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

Abstract: Based on the revised ATLANTA classification of 2012, the diagnosis of acute pancreatitis requires two of the following three features
• Abdominal pain consistent with acute pancreatitis i.e acute onset of a persistent, severe, epigastric pain often radiating to the back;
• Serum lipase or serum amylase activity atleast three times greater than the upper limit of normal and
• Characteristic findings of acute pancreatitis on CECT.
Acute pancreatitis is calculated from the time of onset of abdominal pain (not the time of admission to the hospital). Pancreatitis is..........

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Abstract: Background:Worldwide, gastric cancer is the fourth most common cancer and the second leading cause of cancer death. There is a marked difference in the north and south side of India. Stomach cancer admission in South India is 4 times as frequent as North India, with a remarkable preponderance of males (20:1) versus (7:1) in rest of India. An exception to relative low incidence of gastric cancer in North India is Kashmir where the incidence is 3 to 6 times higher than in the rest of India. Methodology:A prospective study of 72 cases of carcinoma of stomach admitted in surgical wards of Government General Hospital, Kakinada.....

Keywords: gastric cancer, Pyloric antrum, vomiting

[1]. Crew, Katherine D and Alfred I Neugut. "Epidemiology of gastric cancer" World journal of gastroenterology vol. 12,3 (2006): 354-62.
[2]. Malhotra S. L Geographical distribution of gastrointestinal cancers in India with special reference to causation. Gut 1967; 361-72.
[3]. Khuroo MS, Zargam SA: Mahajan R Bandy MA. High incidence of oesophageal and gastric cancer in Kashmir in a population with special personal and dietary Habits.
[4]. Kabir MA, Barua R, Masud H, et al. Clinical presentation, histological findings and prevalence of helicobacter pylori in patients of gastric carcinoma. Faridpur Med Coll J 2011;6(2):78-81.
[5]. Kelley JR, Duggan JM. Gastric cancer epidemiology and risk factors. Journal of Clinical Epidemiology 2003;56(1):1–9.
[6]. Blot WJ, Devesa SS, Kneller RW, et al. Rising incidence of adenocarcinoma of the esophagusand gastric cardia. The Journal of the American Medical Association 1991;265(10):1287-9..

Abstract: Objective: To study the incidence of Ocular hypertension in patients above the age of 50 years using inhaled corticosteroids for the first time. Materials and methods: This study was a prospective observational study. A total number of 100 subjects above 50 years age, who were prescribed inhaled corticosteroids for the first time in the Department of pulmonology for various conditions such as chronic obstructive pulmonarydisease [COPD], Asthma and COPD overlap, Interstitial lung disease and Asthma (late onset) were included in the study. Patients were evaluated by taking history and by ophthalmic examination performed at the beginning and again at 1, 3 and 6 months. At every visit IOP was measured at same time of the.........

[1]. RamanjitSihota, Radhika Tandon. Parson's Diseases Of The Eye 21st edition; chapter 19:The Glaucomas;P.280
[2]. Royal college of ophthalmologists. Glaucoma management. Focus 1998;(6)
[3]. Kass MA et al .The ocular hypertension treatment study; topical ocular hypotensive medication delays the onset of POAG. Arch Ophthalmol 2002;120:701
[4]. Mitchell P, Cumming RG, Mackey DA. Inhaled corticosteroids, family history, and risk of glaucoma .Ophthalmology 1999; 106:2301-6.
[5]. R. Rand allingham, Karim F. Damji, Sharon F. Freeflman, Sayoko E. Moroi, Douglas J.Rhee. Shields textbook of glaucoma 6th edition; chapter 23: steroid induced glaucoma;P. 344-45.

Abstract: This cross sectionalstudy was carried out in the Dept. of Paediatrics, in Dhaka Shishu (Children) Hospital during the period from January 2013 to December 2013. The aim of our study was to identify the culture sensitivity pattern of commonly used antibiotics among Children with enteric fever in a tertiary care hospital. We selected 98 culture positive cases of enteric fever aged between 2 years and 12 years admitted in the above mentioned hospital were enrolled in this study. Majority (62.2%) of the patients belonged to 5-9 years of age. Males were dominating the study 61.22%. Around half (48.9%) of the patients came from Middle class background. Blood C/S for.........

