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

Abstract: Due to increased number of bear mauling in central India, we studied the various factors in bear mauling and outcome of management in GMCH from 2014 to 2017. A total of 26 cases evaluated which were predominantly male. It is obvious that involvement of head, neck face and upper limb was in maximum cases. The age wise study shows that there was equal involvement of people from young, middle aged and older ones. It was a retrospective analysis of the reported cases. Most victims suffered from multiple injuries. We observed that in 85% of cases of mutilation overhead neck and face, it was most common site of bear mauling. Probably, it is because usually the attacks by bear are mainly on standing posture with hind limbs. All the patients were treated by a team led by surgeons including dental cum oral surgeon,............

Keywords: Bear Mauling, GMC Nagpur.

[1]. Sudarshan MK, Mahendra BJ, Madhusudana SN, Ashwoath Narayana DH, Rahman A, Rao NS, et al. An epidemiological study of animal bites in India: Results of a WHO sponsored national multi-centric rabies survey. J Commun Dis. 2006;38:32–9. [PubMed]
[2]. Kale S, Patil S, Khare N, Jain A. Animal bites-should primary reconstruction be the standard treatment? Euro J Plast Surgery. 2011;34:367–73.
[3]. Wikipedia: Sloth bear. [last accessed on 18/12/2014 at 19:38 hrs]. Available from: http://www.en.wikipedia.org/Sloth_bear .
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[5]. Shah AA, Mir BA, Ahmad I, Latoo S, Ali A, Shah BA. Pattern of bear maul maxillofacial injuries in Kashmir. Natl J Maxillofac Surg. 2010;1:96–101. [PMC free article] [PubMed]..

Abstract: Hearing loss is the most prevalent chronic condition which can impact the quality of life not only of the individual who has hearing loss, but also their frequent communication partners, employers, family members, friends, and acquaintances. Otosclerosis is a localized hereditary disorder affecting endochondral bone of the otic capsule that is characterized by disordered resorption and deposition of bone. An otosclerotic lesion consists of areas of bone resorption, new bone formation, vascular proliferation and a connective tissue stroma. This present work has been undertaken to evaluate the patient of clinically suspected otosclerosis on the basis of patients history, clinical examination and audiological test (pure tone audiometry and impedence audiometry) who visited in the department of ENT, Gauhati Medical College and Hospital, Guwahati.

[1]. Glasscock - Shambaug " Surgery of the Ear" fifth edition 2003 BC Decker Inc; p3-33
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Abstract: This is a retrospective study of breast lesions conducted in the Government Medical College, Jagdalpur, Bastar from January 2015 to January 2017, i.e. of 2 years. As Bastar is a backward area and people here are not aware about the investigation criterias, they come with advanced disease with related complications. About 200 cases were studied by histopathological examination, of which the commonest benign tumour was Fibroadenoma and malignant tumour was Infiltrating Ductal Carcinoma – Not Otherwise Specified. So, the main aim of this study is to find out the patterns, distribution of breast lesions in various age groups and proportion of benign and malignant lesions in our institute.

[1]. Kalyani S, Mehraj Banu O A; Study of Breast Lesions in the tertiary health care centre. International journal of recents trends in Science and Technology. April 2016; 18(3):415-419.
[2]. Heda K, Beniwal K, Sharma K, Kasliwal N; Clinicopathological profile of Breast Lesions at tertiary care centre: a study of 602 cases. Indian Journal of Obstetrics and Gynaecology Research 2017; 4(2):127-131.
[3]. Almas A; Clinical Profile of Carcinoma Breast cases at a tertiary care hospital; Int Surg J 2017; 4:913-5.
[4]. Kokiwar R P, Kumar B H, Mubashare A; Epidemiological and Clinical profile of Breast Cancer patients at a tertiary care hospital in South India. Journal of Cancer Research and Therapeutics 2011; 7(1).
[5]. Dhiraj B, Nikumbh et al; Histopathological spectrum of Unusual Breast Lesions: A seven year retrospective review; Indian Journal of Pathology and Oncology, July-September 2016;3(3): 456-462..

Abstract: Diabetes Mellitus is a chronic metabolic disorder primarily defined by hyperglycemia giving rise to a risk of Microvascular damage eg. retinopathy, nephropathy, neuropathy and Macrovasculareg. ischaemic heart diseases, stroke etc that are associated with reduced life expectancy&increased morbidityin long duration. Recent studies about global prevalence of diabetes indicate that there were 422 million people in world with Diabetes in 2016 and it is projected to be doubled by 2030.(1).

