iosr-JDMS   Volume-17 ~ Issue-4 ~ April-2018

Abstract: Objective-The main objective of the current study is to evaluate the various research designs and analysis techniques used in the varioushypertension studieswith psychological variables. Method-The purpose of the current study is to evaluate the various research designs and analysis techniques used in the various hypertension studies with psychological variableson different webpage searched on published research works in the hypertension disease. We have included only original research articles in our study. Only 21 studies have been fulfilled criteria to be included in the present study. Result-findings of the result in current study reveals that some analyses and research design were used commonly. Out of 21 researches, 8 research.........

Key words: Hypertension, Psychological Variables, Research Design, Analyses Technique

[1]. Agyei, B., Nicolaou, M., Boateng, L., Dijkshoorn, H., Bert-Jan Van den, B. &Agymang, C. (2014). Relationship between psychosocial stress and hypertension among Ghanaians in Amsterdam, the Netherland- the GHAIA study. BMC, Public Health, 14, 692. Doi; 10.1186/1471-2458-14-692.
[2]. Barksdale, D. J. (). Hypertension in black American: Environment, behaviorand biology.
[3]. Carretero, O. A. &Oparil, S. (2000). Essential hypertension part 1: definition and etiology. Circulation,101, 329-335.
[4]. Elias, M. F., Wolf, H. A., D'Agostino, R. B., Cobb, J. &Whitte, L. R. (1993). Health related quality of life of subjects with Known and Unknown hypertension: Result from the population based Hortega study. American Journal of Epidemiology, 138(6), 353-364.
[5]. Friedman, R., Schwartz, J. E., Schnall, P. L., Landsbergis, P. A., Pieper, C., William, G., &Prckering, T. G. (2001). Psychological variables in hypertension: relationship to casuals or ambulatory blood pressure in men. Journal of Psychosomatic Medicine, 63(1), 19-31.

Abstract: This is the first report of patients with recurrent aphthous stomatitis (RAS) who underwent an effective treatment with inchinkoto, a traditional Kampo (Japanese herbal) medicine. Inchinkoto for the relief of stomatitis is covered by Japanese health insurance, but its effects on RAS have not been established. We treated two RAS patients with inchinkoto (7.5 g/day): 76- and 72-year-old Japanese females. The inchinkoto treatment showed inhibitory effects on RAS and also improved the patients' health-related quality of life (HRQoL) scores on the Short-Form 8 Health Survey and their oral HRQoL scores on the General Oral Health Assessment Index. Significant adverse events did not occur. Inchinkoto may be useful for the treatment of RAS

Key Words: Recurrent aphthous stomatitis, inchinkoto, Kampo, health-related quality of life

[1] Rogers RS. Recurrent aphthous stomatitis: Clinical characteristics and associated systemic disorders. Semin Cutan Med Surg 16: 278-283, 1997.

[2] Jurge S, Kuffer R, Scully C, Porter SR. Recurrent aphthous stomatitis. Oral Dis 12: 1-21, 2006.

[3] Baccaglini L, Lalla RV, Bruce AJ, Sartori-Valinotti JC, Latortue MC, Carrozzo M, Rogers RS 3rd. Urban legends: Recurrent aphthous stomatitis. Oral Dis 17: 755-770, 2011.

[4] Natah SS, Konttinen YT, Enattah NS, Ashammakhi N, Sharkey KA, Häyrinen-Immonen R. Recurrent aphthous ulcers today: A review of growing knowledge. Int J Oral Maxillofac Surg 33: 221-234, 2004.

[5] Sankari SL, Masthan KMK, Babu NA, Priyadharsini C. Recurrent aphthous stomatitis-A review. Biomed Pharmacol J 6: 33-39, 2013.

