iosr-JDMS   Volume-17 ~ Issue-11 ~ November-2018

Abstract: Patients with thalassemia syndrome, a group of inherited autosomal recessive haematologic disorder, need multiple blood transfusions, a complication of which is iron overload. Though life saving, but chronic blood transfusion can lead to lethal iron overload injury of liver, often characterized by the development of fibrosis and eventually, cirrhosis and increased serum ferritin. Liver enzymes are raised and indicative of liver injury in transfusion dependant thalassemia patients. To our knowledge no data are available on values of liver enzymes in patients with thalassemia in Murshidabad district. The study was carried out on 50 thalassemia cases and 50 age, sex matched controls to observe any alteration of serum AST and ALT and also whether the alteration could be correlated with common haematological indices. Compared to controls, the cases had significantly higher liver enzymes and there was positive correlation between high ferritin and high liver enzymes level. Taken together, high ferritin and liver enzymes levels might be important predictors for morbidity and mortality in thalassemia.

KEYWORDS: AST, ALT, ferritin, iron, thalassemia.

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Abstract: Aim: Study of incidence of ectopic pregnancy in relation to ART usage and other etiological factors. Effect of advances in technology and management approach to ectopic pregnancy. Background: Ectopic pregnancy is a complication of pregnancy in which the embryo attaches outside the uterus. With increase in the incidence of PID and use of ART for infertility, there is increase in the incidence of ectopic pregnancy in recent times. Fewer than 50 percent of affected women have symptoms. TVS is the best for early diagnosis. Medical management has a role in some cases. Material and methods: Prospective study at GMH, Osmania medical college, Hyderabad from February– July 2013. 40 cases of ectopic pregnancy admitted during the period are analyzed as to etiology, clinical presentation, mode of diagnosis and management. There were 40 cases of ectopic pregnancy admitted to our institute during 6 month..........

Keywords: Unruptured ectopic pregnancy, Medical management, ART, Tubal surgery.

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[4]. Shaw JL, Diamandis EP, Horne AW et al.Ectopic pregnancy. Clin Chem 2012;41:53-6.
[5]. de Bennetot, Marianne, et al. "Fertility after tubal ectopic pregnancy: results of a population-based study." Fertility and sterility 98.5 (2012): 1271-1276.

Abstract: Introduction: Synovial fluid analysis being a basic diagnostic tool, will differentiate between inflammatory & non-inflammatory conditions and provide direct proof of crystal arthropathy and infection.The aim of the present study was to find out the etiological diagnosis among patients of undiagnosed knee synovitis by synovial fluid analysis. Methodology: A descriptive cross-sectional study was done in department of Physical Medicine and Rehabilitation, I.P.G.M.E.& R. Kolkata from March2009- October 2014 (5 year 06 months). Patients of knee effusion in the age group of 21 to.........

Key words: Synovial fluid, Synovitis, Arthrocentesis, Arthropathy.

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[5]. Horowitz LD, Katzap E, Horowitz S, Barilla LaBraca ML. Am Fam Physician 2011;84(6):653-60.

Abstract: Giant lipomas involving the extremities are rare tumors. These large masses grow slowly and produce symptoms due to their size, location and compression of adjacent structures. Here we present two interesting cases of giant lipomas, one on the left shoulder of eight year duration and other on the right gluteal region of 30 year duration. The lipomas were surgically excised with complete return of normal form and function.

Keywords: Giant lipoma, surgical excision.

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Abstract: Sonography in Obstetrics was first introduced by Ian Donald & colleagues in 1958 at Glasgow University in Great Britain. An early detection of fetal anomalies has become an important part of antenatal care. This helps to identify the severity of disease and its impact, lead ing to either pregnancy termination or gives opportunity for fetal therapy and/or a better neonatal care. Ultrasound is non -invasive and safe and hence can be used repeatedly. It is quick, inexpensive, easily available & causes no discomfort to the patient at any time of gestation. Fetal anomaly scan is usually carriedout at 18 -24 weeks of gestation.

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Abstract: A biofilm is a structured consortium of bacteria embedded in a self-produced polymer matrix consisting of polysaccharide, protein and DNA that cause two thirds of all infections and demonstrate a 10 to 1000 fold increase in adaptive resistance to conventional antibiotics as well as resisting phagocytosis and other components of the body's defense system. Currently, there are no approved drugs that satisfactorily and specifically target bacterial biofilms. Human placental extract (HPE 100μg/ ml) containing biomolecules like peptides and nucleotides completely prevented biofilm formation and led to the eradication of mature biofilms in representative strains of both Gram-negative and.........

