iosr-JDMS   Volume-17 ~ Issue-7 ~ July-2018

Abstract: Many skin diseases present with blisters but only in some of them blisters occur as the primary event. It is this group of disorders, which is traditionally termed the "vesiculobullous disorders". Vesicle is a raised lesion filled with tissue fluid of size <5mm where as bullae is a raised lesion filled with tissue fluid of size >5mm. Definition of vesiculobullous disorders is some what arbitrary, because many other skin disorders which are definite entities may also exhibit blisters as one of the features of their presentation. Eg:. Eczema, impetigo, fungal and viral infections, EMF, insect bites, etc., Skin diseases grouped under the term "vesiculobullous" are considered to have an autoimmune basis with............

Keywords: Vesiculobullous, Direct immunofluorescence, Kadapa, Histopathology, Tzanck smear.

[1]. Arndt IcA, Feingold Ds. Nengl. J.med 1970; 282 1154-5
[2]. E. Schmidt and D. Zillikens, "Modern diagnosis of autoimmune blistering skin diseases," Autoimmunity Reviews, vol. 10, no. 2, pp. 84–89, 2010.
[3]. Durdu M. Tzanck cytology in diagnosis of autoimmune bullous diseases. [Otoimmün büllöz hastaliklarin tanisinda tzanck sitoloji]. Turkderm Deri Hastaliklari ve Frengi Arsivi. 2011; 45(sup 1): 39-43.
[4]. Adam BA Bullous disease in Malaysia; epidemiology and natural history. Int. J. Dermatol 1992 ; 31 : 42-5.
[5]. SM Langan, L Smeeth, R Hubbard, KM Flemming, C J P Smith and J West, Bullous pemphigoid & pemphigus vulgaris – incidence and mortality in the UK, BMJ 9-July 2008; 337; a 180...

Abstract: The awareness that adult hypertension has its origin in childhood has raised interest on screening for elevated blood pressure (BP) in adolescent. Blood pressure is found to be increased among population having high BMI. Both are risk factors for many noncommunicable diseases like ischemic heart disease (IHD), cardiovascular disease (CVA), diabetes mellitus (DM) and certain cancers which lead to morbidity and mortality of the patients. The objective of the study was to establish relationship between Blood pressure and BMI among medical students of West Bengal. Total 99 students of 1st year MBBS students having age between 17-24 years were selected using random sampling method. Written consent of all the students was obtained. Parameters used in the study were height.......

Keywords: Blood pressure, Body mass index, Cardiovascular accident, Diabetes mellitus, Ischaemic heart disease.

[1]. Gupta R. Trends in hypertension epidemiology in India. Journal of human Hypertension. 2004; 1 (2): 73- 8.
[2]. Freedman DS khan, Sendula L, Dietz MK, Sri Nibasan WH, SR Berenson GS. The Relation of childhood BMI to adult adiposity: the Bogalusa Heart Study. Paediatrics. 2005; 115: 22- 7.
[3]. Ogden CL Carrol, MD Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States: 2011-2012. J Am Med Assoc. 2014; 311: 806- 14.
[4]. National Institute of Health, National Heart, Lung and Blood Institute: clinical guidelines on the identification, evaluation and treatment of overweight and obesity in adults. U.S. department of health and Human services, Public Health Service, 1998.
[5]. Kapoor SS. Blood pressure, waist to hip ratio and Body Mass Index among affluent Punjabi Girls of Delhi. Acta Medica Auxologica. 2000; 32 (3): 153- 7...

Abstract: Background: Preeclampsia is a pregnancy-specific hypertensive syndrome associated with significant morbidity and mortality in mother and neonate. It is the 3rd leading cause of maternal mortality and is responsible for 15-20% of maternal mortality and is a major cause of neonatal morbidity and mortality. Objective: The objective of this study was the effects of pre-eclampsia associated with maternal complications, pregnancy outcome and neonatal complications. Materials and Methods: A hospital based descriptive observational study was conducted from July to December 2017.All pre-eclampsia associated with complications were included. Data obtained that included maternal age, systolic and diastolic blood pressures, gestational age at diagnosis, gestational age at delivery, associated maternal complications, pregnancy outcome......

