iosr-JDMS   Volume-16 ~ Issue-9 ~ September-2017

Abstract: Background: Anatomical single bundle arthroscopic Anterior cruciate ligament (ACL) reconstruction has been the standard treatment for ACL injured patients. It is a minimally invasive procedure that allows the surgeon to understand the internal derangements of the knee joint. ACL is the commonly injured ligament in young adults. The purpose of Arthroscopic ACL reconstruction is to restore the normal kinematics of knee joint Aim: To evaluate the Clinical outcome of Arthroscopic Anatomical ACL reconstruction using single bundle Hamstring tendon............

Key Words: Anterior cruciate ligament, Arthroscopy, Hamstrings

[1]. Catalin Cirstoiu, MD, PhD, Gheorghe Circota, MD, Corina Panaitescu, MD, and Radu Niculaita, MD The Advantage of Arthroscopic Anterior Cruciate Ligament Reconstruction with Autograft from the Tendons of the Semitendinosus – Gracilis Muscles for the Recovery of the Stability of the Knee. Maedica (Buchar), 6(2), 2011, 109–113. [2]. Kazunori Yasuda, MD, PhD, Carola F. van Eck, MD, PhD, Yuichi Hoshino, MD, PhD Anatomic Single- and Double-Bundle Anterior Cruciate Ligament Reconstruction, Part 1. Basic Science. Am J Sports Med. 39(8), 2011 1789-99.
[4]. Carola F.van Eck Anatomic anterior cruciate ligament reconstruction using an individualized approach. Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, 1(1), 2014, 19-25.
[5]. Jeong-Ku Ha1, Dhong-Won Lee2, Jin-Goo Kim3 Single-bundle versus double-bundle anterior cruciate ligament reconstruction: A comparative study with propensity score matching Indian J Orthop, 50(5), 2016, 505-511.

Abstract: ...........

Keywords-: Pcos,Anovulation, Hyperandrogenism., Polycystic Ovaries,Infertiliy

[1]. Moran LJ, Pasquali R, a position statement of the Androgen Excess and Polycystic Ovary Syndrome Society. FertilSteril. Dec 3 2008.
[2]. PCOS,American College of Obstetric and Gynecologists (ACOG); 2009 bulletin; no. 108).
[3]. Koulouri O, Conway GS. Management of hirsutism. BMJ. Mar 27 2009;338:b847.
[4]. Nidhir,Padmalata,Nagarmutha,prevalence of PCOS in indianadole
[5]. American Association of Clinical Endocrinologists position statement on metabolic and cardiovascular consequences of polycystic ovary syndrome. EndocrPract 2005-11...

Abstract: caesarean section is an important and common surgical procedure which is often required to save lives of mother and baby. The WHO recommends that they should be done based on medical need. The incidence is rising in most parts of the world with an increase in number of " previous caesarean section ". In US caesarean section rates have increased from over 20% in 1996 to 33% in 2011. The WHO officially withdrew its previous recommendation of a 25% caesarean section rate in June 2010.Their official statement read,"There is no empirical evidence for an optimum percentage,what matters most is that all women who need caesarean sections receive them ". Conventionally caesarean sections are classified as being either an elective or an emergency operation........

1]. Bregg F. Cromwell DA, Edozien LC et al.Variation in rates of caesarean section among English NHS trusts after accounting for maternal and clinical risk: Cross sectional study,BMJ 2010;341:C5065
[2]. Kambo I, Bedi N, Dhillon BS et al. A critical appraisal of caesarean rates at teaching hospitals in India. Int J Gynecol Obstet 2002;79:151-8
[3]. Nisenblat V, Barak S, Griness OB et al. Maternal complications associated with multiple cesarean deliveries. Obstet Gynecol 2006;108:21-6.
[4]. Myers SA ,Bennett TL. Incidence of significant adhesions at repeat cesarean section and the relationship to method of prior peritoneal closure. J Reprod Med 2005;50:659-62
[5]. Tulandi T, Agdi M, Zarie A et al; Adhesion development and morbidity after repeat caesarean delivery. Am J Obstet Gynecol. 2009;201:1-6

Abstract: Introduction: Traumatic brain injury occurs when external force injures the brain which may include falls, violence and vehicle collisions leading to more diffuse injury causing cognitive and neuro psychiatric disturbances. Cerebroprotein hydrolysate is a peptide preparation with similar action as neurotrophic factors thus improving neurogenesis in cases of traumatic brain injury. Objectives: We attempt to determine the beneficiary effects of cerebroprotein hydrolysate and its clinical outcome in management of traumatic brain injuries in our institution...........

