iosr-JDMS   Volume-18 ~ Issue-3 ~ March-2019

Abstract: The purpose of the paper is to report a case of development of neuroleptic malignant syndrome (NMS), in a 55year old Assamese male patient receiving low dose oral haloperidol 2.5mg/day and Trihexyphenidyl 4mg /day in divided doses which he was tolerating well until after the addition of oral Donepezil 5mg /day following which he developed NMS. Antipsychotics and cholinesterase inhibitor have direct propensity to induce neuroleptic malignant syndrome but it is a very rare event, when given in together they undergo complex interaction to induce NMS and therefore should be chosen very carefully............

Keywords: Haloperidol, Donepezil, Alzheimer's disease, neuroleptic malignant syndrome

[1]. Cerejeira, J., Lagarto,L., and Mukaetova-Ladinska, E.B.(2012). Behavioralandpsychologicalsymptomsofdementia. doi: 10.3389/fneur.2012.00073
[2]. Shimizu, S. et al. Interaction between anti-Alzheimer and antipsychotic drugs in modulating extrapyramidal motor disorders in mice Journal of Pharmacological Sciences 127 (2015) 439-445.
[3]. ICD-10
[4]. Mican, L.M., Schulenberg, S., In the Balance: A Case of Neuroleptic Malignant Syndrome When Donepezil Is Added to Maintenance Haloperidol Decanoate,Journal of Pharmacy Technology2014, Vol. 30(6) 235–239
[5]. Teng, P. R. et al. Olanzapine-Induced Neuroleptic Malignant Syndrome in a Patient With Probable Dementia With Lewy Bodies, J Neuropsychiatry Clin Neurosci 24:4, Fall 2012.

Abstract: Background: The effect of percutaneous balloon mitral valvuloplasty (PBMV) on left ventricular function in patients with rheumatic severe mitral stenosis (MS) has been controversial for decades. Our aim is to study the effect of PBMV on left ventricular (LV) performance by strain imaging Methods: In this prospective study, we included 74 patients with rheumatic severe MS requiring PBMV. The echocardiographic parameters studied were left ventricular ejection fraction (LVEF), mitral annular systolic velocity (MASV), mitral annular early diastolic velocity (E'), mitral annular plane systolic excursion (MAPSE) and myocardial performance index (MPI). Strain parameters were studied by speckle tracking echocardiography. Six minute walk distance (6MWD) was measured. Results: Out of the 74 patients, 48..........

[1]. Pastore S, De Cunto A, Benettoni A, Berton E, Taddio A, Lepore L. The resurgence of rheumatic fever in a developed country area: the role of echocardiography. Rheumatology 2011;50:396-400.
[2]. Chandrashekhar Y, Westaby S, Narula J. Mitral stenosis. Lancet 2009;374:1271-83.
[3]. Wang CR, Liu CC, Li YH, Liu MF. Adult-onset acute rheumatic fever: possible resurgence in southern Taiwan. J Clin Rheumatol 2005;11:146–9.

[4]. Heimdal A, Støylen A, Torp H, Skjaerpe T. Real-time strain rate imaging of the left ventricle by ultrasound. J Am Soc Echocardiogr 1998;11:1013-9.

[5]. D'hooge J, Heimdal A, Jamal F, Kukulski T, Bijnens B, Rademakers F, et al. Regional strain and strain rate measurements by cardiac ultrasound: Principles, implementation and limitations. Eur J Echocardiogr 2000;1:154-70

Abstract: Purpose: This clinical study was conducted to periodically evaluate retention forces of two implants retained complete mandibular overdenture with Zircon-PEEK telescopic attachment.
Materials and methods: Six completely edentulous patients of both sexes and average age of 60 years old were selected for this study. Each patient received two implants in the mandibular canine regions. Maxillary conventional complete dentures were constructed against mandibular overdentures for all patients. Zircon-PEEK telescopic attachmentswere fabricated to retain the overdentures where primary crowns were made of zirconia and secondary ones were made.........