Key words: morbidity, mortality, neonate, outcome, preeclampsia

[1]. Jenkins SM,Head BB, HauthJC.Severe preeclampsia at<25weeks of gestation ;maternal and neonatal outcomes. AmJ Obstet Gynecol 2002;186:790-5.
[2]. Duley L.Preeclampsia and the hypertensive disorders of pregnancy. Br Med J 2003 ; 67 :161
[3]. Duckitt K, Harrington D. Risk factors for preeclampsia at antenatal Booking: systematic review of controlled studies .BMJ 2005 Mar 12; 330(7491): 565.
[4]. Kittner SJ, Stern BJ,Feeser BR,et al: Pregnancy and the risk of stroke. N Engl J Med 1996; 12:335:768-774 18.B39.
[5]. Voto LS,Lapidus AM,MarguliesM.Effects of preeclampsia on the mother, fetus and child.Gynaecol Forum 1999;4:25-7....

Abstract: Ectodermal dysplasia is a hereditary disease characterized by dysplasia of tissues of ectodermal origin. Hypohidrotic ectodermal dysplasia(HED) is the most common type which presents with typical facial features. Ocular manifestations seen in this disease though rare are mainly ocular surface related. Keratoconus is a noninflammatory ectatic disorder of cornea, its association has been described with many systemic syndromes and hereditary diseases. However its association with HED is very rare. This case report discusses the systemic, ocular manifestations, and ocular treatment plan (tuck in lamellar keratoplasty for keratoconus) for HED and keratoconus. The treatment would provide functional boost to the patient in view of better visual outcome..

Key words: Ectodermal dysplasia (ED), Hypohidrotic ectodermal dysplasia(HED), Keratoconus

[1]. Irvine A. Ectodermal dysplasias. In: Harper J, Oranje O,Prose N, eds. Pediatric dermatology. 2nd ed. Oxford:Blackwell Scientific. 2005, 1412-1466
[2]. Callea M, Faletra F, Maestro A, Verzegnassi F, Rabusin M, Vinciguerra A, et al. Dental Phenotype in a Patient WithHypohidrotic Ectodermal Dysplasia And SevereImmunodeficiency. J Int Dent Med Res. 2011; 4:17-20.
[3]. Akgun MO, Sabuncuoglu F, Altun C, Guven G, Basak F. Multidisciplinary Treatment Approach of Patient with Ectodermal Dysplasia. JInt Dent Med Res. 2010; 3:141-145. [4]. Keklikci U, Yavuz I, Tunik S, Ulku ZB, Akdeniz S. Ophthalmic manifestations in patients with ectodermal dysplasia syndromes. Advances in clinical and experimental medicine: official organ Wroclaw Medical University. 2014;23(4):605-10.

[5]. Piccione M, Serra G, Sanfilippo C, Andreucci E, Sani I, Corsello G. A new mutation in EDA gene in X-linked hypohidrotic ectodermal dysplasia associated with keratoconus. Minerva pediatrica. 2012;64(1):59-64....

Abstract: The reconstruction of the leg defects is one of the most challenging problems for plastic and reconstructive surgeons. The current approaches are still challenging. We show an easy and useful option to obtain the coverage of traumatic pretibial defects of upper,middle and lower third of leg with good aesthetic and functional results. The choice is Bipedicle flap which avoids other surgical procedures that require more stages, operatingtime, specialequipments andadequatetraining.

Key words: Bipedicle flaps, leg defects.

[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]. Kadam D. Limb salvage surgery. Indian J PlastSurg 2013;46:265-74.
[3]. Tobin GR. Myocutaneous and muscle fl aps: Refinements and new applications. CurrProblSurg 1986;23:315-93.
[4]. Dujon DG, Khan UD, Aslam S. Bipedicle fl aps: simple solutions for diffi cult problems in the extremities. Br J PlastSurg 1997;50:641-5.
[5]. Parrett BM, Pribaz JJ. Lower extremity reconstruction. Rev Med ClinCondes 2010;21:66-75..

Abstract: Ingestion of the dental prosthesis seems to be more common than aspiration and is mainly seen in elderly patient causing serious complications. We present a case of 67 years old man who accidentally swallowed a 10 years old gold inlay restoration while eating. The diagnosis was made by radiographic examination revealing the presence of the foreign body in the right oropharynx.

