iosr-JDMS   Volume-17 ~ Issue-2 ~ February-2018

Abstract: AIM AND OBJECTIVE: To check the validity of Demirjian's method by comparing the chronological age to dental age estimated by Demirjian's method in Mangalore population. MATERIALS AND METHODS: This retrospective study was done using 62 panoramic radiographs which were collected in the age group of 3-16 years from the archives. Dental age was calculated using Demirjian's method, and it was then compared with the chronological age of the study population. The obtained data were statistically analysed using paired t test, intra class correlation coefficient and a regression analysis was done using SPSS 13 software. RESULTS:..........

Keywords: Panoramic radiograph, Forensic odontology, Regression equation, Demirjian's method

[1]. Demirjian, A., Goldstein H, Tanner JM; a new system of dental age assessment ,Human Biology, 45:2(1973:May) p.211-217
[2]. Anamaria Jurca, Luminita Lazar, Mariana Pacurar, Cristina Bica,, Manuela Chibelean, Eugen Bud. Dental age assessment using
Demirjian's method – aRadiographic Study, European Scientific Journal December 2014 edition vol.10, No.36 ISSN: 1857 – 788
[3]. Bhanat S, Patel D. Dental & Skeletal maturity indicators of Chronological age: Radiographic evaluation amongst children in
Gujarat, India, IOSR Journal of Dental and Medical Sciences. 2013 May-June; 6(4):6–12.
[4]. Nakas E, Galic I, Brkic H, Lauc T. Comparison of dental and Chronological age in children from Sarajevo with different sagittal
skeletal malocclusions. Stomatoloski vjesnik. 2013; 2(2):83-87
[5]. Saranya B, Junaid A, Nandita S, Ravikiran O. Comparison of Skeletal Maturity and Dental Maturity - A Radiographic Assessment.
Scholars Journal of Applied Medical Sciences. 2013; 1(5):427-431

Abstract: Introduction: Tumors arising from primary adnexal structures skin are Cutaneous adnexal tumors (CATs). These are benign and malignant tumors derived from multipotential cell lines. Even though HPE can differentiate benign and malignant CATs, the classification is still a different task due to variable growth patterns and metaplastic transformations. Aim: To study, classify and review various CATs and evade pitfalls in differentiating benign and malignant CATs. Material and Method: A retrospective study of the diagnosed CATs was done for a period of three years. Histopathological examination (HPE) and classification of tumors was carried out. Results: In the present study 32 cases of CATs were diagnosed. There were........

Keywords:Cutaneous adnexal tumors, hair follicle, histopathological examination, sweat gland

[1]. Alsaad KO, Obaidat NA, Ghazarian D. Skin adnexal neoplasms--part 1: an approach to tumours of the pilosebaceous unit. J Clin Pathol 2007; 60:129.

[2]. Obaidat NA, Alsaad KO, Ghazarian D. Skin adnexal neoplasms--part 2: an approach to tumours of cutaneous sweat glands. J Clin Pathol 2007; 60:145.

[3]. Lee DA, Grossman ME, Schneiderman P, Celebi JT. Genetics of skin appendage neoplasms and related syndromes. J Med Genet 2005; 42:811.
[4]. Ahmed TS, Priore JD, Seykora JT. Tumours of epidermal appendages. In: Elder DE, editor. Lever's Histopathology of Skin. 11th ed. Philadelphia: Lippencott Williams and Wilkins; 2015. p. 851‑909.

[5]. Ramya Gandhi, Sowmya Srinivasan. A morphologic study of cutaneous adnexal tumors. National J Lab Med 2016; 54:8-11

Abstract: Background: In recent years , the incidence of Human immunodeficiency virus (HIV) infection has increased enormously all over the world. patients with HIV infection are known to have risk of developing TB. case fatality rate is high with drug resistant TB in Aquired immunodeficiency syndrome(AIDS). Material and methods: This is an observational study of prevalence of pulmonary tuberculosis in HIV positive individuals conducted in the Department of Pulmonary medicine from September 2016 to August 2017 in RIMS Medical College and Hospital , Ongole ,Andhra Pradesh, India. Results: Out of 1016 patients, a total of 227 (22.35%) were diagnosed as Pulmonary tuberculosis. It was commoner in males (64%), and more frequent in laborers (46%)and Out......

