iosr-JDMS   Volume-16 ~ Issue-8 ~ August-2017

Abstract: Difficulties in diagnosing acute appendicitis in a very young, elderly and female patients of reproductive age is due to their atypical presentation.Often these imaging studies involve learning curve and also infrastructure. there is always a need for a clinical acumen in diagnosing such a acute condition to avoid morbidity. Many scoring systems for the diagnosis of acute appendicitis have been tried, but most of these are complex and not feasible in emergency setting. The modified Alvarado scoring system has been shown by recent studies to be easy, simple and cheap diagnostic tool for supporting..............

Keywords: Eye donation, Awareness, Education, Unwillingness, Willingness to donate,

[1]. Hoffmann J, Rasmussen OO. Aids in the diagnosis of acute appendicitis. Br J Surg. 1989; 76:774-779.
[2]. Ooms HW, Koumans RK, Ho-Kang-You PJ, Puylaert JB. Ultrasonography in the diagnosis of acute appendicitis. Br J Surg. 1991; 78: 315-318.
[3]. Heller MB, Skolnick ML. Ultrasound documentation of spontaneously resolving appendicitis. Am J Emerg Med. 1993; 11: 51- 53
[4]. Velanovich V, Savata R. Balancing the normal appendectomy rate with the perforated appendicitis rate: implications for quality assurance. Am Surg. 1992; 58: 264-269.
[5]. Gilmore OJA, Jones D, Ynag Q. Appendicitis and mimicking conditions. Lancet. 1975;11:421–4.

Abstract: Objectives: 1. Analyzing the histo-pathological pattern of endometrium in abnormal uterine bleeding. 2. Categorizing the patients according to histo-pathological report for further management. 3. To study the efficacy of medical management (Mainly Progestins). Materials and methods: A prospective and observational study was done in Department of Obstetrics and Gynaecology, Gandhi Hospital, Secunderabad, Telangana. Total 100 cases of perimenopausal women (40-54 yrs) with abnormal uterine bleeding were studied during the period of 2 years from NOV 2012 to SEP 2014. D and C was done after making a clinical diagnosis of AUB in these women...............

[1]. Campbell S, Monga A. Gynaecology by Ten Teachers.17th ed. Arnold, 2000:41-54.3.
[2]. Bayer SR, DeCherney AH. Clinical Manifestations and Treatment of Dysfunctional Uterine Bleeding. JAMA. 1993; 269: 1823-1828.
[3]. Clark TJ, Gupta JK. Endometrial Sampling of Gynaecological Pathology. The Obstetrician and Gynaecologist 2002; 4(3): 169-174.
[4]. Schorge, Schaffer et.al. Abnormal uterine bleeding. In: Williams Gynaecology. 1st Ed. New York, McGraw-Hill; 2008; 174-9.
[5]. Sajitha K et al. Study of histopathological patterns of endometrium in abnormal uterine bleeding.CHRISMED Journal of Health and Research /Vol 1/Issue 2/Apr-Jun 20614.

Abstract: Dental implants represent one of the most successful treatment modalities in dentistry. However, failures do occur in the range from 5 to 8% for routine procedures and up to 20% in major grafting cases after at least 5 years of function . The majority of implant losses may be explained as biomechanically induced failures, since low primary implant stability, low bone density, short implants and overload have been identified as risk factors . Hence, achievement and maintenance of implant stability are pre-conditions for a successful clinical outcome with dental implants.

