iosr-JDMS   Volume-17 ~ Issue-5 ~ May-2018

Abstract: Post operative pain management in knee arthroplasty is of utmost concern as it increases chances of mobilisation, physiotherapy and prevention of deep venous thrombosis. Recent advances in transdermal drug delivery in the form of opioid andNSAIDS improve the quality of analgesia and decreases the complications through other routes of administration.A transdermal analgesic patch or pain relief patch is a medicated adhesive used to relieve moderate to severe pain.There are primarily two types of pain relieving patches, patches containing counterirrtants which are used for mild to moderate pain and patches containing opioids like fentanyl used to relieve moderate to severe pain in opioid tolerant patients.

Keywords: Total knee arthroplasty, transdermal drug delivery system,fentanyl patch,pain score,visual analogue scale..

[1]. Burger JD, de Jongh H. TKR infected with mycobacterium tuberculosis: a case study and review of the literature. South African Orthopaedic Journal 2013;12(2).
[2]. Lee JK, Choi CH. Total knee arthroplasty in rheumatoid arthritis. Knee Surg Relat Res 2012;24(1):1-6.
[3]. Mannucci PM, De Franchis R, Torri G,et al. Role of synovectomy in haemophilic arthropathy. Israel J Med Sci 1977;13(10):983-7.
[4]. Barr L, Khanduja V, Owen J. An unusual cause of lateral knee pain following total knee replacement. Hindawi Publishing Corporation. Case reports in orthopaedics Article ID 569413, 2011;2011:3.
[5]. Heyse TJ, Chong LR, Davis J. MRI diagnosis of patellar clunk syndrome following total knee arthroplasty. HSS J 2012;8(2):92-5.

Abstract: Salivary gland calculi account for the most common disease of the salivary glands.Most of the salivary calculi is small in size. Some calculi that reach several centimeters are reported as giant calculi. They may occur in any of the salivary gland ducts but are most common in Wharton's duct and in the submandibular gland. A patient came with pain and swelling on the floor of the mouth on the left side. Radio graphical examination revealed large irregular radio-opaque mass superimposed on left canine to first molar region. This case report describes a patient presenting with an unusually large submandibular sialolith, the subsequent patient management, diagnosis and treatment.

[1]. Ledesma-Montes C, Garcés-Ortíz M, Salcido-García JF, HernándezFlores F, Hernández-Guerrero JC. Giant sialolith: Case report and review of the literature. J Oral Maxillofac Surg 2007;65:128-30.
[2]. Silva-Junior GO, Picciani BL, Andrade VM, Ramos RT, Cantisano MH. Asymptomatic large sialolith of Wharton's duct: A case report. J Stomatol Occlusion Med 2010;3:208-10.
[3]. Saluja H, Kasat VO, Mahindra U. Giant sialolith in the Wharton's duct causing sialo-oral fistula: A case report and review of literature. J Orofac Sci 2012;4:137-42.
[4]. Siddiqui SJ. Sialolithiasis: An unusually large submandibular salivary stone. Br Dent J 2002;193:89-91.
[5]. Rai M, Burman R. Giant submandibular sialolith of remarkable size in the comma area of Wharton's duct: A case report. J Oral Maxillofac Surg 2009;67:1329-32..

Abstract: Aim:1)To find out the clinical & pathological diagnosis of benign breast lump among various age groups. 2) To correlate the clinical findings with preoperative cytological reports and post operative histopathology reports of patients operated. Methodology: 1)Study population: Patient presenting with benign breast lump at Department of Surgery, R.G.Kar Medical College and Hospital. 2)Sample size: 100 3)Study design: Descriptive observational study...........

Keywords: Benign breast lump, age specific distribution, Fine needle aspiration cytology

[1]. Winchester DP. ACP consensus statement, the relation of fibrocystic disease to breast cancer.AmCollSurg Bull 1986; 71s: 29
[2]. Johnson D, Shah P, Collins P, Wigley C. Breast. In: Standring S, editor. Gray's
[3]. UmaKrishnaswamy Indian Journal of Surgery, Vol.65, No.2, March-April, 2003, pp. 178-181.
[4]. SuenJh, Sister Mary etA new score for the evaluation of palpable breast masses in women under age 40. Am J Surg2002; 184: 346-347.
[5]. Rosen PP, Ashikari R, Thaler H et al. A comparative study of some pathological features of mammary carcinoma in Tokyo, Japan and New York, U.S.A.Cancer1977;39:429-434

