iosr-JDMS   Volume-18 ~ Issue-1 ~ January-2019

Abstract: Lung cancer is the leading cause of cancer related mortality worldwide. The precise diagnosis and subclassification based on small biopsies have direct impact on patient management and prognosis. The 2015 WHO classification of lung Tumors has been published with important changes from the 2004 WHO classification. It includes use of immunohistochemistry, emphasis on genetic studies and new classification for small biopsies and cytology similar to that proposed in the 2011 International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory Society classification. Objective: To classify lung cancer based on 2015 WHO classification of lung tumour and to assess its therapeutic and prognostic implications in our study...........

Keywords: Non smallcell lung carcinoma, Immunohistochemistry

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[5]. Kwak EL, Bang YJ, Camidge DR et al (2010) Anaplastic lymphoma kinase inhibition in non-small-cell lung cancer. N Engl J Med 363:1693–1703.

Abstract: Elimination of microorganisms from the root canal is the main procedure for endodontic treatment. Cleaning and shaping is not so much effective for reducing bacterial count in root canals. This procedure may fail due to survival of resistant microorganisms in dentinal tubules and canals due to inaccessibility of mechanical instrument and irrigation. Non-toxic Intracanal medicament are capable of destroying bacteria, reducing inflammation and stimulating hard tissue formation which is useful in success of root canal treatment after completion of chemomechanical preparation. The antimicroial activities of medicaments act against obligate and facultative anaerobic bacteria commonly.......

Keywords: Microorganisms, Intracanal medicament, Chemomechanical preparation, Irrigants, Calcium Hydroxide

[1]. Laila Gonzales Freire et al Influence of dentin on pH of 2% chlorhexidine gel and calcium hydroxide alone or in combination; Journal of Dental Traumatology 2010; 26; 276-280.
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Abstract: AIM: To study the effect of low molecular weight heparin in the treatment of acute pancreatitis. METHODOLOGY Patients presenting to emergency room of Coimbatore medical college hospital with features of acute pancreatitis with duration of 72 hours or less. RESULT: Total number of patients in the study was 100. Most common age group affected was 30-50 years of age. Out of 100;86were male patients and 14 were female patients.The low molecular weight heparin improves the micro circulations as a result of it relives the abdominal pain,halt the progression of the disease,reduces the severity and complication ,shortens...... .

Keywords: Acute,pancreatitis,low molecular weight heparin.

[1]. Qiu F, Lu XS , Huang YK . Effect of low molecular weight heparin on pancreatic microcirculation in severe acute pancreatits in rodent model.Chin Med J 2007;120:2260-3.
[2]. Renzulli ,Jakob SM ,Tauber M , Candinas D ; case oriented discussion of interdisciplinary management pancreatology 2005;5:145-156
[3]. Schneider C ,Pietschmann M , HartuigW,et al. Inosine reduces microcirculatiry disturbance and inflammatory disturbance and inflammatory organ damage in experimental acute pancreatitis in rats. Am J sug 2006;191;510-514
[4]. QiuF ,LuXS . Severe acute pancreatitis and multiple organ dysfunction syndrome. Foreign Med Sci(pathophysioClinmedi) (chin ) 2004; 6:85-88
[5]. Xin-Sheng L, Fu Q, Jie-Qin L, Qin-Qiao F, Ri-Guang Z, Yu-Hang A et al. Low Molecular Weight Heparin in the Treatment of Severe Acute Pancreatitis: A Multiple Centre Prospective Clinical Study. Asian Journal of Surgery. 2009;32(2):89-94.

Abstract: Toxicology deals with action, toxicity, fatal dose, signs and symptoms, detection and treatment of poisoning. Forensic toxicology deals with the medicolegal aspects of poisoning. Toxicology related cases comes under 3 most common medico-legal emergencies in India making it must know subject for medical students. Present study shows that weightage given to toxicology in MBBS curriculum does not incorporate enough knowledge in medical students...