Key words: Cholecalciferol, Glycosylated Haemoglobin, Dyslipidemia.

[1]. Wild S, Rogli G, Green A, Sicree R, King H 2004,Geneva 2016.)Wild S, Rogli G, Green A, Sicree R, King H 2004,Geneva 2016.)Wild S, Rogli G, Green A, Sicree R, King H 2004,Geneva 2016.)
[2]. Agha jafri F, Nagulesapillai,T,RonksleyP, Tough S.,O BeirneM, Rabi DM. March 2013.Association between serum 25 OH levels, pregnancy and neonatal Outcomes.Systemic review and meta analysis of observational studies. BMJ346,f1169.
[3]. Joshi SR Parekh RM India the capital of world the capital now heading towards hypertension J Association positions India 2007 55 32324.
[4]. Holic,M. Dec 04 Sunlight and Vitamin D for bone health and prevention of autoimmune disease. Kansas cancer and cardiovascular disease . American journal of clinical nutrition. 80- 6 Supplement journal 16785 -885 PMD 155 857 -88
[5]. Kashi Z, SaedianFS,Aakh O,GargiMAH,EMadi SF,ZakeryH.Vitamin D deficiency prevalence in summer compared to winter in a City with high humidity and a sultry climate.Pol J Endocrinol 2011;62(3):249-251...

Abstract: The present study was designed to study the efficacy and tolerability of methylphenidate in Indian children with Attention Deficit Hyperactivity Disorder (ADHD). Drug naïve patients, 52 in number were recruited for this study. The CGI scale and Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS) was used to access the efficacy and tolerability of methylphenidate over a period of 12 weeks. Methylphenidate was found to be an efficacious drug in Indian children with ADHD as assessed with scores of Vanderbilt and CGI scale in all the subgroups.

Key words: ADHD, CGI, Methylphenidate, Vanderbilt Parent Rating Scale.

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Abstract: Back ground: In older adults there is a reduction in pituitary sensitivity to thyroid hormones (altered set point), higher production of isoforms with lower biological activity and reduced functional capacity of thyroid with age. Aim: To evaluate thyroid function in the older age group and identify the most common form of thyroid dysfunction. Materials and Methods: Retrospective evaluation of records of patients who attended department of Nuclear Medicine, KGH from January to December of 2014 was conducted. They were assessed for thyroid function by Radioimmunoassay of T3, T4,TSH hormones............

Key words; Subclinical hypothyroidism, Elderly.

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Abstract: Long span partially edentulous areas require prosthetic rehabilitation.Planning the right prosthesis is important for obtaining properesthetics, phonetics, ease of hygiene maintenance, distribution of occlusal forces on underlying or adjacent supporting areas within physiologic limits besides satisfying all biomechanical principles of designed prosthesis. One of the viable options having all theabove mentioned advantages in a single prosthesis designed for long span edentulous area is attachment retained removable partial denture. Such prosthesis is more or less equivalent to the fixed prosthesisfor the patient in terms of support, stability, and retention; moreover they are very convenient for hygiene maintenance by the wearer andhelps in preservation of the remaining dentition under occlusal forces by uniform distribution among alveolar bone in edentulous area and abutment teeth. This article presents rehabilitation of suchlong-span edentulous cases with attachment-retained removable prosthesis.

[1]. Col DSJ D'Souza, Lt Col Parag Dua. Rehabilitation strategies for partially edentulous prosthodontic principles and current trends. MJAI 2011;67:296–298.
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[3]. De Carvalho WR, Barboza EP, Caula AL. Implant-retained removable prosthesis with ball attachments in partially edentulous maxilla. Implant Dent. 2001;10:280–4.
[4]. Schwartz NL, Whitsett LD, Berry TG, Stewart JL. Unserviceable crowns and fixed partial dentures: Life-span and causes for loss of serviceability. J Am Dent Assoc 1970;81:1395-401.
[5]. Asvanund C, Morgano SM. Restoration of unfavorably positioned implants for a partially endentulous patient by using an overdenture retained with a milled bar and attachments: A clinical report. J Prosthet Dent.2004;91:6–10..