[1]. Carlsson GE, Kronström M, de Baat C, Cune M, Davis D, Garefis P, Heo SJ, Jokstad A, Matsuura M, Närhi T, Ow R, Pissiotis A, Sato H, Zarb GA. A survey of the use of mandibular implant overdentures in 10 countries. Int J Prosthodont 2004;17:211-7.
[2]. Alsabeeha NH, Payne AG, Swain MV. Attachment systems for mandibular two-implant overdentures: a review of in vitro investigations on retention and wear features. Int J Prosthodont. 2009;22:429-40.
[3]. Langer Y, Langer A : Tooth-supported telescopic prosthesesin compromised dentitions: a clinical report. J Prosthet Dent 2000;84(2):129-132.

[4]. Widbom T, Löfquist L, Widbom C, Söderfeldt B, Kronström M.: Tooth-supported telescopic crown-retained dentures: an up to 9-year retrospective clinical follow-up study.Int J Prosthodont. 2004 Jan-Feb; 17(1):29-34
[5]. Manicone P, Rossi Iommetti P, Raffaelli L.: An overview of zirconia ceramics: Basic properties and clinical applications. J Dent, 2007; 35(11): 819-826.

Abstract: Introduction: Emergency physicians constantly have to choose the most accurate therapeutic plan for the patients based on the severity and prognosis of the disease andalso deal with the worries and concerns of the patients' relatives. Sequential Organ Failure Assessment (SOFA) is one of the scoring systems used for assessing the severity of disease in critically ill patients and predicting their outcome.It is based on evaluating the function of six vital organs. Aim: The present study was aimed to assess the ability of SOFA score to predict mortality in the ICU of a tertiary care hospital in central Maharashtra. ResultsIn our study the mean SOFA........

Keywords: SOFA, ICU, ORGAN FAILURE, PROGNOSTICATION

[1]. Trzeciak S, Rivers E. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emerg Med J.2003;20(5):402-5. PMID:12954674
[2]. Carstensen S, Nelson GC, Hansen PS, et al. Field triage to primary angioplasty combined with emergency department bypass reduces treatment delays and is associated with improved outcome. Eur Heart J. 2007;28(19):2313-2319. DOI: https://doi.org/10.1093/eurheartj/ehm306
[3]. Babl FE, Lyttle MD, Bressan S, et al. A prospective observational study to assess the diagnostic accuracy of clinical decision rules for children presenting to emergency departments after head injuries (protocol): the Australasian Paediatric Head Injury Rules Study (APHIRST). BMC Pediatr. 2014;14(1):148. DOI: https://doi.org/10.1186/1471-2431-14-148

[4]. Mommsen P, Zeckey C, Andruszkow H, et al. Comparison of different thoracic

[5]. trauma scoring systems in regards to prediction of post-traumatic complications and outcome in blunt chest trauma. J Surg Res. 2012;176(1):239e247. DOI: https://doi.org/10.1016/j.jss.2011.09.018

Abstract: In the present study, I have done a randomized, prospective comparative study of ―LAPAROSCOPIC VERSUS OPEN HERNIOTOMY IN PAEDIATRIC AGE GROUP OF 5 TO 12 YEARS‖. In the Department of Surgery, R.G. Kar Medical College and Hospital, Kolkata, from January 2014 to June 2015. The aim of this study was to evaluate and compare the advantages and disadvantages between laparoscopic herniotomy and open herniotomy in patients with inguinal hernia. After randomisation, 60 patients that were included in the study group. Among them, 30 patients underwent laparoscopic herniotomy and 30 patients underwent open herniotomy. All the patients allocated to the two groups underwent the assigned procedure.........

Key words: LAPAROSCOPIC, OPEN, HERNIOTOMY , PAEDIATRIC AGE

[1] Potts, W.J., Riker, W.L., Lewis, J.E. The treatment of inguinal hernia in infants and children. Ann 132: 566.
[2] Singer C. Galen on Anatomical procedures. London 1956, Oxford University press.
[3] Cooper, A.P. The anatomy and surgical treatment of abdominal hernia. London, 1804-1807, Longman & Co.
[4] Lister, J. On a new method of treating compound fracture, abscess etc. with observations on the conditions of suppuration. Lancet, 1867; 1: 326.
[5] Potts, W.J., Riker, W.L., Lewis, J.E. The treatment of inguinal hernia in infants and children. Ann Surg. 1950; 132: 566.