Keywords: Antibiotic, resistance, sensitivity, enteric fever

[1]. Ivanoff, B., 1995. Typhoid fever: global situation and WHO recommendations. Southeast Asian J Trop Med Public Health, 26,(2), pp. 1-6.
[2]. Sinha, A., Sazawal, S., Kumar, R. et al. 1999.Typhoid fever in children aged less than 5 years. Lancet, 354, pp.734−737.
[3]. Ochiai, R.L., Wang, X.Y., von Siedlein, L., et al.2005.Salmonella ParatyphiA rates, Asia. Emerg. Infect. Dis, 11, pp. 1764–1766.
[4]. Gilman, R.H., Terminel, M., Levine, M.M., Hernandez-Mendoza, P., Hornick, R.B., 1975. Relative efficacy of blood, urine, rectal swab, bone marrow, and rose-spot cultures for recovery of Salmonella Typhiin typhoid fever. Lancet,1(7918), pp.1211–1213.
[5]. Saana SBB M, Adu F, Gbedema SY and Duredoh FG: Antibiotic susceptibility patterns of Salmonella typhi among patients in three hospitals in Kumasi, Ghana. Int Pharm sci Res 2014; 5(3): 855-60 doi: 10.13040/IJPSR. 0975-8282. 5(3). 855-60

Abstract: Background-Staining for Nucleolar organizing regions can be utilized as a modality to grade the glial tumours.AgNOR has advantage of being simple, ease of use, low cost and its good correlation with other proliferative markers, as their frequency within nucleus are significantly higher in malignant cells than in normal cells. Objectives-To correlate the AgNOR's mean number with the histological type and grade of high grade glial tumors. Methods-257 high grade glial tumors (140 Anaplastic Astrocytomas and 145 Glioblastomas)specimens received in the Pathology............

Keywords: Glial tumours, Anaplastic Astrocytomas, nucleor organizer region

[1]. Kumar A, Robbins F. Cotran pathologic basis of disease. Ninth Edition. 9 th edition. 2016:1306.

[2]. Houillier C, Wang X, Kaloshi G, et a1. IDHl or IDH2 mutations predict longer survival and response to temozolomide in low-grade gliomas. Neurology 2010;75:1560-1566.

[3]. Van den Bent MI, Dubbink H], Marie Y, et a1. IDHl and IDH2 mutations are prognostic but not predictive for outcome in anaplastic oligodendroglial tumors: a report of the European Organization for Research and Treatment of Cancer Brain Tumor Group. Clin Cancer Res 2010;16:1597-1604.

[4]. Inc Y, Betensky RA, Zlatescu MC, et al. Molecular subtypes of anaplastic oligodendroglioma: implications for patient management at diagnosis. Clin Cancer Res 2001;7z839-845.

[5]. McKeever PE. Insights about brain tumors gained through immunohistochemistry and in situ hybridization of nuclear and phenotypic markers. 1 Histochem Cytochem 1998;46:585-594..

Abstract: Maxillary anterior spacing is a common aesthetic complaint of patients. Midline diastema has a multifactorial etiology such as labial frenulum, microdontia, mesiodens, peg-shaped lateral incisors, agenesis, cysts, habits such as finger sucking, tongue thrusting, or lip sucking, dental malformations, genetics, proclinations, dental-skeletal discrepancies, and imperfect coalescence of interdental septum. Appropriate technique and material for effective treatment are based on time, physical, psychological, and economical limitations. Direct composite resins in diastema cases allow dentist and patient complete control of these limitations and formation of natural smile. This case report describes direct aesthetic midline diastema closure with direct composite technique......