Key words; Ingestion, Foreign body, Aspiration, Gold Inlay, Gastrointestinal tract

[1]. P. Nandi, G.B. Ong. Foreign body in the esophagus , review of 2394 cases. Br. J.Surg.1978;65:5-9.
[2]. Treska TP, Smith CC. Swallowed partial denture. Oral Surg Oral Med Oral Pathol.1991;72:756-7.
[3]. W. Cheng, P.K. Tam. Foreign-body ingestion in children: experience with 1265cases. J. Pediatr. Surg.1999;34:1472-1476.
[4]. W.A. Webb. Management of foreign bodies of the upper gastrointestinal tract. Gastrointest. Endosc.1995;41:39-51.
[5]. J.T. Denny, S. Yeh, A. Mohiuddin et al. Preventing "A Bridge Too Far": promoting earlier identification of dislodged dental appliances during the perioperative period. J. Clin. Med. Res. 2015;7(2):115-117...

Abstract: INTRODUCTION- Premenstrual syndrome(PMS) also called Premenstrual tension(PMT) refers to cyclic recurrence of a combination of distressing physical, psychological or behavioral changes during the luteal phase of menstrual cycle. PMS is most common in women between age group of 18-25yrs. MATERIALS&METHODS- Study tools – PMS questionnaire, Zung scale, Harvard step test, Physical Fitness Index ,Study design – Prospective study Study Population –180 divided into 2 groups .RESULTS- Baseline mean depression score before PMS is 31.11. After 24 weeks of Pranayama intervention the value decreased to 28.93. This difference was found to be statistically significant (p=0.001) using Paired T-Test. Physical Fitness Index calculated during Premenstrual phase.......

Key Words: Premenstrual syndrome, Pranayama, Harvard step Test,Depression score, Physical Ftness Index

[1]. Direkband-Moghadam A., Sayehmiri K., Delpisheh A., Sattar K. Epidemiology of premenstrual syndrome (PMS)- A Systemic review and meta-analysis study.J.Clin.Diagn.Res.2014;8:106-109.
[2]. Heinemann L.A., Minh T.D., Heinmann K., Lidemann M.,Filonenko A. Intercountry assesment of the impact of severe premenstrual disorders on work and daily activities. Health care Women Int.2012;33:109-124. Doi: 0.1080/07399332.2011.610530.
[3]. Tschudin S., Bertea .P.C., Zemp E. Prevalence and predictors of premenstrual syndrome and premenstrual dysphoric disorder in a population based sample. Arch. Women's Ment. Health. 2010;13:485- 494.doi:10.1007/s00737-010-0165-3.
[4]. Rani M., Singh U., Agrawal G.C., Natar S.M., Kala S., Ghildiyal A., SriVastava N. Impact of Yoga Nidra on menstrual

abnormalities in females of reproductive age. J. . Complement Med. 2013., 9:125-299.
[5]. Wu W.L., Lin T.Y., Chu IH., Liang J.M, The acute effects of Yoga on cognitive measures for women with PMS. J. Altern. Complement. Med. 2015., 21:364-369.

Abstract: Statement of the Problem: Dental casting alloys have been reused routinely in dental laboratories by combining it with fresh alloys. This combination work of the new and used alloys should not affect the mechanical properties of the dental casting restoration. Materials & Methods: Ni-Cr ceramo-metal dental casting alloys were evaluated in four combinations of 100% fresh alloy, 50% fresh alloy with 50% recast alloy,25% fresh alloy with 75% recast alloy and 100% recast alloy. The mechanical properties tested in this study were modulous of elasticity, yield strength, percentage elongation, and tensile strength.A total of 24 samples were prepared,six samples per group and tested for tension testing to determine the mechanical properties.......

Keywords: ceramometalni-cr alloys,modulous of elasticity,percentage elongation, yield strength,recast alloys,

[1]. Battaini P. Investment casting for oral cavity applications: Peculiarities and problems. la metallurgiaitaliana 2001; 10: 57-70
[2]. Donald A. Hesby, Peter Hobes. Physical properties of a repeatedly used non-precious metal alloy.J.Prosthet.Dent 1980; 44: 291-293.
[3]. Guilherme EP Henriques, Simon Ides Consani. Soldering and remelting influence on fatigue strength Co-Cr Alloys. J.Prosthet.Dent 1997; 78: 146-52.
[4]. Rosentiel. SF, Land MF, Fujimoto J. Contemporary Fixed Prosthodontics. 3rd edition.
[5]. Rasmussen ,Doukoudakis AA. The effect of recast metal on the bond strength of Porcelain and gold-palladium alloy. J.Prosthet.Dent 1986; 55: 447-453.