Abstract: Introduction : Fracture of the lateral condyle of humerus constitute around 13-18% of elbow injuries, with the peak incidence occurring at the age of 6-7 years. The management of fresh displaced fractures of less than 3 weeks duration is not controversial as it is generally agreed that it should be treated by osteosynthetic procedures. Nondisplaced or minimally displaced (<2mm) fractures, treated with simple immobilization with posterior splint along with close follow up and repeat radiographs appears adequate. Displaced fracture are treated with open reduction and fixing internally by suture fixation , Kirschner's wire fixation, preferably with two Kirschner's wires; and screw fixation. Aims & Objectives : Assessment of results in late presentation of fracture lateral condyle of humerus in terms..........

[1]. Saraf S and Khare G. Late presentation of fractures of the lateral condyle of the humerus in children. Indian J Orthop › v.45(1); Jan-Mar 2011
[2]. Beaty J, Kasser J: Rockwood and Willkin's FRACTURE IN CHILDREN ;7th edition.
[3]. Mahmood K, Shah AF, Ghulam A, Shahab-ud-din, Mehsud MW, Qureshi A, Iqtidar B. Outcome of open reduction and internal fixation of fracture lateral condyle of humerus in children presented late. Pak J Surg. 2014; 30(3):263-267.
[4]. Muhammad H, Rana A, Muhammad A, Muhammad S, Rana A, Saeed K .Outcome of Open Osteosynthesis in Neglected Fracture of Lateral Humeral Condyle in Children. Pakistan Journal of medical and health sciences, October-December, 2012 ; 6(4):1024-7.
[5]. Kumar N, Mehtani A, Yadav C, Raj R, Meena S, Barwar N. Delayed presentation of fracture lateral condyle of humerus in paediatric age group, treated by O.R.I.F. and ulnar peg grafting: A case series. J Orthop. Allied Sci. 2015; 3:12-6. Doi: 10.4103/2319-2585.155911..

Abstract: Management of a difficult airway is one of the major problems that an anaesthetist can encounter, especially in patients with actual or suspected cervical injuries. This has led to the development of multiple novel laryngoscopes, each of which aims to reduce the difficulty of laryngeal visualization, particularly in the setting of anticipated or unanticipated difficult airway in clinical practice as it presents a potential cause of serious injury for the patient.The C-MAC a Airtraqlaryngoscope facilitate visualization of the vocal cords without the need to align the oral, pharyngeal, and tracheal axes. Mc Coy laryngoscope has a definite advantage over conventional laryngoscope during intubation in neutral position. METHODS: The study included 90 patients divided into two groups undergoing general anaesthesia for elective surgery . Patients of group CM (n=30) were intubated using C-MAC videolaryngoscope and group AT (n=30) were intubated using Airtraq laryngoscope and ML(N-30) were intubated using Mc coy laryngoscope. After adequate muscle relaxation and manual inline stabilization of cervical spine, laryngoscopy and intubation was carried out using C-MAC , Airtraq.......

[1]. Peterson GN, Domino KB, Caplan RA, Posner KL, Lee LA, Cheney FW. Management of the difficult airway: a closed claims
analysis. Anesthesiology 2005;103:33–9
[2]. Yentis SM. Predicting difficult intubation – worthwhile exercise or pointless ritual? Anaesthesia 2002; 57:105– 9.
[3]. D K Rose, M.M. Cohen, 1994. The Airway : problems and predictions in 18,500 patients. Canadian journal of Anaesthesia, 41(5),
pp.372–83.
[4]. Chisholm DG, Calder I. Experience with the McCoy laryngoscope in difficult laryngoscopy. Anaesthesia 1997;52: 906–8.
[5]. Bjoraker DG. The Bullard intubating laryngoscopes. Anaesthesiological Review 1990;17:64–70..

Abstract: Large, lower extremity, soft tissue defect poses a significant challenge and often requires the placement of free flaps, which is a complex procedure and requires microsurgical skills. We report a case of 47 year old male with large middle 1/3 defect having peripheral vascular disease. A delayed bipedicled fasciocutaneous flap was done in two stage and wound was covered which healed well with good cosmetic result. This study is aimed to discuss the use of delayed bipedicled advancement flap in patients with peripheral vascular disease...

