Company; 2006:373–390.
[4]. Jhadhav T, Bhat KM, Bhat GS, Varghese JM. Chronic Inflammatory Gingival Enlargement Associated with Orthodontic Therapy –
A Case Report. J Dent Hyg.2013;87(1):19-23.
[5]. Inglés E, Rossmann JA, Caffesse RG. New clinical index for drug induced gingival overgrowth. Quintessence Int 1999;30:467-73

Abstract: Background: It is essential to plan health care services for the elderly people in the era of population ageing. Morbidity assessment plays a major role in planning of health care services. The ageing of population is an inevitable consequence of process of demographic transition and creates an imbalance in the age structure over a period of time. Aims and Objectives: To determine the pattern of physical morbidity in rural elderly population of field practice area of MMIMSR. Methodology: A cross sectional study was conducted in rural population of district Ambala, Haryana. Using the standard formula, sample size came out to be 600. Taking a non-response rate of 10%, the sample size came out to be 660..............

Keywords: Acid peptic disease,Anaemia,Cataract, Geriatric, Haryana, Joint pains, Morbidity, Senile deafness.

[1]. Jamuna D. Stress dimensions among caregivers of the elderly. Indian J Med Res, 106, 1997, 381-8.
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[5]. Gaur DR, Goel MK, Goel M, Das A, Arora V. A Study of Morbidity Profile of Elderly in Urban Areas of North India. The Internet Journal of Epidemiology 5(2) 2008.

Abstract: Background: Antiresorptive drugs are used to prevent bone resorption derived from different diseases. One of the most frequent complications of these drugs is the osteonecrosis of the jaws (ONJ). Casereport: We report the case of an 82-year-old male presenting multiple ONJ lesions in the maxilla associated with the trauma of a removable partial denture and the bisphosphonates intake. Discussion: The main controversy of ONJ lesions is the treatment that should be performed. Although it has been seen that there is no a totally effective therapy for ONJ, currently there are some promising and non-invasive techniques that seem to be effective, improving the quality of life of the patient.

Keywords: Osteonecrosis, Jaws, Bisphosphonates, Denosumab, Treatment.

[1]. Pichardo SE, Richard van Merkesteyn JP. Bisphosphonate-related osteonecrosis of the jaws: spontaneous or dental origin? Oral Surg Oral Med Oral Pathol Oral Radiol. 2013; 116: 287-292.
[2]. Kumar V, Shahi AK. Nitrogen containing bisphosphonates associated osteonecrosis of the jaws: A review for past 10 year literature. Dent Res J. 2014; 11: 147-153.
[3]. Khan AA, Morrison A, Hanley DA, Felsenberg D, McCauley LK, O'Ryan F, et al. Diagnosis and management of osteonecrosis of the jaw: a systematic review and international consensus. J Bone Miner Res. 2015; 30: 3-23.
[4]. Campisi G, Fedele S, Fusco V, Pizzo G, Di Fede O, Bedogni A. Epidemiology, clinical manifestations, risk reduction and treatment strategies of jaw osteonecrosis in cancer patients exposed to antiresorptive agents. Future Oncol. 2014; 10: 257-275.
[5]. Ruggiero SL, Dodson TB, Fantasia J, Goodday R, Aghaloo T, Mehrotra B, et al. American Association of Oral and Maxillofacial Surgeons position paper on medication-related osteonecrosis of the jaw - 2014 update. J Oral Maxillofac Surg. 2014; 72: 1938-1956.

Abstract: Aim: To compare the outcome of laparoscopic incisional hernioplasty and open hernioplasty in terms of safety and effectiveness , duration of NPO status after surgery , post operative pain , post operative wound complications , duration of hospital stay , time required to resume regular activities and cost effectiveness. Methods: Fifty cases of incisional hernia admitted in the department of general surgery Thoothukudi medical college and hospital. Detailed history taking done. Patients were divided in two groups. One group underwent laparoscopic mesh repair and group 2 underwent open mesh repair............

Keywords: incisional hernia, laparoscopic mesh repair, rectus defect , post operative.

[1]. Anthony, T., Bergen, P.C., Kim, L.T. et al, Factors affecting recurrence following incisional herniorrhaphy. World J Surg. 2000;24:95–101.

[2]. Millikan, K.W. Incisional hernia repair. Surg Clin North Am. 2003;83:1223–1234.

[3]. Bellows, C.F., Alder, A., Helton, W.S. Abdominal wall reconstruction using biological tissue grafts: present status and future opportunities. Expert Rev Med Devices. 2006;3:657–675.

[4]. Ponsky, T.A., Nam, A., Orkin, B.A., Lin, P.P. Open, intraperitoneal, ventral hernia repair: lessons learned from laparoscopy. Arch Surg. 2006;141:304–306.