Abstract: Migraine is a primary headache that may be triggered by exposure to a potential "trigger‟. METHODS: Migraine triggers in 111 patients with migraine who attended the headache clinic at the Madras Institute of Neurology were documented by a questionnaire approach. The questionnaire included 22 sets of migraine triggers. RESULTS: Stress (45%) was identified to be the most common trigger followed by weather changes (20.7%) and cold drinks (15.3%) as possible triggers. 10.8% were unaware of any possible trigger and most were not aware of other triggers. All patients were educated about all possible triggers and were advised to maintain a headache diary. CONCLUSION: It is important to identify these triggers and avoidance of these triggers reduces the frequency of attacks. Management of stress will help in reducing the morbidity of headaches..

[1]. Simon Akerman*, Philip R. Holland*‡ and Peter J. Goadsby Diencephalic and brainstem mechanisms in migraine Nature Reviews Neuroscience 12, 570-584 (October 2011) doi:10.1038/nrn3057
[2]. Passchier J. A critical note on psychophysiological stress research into migraine patients. Cephalalgia 1994; 14:194-8. Oslo. ISSN 0333-1024
[3]. Thomas N. Ward, MD, FAAN, FAHS Migraine Diagnosis and Pathophysiology Continuum Lifelong Learning Neurol 2012;18(4):753–763.
[4]. Penfield, W. & F., M. Dural headache and innervation of the dura mater. Arch. Neurol. Psychiatry 44, 43–75 (1940).
[5]. Foo, H. & Mason, P. Brainstem modulation of pain during sleep and waking. Sleep Med. Rev. 7, 145–154 (2003).

Abstract: Background: Pain is one of the most common sensory and emotional experiences which may lead to physiological and psychological stress. Analgesic drugs are commonly used to alleviate pain sensation in several health illnesses. Chronic use of currently available analgesics such as opioids and nonsteroidal anti-inflammatory drugs (NSAIDs) may cause several adverse effects in the body.Still there exists a need for search of an ideal analgesic. Aim: To evaluate the analgesic activity of a novel compound, 4-chlorothiophene in Swiss albino mice.Material and methods:The central analgesic activity of 4-chlorothiophene was evaluated by eddy's hot plate method and early phase.......

Key words: Analgesic, Eddy's hot plate, Formalin test, Thiophene,4-chlorothiophene

[1]. Pain and analgesics. In: Peter N Bennett, Morris J Brown, Pankaj Sharma. Clinical Pharmacology. 11th Ed. Edinburgh: Churchill Livingstone Elsevier; 2012.Pp.277-93.
[2]. H. Breivik, P. C. Borchgrevink, S. M. Allen, L. A. Rosseland, L. Romundstad, E. K. Breivik Hals, et al. Assessment of Pain. Br J Anaesth.2008;101(1):17-24.
[3]. Hart RP, Wade JB, Martelli MF. Cognitive impairment in patients with chronic pain: the significance of stress. Curr Pain Headache Rep. 2003 Apr;7(2):116-26.
[4]. Bruehl S, Burns JW, Chung OY, Chont M. Pain-related effects of trait anger expression: neural substrates and the role of endogenous opioid mechanisms. NeurosciBiobehav Rev. 2009 Mar;33(3):475-91.
[5]. Carter GT, Duong V, Ho S, Ngo KC, Greer CL, Weeks DL. Side effects of commonly prescribed analgesic medications. Phys Med Rehabil Clin N Am. 2014 May;25(2):457-70...

Abstract: Aim: To evaluate the reliability of Quadraceph Software for cephalometric analysis
Materials and methods: The study was conducted on pre-treatment cephalometric radiographs of 25 patients. The digital tracing was done using Quadraceph Imaging Software. A total of 26 landmarks were defined on each Cephalogram. Out of 25 radiographs 15 were retraced manually and digitally for investigating the reliability (intraexaminer error) and the reproducibility for the manual and digital method. Conclusion: Greater variability in repeated cephalometric measurements was found in tracings done with Quadraceph Software compared with manually traced images. The differences, however, were statistically insignificant..