Key Words: Leg defects, Bipedicle flap, surgical delay

[1]. Rios-Luna A, Fahandezh-Saddi H, Villanueva-Martínez M, López AG. Pearls and tips in coverage of the tibia after a high energy trauma. Indian J Orthop 2008;42:387-94.
[2]. Salibian AH, Menick FJ. Bipedicle gastrocnemius musculocutaneous flap for defects of the distal one-third of the leg. Plast Reconstr Surg 1982;70:17–23.
[3]. Parrett BM, Pribaz JJ. Lower extremity reconstruction. Rev Med Clin Condes 2010;21:66-75.
[4]. Kamath JB, Shetty MS, Joshua TV, Kumar A, Harshvardhan, Naik DM. Soft tissue coverage in open fractures of tibia. Indian J Orthop 2012;46:462-9
[5]. Gir P, Cheng A, Oni G, Mojallal A, Saint-Cyr M. Pedicled-perforator (propeller) flaps in lower extremity defects: a systematic review. J Reconstr Microsurg 2012;28:595–601.

Abstract: Synovial sarcoma also called malignant synovioma is a type of soft tissue sarcoma occurring near joint capsule or tendon sheath in young adults. Histologically the tumor is characterized by the presence of small uniform spindle cells and epithelial cells giving it a biphasic appearance. The diagnosis is mainly based on the above pattern of histopathology along with the presence of translocation t ( X :18)( p11.2: q11.2 ). Synovial sarcoma involving other sites like mediastinum is extremely rare. We present the imaging features in two cases of histologically proven synovial sarcoma in young individuals presenting as huge intrathoracic masses ..

Keywords: synovial sarcoma- mediastinum- soft tissue sarcoma

[1]. IrappaMadabhavi, PritamKataria, Apurva Patel, SwaroopRevannasiddiah, AshaAnand, HarshaPanchal, Sonia Parikh, Malay Sarkar,
GaurangModi, Rahul Kulkarni andSandeep Shah Case report: primary mediastinal synovial sarcoma presenting as superior vena cava syndrome Hindawi publishing case reports in oncological Medicinevol 2015 article id 651813
[2]. ReubendraJegannathan, Richard Davis, Lorraine Wilson, James McGuigan , PushpinderSidhu Case report : primary mediastinal synovial sarcomaUlster Med J 2007: 76(2) 109-111
[3]. Luca De Paoli, Emilio Quaia, Gabriele Poillucci, Antonia Gennari, Maria AssuntaCova Imaging charestistics of pleural tumours
Insights Imaging (2015 ) 6: 729-740.
[4]. MahaArafah, Shaesta N Zaidi Poorly differentiated monophasic synovial sarcoma of the mediastinum Indian J PatholMicrobiol2011 ; 54: p384-387
[5]. GayatriRavikumar, ShaliniMullick, AnuradhaAnanthamurthy, and Marjorie Correa Primary synovial sarcoma of the mediastinum : a case report Hindawi publishing : case reports in surgeryvol 2011 article ID 602 853...

Abstract: Objective: To study the number of patients presenting with advanced cancer and their need for palliative care services in a medical college attached cancer hospital at district level. Study design: Retrospective study. Study area:Department of radiotherapy and oncology, Government general hospital, Government medical college, Anantapuramu, Andhrapradesh, India Study period: From January 2017 to December 2017. Results: 60.37% of patients presented with stage III and stage IV cancers, with physical, psychosocial and emotional problems. Integrating palliative care services...........

Key words: advanced cancers - Medical college cancer hospitals - palliative care services

[1]. Cancer control 2015, The current status of palliative care in india Dr.MR Rajagopal.

[2]. Seamark D, Ajithakumari K, Burn G, et al.Palliative care in India. J R Soc Med 2000;93:292-295

[3]. Kumar S, Rajagopal MR. palliative care in Kerala. Problems at presentation in 440 patients with advanced cancer in a south Indian state. Palliat Med 1996; 10:293-298.]