Abstract: The urinary tract infection is a significant cause of morbidity and mortality in Pediatric age group.The studies have shown that urinary tract infections in pediatric age group are poentialiy dangerous,because they are the forerunners of several renal diseases in the adulthood.The following study has been done amongst children admitted in the department of Pediatrics,RIMS,Ranchi to see the urinary tract infection is not isolated even but associated with systemic diseases. Detailed history and complete clinical examination was done.laboratory investigations were carried out........

Keywords: Urinary tract infection, pediatric age group, systemic diseases, examination, investigations

[1]. IAP Textbook of Pediatrics,5TH Edition
[2]. Ghai Essential Paediatrics -Vinod K Paul,, Arvind Bagga ; 9TH Edition 2019
[3]. Nelson Textbook of Pediatrics,,20TH Edition
[4]. The Indian Journal of Medical Research ,January, 2010: From North India Paediatric urinary tract infection in a tertiary care centre
[5]. Belapurkar KM,Taluja RK,Kaul KK.Urinary tract infection: clinical features and radiological observations.Indian Pediatr.1970;7(8):442-8

Abstract: The conventional Inferior alveolar nerve block is the most commonly used nerve block technique for locally anaesthetizing the inferior alveolar nerve during minor and major mandibular surgical procedures. The inferior alveolar nerve passes through the mandibular foramen along with the mandibular vessels. In close association with the mandibular foramen is an elevated bony process known as the lingula. The foramen and the lingula, because of their relation to the inferior alveolar nerve are of clinical significance for the orodental surgeons.The lingula is used for identifying the approximate area of the mandibular foramen for determining the site of deposition of local anesthetic for inferior alveolar nerve blockage or for excision of nerve for facial neuralgia and other major surgical procedures........

Key words: IANB, Lingula, Mandibular foramen

[1]. Dover WS. The mandibular block injections it sometimes fails. J Dent Assoc South Afr. 1971;26:373–7.
[2]. Johnson TM, Badovinac R, Shaefer J. Teaching alternatives to the standard inferior alveolar nerve block in dental education: outcomes in clinical practice. J Dent Educ. 2007;71:1145–52.[PubMed]
[3]. F. Acebal-Bianco, P. L. Vuylsteke, M. Y. Mommaerts, and C. A. De Clercq, "Perioperative complications in corrective facial orthopaedic surgery 5- yearretrospectivestudy," Journal of Oral and Maxillofacial Surgery, vol. 58, no. 7, pp. 754–760, 2000. }
[4]. Monnazzi MS, Passeri LA, Gabrielli MF, Bolini PD, de Carvalho WR, da Costa Machado H. Anatomic study of the mandibular foramen, lingula and antilingula in dry mandibles, and its statistical relationship between the true lingula and the antilingula. Int J Oral MaxillofacSurg 41: 74-82012.
[5]. Jansisyanont P, Apinhasmit W, Chompoopong S. Shape, height, and location of the lingula for sagittal ramus osteotomy in Thais. ClinAnat 22:787-932009.

Abstract: Aim: To Study the incidence of Salivary Gland Tumors In Bundelkhand Region. Material And Method: The Tissue Material For The Study Was Obtained From Various Out-Patients And In-Patients Admitted In ENT And Surgery Department In MLB Medical College , Jhansi From January 2014 To July 2015.A Total Of 21 Cases Were Collected. Results: Data of 21 cases of SGTs were recorded, of which 14 (66.6%) cases were classified as benign tumors and 07 (33.34%) cases as malignant tumors. Male to female ratio (M/F) and the mean age of patients were 1:1.3 and 45 years, respectively. Pleomorphic adenoma (71.4%) was the most common benign neoplasms. Mucoepidermoid carcinoma(42.8%) was the most common malignant salivary neoplasm overall.........