Abstract: The aim of this study is to evaluate the length of the optic nerve (ON) in normal Sudanese using magnetic resonance imaging (MRI). This study was performed in Radiology Department of Royal Care International Hospital - Khartoum, Sudan, during the period of January 2015 up to 2018.One hundred normal subject were included in this study with range of age (18-80) years old and both genders. All patients underwent to MR imaging for brain for various reasons (such as headaches, blurring vision …etc) and their results were interpreted as normal by an expert radiologist. Diabetic, hypertension, any eyes problem were excluded. of the one hundred subjects 45 (45%) were males and 55 (55 %) were females. the mean age of the subjects was 39.46years .the ON is divided into...............

Keywords: - Optic nerve, MRI, T2 weighted.

[1]. Killer HE, Laeng HR, Flammer J, et al. Architecture of arachnoid trabeculae, pillars, and septa in the subarachnoid space of the human optic nerve: anatomy and clinical considerations. Br J Ophthalmol 2003;87:777–81
[2]. Montaleone P. The optic nerve: A clinical perspective. Univ West Ont Med J 2010;79:37‑9.1
[3]. Duke-Elder S, Wybar KC. System of ophthalmology, The anatomy of the visual system, vol. 2. London: Kimpton; 1961. p. 277.
[4]. M. C. Yiannakas, et al Quantifying Optic Nerve Atrophy in MS: A Motion Insensitive Technique for the Anterior Portion OF the Optic Nerve, 2009
[5]. Brodsky MC, Vaphiades M. Magnetic resonance imaging in pseudotumor cerebri. Ophthalmology 1998;105:1686–93

Abstract: The aim of this study was to study the impact of the diabetic in optic nerve measurement by using magnetic resonance imaging (MRI). MR images closed magnet, (Signa high definition (HD) with magnetic field strength1.5T (General Electric (GE), USA) was used. The axial T2-weighted turbo spin-echo fat-suppressed sequence was used to measure optic nerve sheath diameter (ONSD) and optic nerve diameter (OND). The sample was divided into two groups: Group 1 including one hundred was considered as control, males were 45% and females were 55%. Their ages were between (18-80) years old with mean 39.46 years±15.81.Group 2 including fifty diabetic patients. MRI exams were done for right and left optic nerves and optic sheath. Males were 52% and female were 48%. Their age ranged from 23-84 years old with mean age of 59.4 years ± 13.7........

Key words: optic nerve sheath diameter; optic nerve diameter; magnetic resonance imaging

[1]. Lorrie L. Kelly, MS, RT,( R ) (MR) (CT), Connie M. Petersen, MS, RT ( R ) (CT), Sectional Anatomy for Imaging Professionals, Mosby, Inc (1997).
[2]. Roderick N M MacSween, Keith Whaley, Muir's Textbook of Pathology, Arnold, Thirteen Edition (Second impression 1997).
[3]. Sir Michael Hirst , Mr Les Fallick Diabetes eye health A guide for health professionals Good control of pre – existing diabetic and hypertension plays an important role in preventing severe eye complication. ISBN: 978-2-930229-82-9
[4]. Taylor D. Developmental abnormalities of the optic nerve and chiasm. Eye 2007;21:1271–84.
[5]. Hansen HC, Helmke K. The subarachnoid space surrounding the optic nerves. An ultrasound study of the optic nerve sheath. Surg Radiol Anat. 1996;18(4):323–328. [PubMed]...

Abstract: Background: Diabetes mellitus is a metabolic disorder in which a person has high blood sugar either because the pancreas does not produce enough or because of relative insensitivity of insulin. Cinnamon extract decreases blood glucose level of some experimental animals by increasing glucose uptake in adiposities and by increasing sensitivity of insulin.. Searching to evaluate the anti-diabetic effect of cinnamon (Cinnamomum cassiae) with glibenclamide in experimentally induced diabetic rats.Aim: To find out the anti diabetic effect of aqueous extract of cinnamon (Cinnamomum cassiae) and compare it with a stablished anti-diabetic drug (Glibenclamide) in streptozotocin induced diabetic rats.Method: This was a experimental study conducted in the department of Pharmacology, Dhaka medical college & Hospital from July 2015 to June 2016. Sample size was 30.The study was desined as 2 parts: Experiment-1 & Experiment – 2. Result: Cinnamon produces no statistically significant.............

