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

Abstract: We Report A Case Of A 39- Year Old Hiv Positive Woman Who Presented With A History Of Focal Seizures Involving The Right Upper Limb With Progressive Weakness Of The Right Upper And Lower Limbs. A Presumptive Diagnosis Of Cerebral Toxoplasmosis Was Made And Patient Was Commenced Empirically On Double Dose Cotrimoxazole And Pyrimethamine. A Brain Ct Scan Showed A Huge Mass In The Left Frontal Lobe And A Histopathological Diagnosis Of Fibroblastic Meningioma Was Made. Patient Was On A Failed Art Regimen At The Time Of Development Of Symptoms.

Key- Words: Meningioma, Hiv Infection.

[1] Unaids 2015 Global Report. Http:/Www Aids Data Hub.Org/Global-Aids-Response-Progress-Reporting-2015.
[2] United States Embassy In Nigeria. Nigeria Hiv/Aids Fact Sheet 2015.
Http:/Photos.State.Gov/Libraries/Nigeria/231771/Public/December-Hivfactsheet.Pdf.
[3] Claus Eb, Bondy Ml, Schildkraut Jm, Et Al. Epidemiology Of Intracranial Meningioma. Neurosurgery 2005; 57(6):1088-1095; Discussion 1088-1095.
[4] Gunthel Cj, Northfelt Dw. Cancers Not Associated With Immunodeficiency In Hiv Infected Persons. Oncology (Williston Park, N.Y) 1994. 8 (7): 59-64; Discussion 64, 67-8, 70.
[5] Hajjar M, Lacoste D, Brassard G Et Al. Non-Acquired Immune Deficiency Syndrome-Defining Malignancies In A Hospital-Based Cohort Of Human Immunodeficiency Virus Infected Patients: Bordeaux, France, 1985-1991. J Nati Cancer Inst. 1992; 84:1593-1595.

Abstract: Objective:The aim of this study was to detect and describe the existence and incidence of anatomical variations of the superior mesenteric artery by using dissection method.Materials and methods: 40 cadavers dissected, anatomy department of S.M.S.Medical college jaipur. Results: we found that 77.50% of patients presented a classic anatomy of the superior mesenteric artery, using dissection (cadaveric) method, we found the existence of variations of these abdominal blood vessels in 27.50% of cadavers. Conclusion: preoperative knowledge of such variations on the part of surgical team is exceedingly important to avoid iatrogenic arterial injury, predominantly in light of the increasing number of laproscopic interventions.

Keywords: variations, coeliac trunk , inferior vena cava.

[1] Standring s, editor. Gray's anatomy e-book: the anatomical basis of clinical practice. Elsevier health sciences; 2015 aug 7..
[2] Sadler TW. Langman's Medical Embryology. 11th Ed., Baltimore, Philadelphia, New Delhi, Lippincot Williams And Wilkins. 2009;185–189.
[3] Bart l. Dolmatch, the history of ct angiography, endovascular today, july 2005:23-30.
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[5] Sridhar Varma K, Narendra Pamidi, Venkata R. Vollala. Common Celiacomesenteric Trunk:A Rare Anatomic Variation.J Vasc Bras. 2009; 8(3): 271-273.

Abstract: Background: Burden of Chronic Obstructive Pulmonary Diseases (COPD) throughout the world is increasing and likely to increase in the future with increasing burden of air pollutants and ageing of the population. It is not only associated with death but also affects quality of life. This study aimed to find the quality of life of patients suffering from COPD and its demographic and clinical correlates. Methods: Hospital based cross-sectional study conducted in two tertiary care centers. Basic demographic details were collected from the 250 participants. Each participant under went anthropometry, skin fold thickness, six minutes walk test, spirometry followed by spirometry with bronchodilator. This was followed by filling of St. George Respiratory Questionnaire, Patient Health Questionnaire-9 (PHQ-9), Modified Medical Research Council (MMRC), COPD Assessment Test(CAT) questionnaires. BMI and BODE index was calculated............