Abstract: During routine anatomical dissections, the presence of the accessory muscle in the flexor aspect of the forearm was noted . This accessory muscle presents an intimate relationship with the median nerve. This variation may be clinically important because symptoms of median nerve compression arising from similar variations are often confused with more common causes, such as radiculopathy and carpal tunnel syndrome . The muscular variations of upper limb are common. Methods: During routine dissection classes to undergraduate medical students, we came across additional muscle bellies in the flexor compartment of forearm arising from the under surface of flexor digitorum superficialis(FDS) and inserted to flexor pollicis longus (FPL) separately. Origin, insertion, nerve supply and its relation was noted..........

Keywords: flexor digitorum superficialis(FDS), Flexor pollicis longus(FPL), Median nerve, accessory muscle, Gantzers muscles,Anterior interosseous nerve(AIN).

[1]. Gray‟s Anatomy .40th Edn: the anatomical basis of clinical practice.London: Elsevier Churchill Lngstone.2005;724-28
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[3]. Testut L. Les anomalies musculaires chez l'hommer. Paris: Masson; 1884. p.454-89.
[4]. Le Double AF. Traité des variations du système musculaire de l'homme et de leur signification au point de vue de l'anthropologie zoologique. Paris: Schleicher Frères; 1897. p. 99-107.
[5]. Kaplan EB, Spinner M. Important muscular variations of the hand and forearm. In: Spinner M, editor. Kaplans functional and surgical anatomy of the hand and forearm. Philadelphia: JB Lippincott; 1984. p. 335-49.

Abstract: Gastrointestinal tract include spectrum of various histopathologic types of primary neoplasms of Oesophagus, Stomach, Small intestine, Colorectum and anal canal. Gastric cancer remains one of the most common cancer in Asia. Gastrointestinal tract (GIT) malignancies are one of the leading cause of death due to cancer in the world. Colorectal malignancies are 3rd most common variety of malignant tumors causing death which without doubt presents the test challenge to oncologist1 Gastric cancer are the 3rd most common cancer in India and 2nd leading site of cancer occurrence worldwide. Gastrointestinal tract tumors are mostly diagnosed in advanced stage. The incidence, clinical appearance and the behaviour of different types of gastrointestinal tract tumor is extremely variable. It is generally difficult to diagnose the nature of gastrointestinal............

[1]. Stricker T, Kumar V.Neoplasia . Kumar, Abbas, Fausto. Robbins and Cotran Pathologic Basis of Disease; 7th edition .Elsevier ,2004;286.
[2]. Sumathi B, Ramalingam S, Navaneethan U, Risk factors for gastric cancer in south India, Singapore Med Journal 2009; 50(2): 147.
[3]. Al-Radi AO, Ayyub M, Al-Mashat FM, et al. Primary gastrointestinal cancers in the Western Region of Saudi Arabia. Is the pattern changing? Saudi Med J 2000. 21(8): 730-34.
[4]. Jamal S, Mamoon N, Mushtaq S, Luqman M. Analysis of Gastrointestinal Malignancies at the Armed Forces Institute of Pathology (AFIP), Rawalpindi, Pakistan. Asian Pac Jour of Can Prev 2005;6:497-500.
[5]. Weiderpass E, Pukkala E. Time trends in socioeconomic differences in incidence rates of cancers of gastro-intestinal tract in Finland. BMC Gastroenterology 2006; 6:4

Abstract: Background:Cutaneous adverse drug reactions (CADR) are the most frequent serious adverse reactions reported in outpatient department of dermatology. Objective:The aim of the study to assess the prevalence and clinical spectrum of CADR among patients and to assess causality and identify the offending drugs. Materials and Methods:An observational study was undertaken over12month'speriod (Dec 2013- Dec 2014) in Dermatology OPD of tertiary care teaching hospital in GOVT. GENERAL HOSPITAL, KAKINADA, ANDHRA PRADESH by ADR card reporting. Drug history...........

