iosr-JDMS   Volume-18 ~ Issue-11 ~ November-2019

Abstract: Background: Acute ST-Elevation Myocardial Infarction (STEMI) is a massive heart attack and profoundly life-threatening medical emergency. Acute STEMI is found to be associated with the impaired renal function and evolve inverse outcomes. Objective: The purpose of this study is to evaluate the Outcome of admitted patients of acute ST elevation myocardial infarction with impaired renal function in Bangladesh.
Methods: The study was done in the NICVD, Dhaka after approval of protocol for I year. For the current study, 100 patients of STEMI diagnosed by clinical, biochemical and ECG criteria were included in the study. After getting serum creatinine level from them, eGFR was calculated and patients having <60ml/min were selected for the further studies......

Keywords: Acute ST-Elevation Myocardial Infarction (STEMI), impaired renal function, serum creatinine, outcomes.

[1]. Kim MC, Kini AS, Fuster V. Definitions of acute coronary syndromes. In: Fuster V, O'Rourke RA,Walsh RA, Poole-Wilson P. Eds. Hurst's the Heart. 12th ed. New York, USA: McGraw Hill; 2008.1311.
[2]. Yang EH, Gersh BJ,O'Rourke RA. ST segment elevation myocardial infarction.In: Fuster V, O'Rourke RA, Walsh RA, Poole-Wilson P. Eds. Hurst's the Heart. 12th ed. New York, USA :McGraw Hill; 2008. 1375.
[3]. Malik A. Congenital and acquired heart disease: A survey of 7062 person. Bangladesh Med Res Bull 1976; 11: 115-19.
[4]. Kim MC, Kini AS, Fuster V.Definitions of acute coronary syndromes:Non-ST elevation myocardial infarction.In: Fuster V, O'Rourke RA,Walsh RA, Poole-Wilson P.Eds. Hurst's the Heart. 12th ed. New York, USA: McGraw Hill; 2008.1314.
[5]. Pahor M, Shorr RI, Somes GW. Diuretic-based treatment and cardiovascular events in patients with mild renal dysfunction enrolled in the systolic hypertension in the elderly program. Arch Intern Med 1998;158:1340–5..

Abstract: Aims and Objectives: To study the surgical outcome of fracture shaft of tibia in children and adolescents using flexible nails in about 20 patients. Materials and Methods: This is a prospective study being conducted in department of orthopedics, Narayana Medical College And Hospital, Nellore from September 2017 to September 2019. The study consisted of 20 patients, age ranging from 4-16 years. Fractures are classified as per AO/OTA Classification. Tibial diaphyseal fractures, simple ( closed fractures ),Type I and II compound fractures are included in this study. They are treated by CRIF with Flexible nails(titanium) under image intensification and were reviewed with Antero-posterior and Lateral radiographs on their follow up visits at 1,2,3,6 months and a year. Final outcome was measured by Flynn's criteria and graded as Excellent, satisfactory and poor. Results: Mean age group was 9.5 years, mean duration of surgery was 57 minutes, with mean duration......

[1]. Shannak, AO,Tibial fracture in children:folloe-up study. J pediatr orthop 1988;8;306-310.
[2]. Steinert VV,be Bennek J. unterschenkelfrakturen I m Kind esalter. Zentralbl Chir 1966; 91;1387-1392.
[3]. Rockwood and Wilkins fractures in children seventh edition 930-943.
[4]. Karrholm J,Hansson LI,svensson K. Incidence of tibiofibular shaft and ankle fractures in children. J pediatr orthop 1982;2:386-396.
[5]. Cheng JCY,shen WY. Limb fracture pattern inn different pediatric age groups: a study of 3350 children. J orthop Trauma 1993;7:15-22.

Abstract: Aim and objective: To discuss the different diagnosis of Eagle's syndrome and transoral surgical modalities for the treatment of the syndrome was the main aim and objective of the current study. Materials and Methods: the current study comprises of38 patients reporting to the oral surgery department with Eagle's syndrome due to elongated styloid process. Elongated styloid processes were resected via transoral approach under anesthesia. Results: The chief symptoms of all patients regressed after surgery. 3 D computed tomography scanning shows how the preoperative estimation of the styloid......

Key Words: Eagle's syndrome, styloid process, 3 D computed tomography.

