iosr-JDMS   Volume-17 ~ Issue-1 ~ January-2018

Abstract: The decision-to-delivery interval (DDI) is defined as the interval in minutes from the date and time of decision to carry out Caesarean section to the date and time of delivery of the baby. It is not synonymous with decision-to-incision time where the goal of the birth of a baby is yet to be achieved. A decision-to-delivery interval of 30 minutes for emergency Caesarean section has been widely recommended, but there is little evidence to support it. Inability to meet this target has been the basis for medico-legal suits.The '30 minute rule' for a DDI takes its origin from the Guidelines to perinatal care jointly developed by the American Academy of Paediatrics and the American College of Obstetricians and Gynaecologists. Our objective in this study was to find out the time between decision-delivery interval and perinatal outcome of emergency caesarean section at a tertiary care institution in Sri Ramachandra university, Chennai.

Keywords: Categories of caesarean section, decision to delivery interval.

[1]. J. Thomas and S. Paranjohy, ―Royal college of obstetricians and gynaecologists: clinical effectiveness support unit,‖ The National Sentinel Caesarean Section Audit Report, RCOG press, London, UK, 2001.

[2]. D. J. Tuffnell, K. Wilkinson, and N. Beresford, ―Interval between decision and delivery by caesarean section—are current standards achievable? Observational case series,‖ British Medical Journal, vol. 322, no. 7298, pp. 1330–1333, 2001.

Abstract: Aim of Study: 1.To know the incidence in Sex and Age groups,of thyroid mass lesions 2.To know the incidence of different pathological varientsin our population 3.To update the demand of different type of gadgets for both diagnostic and therapeutic purposes. Materials And Methods: Government ENT Hospital, Visakhapatnam is a Tertiary referral hospital to Coastal Andhra Pradesh with five districts.This study was conducted from October 2016 to September 2017 for a period of one year. Observation: Out of 526 patients attended with mass lesions of neck ,90 cases with thyroid swellings were considered for this study.the male and female ratio observed was 1:7.2.and the commonest age group affected were 20 to 40 years. The commonest lesion was the multinodular goitre...........

Keywords: Thyroid Swellings, Neck Swellings, Multinodular Goitre.

[1]. UP Santosh , KB Sunil Kumar,MC Trupthi , S.Boobalan , A Comprehensive approach to thyroid swellings :clinical ,sonological ,cytological and histological correlation .Otolaryngology clinics,An international journal ,2014, (2), 28 – 31
[2]. Venkates T.K,Vignesh V.V,Subrahmanian C.S, Viswanathan ;A Clnicopathological study of thyroid swellings;CIB Tech, J , 2015 vol .4 (3) ,sep to dec ,pp 1- 8 .
[3]. Papini E, Guglielmi R, Bianchini A, Crescenzi A, Taccogna S, Nardi F, et al. Risk of malignancy innonpalpable thyroid nodules: predictive value of ultrasound and color-Doppler features. J ClinEndocrinol Metab 2002;87(5):1941–6. [PubMed: 11994321]
[4]. Fish SA, Langer JE, Mandel SJ. Sonographic imaging of thyroid nodules and cervical lymph nodes.Endocrinol Metab Clin North Am 2008;37(2):401–17. ix. [PubMed: 18502334]
[5]. Hegedus L. Thyroid ultrasound. Endocrinol Metab Clin North Am 2001;30(2):339–60. viii–ix.[PubMed: 11444166].

Abstract: L'état de connaissance des patients vis -à- vis de leur maladie jouent un rôle essentiel dans la prise en charge thérapeutique, en facilitant l'acceptation des patients de leur diagnostic avec une participation actif au traitement et une meilleure observance thérapeutique. De plus, il a été démontré que la qualité de vie au cours des Maladies inflammatoires intestinales (MICI) est étroitement liée au niveau de connaissance des patients à propos de leur maladie. Le but de cette étude était d'évaluer et d'analyser les déficits de connaissances des patients suivi pour MICI. Matériels et méthodes : Il s'agit d'une étude prospective menée au sein du service d'hépato-gastroentérologie au CHU Hasan II de Fès, étalée sur une période de 3mois (20 Aout-10 Octobre). Cette étude a inclus tous les patients suivis pour MICI diagnostiquée au moins 6 mois avant la date du début de l'étude. Un questionnaire a........

