iosr-JDMS   Volume-18 ~ Issue-2 ~ February-2019

Abstract: Tooth wear is attributed to several factors many of which often remain unidentified. Most of the problems arise from age related occlusal wear, loss of posterior support due to loss of teeth, periodontal and endodontic involvement of teeth. Patients with such condition may require extensive restorative procedures to achieve appropriate function, esthetics and comfort. This clinical report describes the full mouth rehabilitation of a severely worn out dentition in functional harmony with the stomatognathic system. Twin stage procedure was adopted to produce definite amount of disocclusion during eccentric movements..

Key Words: Full mouth rehabilitation, occlusal wear, twin stage procedure, disocclusion

[1]. Chase W. Appraisal of full coverage and mouth rehabilitation. J Prosthet Dent 1964;14:87-90.
[2]. Neelakantan P., John S, Subbarao C.V. Restoring function and esthetics in a pair of twins with amelogenesis imperfecta. J Indian Prosthodont Soc 2009;9(2):105-108.
[3]. Hegde C., Krishna D.P., Jacob S.J. and Shetty M. Full mouth rehabilitation of a severely worn out dentition to functional harmony. J Indian Prosthodont Soc 2009;9(3):164-166.
[4]. Damico A. Function occlusion of teeth natural teeth in man. J Prosthet Dent 1961;11:899-915.
[5]. Stuart CE. Good occlusion for natural teeth. J Prosthet Dent 1964;14:716-724.

Abstract: Epidermodysplasia Verruciformis (EDV), is a rare autosomal recessive genodermatosis with cases linked to chromosome X, and attributed to infection by specific types of Human Papilloma Virus (HPV) in immunologically deficient individual. There is an increased prevalence and decreased clearance of HPV infections in HIV infected patients. Malignant change occurs in about 20-30% cases mainly on sun exposed areas. Clinically presents as plane warts, reddish verrucous plaques or pityriasis versicolor like lesions mostly on sun exposed sites. There is no effective treatment. We present an 19 years old married HIV positive female case with asympotamatic hypopigmented macules and flat topped papules on face, neck, trunk and upper extremities since 4months. Punch biopsy of lesion on forearm showed epidermal acanthosis, hypergranulosis, hyperkeratosis, mild papillomatosis, enlarged........

Keywords : Epidermodysplasia Verruciformis, Human Papilloma Virus, Pityriasis versicolor

[1]. Kaushal A, Silver S, Kasper K, Severini A, Hamza S, Keynan Y. Epidermodysplasia verruciformis in an HIV-infected man: a case report and review of the literature. Topics in Antiviral Medicine. 2012 Dec;20(5):173. [2]. Sterling JC. Viral Infections. In Griffiths CEM, Barker J, Bleiker T, Chalmers R, Creamer D, editors. Rook's Textbook of Dermatology. New Delhi: Wiley and Blackwell; 2016. [3]. Berk DR, Bruckner AL, Lu D. Epidermodysplasia verruciform-like Lesions in an HIV patient. Dermatology online journal. 2009 January; 15(1): p. 1-5.

[4]. Sharma S, Barman KD, Sarkar R, Manjhi M, Garg VK. Efficacy of oral zinc therapy in epidermodysplasia verruciformis with squamous cell carcinoma. Indian dermatology online journal. 2014 Jan;5(1):55.

[5]. Cutlan JE, Rashid RM, Torres-Cabala C, Tyring SK, Thomas V. Epidermodysplasia verruciformis after cutaneous T-cell lymphoma: Periungual presentation. Dermatology online journal. 2010 Aug 1;16(8).

Abstract: Aim: The aim of the study was to evaluate and compare pain experienced during insertion of needle and administration of local anaesthesia on the palate, with VibraJect (a vibrating attachment to the conventional syringe) and conventional syringe. The purpose of the study was to investigate the efficacy of the VibraJect dental syringe attachment in reducing pain and discomfort during administration of palatal block and procedural anxiety in patient undergoing dental treatment. Materials and methods: A total of 50 patients with bilaterally posterior teeth were enrolled in this split mouth randomized controlled clinical study. The pain.....

