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

Abstract: Aim and objective: To evaluate the prevalence and patterns of third molar impactions treated in IGMC&RI Materials and methods: Patient treatment records of 150 pts and IOPA were retrieved and analysed for demographic data, type of impaction, aetiology for removal, side of impaction and pathology associated with third molars. Results: The results proved that vertical is the most common type of impaction, Male more affected than Females , Right side more affected than Left ,Pericoronitis is the most common aetiology and the most common pathology is caries in the second molar.

[1]. venugopal Reddy K,Prasd KVV,Prevalance of third molar impactions in urban population Age 22 to30 years in South India JIDA Vol 5,No 5, May2011,605-11.
[2]. Schearsten E., Lysell L, Rohlin M. Prevalence of impacted third molars in dental students. Swedish Dental Journal 1989;13 (1-2) : 7-9.
[3]. Haider Z, Sulliman YS. The incidence of impacted teeth in Saudi community. Journal of Oral and Maxillofacial Surgery1986; 15 (5) : 569-71.
[4]. Rajdan D. A study of third molar teeth. J of Indian DentalAssociation 1996; 67: 6-11
[5]. Gbotolorun OM, Olojede AC, Arotiba GT, Ladeinde AL, Akinwande JA and Bamgbose BO (2007)..

Abstract: Today the main aim is to get good facial balance, and the development of orthodontic treatment is the balance between esthetic treatment, functionality & structural balance (Jackson's Triad) and patient's desires. Keeping particularly to skeletal orthodontic treatment plan in modern orthodontic philosophy is considered to be an error. The lingual technique has become more comfortable & sophisticated with advancement in technology; the same results can be achieved with lingual technique as we get with the best of conventional labial techniques.

[1]. Dr. John Buckley:Lingual orthodontics: an illustrated review with incognito fully customized appliance, Journal of Irish Dental Association; 2012; 58(3):149-155.
[2]. Dr. Anurag Gupta, Dr. VS Kohli, Dr. P V Hazarey:lingual orthodontics – a review, Journal of Indian Orthodontic Society; 2005;38:46-54.
[3]. Pablo Echarri: Revisiting the history of lingual orthodontics: A basis for future; Seminar in Orthodontics 2006:12(3)-153-159.
[4]. Kurz C, Swartz ML, AndreikoC:Lingual Orthodontics: A status report: part 2: research and development. Journal of Clinical Orthodontics 1982; 16(11): 735 -740.
[5]. Vasumurthy S, SarithaT:Lingual Orthodontics, Indian Journal of Dental Association; 2009;1(1):31-37..

Abstract: A case report of a 39 year old female who presented with acute urinary retention and a mass protruding out of external urethral meatus. On examination there was a palpable urinary bladder with a cystic mass at external urethral meatus. Urinary retention was relieved by catheterisation after manual reduction of urethral mass in urinary bladder. Ultrasonography revealed right hydronephrosis with hydroureter, no evidence of calculi and normal left kidney. CT-IVU showed bilateral ureterocele, largest on the right side. Patient underwent cystoscopy with right ureterocele incision. Prolapsed ureterocele, though rare, physician should consider it as a differential diagnosis of vulval mass with urinary retention.

Key Words: prolapsed ureterocele, vulval mass

[1]. Ilker Sen, Metin Onaran, et. al. Prolapse of a simple ureterocele presenting as a vulval mass in a woman. International Journal of Urology (2006) 13, 447-448
[2]. Alexis Rompre-Broduer and Sero Andonian, Adult bilateral ureteroceles presenting with lower urinary tract symptoms and acute urinary retention. Case Reports in Urology, Volume 2018, Article ID 3186060, 5 pages
[3]. Mandell J, Colodny A, Lebowitz RL, Bauer SB, Retik AB. Ureteroceles in infants and children. J. Urol. 1980:123:921.
[4]. Seherz HC, Kaplan GW, Packer MG, Brock WA. Ectopic Ureteroceles: Surgical management with preservation of continence: Review of 60 cases. J. Urol. 1989:142:538.
[5]. Rickwood AM, Reiner I, Jones M, Pournaras C. Current management of duplex systems ureteroceles: Experience with 41 patients. Br. J. Urol. 1992:70:196.

Abstract: Chiari 1.5 malformation or bulbar variant of Chiari I malformation is a rare congenital anomaly. It is a progression of chiari 1 malformation characterized by caudal descent of cerebellar tonsillar along with brainstem through foramen magnum causing syringomyelia and hydrocephalus. This is due to the discrepancy between the size and content of the posterior fossa which is called as crowded posterior fossa. Although chiari malformation with occipital encephalocele is common, we encountered a case of chiari 1.5 malformation with frontal encephalocele with syringomyelia and obstructive hydrocephalus.