Keywords: Maladie inflammatoire intestinales- Etat de connaissance

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[3]. Ko Y, Butcher R, Leong RW. Epidemiological studies of migration and environmental risk factors in the inflammatory bowel diseases. World J Gastroenterol.2014; 20(5): 1238–1247.
[4]. 4.Karlinger K, Gyorke T, Mako E, Mester A, Tarjan Z. The epidemiology and the pathogenesis of inflammatory bowel disease. Eur J Radiol 2000; 35:154-67.
[5]. Andres PG, Friedman LS. Epidemiology and the natural course of inflammatory bowel disease. Gastroenterol Clin North Am 1999;28:255-81.

Abstract: Introduction : La consultation de proctologie, tout comme celle de gynécologie ou d'urologie, est particulière de par la dimension intime qu'elle présente à tel point qu' il n'est pas toujours facile de consulter au sujet de problèmes anaux ou rectaux. Pourtant, les plaintes proctologiques sont fréquentes et peuvent être le plus souvent traités d'où l'importance de prendre en considération le point de vue des malades vis-à vis l'examen proctologique afin d'atténuer la barrière psychique à propos de la consultation en proctologie. Objectif du travail: Le but de notre travail est d'apprécier, à travers une étude prospective, les points de vue des malades concernant leur consultation en proctologie. Matériels et méthodes : Il s'agit d'une étude prospective menée au service d'explorations fonctionnelles au CHU Hassan II de Fès en se basant sur un questionnaire...........

Keywords: consultation proctologique, rectorragies, chirurgie.

[1]. NONG.DP., MAYBERRY J.F, MCINTYRE A.S, LONG R.G, « The practice of rectal examination »,postgrad .Med .J,1991,67,904-906.
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Abstract: Aim: The aim of study is to examine whether MS persist within saliva and subgingival environment of periodontitis patients and to determine whether there is any association between MS colonisation and periodontal disease. Methods and Material: The study was conducted on 40 patients who reported to Department of Periodontology at College of Dental Sciences & Research Centre in January to March 2017. Male/Female non-smokers aged between 20-50 years were randomly allocated to two groups: Group A (n=20) were Healthy patients & Group B (n=20) were patients with CGP (Chronic generalised periodontitis). Unstimulated saliva was collected in sterile containers and subgingival plaque samples were collected from four deepest pockets in CGP and from first molar in Healthy patients. All samples were cultured on TYCSB agar media with bacitracin for quantification of MS............

Keywords:Chronic periodontitis, Colonisation of MS, healthy, saliva, subgingival plaque

[1]. N Belay, R Johnson, B S Rajagopal. Methanogenic bacteria from human dental plaque. J Clin Microbial. WHO 1988.

[2]. Newman MG, Carranza FA, Takei H, Klokkevold PR. Carranzas clinical Periodontology. 10th ed. Elsevier health sciences; 2006. [3]. Baelum V, Fejerskov O, Karring T. Oral hygiene, gingivitis and periodontal breakdown in adult Tanzanians. J Periodontal Res, 21(3) 1886, 221-232.

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Abstract: Skin cancers are increasing worldwide in last few decades. Mainly occurs in sun light exposed areas due to UVB rays. Though Indians having low incidence of skin malignancies non melanoma skin cancers are in raising trend. Basal cell cancer, squamous cell cancer and malignant melanoma are the common cutaneous malignancies potential in their ascending order. In India squamous cell ca is more common than BCC. Early diagnosis and appropriate treatment not only reduces the morbidity and also provides good quality of life and survival of the individual.

Keywords: Skinlesions, basal cell ca, malignant melanoma, squamous cell ca and excision biopsy

[1]. AFIP Atlas of tumour pathology series 4.Non Melanotic tumours of skin-Tumour and cysts of the epidermis.
[2]. Pathologic Basis of Disease Robbins and Cotron 8th Ed ch 25.
[3]. Rook's text book of Dermatology Vol3:ch:52 Non melanoma skin cancer and other epithelial tumours.
[4]. Fitzpatrick's Dermatology in General Medicine 7th Ed vol12.ch:114SCC, Ch:115BCC.
[5]. Bailey and lovee short practice of surgery 25th edition...

Abstract: High Resolution Computed Tomography (HRCT) which provides minute structural details in the temporal bone is very important preoperative radiological investigation for CSOM cases. This study was planned to investigate the usefulness of a preoperative high-resolution computed tomography (HRCT) scan in depicting the status of ossicles in chronic suppurative otitis media (CSOM) of attico antral disease and also to compare the correspondence between preoperative CT findings and intraoperative ossicular chain status in these patients . 60 patients of all age groups suffering with CSOM of attico antral disease are included in the study. HRCT scanning was done for all patients before surgical exploration of the middle ear and mastoid. The sensitivity and specificity of preoperative HRCT in our study for diagnosing erosion of malleus were 100% and 98% respectively; and for erosion of incus..........