[1]. Kawasaki M, Hatashima S, Matsuda T. Non-surgical therapy for bilateral glossopharyngeal neuralgia caused by Eagle's syndrome, diagnosed by three-dimensional computed tomography: a case report. J Anesth 2012;26:918-21.
[2]. Eagle WW: Elongated styloid process: Report of 2 cases. Arch Otolaryngol 25:584,1937.
[3]. EagleWW:Elongatedstyloidprocess.ArchOtolaryngol47:630, 1948.
[4]. Eagle WW: Symptomatic elongated styloid process. Arch Otolaryngol 49:490,1949.
[5]. Gossman JR, Tarsitano JJ: The styloid-stylohyoid syndrome. J Oral Surg 35:555,1977.

Abstract: Talaromyces (Penicillium) marneffei, a dimorphic fungus is endemic in south-eastern Asian countries. Most cases are reported in persons who have advanced AIDS. The diagnosis is established by microbiologic culture. A presumptive diagnosis can be made by cytologic or histologic examination of tissue collected. Bone marrow biopsy is often performed in the workup of patients with AIDS who have fever or hematologic abnormalities and provide prompt diagnosis of opportunistic infection. We report a case of a 35 year old woman who presented with fever and generalised weakness for 3 weeks associated with significant weight loss. On evaluation, patient was found to be HIV positive with CD4 count of 22/μL. ART was initiated. Blood counts showed pancytopenia. Bone marrow aspiration and trephine biopsy were performed to investigate the cause of pancytopenia.......

Keywords: Talaromyces, Penicilliosis, IRIS, HIV, AIDS, pancytopenia

[1]. Wong KF, Tsang DN, Chan JK. Bone marrow diagnosis of penicilliosis. NEJM 1994 Mar 10;330(10):717-8.
[2]. Kaplan J, Benson C, Holmes KK, Brooks JT, Pau A, Masur H. Guidelines for prevention and treatment of opportunistic infections in HIV infected adults and adolescents. Morb Mortal Wkly Rep 2009 Mar 24;58:98-9.
[3]. Kasper DL, Hauser SL, Jameson JL, Fauci AS, Longo DL, Loscalzo J. Harrison's principles of internal medicine 19th ed. McGraw-Hill;2015.p.1354-5.
[4]. Le T, Wolbers M, Chi NH, Quang VM, Chinh NT, Lan NP et al. Epidemiology, seasonality, and predictors of outcome of AIDS-associated Penicillium marneffei infection. Clin. Infect. Dis. 2011, 52; 945 - 52.
[5]. Muller M, Wandel S, Colebunders R, AttiaS, Furrer H, Egger M. Incidence andlethality of immune reconstitution disease in HIV-infected patients starting antiretroviral therapy: systematic review and meta-analysis. Lancet Infect Dis 2010,10;251- 61

Abstract: In present days, the society is striving to have straight white perfect teeth with attractive smile resembling famous actors and actresses that is called "Hollywood smile". Nowadays, due to the increase in demand for a bright smile, many whitening techniques were developed. (1) Tooth whitening has become increasingly popular, even with adolescent patients. (2) Esthetic problems such as teeth crowding, rotations and spacing are related to more susceptibility to teeth staining and discoloration Many orthodontic patients may have bleaching done at home or may be interested in having their teeth bleached at the time of orthodontic treatment. (2)In spite of the vast amount of information presented in hundreds of articles during the last decade there is a remarkable lack of consent......

[1]. Joiner A. The bleaching of teeth: A review of the literature. Journal of dentistry; 34: 412 – 419, 2006.
[2]. Christensen GJ. Bleaching teeth: practioners trends. J Am Dent Assoc.; 128:16S-18S, 1997.
[3]. Miles PG, Pontier JP, Bahiraei D and Close J. The effect of carbamide peroxide bleach on the tensile bond strength of ceramic brackets: an in vitro study. Am J Orthod Dentofacial Orthop.; 106: 371–375, 1994.
[4]. Lai S.C.N, Mak Y.F, Cheung G.S.P, Osorio R, Toledano M, Carvalho R.M, Tay F.R and Pashley D.H. Reversal of compromised bonding to oxidized etched dentin. Journal of Dental Research 80: 1919–1924, 2001.
[5]. Oltu U and Gurgan S. Effects of three concentrations of carbamidperoxide on the structure of enamel. J Oral Rehabil; 27:332-40, 2000..

Abstract: This study was carried out to determine factors influencing contraceptive use among women of reproductive age. This was a community based descriptive survey which took place in Owerri North, Imo State, Nigeria among women of reproductive age. Simple random sampling was used to select thirty percent of semi-urban and rural autonomous communities. A structured self-administered questionnaire which examined the socioeconomic characteristics, cultural factors, proportion of women on any method of contraceptive and health facility factors was administered to three hundred and ninety seven respondents. Data obtained was analyzed using Statistical Package for the social Sciences (SPSS) version 21. Frequencies were generated and Chi-square was used to test significance. Level of significance was set at 0.05. A total of three hundred and ninety six (396) questionnaires were retrieved. Findings of this study revealed that most respondents 72 (58.0%) who uses contraceptive method regularly were between the age range of 33-41 years and 69 (53.1%) in the age range of 24-32 compared to...........

