iosr-JDMS   Volume-17 ~ Issue-10 ~ October-2018

Abstract: Objectives: Study of safety and efficacy of intravenous Ferric Carboxy Maltose in Iron deficiency anaemia during 2nd and 3rd trimester of pregnancy4,5. • Background and objectives: Iron deficiency is common among women of childbearing age in both the developed and developing countries.Intravenous Ferric carboxy maltose (FCM) is a novel molecule which can be safely administered upto 1000mg in single dose with no significant adverse effects. • Method :A hospital based prospective study included 53 antenatal women of >=24 to <=34 weeks gestation with documented iron deficiency...........

[1]. Christoph P, Schuller C, Studer H, Irion O, De Tejada BM, Surbek D. Intravenous iron treatment in pregnancy: comparison of highdose ferric carboxymaltose vs. iron sucrose. Journal of Perinatal Medicine 2012;40(5):469-474. 2. Froessler B, Collingwood J, Hodyl NA, Dekker G. Intravenous ferric carboxymaltose for anaemia in pregnancy. BMC pregnancy and childbirth 2014; 14:115.
[2]. Institute of Medicine, Committee on Nutritional Status During Pregnancy and Lactation. Washington DC: National Academy press.1990; 272:98.
[3]. Al-Momen AK, Al-Meshari A, Al-NuaimL, Saddiqe A, Abotalib Z, Khashogji T, et al. Intravenous iron sucrose complex in the treatment of iron deficiency anaemia during pregnancy. Eur J ObstetGynecolReprod Biol.1996; 69:121-4.
[4]. LoneFW, Qureshi RN, Emanuel F. Maternal anaemia and its impact on perinatal outcome in a tertiary care hospital in Pakistan. Eastern Mediterr Health J. 2004; 10:801-7.
[5]. VanWyck DB, Martens MG, Seid MH, Baker JB, Mangione A. Intravenous ferric carboxymaltose compared with oral iron in the treatment of postpartum anaemia: a randomized controlled trial. Obstet Gynecol.2007; 110:267-78...

Abstract: Zimmermann-Laband syndrome is a rare autosomal dominant inherited disease characterized by extensive gingival enlargement and abnormalities of the head, face, hands, feet, nose, and ears. Hypoplastic or absent nails, mild hirsuitism, hepato-splenomegaly and mental retardation are seen in some cases. The present paper describes a female patient, aged eight years, with typical features of Zimmermann-Laband syndrome and its dental management..

Keywords: Zimmermann-Laband syndrome, gingival fibromatosis

[1]. Khoshhal M, Khosropanah H, Vafaee F, Moradi Haghgoo J, Torkzaban P, Mahmoodi A. Zimmermann-Laband syndrome in a six-year-old girl: a case report. Journal of Periodontology & I mplant Dentistry. 2011 Jan 13;2(1):43-6.
[2]. Doufexi A, Mina M, Ioannidou E. Gingival Overgrowth in Children: Epidemiology, Pathogenesis, and Complications. A Literature Review. J Periodontol. 2005 Jan;76(1):3–10.
[3]. Bakaeen G, Scully C. Hereditary gingival fibromatosis in a family with the Zimmermann Laband syndrome. J Oral Pathol Med. 1991 Oct;20(9):457–9.
[4]. Gorlin R. Cohen m, Hennekam R. Syndromes of the head and neck. New York: Oxford Univer sity Press; 2001.
[5]. Witkop JCJ. Heterogeneity in gingival fibromatosis. Birth Defects Orig Artic Ser. 1971;7(7):210–21..

Abstract: Objective Headaches are a real public health problem. This study describes the impact of headaches on quality of life of population of jharkhand. Methods This was a cross-sectional descriptive study from february 2016 to january 2018, conducted in patients coming to emergency department and outpatient department of neurosurgery RIMS ranchi jharkhand.The epidemiology, clinical aspect and impact of headaches were assessed using HIT-6 and MIDAS test. Results The prevalence.........

Key Words: Headaches, Impact, Quality of Life, Performance, Workplace, jharkhand.