[4]. Sebastian P, Varghese C, Shankaranarayanan R, et al. Evaluation of symptomatology in planning palliative care. Palliate Med 1993;7:27-34.

[5]. Vijayaram S, Ramamani PV, Chandrasekhar NS, et al. Continuing care for cancer pain relief with oral Morphine solution. One year experience in a regional cancer center. Cancer 1990;66:1590-1595

Abstract: Osteoarthritis, a progressively destructive joint disease causing varying degrees of unrelenting pain and excess suffering is highly prevalent among all older populations. Primarily affecting the articular cartilage lining of freely moving joints, and commonly attributed to the aging process, this highly debilitating disease can be aggravated by a variety of medical comorbidities and biological factors other than age. Depression, a frequently observed condition in the older population as well as among people with chronic and/or chronically painful health conditions is another aggravating factor. Given that osteoarthritisis largely irreversible and that older people are more likely than younger persons to have this condition, the goal of this editorial was to provide a brief overview of the role of depression in the pathway from osteoarthritis pathology to disability and to make appropriate recommendations................

[1]. Prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation—United States, 2003–2005. MMWR Morb Mortal Wkly Rep. 2006;55:1089-1092.
[2]. Public health and aging: projected prevalence of self-reported arthritis or chronic joint symptoms among persons aged _65 years—United States, 2005–2030. MMWR Morb Mortal Wkly Rep. 2003;52:489-491.
[3]. Elders MJ. The increasing impact of arthritis on public health. J Rheumatol Suppl. 2000;60:6-8.
[4]. Felson DT, Zhang Y. An update on the epidemiology of knee and hip osteoarthritis with a view to prevention. Arthritis Rheum. 1998;41: 1343-1355.
[5]. Hootman JM, Helmick CG. Projections of US prevalence of arthritis and associated activity limitations. Arthritis Rheum. 2006;54:226-229..

Abstract: Background : Mast cells, constantly present in appendix can vary in numbers in normal and pathological states. Objectives : Looking for role of mast cells in pathogenesis of appendicitis, their quantitative variation in normal appendix and appendicitis as well as in different layers of wall of appendix in varied pathological entities and their relationship with eosinophils.Materials and methods : One hundred patients selected and mast cells,eosinophils counted and compared in formalin fixed appendecectomy specimens by H&E,toluidin blue and Von Gieson stains.Results : Females dominated in the study (56%) with maximum cases in the age group of second to third decade.Recurrent appendicitis dominated in the pathological group(69%).High eosinophil count observed in acute eosinophilic appendicitis and high mast cell count in acute eosinophilic and recurrent appendicitis. Conclusion : A positive correlation with mean eosinophilic and mast cell counts in appendicitis noted with increasing mast cell count with fibrosis.

Keywords Mast cell, eosinophil, appendicitis, fibrosis

[1]. Befus AD, Denburg JA. Basophilic leukocytes:Mast cells and basophils . In:Wintrobe's Clinical Hematology, 11th ed, Vol.1. Philadelphia : Lippincon Williams and Wilkins; 2004:636-660.
[2]. Peters SP, Schleimer RP, Naclerio RM. The pathophysiology of human mast cells, in vitro and in vivo function. Am Rev Respir Dis 1987; 135:1196-1200.
[3]. Galli SJ, Tsai M. Mast cells: versatile regulators of inflammation, tissue remodeling, host defence and homeostasis. J Dermatol Sci 2008 : 49:7-19.
[4]. Chang AR. An analysis of the pathology of 3003 appendices. Aust N Z J Surg 1981; 51:169-178.
[5]. Elangovan S, Knapp DP, Kallail KJ. Incidence of acute appendicitis confirmed by histopathologic diagnosis. Kans Med 1997 ; 98:10-13..