Keywords: chronic obstructive pulmonary disease, quality of life, cross-sectional study, hospital based, BODE index

[1] WHO. Chronic obstructive pulmonary disease (COPD) [Internet]. WHO. [cited 2017 Jun 26]. Available from: http://www.who.int/respiratory/copd/en/
[2] WHO. Burden of COPD [Internet]. WHO. [cited 2017 Jun 26]. Available from: http://www.who.int/respiratory/copd/burden/en/
[3] The Global Burden of Disease Report 2004 update [Internet]. World Health Organization; 2008. Available from: http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf
[4] R P, F B, S S. Risk factors of chronic obstructive pulmonary disease]. Ann Ist Super Sanita. 2003;39(4):485–93.
[5] Mannino DM, Buist AS. Global burden of COPD: risk factors, prevalence, and future trends. The Lancet. 2007 Sep 1;370(9589):765–73

Abstract: The Human Immunodeficiency Virus (HIV) Destroys The CD4+ T Cells Progressively And Relentlessly Thus Making The HIV Infected Persons Susceptible To A Number Of Opportunistic Infections (Ois). It Was Also Noted That Certain Ois Manifest Below A Particular Threshold Of CD4+T Ce1l Count, Many Of These In A Advanced Stage Of The HIV Infection. The Study Was Conducted At Medicine Department And ART Centre, VIMSAR, Burla, Odisha, India. It Is A Observational Prospective Study From July 2016 To September 2017. The Aim Of The Study Is To Know Study The Epidemiological Profile Of HIV Infected Patients Having Different Ois,The Clinical Profile Of Various Ois In The Study Population And To Correlate The CD4+T Cell Count With Different Ois Present In The.........

[1] Patton G Et Al 'Global Patterns Of Mortality In Young People: A Systematic Analysis Of Population Health Data' The Lancet 2009; 374: 9693.
[2] WHO/UNAIDS/UNICEF (2011) "Global HIV/AIDS Response:Epidemic Update And Health Sector Progress Towards Universal Access 2011‟ – November, 2011.
[3] UNAIDS (2010) "UNAIDS Report On The Global AIDS Epidemic" – 2010.
[4] National AIDS Control Organization (NACO). HIV Sentinel Surveillance And HIV Estimation: A Technical Brief; 2007, 2008-09, At Http://Www.Nacoonline.Org
[5] Abraham OC, Pulimood SA, "Epidemiology‟, In Munjal YP, Sharma SK Et Al (Editors): API Textbook Of MEDICINE, 9th Edition. JP Medical Publishers, 2012; P1012-1013.

Abstract: Aim :To Evaluate And Compare The Surgical Outcome In H (Double) And U (Single) Shaped Flap Techniques In External Dacryocystorhinostomy In Terms Of Lacrimal Patency And Mean Operative Time Taken .Study Design -Prospective Randomized Comparative Clinical Study .Material And Method - 96 Patients Of Primary Nasolacrimal duct Block (NLD) Were Selected . 47underwent The Conventional Dacryocystorhinostomy (DCR) By 'H 'Shaped Flap And 49 By 'U'shaped Flap With Suspension To The Orbicularis .Success Rate Was Evaluated By Lacrimal Patency To Irrigation And Surgical Time Calculated From Skin Incision To Skin Suturing . Statistical Analysis Was Done By Chi-Square Test, T-Test And Fisher's Exact Test. Results-Success Rate In Groups.........

Key Words; External Dcr,Flap Techniques,Patency,Complication

[1] Duke-Elder S Ed. System Of Ophthalmology Part Ii. 2nd Ed. London: Henerykimpton Publishers;1974:568-718
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[3] Hart Rh, Powrie S, Rose Ge. Primary External Dacryocystorhinostomy.In: Cohen Aj, Mercandetti M, Brazzo Bg. Ed. E Lacrimal System. New York, Springer, 2006: 127.
[4] K.H. Emmerich, H. Busse, H.W. Meyer- Rusenberg Dacryocystorhinostomia Externa. Technique, Indications And Resultsophthalmologe, 91 (3) (1994), Pp. 395–398
[5] K.J. Tarbet, P.L. Custer External Dacryocystorhinostomy: Surgical Success, Patient Satisfaction And Economic Cost Ophthalmology, 102 (7) (1995), Pp. 1065–107011....