[5]. Raftopoulos, I., Vanuno, D., Khorsand, J. et al, Outcome of laparoscopic ventral hernia repair in correlation with obesity, type of hernia, and hernia size. J Laparoendosc Adv Surg Tech A..

Abstract: The incidence of traumatic dislocation of the hip associated with femoral shaft fracture on the same side is rare. It meets with two main problems: diagnosis and treatment. We describe in this paper a special case which was treated with closed reduction of the hip and ORIF of the femoral shaft with a dynamic compression plate.

Keywords: femoral fracture, hip dislocation, ipsilateral

[1]. Sir Cooper A. A treatise on dislocations and on fractures of the joints: fractures of the neck of the thigh-bone. 1823. Clin Orthop Relat Res. 2007 May;458:6-7.

[2]. Wiltberger BR, mitchell CL, Hedrick DW.Fracture of the femoral shaft complicated by hip dislocation; a method of treatment. J Bone Joint Surg Am. 1948 Jan;30A(1):225-8.

[3]. Helal B, Skevis X. Unrecognised dislocation of the hip in fractures of the femoral shaft. J Bone Joint Surg Br. 1967 May;49(2):293-300.

[4]. Schoenecker PL, Manske PR, Sertl GO. Traumatic hip dislocation with ipsilateral femoral shaft fractures. Clin Orthop Relat Res. 1978 Jan-Feb;(130):233-8.

[5]. Dehne E, immermann EW.Dislocation of the hip combined with fracture of the shaft of the femur on the same side. J Bone Joint Surg Am. 1951 Jul;33-A(3):731-45.

Abstract: Hip pain is a common problem that causes difficult diagnostic and therapeutic challenges for the clinician. Magnetic resonance imaging (MRI) has good soft tissue contrast and resolution. MRI offers valuable information regarding occult bony and cartilage injury such as stress fractures, avascular necrosis, osteoarthritis, as well as soft tissue abnormalities such as bursitis. This prospective study included 52 patients with painful hip joint. The following MR sequences were performed to all patients: coronal T1WI, T2WI, STIR &PDFS images, axial T1WI & T2WI, sagittal PDFS images and axial, coronal and sagittal T1WI after contrast injection.............

Keywords: Arthritis, Avascular necrosis,Hipfractures,Hip joint, MRI,

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[4]. Verbeeten KM, Hermann KL, Hasselqvist M. The advantages of MRI in the detection of occult hip fractures. European Radiology 2007; 15:165-7.
[5]. Thomas H. Berquist. Pelvis, Hips and Thigh. MRI of the Musculoskeletal System 6th edition. (Philadelphia: LippincottWilliams&Wilkins, 2012) 205..

Abstract: Idiopathic gingival fibromatosis is an uncommon, benign, hereditary condition with no specific cause. It is characterized by a slowly progressive, nonhemorrhagic, fibrous enlargement. It occurs either as an isolated disease or combined with some rare syndromes or chromosome disorders. Aggressive periodontitis comprises a group of rare, often severe, rapidly progressive forms of periodontitis often characterized by an early age of clinical manifestation and a distinctive tendency for cases to aggregate in families. The article highlights a rare case report exhibiting idiopathic gingival fibromatosis along with aggressive periodontitis. The diagnosis was based on a detailed clinical examination and case history recording, extensive haematological, microbiological and radiological investigation...........

[1]. Coletta RD, Graner E. Hereditary gingival fibromatosis: A systematic
[2]. review. J Periodontol 2006; 77: 753-764.
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[4]. Hart TC, Pallos D, Bozzo L, Almeida OP, Marazita ML, O'Connell JR, and other. Evidence of genetic heterogeneity for hereditary gingival fibromatosis. J Dent Res 2000; 79(10):1758–64.
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Abstract: Pendred syndrome is listed as a "rare disease" by the Office of Rare Diseases (ORD) of the National Institutes of Health (NIH) in the United States of America.Pendred syndrome is characterized by the association of congenital bilateral neurosensory deafness, thyroid goiter, cochleovestibular malformation and potential vestibular dysfunction. Incidence ranges between 1/100,000 and 10/100,000 births, according to geographic location.It is an autosomal recessive inherited condition and the incriminated gene, PDS or SLC26A4, is located on 7q31 and encodes an iodide and chloride transporter

Keywords: Pendredsyndrome, neurosensory deafness, goiter, vestibular dysfunction, congenitaldeafness.

