iosr-JDMS   Volume-18 ~ Issue-4 ~ April-2019

Abstract: Background: The foramen spinosum is described as lying in the greater wing of sphenoid, posterolateral to foramen ovale, perforating the base of the spine of sphenoid.The middle meningeal vessels and the meningeal branch of mandibular nerve enters the middle cranial fossa through this foramen. Aim: The aim is to conduct a morphological and morphometric study of foramen spinosum of the base of adult human skull. Materials and methods: A prospective observational study was carried out over a period of six months from 1/5/18 to 30/11/18 on 30 human adult skulls obtained from the department of Anatomy,RIMS, Ranchi. Fully intact, dried, adult.........

Key Words: Foramen spinosum, anatomic variations, middle meningeal vessels

[1]. McMinn RMH, Last's Anatomy Regional and Applied, 9th edition, Churchill Livingstone New York 1994: 651-654.
[2]. Lawrence H. Bannister, Gray's Anatomy The Anatomical Basis of Medicine and Surgery,38th edition, Churchill Livingstone New York 1995: 585-588
[3]. Lang J, Postnatal enlargement of the foramen rotundum, ovale, spinosum and their topographical changes, AnatomischerAnzeiger 1984; 156(5): 51-87
[4]. Lindblom K., A roentgenographic study of the vascular channelsof the skull with special reference to intracranial tumors and arteriovenous aneurysms, ActaRadiol Suppl,1936;30:1-146
[5]. LanapraiKwathai et al, Anatomic and morphometric consideration for external landmarks offoramen spinosum in Thai dry skulls, Siriraj Med Journal,2012;64;26-29

Abstract: Background: Majority of humeral shaft fractures were treated by conservative treatment using splints, hanging arm cast, braces compromising anatomical reduction in view of wide range of movement of shoulder and elbow joint. Materials and Methods: Patients with fracture of humerus admitted in at RIMS,Kadapa from January 2016 to May2017 were taken up for the study after obtaining consent. Results:This is a prospective study with age incidence varied from 21-40 years (65%)with male predominance (70%), with type A3 as the commonest fracture(50%) involving the mid shaft (70%) of humerus, underwent open reductionand internal fixation using locking compression plate..

Keywords: Humerus, Shaft, Kadapa, Osteosynthesis, Diaphyseal fracture

[1]. R.Ekholm et al , Fractures of the shaft of the humerus: The Journal Of Bone And Joint Surgery(Br)., November 2006,Vol.88-B,No.11.
[2]. Christian Hierholzer, DomenicoSama, Jose B.Toro , Margaret Peterson, and David L. Helfet, ,Plate Fixation Of Ununited Humeral Shaft Fractures:Effect Of Type Of Bone Graft On Healing: Journal Of Bone And Joint Surgery(Br). July 2006,Vol.88-A,No.7.
[3]. John Scolaro, Jonas L.Matzon, Samir Mehta , Tips And Techniques- Surgical Fixation Of Extra-Articular Distal Humerus Fractures With A Posterolateral Locking Compression Plate(LCP) ., University Of Pennsylvania Orthopaedic Journal, Vol.19.
[4]. Andrew H. Crenshah , Jr. and Edward A.Perez .,Fractures Of Shoulder, Arm And Forearm; Operative Orthopaedics, Campbell 11th edition ; p.no.3389-98.
[5]. Kenneth A. Egol et al , Early Complications In Proximal HumerusFractures(OTA Type 11) Treated With Locked Plates; Journal OfOrthopaedic Trauma; March 2008;Vol.22;Number 3;159-64.

Abstract: Objective: To develop a cost-effective diagnostic method for cervical radiculopathy (CR) by evaluating the impact of functional instabilities in theoutcome measures, biomarkers, and upper-extremities.
Methods: Separate analyses for each participant suffering with CR for 4.74±1.82yrs (experimental group; n=117; 51.84±7.15yrs) and without CR (control group; n=117; 52.86±7.52yrs) were performed in relation with theaberrant outcome measures (Upper extremity functional index,Numeric pain rating scale, Patient-specific functional scale, Neck disability index, and Body mass index); biomarkers (C-reactive protein, Creatine kinase-muscle, and Aldolase-A); and upper-extremities (angles of cervical flexion, extension, and rotation; bilateral angles of shoulder flexion, extension,abduction; and diameters of forearm 8cm below the acromion-clavicular)........

