iosr-JDMS   Volume-17 ~ Issue-9 ~ September-2018

Abstract: Introduction : Acute pancreatitis is commonly caused by alcoholism and gallstone in our part of the world.The presentation varies from mild abdomen pain to septic shock with multi organ failure. Since there is no specific treatment for acute pancreatitis it is very important to predict its severity at the time of onset itself which may caution the medical professionals to give intensive care to the particular patient. Aims and objectives: Aim of our study is to compare two different scoring systems namely BISAP scoring and MCTSI scoring in acute pancreatitis and to conclude as to which one is cheaper and better in predicting the severity of the disease. Materials and......

Key words: Acute Pancreatitis, BISAP, CT SCAN, Epigastric pain, MCTSI.

[1]. Sommermeyer, Lucille (December 1935). "Acute Pancreatitis". American Journal of Nursing. Philadelphia, PA: Lippincott Williams & Wilkins. 35 (12): 1157–1161. doi:10.2307/3412015. JSTOR 3412015.

[2]. "Archived copy". Archived from the original on 2011-06-16. Retrieved 2010-06-10.[full ]

[3]. http://www.sgmu.ru/edu/learn/student/eman/pediatrics/investigation/digestion.pdf[full ]

[4]. Пропедевтика детских болезней с уходом за детьми, Капитан Т.В., 2006, page 290

[5]. Bassi, C.; Falconi, M.; Butturini, G.; Pederzoli, P. (2001). Early complications of severe acute pancreatitis. Zuckschwerdt..

Abstract: Introduction: Diagnostic turn around time is defined as the interval between the time of sample collection and the report dispatched to the patient. Objective of this study was to calculate the turn around time (TAT) for routine investigations done for OPD and IPD patients. We also aimed to find the time required for pre-analytical, analytical and post-analytical phases and their contribution to total TAT in terms of percentage. Methodology: Total of 51,702 samples were analyzed in the Clinical Laboratory, Adarsha Hospital, Udupi. Inpatient specimens accounted for 66% (34,165) and outpatient specimens accounted for 34% (17,537) of the total specimens. Time was noted at the..... .

[1]. Lundberg, G. D., "Acting on significant laboratory result", 1981, JAMA, 245, pp 1762-1763.
[2]. Manor, P. G., "Turnaround times in the laboratory: a review of theliterature", 1999, Clin Lab. Sci, 12(2), pp 85-9.
[3]. Rollo, J. L., Fauser, B. A. "Computers in total quality management. Statistical process control to expedite stats", 1993, Arch Pathol. Lab. Med. 117(9), pp 900-5.
[4]. Bilwani, F., Siddiqui, Vaqar S. "Determination of delay inTurnaround Time (TAT) of stat test and its causes: AKUHexperience", 2003, J Pak. Med. Assoc., 53(2), pp 65-7.
[5]. Kiran, Chauhan., Amit, Trivedi., Dharmik, Patel., Bhakti, Gami. Haridas., 2014, "Monitoring and Root Cause Analysis of Clinical BiochemistryTurn Around Time at an Academic HospitalInd J ClinBiochem, 29(4), pp505-509...

Abstract: Cutaneous metastasis from ovarian carcinoma is relatively uncommon in clinical practice. We report a case of 68 year old woman who presented to us with vegetative crusted plaques over abdomen and perineal region. Histopathological examination confirmed the diagnosis of metastasis of an ovarian carcinoma.

Key words: Carcinoma, metastasis, chemotherapy

[1]. Cormio G, Capotorto M, Di Vagno G, Cazzolla A, Carriero C, Selvaggi L. Skin metastases in ovarian carcinoma: a report of nine cases and a review of the literature. Gynecol Oncol. 2003;90(3):682-685.
[2]. Krathen RA, Orengo IF, Rosen T. Cutaneous metastasis: a meta-analysis of data. South Med J. 2003;96(2):164-167.
[3]. Cheng B, Lu W, Xiaoyun W, YaXia C, Xie X. Extra-abdominal metastases from epithelial ovarian carcinoma: an analysis of 20 cases. Int J Gynecol Cancer. 2009;19(4):611-614.
[4]. Kim MK, Kim SH, Lee YY, et al. Metastatic skin lesions on lower extremities in a patient with recurrent serous papillary ovarian carcinoma: a case report and literature review. Cancer Res Treat. 2012;44(2):142-145.
[5]. Scheinfeld N. A review of the cutaneous paraneoplastic associations and metastatic presentations of ovarian carcinoma. Clin Exp Dermatol. 2008;33(1):10-15.
[6]. Brownstein MH, Helwig EB. Metastatic tumors of the skin. Cancer. 1972;29(5):1298-1307