Keywords: Emergency, Medico-legal, Toxicology

[1]. Poisoning Prevention and Management. Available from: http://www.who.int/ipcs/poisons/en/
[2]. Accidental Deaths & Suicides in India – 2015. Available from: http://ncrb.gov.in/StatPublications/ADSI/ADSI2015/ADSI2015.asp
[3]. Yatoo GH, Jalali S, Malik A, Khan A. Profile and pattern of medico legal cases attending tertiary care hospital in north india. International Journal of Medicine and Pharmaceutical Sciences. 2015;5:1-8.
[4]. Mina SS, Basu S, Kumar V, Mina D. Profile of medico-legal cases registered at a tertiary care children's hospital. International Journal of Contemporary Pediatrics.2017;4:1345-48
[5]. Tomar J, Varun A, Nigam M, Mishra PK, Verma P. Profile of medico-legal cases in the Casualty of SAMC and PGI, Indore. Indian Journal of Forensic and Community Medicine. 2017;4(3):171-75

Abstract: The purpose of the research was to determine the incidence of injuries in male football trainees of Ethiopian youth sports Academy by 2015/16. It was employed cross sectional research design and Questionnaire as well as semi structured interview were used as a data gathering instrument. The study sample was 75 football players, 4 football coaches and one physiotherapist were considered as a sample for the study. In this research study majority of football injuries were displayed in the category of, U-15 youth football trainees. Football injury is occurred in match and in-season period. Injury occurred in the academy is newly occurred. Injury is occurred mostly in the...........

Keywords: Youth, Football Injury and Incidence

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[2]. Alebel, T. (2011). The Causes And Prevention Of Injuries In The Long Distance Athletes In The Case Of Some Selected Addis Ababa City Administration Athletics Clubs (Unpublished Thesis). Addis Ababa University Digital Library. Ethiopia.
[3]. Dereje, A .(2012). Problems And Challenges Of Injury On Ethiopian National Team Of Long Distance Male Athletes (Unpublished Thesis). Addis Ababa University Digital Library. Ethiopia.
[4]. Junge, A., Engebretsen, L., Alonso, J.M, et al. Injury surveillance in multisport events: the International Olympic Committee approach. Br J Sports Med. 2008; 42(6):413-421.
[5]. Van, M. W. (1993). Incidence and Severity of Sports Injuries in P.A.F.H. Renström ed. Sports Injuries Basic Principles of Prevention and Care 3-13, Boston, Blackwell Scientific Publications.

Abstract: Background: Cesarean section is the most common major surgical procedure performed in the world with a low chance of mortality for mother and child. Aim of the Work: to compare between the outcomes of early and late oral feeding after cesarean section under regional anesthesia. Patients and Methods: 300 women were included in this study. They were divided into two equal groups: Group A: composed of 150 patients who were encouraged to oral fluid (semi solid and solid) starting 2 h after C- section. Group B: composed of 150 patients who received oral fluid at 8 h following surgery. Result: there were no significant differences between the 2 groups in mean maternal age, BMI and parity. Women in the two groups had similar..........

Keywords: postoperative outcomes, early, late oral feeding, Cesarean Section, regional anesthesia

[1]. Mittal S, Pardeshi S, Mayadeo N and Mane J. Trends in Cesarean Delivery: Rate and Indications. The Journal of Obstetrics and Gynecology of India, 64(4), 2014, 251–254.
[2]. Huang H, Wang H and He M. Early oral feeding compared with delayed oral feeding after cesarean section: a meta-analysis. J Matern Fetal Neonatal Med, Early Online, Informa UK Ltd., 2015, 1–7.
[3]. Mangesi L and Hofmeyr GJ. Early compared with delayed oral fluids and food after caesarean section. Cochrane Database of Systematic Reviews, 3, 2002, CD003516.
[4]. Gocmen A, Gocmen M and Saraoglu M. Early post-operative feeding after caesarean delivery. J Int Med Res., 30, 2002, 506– 511.
[5]. Jalilian N and Ghadami MR. Randomized clinical trial comparing postoperative outcomes of early versus late oral feeding after cesarean section. Journal of Obstetrics and Gynaecology Research, 40(6), 2014, 1649-1652..

