iosr-JDMS   Volume-18 ~ Issue-12 ~ December-2019

Abstract: In the developing world, as there is high prevalence of early marriage and too frequent and too many child births and high maternal morbidity and mortality, the need of effective contraceptive measures are very important. Taking advantage of the immediate postpartum period for counseling on family planning and IUCD insertion, overcomes multiple barriers to service provision. The increased institutional deliveries are the opportunity to provide women easy access to immediate PPIUCD services In this study a total of 360 mother undergoing delivery were divided into two groups of 180 each.. One, undergoing immediate postplacental vaginal insertion of CuT380A , and the other undergoing............

Key words:- postplacental, intracaesarean, spontaneous expulsion.

[1]. Post-partum IUCD reference manual. New Delhi: Family Planning Division, Ministry of Health and Family Welfare, Government of India; 2010.
[2]. Nelson A. Intrauterine contraceptives. Vol. 6. Philadelphia: Lippincott Williams and Wilkins; 2004. Gynaecology and Obstetrics.
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[5]. Rivera, R. , Chen-Mok, M. , McMullen, S. Analysis of client characteristics that may affect early discontinuation of the TCu 380A IUD. Contraception. 1999; 60: 155–60.

Abstract: Background:Thumb tendon injuries cause significant morbidity in working-age population. It is evaluated that the loss of the thumb corresponds to a loss of 40% of the hand functions. The epidemiology of these injuries is not well known. The aim of this study was to describe the epidemiology of thumb tendon injuries and its various aspect at our centre Civil Hospital, Ahmedabad. Materials and Method: All patients with thumb tendon injuries admitted during the period from October 2015, to December 2017 are included in this study.All patients with open thumb tendon injuries included. The incidence of tendon injury as well as the gender-specific incidence rates was calculated. Mechanism of injury, zone of injury, type of tendon involvement, and final outcome was studied. Result: The incidence rate was higher in men and involving adult age more commonly. Accidental injury mainly at working site was more common. Zone III injury was the commonest location which most commonly involved extensor tendons......

[1]. Ramselaar, J.M., 1970. Tendon Transfers to Restore Opposition of the Thumb. StenfertKroese, Leiden. [2]. Soucacos PN. Indications and selection for digital amputation and replantation. J Hand Surg Br. 2001; 26:572–581 [3]. Visakha K. Nanayakkara1, Giuseppe CotugnoThe Role of Morphology of the Thumb in Anthropomorphic Grasping: A Review. Front. Mech. Eng. 3:5
[4]. Schöffl V, Heid A, Küpper T. Tendon injuries of the hand. World J Orthop 2012; 3(6): 62-69 [5]. Thomas E. Trumble, Ghazi M. Rayan,Principles of Hand Surgery and Therapy E-Book
[6]. M. Manninen, T. Karjalainen, Epidemiology of Flexor Tendon Injuries of the Hand in a Northern Finnish Population, Scandinavian Journal of Surgery 2017, Vol. 106(3) 278–282

Abstract: Chronic sialadenitis is commonly associated with an acute chronic inflammation and obstruction of the excretory duct. The differentiation between chronic sialadenitis andobstruction of the excretory duct is difficult. The main causes of obstructive disordersare stones in about 60% to 70%, stenosis in about 15% to 25%, inflammation of theduct (sialodochitis) in about 5% to 10%, and other obstructions, such as anatomic variations or foreign bodies, in about 1% to 3%. We report the case of a 56-year-old man who had 3 large submandibular duct sialoliths. We describe the management of this patient and review the literature with emphasis on the various treatment modalities available.

Keywords: Large submandibular sialolith, Transoral, sialolithiasis

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Abstract: Pre-examination stress is common among the students and is quite predominant among medical students. Among them,the 1st year medical students face a major stress especially during the first M.B.B.S examination. Our study aims at investigating the effect of pre-examination stress on blood pressure and pulse rate of 1st MBBS students to find out how much the students cope up with the stress which in the long run can affect their lifestyle, habits and risk of developing hypertension and other related co-morbidities. Ninety one 1st year students of Jorhat Medical College participated in the study. The arterial blood pressure (indirect method) and pulse rate were measured three months prior to examination and again one week before examination. Statistical analysis was done using QUICKCALs software version 2.0. Student's t- test was used to compare the data and p value < 0.05 was considered significant. Out of the 49 participant male students, the Mean Pulse Rate increased from 78.21±7.85 to....