Keywords: SGTs-Salivary Gland Tumors

[1]. Marsden ATH. : Distinctive Features of tumours of salivary glands in Malaya Brit. J. Cancer, 1951; 5 : 375.
[2]. Munjal S., Tanden PL, Hafeez MA, : Tumours salivary glands, Indian. J. Surg., 1971; 33, 179-187.
[3]. Fenn A.S., Gammon KM.., Krishna K.V. and Rao P.S.V. Salivary gland tumours. Ind. J. Surg., 1982; 44: 101-104
[4]. Healey W.V., Perzin K.H., Smith L.: Mucoepidermoid carcinoma of salivary gland origin : Classification. Clinicopathologic correlation and results of treatment, Cancer, 1970; 26, 368-388.
[5]. Singh N, Mehdiratta KS, Satyanand : A study of salivary tumours-Ten year review from 1956-1965, Ind J. Surg. June 1968; 193-206.

Abstract: A Clinical study on Cranioplasty-early and late in our institute. Cranioplasty is an increasingly common procedure performed in neurosurgical centres following a decompressive craniectomy, however, timing of the procedure varies greatly. Objectives: The aim of this study is to compare the surgical outcomes of an early compared to a late cranioplasty procedure. Methods: Fourty adult patients who underwent a cranioplasty between 2016 and 2019, in KGH / AMC, Visakhapatnam..........

Key Words: Cranioplasty,Early,Late,

[1]. Agarwalla PK, Stapleton CJ, Ogilvy CS (2014) Craniectomy in acute ischemic stroke. Neurosurgery 74(1):S151–S162
[2]. Archavlis E, Carvi Y, Nievas M (2012) The impact of timing of cranioplasty in patients with large cranial defects after decom-pressive hemicraniectomy. Acta Neurochir 154(6):1055–1062
[3]. Archavlis E, Nievas MC (2012) Cranioplasty after supratentorial decompressive craniectomy: when is the optimal timing. Nervenarzt 83(6):751–758
[4]. Ashayeri K, Jackson M, Huang J et al (2016) Syndrome of the trephined: a systematic review. Neurosurgery 79:525–534
[5]. Borger V, Schuss P, Kinfer TM et al (2016) Decompressive craniectomy for stroke: early cranioplasty is a predictor for postop-erative complications. World Neurosurg 92:83–88

Abstract: Aim and Objective: To compare the effect of aspiration withIntralesional Triamcinolone Acetonide Injection and aspiration alone in dorsal wrist ganglions. Material and Method: This was a prospective study done from Aug 2014 to Aug 2016 in department of general surgery Dr. SusheelaTiwari Government Medical College and Hospital Haldwani, Nainital, Uttarakhand. a total number of 88 Patients with dorsal wrist ganglions were offered treatment in two groups: 1- aspiration alone in 48 patients, 2-aspiration withIntralesional Triamcinolone Acetonide Injectioninto the cyst in 40 patients. Follow up was done at 1, 3, 6 and 12 months. Results: Successful treatment in group 1 was seen in 18........

Key words: Aspiration,Intralesional Triamcinolone Acetonide,Dorsal Wrist Ganglion, GMC Haldwani

[1]. Edward A. Athanasian. Bone and soft tissue tumors in: Scott W Wolf, Robert N Hotchkiss, William C Pederson, Scott H Kozin, Green's Operative Hand Surgery. Vol. 2, Elsevier Churchill Livingstone, 2011: 2150-2156.
[2]. Westbrook AP, Stephen AB, Oni J, Davis TR. Ganglion: the patient's perception. J Hand Surg (Br) 2000;25:566-567.
[3]. Gude W, Morelli V. Ganglion cysts of the wrist: pathophysiology, clinical picture, and management. Curr Rev Musculoskeletal Med 2008;1(3-4):205–211.
[4]. Dias JJ, Dhukaram V, Kumar P. The natural history of untreated dorsal wrist ganglion and patient reported outcome 6 years after intervention. J Hand Surg Eur 2007;32(5):502-508.
[5]. Nahra ME, Bucchieri JS. Ganglion cysts and other tumor related conditions of the hand and wrist. Hand Clin 2004;20(3):249–260.