Keywords:Palatal Injection Pain, Vibraject Gate, Control Theory

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[4]. Touyz LZ, Lamontagne P, Smith BE. Pain and anxiety reduction using a manual stimulation distraction device when administering local analgesia oro-dental injections: A multi-center clinical investigation. J Clin Dent 2004;15:88-92
[5]. Dilip Kothari DENTALANAESTHESIA:AN OVERVIEW Review article Annals and Essences of Dentistry Vol. V Issue 3 jul –Sep 2013

Abstract: Maternal Hypotension during spinal anesthesia is an undesirable and it causes detrimental maternal and fetal effects. Numerous methods have been tried to minimize hypotension which include fluid preloading, left uterine displacement and use of vasopressor drugs. This study was aimed at comparing the efficacy of IV mephentermine and phenylephrine for maintenance of arterial blood pressure during spinal anesthesia. Materials and methods: Sixty American society of anaesthesiologist (ASA) type I and type II patients between the age group of 18 to 35 years undergoing elective as well as emergency caesarean section under spinal anesthesia who developed hypotension after subarachnoid block were selected and randomly allocated into two groups of 30 each to receive Group P – phenylephrine 100mcg, Group M – mephentermine 6mg as bolus IV and repeated if required......

[1]. Parameshwara G. spinal, epidural to combined spinal epidural analgesia. The history of central neuraxial block. Indian journal of anaesthesia2001;45(6):406.
[2]. Wright RG, Shnider SM. Hypotension and regional anaesthesia. In: Shnider SM, Levison G. editors. Anaesthesia for obstetrics, 3rd ed. Baltimore: Williams and Wilkins; 1993.p. 397-406
[3]. Rasanen, J., Alahuhtat,S., Kangas-Saarelat, T., Jouppilat,R. and Jouppila, P. (1991) The effects of ephedrine and etilefrine on uterine and fetal blood flow and on fetal myocardial function during spinal anaesthesia for caesarean section. International Journal of Obstetric Anaesthesia,
[4]. Miller,R.D. (2010) Millers anaesthesia. 7th edition, Churchill Livingstone, Philadelphia.
[5]. Ngan Kee,W.D, Khaw, K.S, Ng, F.F. and Lee, B.b.(2004) Prophylactic phenylephrine infusion for preventing hypotension during spinal anaesthesia for caesarean delivery. Anaesthesia and analgesia, 98, 815-821.

Abstract: Menstrual dysfunction is the cause of discomfort, inconvenience and disruption of healthy lifestyle, which affects millions of women in both developed and developing world. Until recent times, usual method of evaluating this symptom was dilatation and curettage. But this detects the cause in less than 50% of the cases. Hysteroscopy offers a valuable extension of the gynecologist‟s armamentarium. It can improve the diagnostic accuracy and can permit better treatment of uterine diseases. Use of hysteroscopy in abnormal uterine bleeding is almost replacing blind curettage, as it "sees" and "decides" the cause. This is because the uterine cavity can be observed and the area in questioncan be curettage. In fact, it is aneye inthe uterus..........

[1]. Lasmar RB, Dias R, Barrozo PR, Oliveira MA, Coutinho Eda S, da Rosa DB Prevalence of hysteroscopic findings and histologic diagnoses in patients with abnormal uterine bleeding. Fertility and Sterility June 2008;89(6)1803-7
[2]. Woolcock JG, Critchley HO, Munro MG, Broder MS, Fraser IS. Review of the confusion in current and historical terminology and definitions for disturbances of menstrual bleeding. FertilSteril 2008;90(6):2269–80.
[3]. Gimpelson RJ, Rappold HO. A comparative study between panoramic hysteroscopy with directed biopsies and dilatation and curettage: a review of 276 cases. American Journal of Obstetrics and Gynecology. 1988 Mar 1;158(3):489-92.
[4]. Gita G. Surpreet S, Arvind L, Sakshi K. Hysteroscopy in evaluation of abnormal uterine. J obstetGynecol India. 2011;61(5):546-9.