[1]. NeilsHoiby,OanaCiofu,Helle Krogh Johansen,Zhi-jun Song, Claus Moser, Peter Ostrup Jenson, SorenMolin, Michael Givskov, Tim Tolker-Neilson, Thomas Bjarnsholt, The clinical impact of bacterial biofilms (Review). Int J Oral Sci (2011) 3:55-65.
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[3]. S. Goswami et al. Effect of human placental extract in the management of biofilm mediated drug resistance; A focus on wound management, Microbial Pathogenesis 111) 307-315 2017.
[4]. Isolation of fibronectin type III like peptide from human placental extract used as wound healer P.D. Chakraborty, D. Bhattacharyya / J. Chromatogr. B 818 67–732005.
[5]. Debashree De1, PiyaliDatta Chakraborty2, Jyotirmoy Mitra1, Kanika Sharma1, Somnath Mandal1,Aneesha Das1, Saikat Chakrabarti1, Debasish Bhattacharyya1* Ubiquitin-Like Protein from Human Placental Extract Exhibits Collagenase Activity PLOS ONE March 2013 | Volume 8 | Issue 3 |.

Abstract: Youth represent a tremendously valuable asset to the society therefore working with them to make a healthy transition to adulthood is critical to the world's development now and in the future. The issue of youth-friendly health service has become a matter of concern as many young people still do not have access to such in the country. The community survey was designed to generate increased understanding of the barriers that limit youth access to sexual and reproductive health services(SRH) offered by Primary Health Care (PHC) facilities in Nigeria. Stratified and Purposive Samplingwith qualitative and quantitative research methodology wasadopted. Qualitative data were obtained through 12..........

Key words: Adolescent, Youth-friendly health service, Primary Health Care (PHC) facilities.

[1]. Nigeria Demographic and Health Survey (2008) pp 12.
[2]. Odaga A. Youth and HIV/AIDS in Africa: A Call for Effective Policies and Programs Editorial, African Journal of Reproductive Health, June 2012 16(2):17.

[3]. State of world population2005: the promise of equality, United Nations Populations Fund, New York (2005).https://www.unfpa.org/publications/state-world-population-2005.

[4]. Ezzati M, Lopez AD, Rodgers A, Vander Hoorn S, Murray CJL the Comparative Risk Assessment Collaborating Group.Selected major risk factors and global and regional burden of disease. Lancet 2002; 360: 1347-1360.

[5]. Rita Moses Mbeba, Martin SemMkuye, Grace Elias Magembe, William LubaziYotham, Alfred obeidyMellah, Serafina Baptist Mkuwa. Barriers to sexual reproductive health services and rights among young people in Mtwara district, Tanzania: a qualitative studyPan African Medical Journal. 2012.

Abstract: Aim of the study: The purpose of this study was to evaluate the fracture strength of the laminateveneers in maxillary anterior, fabricated from either composite (direct and indirect techniques) or ceramicCAD/CAM blocks. Materials and Methods: Forty sound human maxillary incisor teeth were used in this in vitro study. Teeth weredivided randomly into one control group and three experimental groups of ten teeth each; control group Group A: Restored withdirect composite veneer(IPSIMPRESS), Group B: Restored with indirect composite veneers (Tetric Ceram), Group C:Restored with zirconia CAD/CAM block. Standard preparations were done using Ceramic Veneer Set. Indirect laminate veneers were cemented with the Veneer Cement and all specimenswere stored in distilled.........

Keywords: Laminate veneers, direct composite, indirect composite, zirconia CAD-CAM,fracture strength.

[1]. Gresnigt M. Clinical and laboratory evaluation of laminate veneers, chapter one: Introduction. Thesis, Department of Fixed and Removable Prosthodontics, University of Groningen, Netherlands, 2011.
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[3]. Alghazzawi TF1, Lemons J, Liu PR, Essig ME, Janowski GM. The failure load of CAD/CAM generated zirconia and glass-ceramic laminate veneers with different preparation designs. J Prosthet Dent 2012; 108(6): 386-93.
[4]. Akoğlu B, Gemalmaz D. Fracture resistance of ceramic veneers with different preparation designs. J Prostho Dent 2011; 20(5): 380-4. .
[5]. Gresnigt M, Özcan M, Kalk W. Randomized controlled split-mouth clinical trial of direct laminate veneers with two micro-hybrid resin composites. J Dentistry 2012; 40: 766-75.

Abstract: Purpose: To determine if there exists a difference in crestalbone boss and the quantitative radiographic bone density changesaround two different implant systems when subjected to immediate functional and non functional loading. Materials and Methods:Implants of DENTIN and DENTSPLY XiVE systems were placed in 40 subjects who were partially edentulous in the mandibular arch and were immediately functionally and non functionally loaded. Four groups thus created were evaluated at baseline, 3 months and 6 months for changes in crestal bone levels and quantitative radiographic bone density changes. Results and Conclusion: A greater degree of..........