Key words: Cutaneous adverse drug reactions,causality assessment, Pharmacovigilance

[1]. Breathnach SM. Adverse cutaneous reactions to drugs. Clin Med 2002; 2:15-9.
[2]. Edward R, Aronson JK. Adverse drug reactions: Definitions, diagnosis, and management. Lancet 2000; 356:1255-9
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[4]. Ghosh S, Leelavathi D, Padma GM. Study and evaluation of the various cutaneous adverse drug reactions in kasturrba Hospital, Manipal. Indian J Pharma Sci March 2006; 68:212.
[5]. Jhaj R, Uppal R, Malhotra S, Bhargava VK. Cutaneous adverse reactions in inpatients in a tertiary care hospital. Indian J Dermatol VenerolLeprol1999; 65:14-7.

Abstract: Premedication is the administration of medication before anesthesia. It is used to prepare the patient for anesthesia and to help provide optimal conditions for surgery. In premedication, Sedative premedication is widely administered before surgery. From many drugs midazolam has been used extensively worldwide for pharmacological premedication. After many data and examination analysis it was found that midazolam is very effective drug for premedication with no side effect..

Key words: Premedication, Anesthesia, Midazolam

[1]. Naguib, M.; Gottumukkala, V.; Goldstein, PA. (Jan 2007). "Melatonin and anesthesia: a clinical perspective". J Pineal Res. 42 (1): 12–21.
[2]. Bailey Jr PD, Bastien JL. Preinduction techniques for pediatric anesthesia. Curr Opin Anaesthesiol. 2005;18:265-9.
[3]. Isik B, Baygin O, Kapci EG, Bodur H. The effects of temperament and behaviour problems on sedation failure in anxious children after midazolam premedication. Eur J Anaesthesiol. 2010;27:336-40.
[4]. Horgesheimer JJ, Pribble CG, Lugo RA. The effect of midazolam premedication on discharge time in pediatric patients undergoing general anesthesia for dental restorations. Pediatr Dent. 2001;23:491-4.
[5]. Fortier MA, Del Rosario AM, Martin SR, Kain ZN. Perioperative anxiety in children. PaediatrAnaesth. 2010;20:318-22..

Abstract: Back Ground-. Rapid and accurate determination of gestational age (GA) may be vital to identifyind the expected date of delivery and also in treating the critically ill pregnant patient and improve obstetric care through allowing the optimal timing is necessary.In this study an attempt has been made to know the correlation of ultra sound parameters with LMP. OBJECTIVES-The aim of the study is to correlate Gestational age by Last Menstrual period and Gestational age by fetal parameters like Biparietal Diameter, Head circumference, Abdominal circumference and Femur Length.and To find out which parameter is most positively correlates with Gestational age. MATERIALS AND METHODS- All the pregnant woman of 2nd and 3 trimester of pregnancy attending the antenatal clinic was registered...........

Key words: LMP,GA,BPD,AC,HC,FL

[1]. Hadlock FP. Ultrasound Evaluation of Fetal Growth. In: Callen PW(ed.), Ultrasonography in Obstetrics And Gynecology. 3rd Ed. Philadelphia, WB Saunders. 1994; p.129- 43
[2]. Campbell S. The prediction of fetal maturity by ultrasonic measurement of the biparietal diameter. J Obstet Gynaecol Br Commonw 1969;76(7):603-9.
[3]. Moslem F, Latifa S, Iffatara B, Shamsuddin AK, Nasreen M, Momen A, et al. Relation of BPD with gestational age in Bangladeshi fetus. Bangladesh J Ultrasonogr 1996; 3: 3- 8.
[4]. Bala KG. Ultrasound assessment of fetal BPD during normal pregnancy in Bangladeshi women and review of literatures. Bangladesh J Ultrasonogr 1991; 1: 3.
[5]. Fetal Head Circumference: Relation to Menstrual Age. Frank P. Hadlock. AJR 138:649-653, April 1982 0361 -803X/82/1 384-0649.

Abstract: Background: The aims of this study to evaluate and compare the impact strength of heat cured and micro wave cured denture base resin after immersing in different fluids routinely used in day to day life. Methods: A total number of 160 samples were prepared with dimension of 65x10x3mm..Out of which 80 samples were prepared from heat cured acrylic resin (group A) and the other 80 samples were prepared from micro wave cured resin (group B).Each category again divided into four sub groups as follows sub group I, II, III, IV. Impact strength of the acrylic resin was measured by charpy's test. Result: Data analyzed by using SPSS software with ANOVA test followed by Tukey HSD test indicated that p-value less than 0.01 denotes significant difference at 1% and 0.005 at 5% between the four subgroups. Conclusion: Micro wave cured resin has better Impact strength values than heat cured resin in all sub groups and within the sub groups specimen immersed in Aerated drink has the lowest impact strength.