[5]. Reethu V., Sujatha M.S. Role of hysteroscopy in abnormal uterine bleeding in perimenopausal age group. Journal of Evolution of Medical and Dental Sciences/Volume 2/Issue 10/march11,2013

Abstract: Aim: To study the prevalence of Rh negative ABO blood group antigens in a tertiary care hospital, North-east India. Objective: To find out the prevalence of Rh negative ABO blood groups in a tertiary care hospital. To identify the commonest type of Rh negative ABO blood group. Methods and Materials: it is a retrospective study over last 5 years( 2013 to 2018 February) done at blood bank of Tripura Medical College among voluntary blood donors. Result: Total of 10000 cases over last 5 years ( 2013 to 2018, February) are studied and Rh negative ABO blood group cases are 329(3.29%) and O blood group shares the maximum (1.31 %) of Rh negative type. Conclusion: The frequency of Rhesus (D) negative ABO blood group antigens is very low. The blood bank services need to develop innovative strategies targeting donors who are more likely to boost blood stocks in the region in reducing mismatched blood transfusion, maternal mortality rate and haemolytic disease in newborn, by assuring safe and sufficient blood supply when needed.

Keyword: ABO blood group, Rhesus blood group.

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[2]. Gundrajukuppam DK, Vijaya SB, Rajendran A, Sarella JD. Prevalence of principal Rh blood group antigens in blood donors at the blood bank of a Tertiary Care Hospital in Southern India. J Clin Diagn Res. 2016;10(5):EC07–10.
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[5]. Chavhan, Aravind Allelic Frequency of ABO And Rh D Blood Group Among The Banjara Caste Population of Akola District, Maharashtra, India. 2011. Available from Nature Precedings http://dx.doi.org/10.1038/npre.2011.5771.1 ..

Abstract: In India each year about 125,000 women die from pregnancy related causes(1,2.) At least 1/5 th of these deaths are caused by induced abortion, sepsis being one of the causes. In the majority of cases the infection occurs following illegal induced abortion but can occur even after spontaneous abortion. Abortion was legalized in our country through MTP act in 1971, still the incidence of septic abortion ranges from 2 –10%.(3,4) Septic abortion is the major life threatening complication that could be tackled significantly through good quality health care. The common cause is abortion by untrained personnel, dais and quacks. Poverty, ignorance and non availability of trained personnel contribute to high incidence of septic abortion. These cases are mostly referred to hospitals very late after occurrence of complications leading to high maternal morbidity and mortality. Our study aims to compare...........

[1]. Hiralal K.Changing trends in septic abortion. J obstet gynec of India 1992; 42: 266 –92 [2]. Maternal mortality. http://www.icm.tn.gov.in/intersession/Matnal.htm.
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Abstract: Background: Acute respiratory tract infection is the leading cause of morbidity and mortality. Several possible mechanisms of pleural effusion have been proposed accompanying various underlying diseases like Heart failure, Pneumonia, Pleural malignancy & Cirrhosis Liver. One of the major problems world-wide is the increase in antibiotic resistant strains of bacteria, which has proved difficult to control. Objectives: To identify the presence of lactose fermenting bacilli in pleural fluid samples with their resistance pattern along with different enzyme mechanisms responsible for resistance. Material and methods: This study was carried out in Microbiology Division of Central laboratory, SMIH, Patel nagar, Dehradun. A total number of 215 samples, over a period of 12 months from November 2016 to October 2017, were collected for the examination. Out.....

Keywords: Enzyme resistance, Enterobacter spp., Piperacillin tazobactum

[1]. Bajpai T, Shrivastava G, Bhatambare GS, Deshmukh AB, Chitnis V. Microbiological profile of lower respiratory tract infections in neurological intensive care unit of a tertiary care center from Central India. Journal of basic and clinical pharmacy. 2013 Jun;4(3):51.