[1]. A critical analysis of the Chiari 1.5 malformation
[2]. R. Shane Tubbs MS, PA-C, Ph.D, Bermans J Iskandar MD, Alfred A Bartolucci Ph.D and W. Jerry Oakes MD
[3]. Mechanisms of cerebellar tonsil herniation in patients with Chiari malformations as guide to clinical management.
[4]. Milhorat TH1, Nishikawa M, Kula RW, Dlugacz YD.
[5]. Chiari 1.5: A lesser known entity

Abstract: Cardiometabolic syndrome (CMS) sometimes regarded as insulin resistance syndrome is a combination of metabolic risk factors, including a combination of diabetes mellitus, systemic arterial hypertension, obesity and hyperlipidemia. This study was carried out on 50 students of Ken Saro-Wiwa Polytechnic (Kenpoly) Bori, using atherogenic index of plasma (AIP) to determine the prevalence and as a predictor of cardiometabolic syndrome among students of school age. Biochemical (lipid profile analysis) as well as anthropometrical (waist circumference, height, weight, systolic and diastolic blood pressure) tests were performed using standard method of measurements. In addition to questionnaires designed to assess the biodata, background information.........

Keywords: cardiometabolic syndrome; atherogenic index of plasma; lipid profile; predictor; prevalence; regression analysis.

[1]. Albert, K.G.M.M., Zimmett, P. & Shaw, J. (2006). Metabolic Syndrome a New World –Wide Definition. A Consensus Statement from the International Diabetes Federation. Diabetes UK. Diabetic medicin, 23,469-480.
[2]. Kelli, H.M., Kassas, I., & Hattouf, O.M., (2015), Cardiometabolic Syndrome a Global Epidemic. Journal of Diabetes Metabolism, 6,513.
[3]. Nelson, D.L. & Cox, M.M. (2013). Lehninger Principle of Biohemistry, Sixth Edition. W.H. Freemen and Company New York. 871.
[4]. Niroumand, S., khajedaluce, M., Khadem-Rezaiyan, M., Abrishami, M., Juya, M., Khodace, G. and Dadgarmoghaddam, M. (2015): Atherogenic Index of Plasma (AIP): A Marker of Cardiovascular Disease. Medical Journal of Islamic Republic of Iran,29,240.
[5]. Noumegnic, S.R., Nansseu, R.J., Bigna, J.J., Ama-Moor, J.V., Assah, K.F., Dehayam, Y.M., Kenyne, A.P. & Sobngwo, E. (2017). Atherogenic Index of Plasma and 10-years Risk of Cardiovascular Disease Infection: Journal of the Royal Society of Medicine Cardiovascular Disease, 6,1-7.

Abstract: Treacher Collins syndrome (TCS) (mandibulofacialdysostosis or zygoauromandibular dysplasia) is one of a group of congenital malformation syndromes that have in common maldevelopment of the first and second branchial arches. Treacher Collins syndrome is an autosomal dominant disorder of craniofacial development which has an incidence of approximately one in 50,000 live births. Here we report the case of a 49-year-old male with TCS

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Abstract: Osteoporosis is a systemic skeletal progressive disease with multiple factors involved in its causation. A huge prevalence rate, a substantial morbidity and a significant mortality risk, is of specific concern especially in elderly. Among the various modalities of evaluation, dual energy x-ray absorptiometry is the one used here for obtaining bone mineral density and T-scores of the patients. In this study the effect of zoledronic acid in improving bone mineral density over an year is seen, in elderly population of Rajasthan, and a significant improvement was seen with minimal side effects, which can be managed conservatively. AIM: To study the effect of Intravenous Zoledronic acid on BMD in Geriatric patients with the objective to present and compare the profile of BMD and T-score < 2.5 in geriatric patients attending at orthopedic department of S.M.S. hospital, Jaipur........

[1]. Mahakala A, Thoutreddy S, Kleerekoper M. Prevention and treatment of postmenopausal osteoporosis. Treatments in endocrinology. 2003 Oct 1;2(5):331-45.
[2]. Nishizawa Y, Nakamura T, Ohta H, Kushida K, Gorai I, Shiraki M, Fukunaga M, Hosoi T, Miki T, Chaki O, Ichimura S. Guidelines for the use of biochemical markers of bone turnover in osteoporosis (2004). Journal of bone and mineral metabolism. 2005 Mar 1;23(2):97-104.
[3]. Concensus A. Consensus development conference: diagnosis, prophylaxis, and treatment of osteoporosis. Am J Med.1993;94(6):646-50.
[4]. L. A. Gauri, Manoj K. Meena, A.Khan, Q.Fatima, A.Thaned, N.Manoj. Effect of intravenous zolendronic acid on bone mineral density in post-menopausal women with low bone mineral density of north-west part of Rajasthan. International Journal of Advanced Research and Review. IJARR, 1(1), 2016; 06-12.
[5]. San Martin J. Treatment of osteoporosis with TeriparatiderhPTH (1-34). J Musculoskel Neuron Interact. 2004 Dec;4(4):406