Key words: Impact strength, heat cured resins, microwave cured resins

[1]. Renu Tandon et al . Denture base materials: From past to future Indian Journal of Dental Sciences vol 2 issue 2 march 2010.
[2]. Phoenix et al R. D. Denture base materials. Dent Clin North Am 40, 113- 120.
[3]. ease of use both clinically and in the laboratory fabrication process (Meng & Latta, 2005).
[4]. Meng & Latta et al . Physical properties of four acrylic denture
[5]. base resins. J Contemp Dent Pract 6, 93-100..

Abstract: Arcangelisia flava is one of the plants used as traditional medicine to treat hypercholesterolemia.The aim of this study. To determine the effect of anti-hypercholesterolemia extract of Arcangelisia flava In male mice induced by fat diet. This study used plant of akar kayu kuning extracted macerated with methanol solvent and tested on 24 male mice divided into 6 groups, ie treatment control dose 9,5 mg / 20gBB, 19 mg / 20gBB, 38 mg / 20gBB positive control, Negative control, and normal control with each group consisting of 5 mice. Induction of fatty feed is administered orally with quail egg yolks. Measurement of total cholesterol level was done 3 times, the measurement of early cholesterol (H0), cholesterol after induced fat feed (H7) and cholesterol after treatment (H15). Total cholesterol levels were..........

Key words: Arcangelisia flava, Cholesterol, Mice

[1]. A'yun, Qurrota dan Ainun Nikmati Laily. (2015). "Analisis Fitokimia Daun Pepaya (Carica papaya L.) di Balai Penelitian Tanaman Aneka Kacang dan Umbi, Kendalpayak, Malang". Makalah disajikan pada Seminar Nasional Konservasi dan Pemanfaatan Sumber Daya Alam 2015.
[2]. Baroroh Rizqy Kiromin (2014). Pengaruh Ekstrak Kloroform Akar Kuning (Arcangelisia flava Merr.) Terhadap Sistem Imun Tikus Jantan Galur Wistar Yang Dipejani Doxorubicin.
[3]. Ekwasita Rini Pribadi (2009). Pasokan dan Permintaan Tanaman Obat indonesia Serta Arah Penelitian dan Pengembangannya.
[4]. Ervizal A.M. Zuhud. Potensi Hutan Tropika Indonesia sebagai Penyangga Bahan Obat Alam untuk Kesehatan Bangsa.
[5]. Gitawati, et al,Penggunaan Jamu pada Pasien Hiperlipidemia Berdasarkan Data Rekam Medik, di Beberapa Fasilitas Pelayanan Kesehatan di Indonesia..

Abstract: The incidence of forearm fractures are increasing faster than the predicted rate due to increase in population, increasing number of vehicles rapid industrialisation, increased incidence of violence and various sports activities have contributed to the increased incidence of fracture shaft of both bones forearm. The reasons for higher rate of non-union and malunion as well as poor functional outcome, are due to complex anatomical structure with a coordination between muscles, tendon, bones and joints which is responsible for the multifold functions of the arm and hand including pronation and supination where the radius rotates around the ulna. Conservative treatment has resulted in malunion, non-union, synostosis and ultimately poor functional outcome. Open reduction helps in perfect reduction of fracture fragments in anatomical position by rigid fixation and early mobilisation, the normal functions of the hand can be re achieved at the earliest. We evaluated Twelve cases..........

[1]. Anderson LD, Sisk TD, Tooms RE, Park W, I III. Compression: Plate fixation in acute diaphysial fractures of radius and ulna. JBJS 1975; 57-A: 287-297.
[2]. Goldfarb CA, Ricci WM, Ray D, Borrelli J Jr. Functional outcome after fracture of both bones of the forearm. J Bone Joint Surg 2005; 87-B:374-379.
[3]. Knight RA, Purvis GD. Fractures of both bones of the forearm in adults. JBJS 1949; 31-A: 755-764.
[4]. Leung, Frankie, Shew-Ping Chow. A prospective, randomised trial comparing the DCP with the point contact fixator for forearm fractures. JBJS 2003; 85A (12): 2343-2348.
[5]. Chapman MW, Malin Ba ,Malin T,Sisk TD. ," Fractures of shaft of radius and ulna" . In; Chapmann MW, editors. Operative orthopaedics, 2nd ed. philadelphia, USA; J.B. LIPPINCOTT company. 1993,p 489-523.