[1]. ADOUKONOU T A, HOUINATO D S, ADJIEN K C, GNONLONFOUN D, AVODE D G, PREUX P-M. Prévalence de la migraine dans une population de travailleurs à Cotonou au bénin. Af J Neuro Sc 2009;28(1):16-23.
[2]. BELO M ET AL. Céphalées et qualité de vie en milieu scolaire à Lomé,Togo. Af J Neuro Sc 2009;28(2):29-34.
[3]. BOURRIER P, PERROUX D, LANNEHOA Y, THOMAS O. Epidémiologie des céphalées de l'adulte dans les services d'urgence. In Bourrier P. Céphalées en Urgence. Collection Monographies de la Société francophone de médecine d'urgence ; Masson 2001, 234p.
[4]. BRESLAU N, DAVIS G C, ANDRESKI P. Migraine, psychiatric disorders, and suicide attempts : an epidemiologic study of young adults. Psychiatry Res 1991; 37:11-23.
[5]. BRUDON F, MICK G et al. Les céphalées en pratique quotidienne. John Libbey Eurotext, Paris, 2009 ; 125p.

Abstract: As a part of the on-going research work and in continuation of an existing programme pertaining to the copro-parasitological survey work on the prevalence and epidemiology of enteric parasitosis associated with HIV/AIDS patients, field visits were made in a hilly district (rural) of Manipur (India), i.e. Noney district, during the period of March to June 2018, with a view to assess the occurrence/prevalence of opportunist and other parasites in these immuno-compromised group of patients. Of the 35 patients screened for the presence of enteric parasitosis, 15 (42.85%) patients were found positive for various intestinal parasites like Ascaris lumbricoides, Trichuris trichiura, hookworm and commensals like Entamoeba coli, Endolimax nana and Iodoamoeba butschli respectively. In this..........

Keywords- Hookworm, Whipworm (Trichuris trichiura), HIV-HCV co- infection, On ART, HCV treatment naive, parasitosis

[1]. CDC: Revision of the surveillance case definition for Acquired immunodeficiency syndrome. Centres for disease control and
prevention, Atlanta, USA, MMWR 36, 1987, 1-15.
[2]. Sherpa, U., Devi, K.M., Bhagyapati, S., Devi, Kh. S. and Singh, Ng. B.: Opportunistic intestinal parasitic infections in individuals
with HIV/AIDS in RIMS Hospital. J Med Soc 24(1), 2010, 8-11.
[3]. Kamki, Y., Singh, R.H., Singh, N. Th., Lungram, P. and Singh, B. Ng. : Intestinal protozoal and helminthic infections in immunocompromised patients attending RIMS hospital, Imphal. J Med Soc 29(2), 2015, 74-78.
[4]. Singh, L. A., Das, S.C. and Baruah, I.: Enteric parasites in patients with HIV infection. J Parasit Appl Anim Biol 13 (1&2), 2004,
55-64.
[5]. Devi, P.P., H.R., Brajachand, S. Ng., and Nabakumar, S.Th.: Strongyloides stercoralis infection in an HIV positive patient – A case report from RIMS, Imphal, Manipur. J Commun Dis 42(3), 2010, 231-234..

Abstract: Nanomedicine is the utilization of knowledge and tools of nanotechnology in the field of medicine. Theranostics is one of the new emerging fields in the branch of nanomedicine. Theranostics combines therapy and diagnostics. Theranostics focuses on the integration of information from a diverse set of biomarkers to create pharmaceutical formulations for a targeted subpopulation where the drug can display greater therapeutic efficacy and less toxicity. Nanoparticles are available in various forms which include Quantum dots, dendrimers, gold nanoparticles, liposomes, magnetic nanoparticles, carbon nanotubes. The unique size dependent electronic, optical, thermal, mechanical properties of nanomaterials are the properties that make them to use in the field of medicines. The high surface area: volume ratio renders nanoparticle with the ability to function with the surface moieties........

Key words: Theranostics, Nanoparticles, Cancer Therapy, Diagnostics.