Keywords: Diastema closure, Direct resin bonding, Midline diastema,

[1]. Murchison DF, Roeters J, Vargas MA, Chan DCN. Direct Anterior Restorations. In: Summitt JB, Robbins JW, Hilton TJ, Schwartz RS, editors. Fundamentals of Operative Dentistry: A Contemporary Approach. 3rd ed. Chicago: Quintessence; 2006. pp. 274–279.
[2]. Kim YH, Cho YB. Diastema closure with direct composite: architectural gingival contouring. J Korean Acad Conserv Dent. 2011;36:515–520.
[3]. Lenhard M. Closing diastemas with resin composite restorations. Eur J Esthet Dent. 2008;3:258–268.

[4]. Azzaldeen A, Muhamad AH. Diastema Closure with Direct Composite: Architectural Gingival Contouring. J Adv Med Dent Scie Res 2014;3(1):1-6.

[5]. Abdulgani Azzaldeen1,Watted Nezar2,Abu-Hussein Muhamad3 DIRECT BONDING IN DIASTEMA CLOSURE HIGH DRAMA, IMMEDIATE RESOLUTION: A CASE REPORT.Ijdhs2014.1(4);430-435.

Abstract: Heart is a pair of valved muscular pumps combined in a single organ(1). Blood supply of the heart is by it‟s own vascular system, called coronary system. Coronary arteries are main arteries arising from Aorta are supplying Heart.The Right coronary artery is supplies blood mainly to the right side of the Heart. Whereas left side of Heart which is the larger size and more muscular supplied by Left coronary artery. The name corona means " Crown "‟ from Latin. Name derived from notional resemblance. The main parts of the heart are the chambers, the valves, the electrical nodes and its coronary vessels .Humans have known about the heart since ancient times. Greeks were considered to have been the primary seat of scientific understanding of the heart in the ancient world. The nature.........

[1]. Henry Gray"S - Grays Anatomy - Vascular Supply And Lymphatic Drainage Of Heart Pg No. 1016- 1023
[2]. Frescura C, Basso C, Thiene G, Corrado D, Pennelli T, Angelini A, et al. Anomalous origin of coronary arteries and risk of sudden death: A study based on an autopsy population of congenital heart disease. Hum Pathol. 1998;29:689-95.
[3]. Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol. 2000;35:1493-501
[4]. Angelini P. Coronary artery anomalies: An entity in search of an identity. Circulation. 2007;115:1296-305.
[5]. Ottaviani G, Lavezzi AM, Matturri L. Sudden unexpected death in young athletes. Am J Forensic Med Pathol. 2008;29:337-9..

Abstract: INTORDUCTION Neonate to adolescent age children develop different genital dermatoses, sometimes STI may be seen in them which may be symptomatic or asymptomatic BACKGROUND AND AIMS Genital lesions in children create anxiety most often in parents and dilemma in treating physician sometimes. STI or non-STI dilemma or to treat or observe conflict usually encountered.Awareness, managing such cases in the past help the physician to treat them in right path.The present study(4 years) was taken up to know different types of genital lesions and their occurance . RESULTS In 4 years study.......

Keywords: GENITAL DERMATOSES CHILDREN STI CHILD ABUSE

[1]. Sugat A Jawade, Vishal S Chugh, Sneha K Gohil, Amit S Mistry, Dipak D Umrigar A clinico-etiological study of dermatoses in pediatric age group in tertiary health care center in South Gujarat region Indian J Dermatol 2015;60:635
[2]. Jyoti Dhawan1, Somesh Gupta1, Bhushan Kumar2 Sexually transmitted diseases in children in India Ind J DermatolVenereolLeprol 2010: 76(5) 489-493
[3]. DeepikaPandhi Sanjeev Kumar Belum Siva Nagi Reddy Sexually Transmitted Diseases in Children The Journal of Dermatology April 2003 Volume30, Issue4 Pages 314-320
[4]. Venkata Subba Reddy, ThyvalappilAnoop, SreenivasanAjayakumar, SudhamaniBindurani, Sridharan Rajiv, Joy Bifi Study of clinical spectrum of pediatric dermatoses in patients attending a Tertiary Care Center in North Kerala Ind J PaediatDermatol 2016: 17(4):267-272
[5]. Golfy Jose, Seethalakshmi Ganga Vellaisamy, NanjappachettyGovindarajan, Kannan Gopalan Prevalence of common dermatoses in school children of rural areas of Salem; a region of South India Ind J PaediatrDermatol 2017; 18(3) :202-208