Abstract: Leukemias are abnormal proliferation of immature bone marrow-derived cells (blasts) that may also involve peripheral blood or solid organs while Lymphomas are malignant neoplasms characterized by the proliferation of cells native to the lymphoid tissue. Haematological malignancies have diverse modes of presentation that often diagnosed on peripheral blood examination but then ultimately requires bone marrow examination for both diagnosis and management. This simple and relatively safe procedure is important particularly in resource poor centres since access to adjuvant diagnostic techniques are often lacking or absent Present study was aimed to study changes in cells in PBF (Peripheral Blood Film) and Bone Marrow Aspiration and Bone Marrow Biopsy of patients presenting with new diagnosis of Leukemia and Lymph Node biopsy proven cases of Lymphoma and to correlate them...

Keywords: Leukemia, Lymphoma, Peripheral blood examination, Bone marrow aspiration and Biopsy.

[1] Chaudhari S, Desai JS, Adam A, Mishra P. Jak/stat as a novel target for treatment of leukemia. Int J Pharm Pharm Sci, 2014; 6(1): 1-7.
[2] Arora RS, Eden TOB, Kapoor G. Epidemiology of childhood cancer in India. Indian J of Cancer, 2009; 46(4): 26
[3] Dr Tejindar Singh,Acute Leukemias,ATLAS and TEXT of HEMATOLOGY, ,Third Edition,Avichal Publishing Company,2014,pg 201.
[4] Jaffe ES, Harris N, Stein H, Vardiman JW, eds. World Health Organization classification of tumours: pathology and genetics of tumours of haematopoietic and lymphoid tissues. Lyon, France: IARC Press; 2001.
[5] Douglas C. Tkachuk MD, FRCPC;Jan V. Hirschmann MD, Acute Leukemias, Wintrobe's Atlas of Clinical Hematology, 1st Edition; Editors: Tkachuk, Douglas C.; Hirschmann, Jan V; Copyright ©2007 Lippincott Williams & Wilkins; pg (48-50)

Abstract: Women with polycystic ovary syndrome (PCOS) are at higher risk of developing endometrial hyperplasia (EH). This study determined the prevalence of EH among women with infertility due to PCOS and assessed the predictive value of endometrial thickness (ET) measurement by trans-vaginal scan (TVS). This was a prospective study on infertile women with and without PCOS in which clinical data, hormonal profile, ET and endometrial biopsy (EB) for histopathological examination were collected. Thirty-seven women with PCOS and 23 women without PCOS presenting with infertility and/or abnormal uterine bleeding underwent TVS, hysteroscopy, laparoscopy and EB. OBJECTIVE(S)  We aim to assess and comparatively evaluate the safety and efficacy of misoprostol alone and mifepristone with misoprostol for second trimester termination of pregnancy.......

[1] Manning FA. Antepartum fetal testing: a critical appraisal. Curr Opin Obstet Gynecol. 2009;21(4):348–352. doi: 0b013e32832ae0b3.

[2] Chamberlain PF, Manning FA, Morrison I, et al. The relationship of marginal and decreased amniotic fluid volumes to perinatal outcome. Am J Obstet Gynecol. 1984;150(3):245–249. doi: 10.1016/S0002-9378(84)90359-4.

[3] Nageotte MP, Towers CV, Asrat T, et al. Perinatal outcome with the modified biophysical profile. Am J Obstet Gynecol. 1994;170(6):1672–1676. doi: 10.1016/S0002-9378(94)70339-6.

[4] Kofinas A, Kofinas G. Differences in amniotic fluid patterns and fetal biometric parameters in third trimester pregnancies with and without diabetes. J Matern Fetal Neonatal Med. 2006;19(10):633–638. doi: 10.1080/14767050600822547.

[5] Phelan JP, Ahn MO, Smith CV, et al. Amniotic fluid index measurements during pregnancy. J Reprod Med. 1987;32:601–604...