Key words: osseointegration, dental implant stability , ISQ,

[1]. Misch CE. Contemporary Implant Dentistry, volume 3. 2008.
[2]. Abu-Hussein M, Georges C, Watted N, Azzaldeen A ;A Clinical Study Resonance Frequency Analysis of Stability during the Healing Period. Int J Oral Craniofac Sci 2016,2(1): 065-071. DOI: 10.17352/2455 4634.000021
[3]. Meredith N. Assessment of implant stability as a prognostic determinant. International Journal of Prosthodontics. 1998;11: 491-501.
[4]. Atsumi M, Park SH, Wang HL. Methods used to assess implant stability: Current status. Int J Oral Maxillofac Implants. 2007;22:743-54
[5]. Friberg B., Sennerby L., Meredith N., and Lekholm U. A comparison between cutting torque and resonance frequency measurements of maxillary implants. a 20-month clinical study. Int J Oral Maxillofac Surg, 28:297{303, 1999

Abstract: The development of Endoscopic Sinus Surgery in the late 70s (Austria 1970s) had lead to huge strides in the understanding of paranasal sinus anatomy, knowledge in the pathogenesis of sinus diseases and the treatment of chronic Rhinosinusitis. Rhinosinusitis is one of the most common chronic adult health problems in the Western world with a recent European study estimating the prevalence of chronic rhinosinusitis (CRS) at 11%1 Specialized and specifically designed instruments guided by illuminated telescopes which project highly improved and magnified images to monitors are used to visualize the internal architecture of the nose and paranasal sinuses. This has greatly enhanced the appreciation...................

[1]. Philpott C, Hopkins C, Erskine S, Kumar N, et al. The burden of revision sinonasal surgery in the UK—data from the Chronic Rhinosinusitis Epidemiology Study (CRES): a cross-sectional study.BMJ. 2016;5 (4).

[2]. Beule A.Epidemiology of chronic rhinosinusitis, selected risk factors, comorbidities, and economic burden. GMS Curr. Top Ororrhinolaryngol Head Neck Surg. 2015; 14:11.

[3]. Noon E, Hopkins C. Outcomes in endoscopic sinus surgery.BMC Ear, Nose and Throat Disorders. 2016; 16 (9).
[4]. Rudmik L, Smith TL, Schlosser RJ, Hwang PH, Mace JC, Soler ZM. Productivity costs in patients with refractory chronic rhinosinusitis. Laryngoscope. 2014;124(9):2007–12.

[5]. Beule AG. Epidemiology of chronic rhinosinusitis, selected risk factors, comorbidities and economic burden. Larngorhinootogie. 2015;94:(1-23)

Abstract: There has been a paradigm shift in the treatment protocols of acute pancreatitis over the past two decades from an early aggressive surgical treatment to a more conservative strategy. In this study, we assess the role of image guided percutaneous catheter drainage of peri-pancreatic fluid and necrotic collections in the management protocols of severe acute pancreatitis. On admission, all the cases were resuscitated with intravenous fluids, organ dysfunction management, analgesics and antibiotics. Supportive treatment was offered to those individuals who showed improvement when compared with their status during admission. Patients who developed (i) contaminated peripancreatic............

Key words: percutaneous catheter drainage, acute severe pancreatitis, necrosectomy, step-up approach, necrotising pancreatitis, image-guidance, conservative management

[1]. Shaheen NJ, Hansen RA, Morgan DR, et al: The burden of gastrointestinal and liver diseases, 2006. Am J Gastroenterol101:2128, 2006.
[2]. Banks PA, Freeman ML: Practice guidelines in acute pancreatitis. Am J Gastroenterol101:2379, 2006.
[3]. Petrov MS, Shanbhag S, Chakraborty M, et al: Organ failure and infection of pancreatic necrosis as determinants of mortality in patients with acute pancreatitis. Gastroenterology 139:813, 2010.
[4]. Besselink MG, Van Santvoort HC, Boermeester MA, et al: Timing and impact of infections in acute pancreatitis. Br J Surg96:267,2009
[5]. Eckerwall GE, Tingstedt BB, Bergenzaun PE, et al: Immediate oral feeding in patients with mild acute pancreatitis is safe and may accelerate recovery: A randomized clinical study. ClinNutr26:758,2007

Abstract: Headphone usage is drastically increased nowadays with about 173 million users, especially among teenagers. The electromagnetic fields acquire importance due to symptoms like warmth, headache and fatigue. The purpose was to assess the possible deleterious effects of headphone usage on cognitive functions in both genders. The cognitive functions assessment was done using 60 undergraduate medical students between the age group of 18-21 yrs, using cognitive function tests like Mini mental status examination (MMSE), Wechsler Memory Scale (WMS-1&2), Letter Digit.............

