iosr-JDMS   Volume-17 ~ Issue-3 ~ March-2018

Abstract: Foreign bodies are rare causes of right iliac fossa pain and, in most cases, ingested foreign bodies pass through the alimentary tract asymptomatically. However, ingested foreign bodies may sometimes remain silent within the caecum or appendix for many years without an inflammatory response. Despite the fact that cases of foreign-body-induced appendicitis/caecitis have been documented, sharp and pointed objects are more likely to cause perforations and abscesses, and present more rapidly after ingestion. Various materials, such as needles and drill bits, as well as organic matter, such as seeds, have been implicated as causes of acute appendicitis. Clinical presentation can vary from hours to years. Blunt foreign bodies are more likely to remain dormant for longer periods and cause right iliac fossa mass or appendicitis. We herein describe a patient presenting with a foreign body(nail) in her caecum which had been swallowed previously.. We suggest that an elective laparotomy should be offered to such patients as a possible management option

Keywords: abdominal pain, appendix, caecum, foreign body ,laparotomy.

[1] Schwartz GF, Polsky HS. Ingested foreign bodies of the gastrointestinal tract. Am Surg 1976;42(4):236-8.
[2] Kumar S, Fitzmaurice GJ, O'Donnell ME, Brown R. Acute right iliac fossa pain: not always appendicitis or a caecal tumour: two case reports. Cases J 2009;2(1):88.
[3] Assa J, Zoireff L, Iuchtman M. Perforation of the sigmoid colon simulating acute appendicitis. Isr J Med Sci 1980;16(9-10):646- 8.
[4] Ali W, Khan M. Intestinal perforation due to an ingested foreign body. J Coll Physicians Surg Pak 2007;17(4):234-5.
[5] Yao CC, Yang CC, Liew SC, Lin CS. Small bowel perforation caused by a sharp bone: laparoscopic diagnosis and treatment. Surg Laparosc Endosc Percutan Tech 1999;9(3):226-7.

Abstract: Cancer of the oral cavity makes up approximately 30% of all head and neck region tumors. Skin metastasis usually occurs in the neck, scalp, and over the skin near the primary site. Cutaneous metastases are associated with poor prognosis and advanced disease. We report a case of carcinoma tongue, post hemiglossectomy and post EBRT(External beam radiotherapy) presented with scalp nodule.

Key Words: Skin metastasis, carcinoma tongue, hemiglossectomy, EBRT.

[1] Pitman KT, Johnson JT. Skin metastases from head and neck squamous cell carcinoma: incidence and impact. Head Neck. 1999;21:560 -565.
[2] Distant Metastases of Head and Neck Squamous Cell Carcinomas — Experience from Eastern Taiwan Lee-Ping Hsu, Peir-Rong Chen Department of Otorhinolaryngology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan Tzu Chi Med J 2005; 17:99-104)
[3] Cutaneous Metastases from Head and Neck Squamous Cell Carcinoma Sangeetha Poovaneswaran, FRCR (UK), Vinidh Paleri, FRCS (ORL-HNS), Fraser Charlton, FRCPath (UK), Werner Dobrowsky, FRCR, Charles Kelly, FRCR (UK) Med J Malaysia Vol 67 No 4 August 2012
[4] Yoskovitch A, Hier MP, Okrainec A, Black MJ, Rochon L. Skin metastases in squamous cell carcinoma of the head and neck . Otolaryngol Head Neck Surg 2001; 124: 248-52
[5] Caloglu M, Uygun K, Altaner S, Uzal C, Kocak Z, Piskin S. Nasopharyngeal carcinoma with extensive nodular skin metastases: A case report. Tumori 2006; 92: 181-4..

Abstract: Introduction : Cardiovascular disease is a model of chronic degenerative disease, and at present is the leading cause of death worldwide, accounting for >15 million deaths each year (1). According to 2020 WHO projections, cardiovascular diseases and their complications, will be the most important cause of morbidity and death worldwide, with high costs to health-care systems (2). These forecasts reinforce the need to develop new therapeutic and preventive strategies to reduce cardiovascular disease morbidity and mortality (3).Cardiovascular diseases (CVD) account for a large proportion of all deaths and disability worldwide. India is the second most populous country in the world and emerging burden of CVD in countries here is alarming (4). In 1990, CVD accounted for 20% of all.......