Abstract: Introduction: One Of The Oldest Controversies In Obstetrics Is Over Optimal Management Of The Pregnant Women With Previous Lower Segment Caesarean Section (Lscs). With The Increasing Trends In Caesarean Section Rate A Large Expanding Population Of Women With Caesarean Sections Being Confronted With Various Problems In Their Future Pregnancies Particularly To Their Mode Of Delivery. There Are Conflicting Reports Regarding The Safety Of A Trial For Vaginal Birth After Caesarean Delivery (Vbac) In Terms Of Uterine Rupture, Maternal And Perinatal Morbidity. Aims And Objective: To Evaluate The Obstetric And Fetal Outcomes Of Women With Post Caesarean Pregnancy With The History Of Previous Lscs. Materials And Method: 541 Pregnant Women...........

Keywords: Post Caesarean Pregnancy; Trial Of Labour ,Vbac; Repeat Caesarean Section; Maternal Outcomes; Fetal Outcomes.Abbreviations: Tolac- Trial Of Labour After Caesarean Section ;Vbac- Vaginal Birth After Caesarean Section;Rcs- Repeat Caesarean Section ;Sncu- Special Newborn Care Unit

[1] Nielson Tf, Hokegard Kh; Post Operative Cesarean Section Morbidity: A Prospective Study. Am J Obstet Gynecol 1983; 146:911-915.
[2] 2.D.N Danfort;Evanston ;A.C. Ivy:The Lower Uterine Segment – Its Derivation And Physiologic Behavior.Ajog
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[4] Nahar K, Akhter L, Chowdhury Sb; Outcome Of Pregnancy With History Of Previous Cesarean Section: The Orion Medical Journal 2008 Sep;31:588-590
[5] Goswami S.N And Goel M.P; Delivery Following Previous Lscs: Prospective Study.Am. Jr. Obst And Gyn 1984 ; 148:35

Abstract: aims 1. To compare the psychiatric morbidity between groups having different levels of exposure to trauma and differ in the extent of loss suffered following the disaster 2. To identify the socio demographic variables associated with psychiatric morbidity 3. To assess the relation between severity of exposure and psychiatric morbidity Methods: we did a retrospective cohort study which compares the psychiatric morbidity between two groups of tsunami survivors with different levels of severity of exposure and loss. Results: 18 persons in group i (36%) had an axis -1 psychiatric diagnosis compared to 4 persons in the other group (8%). Among the subjects in group –i who received a psychiatric diagnosis 39% had ptsd, 28% had major depression, 16.5% had anxiety disorder and 16.5% had alcohol related disorders. 77% of those with ptsd were females. Among the subjects in group -ii who received a psychiatric diagnosis one (25%) had depression, two persons had alcohol related disorders(50%) and one subject had delusional disorder(25%).increasing age, female sex, preexisting physical and mental illness and exposure to trauma had a positive correlation conclusions: the high rate of psychiatric disorders........

Key Words: Tsunami, Post Traumatic Stress Disorder,

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[3]. Rubonis, A., Bickman 1991. Psychological Bulletin 109,384-399.
[4]. Norris, F., Byrne, C., Diaz, E., 2001. 50,000 Disaster Victims Speaks: An Empirical Review Of The Empirical Literature 1981-2001. National Center For PTSD, Boston, MA.
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Abstract: Introduction: Harmony And Balance Between The Facial Features Is An Integral Part OfOrthodontist's Responsibility. Incisor Position Plays An Important Role In Determining Lip Posture Aim And Objectives: The Aim Of The Study Is To Evaluate The Incisor Position Using Hard Tissue Nasion-Pogonion(N-Pog) Line, A-Line (By Alvarez A.) And Soft Tissue Parameters I.E. Forehead Facial Plane (FFP) And Forehead Midpoint Plane (FMP) And To Compare It With Lip Posture Assessed Using S-Line And B-Line On Lateral Cephalogram.MaterialsAnd Methods: Sample Comprised Of 30 Post Treatment Lateral Cephalograms Of Patients With Class I Molar Relation And Normal Overjet And Overbite. Cephalograms Were Traced Manually And Both Soft And Hard Tissue Landmarks Were Located. Upper Incisor Position Was Evaluated Using N-Pog, A-Line, FFP And FMP. Lip Posture Was Assessed Using Steiner's S-Line AndBurstone's B-Line. Measurements...........

