iosr-JDMS   Volume-17 ~ Issue-6 ~ June-2018

Abstract: Objective Jugular foramen tumour is a locally invasive, tumor, which grow slowly and causes various symptoms such as pulsatile tinnitus and lower cranial nerve palsy. Complete surgical resection is regarded as the ideal management of these tumors. The goal is to study the clinical characteristics and most effective surgical approaches for jugular foramen tumour. Methods Retrospective analysis of 7 jugular.............

[1]. Vogl TJ, Bisdas S. Differential diagnosis of jugular foramen lesions. Skull Base 2009;19:3–16.
[2]. Sanna M, De Donato G, Di Lella F, Falcioni M, Aggrawal N, Romano G. Nonvascular lesions of the jugular foramen: the gruppo otologico experience. Skull Base 2009; 19:57–74.
[3]. Sanna M, Bacciu A, Falcioni M, Taibah A, Piazza P. Surgical management of jugular foramen meningiomas: a series of 13 cases and review of the literature. Laryngoscope 2007;117:1710–19.
[4]. Guild SR: A hitherto unrecognized structure, the glomus jugu- laris, in man. Anat Rec 79 (Suppl 1):28, 1941 (Abstract)
[5]. Rosenwasser H: Glomus jugularis tumor of the middle ear; carotid body tumor, tympanic body tumor, nonchromaffin para- ganglioma. Laryngoscope 62:623–633, 1952.

Abstract: Submental intubation serves as an effective and a less invasive alternative to tracheostomy in cases where the airway is shared with surgeons and when orotracheal and nasotracheal intubation are not feasible. It has minimal complications and better patient acceptability. It is the procedure of choice for panfacial fractures involving the nasal region or cranial base especially when prolonged intubation is not anticipated. Here, we report a series of two cases involving submental intubation for unusual indications at our institute and to emphasize the importance of expanding the scope of this technique beyond maxillofacial trauma and orthognathic surgeries.

Keywords: submental, intubation, transmylohyoid, tracheostomy

[1]. Hernández Altemir F. The Submental route for endotracheal intubation. J Maxillofac Surg 1986;14:64-5.

[2]. MacInnis E, Baig M. A modified submental approach for oral endotracheal intubation. Int J Oral Maxillofac Surg. 1999;28:344–6. [3]. Nwoku AL, Al-Balawi SA, Al-Zahrani SA. A modified method of submental oroendotracheal intubation. Saudi Med J 2002;23:73-6.

[4]. Stoll P, Galli C, Wächter R, Bähr W. Submandibular endotracheal intubation in panfacial fractures. J Clin Anesth. 1994;6:83–6. [5]. Prochno T, Dornberger I, Esser U. Management of panfacial fractures: Also an intubation problem. HNO. 1996;44:19–21.

Abstract: Background:Common bile duct exploration (CBDE), a relatively common procedure for common bile duct patients, includes various techniques of surgical treatment. Enhanced Recovery after Surgery (ERAS) incorporates a number of evidence-based peri-operative interventions to decrease surgical stress, improve post-operative outcomes, and aid recovery enabling decreased length of hospital stay. Objective:The aim of present study was to compare different surgical approaches of CBDE, open/laparoscopic with primary closure/T-tube drainage; after incorporating marginally adjusted principles of ERAS; to see whether different CBDE surgical techniques and drainage methods employed indicate difference in post-operative hospital length of stay and physical activities; and to evaluate the feasibility and safety of ERAS in CBDE..............

Keywords:enhanced recovery pathways; enhanced recovery after surgery; laparoscopic common bile duct exploration, open common bile duct exploration, primary closure, T-tube drainage.

[1]. Houdart R, Perniceni T, Darne B, Salmeron M, Simon JF. Predicting common bile duct lithiasis: determination and prospective validation of a model predicting low risk. Am J Surg. 1995; 170:38–43
[2]. Collins C, Maguire D, Ireland A, Fitzgerald E, O'Sullivan GC. A prospective study of common bile duct calculi in patients undergoing laparoscopic cholecystectomy: natural history of choledocholithiasis revisited. Ann Surg. 2004;239:28–33
[3]. Lyass, S. & Phillips, E.H. SurgEndosc (2006) 20 (Suppl 2): S441. https://doi.org/10.1007/s00464-006-0029-0
[4]. Teitelbaum E.N., Yang A.D., Mahvi D.M. (2016) Primary Closure or T-Tube Drainage After Open or Laparoscopic Common Bile Duct Exploration? In: Millis J., Matthews J. (eds) Difficult Decisions in Hepatobiliary and Pancreatic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham
[5]. Cuschieri A, Lezoche E, Morino M, et al. E.A.E.S. multicenter prospective randomized trial comparing two-stage vs single-stage management of patients with gallstone disease and ductal calculi. SurgEndosc. 1999;13:952–7.