Keywords-: Traumatic brain injury(TBI), Cerebroprotein hydrolysate.

[1]. Saatman KE, Duhaime AC, et al. (2008). Classification of traumatic brain injury for targeted therapies. Journal of Neurotrauma. 25(7): 719–38.
[2]. Parikh S, Koch M, Narayan RK (2007). Traumatic brain injury. International Anesthesiology Clinics. 45 (3): 119–35.
[3]. Jennett B (May 1998). Epidemiology of head injury. Archives of Disease in Childhood. 78(5): 403–06.
[4]. G.Gururaj et al., Epidemiology of traumatic brain injuries. Indian scenario vol 24,2002. Issue 1 : part 1 neurotraumatology :24-28.
[5]. Varadaraju D NI et al., Effect of cerebroprotein hydrolysate with citicoline versus citicoline alone in initial management of head injury and its clinical outcome a prospective randomized comparative study 2017, june vol:4, issue 47, pp:2835-2837...

Abstract: Introduction: Fatigue is a subjective feeling of tiredness which is distinct from weakness, and has a gradual onset. Unlike weakness, fatigue can be alleviated by periods of rest. Fatigue can have physical or mental causes.
Fatigue (either physical, mental or both) is a symptom that may be difficult for the patient to describe and words like lethargic, exhausted and tired may be used. Materials And Methods: 250 Patients attending OP with a complaint of fatigue in various Medical College Hospitals are taken in for study. After getting consent. A questionnaire was used to evaluate the patients. Study period was between 1st June to 30th June of 2017...........

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Abstract: Body weight and overt thyroid dysfunction are associated ,although the effect of hypothyroidism and hyperthyroidism on body weight have been clearly demonstrated there is no Sufficient data on the relationship between body mass index and minor differences within the normal range of thyroid hormones .This study was carried out to investigate the relationship of fluctuations of triiodothyronine (t3) with body mass index in euthyroid subject. 90 blood samples were collected from euthyroid healthy individual of known age , gender , weight , height and biochemical picture of triiodothyronine(t3).............

[1]. Tahrear, M. N., Moshtak, Abdul-Adheem,W., Maysaa,A., Hadeel.,Haider,K.Z., Ali, H .A. Thyroid Metabolic Hormones and its Correlation with BMI and Lipid Profile in Healthy People .IISTE journals.2013; 18:1-24 .
[2]. Anastasios, M and Charalampos ,M. Correlation between Body Mass Index and Thyroid Function in Euthyroid Individuals in Greece. ISRN Biomarkers journal.2013; 20: 1-7 .
[3]. Alexander, I., Erich, S., Georg, B. Thyroid Hormones and the Metabolic Syndrome . European Thyroid journal. 2013; 2:83–92.
[4]. Andersen, s., Pedersen, k.M ., Bruun,H.N., Laurberg, P. Narrow individual variations in serum T4 and T3 in normal subjects: a clue to the understanding of subclinical thyroid disease," Journal of Clinical Endocrinology and Metabolism. 2002; 87: 1068-1072.
[5]. Leonard, W. "The evidence for a narrower thyrotropin reference range is compelling," Journal of Clinical Endocrinology and Metabolism. 2005; 90:5483–5488...

Abstract: Background: Introduction of laparoscopic surgery was a revolution in the field of surgery. Despite many benefits, the technique is associated with certain complications including port site infection. Port site infection, although less common is annoying both for the surgeon and the patient, and cripple the benefits of minimally invasive surgery. Port site infection not only increases the economic burden, pain and hospital stay of patient but also harm the reputation of the attending surgeon and hospital. Unfortunately, there is a reflection that antibiotics can solve the situation leading to misuse of antibiotics and evolution of multi drug resistant strains of microorganisms..............