[1]. Ayeni, A.C. (1999). The Need and Methods of Family Planning (2nd Eds). Ila- Oran-gun, Fem Sod Press.
[2]. Bertrand J, Magnani R, Knowles J. 1994. Handbook of indicators for family planning program evaluation. Chapel Hill:EvaluationProject.
[3]. Bongaarts, J., Cleland, J., Townsend, J.W., Bertrand J. & Gupta, M. (2012). Barriers to adoption of family planning. African Journal of Reproductive Health, 15 (1), 64-77
[4]. Isah, A.Y. and Nwobodo, E. (2009). Family planning practice in a tertiary health institution in north-west Nigeria. Nigerian Journal of Clinical Practice, 12 (1):281-283
[5]. MacQuarrie, K. (2014). Unmet need for family planning among young women: levels and trends, DHS Comparative Reports, No. 34.

Abstract: Aim:to study the roles of axial length and anterior chamber depth as risk factors for the development of phacomorphic glaucoma in eyes with mature cataract. Material and Methods: This is a prospective case-control study done in the year 2019 at Department of Ophthalmology, MLB Medical College, Jhansi. Phacomorphic glaucoma was diagnosed by Intraocular Pressure of more than 21 mmHg, intumescent cataract with signs and symptoms of phacomorphic glaucoma, axial length and anterior chamber depth.....

Keywords: Axial Length, Intra ocular Pressure, Phacomorphic Glaucoma

[1]. Baasanhu J, Johnson GJ, Burendei G, Minassian DC. Prevalence and causes of blindness and visual impairment in Mongolia: A survey of populations aged 40 years and old. Bull World Heath Organ. 1994;72:771–6.
[2]. Angra SK, Pradhan R, Gary SP. Cataract induced glaucoma: An insight into management. Indian J Ophthalmol. 1991;39:97–101
[3]. Teikari J, Raivio I, Nurminen M. Incidence of acute glaucoma in Finland from 1973 to 1982. Graefes Arch Clin Expo Ophthalmol. 1987;225:357–60.
[4]. Wong TY, Foster PJ, Seah SK, Chew PT. Rates of hospital admissions for primary angle closure glaucoma among Chinese, Malays, an Indians in Singapore. Br J Ophthalmol. 2000;84:990–2
[5]. Foster PJ, Oen FT, Machin D, Ng TP, Devereux JG, Johnson GJ, et al. The prevalence of glaucoma in Chinese residents of Singapore: A cross-sectional population survey of the TanjongPagar district. Arch Ophthlmol. 2001;118:1105–11.

Abstract: Background Children with special needs are those having a chronic, physical, developmental, behavioral or emotional disability, or those at an increased risk of such conditions, and require health and related medical services of a type or amount beyond that required by children generally and which necessitates additional training by health care providers. They comprise about 1 in 10 out of a population of a billion people living with disability. Children with special needs have been estimated to be twice as likely as their peers without disability to have unmet and untreated oral health care needs due to various challenges in their quest for treatment. Such a substantial population necessitates the urgent formulation of systems, policies and mechanisms specially focused and directed towards improving the health status of these individuals, and more so their oral health status to be at par with their peers.....

[1]. Glick M, Williams D, Kleinman D, Vujicic M, Watt R, Weyant R. A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. The Journal of the American Dental Association. 2016; 147(12):915-917.
[2]. SeelmanK,Qiu Z, Sally S, Ilagan V, Madden R, Officer A et al... The World Health Organization/World Bank's First World Report on Disability. International Journal of Telerehabilitation. 2011; 3(2):11-14.
[3]. Norwood K, Slayton R. Oral Health Care for Children with Developmental Disabilities. PEDIATRICS. 2013; 131(3):614-619.
[4]. Taylor L. Kenya National Special Needs Education Survey Report. Journal of Research in Special Educational Needs. 2016; 16(4):215-216.
[5]. Vos, T (Dec 15, 2012). Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 380 (9859): 2163-96..