Keywords: Pulmonary Tuberculosis, HIV, AIDS, CD4 counts

[1]. Raviglione MC, Snider DE, Kochi A. Global epidemiology of tuberculosis, morbidity and mortality of a world wide epidemiology.JAMA 1995;273:220-6.
[2]. Narain JP, Raviglione MC, Kochi A. HIV associated tuberculosis in developing countries; epidemiology and strategies for prevention . Tuber Lung Dis 1992;73:311-21.
[3]. Joint United Nations programme on HIV/AIDS ,2006 report on the global AIDS epidemic.Available at URL:http:// www.unaids org /en/HIV_data/2006Global Report/default.asp.Accesed on Jan 31,2008.
[4]. Tuberculosis Control in South –East and Western pacific Regions 2005. A Biregional Report.Geneva.WHO;2005.
[5]. WHO Report 2005 G lobal Tuberculosis Control:surveillance, planning. WHO/HTM/TB/2005- 349.Geneva.WHO;2005..

Abstract: This study measured and compared the shear bond strengths of compositeresin veneer to Ni-Cr alloy with mechanical, chemical and mechanochemical retention methods. Materials & Methods: A total of 96 base metal Ni-Cr alloy cast specimenswith meshwork, beads for mechanical, SR Link, Alloy Primer for chemical and combination of these two formechano-chemical bonding were prepared.Composite buttons were built and cured on the specimens and tested for shear bond strength. The study was categorized based on the mode of retention into eight groups of twelve specimens each. Half of the samples from each group (6) were tested before thermocycling and the rest half were tested after subjecting them to 500 cycles of thermocycling with a temperature variation from 5°C to 55°C..........

Keywords: mechanical retention,metal alloys, primers, resin composite, shear bond

[1]. Tanaka T, Hirano M, Kawahara M, Matsumura H, Atsuta M. A new Ion coating surface treatment of alloys for dental adhesive resins. J.Dent.Res 1988; 67:1376-1380
[2]. Bruno Sharp, Dean Morton, Arthur E Clark. Effectiveness of metal surface treatment in controlling microleakage of the Acrylic Resin- Metal framework interface. J.Prosthetic.Dent 2000; 84:617-622
[3]. CheeF.Lee, Hugh P.Pierpont, Edmund R.Strickler. The effect of Bead attachment systems on the casting patterns & resultant tensile bond strength of composite resin veneer cast restorations. J.Prosthetic.Dent 1991; 66:623-630.
[4]. David G. Naegeli, E. Steven Duke, Richard Schwartz & Barry K. Norling. Adhesive bonding of composites to a casting alloy. J.Prosthetic.Dent 1988; 60: 279-283.
[5]. Haralambos Petridis, Hirayama H, Qugel G, Habib C, Garefis P. Shear bond strength of techniques of bonding esthetic veneers to metals. J.Prosthetic.Dent 1999; 82: 608-614..

Abstract: Hepatitis E virus is one of the leading causes of acute liver failure in clinical situation especially in immune-compromised patients , it has a high incidence in Asian countries and many people died due to lack of proper treatment . In this study , steroid (prednisolone ) was used as therapeutic challenge in such patients and significant improvement in clinical and biochemical parameters were found ( SGPT , prothrombin time and total bilirubin ) . This observational study highlights the possibility of steroid treatment as a therapeutic rescue in patients with hepatitis E. Further studies are required to evaluate whether steroid treatment has a supportive role for patients with HEV induced acute liver injury and improves their spontaneous outcome.

Keywords: hepatitis E , steroid (prednisolone ) , SGPT , Prothrombin time

[1]. Dalton HR, Bendall R, Ijaz S, Banks M: Hepatitis E: an emerging infection in developed countries. Lancet Infect Dis 2008, 8:698–709.
[2]. Kumar Acharya S, Kumar Sharma P, Singh R, Kumar Mohanty S, Madan K, Kumar Jha J, Kumar Panda S: Hepatitis E virus (HEV) infection in patients with cirrhosis is associated with rapid decompensation and death. J Hepatol 2007, 46:387–394

[3]. Bernal W, Wendon J. Acute liver failure. N Engl J Med. 2013;369:2525–2534

[4]. Khuroo MS, Kamili S. Aetiology and prognostic factors in acute liver failure in India. J Viral Hepat. 2003;10:224–231

[5]. Alam S, Azam G, Mustafa G, et al. Natural course of fulminant hepatic failure: the scenario in Bangladesh and the differences from the west. Saudi J Gastroenterol. 2009;15:229–233.