[1]. Hegdekar CN (2010) Nanotechnology and the theranostic approach for the future management of cancer and the ethics of nanomedicine, Available at: http://www.medlink-uk.net/wp content/uploads/pathprojectsnanotechnology2011/HegdekarC.pdf (Accessed: 17th September 2016).

[2]. HongD, Fang W. Image Guided Biodistribution and Pharmacokinetic Studies of Theranostics. Theranostics 2012; 2: 1040-53

[3]. Jeelani S, Jagat Reddy RC, Maheswaran T, Asokan GS, Dany A, Anand B. Theranostics: A treasured tailor for tomorrow. J Pharm Bioallied Sci 2014; 6: Suppl 1: 6-8.

[4]. Xie J, Lee S and Chen X. Nanoparticle-based theranostic agents. Adv Drug Deliv Rev 2010; 62: 1-32.

[5]. Vinhas R, Cordeiro M, Carlo FF, Mendo S, Fernandes RA, Figueiredo S, Baptista V P. Gold nanoparticle-based theranostics: disease diagnostics and treatment using a single Nanomaterial. Nanobiosensors in Disease Diagnosis 2015; 4: 11-23.

Abstract: Background: Births by elective cesarean section (CS) have risen over the last decade worldwide, particularly before 39 weeks' gestation in mothers with previous cesarean deliveries, which may be associated with unacceptably high risk of adverse neonatal outcomes. So the optimal timing of these deliveries needs to be determined with recent recommendations to delay births by elective CS until 39 weeks. Aims: To evaluate the association between the gestational age (GA) at birth and neonatal outcomes after elective repeat CS between 37 and 40 completed weeks, so that timing of elective repeat cesarean section can be mapped out without compromising neonatal.........

Key words: Previous cesarean delivery, elective repeat cesarean section, neonatal outcomes, respiratory complications.

[1]. Ramachandrappa A, Jain L. Elective cesarean section: its impact on neonatal respiratory outcome. Clin Perinatol 2008; 35: 373–393, vii.
[2]. Martin JA, Hamilton BE, Ventura SJ et al. Births: final data for 2009. Natl Vital Stat Rep 2011; 60: 1–70.
[3]. Morrison JJ, Rennie JM, Milton PJ. Neonatal respiratory morbidity and mode of delivery at term: influence of timing of elective caesarean section. Br J Obstet Gynaecol 1995;102:101-6.
[4]. Zanardo V, Simbi AK, Franzoi M, Soldà G, Salvadori A, Trevisanuto D. Neonatal respiratory morbidity risk and mode of delivery at term: influence of timing of elective caesarean delivery. Acta Paediatr 2004;93:643-7.
[5]. Richardson BS, Czikk MJ, daSilva O, Natale R. The impact of labor at term on measures of neonatal outcome. Am J Obstet Gynecol 2005;192:219-26.:

Abstract: Ophthalmic lesions include a wide spectrum of conditions ranging from benign lesions and malignant lesions. The diagnosis of these lesions is based on the clinical as well as histopathological features. This was a retrospective study of ophthalmic lesions conducted in the Department of Pathology, Rangaraya Medical College, a teaching hospital over a period of 3 years (January 2015 to December 2017). In this study period we received total 53 ophthalmic biopsies. Out of these 14 (26.41%) cases were benign lesions, 13 (24.52%) malignant lesions, 4(7.54%) cases were dysplasia, 3 (5.66%) cases were infectious lesions, 8(15.09%)cases were dacryocystitis, 11 (20.75%) cases were miscellaneous. Among all the cases, squamous cell carcinoma is the most common clinical and histopathological entity in our study..

Key words: histopathology, ophthalmic lesions, squamous cell carcinoma, dermoid cyst.