Abstract: Three dimensional (3D) Constructive Interference in Steady State [CISS] is a member of fast Gradient Echo Sequence. It is mainly used in the assessment of cranial nerves but is also used in the imaging of abdomen and the breast. This sequence provides excellent contrast between Cerebrospinal fluif (CSF) and other structures. It helps in detecting subtle CSF intensity lesions that may be missed on routine spin-echo sequences

Keywords: 3D CISS; Cranial Nerve; MRI; imaging; CSF

[1]. Hingwala D, Chatterjee S, Kesavadas C, Thomas B, Kapilamoorthy TR. Applications of 3D CISS Sequence for problem solving in Neuroimaging. Indian J Radiol Imaging.2011;21(2):90-97.
[2]. Roser F, Ebner FH, Danz S, Reither F, Ritz R, Dietz K, Naegele T, Tatagiba MS. Three- Dimensional Constructive Interference in Steady State Magnetic Resonance Imaging in syringomyelia: advantages over conventional imaging. J Neurosurg Spine 2008 May;8 (5): 429-35
[3]. Gupta SK, Gupta A, Mahajan A, Gupta R, Tandon VR, Gupta N. Clinical Insights in Trigeminal Neuralgia. JK Science Clinical Guide. 2005;7:181-84
[4]. Besta R, Uday Shankar Y, Kumar A, Rajasekhar E, Bhanu Prakash S. MRI 3D CISS- A Novel Imaging Modality in Diagnosing Trigeminal Neuralgia- A Review. J ClinDiagn Res. 2016 Mar;10 (3): ZE01- ZE03.
[5]. Chavhan GB, Babyn PS, Jankharia BG, Cheng H-LM , Shroff MM. Steady State MR imaging sequences : Physics, Classification and Clinical Applications. Radiographics. 2008; 28(4):1147-60

Abstract: The alteration of the gonadogenesis process or morphological dysgeusia has multiple repercussions: the distortion of the hormonal biosynthesis process, the disruption of the reactivity structures of the gonadal hormones and the clinical aspect is highlighted by the disorder of the sexualization process. Turner syndrome (TS) is a rare disorder that affects female subjects. I studied a case of the Turner syndrome, followed over a 24-month period and found a significant improvement in waist as a result of establishing growth hormone therapy. Craniofacial aspects are the major interest for orthodontist..

Key words: cephalometry , cephalometric measurements , oro-dental changes, Turner syndrome

[1]. Turner HH. A syndrome of infantilism,congenital webbed neck, and cubitus valgus. Endocrinology 1938; 23: 566–574.
[2]. Cazzolla AP, Lo Muzio L,Di Fede O, et al. Orthopedic- orthodontic treatment of the patient with Turner's syndrome: Review of the literature and case report. Spec Care Dentist. 2018;1–10.
[3]. Seung Yang. Diagnostic and therapeutic considerations in Turner syndrome. Ann Pediatr Endocrinol Metab 2017;22:226-230.
[4]. Mohamed S, Roche EF, Hoey HM. Mode of initial presentation and chromosomal abnormalities in Irish patients with Turner syndrome: a single-centre experience. J Pediatr Endocrinol Metab 2015;28:1215-8.
[5]. Wonkam A, Veigne SW, Abass A, Ngo Um S, Noubiap JJ, Mbanya JC, et al. Features of Turner syndrome among a group of Cameroonian patients. Int J Gynaecol Obstet 2015;129:264-6.

Abstract: Autoerotic activitywith rectal foreign bodyleading to ano-rectal injuries has been reported in various literatures. The object in such an instance, was a health faucet, which was extracted under spinal anesthesia.

Keywords: Foreign body, ano-rectum, sexual perversions, unnatural sexual offense, shower bidet, health faucet, ano-rectal injuries

[1]. G.M.Gould and W.Pyle, Anomalies and curiosities of medicine, WB Saunders, Philadephia, Pa, USA,1901.
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[4]. M.Witz, B.Shpitz, and Zager, "anal erotic instrumentation, a surgical problem", diseases of the colon and rectum, Vol.27, no.5, PP.331-332, 1984.
[5]. D.B.Busch and J.R.Starling, "rectal foreign bodies : case reports and a comprehensive review of the world's literature", surgery, Vol.100, no.3, PP.512-519, 1986.

Abstract: AIM: To assess the chemical structural alterations of root surface by using Fourier Transform Infrared Spectroscopy followed by Er: YAG and Nd: YAG laser irradiation.. MATERIAL AND METHOD: Fifty five upper incisor teeth extracted from patients attending the outpatient Department of Periodontics, Tamilnadu Govt. Dental College and Hospital Chennai -3. 110 specimens of size 3mm x 4mm x 1mm were prepared. For evaluation fifty five samples were divided into three groups. Group A,B and C. Group A contain five samples which serve as non irradiated control. Group B and Group C further divided into five sub.........