Abstract: Iron deficiency anaemia is the most common nutritional deficiency in women of reproductive age[1] India has high prevalence of anaemia in pregnancy according to WHO[1]. Anaemia is a major contributor to maternal mortality. The effects of iron deficiency anaemia in pregnancy during antenatal, intrapartum and postnatal period are very much significant. These women suffer from fatigue, cardio respiratory problems, risk of haemorrhage, infections and even death. [2] The fetus of the iron deficient woman also may not be spared and is at risk of preterm PROM, intrauterine growth restriction, stillbirth, low birth weight, and even poor growth trajectory after birth. Dietary........

[1]. V.V. Mishra et al, Study of intravenous ferric carboxymaltose in iron deficiency anemia during pregnancy and postpartum period – safety and efficacy, Indian journal of Obstetrics and Gynecology Research- June 2015(2) : 69-72
[2]. RenuMisra et al, Anemia, Ian Donald's Practical Obstetric Problems, Seventh edition 2015, Chapter 10, page 198.
[3]. Christoph P, Schuller C, Studer H, Irion O, De Tejada BM, Surbek D. Intravenous iron treatment in pregnancy: comparison of high-dose ferric carboxymaltose vs. iron sucrose. J Perinat Med 2012;40(5):469-74.
[4]. Froessler B, Cocchiaro C, Saadat-Gilani K, Hodyl N, Dekker G. Intravenous iron sucrose versus oral iron ferrous sulfate for antenatal and postpartum iron deficiency anemia: a randomized trial. J Matern Fetal Neonatal Med. 2013;26(7):654–659.
[5]. Myers B. Diagnosis and management of maternal thrombocytopenia in pregnancy. Br J Haematol. 2012;158(1):3–15.
[6]. Bailie GR. Efficacy and safety of ferric carboxymaltose in correcting iron-deficiency anemia: a review of randomized controlled trials across different indications. Arzneimittelforschung 2010;60:386 –98..

Abstract: Objective: To estimate the prevalence ofdiabetic retinopathy in patients visiting the Ophthalmology OPD of Goa Medical College and to find its association with age, sex, type of diabetes and duration of diabetes. Methods: Retrospective case notes of 3130 Type 1 and 2 diabetic patients visiting the OPDover a period of 1 Year were screened for Diabetic Retinopathy and graded based on the Early Treatment DiabeticRetinopathy Study (ETDRS) scale. Census sampling method was used. Results:Prevalence of DR was found to be 19.11%, Males were affected more (55.01%).176 (32.35%) had mild, 211 (38.79%) had moderate and 157 (28.86%) had severe NPDR. 54 patients had PDR. The prevalence of DR in age group 0-20 was 0, 21-40 was 10.13.........

[1]. Cheung N, Mitchell P, Wong TY. Diabetic retinopathy. Lancet. 2010;376(9735):124–36. doi: 10.1016/S0140-6736(09)62124-3.
[2]. Yau JW, Rogers SL, Kawasaki R, Lamoureux EL, Kowalski JW, Bek T, et al. Global prevalence and major risk factors of diabetic retinopathy. Diabetes Care. 2012;35:556–64 [3]. Raman R, Rani PK, ReddiRachepalle S, Gnanamoorthy P, Uthra S, Kumaramanickavel G, et al. Prevalence of diabetic retinopathy in India sankaranethralaya diabetic retinopathy epidemiology and molecular genetics study report 2. Ophthalmology. 2009;116:311–8.
[4]. Rema M, Premkumar S, Anitha B, Deepa R, Pradeepa R, Mohan V. Prevalence of diabetic retinopathy in urban India: The Chennai urban rural epidemiology study (CURES) eye study, I. Invest Ophthalmol Vis Sci 2005;46:2328-33.
[5]. Namperumalsamy P, Kim R, Vignesh TP, et al. . Prevalence and risk factors for diabetic retinopathy: a population based assessment from Theni District, South India. Br J Ophthalmol 2009;93:429–34