[1]. S Pudasaini et al. A Histopathological study of ophthalmic lesions. Nepal Med Coll J 2013:15(1): 78-80.
[2]. Chauhan S, Shah S, Solanki P et al. Accuracy of clinicaldiagnosis of eyelid lesion in a medical college in Gujarat. Int'l J Res Med
2013; 2: 114-7.
[3]. Mondal Sk, Nag DR, Bandyopathyay R, Adhikari A,Mukhopadhyay S. Conjunctival biopsies and ophthalmiclesions: a
histopathologic study in eastern India. J Res Med Sci 2012; 17: 1176-9.
[4]. Farhat F, Jamal Q, Saeed M, Ghaffar Z. Evaluation ofeyelid lesions at a tertiary care hospital, Jinnah PostgraduateMedical Centre
(JPMC), Karachi. Pak J Ophthalmol 2010; 26: 83-6.
[5]. Chauhan SC, Shah SJ, Patel AB, Rathod HK, Surve SD, Nasit JG. A histopathological study of ophthalmic lesions at a teaching
hospital. Nat'l J Med Res 2012; 2:133-6....

Abstract: Background:Snakebite is a serious medical emergency in Western districts of West Bengal where farming is a major source of employment. The purpose of the study was to determine the clinical profile, complications and outcome of snake bite cases in the tertiary care hospital of Bankura. Material and method: A prospective study was conducted from July 2011 to July 2012on 52 venomous snakebite patients admitted in the Department of General Medicine, Bankura Sammilani Medical College,West Bengal. Data on demographic profile, clinical features, laboratory investigations, details of treatment received and outcome of the snakebite victims were recorded.........

Keywords: Snakebite, Clinical profile, Outcome, Medical college, Bankura

[1]. Guidelines for the management of snakebites, 2nd edition [Internet]. World Health Organization. World Health Organization; 2018 [cited 2018Oct7]. Available from: http://www.who.int/snakebites/epidemiology/en/

[2]. Hati A.K., Mandal M., De M.K., Mukherjee H., Hati R.N. Epidemiology of snake bite in the district of Burdwan, West Bengal. J. Indian Med. Assoc. 1992;90:145–147...

Abstract: ANCA associated vasculitis usually presents with features of renal vasculitis however in this observational study this geriatric patient presented with polyneuropathy without any features of renal involvement, thus making the diagnosis challenging.

[1]. Rheumatology 6th edition vol. 1
[2]. KELLEY & FIRESTEIN'S Textbook ofRheumatology 10th edition

[3]. Rašić S, Džemidžić J, Karasalihović Z, Herenda V, Rebić D. Microscopic polyangiitis presented with polyneuropathy of lower extremities and ANCA-associated glomerulonephritis: Case Report. Bosnian Journal of Basic Medical Sciences. 2012;12(1):55-58...

Abstract: BACKGROUND AND AIMS: It has been reported that dexamethasone when used as an additive in a dose of 8mg to 0.5% ropivacaine in adults increases the duration of brachial plexus block. Hence this study was conducted to evaluate the efficacy of dexamethasone in supraclavicular brachial plexus block and to compare it without dexamethasone when added to ropivacaine 0.5% Materials and methods: Our study was conducted in...........

Keywords: Keywords: Brachial block, Dexamethasone, 0.5% ropivacaine, nerve stimulator

[1]. Wildsmith JAW, Arunitage EN, McClure JH. Principles and practice of regional anesthesia Churchill Livingstone 2003; 3:1.93-204
[2]. Raminder I, Anjam T, Baljits.Brachial plexus block Revisited. YearBook of Anaesthesiology 2015; 4(1):67-70
[3]. Chois, Rodseth R, McCartney CJ: Effects of dexamethasone as a local anaesthetic adjuvant for brachial plexus block; a systematic review& metaanalysis of randomized trials. British Journal of Anesthesia 2014; 112; 427-39
[4]. Golwala MP, swadia VN,Dhimar AA, Sridhar NV. Pain relief by dexamethasone as an adjuvant to local anaesthetics in supraclavicular brachial plexus block. Journal of Anaesthesiology and clinical pharmacology 2009; 25:285-8
[5]. Ali NS, Patrick MH, Kimberley G, Colleen M, Ashton PF: electrical nerve stimulators and localization of peripheral nerves. The New York school of Regional Anaesthesia.2013..