Abstract: To determine the effects of diagnostic mydriasis using 1% tropicamide and 2.5% phenylephrine on the distant and near vision of patients attending the Eye Clinic of University of Port Harcourt Teaching Hospital, an interventional'within-patient' comparative hospital-based study was conducted over 3 month.The right eyes of 137 subjects requiring diagnostic mydriasis received 1% tropicamide and 2.5% phenylephrine. The left eyes served as control. Visual acuities for distance and near were assessed pre dilatation and at 130 minutes post dilatation using the Snellen's and near charts respectively.There were 137 study participants- 86 males (62.8%) and 51 females.........

[1]. UKESSAYS. Factors affecting visual acuity [cited February 18, 2019]. Available from: https://www.ukessays.com/essays/health/factors-affecting-visual-acuity.php
[2]. Siegel BS, Thompson AK, Yolton DP, Reinke AR, Yolton RL. A comparison of diagnostic outcomes with and without pupillary dilatation. J Am Optom Assoc. 1990;61(1):25–34.
[3]. Parisi ML, Scheiman M, Coulter RS. Comparison of the effectiveness of a nondilated versus dilated fundus examination in the paediatric population. J Am Optom Assoc. 1996;67(5):266–272.
[4]. Klein R, Klein BE, Neider MW, Hubbard LD, Meuer SM, Brothers RJ. Diabetic retinopathy as detected using ophthalmoscopy, a nonmydriatic camera and a standard fundus camera. Ophthalmology. 1985;92:485–491.
[5]. Kardon RH. The pupil. In: Kaufman PL, Alm A, eds. Ardler‟s physiology of the eye. 9th ed. St. Louis: Mosby; 2003. p. 713–743.

Abstract: This study was conducted to determine whether post-operative immuno nutrition in patients undergoing elective / emergency gastrointestinal anastomosis (malignant or benign disease) could improve clinical outcome. In the present study, I have done a randomized , prospective comparative study of "EFFECT OF EARLY IMMUNONUTRIENT SUPPLEMENTATION AFTER ENTERIC ANASTOMOSIS IN THE PREVENTION OF POST OPERATIVE COMPLICATIONS AS COMPARED TO CONVENTIONAL APPROACH" . In the Department of General Surgery , R G Kar Medical College and Hospital , Kolkata from January 2014 to June 2016 . The rates of infectious complications have decreased especially wound infections, anastomotic leaks decreased,rates of abdominal abscess decreased & the mean length of stay in hospital decreased by 2 days approximately. Though this study does not show any significant difference in the mortality between these two groups still it have proved that supplementing early diet in post operated gastrointestinal surgery patients with immunonutrients.

Keywords: Immunonutrient, Supplementation, Enteric Anastomosis, Post Operative Complications

[1]. Meakins JL: Host defense mechanisms in surgical patients: effect of surgery and trauma. ActaChirScandSuppl 1989;550: 43–51
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[4]. Chieveley-Williams S, Hamilton-Davies C: the role of the gut in major surgical postoperative morbidity. IntAnesthesiolClin 1999;37:81–110
[5]. Kanwar S, Windsor AC, Welsh F, Barclay Gr, Guillou PJ, reynolds JV: Lack of correlation between failure of gut barrier function and septic complications after major upper gastrointestinal surgery. Ann Surg 2000;231:88–95

Abstract: Urolithiasis is a common problem in the population occurring across all age groups. Among multiple diagnostic procedures available for diagnosing this condition, CT urography has been considered as the gold standard procedure. However, its availability, cost and radiation dose are major prohibiting factors. This study compares sonographically tailored IVU to CT urography to assess the efficacy of the aforementioned procedure in patients of urolithiasis. 61 patients with radiological diagnosis of urolithiasis underwent Sonographically tailored IVU and CT urography in the Department of Radio-Diagnosis, Burdwan Medical College and Hospital. The sensitivity, Specificity, positive predictive value, negative predictive value and accuracy of Sonographically tailored IVU in detection of urolithiasis.....