Abstract: The incidence of synchronous second primary cancers (SPC) in patients with squamous esophageal cancer (EC) is reported to be 5% to 10%. The most wellknown sites for SPC are aerodigestive tract organs, such as the oral cavity, pharynx, larynx and lung. The association between SPCs and these cancers can be explained by a process called 'field cancerization,' which arises from exposure to common carcinogenic agents such as tobacco smoke. EC patients with synchronous SPC showed different clinical features and had poor survival due to challenges in providing stage-appropriate treatment. The unexpected diagnosis of synchronous SPC complicates physicians' therapeutic.........

Keywords: Chemoradiation, Maxilla, Oesophagus, Synchronous malignancy.

[1]. Hayashi T, Nonaka S, Bandoh N, Kobayashi Y, Imada M, Harabuchi Y. Treatment outcome of maxillary sinus squamouscellcarcinoma. Cancer 2001;92:1495-1503.
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Abstract: A possible role of platelet indices in non-diabetic subjects was explored for its possible association with hematopoietic and renal biochemical indices. Hypothesis was that non-diabetic disease burden is closely associated with change in serum levels of lipoproteins, urea, uric acid, creatinine, microalbumin and hematological parameters as consequence of platelet dysfunction manifested as dyslipidemia, nephrosis and thrombosis. A total of 97 non-diabetic patients out of 225 were analyzed for correlation and contribution of serum sugar, lipoproteins, urea, uric acid, creatinine, microalbumin and hematological parameters with platelet dysfunction as 'pleiotropic risk index...........

[1]. Muskiet MHA, Tonneijck L, Smits MM, Kramer MHH, Heerspink HJL, van Raalte DH. Pleiotropic eff ects of type 2 diabetes management strategies on renal risk factors. Lancet Diabetes Endocrinol 2015; 3: 367–81.
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Abstract: Introduction:- Thyroid diseases are frequently encountered endocrine disorders in clinical practice. Majority of these are benign, of which goitre is the commonest. Only a few are malignant. Clinical evaluation helps in diagnosis but it has limitations. Nevertheless, it is difficult to distinguish the early malignant lesions from the more prevalent benign goitres Material & Methods:- This study was conducted including patients who visited SVS Medical College and Hospital, Mahabubnagar, during the period from October 2015 to September 2017 with palpable thyroid swellings and were subjected to needle aspiration. Data.........

[1]. WHO. Promotion of sustainable iodine deficiency disorders (IDD) in WHO South-East Asia and Eastern Mediterranean Regions. Report of a Bi-regional Consultation, Chiang Mai, Thailand 2003;1-18.
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Abstract: BACKGROUND:bacteriological profiling is very important as sepsis remains one of major cause of mortality in NICU in Bihar. Changing pattern of bacterial infection and emergence of resistant strains in NICU has posed great challenge before treating paediatricians. This study will look into prevalent strains in NICU and will help in reducing sepsis related mortality and morbidity. MATERIAL AND METHODS: It was across sectional study conducted in NICU of NMCH from November 2017 to April 2018. All patient admitted in NICU during this period with diagnosis of sepsis were included in this study. Blood cultures were sent and report analysed.RESULT:Out of 365 samples 140 (38%)........

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Abstract: Cephalohematoma is a collection of blood between the skull and the periosteum,this diagnosis remains rare compared to other collections and cranial masses in the new-born.This report describes two cases of 02 new-borns presenting with cephalohematoma since birth which was initially soft firm to palpation but later became hard and calcified after few months.TheCT confirms the diagnosis and accurate type of cephalhematoma. While the exact incidence is not known, large calcified cephalohematoma is rarely reported in the literature. We discuss here the definition of cephalhematoma, the classifications describe in the literature and certainty's diagnosis of cepalhematoma..

