iosr-JDMS   Volume-17 ~ Issue-8 ~ August-2018

Abstract: AIM: We compared possible outcomes, pros and cons of laparoscopic retrocolic / Transmesocolic pyeloplasty in 32 patients. MATERIALS AND METHODS: Between 2011 and 2016, we analysed all the particulars /datas - presentation age, renal pelvis size, lower pole vessels, with or without stones. Selection of cases , left side- transmesocolic and Both sides retrocolic LP was done. Total number of cases 32. Approaches -Transmesocolic 12 and retrocolic 20. Follow up period -24months. Outcome analysed were, symptom free, anatomical Reduction, physiological drainage, advantages of procedures. RESULTS: Average Age group was 12 years for transmesocolic LP, 18years for Retrocolic LP. Operative time 140 mins. Transmesocolic approach 30 mins less than retrocolic LP. CONCLUSION:.............

Key words: LP-Laparoscopic pyeloplasty, retrocolic, transmesocolic.

[1]. Singh SK, Srivastava A, Ansari MS et al. prospective randomized study to evaluate the feasibility and outcome of transmesocolic LP and retrocolic LP in adolescent and paediatric pts. Indian journal of Urology 2014 July ;30(3) 263- 267.
[2]. Shadpour P , Nayyeri R K, Radfar H et al. prospective clinical trial to compare standard colon reflecting with transmesocolic laparoscopic pyeloplasty. British journal of Urology International.2012 December 110(11) 1814-1818.
[3]. Umari P, Lissiani A, Trombetta et al. Comparison of open and laparoscopic pyeloplastyin UPJ obstruction surgery: report of 49 cases. Arch Italia uro Andrology 2011.December 210-212.
[4]. Desai M,Ganpule A et al .Trans peritoneal laparoscopic pyeloplasty in paediatric age group. Journal of EndoUrology 2007. December 21(12)1460-1466.
[5]. Castillo OA, Vitagliano G, pinto et al. Transmesocolic pyeloplasty: experience of a single center. Journal of Endourology 2007 April;21(4):415-418..

Abstract: Background: Village Health and Nutrition Day (VHND) being flagship programme in India, has been observed in different States in India as well as West Bengal. Objectives: The objective of the study was to assess periodically the maternal health services of VHND sessions in North 24 Parganas district, West Bengal. Methodology: Community based assessment was done using LQAS technique by interview of 207 mothers who have delivered within one year using semi-structured interview schedule since 2013 to 2017. SPSS has been used to analyze the data. Results: Mothers have been registered for antenatal care were 57% (118), 63.8% (132), 66.7% (138) and 72.9% (151) respectively over successively four years and never registered 8.7% (18), 5.3% (11), 3.9% (8) and 2.4% (5) respectively. Home delivery attributed 12.6% (26), 8.7% (18), 5.8% (12) and 3.4% (7) respectively. Conclusion..........

Key words: Maternal Health, LQAS, VHND.

[1]. USAID CARE, December 2010, Nutrition and Health Day. [Available from: http://www.careindia.org/sites/default/files/pdf_file/05Nutrition%20and%20Health%20Day_19_0.pdf]
[2]. National VHND guidelines, 2007. [Available from: http://www.nrhm.gov.in/communitisation/village-health-nutrition-day.html]

[3]. Revised guidelines, West Bengal Health 2010 [Available from: http://mail.wbhealth.gov.in/src/read_body.php?mailbox=INBOX&pas…6/20/2012 5:23PM]
[4]. Vartika Saxena et al. Availability of Village Health and Nutrition Day services in Uttarakhand, India. J Family Med Prim Care. 2015 Apr-Jun; 4(2): 251–256
[5]. Barua Kabita et al. Awareness and Utilization of Village Health and Nutrition Day (VHND) Services – 'A Community Based Study'. IJHRMLP, Vol: 01 No: 02 June, 2015..