[1]. Cecilia Goraccia; Marco Ferraria, Reproducibility of measurements in tablet-assisted, PC-aided and manual cephalometric analysis. Angle Orthodontist, 2014: Vol. 84, No. 3, 437-442.
[2]. Yi Jane Chen; SsuKuangChen;Hsin Fu Chang; Kun Chee Chen "Landmark Identification in Traditional Versus Computer Aided Digital Cephalometry",The Angle Orthodontist: October 2000, Vol. 70, No. 5, 387-392
[3]. E.M.Ongkosuwito,C.Katsaros,M.A.Vant Hof, J.C.Bodegom and A.M. Kuijpers-Jagtman "The reproducibility of cephalometric measurements: a comparison of analogue and digital methods"European Journal of Orthodontics, 2002, Volume 24, Issue 6, December 2002, 655–665
[4]. Masoud Davoudian. The validity of computer aided system for lateral cephalometric analysis in comparison to conventional method. I. Viewbox Imaging Software. Iranian Journal of Orthodontics.
[5]. SF AlBarakati, KS Kula and AA Ghoneima. The reliability and reproducibility of cephalometric measurements: a comparison of conventional and digital methods. Dentomaxillofacial Radiology, 2012: 41, 11–17...

Abstract: Introduction. In everyday dental practice, when making total dentures a common problem is intolerance of the patients. Purpose. To alleviate the inconvenience and allow patients to quickly and easily accept the new dentures. Material and methods. In this study we divided the patients who manifested intolerance to total dentures into three groups of ten patients. After handing over the dentures and examining the nature of intolerance, the first group included patients with the crucial role of dentures taking the factor of time, as a period of adaptation to something new and foreign. In the second group we included patients who during the process of making total dentures had the problem of nausea and vomiting. The third group consisted of patients in whom we cut the finished.......

Key words: intolerance, total dentures, edentulism, adaptation.

[1]. Hutton B, Feine J, Morais J. Is there an association between edentulism and nutritional state? J Can Dent Assoc 2002;68: 182-7.
[2]. Tallgren A, Lang BR, Miller RL. Longitudinal study of soft- tissue profile changes in patients receiving immediate com- plete dentures. Int J Prosthodont 1991;4:9-16.
[3]. Sierpinska T, Golebiewska M, Dlugosz J, Kemona A, Laszewicz W. Connection between masticatory efficiency and patho- morphologic changes in gastric mucosa. Quintessence Int 2007;38:31-7.
[4]. Fiske J, Davis DM, Frances C, Gelbier S. The emotional effects of tooth loss in edentulous people. Br Dent J 1998;184: 90-3; discussion 79.
[5]. Watson CL, Reeve PE, Barnes E, Lane AE, Bates JF. The role of personality in the management of partial dentures. J Oral Rehabil 1986;13:83-91.

Abstract: Background: Meningitis is a serious infectious disease of the central nervous system (CNS) with severe complication and numerous mortality. Distinction between aseptic and bacterial meningitis by cerebrospinal fluid (CSF) culture can be difficult and long-term, and other diagnostic methods are under studying for prevention of bacterial meningitis complications. This study aimed to assess the diagnostic value of three CSF biomarkers including interleukin (1, 6 and 8) in the children and adolescent with meningitis. Methods: 51 children and adolescent (1month-18 years) with definite meningitis were included in a cross-sectional analytic study. In addition to analysis and culture of CSF, interleukin-1,6,8 levels were determined by ELIZA method in CSF samples obtained from all cases......

Key words: Interleukin, Bacterial meningitis, Aseptic meningitis, Children, Adolescent

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[4]. Abdelmoez AT, Zaky DZ, Maher AM. Role of cerebrospinal fluid IL-8 as a marker for differentiation between acute bacterial and aseptic meningitis. J Egypt SocParasitol.2014; 44(1):205-210.
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Abstract: Le lupus érythémateux systémique (LES) est une maladie auto-immune qui touche plusieurs organes. L'atteinte oculaire au cours du LES est rare, représentée dans la majorité des cas par la kératoconjonctivite sèche. L'atteinte choroïdienne lupique reste exceptionnelle. II. Observation Nous rapportant le cas d'une patiente âgée de 28 ans, suivie pour un LES depuis 2 ans. Le diagnostic était confirmé par la présence d'anticorps anti-DNA natifs et d'anticorps anti-SM, associée à une atteinte articulaire et cutanée caractéristique du LES. La patiente était mise sous corticothérapie avec rémission depuis un an........ .