Abstract: Warthin's tumour is benign tumour, more commonly affecting the salivary glands and overwhelmingly found in parotid gland. It shows male predilection inspite of the fact that recent reports confirmed the reduction in difference of gender. It may occur unilaterally or bilaterally , it presents as a painless swelling over parotid region but sometimes patient may complain of pain in ear , tinnitus or deafness.We reported a case of 65 year old chronic smoker male with Warthin's tumour on right side over parotid region . The tumour was excised under general anaesthesia following all the aseptic conditions, patient was observed for one year. On follow –up he did not experienced any sympyoms and no signs of recurrence were noticed.

[1]. Almohammadi TA, Patil SR. A Case Report of Warthin's Tumour with Classical Features. Indian J Stomatol.2016;7(3):72-74

[2]. Faur A, Lazăr E, Cornianu M, Dema A, Vidita CG, Găluşcan A. Warthin tumor: a curious entity – case reports and review of literature. Rom J Morphol Embryol.2009, 50(2):269–273

[3]. A R R, Rehani S, Bishen KA, Sagari S. Warthin's Tumour: A Case Report and Review on Pathogenesis and its Histological Subtypes. J Clin Diagn Res. 2014 Sep;8(9):ZD37-40
[4]. Shafer, W.G.; Hine, M.K.; and Levy, B.M. A textbook of oral pathology, ed 4. Philadelphia, W. B. Saunders Co., 1993.

[5]. Chulam TC, Noronha Francisco AL, Goncalves Filho J, Pinto Alves CA, Kowalski LP. Warthin's tumour of the parotid gland: our experience. Acta Otorhinolaryngol Ital. 2013 Dec;33(6):393-7...

Abstract: Le carcinome adénoïde kystique de la glande de Bartholin est une tumeur rare représentant 10 à 15 % des cancers de la glande de Bartholin et caractérisés par leur croissance lente et leur évolution imprévisible. Ils posent un problème de diagnostic différentiel avec les kystes et les abcès de la glande de Bartholin. Le traitement repose essentiellement sur la vulvectomie et le curage inguino-fémoral. Nous rapportons un cas de carcinome adénoïde kystique de la glande de Bartholin découvert chez une patiente âgée de 45 ans suite à une marsupliation indiquée pour un kyste de la glande de Bartholin et qui était traité par une vulvectomie totale et un curage inguino-fémoral bilatéral .

[1]. Şahincioğlu Ö, Berker B, Güngör M, Kankaya D, Sertçelik A. Adenoid cystic carcinoma of the Bartholin's gland: a rare tumor unmarked by persistent vulvar pain in a postmenopausal women. Arch Gynecol Obstet. 2008;278(5):473.
[2]. Budd GT, Groppe CW. Adenoid cystic carcinoma of the salivary gland: Sustained complete response to chemotherapy. Cancer. 1983;51(4):589–590.
[3]. Anaf V, Buxant F, Rodesch F, Simon P, Van de Stadt J, Noel J-C, et al. Adenoid cystic carcinoma of Bartholin's gland: what is the optimal approach? Eur J Surg Oncol. 1999;25(4):406–409.
[4]. Seaver PR, Kuehn PG. Adenoid cystic carcinoma of the salivary glands. A study of ninety-three cases. Am J Surg. avr 1979;137(4):449‑55.
[5]. Klob JM. Pathologische anatomie der weiblichen Sexualorgane. W. Braumüller; 1864...

Abstract: Background: Blood stream infection (BSI) is the most devastating infection in hospital settings especially in critical care units. They can be caused by Bacteria, Virus as well as fungi. BSI with MDR (Multidrug Resistance) pathogens is more common so, the treatment of the patient with MDR is challenging only. Aim: The objective of this study is to evaluate the spectrum of bacterial blood stream infection by using inflammation and antimicrobial resistance patterns. Methodology: This retrospective study was conducted in the Department of Microbiology, at D.Y Patil Medical College and Hospital, Kolhapur. Patients..............

Key words: Blood stream infection, MDR, ESBL, MRS, MBL.