Keywords-: Laparoscopic cholecystectomy, Port-site infection,

[1]. Niyonsaba F, Ogawa H. Protective roles of the skin against infection: implication of naturally occurring human antimicrobial agents beta-defensins, cathelicidin LL-37 and lysozyme. J DermatolSci. 2005; 40(3):157-68.
[2]. Targarona EM, Balagué C, Knook MM, Trías M. Laparoscopic surgery and surgical infection.Br J Surg. 2000;87(5): 536-44.
[3]. Yamamoto S, Fujita S, Akasu T, Ishiguro S, Kobayashi Y , Moriya Y. Wound infection after elective laparoscopic surgery for colorectal carcinoma. SurgEndosc. 2007;21(12):2248-52. Epub 2007 May19.
[4]. Hackam DJ, Rotstein OD. Host response to laparoscopic surgery: mechanisms and clinical correlates. Can J Surg. 1998;41(2): 103-11.
[5]. Bonjer HJ, Hazebroek EJ, Kazemier G, Giuffrida MC, Meijer WS, Lange JF. Open versus closed establishment of pneumoperitoneum in laparoscopic surgery.Br J Surg. 1997;84(5):599-602.

Abstract: Background :The principal aim of drug utilization studies is to facilitate rational use of drugs in patients. .Irrational use of antibiotics has resulted in the development of drug resistant organisms in the community. Significant changes in the antibiotic prescription pattern are required to decrease the prevalence of antibiotic resistance. This in turn gives rise to the need for scrutinizing the prescribing pattern of antibiotics by the physicians so as to ensure judicious use of antibiotics...........

Keywords: Antibiotic, ENT, OPD, Prescribing pattern..

[1]. WHO. World Health Statistics 2008: Mortality and Burden of Disease. Geneva: WHO; 2008. pp. 36–64.
[2]. Grace NN, Bussmann RW. Traditional management of ear, nose and throat (ENT) diseases in Central Kenya. J Ethnobiol Ethnomed. 2006;2:54.
[3]. Jain N, Lodha R, Kabra SK. Upper respiratory tract infections.Indian J Pediatr. 2001;68:1135–8
[4]. Hirschmann JV. Antibiotic for common respiratory tract infection in adults. Arch intern med 2002;162: 256-64.
[5]. LaporteJR, PortaM, CapellaD. Drug utilization studies: A tool for determining the effectiveness of drug use. Br J Clin Pharmacol 1983; 16:301-4..

Abstract: Background and Objective: Dengue, a mosquito –borne arboviral illness, may present with many atypical manifestations. Methods: Children ( 0-12 years of age) admitted into Pediatric Intensive care unit of a tertiary care hospital Kolkata, between the 1st August 2016 to 30th November 2016, diagnosed and confirmed as dengue fever following revised a WHO guideline, were reviewed retrospectively. Atypical manifestations were noted and analyzed...........

Keywords: dengue, severe dengue, tertiary health care

[1]. World Health Organization, Regional Office for South-East Asia. Comprehensive Guidelines for Prevention and Control of Dengue and Dengue Haemorrhagic Fever. Revised and expanded edition. WHO-SEARO 2011. (SEARO Technical Publication Series No. 60)
[2]. Handbook for Clinical Management of Dengue. World Health Organization 2012

[3]. Gulati S, Maheshwari A. Atypical manifestations of dengue. Tropical medicine & international health: TM & IH. 2007;12(9):1087–95.

[4]. Kadam DB, Salvi S, Chandanwale A. Expanded Dengue. J Assoc Physicians India. 2016 Jul;64(7):59- 63 .

[5]. National guidelines for clinical management of dengue fever.Ministry of health. National Vector borne disease control programme

Abstract: Method: this study conducted in 1000 expectant fathers, who were accompanying their wives in the antenatal clinic and labour room and Well Baby Clinic (Under Five Children) at Department of Pediatric medicine in S. P. Medical College, Bikaner, Rajasthan, India constituted the material. The expectant fathers were interviewed in relation to their knowledge and attitude regarding breast-feeding. All the expectant fathers whether they were expecting their first child or already had one or more children were included in this study. The questions were explained to them in their local language..............

Keywords: Breast feeding, Breast milk, Expectant father, Father, Infant, Mother.