Keywords: CT urography, IVU, urolithiasis, sonography

[1]. Sierakowski R, Finlayson B, Landes RR, et al. The frequency of urolithiasis in hospital discharge diagnoses in the United States. Invest Urol. 1978;15(6):438-441.
[2]. Spirnak JP, Resnick M, Banner MP. Calculus disease of the urinary tract: general considerations. In: Pollack HM, editor. Clinical urography: an atlas and textbook of urological imaging. Philadelphia: Saunders; 1990. p. 1752-1758.
[3]. Furlan A, Federle MP, Yealy DM, et al. Nonobstructing renal stones on unenhanced CT: a real cause for renal colic? AJR Am J Roentgenol. 2008;190(2):W125-W127.
[4]. Maher MM, Kalra MK, Rizzo S, et al. Multidetector CT urography in imaging of the urinary tract in patients with hematuria. Kor J Radiol 2004;5:1–10.
[5]. Nolte-Ernsting C, Cowan N. Understanding multislice CT urography techniques: many roads lead to Rome. European radiology. 2006 Dec 1;16(12):2670-86.

Abstract: Klinefelter syndrome is a common genetic disorder in which there is at least one extra X chromosome (XXY), giving them a total of 47 instead of the normal 46 chromosomes associated with phenotypically males. Sex chromosome numerical abnormalities are more frequently associated with male infertility. A patient attended to our Satara based hospital with loss of secondary sexual characteristics and male infertility. Physical examination revealed thin built,gynaecomastia, hypogonadismand absence of beard / pubic hairs. Semen analysis, karyotype and relevant biochemical analysis were performed to detect chromosomal abnormality as well as hormonal levelto confirm the.......

Key Word: Klinefeltersyndrome, Semen analysis, 47XXY

[1]. Hasle H, Mellemgaard A, Nielsen J, Hansen J. Cancer incidence in men with Klinefelter syndrome. Br. J. Cancer. 1995 Feb;71(2):416-20.

[2]. Aksglaede L, Juul A. Testicular function and fertility in men with Klinefelter syndrome: a review. Eur. J. Endocrinol. 2013 Apr;168(4):R67-76.

[3]. Davis S, Howell S, Wilson R, Tanda T, Ross J, Zeitler P, Tartaglia N. Advances in the Interdisciplinary Care of Children with Klinefelter Syndrome. AdvPediatr. 2016 Aug;63(1):15-46.

[4]. Bonomi M, Rochira V, Pasquali D, Balercia G, Jannini EA, Ferlin A., KlinefelterItaliaN Group (KING). Klinefelter syndrome (KS): genetics, clinical phenotype and hypogonadism. J. Endocrinol. Invest. 2017 Feb;40(2):123-134.

[5]. Ross JL, Kushner H, Kowal K, Bardsley M, Davis S, Reiss AL, Tartaglia N, Roeltgen D. Androgen Treatment Effects on Motor Function, Cognition, and Behavior in Boys with Klinefelter Syndrome. J. Pediatr. 2017 Jun;185:193-199.e4.

Abstract: Aim: to estimate the prevalance of nonvariceal ugi bleed in cld patient who were admitted for ugi bleed method this is retrospective study done in department of mge stanley medical collegeby collecting data from hospital records from the period of april 2019 to september2019. Methods ;all patient admitted for ugi bleed in smc hospital who underwent gastroscopywere included in study,demographic data,etiolgy of liver disease,diagnosis from endoscopyrecords were Collected.frequency wasof NVUGIB was calculated as percentage. Results :a total of patients underwent gastroscopy. Atotal of 112 patients with ugi bleed underwent gastroscopy of which 64had variceal bleed(57%)while 48 patients(42%) had NVUGIB........