[1]. GuntramBorck, Ulrike Napiontek, Nicole Pfarr, Wibke Müller-Forell,AnneroseKeilmann, Joachim Pohlenz; Congenital Deafness and Goiter:Pendred Syndrome; DtschArztebl 2006; 103(46): A 3108–14
[2]. Banghova K, Cinek O, Al Taji E and Zapletalova J. Thyroidectomy in a patient with multinodulardyshormonogenetic goiter: a case of Pendred syndrome confirmed by mutations in the PDS/SLC26A4 gene. J PediatrEndocrinolMetab. 2008; 21(12): 1179-1184.
[3]. Bashir EA, Ahmed S, Murtaza B, Abbasi MH, Adawi F, Nassir E. Follicular carcinoma thyroid in Pendred syndrome. J Coll Physicians Surg Pak.2004; 14(11):679-680
[4]. Borck G, Roth C, Martine U, Wildhardt G, Pohlenz J: Mutations in the PDS gene in German families with Pendred'ssyndrome: V138F is a founder mutation. J ClinEndocrinolMetab 2003; 88: 2916–21.
[5]. Reardon W, Coffey R, Chowdhury T et al.: Prevalence, age of onset, and natural history of thyroid disease in Pendred syndrome. J Med Genet 1999; 36: 595–8..

Abstract: Background: Fine‑needle aspiration (FNA) of thyroid gland is a widely accepted, simple, safe and accurate method for evaluation of thyroid lesion. Fine needle non-aspiration/ Fine needle capillary cytology (FNNAC/FNC) is an alternative technique not commonly used, though it is easy to perform. Aim- To evaluate the efficacy of fine-needle non-aspiration cytology (FNNAC) with that of fine-needle aspiration cytology (FNAC) of thyroid lesions as regards to cellular and hemorrhagic yield and to compare these two cytological techniques. Methods: The present study includes 129 thyroid cases carried out in the Department of pathology, Rajendra Institute of medical sciences, Ranchi during the one year period from November 2013 to October 2014. The smears were scored using three objective parameters i.e. background blood or clot, amount of cellular material and retention of appropriate architecture in a single blind setting by a cyto-pathologist. The results were analyzed using Student t- testfor independent sample as well as paired data........

Keywords: Thyroid, FNAC, Fine-needle non-aspiration cytology

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Abstract: Background: Eclampsia is one of the most feared obstetric emergencies and a major contributor of maternal and fetal death from hypertensive disorders. Some suffered it and died while some live to tell their stories; what determines who dies? Objective: 1). To determine the pattern of eclampsia in NAUTH. 2). To demonstrate the maternal and fetal associations Methodology: The case notes of eclamptic patients that presented at NAUTH between 2010 and 2014 were retrieved, studied and analyzed. Result: During the period of study, a total of 54 maternal deaths occurred and 8 of these were due to eclampsia, contributing 15.3% to maternal mortality...............

Keywords: eclampsia, obstetrics, association, fatality

[1]. Kwawukume EY. Hypertension in pregnancy. In Kwawukume EY, Emuveyan EE (Eds) Comprehensive Obstetrics in The Tropics. 1st Edition, Asante & Hittscher Printing Press Limited, Accra. 2002: 173-184.
[2]. Miller DA. Hypertension in Pregnancy. In: Decherney AH,Nathan L(eds). Current Diagnosis and Treatment in Obstetrics and Gynaecology ,10th Edition.McGraw–Hill companies. 2007; 318- 327.
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Abstract: Objectives: To analyze clinical presentation and mycological profile of systemic fungal infection in neonates. Material and Methods: A hospital based prospective, observational study was done over a period of one year in the department of Pediatrics of Burdwan Medical College. The study included 254 neonateswho were admitted in newborn care unit (inborn and outborn) and were started on intravenous fluid. Results: Fungal culture was positive in 19 neonates (7.48%). The mean birth weight and gestational age of the neonates with positive fungal cultures were 1.539±0.593 kg and 33.368±2629 weeks respectively. Candida Parapsilosis was the most common organism in ˂1500 gm group whereas Candida albicans and Candida parapsilosis were mostly found in 1500-2499 gm group. The predominant presenting signs were related to the gastrointestinal system (68.4%)..........

Keywords: Fungal Infection, Neonate, Organism, Antifungals

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[2]. Biswas T, Sil A, Mondal R, Samanta M, Ray S, Sabui TK. A Comparative Study of Clinicomicrobiological Profile of Late-onset Neonatal Sepsis between Family Nursing Care and Hospital Care Groups of Extramural Neonates. J Pediatr Infect Dis 2015;10:108-12.
[3]. Wazir S, Kumar P. Systemic fungal infection in neonate. Journal of Neonatology 2006;20:28-35.
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[5]. Garland JS, Uhing MR. Strategies to prevent bacterial and fungal infection in the neonatal intensive care unit. ClinPerinatol 2009;36:1-13..