Abstract: Tuberculosis is the most common cause of infectious disease-related mortality worldwide. Ethambutol and isoniazid (INH) are synthetic first-line agents of the anti-tubercular treatment (ATT) against Mycobacterium tuberculosis. Ethambutol optic neuropathy is a well-recognized adverse ocular event in patients who receive the drug for the treatment of mycobacterial infections. However, most cases in literature are reversible. Optic nerve involvement is a rare side-effect of INH. Visual loss due to optic neuropathy is a rare side-effect of ATT particularly ethambutol and INH. The main aim of this study was to evaluate the ocular effect of ATT with Standard regimen and visual outcome. A total of 73 Patients who were diagnosed as a case of TB and on ATT, were included in this observational study conducted in the Department of Ophthalmology and TBCD, MLBMC, Jhansi. An assessment of present complains detailed clinical history (present and past). Ophthalmological check up as external examination...........

Keywords:Anti-tubercular treatment (ATT), Fundus photography, Gonioscopy, OCT, optic neuropathy, Mycobacterium tuberculosis, Parimetry

[1]. Sadun, A.A., 1986. Neuroanatomy of the human visual system: Part I. Retinal projections to the LGN and pretectum as demonstrated with a new stain. Neuroophthalmology 6, 353–361.

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[5]. Li J, Tripathi RC, Tripathi BJ. Drug-induced ocular disorders. Drug Saf. 2008;21:127-141...

Abstract: Objective:, To determine the role of ultrasonography in the management of liver abscess and the etiological factors associated with liver abscess. Materials and methods:All patients with liver abscess 2015 to 2018 were included in this study.50 patients with Liver abscess who reported to various departments of Subharti medical College, Meerut, were included in the study.Usg was done to determine the size,location ,number and to know which lobe of the liver is involved.The pus was collected after procedures like PNA or PCD and was sent for culture and sentivity,Elisa test to know the causative organism. Results:On ultrasonography,31 out of 50 patients were found to have solitary abscess and 19 patients were found to have 2 or more abscesses.Of these 41 patients had abscess in right lobe of liver,5 had abscess in left lobe and the remaining 4 had abscess in..........

[1]. C L Rajak,Saurabh Gupta, Shashank Jain, SamikshaSuri. Percutaneous treatment of liver abscesses: needle aspiration versus catheter drainage.American Journal of Roentgenology April 1998; 170(4):1035-9.

[2]. Rustam Khan, Saeed Hamid, ShahabAbid, WasimJafri, Zaigham Abbas, Mohammed Islam,HasnainShah,Shaalan. Predictive factors for early aspiration in liver abscess. Begwjgast;April;2008;14(13);2089-2093.

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[5]. Lübbert C, Wiegand J, Karlas T .Therapy of liver abscesses.Viszeralmedizin. Oct 2014;30(5):334-41

Abstract: Introduction- In our country both pterygium and cataract have a high incidence. Hence in this study, thirty patients with pterygium and cataract were treated with a simultaneous pterygium excision and cataract extraction procedure. Material and methods- It was prospective interventional study. The pterygium excision was done without graft following which the cataract was extracted and the patients were treated post-operatively with topical betamethasone 0.1% for a duration of three months. They were followed up for a duration of 2 months postoperatively. Results- 20 patients (66.6%) had visual recovery of 6/12 and better at the end of 2 months. 14 patients (46.6%) had recurrence of pterygium at the end of 2 months. The combined procedure did not result in any complications after cataract surgery. Post-operatively, after 2 months 12 patients (40%) had with the rule astigmatism and 18 patients (60%) had against the rule astigmatism.

[1]. Kanski's Clinical Ophthalmology 8th edition pg no. 162-164

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[4]. Lewallen S. Randomised trial conjunctival auto-grafting for pterygium in the tropics. Ophthalmology 1989; 96:1612-1614. [5]. Singh G, Wilson MR, Foster CS. Long term follow-up study of mitomycin-C eye drops as adjunctive treatment for pterygia and its comparison with conjunctival auto-graft transplantation. Cornea 1990; 9:331-334..