Abstract: We carried out a descriptive study in the department of surgeryRajshahi Medical College Hospital, Rajshahi, Bangladesh during the period from January 1, 2017 to December 31, 2018. Our aim was to evaluate the laparoscopic port site complication in Bangladesh. Laparoscopic techniques have revolutionized the field of surgery and offer several advantages over laparotomy including lower patient morbidity rates, reduced hospital length of stay and earlier return to normal activities. Although rare, several port site complications have been reported in the literature. Laparoscopic port site complications can be access-related or post-operative. Complications are related to port-site incision size, number of port sites, obesity, and umbilical ports. A total of 200 cases were selected for this study........

[1]. Schwartz's Principles of Surgery Tenth Edition
[2]. Yamamoto S, Fujita S, Akasu T, Ishiguro S, Kobayashi Y, Moriya Y. Wound infection after elective laparoscopic surgery for colorectal carcinoma. SurgEndosc. 2007;21(12):2248-52. Epub 2007 May19.
[3]. Hackam DJ, Rotstein OD. Host response to laparoscopic surgery: mechanisms and clinical correlates. Can J Surg. 1998;41(2): 10311.
[4]. Bonjer HJ, Hazebroek EJ, Kazemier G, Giuffrida MC, Meijer WS, Lange JF. Open versus closed establishment of pneumoperitoneum in laparoscopic surgery. Br J Surg. 1997;84(5):599-602.
[5]. Mir I.S, Ahmad M, Ahad B. Establishing pneumoperitoneum safely for laparoscopic surgeries. JK-Practitioner 2005;12(4):224- 2267.

Abstract: Pterygium is a degenerative condition of the subconjunctival tissue which proliferates as vascularized granulation tissue to invade cornea, destroying superficial layers of stroma and Bowman's membrane, the whole being covered by conjunctival epithelium. The surgical excision is the main treatment method of pterygium. Various techniques have been tried in past from simple excision to use of adjunct therapies such as beta- radiation, thiotepa, 5-FU, and mitomycin C. Traditionally, during pterygium surgery the conjunctival autografts are secured in place with either absorbable or nonabsorbable sutures. Other techniques have been developed in order to reduce......

Keywords: autografting, excision, fibrin glue, pterygium, sutures

[1]. Shtein RM, Sugar A. Pterygium and conjunctival degenerations. In: Yanoff M, Duker JS, editors. Ophthalmology. 4th ed. Philadelphia: Elsevier saunders; 2014. p. 203-5.
[2]. Gazzard G, Saw SM, Farook M, Koh D, Widjaja D, Chia SE et al. Pterygium in Indonesia: prevalence, severity and risk factors. Br J Ophthalmol 2002;86(12):1341-6.
[3]. Tan DT, Chee SP, Dear KB, Lim AS. Effect of pterygium morphology on pterygium recurrence in a controlled trial comparing conjunctival autografting with bare sclera excision. Arch Ophthalmol 1997;115(10):1235-40.[4]. Foroutan A, Beigzadeh F, Ghaempanath J, Eshghi P, Amirizadeh N, Sianati H, et al. Efficacy of autologous fibrin glue for primary pterygium surgery with conjunctival autograft. Iran J Ophthalmol 2011;23(1):39-47.
[5]. Cohen RA, McDonald MB. Fixation of conjunctival autografts with an organic tissue adhesive. Arch Ophthalmol 1993;111(9):1167-8.

Abstract: The treatment of maxillofacial fractures usually requires the dental occlusion as a reference for an appropriate reduction. A variety of technique intermaxillary fixation is described in the literature, showing its indications and contraindications. The use of techniques with steel wire, Erich bar and locking screws, are currently the most reported and used. The risk of accidents, surgical time, cost and damage to teeth, are some of the points discussed when evaluating the advantages and disadvantages of each technique. So, we try to describe an option of simplified and efficient technique of inter-jaw lock using caliber of steel wire.

Keywords: Surgery, Oral, Dental Occlusion, Dentists

[1]. ARTHUR, G.; BERARDO, N. A simplified technique of maxillomandibular fixation. J Oral Maxillofac Surg, v. 47, p. 1234, 2005.
[2]. BANKS, P. Fraturas da porção de apoio dos dentes na mandíbula. In: BANKS, P. Killey's Fraturas da Mandíbula. São Paulo: Santos, 2004. capo 6, p. 40-79.
[3]. BUSCH, RF.; PRUNES, F. Intermaxillary fixation with intraoral cortical bone screws. Laryngoseope, v.101, p.1336- 1338, 2014.
[4]. BUSCH, R F. Maxillomandibular fixation with intraoral cortical bane screws: a 2 year experience.Laryngoseope, v. 104, p. 1048- 1050,2014.
[5]. KARLIS, V; GLICKMAN, R An alternative to arch-bar maxillomandibular fixation. Plast Sug, v. 99, n. 6, p.1758-1759, 2014..