[1]. Purva Mathur, Prince Varghese, Vibhor Tak, Jacinta Gunjiyal, Sanjeev Lalwani, Subodh Kumar, and Mahesh C Misra "Epidemiology of Blood Stream Infections at a Level-1 Trauma Care Center of India"J Lab Physicians. 2014 Jun; 6(1): 22–27

[2]. Taylor G, Buchanan-Chell M, Kirkland T, Mckenzie M, Wiens R. "Long term trends in the occurrence of nosocomial blood stream infection". Can J Infect Dis. 2000; 11:29–33

[3]. K. B. Laupland Incidence of bloodstream infection: a review of population-based studies Clin Microbiol Infect 2013 Jan; 19: 492–500

[4]. Jose Orsinia, Carlo Mainardi , Eliza Muzylo , NirajKarki , Nina Cohen , George Sakoulas "Microbiological Profile of Organisms Causing Bloodstream Infection in Critically Ill Patients"J Clin Med Res 2012;4(6):371-377

[5]. Vogelaers D, De Bels D, Foret F, Cran S, Gilbert E, Schoonheydt K, Blot S. "Patterns of antimicrobial therapy in severe nosocomial infections: empiric choices, proportion of appropriate therapy, and adaptation rates- -a multicentre, observational survey in critically ill patients". Int J Antimicrob Agents. 2010;35(4):375-381..

Abstract: Dental health insurance is taken very seriously in the western world. However, in India, it is still in its nascent stage with very few insurance companies providing the service. Dental insurance in India is mostly clubbed with health insurance and available under the general health insurance plans. Even with the available options, generally the costs arising due to a dental emergency/ accidents are covered, whereas routine dental ailments are usually left out. There exists a surging need for Government and private organizations to formulate extensive plans towards providing easy and affordable dental insurance schemes. Prevention and timely interception is the only possible way to limit progression of dental disease and escalated treatment costs. We will look into the current status, shortcomings and scope of dental insurance in India..

Key words: Dentistry, Dental Insurance, India, Insurance Regulatory and Development Authority (IRDA)

[1]. Bayat F. Impact of Dental Insurance on Adults' Oral Health Care in Tehran, Iran. Doctoral Dissertation, University of Helsinki; 2010.
[2]. Reshmi B, NAIR NS, Sabu KM, Unnikrishnan B. Awareness, attitude and their correlates towards health insurance in an urban south Indian population. Management in Health 2012;4:16.
[3]. Chapin R. Dental benefits improve access to oral care. Dent Clin North Am 2009;53:505-9.
[4]. Locker D, Maggirias J, Quiñonez C. Income, dental insurance coverage, and financial barriers to dental care among Canadian adults. J Public Health Dent 2011;71:327-34.
[5]. Garla BK, Satish G, Divya KT. Dental insurance: A systematic review. J Int Soc Prev Community Dent 2014;4 Suppl 2:S73-7.

Abstract: Osteopetrosis refers to a group of rare, inherited skeletal disorders characterized by increased bone density due to a defect in remodeling caused by the failure of normal osteoclast function. Also known as marble bone disease, Albers-Schonberg Disease, OsteosclerosisFragilisGeneralisata1. The estimated prevalence of osteopetrosis is 1 in 100,000 to 500,000. Osteopetrosis is caused by mutations in at least 10 genes with inheritance of autosomal recessive(osteopetrosiscongenita) , autosomal dominant(osteopetrosistarda), or X-linked recessive and the most severe form being autosomal recessive which is characterized by carbonic anhydrase II deficiency, renal tubular acidosis and cerebral calcification.2 The adult form is milder than.......

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Abstract: Background: The purpose of our study was to analyze epidemiological, clinical and therapeutic data to determine histoprognostic risk factors associated with overall survival (OS) and progression free survival (PFS) in the liposarcoma (LS) of the limbs. Methods: This was a retrospective study of 50 cases ofLS of the limbs treated at the Salah Azaiz institute from 1995 to 2015. We analyzed the clinical, pathological features and outcome of our patients. Results: By the histological subtype.......