Abstract: The purpose of the article is to put a glance on the oral health conditions of the rural and urban areas of the country. This particular paper is the experience of a group of dental practitioners who served the world's first hospital train, lifeline express at a district in UP, Ghazipur. The clinical experience was afar expectation and gave a clue on the prevailing oral health conditions of our country. But the contribution of Impact India Foundation is exceptional and is undoubtedly of international fame. It also suggests that it is imperative for the Government to set a strong background for the Community Health Initiative programme and also help and support models like LLE to stand.

Key words: Community health, Impact India Foundation, LLE- Lifeline express

[1]. Prashant M, Pralhad D, Sandesh N, Sandeep K, Binti RC, Bhuvnesh A, Deepika J, Shilpa W. Dental Camp Experience in Lifeline Express (LLE) Train among Rural Population of Central, India. Journal of Clinical and Diagnostic Research. 2014 Nov, Vol-8(11): ZC72-ZC74.
[2]. Joana CC, Hristina P, J.D. Packard, Lingmei Z and Thomas JH. Tooth wear: prevalence and associated factors in general practice patients. Community Dent Oral Epidemiol. 2010 Jun; 38(3): 228–234.
[3]. Jing Z, Yangge Du Zhao W, Baojun T, HJ and Minquan D.The prevalence and risk indicators of tooth wear in 12- and 15-year-old adolescents in Central China. BMC Oral Health. 2015; 15: 120.
[4]. Deshpande S. Investigation of Tooth Wear and its Associated Etiologies in Adult Patients Visiting Dental institute in India. Dentistry 2015, 5:1.
[5]. Nagarajappa R, Ramesh G. Tooth wear among tobacco chewers in the rural population of Davangere, India. Oral Health Prev Dent 2012;10: 107-112.

Abstract: Background: Salivary gland tumors represent the most complex and diverse group of tumors encountered by the pathologist. Their diagnosis and management is complicated by their relative infrequency, the limited amount of pretreatment information available and the wide range of biologic behavior seen with the different pathologic lesions. It may vary from low grade tumour to high grade tumour and often fatal malignancy. These circumstances make this cancer a diagnostic and therapeutic challenge. This is a retrospective study till date done at Pathology Department, K.D. medical hospital and research centre, Mathura, India. All the cases of Salivary gland tumors, which had been recorded in a two and half year period from 2015 to 2018, were enrolled in the study...........

[1]. Sando Z, Fokouo JV, Mebada AO, Djomou F, NDjolo A, Oyono JL. Epidemiological and histopathological patterns of salivary gland tumors in Cameroon. Pan Afr Med J. 2016;23:66.[PMC free article] [PubMed]
[2]. Nandakumar A, Ramnath T, Roselind FS, Shobana B, Prabhu K. National Cancer Registry Programme, Indian Council of Medical Research. Bangalore: Co-ordinating unit, NCRP (ICMR); 2005. Two year report of population based cancer registries 1999-2000; pp. 160–95.
[3]. Chan JK, Cheuk W. Salivary gland tumors. Chapter 7, In : Fletcher CDM, editor. Diagnostic histopathology of tumors. 3rd ed. china: Churchill Livingstone Elsevier; 2007. p. 239-325.
[4]. Barnes L, Eveson JW, Reuichart P, Sidrawsky D. WHO classification of tumours. Pathology and Genetics of Head and Neck Tumours : Lyon : IARC Press; 2005. p. 209-281.
[5]. Lingel MW, Kumar V. Head and Neck. Chapter 16, In : Kumar V, Abbas AK, Fausto N, editors. Robbins and Cotran Pathologic basis of disease. 7th ed, Philadelphia : Saunders; 2004. P. 790-91.