Abstract: Background: Hypoglycemia is one of the most frequently encountered metabolic problems in newborn infants. In general, the incidence varies from 1 to 5%. However, the incidence increases many fold in the presence of risk factors. The absence of overt symptoms at low glucose levels does not rule out central nervous system injury. In order to prevent brain damage, blood glucose should be routinely estimated in the following high risk situations. This present study was planned to study the incidence of hypoglycemia in neonates at high risk and its relationship with birth weight, gestational age and ponderal index; who were admitted in the Neonatal Intensive Care Unit of Regional Institute of Medical and Sciences (RIMS), Imphal. Materials and Methods: This is a hospital based cross..............

Keywords:Hypoglycemia, birth weight, Gestational age, Ponderal Index, SGA babies, VLBW infants.

[1]. A Mejri, VG Dorval, AM Nuyt, A Carceller. Hypoglycemia in term newbornswith a birth weight below the 10th
percentile. Paediatr Child Health 2010;15(5):271-5.
[2]. Agrawal RK, Lui K, Gupta JM. Neonatal hypoglycemia in infants of diabetic mothers. J Paediatr Child Health. 2000;
36(4):354-6.
[3]. Behrman RE, Kliegman R, Jenson HB. Nelson Textbook of Pediatrics. 16th ed. Philadelphia: WB Saunders
Company; 2000:533–4.
[4]. Bhat MA, Kumar P, Bhansali A, Majumdar S, Narang A. Hypoglycemia in small for gestational age babies. Indian
Journal of Pediatrics 2000; 67: 423–7.
[5]. Fong CY, Harvey AS. Variable outcome for epilepsy after neonatal hypoglycemia. Dev med child neurol
2014;56(11):1093-9..

Abstract: Background: Because of the altered immune status in Diabetic patients, opportunistic and infections are common in Diabetic foot ulcers. Aim: The present study was conducted to know the bacteriology and antibiogram of Diabetic foot infections in and around Kakinada and detection of ESBL producers. Material and Methods: The material for the present study was collected from patients attending OPs and those admitted in the Departments of Medicine and Surgery in Government General Hospital, Kakinada over a period of 6 months. 125 samples of pus and exudates were obtained from patients with Diabetic foot ulcers. Results: Male to female ratio observed was 2.57. The common age group affected is between 50-70 years. A total of 203 isolates were obtained from 125 cases. Staphylococcus aureus was commonest organism isolated constituting 32% of the total isolates. Pseudomonas aeruginosa.............

Keywords: diabetic foot ulcer, polymicrobial, ESBL producers, antibiotic sensitivity, Wagner's grades

[1]. World Health Organisation . Available from http://www.searo.who.int/india/mediacentre/events/2016/en/
[2]. Rool-ul-Muquim, Samson Griffin -- Review in Evaluation and Management of Diabetic Foot 2005.
[3]. David Campbell, Management of Diabetic Foot, Asian Journal of Diabetology Volume 7, No 3, July 2005.
[4]. Ahmed T el Tahawy et al, Saudi Medical Journal, 2002.
[5]. Dipali A Chincholikar and RamPrasad B Pal et al. Indian Journal of Pathology and Microbiology.
[6]. Benu Dhawan, Aarti Kapil, Rama Chaudary, ADA Diabetes Care Journal, 2006..

Abstract: Background: Integrated Child Development Service (ICDS) scheme is one of the most important programme in the field of child welfare with one of the objectives is to improve the nutrition and health status of children. There are strong nutrition components in this program in the form of supplementary nutrition, growth monitoring and regular health check-up. Objectives:The objective was to assess health and nutritional status of ICDS beneficiaries children in a NarayanpurBahirkhand gram panchayat inHaripal block of West Bengal. Materials and Methods:It was a cross-sectional health & morbidity survey conducted in rural community setting.A pre-designed and pre-tested data collection..........