[1]. Petersen JD, Becker DB, Fundakowski CE, Marsh JL, Kane AA (2004) A novelManagement for calcifying cephalohematoma. PlastReconstrSurg 113: 1404-1409.
[2]. Bruce DA (2000) Cephalohematoma and subgaleal hematoma. In: Wilkins RH,Rengachary SS (Eds) Neurosurgery.
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[4]. Dammers R, ter Laak-Poort MP, Maas AI: Neurologicalpicture. Armouredbrain: Case report of asymptomaticcalcifiedchronicsubduralhaematoma. J NeurolNeurosurgPsychiatry 78:542-543, 2007
[5]. Daglioglu E, Okay O, Hatipoglu HG, Dalgic A, Ergungor F:Spontaneous resolution of calcified cephalhematomas ofinfancy: Report of two cases. Turk Neurosurg 20:96-99, 2010

Abstract: To study the socio-demographic profile of females with pregnancy wastage.A cross sectional study was done in women of age group 20-40yrs in the department of obstetrics and gynaecology in Era's lucknow Medical College Lucknow.The subjects were selected by systematic randomn sampling .The different types of pregnancy wastage were analyzed according to some variables viz age, literacy,occupation of mother, birth order, birth interval .Result : total of 200 women were covered . Maximum number of women viz., 81.02 % were above 35 years of age and minimum viz 54.39% were in 20-24 year age group .Lowest percentage was observed at 1st order (31.5%)of birth and highest was observed at 4 thorder(74.5%). Pregnancy wastage according to interval between births maximum.........

Keywords: socio-demographic, pregnancy , wastage, illiterate, preventable

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Abstract: Cutaneous tuberculosis continues to be a significant medical problem even with the advent of highly effective anti-tuberculosis drugs. About 9832 new patients were examined over a period of 18 months and it was revealed that 14 patients (0.14%) had cutaneous tuberculosis. Most of the tuberculosis patients (57.1%) were between the ages of 21 to 40 years. Lupus vulgaris was the commonest variant (35.71%), followed by Tuberculosis verrucose cutis (21.04%). Males suffered more than females (1.8:1) and all patients belonged to lower socio-economic class. 9 cases (64.28%) showed evidence of BCG vaccination that failed to protect cutaneous tuberculosis. Mantoux test was positive in 78.57% of cases. Bacteriological examination was negative in all cases. Response to antitubercular therapy was very good in all cases.

Keywords: Cutaneous tuberculosis, Mantoux test, BCG vaccination, lupus Vulgaris

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Abstract: Class II division 1 patients are characterized by increased horizontal overjet between maxillary and mandibular incisors, lower lip is trapped behind protruded upper incisors and unfavorable convex facial profile, thus affecting patient's self-esteem and decrease their face attractiveness.The treatment modalities of any orofacial skeletal problem can be achieved by the growth modification, dental camouflage and/ororthognathic surgery. The action of the functional appliances during growth age is rearrangement and altering the direction of muscles' force that influences the function and the position of the mandible whereas the force will be transmitted to the basal bone........

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Abstract: Background: Lumbar canal stenosis means reduced space available for the neural and vascular elements in the lumbar spine leading to low backache or lower extremity pain. Magnetic resonance imaging (MRI) is the key non-invasive test for assessment of lumbar canal stenosis. Studies have been performed to develop the criteria for spinal stenosis in the lumbar spine. However, till date no consensus on quantitative criteria has been made. Imaging with MRI, in our study, can help in formulating a cause and critical quantitative criteria for stenosis that can provide evidence-based recommendations for proper evaluation needed for optimum treatment of clinically suspected patients. Materials and methods: A total of 100 symptomatic cases who were suspected of lumbar canal stenosis, aged between 30 to 60 years.........

Keywords: Lumbar, Stenosis, Spinal canal diameters, MRI

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Abstract: Introduction: Chronic obstructive pulmonary disease (COPD) is characterized by airflow obstruction that is not fully reversible. The airflow limitation is usually progressive and is associated with an abnormal inflammatory response of the lungs to noxious particles or gases. The airflow obstruction is due to a combination of airway and parenchymal damage.People over age 50 have an increased risk of vitamin D deficiency and the risk increases with ageIn elderly COPD, the risk of vitamin D deficiency is higher than expected and is linked with disease severity. Aim of the work:The aim of the present.......

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