Keywords - Lateral Cephalogram, UpperIncisor Position, Lip Posture, A- Line.

[1]. Mclaughlin RP, Bennett JC, Trevisi HJ. Systemized Orthodontic Treatment Mechanics.1st Ed. St Louis: Mosby; 2001. P.161-162.
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[3]. Edward Ellis III, James McnamaraJr. Cephalometric Evaluation Of Incisor Position. Angle Orthod. Oct 1986: 324-344
[4]. Andrews LF, Andrews WA. Syllabus Of The Andrews Orthodontic Philosophy. 9th Ed. San Diego: Lawrence F. Andrews; 2001.
[5]. Alfredo T. Alvarez. The A Line: A New Guide For Diagnosis And Treatment Planning. J. Clin. Orthod. 2001; XXXV (9):556-569..

Abstract: Introduction: Incidence of spondylolisthesis in general population is 5-7%. No matter what the etiology is, patients usually have significant functional disability. Few studies have investigated the long term effect of Postero Lateral Fusion on functional outcome. Objectives: To study the efficacy of Postero Lateral Fusion in spondylolisthesis especially in terms of functional outcome. Methodology: From July 2010 to June 2012, a total of 86 patients, operated with Postero Lateral Fusion were followed up and evaluated based on Visual Analogue for Pain (VAS) for low back pain, ODI and neurological deficits..........

Keywords:Spondylolisthesis, Posterolateral Fusion (PLF ), Functional Outcome.

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Abstract: Background: Elderly people are more vulnerable to diseases and are likely to utilize a significant proportion of health care facilities. This study examines the pattern of utilization of health care facilities by the elderly people of rural India. Methods: The observational cross-sectional study was carried out in the rural field practice areas of a medical college hospital over a period of one year on 660 individuals using a pre-tested questionnaire administered in their own language which was administered by the first author during a face-to-face interview. Results: There were 336 (50.91%) males in our study. The most common ailment that the.............

Keywords: Geriatric; Elderly; Utilization; Health care; Rural

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Abstract: Blunt Trauma Can Result In Indirect Scleral Rupture With Subsequent Dislocation Of The Crystalline Lens In The Subconjunctival Or Subtenon Space. There Are Evidences That Timely And Effective Intervention Can Ensure Good Visual Recovery. Blunt Trauma Has Protean Ocular Manifestations With Phacocele Being A Rare Event, Resulting From Indirect Scleral Rupture Of The Globe. The Eye Has Been Described To Behave Like An Incompressible Sphere Because Of Its Liquid Contents. Hence, Blunt Trauma Of Sufficient Magnitude Can Result In Rupture Of The Eyeball Either At The Site Of Impact (Direct) Or In A Remote Area (Indirect). This Indirect Rupture Of Sclera Leads To Dislocation Of The Crystalline Lens Into The Subconjunctival Or Subtenon Space. We Report A Case With Traumatic Phacocele With An Aim To Evaluate The Clinical Presentation, Management And Visual Outcome.

Keywords: Blunt Trauma, Phacocele, Scleral Rupture

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Abstract: The success of the endodontic treatment depends on instrumentation and obturation of all the canals present in the involved tooth. We report two cases presented to the Government Dental College, Kozhikode, Kerala, India with pain in the left maxillary first molar. After diagnosis, root canal treatment was started. The access cavity was opened and the canals were negotiated under a Dental Operating Microscope (DOM). Mesiobuccal, Distobuccal and Palatal roots of maxillary first molar with three, two and single canals were found. This variation in the canal anatomy was confirmed with Cone-Beam Computed Tomography (CBCT) scanning. The root canals were instrumented and obturation was done with a permanent restoration. This case report discuss the importance of proper knowledge of the canal morphology, a diagnostic imaging with the three-dimensional image (CBCT) and the importance of magnification (DOM) in the management of maxillary molar with a varied root canal configuration..

Keywords: Cone-Beam Computed Tomography, Dental Operating Microscope, three dimensional image, root canal configuration.

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[4]. Ma L, Chen J, Wang H. Root canal treatment in an unusual maxillary first molar diagnosed with the aid of spiral computerized tomography and in vitro sectioning: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Jun;107(6):e68-73.
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