Abstract: Introduction: Oral cancers are the sixth most common cancer in the world. It is most frequent in fifth to sixth decade of life and are mostly associated with risk factors like smoking, alcohol consumption, and tobacco chewing in any form. Aims & Objectives: To study the histopathological spectrum of oral cavity neoplasms at different sites and associated risk factors. Materials & Methods: All the cases of oral cavity neoplasms were included in the study in a two year period. Results: Out of 112 cases of oral cavity neoplasms, 104 were malignant, five benign tumors and three dysplasias. Among the oral cancers, Squamous cell carcinoma was the commonest constituting 95 cases and nine rare cases were identified...........

Key words: Oral cavity neoplasms, Risk factors, Squamous cell carcinoma Abbreviations : Squamous cell carcinoma (SCC),Follicular variant of Papillary thyroid carcinoma (FVPTC), Calcifying Epithelial odontogenic Tumor ((CEOT), Congenital Granular cell Tumor (CGCT).

[1]. Mark W. Lingen. Head and Neck. In; Vinay Kumar, Abul K Abbas, Nelson Fausto, Jon C. Aster. Robbins and Cotran Pathologic Basis of Disease; 8th Edition. Philadelphia: Elsevier; 2010: 744-748.
[2]. Sloan P. Gale N. Hunter K. Lingen M, Nylander K Reibel J. Salo T. Zain R.B. Malignant surface epithelial tumors.In;. Adel K. EI-Naggar , John K.C. Chan, Jennifer R. Grandis, Takashi Takata, Pieter J. Slootweg – WHO classification of Head and Neck tumors. 4th Edition: IARC Press: Lyon, 2017:107.
[3]. Rosai, Ackerman, Oral cavity and oropharynx. In: Michael Houston: Rosai and Ackerman's Surgical Pathology,10th Edition.St. Louis; Mosby : 2011: 237-255.
[4]. Abhinandan B., Chakraborty , A., purkaystha. Prevalence of head and neck cancer in the North East, An institutional study. Ind. J. otolaryngology and head and neck Surg. 2006 ; Vol. 58, No. 1 : 15 – 19.
[5]. Thakur B.S., J.H. Makannavar,; oral and oropharyngeal tumors – Clinicopathological study of 243 tumors (1991-1997) ; {dissertation} ; Karnataka ; Karnataka university ; 1998.

Abstract: Cancer patients undergoing chemotherapy generally have many side effects that cause physiological coping strategies to be able to adapt and psychological side effects such as anxiety. Social interaction in the form of social support obtained from family plays a role in adaptation to cancer patients. This study aims to examine the relationship of family support and coping strategies with anxiety. The samples were 102 cancer patients undergoing chemotherapy at the Hospital Dr. Pirngadi Medan. (1) The family support received cancer patients, more than half receive family support were medium as many as 54 people (53.0%). Coping strategies that use strategies Problem Focused Coping (PFC), more than half strategy PFC were medium as many as 56 people (54.9%). Anxiety experienced cancer patients, more than half anxiety was medium as many as 53 people (51.9%), (2) There is a negative relationship between..........

Keywords: family support, cancer, coping strategies, anxiety

[1]. M. M. Friedman, "Textbook NURSING FAMILY; Research, Theory, and Practice. Issue 5. Jakarta: EGC. 2008.
[2]. S. Prawirohardjo, "National Reference Books Gynecological Oncology". Jakarta: YBP-SP. 2010.
[3]. E. Y. Karabulutlu et al., "Coping, Anxiety and Depression in Turkish Patients with Cancer". European Journal of General Medicine, 7(3) : 296 – 302, 2010.
[4]. Setiadi. (2008). Concepts & Family Nursing Process.Yogyakarta: Graha Science.
[5]. V. Duci and I. Tahsini., "Perceived Social Support and Coping Styles as Moderators for Levels of Anxiety, Depression and Quality of Life in Cancer Caregivers; a Literature Review". European Scientific Journal, 2010...

Abstract: Diabetes mellitus is a common endocrine disorder. Its knowledge is important because of high prevalence. This metabolic syndrome is characterized by an inappropriate elevation of blood glucose levels associated with alterations in lipid and protein metabolism, for which a relative or absolute lack of insulin is responsible. Diabetes is certainly to be one of the most common and challenging health problem in the 21st century. In 1994 there were 20 million diabetics in India. In year 2000, they were 35 million and in year 2003, the number reached upto 55 million1. Lower extremity ulcers represent a major concern for patients with diabetes, in view of both, the quality and an economic standpoint. Concerned.........