[1]. Nirav V Kamdar, AmsaluErko, Jason S Ehrlich, Jonathan W Kim, NeerajaKambham, Glenn M Chertow. Choroidopathy and kidneydisease: a case report and review of the literature. Cases J. 2009 May;12(2):7425.
[2]. Nguyen QD, Uy HS, Akpek EK, Harper SL, Zacks DN, Foster CS. Choroidopathy of systemic lupus erythematosus. Lupus. 2000;9(4):288–98.
[3]. DanieleHannouche, Jean-FrancoisKorobelnik, Isabelle Cochereau, Gilles Hayem, Johann Beaudreuil, Olivier Meyer, Thanh Hoang-Xuan. Systemic lupus erythematosuswithchoroidopathy and serousretinaldetachment. Int Ophthalmol. 1995;19(2):125–7.

Abstract: Introduction:Ultrafiltration can ameliorate the effects of cardiac surgeries by removing free water and inflammatory mediators. Present study was planned impact of modified ultrafiltration on early morbidity along with on hemodynamic, pulmonary functions after adult cardiac operations. Methodology: Observational Descriptive (prospective study) was conducted. Total 60 patients were included in the study and thirty from each group. Modified ultrafiltration technique was compared with conventional technique. Haematological and Physiological parameters were compared in both groups. Result: It was observed thatt CPB (min) and cross-clamp times (min) were almost similar in both groups. It was observed that there was no statistical difference. We also observed that the ultrafiltrate volume (ml) was comparatively smaller in modified ultrafiltration. There was significant difference in both groups. Conclusion: MUF is a safe procedure for intraoperative fluid management that is able to reduce postoperativebleeding and the need for RBC transfusion.

[1]. Naik SK, Knight A, Elliott MJ. A successful modification of ultrafiltration for cardiopulmonary bypass in children. Perfusion. 1991 Jan;6(1):41–50.
[2]. Ziyaeifard M, Alizadehasl A, Massoumi G. Modified ultrafiltration during cardiopulmonary bypass and postoperative course of pediatric cardiac surgery. Res Cardiovasc Med. 2014 May;3(2):e17830.
[3]. Torina AG, Petrucci O, Paulo P, Oliveira M De, De ESB, Severino O, et al. The effects of modified ultrafiltration on pulmonary function and transfusion requirements in patients undergoing coronary artery bypass graft surgery. Group. 2010 Mar;25(1):59–65.
[4]. Sahoo TK, Kiran U, Kapoor PM, Choudhary SK, Choudhury M. Effects of combined conventional ultrafiltration and a simplified modified ultrafiltration in adult cardiac surgery. Indian J Thorac Cardiovasc Surg. 2007 Jun 11;23(2):116–24.
[5]. Rakesh M, Jamila A, Arto N. Venoarterial Modified Ultrafiltration Versus Conventional Arteriovenous Modified Ultrafiltration During Cardiopulmonary Bypass Surgery. Ann Saudi Med. 2014;34(1):18–30.

Abstract: A 24 year old male patient was admitted to emergency department of K.D medical college Mathura,U.P, three days ago with abdominal pain, nausea and vomiting. In conclusion, after widespread use of CT, appendicoliths were encountered more commonly. They have different clinical presentation. While most of the cases are asymptomatic, appendicoliths may also cause appendicitis with serious complications including perforation and intra-abdominal abscess formation.

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[3]. Nitecki S, Karmeli R, Sarr MG. Appendiceal calculi and fecaliths as indications for appendectomy. Surg Gynecol Obstet. 1990;171:185–8. [PubMed]

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[5]. Rabinowitz CB, Egglin TK, Beland MD, Mayo-Smith WW. Outcomes in 74 patients with an appendicolith who did not undergo surgery: is follow-up imaging necessary? Emerg Radiol. 2007;14:161–5. [PubMed].

Abstract: The authors describe a case of Epsen Brrr virus infection (EBV) in a five-year-old girl. In the field of otorhinolaryngology diagnostics, and in the strong suspicion of a viral disease, the study of the nasal mucosa has highlighted the presence of atipical lymphocyte cells . This observation led the authors to anti-EBV antibody research and a blood count. These investigations confirmed the diagnostic suspicion. In conclusion, the optical microscope study of the nasal mucosa, can be considered a valid tool not only for the early diagnosis of viral diseases in general, but also a means to monitor over time the course of the disease and the possible consequences.