Abstract: Objectives: This study was conducted to evaluate surface micro-hardness of bulk-fill versus incremental layered resin-based composites. Materials and Methods: Forty cylindrical split molds (10 mm diameter and 2 mm thick) were constructed from Teflon. Four groups of specimens were prepared, ten per each material (n=10): two groups for different bulk-fill composites, one group nano-hybrid composites and one group micro-hybrid composites. Micro hardness measurements were performed using a micro hardness tester with a Vickers indenter. Results: There were high statistically significant difference between all the tested restorative materials (P<.0001). Conclusions: SonicFill bulk-fill and microhybrid Filtek z250 resin composite showed high Vickers micro-hardness values.

Keywords: Bulk Fill, Incremental layering, nano-hybrid resin composite, micro-hybrid resin composite, micro-hardness..

[1] Anusavice KJ, Antonson SA. Finishing and Polishing Materials in Philip's Science of Dental Materials 11th ed. Philadephia WB Saunders Co., 2003, p. 352-53.
[2] Morgan M. Finishing and polishing of direct posterior resin restorations. Prac Proced Aesth Dent 2004; 6:211–17.
[3] Setcos JC, Tarim B and Suzuki S. Surface finish produced on resin composites by new polishing systems. Quintessence Int 1999; 30:169–73.
[4] Tjan AH and Chan CA. The polishibility of posterior composites. J Prosthet Dent. 1989; 61:138–46.
[5] Van Noort R and Darvis LG. The surface finish of composite resin restorative materials. Br Dent J 1984; 157:360–4.
[6] Yap AU, Lye KW and Sau CW. Surface characteristics of tooth-colored restoratives polished utilizing different polishing systems. Oper Dent 1997; 22:260–65.

Abstract: The PAR index is primarily designed to look at the results of a group of patients, rather than an individual patient, as there are always a small number of patients where the index does not fully represent the result obtained. The index is, however, generally accepted by the British Orthodontic Society as a useful tool in this area. For its use to be accurate and reproducible, any individual providing a PAR scoring service must have first successfully passed an appropriate calibration test and have documentary evidence of this. Unless an individual is calibrated on the use of the index, the results they produce will not be valid or reproducible and should not be used to assess the standard of someone else's treatment. Re-validation is also advisable and evidence of attending a "refresher" course would be advisable. It is the responsibility of the "user" (e.g. specialist or PCT/LHB) to ensure that the person scoring the models has been properly calibrated. With respect to interpreting the results, a mean PAR.........

Keywords - PAR index, PCT/LHB

[1] Eishman D.A method of evaluating efficacy of orthodontic treatment. Trans EurOrthodSoc 1974; 3:223-32.
[2] Eishman D. Reliable assessment of morphological change results from orthodontic treatment. Eur J Orthod 1980; 2:19-25.
[3] Elderton RJ, Clark JD. Orthodontic treatment in the General Dental Service assessed by the Occlusal index. Br J Orthod 1983;
10:178-86.
[4] Elderton RJ, Clark JD. An investigation of treatment provided in the General Dental Service for patients with class II division 1
malocclusions. Br J Orthod 1984; 11:2-8.
[5] Gotlieb EL. Grading your orthodontic treatment results. J Clin Orthod1975:9; 156-68.

Abstract: Introduction: Abdominal injury constitutes a significant portion of all blunt and penetrating body injuries. As frequency of intra-abdominal injuries continues to increase worldwide, management in patients with suspected abdominal injury is getting more complex. CT is an important and fast technique which gives rapid information on the type of abdominal injury and helps in management of the patient. Aims and Objectives: To Determine the usefulness of MDCT findings in deciding the management of patients with blunt abdominal trauma and to diagnose and grade various abdominal injuries in trauma using MDCT. Materials and Methods: This Prospective Study was carried out in patients admitted to our hospital with history of BAT during the period of January2017 to December 2017. A total of 50 patients with BAT who underwent CT examination were included. CT findings were compared with surgical findings in operated cases and rest were compared with the clinical outcome..........