Keywords: Health & Nutritional status, ICDS, Children, Rural West Bengal.

[1]. Mathur SM, Brajesh Kumar, Hossain Samar et al. An Epidemiological Study of Nutritional Status of Rural Children in Jaipur District (Raj.). Indian Journal of Forensic and Community Medicine. January – March 2016; 3(1)version II:25-30.

[2]. Sharma SK, Mathur HN, L Dilip Kumar. Assessment of nutritional status in pre-school children in Teetardi village near Geetanjali hospital, Udaipur (Rajasthan). International Journal of Community Medicine and Public Health. May 2015; 2(2):124-126.

[3]. Prasot RM, Verma SK, Kashyap S et al. An epidemiological study of Protein Energy Malnutrition (PEM) among 1-6 years children in rural Lucknow, Uttar Pradesh, India.IOSR-JDMS. March 2014; 13(3):10-14.

[4]. Yadav SS, Yadav ST, Mishra P et al. J ClinDiagn Res. Feb 2016;10(2):LC07-LC10.

[5]. Vyas S, Kandpal SD, Semwal J et al. A Study on Morbidity Profile and Associated Risk Factors in a Rural Area of Dehradun. J ClinDiagn Res. Aug 2014; 8(8):01-04.

Abstract: Purpose: This prospective cross sectional study awsa done to study the association of serum lipids and exudative diabetic retinopathy.Methods: This was across sectional study conducted in patients visiting the outdoorunit of Department of Ophthalmology ,Maharani Lakshmi Bai Medical College Jhansi out during the period of 19 months from March 2015 to September 2016. This study included patients with age above 40 years, with diabetes, which is defined as a fasting plasma glucose of more than or equal to 126 mg/dl or a 2-hour post glucose load plasma glucose of more than or equal to 200 mg/dl or a random plasma glucose of more than or equal to 200 mg/dl in the presence of symptoms of hyperglycemia ,and duration > 5 years.Patients were divided in two groups GroupA included patients..............

Keywords: cholesterol, diabetes mellitus, diabetic retinopathy, high density lipoprotein, low density lipoprotein, macular edema, triglyceride..

[1]. Adolph I Cohen, The Retina, chapter 19, Adler's Physiology of the Eye, 9th edition, William M Hart, 571, Mosby 2003.
[2]. Ramanjit Sihota, Radhika Tandon, Physiology of vision, chapter 4, Parson' diseases of the Eye, 19th edition, 22, Butterworth-Heinman, London, 2003.
[3]. John VF, Andrew DD, Paul GM, William RL. Anatomy of the eye and orbit.The eye basic sciences in practice. Orbit. 2nd John V Forrester, London Harcourt, chapter 1 2002:
[4]. Alwin C Powers, Diabetes mellitus, chapter 323, Harrison's Principles of internal medicine, vol-2, 16th; Dennis LK, Eugene B, Anthony SF, Stephen LH, Dean LL, Larry JJ, 2152, New York, Mc-graw hill, 2005.
[5]. Wild S, Roglic G , Green A. Global prevalence of diabetes , estimates for the year 2000 and projections for 2030. Diabetes Care 2004 ;27:1047-53..

Abstract: From the golden era of Joseph Lister, the concept of cleanliness of wound came into vogue and since then, there is ever increasing knowledge of wound care. Diabetic foot ranks first in decapitating the quality of patient's life. Dr. Catherine Le Gales- Camus, Assistant Director-General of WHO exclaims in grief, that "It is Unacceptable that so much disability and death are caused by leg amputations, when the solutions are clear and affordable". So, we compared negative pressure wound therapy with conventional moist dressing in our clinical day to day practice in a tertiary care centre and has conceived that the concept of Negative Pressure Wound Therapy(NPWT) is really a boon to the surgeon for early wound healing and also for improving the wound environment for early wound closure.

Keywords: NPWT(Negative Pressure Wound Therapy), VAC- (Vaccum Assisted Closure, Diabetic foot.