Keywords: Cholesteatoma, High-resolution computed tomography scan, Ossicular status.

[1]. Walshe P, McConn Walsh R, Brennan P, Walsh M (2002) The role of computerized tomography in the preoperative assessment of chronic suppurative otitis media. Clin Otolaryngol Allied Sci 27:95–97
[2]. O'Donoghue GM, Bates GJ, Anslow P, Rothera MP (1987) The predictive value of high resolution computerized tomography in chronic suppurative ear disease. Clin Otolaryngol Allied Sci 12:89–96
[3]. Garber LZ, Dort JC (1994) Cholesteatoma: diagnosis and staging by CT scan. J Otolaryngol 23:121-124
[4]. Chee NW, Tan TY (2001) The value of pre-operative high resolution CT scans in cholesteatoma surgery. Singap Med J 42:155–159
[5]. Mafee MF, Levein BC, Applebaum EL, Campos M, James CF. Cholesteatoma of the middle ear and mastoid. A comparison of CT scan and operative findings. Otolaryngol Clin North Am. 1988;21:265-92...

Abstract: Background: Frequent, periodic screening of transfusion-transmissible infections (TTIs), like human immuno- deficiency virus (HIV), hepatitis B and hepatitis C virus (HBV and HCV), in blood donors is imperative to maintain transfusion safety. Aim: This study determines the seroprevalence of HIV, HBV, HCV among blood donors at a tertiary health care center in North East India. Materials and methods: This is retrospective study where total of 10530 blood units for a period of 3 years January 2015 to November 2017 were tested by ELISA methods. Results: The seroprevalence of HIV, HBsAg, HCV was 0.31%, 1.05%, 0.25%respectively in total donors. Conclusion: The prevalence of transfusion transmissible infections is declining, which is an encouraging trend for the community..

[1]. Diro E, Alemu S, G/Yohannes A (2008) Blood safety & prevalence of transfussion transmissible viral infections among donors at the Red Cross Blood Bank in Gondar University Hospital. Ethiop Med J 46: 7-13.
[2]. Tessema B, Yismaw G, Kassu A, Amsalu A, Mulu A, et al. (2010) Seroprevalence of HIV, HBV, HCV and syphilis infections among blood donors at Gondar University Teaching Hospital, Northwest Ethiopia: declining trends over a period of ve years. BMC Infect Dis 10: 111-116
[3]. Kaur P, Basu S (2005) Transfusion-transmitted infections: existing and emerging pathogens. J Postgrad Med 51: 146-151
[4]. Bihl F, Castelli D, Marincola F, Dodd RY, Brander C (2007) Transfusion- transmitted infections. J Transl Med 5: 25
[5]. Glynn SA, Kleinman SH, Schreiber GB, Busch MP, Wright DJ, et al. (2000) Trends in incidence and prevalence of major transfusion-transmissible viral infections in US blood donors, 1991 to 1996. Retrovirus Epidemiology Donor Study (REDS). JAMA 284: 229-235...

Abstract: Aim: To evaluate the clinical efficacy of Cyanoacrylate and Vitamin E application on healing after laser depigmentation procedure. Materials And Methods: Subjects having gingival melanin hyperpigmentation in maxillary and/or mandibular arches were selected as a part of split mouth study. Depigmentation procedure was performed using diode laser. Cyanoacrylate was applied on right side of the arches and vitamin E was applied on left side of the arches. Subjects were instructed to apply Vitamin E capsule on left side of the operated site thrice daily for three days. Subjects were recalled 1 week and 2 weeks post-operatively and Healing Index and Visual Analog Scale for pain and discomfort were recorded............

Keywords: Cyanoacrylate, gingival hyperpigmentation, Vitamin E

[1]. Malhotra S, Sharma N, Basavaraj P. Gingival Esthetics by Depigmentation. J Periodontal Med Clin Pract. 2014; 01: 79-84.
[2]. Sanadi RM, Doshi M and Ambulgekar JR. Gingival Depigmentation for an Aesthetic Smile – A Case Report . International Journal Series in Multidisciplinary Research (IJSMR) 2015;1:1-5.
[3]. Takashi H, Keiko T, Miki O and Kazuo Y. Association of melanin pigmentation in the gingival of children with parents who smoke. Pediatrics 2005;116:e186-e190.
[4]. Liebart ME, Deruelle CF, Santini A, Dillier FL, Corti VM, et al . Smile Line and periodontium visibility. Perio 2004;1:17-25.
[5]. Roshni T, Nandakumar K. Anterior Esthetic Gingival Depigmentation and Crown Lengthening: Report of a Case. J Contemp Dent Pract 2005;3:139147.