[2]. Porcel JM, Light RW. Diagnostic approach to pleural effusion in adults. Am Fam Physician. 2006 Apr 1;73(7):1211-20.

[3]. Rahkar Farshi M, Bilan N, Jalilzadeh-Binazar M, Teimouri-Dereshki A, Abdinia B. Evaluation and outcomes of pediatric pleural effusions in over 10 years in Northwest, Iran. International Journal of Pediatrics. 2014 Aug 1;2(3.2):41-6.

[4]. Abdollahi A, Shoar S, Saffar H, Yazdi A. Microbial and Antibiotic Susceptibility Profiles among Pleural Effusion Exudative Samples. Iranian Journal of Pathology. 2014 Jan 1;9(1):38-44.

[5]. Trivedi GR, Soni ST, Vegad MM, Yadav KS. occurrence and detection of extended spectrum [Beta]-lactamase and ampc [beta]-lactamase in clinical isolates OF Pseudomonas aeruginosa and Acinetobacter baumanii by inhibitor based method. International Journal of Microbiology Research. 2012 Jan 1;4(8):299..

Abstract: Cutaneous metastasis of internal malignancy may herald the onset, dissemination or recurrence of malignancy. Breast carcinoma is encountered by dermatologists which presents in various morphological and histological forms. Here, we present 3 cases of cutaneous metastasis of breast carcinoma with different presentations..

Key Words: Carcinoma Erysipeloides, Breast Carcinoma, Cutaneous Metastasis

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Abstract: Introduction: Exclusive breastfeeding is defined by the World Health Organization as infant feeding that consists of only breastmilk. exclusive breastfeeding for the first 6 months of life, and continued breastfeeding with age-appropriate complementary feeding until 2 years of age. This has the potential to prevent approximately 19% of all under-5 years of age deaths in the developing world, more than any other preventive intervention. Although breastfeeding rates are progressively increasing worldwide, optimal breastfeeding practices are lagging behind, especially in rural and low resource settings including rural populations in India. Therefore, understanding and identifying factors associated with suboptimal breastfeeding practices in rural and low-resource settings can help improve nutrition care in early years of life. Materials and method: A cross-sectional.........

[1]. Victora CG, Bahl R, Barros AJ, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet 2016;387:475–90.
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Abstract: Introduction: When membranes rupture before the onset of labor, it is known as premature rupture of membranes (PROM). When PROM occurs before 37 completed weeks of gestation it is termed as preterm premature rupture of membranes (p PROM).. In such cases, fetomaternal complications are substantial. Preterm pre-labor rupture of membranes (pPROM) causes one-third of preterm births and contributes to significant perinatal morbidity and mortality. Methods: A cross sectional case control study was conducted in patients with PROM who met the following inclusion criteria: (i) singleton gestation; (ii) gestational age between 15 and 36.9 weeks. All samples were collected in a single institution between........

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[4]. Garite TJ, Freeman RK: Chorioamnionitis in the preterm gestation. Obstet Gynecol 1982; 59:539–545
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Abstract: The composition of smile architecture includes pink gingiva and white tooth structure that complement each other in balance and harmony. "Black triangles" however may compromise the concord of a patient's smile. Black triangles are triangular spaces between the teeth caused due receded gingiva and/ or the absence of interdental papilla. Interdental papilla plays a significant role in establishing the harmony of smile. Its presence depends mainly on the distance between the crest of interdental alveolar bone and the base of the contact area. To increase the emergence profile and to develop natural contours at the gingival-tooth interface the conventional technique using.........

Keywords: Black triangle; Contact point; Diastema closure; Emergence profile; Gingival contouring; Interdental bone

[1]. Blatz MB, Hurzeler MB, Strub JR. Reconstruction of the lost interproximal papilla-presentation of surgical and nonsurgical approaches. Int J Periodontics Restorative Dent 1999;19:395-406.
[2]. Helvey GA. Closing diastemas and creating artificial gingiva with polymer ceramics. Compend Contin Educ Dent 2002;23:983-998.
[3]. Tarnow DP, Magner AW, Fletcher P. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol 1992;63:995-996.
[4]. Kurth JR, Kokich VG. Open gingival embrasure after orthodontic treatment in adults: prevalence and etiology. Am J Orthod Dentofacial Orthop 2001;120:116-123.
[5]. Wu YJ, Tu YK, Huang SM, Chan CP. The influence of the distance from the contact point to the crest of bone on the presence of the interproximal dental papilla. Chang Gung Med J 2003;26:822-828..