Keywords: Hypertension ,prevalence ,risk factors,population

[1] Mozaffarian D et al. Heart disease and stroke statistics — 2015 update: A report from the American Heart Association. Circulation 2015; 131: e29-e322.
[2] World Health Organization. Global status reports on Non-Communicable diseases, 2010. [Available on: http://www.who.int/nmh/publications/ncd_report_full_en.pdf].
[3] Townsend N, Nichols M, Scarborough P, Rayner M. Cardiovascular disease in Europe 2015: An epidemiological update. Eur Heart J 2015; 36: 2673-74.
[4] Global Burden of Diseases 2013 Mortality and Causes of Death Collaborators. Global, regional, and national levels of age -sex specific all -cause Moran AE, Forouzanfar MH, Roth GA, et al.
[5] Fuster V, Kelly BB, and Board for Global Health. Promoting cardiovascular health in developing world: a critical challenge to achieve global health. Washington. Institute of Medicine, 2010..

Abstract: The aim of the present study is to study the mode of injury and the clinical presentation of Blunt injury abdomen and the presence of associated injuries and to study the methods of evaluation, decision making and management in these cases.Patients and methods: This hospital based prospective clinical study includes60 patients of blunt abdominal trauma of various intra-abdominal lesions which reported to Siddhartha Medical College and General Hospital between July 2016 to December 2017. Results: Majority of these patients (70 %) were in the age group of 11-40 years, which is a period of activity. Males outnumbered females, the ratio being 5:1, only 10 out of 60 patients were females. Majority had a history of Road traffic accident and abdominal pain and tenderness, guarding and rigidity were noted most often. Most of the patients with simple abdominal injuries had an average hospital stay of about 10 days.Overall accuracy of diagnostic peritoneal tap is about 62.5%.

Keywords: Blunt Abdominal Trauma, Diagnostic Peritoneal Tap, Surgical Management

[1] Micheal J Zinner& Stanley W. Ashley. Maingot's Abdominal operations 12th Edition 2013
[2] Neugebauer H. Wallenboeck E. Hungerford M: Seventy cases of injuries of the small intestine caused by blunt abdominal trauma: a retrospective study from 1970 to 1994. J Trauma. vol 46 (1): 116-21, 1999 Jan.
[3] Perry, John. F. et al "Diagnostic peritoneal lavage in Blunt Abdominal Trauma"; J. Surg- Gynaec and Obst. Vol.; 72; p743-744, Oct 1970.
[4] R. Khanna, S Khanna, P Singh, Puneet and A K Khanna; Spectrum of blunt abdominal trauma in Varanasi; Quart J; vol 35, No 1&2, Mar&Jun 1999; p25-28.
[5] Diagnosis and management of blunt small bowel injury: a survey of the membership of the American Association for the Surgery of Trauma. 2000 Mar: 48 (3): 402-7.

Abstract: Human blood is an essential element of life since it is the only oxygen transporter in the body. Blood transfusion services have been considered as an integral part of health care system. This study aims to describe the profile of blood donors, find out the case load of TTI's and to find out the association of socio demographic characteristics of donors with infections . Method: This is a cross sectional record based study done at the blood bank of Rajendra Institute of Medical Sciences. The study period was 3 months, August 2017 to October 2017. Total sample size during my data collection period came out to be 1350. Templates were generated on MS Excel sheet and analysis was done using SPSS software(version 20). Result : After analysis of 1350 donors it was found that most common age group of donors was 18-30 years, majority being males(85.27%), most commonly they belonged...........

Keywords: Transfusion Transmitted Infections, Profile, Donors

[1] Ray Karmakar, et al.: Seroprevalence of Transfusion Transmitted Infection Among Blood Donors, Indian Journal of Public Health, Volume 58, Issue 1, January-March, 2014
[2] Shenga N, Pal R, Sengupta S. Behavior disparities towards blood donation in Sikkim, India. Asian J Transfusion Sc.2008; 2(2): 56-60.
[3] National AIDS Control Organization. Standards for Blood Banks and Blood Transfusion Services. New Delhi: Ministry of Health and Family Welfare Government of India; 2007
[4] Srikrishna A, Sitalakshmi S, Damodar P. How safe are our safe donors. Indian J Pathol Microbiol. 1999;42:411-6.
[5] Haldar D, Majumdar KK, Karir S, Chakraborty AK, Dey A, Mandal AK. Analysis of the profile of blood donors in a blood bank of a private medical college of Kolkata. Int J Community Med Public Health 2017;4:3899-902..