Keywords: Cervical Radiculopathy; Diagnosis protocol; Cost-effective; Biomarkers; Outcome measures. Short running title: Diagnostic protocol for Cervical radiculopathy

[1]. K.Radhakrishnan, W.J. Litchy,W.M. O‟Fallon, et al. Epidemiology of cervical radiculopathy. population-based study from Rochester, Minnesota, 1976 through 1990. Brain 1994;117(pt 2):325–35.
[2]. M.R. Ellenberg, J.C. Honet, W.J. Treanor. Cervical radiculopathy. Arch Phys MedRehabil.1994;75(3):342–52.
[3]. S. Carette, M.G. Fehlings. Clinical practice. Cervical radiculopathy. N Engl J Med. 2005;353(4):392–99.
[4]. C.M.Bono, G. Ghiselli, T.J. Gilbert, D.S. Kreiner, C. Reitman, J.T. Summers, J.L. Baisden, et al.An evidence-based clinical guideline for the diagnosis and treatment of cervical radiculopathy from degenerative disorders. Spine J. 2011;11(1):64-72. doi: 10.1016/j.spinee.2010.10.023.
[5]. D. Shedid, E.C. Benzel. Cervical spondylosis anatomy: pathophysiology and biomechanics. Neurosurgery. 2007; 60(Supp11):S7–S13

Abstract: IHD is a consequence of reduced coronary blood flow secondary to obstructive atherosclerotic vascular disease. Triglycerides are routinely measured in the fasting state. Atherosclerosis may be a postprandial phenomenon in which remnant lipoproteins play a dominant role. If this is true, increased levels of non-fasting triglycerides, reflecting increased levels of remnant lipoproteins, may predict risk of myocardial infarction (MI), ischemic heart disease (IHD), and death. The aim of this study was to evaluate and compare the values of fasting and non-fasting serum lipid profile among patients of coronary artery disease. This is a cross sectional study, conducted in the Department of Biochemistry in collaboration with the Department of Cardiology, RIMS. The study population.......

Keywords: Ischemic Heart Disease(IHD), Chylomicrons, Low Density Lipoproteins(LDL), High Density Lipoproteins(HDL), Triglycerides

[1]. Kumar V, Abbas AK, Aster JC. Heart. In: Mitchell RN, editor. Robbins Basic Pathology. 9th ed. Canada: Elsevier; 2013. p. 365-406.
[2]. Nordestgaard BG, Benn M, Schnohr P, Hansen AT. Nonfasting triglycerides and risk of myocardial infarction, ischemic heart disease, and death in men and women. JAMA 2007 Jul 18;298(3):299-308.
[3]. Roche HM, Gibney MJ. The impact of postprandial lipemia in accelerating atherothrombosis. J Cardiovasc Risk 2000 Oct;7(5):317-24.
[4]. Jeppesen J, Hein HO, Suadicani P, Gyntelberg F. Triglyceride concentration and ischemic heart disease an eight-year follow-up in the Copenhagen male study. Circulation 1998 Mar 24;97(11):1029-36.
[5]. Goulart AC, Santos IS, Sitnik D, Staniak HL, Fedeli LM, Pastore CA, et al. Design and baseline characteristics of a coronary heart disease prospective cohort: two-year experience from the strategy of registry of acute coronary syndrome study (ERICO study). CLINICS 2013 Mar;68(3):431-4.