Key-words: Pre Examination Stress, Medical Students, Pulse rate, Systolic blood pressure, Diastolic blood pressure.

[1]. L Florence, Banik Uttam,N Basanti et al Effect of Pre-Examination Stress on Blood Pressure and Pulse Rate of Undergraduate Medical Students P-101-103 IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 13, Issue 12 Ver. V (Dec. 2014),
[2]. Kathrotia R, Kakaiya M, Parmar D,Vidja K, Sakariya K, Mehta N. Variable response of 1st MBBS students to exam stress.NJIRM 2010;1: P-1-4.
[3]. Anandarajan B, Banu kouser K, Muthukumar S,Atram G.Gajanan. Professional examination stress induced hemodynamic changes in first year MBBS students P- 796-799
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[5]. Oliveira De Alves Thauler , Rosa Ferreira Kenia "Does the Stress of Exams Period Influence Medical Student's Blood Pressure? A Longitudinal Study" Gen Med (Los Angeles) 2018,6:1 DOI: 10.4172/2327-5146.1000307

Abstract: Background: The maintenance of oral hygiene is critical for anticipation of innumerable oral as well as systemic diseases. Different populations utilizes various oral hygiene measures skillfully since ancient times such as toothbrushes and dentifrices. Aims & Objectives: Evaluation and comparison different traditional oral hygiene measures with the use of toothpaste-toothbrush, the most recognized method of oral hygiene maintenance in plaque-cleaning efficiency, recession and tooth wear. Material and Methods: A cross sectional study done amongst the population of small town in Rajasthan. Results: Total 201 traditional oral hygiene.....

Keywords: Periodontitis, toothpaste, traditional methods

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Abstract: Background: Patients with community-acquired pneumonia (CAP) those admitted in a hospital but do not respond to initial antimicrobial therapy becomes the challenging approach to the attending physician. The knowledge of the likely pathogens and their sensitivity pattern helps the clinicians to better manage these cases. Aims and Objectives: To study the spectrum of the bacterial isolates and to determine the antimicrobial sensitivity pattern obtained from the sputum of patients suffering from pneumonia not responding to initial antimicrobial therapy. Materials and Methods: A retrospective study of 87 patients who were admitted in the medical wards of a tertiary care teaching hospital in India with the diagnosis of CAP and were not responding to initial antimicrobial therapy. The patient......

Keywords: Antimicrobial sensitivity, bacterial isolates, Sputum, pneumonia, Community-acquired pneumonia (CAP).

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Abstract: Purpose of study: The purpose of this study was to cornparatively evaluate the effect of various surface treatments on the shear bond strength between acrylic denture teeth and polymethylmethacrylate denture base resin (PMMA) after thermocycling and to correlate the results with 3-D surface texture analysis. Materials and Methods: A total of forty maxillary left central incisor denture teeth of similar shade and size were selected and divided into four groups of ten each based on the method of surface treatment rendered to the ridge lap area and these groups were designated as Group I, II, II and IV. Group I denture teeth were untreated, Group II denture teeth were sandblasted, Group III denture teeth were treated with chemical bonding agent and Group IV denture teeth were laser irradiated on the ridge lap area. One representative denture tooth from each group was subjected......

Keywords: Injection molding, shear bond strength, laser surface treatment,chemical bonding agent, thermo cycling, surface texture analysis

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Abstract: Introduction: Incisional hernia have been reported in 2-11% of patients undergoing laparotomy. Incisional hernia is due to biologic problem of stable scar tissue formation. In this prospective study we compared the results of the preperitoneal verses onlay meshplasty in influencing the final outcome in incisional hernia management with regards to duration of surgery, techniqal difficulties, hospital stay, post opertative analgesia requirenment, wound complication and return to normal activity. Material and Methds. In present series 50 cases of Incisional Hernia studied in department of surgery in M.P. Shah Medical College Jamnagar. In this Group consisted of 14 Male and 36 Female patients. 25 Patients had onlay meshplasty and 25 had preperitoneal meshplasty by open techniqus. All patients were preoperatively evaluated by thorough clinical examination and ultrasound.......