Key words: Diabetis, Cinnamon, Glibenclamide, Streptozotocin

[1]. Neville, C.(2011) Oxford English Dictionary .12 th ed. London: Oxford university press.p.345.
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[3]. Etuk, E.U.(2010) " Animals models for studying diabetes mellitus‟. AgricBiol J N.p.130-134.
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Abstract: A study was conducted on patients attending urology clinic in Al-Kindy teaching hospital in the period between 2-12-2015 until 1-3-2016.The aim of the study is to see what diseases presents to Iraqi urology clinic and what are the most common diseases among Iraqi patients and their distribution according to age and sex.This study will show the distribution of diseases among Iraqi patients so that future planning can be made regarding which instruments is needed more and what diseases are preventable" and problems to focus on preventing such diseases.Also it enables us to compare our country with other countries so that we can know which diseases are more prevalent in our country compared with other countries and this has important implications on diagnosis, treatment, prevention of these diseases.

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

[1]. Smith and Tanagho`s General Urology 18th eition
[2]. Campbell-Walsh urology 1th edition
[3]. European Association of Urology Guidelines 2018
[4]. Common Urologic Problems at Harbin Clinic Urology
[5]. Urology Annals 2016Apr:8( Supp 12): S498-S2017.

Abstract: INTRODUCTION: India is second most populous country of the world and in next few decades it will cross china if it will keep on increase by this exponential growth. This calls for steps to stabilize India's population. India was the first country in the world to launch the Family Planning Programme in 1951. Despite this fact, India still lags behind in practicing contraception and limiting their family size. MATERIALS AND METHODS: A prospective interview based study was conducted on a sample of 300 post partum women who underwent their deliveries in this hospital in six months duration in the department of Obstetrics and Gynecology, MGM Medical College and Hospital, Jamshedpur. The women were counseled regarding post-partum contraception.............

Key words: contraception, emergency contraception, knowledge, MTPill, post-abortal women, post-partum women.

[1]. Rutaremwa G, Kabagenyi A, Wandera SO, Jhamba T, Akior E, Nviiri HL. Predictors of modern contraceptive use during the postpartum period among BMC Public Health. 2015;15:262-70.
[2]. Yilmazel G, Balci E. Preferences and related factors for postpartum contraception in pregnant women, Iran J Reprod Med. 2013;11(10):801-6.
[3]. Population Challenges and Development Goals, Department of Economic and Social Affairs, Population Division. United Nations New York, 2005.
[4]. Jackson E. Controversies in postpartum contraception: When is it safe to start oral contraceptives after childbirth? Thromb Res. 2011;127:35-9.
[5]. Marston C. Report of a WHO technical consultationon birth spacing. WHO Press; 2005..

Abstract: INTRODUCTION: Prevalence of the diabetes among pregnant women is increasing, attributable to advance maternal age, multi foetal gestation, increased body mass index, strong family history, sedentary life style, change in the diet, continued immigration. Gestational diabetes has few symptoms, commonly diagnosed by screening during pregnancy. MATERIALS AND METHODS: A descriptive observational study was conducted in the Department of Obstetrics and Gynecology, MGM Medical College, Jamshedpur from January 2017 to December 2017. The pre-existing medical disorders, blood sugar, routine antenatal investigations, type of delivery, ultrasound findings, complications of delivery, foetal outcome etc. were recorded. The participants were advised diet, exercise and pharmacotherapy. The intranatal and postnatal events were recorded. The results were compared with related literature..........

Key words: diabetes, preeclampsia, Gestational diabetes mellitus.

[1]. Hadden, DR. A historical perspective on gestational diabetes. From the fourth international workshop-conference on gestational diabetes mellitus. Diabetes care. August 1998. Volume 21 (Supplement 2), Available at http://www.diabetes.org/DiabetesCare/Supplement298/B161.htm.

[2]. seshiah V, Das AK, Balaji V, Joshi SR, Parikh MN, Gupta S. For diabetes in pregnancy study group (DIPSI)+gestational diabetes mellitus-guidelines. JAPI. 2008;54(8):622-8.

[3]. Garshasbi A, Faghihzadeh S, Naghizadeh MM, Ghavam M. Prevalence and risk factors for gestational diabetes mellitus in Tehran. J Family Reprod Health. 2008;2(2):75-80.

[4]. Anjalakshi C, Balaji V, Balaji MS, Ashalata S, Suganthi S, Arthi T, Thamizharasi M, Seshiah V. A single test procedure to diagnose gestational diabetes mellitus. Acta diabetologica. 2009;46(1):51-4.