[1]. Sharad Pendesey :practical management of diabetes: Jaypee Brother medical publication 2nd edition, New Delhi, india,1-230;2003
[2]. Reiber GE, lipsky BA,Gibbons GW et al .The burden of diabetic foot ulcer: American Journal of Surgery:176:5s -10s;1998.
[3]. Marvin E Levin: Pathophysiology, evaluation and treatment: the diabetic foot by Marvin E. Levin and Lawrence W O'Neal:IVth Edition, Mosby Company,Missouri USA 1-200;1998.
[4]. John,Pickup and Gareth Williams:Historical aspect-text book of diabetic:Blackwell Publication, iiird Edition, Oxford, UK:68-99;2003
[5]. Oakley Wilfried,Catterrall RC,Martin MM et al:Etiology and management of lesions of the feet in diabetes mellitus. British Medical Journal : 27:953-957;1956...

Abstract: Background: Nosocomial infection due to poor hand hygiene is significant cause of increasing morbidity, mortality and health care costs among hospitalized patients worldwide. But, compliance with hand hygiene among health care providers is as low as 40%."My five moments for hand hygiene" by WHO has helped to address the problem to a great extent. This study was undertaken to identify gaps in knowledge regarding hand hygiene practices among medical students using WHO hand hygiene questionnaire to promote hand washing compliance. Aim: This study was conducted to assess level of knowledge among medical students of Burdwan Medical College & Hospital, West Bengal.........

Keywords: Hand hygiene, Rubbing, Washing, Infection, Medical student

[1]. Trampuz A, Widmer AF. Hand Hygiene: A frequently missed life saving opportunity during patient care. Mayo Clin Proc. 2004; 79:109-16.
[2]. WHO: The Burden of health care-associated infection worldwide. A Summary [cited 2010 Apr 30].Available from :http://www.who.int/gpsc/country_work/ summary_20100430_en.pdf.
[3]. Pittet D, Allegranzi B, Sax H. Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis. 2006; 6: 641-52.
[4]. Meengs MR, Giles BK, Chisholm CD, Cordell WH, Nelson DR. Handwashing frequency in an emergency department. J Emerg Nurs. 1994;20:183-88.
[5]. Longtin Y, Sax H, Schneider AF. Videos in clinical medicine. Hand hygiene. The New England Journal of Medicine. 2011;364(24)...

Abstract: Aims and Objectives: The incidence of ABO and rhesus (Rh) groups varies markedly in different races, ethnic groups, and socioeconomic groups in different parts of the world. The frequencies of ABO and Rh blood groups vary from one population to another and time to time in the same region. Hence this study was conducted to determine the Distribution of ABO and Rhesus (Rh) blood groups in blood donors in Blood Bank,jhalawar hospital & Medical College Society,Jhalawar. Materials and Methods: The present retrospective study was carried out at Blood Bank,jhalawar hospital & Medical College Society,Jhalawar,Rajastha,India, during the 1 year period from 1 January 2017 to 31 December 2017. The blood collections were taken from the voluntary donors at outdoor blood donation camp and in house Blood Bank as well as........

Keywords: ABO, Blood Donors, Blood Groups, Rhesus(Rh),Blood Bank

[1]. John P. Greer, Daniel A. Arber, Bertil Glader et al. Wintrobe's Clinical Hematology 13th Edition.2013; p.1194
[2]. Jolly JG. Medicolegal significance of human blood groups. J Indian Med Assoc. 2000;98:340–1. [PubMed]
[3]. Khurshid B, Naz M, Hassan M, Mabood SF. Frequency of ABO and Rh (D) blood groups in district Swabi, NWFP, Pakistan. J Sci Technol Univ Peshawar. 1992;16:5–6.

[4]. Garratty G, Dzik W, Issitt PD, Lublin DM, Reid ME, Zelinski T. Terminology for blood group antigens and genes-historical origins and guidelines in the new millennium. Transfusion. 2000;40:477–89. [PubMed]
[5]. Mollison PL. The genetic basis of the Rh blood group system. Transfusion. 1994;34:539–41. [PubMed]...