[1]. Jelliffe, D. B. And Jelliffe, E. F. P. (1977). 'Breast is best: modern meanings. N. Engl. J. Med., 297, 912.
[2]. Freed GL, Fraley JK, Schanler RJ: Attitudes of expectant fathers regardingBreast-feeding. Pediatrics 1992, 90(2 Pt 1):224-227
[3]. Singhal, P.K., Taneja, D.K., Patwari, A.K. and Mullick, D.N. (1989). Advantages of breastfeeding: Knowledge among paramedical health personnel and mothers. Indian Pediatr., 26 : 492-495
[4]. Kapil U, Paul.D, Manocha S. Knowledge and attitude among Child Development Project Officers towards breast feeding. Indian J pediatr 1989, 56: 771-774.
[5]. Kapil U, Bhasin S, Mancha S. Knowledge and attitude amongst well-to-do adolescent girls. School girls towards breast feeding. Indian pediatr 1990, 27:1281-1285.

Abstract: Gingival tissues have a significant impact on the outcome of restorative therapy. Crown lengthening is a procedure which involves partial removal of supporting periodontal structures to increase exposure of tooth structure. It is indicated in cases such as inadequate clinical crown height , subgingival caries, fracture ,unequal gingival heights. Lasers were introduced into the field of clinical dentistry with the hope of overcoming some of the drawbacks associated with conventional methods. Laser assisted tissue ablation results in adequate exposure of crown with reduced bleeding,........

Keywords: Attached Gingiva , Biological Width, Crown Lengthening, Gingivectomy , Laser.

[1]. Abraham S , K.T. Deepak, R. Ambili, C. Preeja, V. Archana ,Gingival biotype and its clinical significance – A review ,The Saudi Journal for Dental Research, 5(1) ,(2014) , 3–7.

[2]. L Minsk. Esthetic crown lengthening. Compend Contin Educ Dent, 22, 2001, 562–564
[3]. W B hall. Decision Making In Periodontology . third edition , mosby- year book ,inc 1998.

[4]. RH Johnson: Lengthening clinical crowns. J Am Dent Assoc , 121, 1990, 473-476.
[5]. S Milavec and B Gaspirc. CASE REPORT: Clinical Crown Lengthening: Laser-Assisted Versus Conventional surgical therapy. Journal of the Laser and Health Academy , 1, 2014, 40-44..

Abstract: Advanced head & neck cancer patients undergoing chemoradiation as palliation are emaciated and respond poorly to treatment. Nutritional supplementation with available resources enhanced the quality of life and helped the patient enduring the treatment.

Keywords-: Advanced head and neck cancer , nutritional supplementation, quality of life.

[1]. Schattner MA, Willis HJ, RaykherA,et al. Long-term enteral nutrition facilitates optimization of body weight. JPEN J Paren Enteral Nutr.2005;29(3):198-203.
[2]. Delegge MH. Enteral access in home care.JPEN J Parenter enteral Nutr. 2006;30(1):S13-S20
[3]. Karlen RG, Maisel RH. Does primary tracheoesphageal puncture reduce complications after laryngectomy and improve patient communication? Am J Otolaryngol.2001;22(5):324-328.
[4]. Malik NW,Timon CI, Russel J.A unique complication of primary tracheosesophageal puncture: knotting of the nasogastric tube. Otolaryngol Head Neck Surg. 1999;120(4):528-529.
[5]. DeLegge MH, and the HPEN workinggroup. Cosensus statements regarding optimal management of home enteral nutrition (HEN) access. JPEN J Parenter Enteral Nutr. 200630(1):S39(1)-S40...

Abstract: Introduction: Traumatic brain injury (TBI) occurs whenever mechanical force injures the brain. Electrolyte derangements are common after neurologic injury. The role of electrolyte imbalance is being delineated in severe cranial trauma and is an essential investigation for its therapeutic managements. Objectives: This study is designed to ascertainCorrelation between the severity of head injury and electrolytes in patients with traumaticBrain injury.............

Keywords: Traumatic brain injury, sodium levels, potassium levels

[1]. Alves OL, Bullock R (2001). "Excitotoxic damage in traumatic brain injury". In Clark RSB, Kochanek P. Brain injury. Boston: Kluwer Academic Publishers. p. 1. ISBN 0-7923-7532-7. Retrieved 2008-11-28.