Key words: Cognitive functions, Gender difference, Head phone users, Mobile phones, Music

[1]. P Karthikeyan, JS Christian, A Audhya, Hearing evaluation in mobile phone users at a tertiary care hospital, Indian Journal Otology, 20(1), 2014, 24-8.
[2]. G. Oftedal , J. Wilen , M. Sandstrom, KH. Mild, Symptoms experienced in connection with mobile phone use, Occupational Medicine (London), 50(4), 2000, 237-45.
[3]. F. Zhao , VK. Manchaiah, D. French, SM. Price, Music exposure and hearing disorders: An overview, International Journal of Audiology, 49(1), 2010, 54-64.
[4]. TM. Lee, PK. Lam, LT. Yee, CC. Chan, The effect of the duration of exposure to the electromagnetic field emitted by mobile phones on human attention, Neuroreport, 14(10), 2003, 1361-1364.
[5]. A. Barth, R. Winker, E. Ponocny-Seliger et al, A meta-analysis for neurobehavioural effects due to electromagnetic field exposure emitted by GSM mobile phones. Occupational Environmental Medicine, 65(5), 2008, 342-346.

Abstract: Background: Cervical cancer in India accounts for 1/4th cancer burden of world. Morbidity and mortality due to cervical cancer declined dramatically in developed countries after introduction of cytology based screening programs and quality treatment. Objective- To find out proportion of and pattern of cellular atypia and dysplasia, to evaluate ASCUS/ LSIL cases with colposcopy, HPV testing and histological examination. Methodology: A descriptive cross sectional study was conducted for one year at Ramakrishna Mission Seva Pratishthan, Vivekananda Institute of Medical Sciences (RMSPVIMS..............

Key words: cervical cancer, screening, Pap smear, colposcopy, Human Papillloma Virus

[1]. Shanta V, Krishnamurthi S, Gajalakshmi CK, Swaminathan R, Ravichandran K. Epidemiology of cancer of the cervix: global and national perspective. J Indian Med Assoc. 2000; 98:49–52 [2]. Ferley J, Shin HR, Bary F, Forman D, Mathers C, Parkin D. GLOBOCAN 2008. Int J Cancer. 2010; 127:2893-917. doi: 10.1002/ijc.25516.
[3]. L Yang, DM Parkin, L Li, Y Chen. "Time trends in cancer mortality in China: 1987-1999". Int. J. Cancer 2003; 106:771-83.
[4]. Boicea A, Pătraşcu A, Şurlin V, Iliescu D, Schenker M, Chiuţu I. Correlations between colposcopy and histologic results from colposcopically directed biopsy in cervical precancerous lesions. Rom J Morphol Embryol 2012, 53:735–41.
[5]. Smith R A, Cokkinides V, Eyre H J. American Cancer Society guidelines for the early detection of cancer, 2006. CA Cancer J Clin 2006; 56:11-25.

Abstract: Background And Objectives: The method of pancreatic reconstruction after pancreaticoduodenectomy (PD) is closely associated with postoperative morbidity, mortality, and patient's quality of life. The objective of this study is to evaluate which anastomosis approach – pancreaticogastrostomy (PG) or Binding pancreaticojejunostomy (PJ), is a better option of choice in terms of postoperative complications. Materials and Methods: Patients subjected to this study were taken from General surgical & Surgical gastroenterology wards of Government Rajaji Hospital, Madurai over a period of 18 months years from January 2015 to July 2016..............

Key words: Pancreaticogastrostomy, binding pancreaticojejunostomy pancreaticoduodenectomy, anastamosis, leakage.