Abstract: Cervical carcinoma is the third most common gynecological malignancy ( after endometrial and ovarian carcinoma ) and is typically seen in younger women , often with serious consequences. MR imaging has become essential in the pretreatment evaluation of the extent and depth of disease to help decide the appropriate management strategy and indicate prognosis. The multiplanar capabilities and excellent soft-tissue contrast on magnetic resonance imaging (MRI) of the pelvis provide superb depiction of the female pelvic anatomy and often lead to specific diagnosis without ionizing radiation. MRI is often used as a problem-solving tool in patients where ultrasound is inconclusive or suboptimal. It is optimal for evaluation of important prognostic factors such as lesion volume and metastatic lymph............

Key words: Cervix, Tumor, Pelvis, Magnetic resonance imaging.

[1]. American Cancer Society. Cancer facts and figures 2008. Atlanta, Ga: American Cancer Society, 2008

. [2]. Miller AB, Lindsay J, Hill GB. Mortality from cancer of the uterus in Canada and its relationship to screening for cancer of the cervix. Int J Cancer 1976;17(5):602–612.

[3]. DevesaSS,YoungJLJr,BrintonLA,Fraumeni JF Jr. Recent trends in cervix uteri cancer. Cancer 1989;64(10):2184–2190.

[4]. Benedet JL, Anderson GH, Matisic JP. A comprehensive program for cervical cancer detectionandmanagement.AmJObstetGynecol 1992;166(4):1254–1259.

[5]. Koyama T, Tamai K, Togashi K. Staging of carcinomaoftheuterinecervixandendometrium. Eur Radiol 2007;17(8):2009–2019.

Abstract: Background & objective – Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most important disease of hexose monophosphate pathway. It is an X-linked recessive disease, where the deficiency of the enzyme causes a spectrum of clinical manifestations. The aim of this study was to see the occurrence of G6PD deficiency in neonates and its association with hyperbilirubinemia. Materials & Methods – This retrospective study was carried out in a tertiary care centre between January to September 2016. Neonates of both gender with G6PD deficiency and normal G6PD having hyperbilirubinemia (TSB >5mg/dl) were included. Results – Out of 300 neonates with hyperbilirubinemia, 44% were Glucose-6-phosphate dehydrogenase deficient. Male:female (M:F).........

Keywods - G6PD deficiency, hyperbilirubinemia, neonatal jaundice, Total serum bilirubin..

[1]. Kaplan M, Hammerman C. Glucose-6- phosphate dehydrogenase deficiency: a hidden risk for kernicterus. Semin Perinatol 2004; 28:356-364.
[2]. Beutler E. G6PD: Population genetics and clinical manifestations. Blood Rev 1996;10: 45-52.
[3]. Mohanty D, Mukherjee MB, Colah RB. Glucose-6-phosphate dehydrogenase deficiency in India. Indian J Pediatrir 2004;71: 525-529.
[4]. Fico A, Paglialunga F, Cigliano L, Abrescia P, Verde P, Martini G et al. Glucose-6-phosphate dehydrogenase plays a crucial role in protection from redox-stress-induced apoptosis. Cell Death Differ 2004;11:823-31.
[5]. Harish Nair. Neonatal screening program for G6PD Deficiency in India: Need and Feasibility. Indian Pediatrics. 2009;46:1045-1049.

Abstract: Introduction: Intramuscular myxoma is a rare benign soft tissue tumor of the musculoskeletal System. The reported incidence is varying from 0.1 to 0.13 per 100,000 population. Most patients present between the fifth to seventh decades of life. The tumor commonly occurs in the large muscles of the thigh, shoulder, buttocks and arms. The tumor can be diagnosed with certainty only with histopathological examination. Post surgical recurrence is rare. Case report: A 60 year old female presented with a swelling of the anteromedial aspect of middle third of right thigh measuring about 6×10 centimeters. She was thoroughly investigated and tumor surgically excised. The excised lesion was found intramuscular..........