Abstract: Clomiphene citrate(Clomid) is a Selective Estrogen Modulator used to induce ovulation.1Many side effects of Clomiphene citrate were reported including mood swings and hot flashes.2 Stimulation of multiple follicles and consequently multiple gestation is a complication of Clomid. Skin rash is a reported non-serious and un common side effect of Clomid.3 We report a case of a 31-year-old female who developed thinning and whitening of the vulvararea after taking clomid..

Keywords: Clomiphene citrate (Clomid), Lichensclerosus like lesion, Thinning of skin, Side effect

[1]. Emre Seli, MD,AydinArici, MD.Ovulation induction with clomiphene citrate.www.uptodate.com/contents/ovulation-induction-with-clomiphene-citrate.

[2]. American Society for Reproductive Medicine, Birmingham, Alabama.Use of clomiphene citrate in infertile women: a committee opinion.FertilSteril. 2013 Aug;100(2):341-8. doi: 10.1016/j.fertnstert.2013.05.033

[3]. Leonore C. Huppert,M.D.Induction of ovulation with Clomiphene citrate.Fertility and sterility. January 1979Vol. 31, No.1,.

[4]. Thessaloniki. E.S.H.R.E./ASRM-sponsored PCOS consensus work -shop group 2008 consensus on infertility treatment related to poly cystic ovary syndrome. FertilSteril2008;89:505–22

[5]. Practice Committee of the American Society for Reproductive Medicine. Use of clomiphene citrate in infertile women: a committee opinion. FertilSteril 2013; 100:341...

Abstract: Introduction: fibre-optic bronchoscopy (FOB) is one of the most important techniques in pulmonary medicine. The diagnostic and therapeutic uses of FOB, with less morbidity and mortality have led to its increase use in critically ill patients. As FOB allows direct inspection of airways under topical anaesthesia, it facilitates the early diagnosis and management of variety of pulmonary diseases. Aims & objectives: We undertook this study at our institute to assess the yield of flexible fibre-optic bronchoscope in ICU, to look for complications associated with FOB in ICU and to judge the safety of FOB in ICU...........

Keywords:Fibre-optic bronchoscope, critically ill, complications, Ventilators, safety.

[1]. Christopher 0. Olopade, Udaya B.S. Prakash : Bronchoscopy in the critical care unit. Mayo Clin. Proc. 1989; 64 : 1255-1263.
[2]. Eric S. Edell and David R. Sanderson: History of bronchoscopy.
[3]. "Bronchoscopy", Editor Udaya B.S. Prakash. Publisher Reven Press, New York. pp 7-12.
[4]. Shah A.C., Bhambhure N.M., Abhyankar N.V., et al. : Therapeutic aspects of Flexible Fiberoptic Bronchoscopy - Our experience of 1586 cases. Lung India 1991; IX(4) : 136-140.
[5]. Michael Unger and Daniel Sterman : Bronchoscopy. Fishman's Pulmonary Diseases and Disorders. Edited by Alfred P. Fishman. 3" edn. Published by McGraw—Hill. pp 589-602..

Abstract: Introduction: Smile is one of the most essential human facial expressions. Earlier orthodontic treatment was only focused on teeth alignment, occlusal relationship and function. However, patients are more concerned about their facial esthetics. Most patients nowadays seek orthodontic treatment only for esthetic purposes. Therefore, it is important for an orthodontist to be able to assess smile esthetics in such patients. There have been numerous studies regarding smile esthetics, but there was lack of data on its effect on different growth patterns. Aim: To quantitatively assess the relationship between smile esthetics variables and different types of growth patterns. Method: Pretreatment frontal photographs of 60 adult patients were taken and divided into three groups according to the SN-MP angles, i.e. Horizontal growth, Average and Vertical growth pattern.The smile variables the arc ratio, number of maxillary teeth exposed, upper lip height, buccal corridor ratio, smile index, lower teeth exposure.........