[1]. Philbeck, TE etal, The clinical and cost effectiveness of externally applied negative pressure wound therapy in the treatment of wounds in home health care patients, Ostomy/Wound management
1999.45(11)https://www.ncbi.nlm.nih.gov/m/pubmed/10687657/
[2]. Joseph E etal. New therapeutic approaches in wound care. A prospective randomized trial of vaccum assisted closure verses standard therapy of chronic non healing wounds; Wounds: A compendium of clinical research and practice, 2000.12(3)P60-67 Royal Australian college of surgeons
[3]. Evans.D. and L.Land, Topical negative pressure for treating chronic wounds; a systematic review. British journal of plastic surgery,2001.54(3):p238-242 http://www.ncbi.nlm.nih.gov/m/pubmed/11254418
[4]. Macro Meloni etal, management of negative pressure wound therapy in the treatment of Diabetic foot ulcers. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc4436907.

Abstract: Intestinal parasitic infections (IPI) are one of the most prevalent infection among school children in developing countries including India. This study was conducted to determine the prevalence of intestinal parasitic infection and its type in the suburban public schools around Patna Bihar, India and include students from Nursery to class IX. Among the 191 participating children prevalence of intestinal parasitic infections was found as 23.2% (28% for boys and 20.1% for girls). Amongst the infected children single infection was detected in 42 (93%) and mixed parasitic infection was found in 4(7%). Among protozoan Entamoeba histolytica was the commonest and Giardia was the second most common. Among helminths, Aascaris lumbricoides was the commonest after Entrobium vermicularis.............

[1]. Haque R. Human intestinal parasites. J Health Popul Nutr.2007; 25: 387-91.
[2]. WHO. Intestinal Parasites: Burdens and Trends. 2013;
[3]. Available from: https://apps.who.int/ctd/intpara/burdens.htm.
[4]. Chandrashekhar T, Joshi H, Gurung M et al. Prevalence and distribution of intestinal parasitic infestations among school children in Kaski District, Western Nepal. J Med Biomed Res 2005; 4: 78-82.
[5]. Estevez EG, Levine JA, Warren J. Intestinal parasites in are mote village in Nepal. J Clin Microbiol 1983; 17: 160-1..

Abstract: In contemporary orthodontics management of anterior open bite (AOB) is challenging chore for an orthodontist. As anterior open bite can be skeletal and dental a thorough diagnosis of etiologic factors should be done for providing a stable results post treatment. Because AOB is more prevalent in primary dentition than permanent dentition it is possible to make early diagnosis and treatment plan for the patient. There are multiple etiologic factors responsible for AOB but childhood oral habits such as thumb sucking, tongue thrusting are believed to have strong relationship with AOB. Patients with anterior open bite have long face syndrome.AOB effects the esthetics, mastication and articulation of some phonemes which results in dyslalias in some patients. In addition to these steepness of mandibular plane..............

[1]. Dimberg L1, Lennartsson B, Söderfeldt B, Bondemark L. Malocclusions in children at 3 and 7 years of age: a longitudinal study. Eur J Orthod. 2013;35(1):131-7.
[2]. Machado DB, Brizon VSC, Ambrosano GMB, Madureira DF, Gomes VE, Oliveira ACB. Factors associated with the prevalence of anterior open bite among preschool children: A population-based study in Brazil Dental Press J Orthod. 2014; 19(5): 103–109.
[3]. Fränkel R, Fränkel C. A functional approach to treatment of skeletal open bite. Am J Orthod. 1983;84(1):54-68.
[4]. Peres KG, De Oliveira Latorre Mdo R, Sheiham A, Peres MA, Victora CG, Barros FC. Social and biological early life influences on the prevalence of open bite in Brazilian 6-year-olds. Int J Paediatr Dent. 2007;17(1):41-9.
[5]. Proffit WR, Fields HW Jr, Moray LJ. Prevalence of malocclusion and orthodontic treatment need in the United States: estimates from the NHANES III survey. Int J Adult Orthodon Orthognath Surg. 1998;13(2):97-106.

Abstract: Bengali language diabetes knowledge scale is few but need of the hour. Better knowledge can contribute to adequate prevention of the condition. Aim of the study was to assess the reliability and validity of the translated Oregon diabetes knowledge scale among Bengali women residing in Kolkata. An observational study of cross- sectional design was conducted among 231 adult Bengali women living in Kolkata .They were selected from the current updated voter list 2016 by simple random sampling. Reliability was tested using Kappa statistic (n=68) and Cronbach's coefficient alpha (n= 72). Face validity was assessed by a number of experts as well as group of study participants..............

Keywords: questionnaire , urban, West Bengal,awareness.