Abstract: Fixed partial denture is one of the commonest methods of replacing lost tooth if the economic condition permits. Now a days it is very common practice to replace missing tooth with fixed partial denture. FPD can offer exceptional satisfaction for both patient and dentist. It can transform an unhealthy, unattractive dentition with poor function into a comfortable, healthy occlusion capable of long years of service and significantly improve esthetics. However failure in FPD is inevitable and this failure is due to various reasons. Once a FPD fails removing it is quite difficult and traumatic to the patient. My study which is done across 50 dental clinics in Patna in order to know the common procedure of removing failed fixed partial denture among the dentist in Patna

Keywords: FPD, Failed fixed partial denture, crown remover. Metalift system

[1] Janardanan K, Varkey V K, Lovely M, Anuroopa A. Coronal disassembly systems and techniques: An overview.J Interdisciplinary Dent 2014; 4: 33-40.
[2] Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications in fixed Prosthodontics. J Prosthet Dent 2003; 90: 31-41.
[3] Gregory WA, Hagen CA, Powers JM. Composite resin repair of porcelain using different bonding materials. Oper Dent1988; 13: 114-8.
[4] Sharma A, Rahul GR, Poduval ST, Karunakar S. Removal of failed crown and bridge. J Clin Exp Dent 2012; 4: e167-72

[5] Tan K, Pjetursson BE, Lang NP, Chan ES. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. Clin Oral Implants Res. 2004; 15:654-66.

Abstract: Over the last few decades injuries of the knee joint have played a major role, due to many popular knee pivoting sports including soccer, skiing and basketball.1 Anterior Cruciate Ligament (ACL) injury is a ligamentous injury that has been studied extensively all over the world in the past 20 years. It is more frequently torn than the posterior cruciate ligament. The ACL has a poor capacity for intrinsic repair. Thus, patients who have knee symptoms related to ACL deficiency may consider ligament reconstruction as a means of stabilizing the tibiofemoral joint and restoring high-level function of the knee joint. Ligament injury accounts for nearly 40% of all knee injury problems and isolated ACL injury constitutes nearly 50% of all knee ligament injuries2,3,4. Approximately 3,00,000 ACL reconstructions are performed in the USA.......

Keywords: Anterior Cruciate Ligamaent (ACL), Hamstring Allograft, Endobutton, Interference Screw

[1] Albert van kampen. The knee joint in sports medicine. International orthopaedics (SICOT) 2013:37:177-179.
[2] Nicholl JP, Coleman P, and Williams BT. Pilot study of the epidemiology of the exercise related injuries.Injuries in sport and exercise. Sports Council,1991.
[3] Myasaka KC, Daniel D, and Stone ML. The incidence of knee ligament injuries in the general population. Am J Knee Surg 1991;4 :3–7.
[4] Steve Bollen. Epidemiology of knee injuries: diagnosis and triage. Br. J. Sports Med. 2000; 34;227-8.
[5] Ofir Chechik, Eyal Ama, Morsi Khashan, Ran Lador, Gil Eyal, Aviram Gold. An international survey on anterior cruciate ligament reconstruction practices.

Abstract: We report a case of Dengue febrile illness with features of anaemia, splenomegaly, and thrombocytopenia diagnosed to have Hairy cell leukemia (HCL). Diagnosis of dengue is aided by NS1 antigen (ELISA) & Hairy cell Leukemia on bone marrow & immunophenotypic analysis. Occurrence of this infection in HCL is unheard in literature.

[1] Katayama I, Finkel HE: Leukemic reti- culoendotheliosis. A clinicopathologic study with review ofthe literature. Am I Med 57:1 15- 125, 1974
[2] Flandrin G, Daniel MT. Fourcade M, Chelloul N: Leucmie a "tricholeucocyte" (hairy cell leukemia), tudecliniqueetcytologique de 55 observations. Nouv Rev Fr Hematol 13:609-640, 1973
[3] Emanuele Ammatuna, Emilio Iannitto,Lidwine W. Tick, Nicolaas L. A. Arents, Philip H. Kuijper, and Marten R. Nijziel Two Cases of Q-Fever in Hairy Cell Leukemia Case rep Hematol. 2014:2014; 863932
[4] Emilio Bouza, Carmen Burgaleta, and David W. Golde Infections in Hairy-Cell Leukemia Blood 51(5):851-858, 1978.
[5] E. H. Kraut, "Clinical manifestations and infectious complications of hairy-cell leukaemia," Best Practice and Research: Clinical Hematology 16 (1):33–40, 2003.