Key words: soft tissue tumor, benign, intramuscular myxoma, thigh.

[1]. Ortiz J, Abad MM, Garcia Macias C, Bullon A. Mixoma intramus-cular: hallazgos citológicos en material obtenido por punciónaspiración con aguja fina. Rev Esp Pat. 1997;30:264---6.2
[2]. Tan HM , Peh WC , Shek TW . A distinctive shoulder mass. Br J Radiol 2001; 74:1159–1160.
[3]. Reynen K. Cardiac myxomas. N Engl J Med 1995; 333:1610–7.
[4]. Allen P. Myxoma is not a single entity: a review of the concept of myxoma. Ann Diagn Pathol 2000;4:99–123.
[5]. Virchow's R. Cellular pathology as based upon physiologicaland pathological histology. Nueva York: Dover Publications Inc;1971. p. 525---.

Abstract: Odontomas are nonaggressive, hamartomatous developmental malformations composed of mature tooth substances and may be compound or complex depending on the extent of morphodifferentiation or on their resemblance to normal teeth. Among them, complex odontomas are relatively rare tumors. They are usually asymptomatic in nature. Occasionally, these tumors become large, causing bone expansion followed by facial asymmetry. Odontoma eruptions are uncommon, and thus far, very few cases of erupted complex odontomas have been reported in the literature. Here, we report the case of an unusually large, painless, multiple odontoma located in the palatomaxillary region.

Key Words: Odontoma, Palate, Maxilla, Compound, Complex

[1]. Serra-Serra G, Berini- Aytés L, Gay-Escoda C. Erupted odontomas: a report of three cases review of the literature. Med Oral Patol Oral Cir Bucal. 2009;14(6):E299-303.
[2]. Erdogan Ö, ÖztuncH ,Evlice B , Altug HA , Günhan Ö. Compound odontoma involving the four quadrants of the jaws: a case report and review of the literature. Quientessence Int. 2014;45(4):341-44.
[3]. Bordini J Jr, Contar CM, Sarot JR, Fernandes A, Machado MA. Multiple compound odontomas in the jaw: case report and analysis of the literature. J Oral Maxillofac Surg. 2008;66(12):2617-20.
[4]. Ajike SO, Adekeye EO. Multiple compound odontomas in the facial bones: A case report. Int J Oral Maxillofac Surg. 2000;29(6):443-44.
[5]. de Oliveira BH. Compound odontoma--diagnosis and treatment: three case reports. Pediatr Dent. 2001;23(2):151-57..

Abstract: There has been extensive development in the field of dental implants and metal free ceramics in the recent years1,2,3.Despite this, metal ceramics still remains a good option for fixed restorations due to many factors including its mechanical properties4,5.Dental laboratory procedures used for many decades involves sintering of several dental porcelain layers on metal coping substrate to achieve excellent esthetic results. But this procedure is time consuming . Several studies investigating an alternative approach resulted in the evolution of more rapidly hot pressing ceramic 6.The press on metal technique enhances cohesion of porcelain7. This technique allows for full contour ceramic wax up as opposed to more technique sensitive layering method8. The marginal fit was comparable with conventional layering technique. Hence the purpose of this study was to compare the efficacy of the new press on metal method of ceramic application with the conventional sintering method..........

[1]. KenHebelReenagajjartheresahofstede Restoration R, Fixed T, Denture P. Single-Tooth Replacement : 2000;66(8):435–8.
[2]. Usha G Prashanth T.R Roopa R Nadig yashwanth Gowda and Murtuza. ADVANCED CERAMICS A REVIEW OF MATERIAL SCIENCE. JOURNAL OF DENTAL SCIENCES AND RESEARCH Vol 5 Issue 2 Pages 5-11
[3]. Enghardt S, Richter G, Richter E, Reitemeier B, Walter M. Experimental Investigations on the Influence of Adhesive Oxides on the Metal-Ceramic Bond. Metals (Basel) [Internet]. 2015;5(1):119–30
[4]. Mclaren E a. Modern metal ceramic restorations. 2006;(June):2–3.
[5]. Sipahi C, ÖZCAN M. Interfacial shear bond strength between different base metal alloys and five low fusing feldspathic ceramic systems. Dent Mater J. 2012;31(3):333–7