Abstract: Esthetics has become the primary consideration for the patients seeking orthodontic treatment. Orthodontics, the photographic record is an essential tools for diagnosis, pre, mid and post treatment assessment & communication. It is necessary for clinician to have good knowledge about photographic armamentarium and skills by following some standard guidelines of lighting, composition, orientation, retraction and mirror use for representation of extra-oral and intra-oral structures with greater details .This study was conducted to evaluate common and normal smile pattern in Chattisgarh females by using smile analysis. The study was conducted in 100 Chhatisgarh females with age group 15-35years by using adobe photoshop 7 softwere. The following parameters of smile were noted in all the subjects: Position of upper lip while smiling, alignment of upper incisal edge...........

Keywords: Esthetics, adobe photoshop , smile analysis.

[1]. Christopher Maulik and Ravindra Nanda .Dynamic smile analysis in young adults .Am J OrthodDentofacialOrthop 2007;132:307-15.
[2]. VinodKrishnan ,SunishT.Daniel, Don Lazar, AbinAsok. Characterstics of posed smiles by using visual analog scale,smile arc, buccal corridor measures, and modified smile index.Am J OrthodDentofacial Orthop2008;133:515-23.
[3]. TheodoreMoore, Karin A. Southard ,JohnS.Casko,FangQian and Thomas E.Southard. Buccal corridors and smile esthetics. Am J OrthodDentofacialOrthop 2005;127.208-13.
[4]. Diana George, PrashanthKamath, Arun Kumar BR, RajatScindhia, Raghuraj MB. Vertical Dimensional Change Analysis during Smile: A Survey Study. International Journal of Applied Dental Sciences 2015; 1(4): 152-155.
[5]. Sanjay Manhar Parekh, Henry W. Fields, Michael Beck, Stephen Rosenstiel. Attractiveness of Variations in the Smile Arc and Buccal Corridor Space as Judged by Orthodontists and Laymen. Angle Orthod 2006;76:557–563...

Abstract: This paper presents the SWOT (Strengths, Weakness, Opportunities and Threats) analysis of SNCU (Sick New-born Care Unit) which is a central government initiative to provide quality facility based newborn healthcare to sick newborns. It is a Norway India partnership initiative. It aims to meet, basic needs of all newborns such as Breastfeeding, warmth, breathing. Prevention of infection remains the corner-stone in tackling newborn mortality. Parents are educated about the care of the newborn, its nutritional needs, immunization schedule. SWOT Analysis is a structured planning method used to evaluate the Strengths, Weaknesses, Opportunities and Threats. SWOT analysis can be carried out for product, place, industry or person. SWOT Analysis is sometimes..........

Keywords: 1) SWOT Analysis 2) SNCU 3) Strategic Management 4) NCRC

[1]. Impact of a District Level Sick Newborn Care Unit on Neonatal Mortality Rate: 2-Year Follow-Up .A. Sen; D. Mahalanabis; A. K. Singh; T. K. Som; S. Bandyopadhyay .J Perinatol. 2009;29(2):150-155.

[2]. A study on SNCU performance indicators for effective implementation of total quality management system Dr.V.Rambabunaik, Dr.B.S.Rajiv .IJRPP |Vol.5 | Issue 4 | Oct - Dec – 2016.

[3]. www.in.undp.org/content/dam/.../Resources_OtherPublications_Brochure SNCU

[4]. SWOT analysis of indenting process of general stores after implementation of e-store modules in aiims S. Singh ,L.T. Wundavalli , A. Daga , N. Madan, V. Aggarwal .

[5]. Ref.Newborn Aides: an innovative approach in sick newborn care at a district-level special care unit.Sen A, Mahalanabis D, Singh AK, Som TK, Bandyopadhyay S, Roy S.J ealthPopulNutr 2007 Dec;25(4):495-501.

Abstract: India is a country with highest burden of tuberculosis. Intestinal tuberculosis accounts for around 28 lakhs of cases which can involve any part of intestine.Howeverileocaecal region is most commonly involved.Some cases have been reported with isolated caecal tuberculosis.Diagnosis is extremely difficult as clinical presentation is very variable. We report a case of young female patient with isolated caecal tuberculosis that presented as circumferential ulceroproliferative lesion in the caecal region mimicking the malignancy..

Keywords: Ileocaecal tuberculosis, Caecal carcinoma, Antitubercular treatment.

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