[5]. Hosseini M, Khodabandehloo F, Karami R, Mohammadpour T, Rajaei Z, Fereidoni M, et al. Different effects of scopolamine on memory of young male and female rats. Pharmacologyonline. 2010;3:450-8.

Abstract: Background: Cleft nasal deformity represents an inevitable challenge for reconstructive surgeons.Numerous techniques for secondary cleft rhinoplasty have been described in the literature over the past several decades, yet the lack of wide adoption of any given technique highlights the great variability seen with this problem.In this scenario our study has looked at the advantages and usefulness of split thickness costochondral graft in secondary cleft rhinoplasty. Aims and Objectives: To analyse the reliability of split thickness costochondral graft in secondary rhinoplasty and to evaluate nasal profiles before and after the surgery using the photogrammetric method. Material & Methods:........... .

[1]. Vincent P. Marin et al, Harvesting Rib Cartilage Grafts for Secondary Rhinoplasty, Plast Reconstr Surg. 2008;121:1442–1448
[2]. Hafezi et al Correction of Cleft Lip Nose Deformity with Rib Cartilage, Aesthetic Surgery Journal 2013; 33(5) 662–673
[3]. Yoon Seok Lee et al, Columella Lengthening with A Full Thickness Skin Graft for Secondary Bilateral Lip and Nose Repair, Arch Plast Surg 2015;42:704-708
[4]. Byrd H Steve et al, Definitive Repair of the Unilateral Cleft Lip Nasal Deformity, Plastic and Reconstructive Surgery: October 2007 - Volume 120 - Issue 5 - p 1348-1356
[5]. N. Chaithanya et al, Evaluation of the outcome of secondary rhinoplasty in cleft lip and palate patients, Journal of Plastic, Reconstructive & Aesthetic Surgery 2011; 64, 27- 33.

Abstract: Snake bite is one of the major causes of Acute Kidney Injury in South Tamil Nadu. The outcome in a case of snake bite depends upon multi various factors. Total number of patients admitted for snake bite during the study period was 913 out of which 83 patients who developed AKI following snake bite were included in the study. Among the 83 patients included in the study, 69 (83%) patients received dialysis, 10 (12%) patients died despite treatment, partial recovery seen in 14 patients, renal biopsy was done in 20 patients. Various factors both clinical and laboratory parameters affecting the outcome and their impact were analyzed.

[1]. A Study on the Acute Kidney Injury in Snake Bite Victims in A Tertiary Care Centre Harshavardhan L, Lokesh A, TejeshwariHL, Halesha BR, Siddharama S Methri Journal of Clinical and Diagnostic Research. 2013 May, Vol-7(5)
[2]. Snake-bite-induced Acute Kidney Injury Rubina Naqvi Journal of the College of Physicians and Surgeons Pakistan 2016, Vol. 26 (6): 517-520
[3]. Clinical Predictors of Acute Kidney Injury Following Snake BiteEnvenomation Mrudul V Dharod, Tushar B Patil, Archana S Deshpande, Ragini V Gulhane, Mangesh B Patil, and Yogendra V Bansod North American Journal of Medical Sciences, 2013 Oct, Vol 5 (10)
[4]. Long-Term Renal Outcome of Snake Bite and Acute Kidney Injury: A Single-Center Experience Rajesh Waikhom, Dipankar Sircar, Krishna Patil, Mahesh Bennikal, SanjoyDas Gupta & Rajendra Pandey https://doi.org/10.3109/0886022X.2011.647297, 20 Jan 2012

[5]. Snake-bite-induced acute renal failure in India K S Chugh Kidney International, Vol. 35 (1989), pp. 891—907.

Abstract: Cancer and its treatment can affect the overall life expectancy as well as the active life expectancy and function of older patients. H and N cancers are the leading cancer in elderly population. The present study evaluated the pattern of tolerance and response to treatment in elderly(>65 years) H & N cancer patients. A total of 30 elderly patients of age >65 years of head and neck cancer were treated with concurrent chemoirradiation. Of the 30 patients planned for concurrent chemoirradiation, only 22 patients(73.3%) were able to complete the prescribed treatment. 2 patients were not able to finish the course of chemoirradiation. Both the patients developed grade 4 thrombocytopenia and neutropenia during the treatment course. 6 patients(20%) expired during the treatment.............

Key words: elderly, chemoirradiation, toxicities, curative, response.

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