[2]. Schwartz GR: Trauma to the head. Principles and Practice of Emergency Medicine Fourth edition. 1998:232-34

[3]. Lath R (2005). Hyponatremia in neurological diseases in ICU. Indian J, Crit. Care Med. 9:47-51

[4]. Isotani E, Suzuki R, Tomita K (1994). Alterations in plasma concentrations of natriuretic peptides and antidiuretic hor-mone after subarachnoid hemorrhage. Stroke. 25:2198–203

[5]. Lohani S, Devkota UP (2011). Hyponatremia in patients with traumatic brain injury: etiology, incidence, and severity correlation.World Neurosurg. 76(3-4):355-60.

Abstract: Objective: To find out the effect of ventilatory facilitation on chest expansion and pulmonary functions in children with spastic cerebral palsy. Research design: A single group experimental pre-test post-test study design. Participants: A total of 30 subjects were recruited from the paediatric section of the physiotherapy department of Svnirtar. Outcome measures: chest expansion, PFT, GMFM and TCMS..........

Keywords: Cerebral palsy, chest expansion , pulmonary functions , ventilatory facilitation

[1]. Rosenbaum P et al. (2007) A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 109: 8 – 14.
[2]. Jan MM (2006) Cerebral Palsy: Comprehensive Review and Update. Ann Saudi Med. 26(2): 123 – 32.
[3]. Plioplys AV et al. (1998) Survival rates among children with severe neurologic disabilities. South Med J. 91(2): 161 – 72.
[4]. Hollins S et al. (1998) Mortality in people with learning disability: risks, causes, and death certification findings in London. Dev Med Child Neurol. 40(1): 50 – 6.
[5]. Killburn KH et al. (1959) Cardiopulmonary insufficiency in myotonic and progressive muscular dystrophy. N Engl J Med. 261: 1089 – 96..

Abstract: A Study to compare the efficacy of 0.5 % Timolol eye drop's vs. 0.2% Brimonidine eye drops in management of rise in Intra Ocular Pressure following neodymium-yttrium aluminium garnet (YAG) capsulotomy for Posterior Capsular Opacification. Settings And Design: It's a Non randomized study, conducted in the Ophthalmology Department of Coimbatore Medical College Hospital which is a tertiary care Hospital and Major reference centre............

Keywords-:Posterior capsular opacification, Nd YAG laser, Timolol, Brimonidine

[1]. Hollick EJ, Spalton DJ, Ursell PG, et al: The effect of polymethylmethacrylate, Silicone and polyacrylic intraocular lenses on posterior capsular opacification 3 years after cataract surgery. Ophthalmology 1999; 106:49–54
[2]. Auffarth GU, Brezin A, Caporossi A, et al: Comparison of Nd : YAG capsulotomy rates following phacoemulsification with implantation of PMMA, silicone, or acrylic intra-ocular lenses in four European countries. Ophthalmic Epidemiol 2004; 11:319–329
[3]. Werner L, Mamalis N, Pandey SK, et al: Posterior capsule opacification in rabbit eyes implanted with hydrophilic acrylic intraocular lenses with enhanced square edge. J Cataract Refract Surg 2004; 30:2403–2409.
[4]. Chan RY, Emery JM, Kretzer F: Miotic inhibitors in preventing posterior lens capsule opacification. In: Emery JM, Jacobson AC, eds. Current concepts in cataract surgery: selected Proceedings of the seventh biennial cataract surgical congress. New York: Appleton-century- Crofts; 1982:217–224.
[5]. Apple DJ, Peng Q, Visessook N, et al. Eradication of posterior capsule opacification: documentation of a marked decrease in Nd:YAG laser posterior capsulotomy rates noted in an analysis of 5416 pseudophakic human eyes obtained post-mortem. Ophthalmology. 2001;108:505-518.

Abstract: Any prevention policy can not be implemented without epidemiological studies. Without the epidemiological surveillance, it is impossible to put in place a cancer control plan adapted to our region. The objective of this work is to describe a cancer disease with an increasing incidence and which is becoming a serious public health problem. The parameters studied are age, sex, type of cancer and date of reporting of the disease. This epidemiological study shows that males are more affected than females, accounting for 60.3% and 39.7%, respectively, with a sex ratio equal to 0.65 (chi-square = 841.63, p≥0.0001 ). The most affected age groups are the [45-65 [years and ≥65 years..........