Keywords-, FTIR Spectroscopy , Nd.YAG Laser, Er.YAG Laser

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Abstract: Introduction: Glycated hemoglobin,HbA1c is the "gold standard" formonitoring glycemic control and is been used as a predictor of diabetic complications. Being one of the common forms of malnutrition, it attributes to 50% of all forms of anemia, globally. It's been found previously that reduced iron stores have a link with increased HbA1c, leading to false-high values of HbA1c in non-diabetic individuals. Even though iron deficiency anemia is the most common nutritional deficiency, the clinical evidence suggestive of the influence of Iron Deficiency Anemia on HbA1c is inconsistent.........

Key words: iron deficiency, hemoglobin, glycated hemoglobin, diabetes.

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Abstract: Introduction Chronic renal failure is a pathophysiological process with multiple etiologies resulting in the inexorable attrition of nephron number and function and frequently leading to end stage renal disease.Bone disease is observed in 75-100% of patients with chronic renal failure as the glomerular filtration rate falls below 60 ml/minute.When renal bone disease is assessed using a combination of biochemical markers, histology and bone densitometry, early intervention and the careful use of an increasing number of effective therapies can reduce the morbidity associated with this common problem. One...........

Keyword: metacarpocortical index, chronic renal failure, renal osteodystrophy

[1]. Dr D.Anil Kumar, Dr B.Srinivas, Dr.S.Prem Sagar A Study of Metocarpocortical Index (MCI) in Chronic Renalfailure Indian Journal of Applied Research, Vol.5, Issue : 7 July 2015
[2]. The importance of the metacarpal bone index in the evaluation of uremic osteodystrophy J ClinDensitom. 2001 Fall: 4 (3) 199 -207, The importance of the metacarpal bone index in uremic osteodystrophy SrpArhCelokLek, 1996: 124 Suppl1:112-4. |
[3]. Metacarpal Bone Mass in Normal Adults and in Patients with Chronic Renal Failure J. Andresen, H. E. Nielsen, T. E. Hansen, L. Bolvig
[4]. First Published November 1, 1981 Hutchison AJ, Whitehouse RW, Boulton HF, Adams JE, Mawer EB, Freemont TJ, Gokal R 1993 Correlation of bone histology with parathyroid hormone, vitamin D3, and radiology in endstage renal disease. Kidney Int44:10711077 | | |
[5]. Rix M, Andreassen H, Eskildsen P, Langdahl B, Olgaard K 1999 Bone mineral density and biochemical markers of bone turnover in patients with predialysis chronic renal failure. Kidney Int 56:10841093. |

Abstract:Context: The lights criteria is the system that has stood the test of time in classifying pleural effusions into transudates and exudates. But studies have shown that there is significant number of misclassification with the lights criteria. Several newer parameters are being postulated as an alternative to lights criteria for classifying effusions. Pleural fluid pseudocholinesterase and its ratio to serum pseudocholinesterase is one such parameter Aim Of The Study: To evaluate the usefulness of pleural fluid pseudocholinesterase(PChE) level and its ratio with serum pseudocholinesterase in order to differentiate between transudates and exudates.To compare the diagnostic efficacy of: (1) pleural fluid PChE value and (2) pleural fluid PChE to serum PChE ratio; with the efficacy of Light's criteria..........

Keywords: pseudocholinesterase(PChE), negative predictive value(NPV), positive predictive value(PPV)

[1]. Manju Sharma*, KB Gupta**, Kirori M Goyal**, Nitya Nand Evaluation of Cholinesterase to Differentiate Pleural Exudates and Transudates © JAPI • VOL. 52 • MAY 2004
[2]. Naveen M1, Vanitha S2, Chowdareddy Comparison of Diagnostic Efficacy of Cholinesterase Levels to Differentiate Pleural Exudates and Transudates that of Lights Criteria © Sch. J. App. Med. Sci., 2014 2(3C):1037-1040
[3]. Transüda-Eksüda Ayrımında Plevral Sıvı Psödokolinesteraz Düzeyinin Tanısal DeğeriDiagnostic Efficiency of Pseudocholinesterase Level in Discrimination of Transudates-Exudates Tüberküloz ve Toraks Dergisi 2003; 51(4): 398-404
[4]. Prakash Kikkeri Gowdaiah1, Amrutha Avati2, Priya Prakash Bhate3, Akkamahadevi V. Nippanal4 pleural fluid to serum psuedocholinesterase ratio and its validation with light's criteria -Journal of Evolution of Medical and Dental Sciences/Volume 3/Issue 01/ January 06, 2014
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