Abstract: Background: According to the World Health Organization (WHO), adolescents are individuals aged 10-19Yyrs1, they are no longer children, not yet adults. Adolescents comprise 18% of the world's total population. Out of 1.2 billion adolescents, 88% live in developing countries and more than 50% of all adolescents live in Asia, India has the largest national population of adolescents 243 million, followed by China 207 million2, adolescents are an important resource of every country. Aims & Objectives: To know the extent of improvement of knowledge on Family Life Education among school going adolescent girls.Methodology:This was an interventional study conducted among 250 Adolescent girls aged 11-16yrs inZilla parishad high school using Simple random technique Results&Conclusion: In the present study nearly 30% of rural mothers were illiterates,knowledge regarding the.........

Keywords: Adolescent girls, family life education

[1]. World Health Organization. Geneva: WHO 2002. Adolescent Friendly Health Services – An Agenda for Change; p. 5.
[2]. UNICEF-Progress for Children A report card on adolescents Number 10, April 2012.Available from www.unicef org/lac/PFC2012
[3]. International Institute of Population Sciences (IIPS), 2000. National Family Health Survey (NFHS-2), India, 2000.
[4]. United National Population Fund CST for CASA, The South Asia Conference on Adolescents, Kathmandu, Nepal (1999), 22.
[5]. CEDPA, Adolescent girls in India choose better future: an impact assessment, Washington, DC (2001): 7.

Abstract: A normal upper airway is important for nasal breathing, swallowing and phonation. Along with airway the velopharyngeal closure mechanism including the dimensions, shape and dynamics of the soft palate proves to be an important factor in carrying out these functions. The aim of the present study is to evaluate the radiographic length of velum(LV), width of velum(WV), velum angle( AV) , Depth of Pharynx( PD) , Need's ratio(NR) , inclination angle(AI) in different morphological types of soft palate according to growth patterns in skeletal class I individuals. 80 pre treatment lateral cephalograms of patients with skeletal class I malocclusion( ANB 2-4 deg) were divided on.........

[1]. 1.You et al. Morphological variety of soft palate in normal individuals : a digital cephalometric study. Dentomaxillofacial Radiology 2008,37,6,2344-49.
[2]. 2. Subtelny JD. A cephalometric study of growth of soft palate . Plast Reconstr Surg 1957;19:49-62.
[3]. 3. Borges PTM , Silva BM, Neto JMM, Borges NE, Li ML. Cephalometeric and anthropometric data of obstructive sleep apnoea in different age groups. Braz J Otorhinolayngol. 2015;81(1):79-84.
[4]. Gornic C et al. Cephalometric analysis of upper airways of Class III patients subjected to orthosurgical treatment. Dent Press J Orthod.2011;16(5):82-8.
[5]. Fernandez- Ferrer et al. Effects of mandibular set back surgery on upper airway dimensionsand their influence on obstructive sleep apnoea- a systematic review. J Craniomaxillofac Surg. 2015;43(2):248-53.

Abstract: Oncocytoma or oxyphilic adenoma is defined since the classic works of Hamperl as a benign tumor exclusively composed of oxyphilic cells ; the large eosinophilic cuboidal to columnar cells with more than 60% of their cytoplasm occupied by mitochondria. Oncocytomas are 1-2% of salivary gland neoplasms, hyalinsed oncocytoma with calcification is still rare. We report a case of 60 year female with swelling at the submandibular area since 4 months which was progressively increasing, and was non tender .fine needle aspiration was not done. Subsequently a biopsy was received in the pathology department which was clinically suspected to be submandibular lymph node but on microscopy it was diagnosed as hyalinised oncocytoma of parotid gland.