Keywords: UGI bleed,varicealbleed , nonvaricealUGIbleed(NVUGB).chronic liver disease)

[1]. non-variceal upper gastrointestinal bleeding in cirrhotic patients in Nile Delta.Gabr MA, Tawfik MA, El-Sawy AA.Indian J Gastroenterol. 2016 Jan; 35(1):25-32. Epub 2016 Feb 17.

[2]. Non-variceal gastrointestinal bleeding in patients with liver cirrhosis: a review.Kalafateli M, Triantos CK, Nikolopoulou V, Burroughs A.Dig Dis Sci. 2012 Nov; 57(11):2743-54. Epub 2012 Jun 4 .

Abstract: Functional orthopedic treatment seeks to correct malocclusions and harmonize the shape of the dental arch and oro-facial functions. Conventional orthodontic appliances use mechanical force to alter the position of teeth into a more favorable position. However, the scope of these fixed appliances is greatly limited by certain morphological conditions which are caused due to aberrations in the developmental process or the neuromuscular capsule surrounding the orofacial skeleton. To overcome this limitation, functional appliances came into existence. Functional appliances do not replace fixed attachments. Indeed combined use of brackets, bands and extraoral force has.........

Keywords: Fixed functional Appliances, Class II correctors, AdvanSync, musculature

[1]. Pancherz H. Treatment of Class II malocclusions by jumping the bite with the Herbst appliance. A cephalometric investigation. Am J Orthod 1979;76:423–442.
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[3]. DeVincenzo JP. The Eureka Spring: a new interarch force delivery system. J ClinOrthod 1997;31:454–467.
[4]. Hilgers JJ. The pendulum appliance for Class II noncompliance therapy. J ClinOrthod 1992; 26:706–7
[5]. Carano A, Testa M. The distal jet for upper molar distalization. J ClinOrthod 1996;30:374–380.

Abstract: VerrucaVulgaris (viral warts) is a fairly common condition with manytherapeutic options having variable success rates. Few warts are refractory to treatment with often disappointing response and high recurrence. Intralesional immunotherapy has gained importance due to its effectiveness in clearing both treated and distant warts by stimulating the cell-mediated immunity against human papillomavirus. Aims and objectives:This study aims to evaluate the effectiveness and safety of intralesional Vitamin D3 injections in the treatment of multiple cutaneous warts. Materials and Methods:Patients with multiple cutaneous warts were selected and Vitamin D3 (0.2-0.4 ml, 15 mg/ml) was injected at the base of warts. The injections........

Keywords: Cutaneous Warts, Intralesional, Vitamin D3,Immunotherapy

[1]. Sterling JC, Handfield-Jones S, Hudson PM; British Association of Dermatologists. Guidelines for the management of cutaneous warts. Br J Dermatol 2001;144:4-11.
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[3]. Gibbs S, Harvey I, Sterling J, Stark R. Local treatments for cutaneous warts: Systematic review. BMJ 2002;325:461.
[4]. Bourke JF, Berth-Jones J, Hutchinson PE. Cryotherapy of common viral warts at intervals of 1, 2 and 3 weeks. Br J Dermatol 1995;132:433-6.
[5]. Tan OT, Hurwitz RM, Stafford TJ. Pulsed dye laser treatment of recalcitrant verrucae: A preliminary report. Lasers Surg Med 1993;13:127-37..

Abstract: Glucose-6-phosphate dehydrogenase deficiency is the most common clinically significant red blood cell enzyme defects in human biology. This cross sectionituteal study was carried out to observe the G6PD status in 90 male, term neonates with jaundice, age ranged from 3 to 12 days (Group B) in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University from 1st July 2007 to 30th June 2008. Our aim was to identify G6PD status in male, term, neonates with jaundice and its effect on hematological parameters including, hemoglobin concentration, hematocrit value, reticulocyte count, RBC count and also different features of peripheral blood film . On the basis of total serum bilirubin level, study group was further divided into three groups: Group B1 (TSB <15mg/dl),.

Keywords: Glucose-6-phosphate dehydrogenase deficiency (G6PD), Red Blood Cell (RBC), Neonatal jaundice

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