Keywords: blunt abdominal trauma (BAT), multidetector computed tomography

[1] C. Keith Stone, Roger L. Humphries. Current diagnosis & treatment: Emergency Medicine, 2007 6th Edition: chapter25.
[2] www.aast.org/trauma-facts
[3] Joseph A Salomone III, Jeffrey P Salomone. Abdominal Trauma, Blunt. http://emedicine.medscape.com/article/821995- overview
[4] Eric L Legome, MD; Samuel M Keim, MD, MS ; Abdominal Trauma,Blunt http://emedicine.medscape.com/article/1980980- overview#a4
[5] Radhiana Hassan1, 2, AzianAbd. Aziz1; CT imaging of injuries from Blunt Abdominal Trauma: A Pictorial Essay, Malaysian J Med Sci 2010; 17(2):29-3..

Abstract: Urinary tract infections (UTIs) are major health problems affecting millions of people each year. A total of a three thousand and eight hundred and ninety five urine specimens (n =3895) were collected from patients with symptoms of UTIs from different hospitals in Khartoum State. The present study showed that the P.mirabilis120 (3.1%) , the high number of UTIs bacteria was caused by E. coli 2185 (56.1%) followed by K.pneumonia 703 (18.0%) while less number was caused by S.aureus14(0.4%), The frequent urinary bacteria isolated in our study were highly resistant to ciprofloxacin an (71.7%) P.mirabilis shown 36 (30%) resistant to ciprofloxacin, while the other bacteria 995 (26.36%) Sensitive, 23 (0.61%) Intermediate and 2757 (73.03%) resistant to ciprofloxacin.

Keywords – Ciprofloxacin, Proteus mirabilis, UTI, Khartoum, Sudan

[1] Abd Elrahman M. A, Shingray O H, Mohammed A. M and Omer M.T. (2018),Bacterial Hospital Acquired Infection in Port Sudan Teaching Hospital, Red Sea State, Sudan. International Journal of Pharmacy and Chemistry. Vol. 4, No. 1, 2018, pp. 1-7. doi: 10.11648/j.ijpc.20180401.11.
[2] Amir S, Shadia A. H, Magdi B, Salah S, Sultan A, Samir A. A, Fawaz D. Alshammari and , Hadi A (2017) Elevated antibiotic resistance of sudance urinary tract infection bacteria, EXCLI Journal 2017;16:1073-1080 – ISSN 1611-2156.
[3] Badri AM, Mohamed SG (2017) Clinical Epidemiology and Antibiogram of UTI Patients Attended Different Hospital in Khartoum,Sudan . Clin Microbiol 6: 301. doi:10.4172/2327-5073.1000301
[4] Cheesbrough .M. (2006), District Laboratory practice in tropical countries. Part 1. Second edition. Cambridge University 2006.
[5] CLSI, (2010). Clinical and Laboratory Standards Iinstitute. Performance standards for antimicrobial susceptibility testing. Twentieth informational supplement ed. CLSI document M100-S20. Wayne, PA.

Abstract: Midgut volvulus is a rare cause of intestinal obstruction in adults. Its presentation is similar to intestinal obstruction caused by other conditions. So delay in the diagnosis of this condition can lead to vascular disaster which causes a poor prognosis in the patient.So early diagnosis and management is necessary to prevent bowel gangrene. We report a case of 23yrs old female who presented with abdominal pain, distension and shock . She underwent emergency laparotomy which revealed midgut volvulous with gangrene of bowel for which she underwent bowel resection and jejunotransverse anastamosis. Post operatively she was started on total parenteral nutrition to improve the nutritional status of the patient.

Keywords: gangrene ,bowel , midgut, volvulus , laparotomy

[1] Schwratz 10/e p1616-1617
[2] Sabiston 19/e p1843-1844
[3] Bailey 26/e p119
[4] Shackelford7/e p1046-1048
[5] Bernstein SM,russ PD. Midgut volvulus a rare case of acute abdomenin an adultpatient. AJR 1998;171;639-641