Abstract: Objectives: This study was conducted to evaluate and compare the clinical performance of class II restored with Tetric EvoCeram bulk-fill, Filtek bulk-fill resin composite, and layered Filtek Z250 resin composite restorations. Materials and Methods: Thirty class II cavities were prepared. The cavities were randomly divided into three groups (n=10) according to the restorative material used (Tetric Evoceram Bulk fill, Filtek bulk-fill and Filtek Z250). The patients were recalled at 6 months and restorations were evaluated using Modified United State Public Health Criteria (USPHS). Results: No statistically significant difference between all the tested restorative materials. Conclusions: Bulk fill restorative materials (Tetric Evoceram bulk fill & Filtek bulk-fill) showed clinical outcomes like that of conventional resin based composite.

Keywords: Bulk Fill, Clinical Evaluation, Incremental

[1]. Fleming GJ, Hall DP, Shortall AC, Burke FJ.Cuspal movement and microleakage in premolarteeth restored with posterior filling materials ofvarying reported volumetric shrinkage values. J Dent2005;33:139-146 .
[2]. Gamba J, Forchelet J, Cattani-Lorente M,Chatelain V, Krejci I, Bouillaguet S, Yverdon-lesbains.Cuspal deformation during light-curing ofresin-based restorative materials measured by (ESPI) Electronic Speckle PatternInterferometry.European Cells and Materials 2004; 7:3-32 .
[3]. Cara RR, Fleming GJ, Palin WM, WalmsleyAD, Burke FJ. Cuspal deflection and microleakage inpremolar teeth restored with resin-based compositeswith and without an intermediary flowable layer. JDent 2007; 35: 482-489.
[4]. Davidson CL, Feilzer AJ. Polymerization shrinkage and polymerization shrinkage stress in polymer-based restoratives. J Dent 1997; 25:435-440.
[5]. Lee IB, Cho BH, Son HH, Um CM. A new method to measure the polymerization shrinkage kinetics of light cured composites. J Oral Rehabil 2005; 32:304-314..

Abstract: Objectives: This study was conducted to evaluate quantitavely and qualitatively the effect of different Finishing/Polishing systems of a nano-hybrid resin-based composite. Materials and Methods: Forty cylindrical split molds (10 mm diameter and 2 mm thick) were constructed from Teflon. Three groups of a nano-hybrid resin-based composite specimens were prepared; ten per each Finishing/Polishing systems (n=10) and ten unpolished as a control. The specimens were tested quantitatively by profilomerty and qualitatively by atomic force microscope. Results: a significant difference was observed among polishing procedures (P<.0001). The highest roughness values were recorded for all the restorative material polished with one step system. There was no any polishing system could produce smooth surface similar to Mylar strip........

Key words: Finishing/Polishing, Nano-hybrid composite, Surface roughness, Surface sealant, Atomic Force Microscope.

[1]. Senawongse P, Pongprueksa P (2007). Surface roughness of nanofill and nanohybrid resin composites after polishing and brushing. J EsthetRestorDent; 19: 265-75.
[2]. Moszner N,Salz U(2001). New developments of polymeric dental composites. ProgPolymSci; 26: 535-76.
[3]. Mitra SB, Wu D, Holmes BN (2003). An application of advanced nanotechnology in advanced dental materials. J Am Dent Assoc; 134: 1382-90.
[4]. Ferracane JL, Condon JR,Mitchem JC 1992. Evaluation of subsurface defects created during the finishing of composites. J Dent Res; 71:1628–32.
[5]. Turssi CP, Ferracane JL,Serra MC(2005). Abrasive wear of resin composites as related to finishing and polishing procedures. Dent Mater; 21:41-8..

Abstract: The anatomical complexity of the temporal bone represents a challenge in the interpretation and diagnosis of different pathological conditions in this region. Computed Tomography (CT) play an important role in the diagnosis of temporal bone pathologies.High-resolution computed tomography (HRCT) is the modality of choice for imaging of bony lesions of temporal region. This article discusses the anatomical details of the temporal bone and the characteristic radiological findings of the temporal bone in Computed Tomography (CT) scan imaging..

Key words:Anatomy of the Temporal bone, Computed Tomography (CT) scan

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[4]. Schwab SA, Eberle S, Adamietz B, Kuefner MA, Kramer M, Uder M, et al. Comparison of 128-Section Single-Shot Technique with Conventional Spiral Multisection CT for Imaging of the Temporal Bone.AJNR Am J Neuroradiol. 2011 Jun 2.

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