Keys words: Limbs, liposarcoma, outcome, treatment

[1]. Casali PG, Abecassis N, Bauer S, Biagini R, Bielack S, Bonvalot S, et al. Soft tissue and visceral sarcomas: ESMO-EURACAN Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol Off J Eur Soc Med Oncol. 2018 May 28;
[2]. Fletcher CD, Unni KK, Mertens F. Pathology and genetics of tumours of soft tissue and bone. Vol. 4. Iarc; 2002.
[3]. Terrier P. Les liposarcomes. Paris - Maison Chim. 2012 Nov 1;32(5, Supplement):S108–10.
[4]. Trojani M, Contesso G, Coindre JM, Rouesse J, Bui NB, de Mascarel A, et al. Soft-tissue sarcomas of adults; study of pathological prognostic variables and definition of a histopathological grading system. Int J Cancer. 1984 Jan 15;33(1):37–42.
[5]. Enzinger, F.M. & Weiss, S.W. (1995) Liposarcoma. Weiss S.W., Goldblum, J.R., Enzinger, F.M., Enzinger and Weiss's Soft Tissue Tumors, 4th ed. St Louis: Mosby,: 821-8.

Abstract: Background : Vitamin D deficiency has a close relation with hyperemesis gravidarum and serum calcium level. The study objective was to investigate the levels of vitamin D and calcium in pregnant women with hyperemesis gravidarum and their effects on their obstetric health. Subjects & Methods: This is a cross-sectional study including 97 pregnant participants with hyperemesis gravidarum. The demographic data was collected by well-trained researcher following a structured questionnaire after obtaining their verbal consent (maternal age, residency, marital, socioeconomic states, educational and occupation states, previous and current obstetrical history and body mass index)were collected. Laboratory Investigations were done with estimation of vitamin D and.......

Keywords - Vitamin D, Calcium, pregnancy, Hyperemesis gravidarum

[1]. Bailit JL. Hyperemesis gravidarium: Epidemiologic findings from a large cohort. Am J Obstet Gynecol 2005;193:811-4.
[2]. Boelig RC, Barton SJ, Saccone G, Kelly AJ, Edwards SJ, Berghella V: Interventions for treating hyperemesis gravidarum. Cochrane Database Syst Rev 2016; 5: 1–147.
[3]. Lagiou P, Tamimi R, Mucci LA, Trichopoulos D, Adami HO, Hsieh CC. Nausea and vomiting in pregnancy in relation to prolactin, estrogens, and progesterone: a prospective study. Obstet Gynecol 2003;101:639-44.
[4]. Lee NM, Saha S. Nausea and vomiting of pregnancy. Gastroenterol Clin North Am 2011;40:309-34.
[5]. Lacasse A, Rey E, Ferreira E, Morin C, Berard A. Epidemiology of nausea and vomiting of pregnancy: prevalence, severity, determinants, and the importance of race/ethnicity. BMC Pregnancy Childbirth 2009;9:26.

Abstract: Traditional Chinese Medicine dates back more than 5,000 years ago and includes variety of therapies - acupuncture, cupping, massage, moxibustion, nutrition, herbal medicine, tai chi and chi gong. One of the basic principles of Traditional Chinese Medicine (TCM) is that the body's vital energy Qi circulates through the channels called meridians and have branches connected to the organs and functions in the body. A key element of TCM is the holism meaning that the human being is seen as a whole and a part of nature. Although there is some level of skepticism about TCM in today's society; plenty of studies continue every day to showamazing results andprove the many benefits of the therapies. The main purpose of TCM is to balance the Qi imbalances by expelling the external factors, balancing the internal emotions, removing the blockages from the meridians, freeing the flow of the.......

Key words – Health, Treatment, Traditional Chinese Medicine, Impact, Role

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[4]. Yuan H, Ma Q, Ye L, Piao G; The Traditional Medicine and Modern Medicine from Natural Products; Molecules 2016, 21, 559; doi:10.3390/molecules21050559
[5]. Fetrow CW, Avita JR; Understanding and using herbal medicine; The Complete Guide to Herbal Medicine, pp. 1–3, Simon & Schuster, New York, NY, USA. 2000.