[1]. Shackelford's Surgery of the Alimentary Tract 7th Edition, Pages 1110-1285.
[2]. Blumgarts Surgery of the liver, billary Tract And Pancreas 5th Edition pages 922-966.
[3]. Master of Surgery – Fischer 5th edition 2nd volume, pages 1222-1317.
[4]. Anatomic Basis of Tumour Surgery 2nd Edition William C Wood, pages 550-600.
[5]. Comparison between Pancreaticojejunostomy and pancresticogastrostomy after pancreaticoduodenectomy. Wen-Liang Fang, Yi-Ming Shyr, Cheng-Hsi Su, Tien-Hua Chen, Chew-Wun Wu, Wing-Yiu Lui J Formos Med Assoc 2007;106(9):717–727

Abstract: A community –based cross-sectional mixed method study, involving FGDs and cross sectional survey, was conducted in a village of West Bengal among 495 subjects of 15-49 years age group to assess the awareness about HIV/AIDS and attitude towards PLWHA. The study revealed that awareness about HIV/AIDS was not complete as inspite of higher level of knowledge about transmission and prevention of the disease, poor knowledge about STDs, PPTCT, nearest treatment facilities for the disease and appreciable level of misconceptions persisted across the population............

Key words: FGD, HIV/ AIDS, PLHA, Qualitative analysis, STDs

[1]. Park K. AIDS.Park's Textbook of Preventive and Social Medicine, (24th Edition), (Jabalpur, Banarasidas -Bhanot, 2017)361-73.
[2]. Annual Report 2015. National AIDS Control Organization. Dept. of AIDS Control. New Delhi Ministry of Health & Family Welfare. Govt. of India. Available from:http://www.nacoonline.org/upload/REPORTS/NACO%20Annual%20Report%202010-11.pdf, accessed on 17 June, 2017.
[3]. National Behavioural Surveillance Survey (BSS) 2006 in general Population. National AIDS Control Organization, Ministry of Health and Family Welfare, Government of India.
[4]. National Family Health Survey-3 ( NFHS-3). 2005-06. International Institute for Population Sciences. Mumbai. India

Abstract: Adult pure primary rhabdomyosarcoma of the ovary is a rare neoplasm. It has a poor prognosis. Treatment options include chemotherapy, surgery and radiotherapy. True hermaphrodite gonads degenerate in rare cases. We report the first case of pure primary ovarian rhabdomyosarcoma in a true hermaphrodite patient.

Key words:Chemotherapy, Hermaphrodite, Ovarian tumors, Rhabdomyosarcoma

[1]. Ferrari A, Dileo P, Casanova M, Bertulli R, Meazza C, Gandola L, et al. Rhabdomyosarcoma in adults. Cancer. 2003;98(3):571-80.
[2]. Furlong MA, Mentzel T, Fanburg-Smith JC. Pleomorphic rhabdomyosarcoma in adults: a clinicopathologic study of 38 cases with emphasis on morphologic variants and recent skeletal muscle-specific markers. Modern Pathology. 2001;14(6):595-603.
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[4]. Maurer HM, Gehan EA, Beltangady M, Crist W, Dickman P, Donaldson S, et al. The intergroup rhabdomyosarcoma study. Cancer. 1993;71(5):1904-22.
[5]. Ma X, Huang D, Zhao W, Sun L, Xiong H, Zhang Y, et al. Clinical characteristics and prognosis of childhood rhabdomyosarcoma: a ten-year retrospective multicenter study. International journal of clinical and experimental medicine. 2015;8(10):17196.

Abstract: Objective: Vitamin E (vit.E) is major vitamin having antioxidant and neuroprotective activity. However, little direct experimental evidence supported use of vitamin E in improving the activities of daily life (ADL) in Alzheimer's disease (AD). Methods: Twenty rats divided into 3 groups; C: control; D: receivedAluminum chloride (Al) by gavage and d-galactose (D-gal) by injection; D+E: received Al and d-gal plusvit.E orally. We measured blood sugar, insulin,levels of inflammatory cytokines, cognitive performance using ADL tests and number of CA1 hippocampal survival cells............