[1]. lindsey A. Torre, MSPH ; Freddie Bray, phD ; Rebecca L. Siegel, MPH; Jacques Ferlay, ME; Loannie Lortet- Tieulent, MSC; Ahmedin Jemal, DVM, PhD. Global cancer statistics, 2012, CA CANCER J CLIN 2015 ; 65 : 87-108.
[2]. Abdellatif MAAMRI. Données épidémiologiques sur le cancer dans le monde et au Maroc. Revue bibliographique. Annales des sciences de la santé ; N° 1, Vol. 1 : 20-29, 2015.
[3]. M. Espié, A-S. Hamy, S. Eskenazy, C. Curier, S. Giacchetti. Epidémiologie du cancer du sein. EMC. Gynecologie. Volume 7, N° 4, octobre 2012.
[4]. The WHO collaborative study of neoplasia and steroid contraceptives breast cancer and combined oral contraceptives: results from a multinational study. Br J Cancer 1990; 61: 110-9.
[5]. Tulinius H, Sigvaldason H, Olafsdottir G, Tryggvadittir L. epidemiology of breast cancer in families in Iceland. J Med Genet 1992; 29; 158-64..

Abstract: Warm-e-meda/gastritis is the prime concern in unani medicine and unani physicians emphasized on better functioning of stomach/meda. Acute gastritis, chronic gastritis, peptic ulcer disease, atrophic gastritis, gastric carcinoma, primary gastric B-cell lymphoma are some of the manifestation of H. pylori infection. An appreciable number of unani mufrad (single) and murakkab (compound) drugs are used to treat them. In this study we evaluate the efficacy of a unani compound drug in endoscopically proved H.pylori positive antral gastritis. This was a double blind randomised clinical trial, on 160 patients. All the patients were divided into three groups. Test group comprising of 110 patients............

Keywords-:Antral gastritis, Endoscopy, H. pylori.

[1]. E.A.J. Rauws, w. Langenberg, J.H. Hendrik, H.C. Zanen and G.N.J, Tygat. "Campylobacter pyloridis- associated chronic active antral gastritis: A prospective study of its prevalence and the effect of antibacterial and anti-ulcer treatment". Gastroentrology, 1988; vol.94: pp.33- 40.
[2]. B. J. Marshall and J. R. Warren, "Unidentified curved bacilli in the stomach of patients with gastritis and peptic ulceration". Lancet. 1984; vol.1: pp. 1211-5.
[3]. Abdur Rauf. Comparison of H. Pylori Gastritis among the young and old patients by using the modified Sydney system of classification and grading, The Saudi Journal of Gastroenterology. 1999; vol. 5 (2): 81-84.
[4]. E. R. Pounder and D. N.G, "The prevalence of Helicobacter pylori infection in different countries." Ailment Pharmacol Ther. 1995; vol. 9 (2): pp. 33-39.
[5]. N. Ananthakrishnan and V. Kate. "Helicobacter pylori: the rapidly changing scenario." In: chattopadhyay TK. Editor. G.I. Surgery anuual, New Delhi. 1998: vol.5: pp. 1-20.

Abstract: Background: Detailed knowledge of caries pattern is important since specific patterns of attack might indicate a distinct etiology and it is a useful source of reference for dental administrators in deciding which preventive strategies to use Objective: The aim of the present study was to investigate in detail the distribution of caries lesions among tooth types and surfaces in the permanent dentition a young Turkish adult population with different risk levels. Materials and methods: This study was carried out on 600 young adults (18-24 years old) of both genders between April 2012 and September 2013. Examinations were performed with dental mirrors and blunt, sickle-shaped explorers under a dental chair light, according to WHO............

Keywords-:Dental Caries, DMFT, Turkish Young Adults, Caries Prevalence, Oral Epidemiology

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[4]. Hopcraft MS, Morgan MV. Pattern of dental caries experience on tooth surfaces in an adult population. Community Dent Oral Epidemiol. 2006; 34: 174-183.
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