Keywords: Incisional Hernia, preperitoneal(sublay), onlay,meshplasty.

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Abstract: Vascular changes in the patients with the Diabetes mellitus had significant role to develop Diabetic retinopathy and higher mean Carotid intima media thickness (CIMT) value. Thus the main aim of this study was, to correlate the mean CIMT with Diabetic retinopathy. Total 158 patients with diabetic, were included in this cross sectional study which was conducted at out-patients department at MLB Medical College, Jhansi, (U.P.) from May 2018 to October 2019. Patients below 15 year of age group and patients with history of any retinal surgery were excluded from the study. All necessary information and investigations were noted. Ocular examination includes Visual acuity, slit lamp examination, direct/Indirect ophthalmoscopy, OCT and Fundus Fluorescein angiography (FFA) was done. Then all patients sent for CIMT measurement via B- mode ultrasound. In this study the male female ratio......

Keywords: B- mode ultrasound, CIMT, Diabetic retinopathy, Direct/Indirect Ophthalmoscopy, FFA, Lipid profile, OCT

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Abstract: Disinfection of root canal plays a major role on long term success of endodontic treatment .Reduction of endodontic microbiota has been achieved by series of antimicrobial stratigies that include preparation ,irrigation,intracanal medicaments and root canal filling materials.it was suggested that when antibiotics were applied locally into infected root canals instead of systematic administration ,it wouldreduce the risk of adverse sysytemic effects. Due to polymicrobial nature of infected root canal multiple antibiotic formulation might be recquiredRecently triple antibiotic paste containing ciprofloxacin,metronidazole and minocycline has been introduced for lesion sterilization and repair.Hence,The study concluded that triple antibiotic paste has the greatest effectivenessagainst E. faecalis to completely eradicate bacteria..

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Abstract: Fractures of the proximal humerus are complex injuries with significant morbidity .Although various options of management available including non- operative management are present the choice of treatment depends upon the pattern of the fracture, the quality of the bone encountered, the patient's goals and the surgeon's familiarity with the techniques. The aim of this study was to review the functional, radiographic results and complications of the operative procedure in a series of twenty patients. Over a two year period we treated twenty patients with two part fractures, three part fractures, four part fractures and fracture dislocations. Initial pre operative clinical and radiological assessment was done and appropriate mode of treatment of given depending upon type of fracture according Neer's classification. Follow up of patient was done both clinically and radiologically at 2nd, 6th and 8th weeks and assessed for any complications. Final assessment......

Keywords: Proximal end of humerus, internal fixation, rehabilitation, Neer's shoulder score

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Abstract: Cerebrovascular diseases are the third leading cause of death after heart disease and cancer in developed countries. Intracerebral hemorrhage (ICH) is a common devastating neurologic event that causes high morbidity and mortality with profound economic implication. ICH will seem to continue to be an important problem in both India and other developed countries. Nontraumatic ICH occurs due to bleeding from a vascular source directly into the brain substance. It is a major public health problem[1] with an annual incidence of 10–30/100,000 population,[1,2] accounting for 2 million (10–15%)[3] of about 15 million strokes worldwide each year.[4] Primary or Spontaneous intra-cerebral hemorrhage (ICH), which is defined as spontaneous rupture of the intra-cerebral small vessels following cerebral vessel wall degeneration due to frequent chronic hypertension or rarely to cerebral amyloid angiopathy........

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Abstract: Pediatric cases in otolaryngology presents a real challenge both to the patient their parents and the treating doctor himself. The present study was aimed to determine the variety of pediatric cases coming to the department of Otolaryngology in a rural tertiary care center of south India. Material and Methods: A retrospective study was conducted by evaluating the Departmental records from 1st January 2018 to 31st December 2018, taking into consideration all the patients who have undergone elective or emergency surgeries and all the clinical procedures performed in the outpatient department with or without anesthesia......

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