Key words: Alzheimer's disease; Vitamin E; Aluminum chloride; d-galactose; Hippocampus, inflammatory cytokines; Activities of daily life,

[1]. M. Kivipelto, T. Ngandu, T. Laatikainen, B. Winblad, H. Soininen,J. Tuomilehto, Risk score for the prediction of dementia risk in 20 years among middle-aged people: a longitudinal, population-based study. Lancet Neurol. 5(9), 2006, 735-41.
[2]. G. Chêne, A. Beiser, R. Au, S.R. Preis, P.A. Wolf, C. Dufouil,C. Seshadri, Gender and incidence of dementia in the Framingham Heart Study from mid-adult life. Alzheimers Dement. 11(3), 2015, 310-20.
[3]. R.M.J. Deacon, A novel approach to discovering treatment for Alzheimer's disease. J Alzheimers Dis Parkinsonisn. 4, 2014, 142.
[4]. E. Tulving, Episodic memory: from mind to brain. Annu Rev Psychol2002;53, 1-25.
[5]. V. Dhikav,K. Anand, Potential predictors of hippocampal atrophy in Alzheimer's disease. Drugs Aging 28(1), 2011, 1-11.
[6]. R.M. Deacon RM, J.N. Rawlins, Hippocampal lesions, species-typical behaviors and anxiety in mice. Behav Brain Res. 156, 2005, 241-249.

Abstract: HIV/AIDS continues to be a major health and economic problem worldwide. By end of 2012, the national prevalence for Kenya was 5.6%. A number of interventions are in place including but not limited to upscale of antiretroviral (ARVs). Though these interventions have worked to improve the quality of life for the infected, there are challenges to be overcome owing to the high cost of the drugs, lack of proper distribution infrastructure, side effects leading to poor adherence and ultimately drug resistance to the three classes of the available ARVs. There have been concerted efforts to exploit the potential of herbal medicine in managing the pandemic. However this has been accompanied.........

Key words: HIV/AIDS- antiretroviral - natural health products (NHPs) – efficacy

[1]. WHO Geneva 2002: www.who.int/topics/traditional_medicine/en/; (Accessed on 19/112/2011).
[2]. WHO (2008) Traditional Medicine, Fact sheet: http://www.who.int/mediacentre/factsheets/fs134/en/. (Accessed on 19/112/2011).WHO (2002) WHO Traditional Medicine Strategy 2002–2005.
[3]. PPB (2010) PPB (2010) Registration of Herbal and Complementary Products: <http://www.pharmacyboardkenya.org/assets/files/HERBAL GUILDLINE.pdf>, Adapted on 16/11/2011.
[4]. Mills E, Foster BC, Van Heeswijk R, et al. Impact of African herbal medicines on antiretroviral metabolism. AIDS 2005; 19: 95-97.
[5]. Mills E, Cooper C, Seely D, Kanfer I. African herbal medicines in the treatment of HIV: Hypoxis and sutherlandia. An overview of evidence and pharmacology. Nutr J 2005; 4: 19.

Abstract: Neonatal sepsis is the most common infection encountered in Neonatal Intensive Care Unit (NICU) and forms the basis for the most of the studies conducted in NICU. The Proper management of these cases in NICU requires a through knowlwdge of the prevailing causativeorganisms and their antibiotic sensitivity/resistance patterns which decide the empiric therapy and may guide the neonatologist. Material and Method: All clinically suspected cases of Neonatal sepsis admitted to NICU from Jan 2016-Dec 2016 were included in the study. The data were analysed statistically. Study type-Prospective descriptional Study.............