[1]. O'Doherty J, Winston J, Critchley H, Perrett D, Burt DM, Dolan RJ. Beauty in a smile: the role of medial orbitofrontal cortex in facial attractiveness. Neuropsychologia 2003;41:147-55.
[2]. Schmidt KL, Cohn JF, Tian Y. Signal characteristics of spontaneous facial expressions: automatic movement in solitary and social smiles. BiolPsychol ;65:49-66.
[3]. Ackerman JL, Ackerman MB, Brensinger CM, Landis JR. A morphometric analysis of the posed smile. ClinOrthod Res 1998;1:2-11.
[4]. Sarver DM. The importance of incisor positioning in the esthetic smile: the smile arc. Am J OrthodDentofacialOrthop 2001;120:98-111.
[5]. Morley, J. and Eubank, J.: Macroesthetic elements of smile design, J. Am. Dent. Assoc. 132:39-45, 2001

Abstract: Introduction : Perforation is defined as an abnormal opening in any organ or viscous. Perforation of hollow viscous is one of the common surgical emergency in India ..Chronic alcoholism, Smoking, chronic use of Non steroid anti-inflammatory drugs (NSAIDS) are major risk factors for perforations Materials and methods : This study was hospital based prospective study conducted from September 2016 to January 2018. A total number of 171 cases were included in our study. The details of age, sex, anatomical location of perforation, signs and symptoms, complications and etiology were analyzed. Results: In our study, out of 171 patients, 133 were males (77.78%). 20 to 40 years of age group are most susceptible for perforation..........

Keywords: Acid peptic disease, chronic alcoholism, developing country, iatrogenic, wound gapping

[1]. Ramakrishnan K, Salinas RC. Peptic ulcer disease. Am Fam Physician 2007;76:1005-12.
[2]. Dorairajan LN, Gupta S, Deo SV, Chumber S, Sharma LK. Peritonitis in India – A decade's experience. Trop Gastroenterol 1995;16:33-8.
[3]. Jhobta RS, Attri AK, Kaushik R, Sharma R, Jhobta A. Spectrum of perforation peritonitis in India – Review of 504 consecutive cases. World J Emerg Surg 2006;1:26.
[4]. Danapat MC, Mukherjee SB, Mishra PC. Howlader Gastro-intestinal perforations. Indian J Surg. 1991;53(5):189-93.
[5]. Agarwal N, Saha S, Srivastava A, Chumber S, Dhar A, Garg S. Peritonitis: 10 years' experience in a single surgical unit. Trop Gastroenterol 2007;28:117-20. 3..

Abstract: Background: Polymorphisms of various cytokine genes are known to influence the pathogenesis and severity of several inflammatory conditions. The association of these polymorphisms with chronic periodontitis(CP) susceptibility has been found to be diverse amongst different ethnic populations. This study was aimed to determine the distribution of IL-1β+3954 (rs1143634)gene polymorphismin healthy controls(HC) andCP and to explore their association with periodontal status. Methodology:The above polymorphism was analysed amongst HC(n=56) and CP patients (n=79). Genotyping was performed using PCR-RFLPassay. Mann-Whitney U test and Kruskal Wallis ANOVA test were applied to find out the differences in genotypes of SNPs with.........

Keywords: Interleukin-1 beta, polymorphism, chronic periodontitis, gene, allele, genetics

[1]. Genco RJ. Host responses in periodontal diseases: Current concepts. J Periodontol1992; 63:338–355.

[2]. Tarannum, F., Faizuddin, M., 2012. Effect of gene polymorphisms on periodontal diseases.Indian J. Hum.Genet. 18, 9–19.

[3]. Vijayalakshmi, R., Geetha, A., Ramakrishnan, T., Emmadi, P., 2010. Genetic polymorphisms in periodontal diseases: an overview. Indian J. Dent. Res. 21, 568–574.

[4]. Michalowicz B.S, Diehl S.R, Gunsolley J.C, et al.,"Evidence of a substantial genetic basis for risk of adult periodontitis," Journal of Periodontology, vol. 71, no. 11, pp.1699–1707, 2000.

[5]. Michalowicz B.S, Aeppli D, Virag J.G, et al., "Periodontal findings in adult twins," Journal of Periodontology, vol. 62, no.5, pp. 293–299, 1991.