Abstract: BACKGROUND:Patients with non ST elevation acute myocardial infarction(NSTEMI) and unstable angina (UA) have a wide variation in their disease severity.Thus,risk stratification is essential for adequate clinical decision-making. The accuracy of the GRACE, TIMI and PURSUIT scores in predicting coronary disease with NSTEMI/UA has not been established. AIM:The aim of the study was to correlate clinical risk scores with angiographic extent of coronary artery disease(CAD) in patients with NSTEMI and UA and their sixmonth outcomes. METHODOLOGY: It is a single centre, prospective study conducted ina tertiaryhealth care centre atTirupati, Indiabetween June 2016 to May 2017...........

[1]. Reddy KS and Yusuf S. Emerging epidemic of cardiovascular disease indeveloping countries. Circulation.1998; 97: 596-601.
[2]. Terkelsen CJ, Lassen JF, Norgaard BL, Gerdes JC, Jensen T, GotzscheLB,etal., Mortality rates in patients with ST-elevation versus non-ST-elevation acute myocardial infarction: observations from an unselected cohort. Eur Heart J. 2005; 26: 18-26.
[3]. Braunwald E, Antman EM, Beasley JW,Califf RM, CheitlinMD,Hochman JS, et al., ACC/ AHA guidelines for themanagement of patients with unstable angina and non ST segment myocardial infarction: a report of the ACC/ AHA Task Force on Practice Guidelines(Committee on the management of patients with Unstable Angina).J Am CollCardiol. 2000;36:970-72.
[4]. European Society of Cardiology (ESC).Eur Heart J. 2011 Sep 21Maciejewski P, Lewandowski P, Wasek W and Budaj A. Assessment of the prognostic value of coronary angiography in patients with non-ST segment elevation myocardial Infarction. Kardiol Pol. 2013; 71(2):136-42.
[5]. Ramsay G, Podogrodzka M, McClure C and Fox KA. Risk prediction in patients presenting with suspected cardiac pain: the GRACE and TIMI risk scores versus clinical evaluation. QJM. 2007; 100:11-18.

Abstract: Complex odontoma is an agglomerate of all the dental tissues that are characterized by normal histodifferentiation and abnormal morphodifferentiation producing little or no resemblance to normal tooth form. They are usually characterized by slow growth, nonaggressive behaviour and is asymptomatic but often associated with eruption disturbances. An interesting case of unusually large multiple complex odontoma in the maxillary anterior region and its comprehensive management is discussed in detail in this paper.

Keywords: Complex odontoma, Compound Odontoma

[1]. Shafer WG, Hine MK, Levy BM. A textbook of oral pathology. 4th. 1983.
[2]. Kramer IRH, Pindborg JJ, Shear M. The WHO histological typing of odontogenic tumours. A commentary on the second edition. Cancer. 1992;70(12):2988-2994.
[3]. Stajcic ZZ. Odontoma associated with a primary tooth. J Pedod. 1988;12(4):415.
[4]. Yildirim-Öz G, Tosun G, Kiziloḡlu D, Durmuş E, Şener Y. An unusual association of odontomas with primary teeth. Eur J Dent. 2007;1(1):45.
[5]. An S-Y, An C-H, Choi K-S. Odontoma: a retrospective study of 73 cases. Imaging Sci Dent. 2012;42(2):77-81.

Abstract: Background: Ultrasound is useful in lung and pleural evaluation due to its real-time response characteristics. Add to that, its portability, bed-side availability and absence of ionizing radiation; therefore, it is a safe technique for all patients. It can evaluate abnormalities in the peripheral lung parenchyma, pleura and chest wall. It may also be used to guide invasive procedures, such as pleural puncture, biopsy and chest tube insertion.Aim of the Work: to evaluate the role of ultrasound for diagnosis and assessment of different pleural lesions and the possibility to differentiate between benign and malignant pleural diseases. Patients and methods: This study was conducted on 30.........