[1]. Tripathi S, Malik GK. Neonatal sepsis: Past, present and future; a review article. Internet J Med Update. 2010;5:45–54.
[2]. Report of the National Neonatal Perinatal Database. Report 2002-2003. NNPD Network. [Last accessed on 2010 July 17]. Available from: http://www.newbornwhocc.org/pdf/nnpd_report_2002-03.PDF .
[3]. Levy I, Leibovici L, Ducker M, Samra Z, Konisberger H, Ashkenazi S. A prospective study of Gram-negative bacteraemia in children. Pediatr Infect Dis J. 1996;15:117–22. [PubMed]

[4]. Agnihotri N, Kaistha N, Gupta V. Antimicrobial susceptibility of isolates from neonatal septicemia. Jpn J Infect Dis. 2004;57:273– [PubMed]

[5]. Tsering DC, Chanchal L, Pal R, Kar S. Bacteriological profile of septicemia and the risk factors in neonates and infants in Sikkim. J Global Infect Dis. 2011;3:425. [PMC free article] [PubMed

Abstract: The purpose of this research is to study the stresses fallen on three different points on the palatal surface of crowned endodontically treated immature anterior tooth reinforced with esthetic post using FEA.This finite element study simulated a clinical situation where stresses are applied from occlusion of teeth against each other in three different points (Inner curvature of incisal edge, junction between middle and cervical thirds, and cingulum area) which represents three different types of occlusion (edge to edge bite, normal bite and deep bite). Three different types.............

Key words: Finite element study, Von Mises stress, Different types of occlusion

[1]. Ivar A. Mjor, Valeria V. Gordan, Amer Abu-Hanna and Gregg H. Gilbert. Research in General Dental Practice, J of ActaOdontologicaScandinavica Volume 63, 2005 - Issue 1.
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[3]. Richard S. Schwartz, James W. Robbins.Post Placement and Restoration of Endodontically Treated Teeth: A Literature Review. Journal of Endodontics, Volume 30, Issue 5, May 2004, Pages 289–301.
[4]. Shalin Desai, Nicholas Chandler "The restoration of permanent immature anterior teeth, root filled using MTA: A review" JOD, September 2009, Volume 37, Issue 9, Pages 652–657.
[5]. Franklin Garcia-Godoy, Peter E. Murray, Recommendations for using regenerative endodontic procedures in permanent immature traumatized teeth. Dental Traumatology, Volume 28, Issue 1, February 2012, Pages 33–41.

Abstract: The role of diet in the development of rickets was determined by Edward Mellany between1918-19201. In 1921, ELMER Mc Collum identified an anti-rachitic substance found in certain fats could prevent rickets2. Because the newly discovered substance was the fourth Vitamin identified, it was called Vitamin D. Vitamin D is a group of fat soluble pro-hormones, the two major forms of which are vitamin D2 (or ergocalciferol) and vitamin D3(or cholecalciferol) In India sub clinical vitamin D deficiency is wide spread in all age groups3,4. Dietary intakes of both calcium and vitamin D..............

[1]. Mellanby E. Nutrition Classics. The Lancet 1:407-12, 1919. An experimental investigation of rickets. Edward Mellanby. Nutr Rev. 1976 Nov;34(11):338-40.

[2]. McCollum EV, Simmonds N, Becker JE, Shipley PG. Studies on experimental rickets. XXI. An experimental demonstration of the existence of a vitamin which promotes calcium deposition. J. Biol. Chem. 1922;53:293-312

[3]. Arya V, Bhambri R, Godbole MM, Mithal A. Vitamin D status and its relationship with bone mineral density in healthy Asian Indians.Osteoporos Int. 2004 Jan;15(1):56-61. Epub 2003 Sep 12.

[4]. Sachan A, Gupta R, Das V, Agarwal A, Awasthi PK, Bhatia V. High prevalence of vitamin D deficiency among pregnant women and their newborns in northern India. Am J Clin Nutr. 2005 May;81(5):1060-4.

[5]. Harinarayan CV, Ramalakshmi T, Prasad UV, Sudhakar D, Srinivasarao PV, Sarma KV, Kumar EG. High prevalence of low dietary calcium, high phytate consumption, and vitamin D deficiency in healthy south Indians. Am J Clin Nutr. 2007 Apr;85(4):1062-7