Key words: Epstein Barr virus, Pappenheim method, nasal cytology, mononucleosis.

[1]. Gelardi M., Tomaiuolo M., Cassano M., Besozzi G., Fiorella ML., Calvario A., et al. Epstein-barr virus induced cellular changes in nasal mucosa. Virology Journal 2006, 3: 1-6 [2]. Simon M W. The Atypical Lymphocyte . Int Pediatr 2003, 18: 20-22.
[3]. Jensen HB Acute complication of Epstein Barr virus infectious mononucleosis Cur Op in Pediatr 2000,12(3): 263-268
[4]. Vogler K.,Schmidt LS Clinical manifestations of Epstein Barr virus infection in children and adolescent Ugeskr Laeger 2018,180(20),pii V09170644
[5]. Bolis V.,Karadedos C.,Chiotis I.,Chaliasos N.,Tsabouri S. Atypical manifestations of Epstein Barr virus in children: a diagnostic challenge J Pediatr (Rio J) 2016, 92 (2):113-21.

Abstract: Introduction- Lymphadenopathy often occurs in the head and neck or inguinal areas and usually noted in clinical practice. . Enlarged lymph nodes could be due to infection, metastatic malignancy or lymphoma. Fine needle aspiration cytology is an economical and reliable first line investigation in lymphadenopathy . FNAC is now considered as a valuable diagnostic aid as it gives early results, it is a simple procedure ,causes minimal trauma and complications. Material and methods- We carried out this study in Department of Pathology, Pt. JawaharLal Nehru Govt. Medical College, Chamba (H.P, India) from 1 Dec 17 to 31 April 18.We received patients in cytology section with lymph node swellings from medicine,.......

Key words: lymphadenopathy, FNAC, lymphadenitis

[1]. MukulPatar, KusumBorsaikia, Biraj K. Das, Anupam Hazarika. A clinicopathological evaluation of cervical lymphadenopathy in children (0-14 Years) By fine needle aspiration cytology and histopathological examination - A hospital based study. National Journal of Otorhinolaryngology and Head & Neck Surgery.2014;2(11):12-14.
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[4]. Ghartimagar D, Ghosh A, Ranabhat S, Shrestha MK, Narasimhan R, Talwar OP. Utility of fine needle aspiration cytology in metastatic lymph nodes. Journal of Pathology of Nepal.2011;1(2):92-95.
[5]. Ardizzoni E, Fajardo E, Saranchuk P, Casenghi M, Page AL, Varaine F, Kosack CS, Hepple P. Implementing the Xpert® MTB/RIF Diagnostic Test for Tuberculosis and Rifampicin Resistance: Outcomes and Lessons Learned in 18 Countries. PLoS One. 2015 Dec 15;10(12):e0144656. doi: 10.1371/journal.pone.0144656. eCollection 2015. [PubMed]..

Abstract: Strokes in young are reported as being uncommon, comprising 10%–15% of all strokes1. However it has a major impact on the quality of life for the individual and society .we aimed to evaluate risk factors, etiology, and morbidity at the time of discharge in patients with stroke under the age of 45 years. METHODS It is a hospital-based prospective observational study of 60 stroke patients Patients with Acute CVA aged 15–45 over 1 year were included in the study. Risk factors like smoking, alcohol, hyper coagulable states, heart diseases, dyslipidemia ,DM, hypertension, Vasculitis and AV malformations were analysed and documented.Morbidity was assessed with MRS scoring during admission and at discharge. Data was analysed using appropriate statistical tools.......

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Abstract: Objective- To study the incidence and morphology of sternal foramina in Eastern Indian population.Methods- Thirty numbers of dry human sterna were studied macroscopically for the presence of sternal foramina. The vertical and transverse diameters of the sternal foramina were measured. Results- Sternal foramina were observed in 2 out of 30 sterna (incidence 6.66%). Conclusion- The findings of the study will be useful in medical practice, radiology, anthropology and acupuncture...

Key words: Sternal foramen, Congenital anomaly, Cardiac tamponade, Bone marrow aspiration, Acupuncture.

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