[1]. www. idf.org/our-network/regions-members/south-east Asia.

[2]. Deepa M, Bhansali A, Anjana RM, Pradeepa R, Joshi SR, Joshi PP, et al. Knowledge and awareness of diabetes in urban and rural India: The Indian Council of Medical Research India Diabetes Study (Phase I): Indian Council of Medical Research India Diabetes 4. Indian J Endocrinol Metab . 2014; 18:379–85.
[3]. Health and Living conditions in Eight Indian cities – National Family Health Survey NFHS- 3; 2007.

[4]. Kumar A, Goel MK, Jain RB, Khanna P, Chaudhary V. India towards diabetes control: Key issues. Australas Med J. 2013; 6(10):524–31.
[5]. Kautzky – Willer A, Harreiter J and Pacini G: Sex and gender differences in risk, pathophysiology and complications of type 2 diabetes mellitus. Endocrine Rev. 2016 Jun; 37(3):278-316..

Abstract: Rehabilitation of a patient with single tooth present on either side of edentulous arch can be done by various methods. But sometimes the patient is not willing to undergo time-consuming procedures of endodontics and fabricated prosthesis on the retained teeth, or the patient is medically compromised so that extraction of the tooth is not indicated. This report describes a novel technique for the fabrication of a complete denture by incorporating prefabricated stainless steel crowns in the denture, which will cover the retained teeth in the upper arch and will also aid in retention of the denture. An acrylic resin removable denture is fabricated. The stainless steel crowns are retained into the denture using molar band, which is soldered to the crowns and extensions are incorporated in the denture resin. The entire technique is inexpensive, helps in retaining teeth and demands less skill compared to semi-precision and precision attachments.

[1]. Morrow RM, Feldman EE, Rudd KD, Tooth-supported complete dentures: An approach to preventive prosthodontics. J Prosthet Dent 1969;21:513-522.

[2]. Shetty PK, Shetty BY, Hegde M, Prabhu BM. Rehabilitation of long-span Kennedy class IV partially edentulous patient with a custom attachment-retained prosthesis. J Indian ProsthodontSoc 2016;16:83-6

[3]. Millar L, Cairns A, Fowler L. Preformed Metal Crowns for the Permanent Dentition. Primary Dental Journal. 2015;4(4):44-45.

[4]. Full CA, Walker JD, Pinkham JR. Stainless steel crowns for deciduous molars. JADA. 1974;89:360-364.

[5]. Duggal MS, Curzon MEJ, Fayle SA, Pollard MA, Robertson AJ. Restorative Techniques in Paediatric Dentistry. 1st ed. London: Martin Dunitz; 1995..

Abstract: IntroductionThermography is increasingly being utilizedin the management of chronic venous insufficiency and deep venous thrombosis (DVT). This study was done to determine the diagnostic importance of thermography and its efficacy when combined with Venous Doppler in the diagnosis of perforator incompetence.MethodologyPatients attending the Department of Surgery with diagnosis of varicose vein over a period of twelve months were included in this study. The study excluded the patients requiringadditional procedure and those who had injection sclerotherapy prior to surgery. Venous Doppler and Thermography of leg were performed. The thermo grams were compared with the venous Doppler alone andin combination of thermography. The sensitivity, specificity and predictive values were compared. Perforator incompetence diagnosed by imaging (Doppler and Thermography) were compared with true positive cases (identified during surgery).ResultsA total of 80 patients were included..............

Keywords: varicose veins, deep venous thrombosis, thermography, sensitivity, specificity

[1]. Kroeger KV, Ose C, Rudofsky G, Roesener J, Hirche H. Risk factors for varicose veins. IntAngiol. 2004; 23: 29-34.
[2]. Williams KL. Thermography in the diagnosis of varicose veins and venous insufficiency. BiblRadiol. 1969;5:127-9.
[3]. Wills V, Moylan D, Chambers J. The use of routine duplex scanning in the assessment of varicose veins. Aust N Z J Surg.1998; 68:41-4.
[4]. Schalin L. Arteriovenous communications in varicose veins localized by thermography and identified by operative microscopy. ActaChir Scand. 1981;147(6):409-20.
[5]. Min RJ, Khilnani NM, Golia P. Duplex ultrasound evaluation of lower extremity venous insufficiency. J VascIntervRadiol. 2003; 62: 1233–1241.