[1]. Kontaxis A ,ZANArotti U, kainz J. Diffuse hyperplastic onococtyosis of parotid gland. Laryngorhinootologie. 2004 ;83: 185-8
[2]. Hamperl H. Benign and Malignant Oncocytoma. Cancer.1962;15: 1019-27.
[3]. Hanna EY, suen JY. Neoplasms of the Salivary Glands. In: Cummings C, Freidrickson J , Harkar L et al ,editors. Otolaryngologu- Head and Neck Surgery, 3rd ed. St.Louis : Mosby.1998;125.
[4]. Lee YY ,Wong KT, King AD et al. Imaging of salivary glands tumors. Eur J Radiol 2008; 66:419-36.
[5]. Brandwein MS,Huvos AG. Oncocytic tumors of major salivary glands. . a study of 68 cases with follow-up of 44 patients.Am J Surg Pathol 1991,15-514-528

Abstract: Students' academic performance in the university is affected by several factors, among them most of the factors can be modified to provide optimal conducive environment for learning. Unit of Allied Health Sciences (UAHS), Faculty of Medicine, University of Jaffna was conducting three degree programs B.Sc. in nursing, B.Sc. in Medical laboratory sciences and B.Pharm. A cross sectional descriptive study was conducted to assess the factors influencing the learning in the UAHS. Students' academic performance is not significantly associated with gender, nationality, native place, living arrangement and study programme. Students' academic performance showed statistically significant increasing trend with year of study. Students who chose the course with the interest to follow university........

Keywords – Academic performance, learning environment, Allied Health Sciences.

[1]. Audin, K., Davy, J. & Barkham, M. (2003). University Quality of Life and Learning (UNIQoLL): an approach to student wellbeing,satisfaction and institutional change. Journal of Further & Higher Education, 27(4), 365-382.
[2]. Genn JM, Harden RM. 1986. What is medical education here really like? Suggestions for action research studies of climates of medical education environments. Med Teach 8(2):111–124.
[3]. Pimparyon P, Caleer SM, Pemba S, Roff S: Educational environment, student approaches to learning and academic achievement in a Thai nursing school. Med Teacher 2000, 22(4):359-64
[4]. Palaniappan, A. K. (2007). Peer and family relations: A theoretical model for helping students in distress, Faculty of Education Review, Biannual International Journal of Education, 1, 115-126.
[5]. Athukorale, P. (1995). Study on the psychological problems among university students and the need of a proper counseling service. (Unpublished postgraduate diploma thesis) University of Colombo, Colombo.

Abstract: Clopidogrel is thienopyridine inhibitor of the platelet P2Y12 adenosine diphosphate (ADP) receptor. Clopidogrel is an agent that irreversibly inhibits adenosine diphosphate (ADP) induced platelet aggregation.1The interaction of ADP with the platelet P2Y12 receptor induces platelet shape change, reversible aggregation, initial glycoprotein (GP) IIb/IIIa activation, phospholipase C activation, and calcium flux.1Regular use of clopidogrel (75mg daily) can produce 40-50% inhibition of adenosine diphosphate induced platelet ag-gregation.1,2 This function makes it one of the drugs of choice for secondary stroke prevention, and also part of dual antiplatelet therapy in patients undergoing angioplasty and/or stent placement and acute coronary syndromes. The evidence supporting.........

[1]. Hassan AE, Zacharatos H, Suri MF, Qureshi AI. Drug evaluation of clopidogrel in patients with ischemic stroke. Expert Opin Pharmacother 2007; 8:2825-38.
[2]. Qureshi AI, Luft AR, Sharma M, Guterman LR, Hopkins LN. Prevention and treatment of thromboembolic and ischemic complications associated with endovascular procedures: Part I--Pathophysiological and pharmacological features. Neurosurgery 2000; 46:1344-59.
[3]. Jagoda AS, Bazarian JJ, Bruns JJ Jr, et al. Clinical policy: neuroimaging and decision-making in adult mild traumatic brain injury in the acute setting. Ann Emerg Med. 2008; 52:714-748.
[4]. IMS.Top 20 global products, 2010, total audited markets. Available at: http://imshealth.com/deployedfiles/imshealth/Global/Content/StaticFile/Top_Line_Data/Top_20_Global Products.pdf. Accessed February 24, 2012.
[5]. Mehmet Akif Cakar, Ibrahim Kocayigit, Ercan Aydin. et al. Clopidogrel-induced spontaneous pectoral hematoma. Indian Journal of Pharmacology | August 2012 | Vol 44 | Issue 4.