Key words: Crestal bone loss, Implants,Immediate Loading.

[1]. Degidi M, Piatelli A. Immediate functional and non-functional loading of dental implants: a 2 to 60 month follow-up study of 646 titanium implants. J Periodontol 2003; 74: 225–41.
[2]. Margossian P, Stephan G, Jorgensen C. Immediate loading of mandibular dental implants in partially edentulous patients: A prospective randomized comparative study. Int J Periodontics Restorative Dent 2012; 2: 51- 58.
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Abstract: To our knowledge, there are no data in the English literature to characterize the pattern of prescribing images among dentists. Therefore, we surveyeddentists to determine their habits when requesting images for their patients. Ninety-five recent graduates were surveyed before a continuing education lecture,of which 93 responded. We foundthat recent graduates are unclear about the indications and limitations of the different dental imaging modalities. Therefore, continuing education courses in oral radiology that discuss and compare the available imaging techniques are neededto achieveoptimalpatientcare.

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Abstract: Connectors are those parts of a fixed partial denture (FPD) or splint that join the individual retainers and pontics together .usually this is accomplished with rigid connectors and non rigid connectors.

Keywords: connectors, fixed partial denture, fabrication techniques , rigid connector , non rigid connector

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Abstract: Pancreatic diseases benefit from early and appropriate diagnosis and therapeutic intervention. Variety of imaging technologies give clinicians an unparalleled set of tools to help in every day clinical practice and decision-making. The basal techniques include computed tomography (CT), magnetic resonance imaging (MRI), endoscopic ultrasound (EUS), radionuclide imaging, optical coherence tomography (OCT) and endoscopic retrograde cholangiopancreatography (ERCP) in selected patients. Аdvances in all these technologies and development of molecular-based imaging could enable clinicians to identify diseases at an earlier stage and, thereby, improve patient outcomes. CT is introduced in late 1970s. Since tnen there has been dramatic improvement in pancreatic imaging.

[1]. Adler DG, Lichtenstein D, Baron TH, Davila R, Egan JV, Gan SL, Qureshi WA, Rajan E, Shen B, Zuckerman MJ, Lee KK, Van Guilder T, Fanelli RD. The role of endoscopy in patients with chronic pancreatitis. Gastrointest Endosc2006; 63: 933-937
[2]. Arvanitakis M, Delhaye M, De Maertelaere V, Bali M, Winant C, Coppens E, Jeanmart J, Zalcman M, Van Gansbeke D, Devière J, Matos C. Computed tomography and magnetic resonance imaging in the assessment of acute pancreatitis. Gastroenterology. 2004 Mar 1;126(3):715-23.
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Abstract: Background: Pediatric dermatoses are distinct group of disorders, comprising of skin problems encounteredduring childhood and adolescence. Skin diseases are a major health problem in the peadiatric age group which vary in pattern and presentation compared to adults. Aim: To ascertain the pattern of various dermatoses occurring in children aged below 12 years attending theout patient department of Dermatology Venereology, Leprosy, NRI Medical College and General Hospital,Chinakakani, Guntur district, Andhra Pradesh. Methodology: This was a cross sectional, clinical observational study in pediatric patients attending DVL OPDof tertiary care centre Chinakakani between December 2015 – November 2016. Results: Among 100 patients the most common........

Key words: Infections in Childhood, Pediatric Dermatoses

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[2]. Rana, S., Mehta, A., Singh, R., Aggarwal, B., Bisht, J. and Kumari, N. (2015). Pattern of dermatoses in preschool children in a teaching hospital in Uttarakhand, India. Indian Journal of Paediatric Dermatology, 16(4), pp.198-202.

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Abstract: Background: The purpose of this study was to examine the effect of application of Kinesiotape over the forearm from lateral epicondyle of elbow to the tip of fingers, over the muscles belly of extensor muscles along with conventional occupational therapy to improve hand functions of children with cerebral palsy, which in turn can affect their functional performance and can effectively explore the environment with their hands. Objective: To find out the effect of kinesiotaping over the forearm muscular along with conventional occupational therapy, in improving fine motor function of children with Spastic diplegic cerebral palsy. Study Design: Pre Test and Post Test experimental study design...........

Key Words: kinesiotape, fine motor skills, occupational therapy, Spastic diplegic cerebral palsy

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[5]. Stamer M Posture and movement of the child with cerebral palsy. Therapy Skill Builders;A Psychological Corporation, Academic Court, San Antonio, Texas, USA. 1996. p. 10-15. The deficient fine motor skills in children with CP limit participation in daily activities