Abstract: Purpose: To study the role of long-term treatment with oral acyclovir to prevent recurrences of ocular HSV disease. Material & methods: A retrospective study was carried out in the Department of Ophthalmology at Government Medical College, Patiala, Punjab, India. A total of 50 immunocompetent patients who had had ocular HSV disease within the preceding year in the age group 25 to 45 years were selected to receive 400 mg of acyclovir orally twice daily over a period of 12 months. The history of each patient was taken including a record of age, sex, place of residence, change of place of residence, age at onset of the disease, best-corrected visual acuity was assessed and each patient was thoroughly examined with a slit lamp. Follow-up was done at 1, 3, 9 and 12 months during the.......

Keywords: Infectious epithelial keratitis ,acyclovir, dendritic ulcer, blepharitis

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Abstract: Splenic lesions due to tuberculosis are extremely rare in immune competent individuals and delay in diagnosis are frequency. Here we describe a 28 year old man presenting with pyrexia of unknown origin with no evidence of any immuno deficiency computed tomography of the abdomen showed an enlarged spleen having multiple small focal hypodense lesions later we confused to be tuberculosis etiology on histopathological examination. He had favorable expense with anti tubercular chemotherapy. We report the case of tuberculosis spleen in an immuno competent individual for its rarity and to highlight the fact that these patients can be managed by surgical / medical treatment effectively..

Keywords: Splenic tuberculosis, open-splenetomy, non-immuno compromised patient.

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Abstract: Atherosclerosis is a disease of large and medium-sized muscular arteries and is characterized by endothelial dysfunction, vascular inflammation, and the buildup of lipids, cholesterol, calcium, and cellular debris within the intima of the vessel wall. This buildup results in plaque formation, vascular remodeling, acute and chronic luminal obstruction, abnormalities of blood flow and diminished oxygen supply to target organs. Atherosclerosis- Atherosclerosis (ath"er-o-skleh-RO'sis) comes from the Greek words athero (meaning gruel or paste) and sclerosis (hardness}1 Atherosclerosis remains the major cause of death and premature disability in developed societies. Moreover, current predictions estimate that by the year 2020 cardiovascular diseases, notably atherosclerosis, will become the leading global cause of total disease burden. Although many generalized or systemic risk factors predispose to its development..........

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Abstract: There have been a number of controversies in endodontics some solved, some abandoned, some remaining. It is not to be expected that within a foreseeable future there will be rapid solutions to the issues reviewed here. Therefore, in teaching endodontics, academic institutions and continuing education courses must rely on science and supporting clinical evidence. While future sound scientific work mayresult in protocols that are effective from an outcome point of view, translation of this knowledge to the clinical profession, and the proviso under which they can be applied, will remain a challenging task for many years. A good deal of research and cognition has been expended in their behalf, but no universal agreements have been reached.

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Abstract: A retrospective study was conducted of burn patients admitted to the military hospital in Rabat, Morocco, in the 4 years period from 2015 to 2018. The epidemiological data from the 160 patients hospitalized were collected and studied. The type of burn was indicated in 158 of the patients: 93.1% of the injuries were thermal burns, 3.1% were electrical burns, and 1.3% chemical burns. The male/female sex ratio was 1.37. The mean duration of hospitalization stay was 45 days. The mean body surface area burned was 21±17%. Total mortality was 3.75%; 50% of deaths were due to septic shock. Our results were similar to data from other studies in the literature, with certain characteristics in our series, especially the age bracket most affected, the body surface area burned, and the mechanisms of injury..

Keywords: epidemiology, burn, age, sex, surface area burned

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