Key words: Chest Ultrasound, Pleural Lesions

[1]. Elmahalawy II, Doha NM, Ebeid OM, Abdel-Hady MA, Saied O. Role of thoracic ultrasound in diagnosis of pulmonary and pleural diseases in critically ill patients. Egyptian Journal of Chest Diseases and Tuberculosis. 2017 Apr 1;66(2):261-6.
[2]. Soni, N. J., Franco, R., Velez, M. I., Schnobrich, D., Dancel, R., Restrepo, M. I. and Mayo, P. H. (2015), Ultrasound in the diagnosis and management of pleural effusions. J. Hosp. Med., 10: 811–816. doi:10.1002/jhm.2434.
[3]. Sperandeo M, Catalano D, Melillo N, Foti T, Trovato GM, (2014): Thoracic Ultrasound for Pleural Effusion: Traps & tricks. Shortness of Breath; 3 (1): 28-35.
[4]. Donnelly EF. Ultrasonography in the diagnosis and management of pleural diseases.TTDPlevraBülteni. 2008;2(3):81-6.
[5]. Kallashi N, Hoxhaj A, Vyshka G. The Role of Ultrasonography in the Diagnosis of Pleural Disorders.

Abstract: Introduction: We report case series showing functional evaluation of volar locking plate fixation of distal radius fractures. Considering the high frequency of distal end radius fractures and scarcity of data regarding the optimal treatment, the present study was undertaken to assess functional evaluation of fractures of lower end radius treated with volar locking plate fixation followed by early mobilization of wrist joint. Material And Methods: A Prospective study of 30 patients with distal radius fractures treated with open reduction and internal fixation with volar locking plates in all the patients coming at rockland hospital qutub institutional area,new delhi. Results: In the present study 76.7% of the patients were males and 23.3% of the patients were females. The male to female ratio was 3.3........

Keywords: Distal radius fracture ,volar locking plate, Functional results.

[1]. Paul W Thompson, Julia Taylor, Adrian Dawson .The annual incidence and seasonal variation of fractures of the distal radius in men and women over 25 years in Dorset.2004;35(5): 462 – 6.
[2]. Arora R, Gabl M, Erhart S, Schmidle G, Dallapozza C, Lutz M. Aspects of Current Management of Distal Radius Fractures in the Elderly Individuals. Geriatric Orthopaedic Surgery & Rehabilitation. 2011;2(5-6):187-94.
[3]. Arora J, Kapoor H, Malik A, Bansal M. Closed reduction and plaster cast immobilization Vs. external fixation in comminuted intra-articular fractures of distal radius. 2004 ; 38 ( 2): 113-7.
[4]. Khan JI, Hussain FN, Mehmood T, Adil O. A comparative study of functional outcome of treatment of intra articular fractures of distal radius fixed with percutaneous Kirschner's wires vs T-plate. Pakistan Journal of Medical Sciences. 2017;33(3):709-13.
[5]. Ruch DS, Papadonikolakis A. Volar versus dorsal plating in the management of intra-articular distal radius fractures. J Hand Surg Amer. 2006;31:9-16.

Abstract: For the last three decades, different colorectal related to minimally invasive surgery techniques were developed. Those techniques reduced postoperative pain; wound complications also enhanced early reinitiating of bowel function and also decreased hospital stay duration. But incision formation for colorectal specimen retraction through abdominal wall 'mini-laparotomy' negatively impacts those advantages of minimally invasive surgery. Natural orifice specimen extraction (NOSE), which is the extraction of the specimen via normal anatomical openings connected to the external environment such as Anus and Vagina. The establishment of this technique is to eliminate the abdominal.........

Keywords: Natural orifices specimen extraction; Colorectal surgery; NOSE

[1]. Global Burden of Disease Cancer Collaboration. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015 a systematic analysis for the global burden of disease study. JAMA Oncol. 2017;3:524e548.
[2]. Clinical Outcomes of Surgical Therapy Study Group, Nelson H, Sargent DJ, Wieand HS, et al. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350(20):2050–2059.
[3]. Colon Cancer Laparoscopic or Open Resection Study Group, Buunen M, Veldkamp R, Hop WC, et al. Survival after laparoscopic surgery ver- sus open surgery for colon cancer: long-term outcome of a randomised clinical trial. Lancet Oncol. 2009;10(1):44–52.
[4]. Kennedy GD, Heise C, Rajamanickam V, Harms B, Foley EF. Lapa- roscopy decreases postoperative complication rates after abdominal colectomy: results from the national surgical quality improvement program. Ann Surg. 2009;249(4):596–601.
[5]. Hackert T, Uhl W, Buchler MW. Specimen retrieval in laparoscopic colon surgery. Dig Surg. 2002;19(6):502–506.