Abstract: Immunization is one of the most cost effective measures to prevent childhood diseases. Vaccines are sensitive biological products and their potency can diminish irreversibly when exposed to inappropriate temperatures. Hence for effective implementation of the immunization programme, Cold Chain and Vaccine Management need a great focus and attention. Cold Chain Handler (CCH) is the most crucial person at a Cold Chain Point as his/her correct knowledge and skills regarding cold chain practices, vaccine management and handling are immensely vital for the success of Universal Immunization Programme. Keeping this in mind, this cross-sectional study was carried out at all 26 Cold Chain Points in district Meerut, Uttar Pradesh. Globally validated WHO-UNICEF Effective Vaccine Management (EVM) tool was used for this study. It was found out that all 26 CCH could correctly read and.........

Keywords: Knowledge, Skills, Cold Chain Handler, Effective Vaccine Management, Meerut

[1]. World Health Organisation [Internet]. Geneva.: Children- Reducing mortalities, [cited July 2017] available from: http://www.who.int/mediacentre/factsheets/fs178/en/
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[5]. Gupta A, Gupta R, Study of Cold Chain Practices at Community Health Centers of Damoh District of Madhya Pradesh. National Journal of Community Medicine 2015; 6(4):528-532.

Abstract: The private and para-transit modes of transportation are in the nascent phase of development in the economy of Indian road transport sector. Which makes working as an auto-rickshaw driver an everyday struggle for the drivers; adding up in the obstacles in attainment of their general health and wellbeing. Auto-rickshaw drivers like other professional drivers are at higher risk of developing work related musculoskeletal disorders in our country especially due to poor road conditions, extended hours of work in bad posture, traffic congestion, poor ergonomic design of the auto-rickshaws and poor maintenance of the vehicle and so on. Methodology:A cross-sectional study was carried out among 231 auto-rickshaw drivers registered with a randomly selected auto-rickshaw driver' union situated insemi-urban area of the city after fulfillment of inclusion and exclusion criteria. Using Standardized........

Keywords: Auto-rickshaw drivers, Professional drivers,Musculoskeletal symptoms, Work related musculoskeletal morbidities (WRMSD).

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Abstract: Aim: To assess the effectiveness of chlorhexidine mouthwash in the prevention or amelioration of mucositis among patients undergoing chemoradiotherapy therapy. Patients and Methods: A total of 60 patients (n=30 in each arm) were assigned to receive either Conventional fractionation or Concomitant boost radiotherapy along with concurrent cisplatin. Toxicities were analyzed weekly during the treatment, and one and three month after treatment completion. The radiation therapy oncology group acute radiation morbidity scoring system was used to document the severity.The patients were planned to receive Chlorhexidine mouthwash 5ml, 3 times a day during and after 3 months of completion of the radiation therapy. Results: Acute mucosal toxicity was assessed as per the RTOG Acute Radiation Morbidity Scoring System. Among both the groups, grade I mucosal toxicity was seen in 18 (60%) patients.......

Keywords: Chlorhexidine mouthwash, Head and Neck Cancers,Mucositis,Quality of life[QOL]

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Abstract: The present study is a cross sectional study which aims at the assessment of the prevalence of Ante natal Hepatitis B. A total of 456 study participants were enrolled. Probability sampling using the systematic method was used to include study participants. The sampling frame consisted of all pregnant women attending ANC at College of Medicine and Sagore Dutta hospital. The sampling interval (K unit) was calculated as 9 mothers using ANC records that showed a monthly attendance of 860 first visit attendances. After obtaining written consent from an informed client, Three to five milliliters (3-5 Mls) of whole blood was collected from each study participant by venous puncture, and serum was separated. The serum was tested by immunochromatographic method to detect HBsAg...........

Keywords: Pregnant, HBsAg

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Abstract: OCT was first demonstrated by Huang D et al, in 1991.1 The first in vivo tomograms of the human optic disc and macula were demonstrated in 1993.2,3 It enables noncontact, noninvasive imaging of the anterior eye as well as imaging of morphologic features of the human retina including the fovea and optic disc4,5using near infrared low coherent light passing through a Michelson interferometer to obtain two dimensional images of the retina and optic nerve head. Optical coherence tomographyis of two types- Time domain OCT and Spectral- domain or Fourier Domain OCT. The time domain OCT 3000become available in 2002, with an axial resolution of 10μm and scan velocity of 400 axial scans per second. In 2004, higher resolution Spectral Domain OCT (SD-OCT) was introduced in clinical practice with reported resolution of 1 to 5 μm as well as improved visualization of retinal morphologic and pathologic features............

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[5]. Puliafito CA, Hee MR, Schuman JS, Fujimoto JG. Optical Coherence Tomography of Ocular Diseases.Thorofare, NJ: Slack Inc; 1996.