Abstract: Background: Blunt injury abdomen is most commonly caused by Road traffic accidents.1 The rapid increase in number of motor vehicles accidents has caused rapid increase in number of victims of blunt abdominal trauma. Motor vehicle accidents account for 75-80% of blunt abdominal trauma.2 Blunt abdominal injury is also a result of fall from height,assault with objects, industrial mishaps, sports injuries ,bomb blast and fall from riding bicycle.2 Objective: To study and evaluate the etiological,clinical factors and different findings in laparotomy influencing the outcome following blunt injury abdomen.......

Keywords: Blunt injury abdomen,laparomy, ultrasound.

[1]. Cusheri A, George Hanna A. R: Essential Surgical Practice; Butterworth International 4th Ed. 2013: p263-304.
[2]. Sabiston's Text book of surgery: 19tt' edition: vol 1: 2012: p455-459.
[3]. Joe Jack Davis, Isidore Cohn, Francis C. Nance; Diagnosis and management of Blunt abdominal trauma. Ann, Surg, June 1976: vol 183: No 6; p672-678.
[4]. Cox, Everard F; Blunt abdominal trauma: A 5.year Analysis of 870 patients requiring Celiotomy; Ann, Surg; April 1984 vol 199; p467-474.

[5]. Hackman DJ, Ali J, Jastaniah SS. Effect of other intra abdominal injuries on the diagnosis,management,and outcome of small bowel trauma. J Trauma. 2000:49:606-610..

Abstract: Objectives- The clinical presentations of brain and spinal cord tumors are often non-specific. Their prognosis mostly depends on early and timely correct diagnosis. Radiological imaging is probably the only diagnostic method with good sensitivity and specificity for critical detection and diagnosis. In this study we have studied the spectrum of imaging findings of malignant brain and spinal cord tumors presented in our institute and retrospectively evaluated the imaging features that may help in early diagnosis and treatment of those conditions and improve the quality of life.......

Keywords: Neurooncology; Brain Tumor; Spinal cord tumor; Astrocytoma; Medulloblastoma; Glioblastoma multiforme; Magnetic Resonance Imaging;

[1]. Ellingson BM, Bendszus M, Boxerman J et al. Consensus recommendations for a standardized Brain Tumor Imaging Protocol in clinical trials. Neuro Oncol. 2015;17(9):1188-1198
[2]. Nag S, Manias JL, Stewart DJ. Pathology and new players in the pathogenesis of brain edema. Acta Neuropathol. 2009;118(2):197-217
[3]. Raz E, Zagzag D, Saba L et al. Cyst with a mural nodule tumor of the brain. Cancer Imaging.2012;12(1):237-244.
[4]. Mabray MC, Barajas RF Jr, Cha S. Modern brain tumor imaging. Brain Tumor Res Treat. 2015;3(1):8-16.
[5]. Xiao H-F, Chen Z-Y, Lou X et al. Astrocytic tumour grading: a comparative study of threedimensional pseudocontinuous arterial spin labelling, dynamic susceptibility contrast-enhanced perfusion-weighted imaging, and diffusion-weighted imaging. Eur Radiol. 2015;25(12):3423-3430

Abstract: Aim: The aim of this study was to find out the various causes that lead to persistent pain even after appendicectomy. Methods: This study was conducted in a rural teaching hospital in West Bengal over a period of three years. Thirty six patients were evaluated. The data collected included patients' demographics, age, gender , presenting symptoms and investigations. Results: There was a total of 36 cases; 22 females and 14 males. The majority were in the age group of 20-40 years. All the.......

Keywords: Post appendicectomy pain, Stump appendicitis, Right iliac fossa pain

[1]. Shah T, Gupta RK, Karkee RJ, Agarwal CS. Recurrent pain abdomen following appendectomy: stump appendicitis, a surgeon's dilemma. Clin Case Rep. 2017;5(3):215-217
[2]. Lamture YR, Gajbhiye VP, Shinde RK, Kher K. Impact of post appendectomy pain. Int Surg J 2017; 4(9): 2932-2936
[3]. Sarda K, Kher K, Wagh d, Yeola M, Chauhan M, Wani B. Post appendectomy pain in the right iliac fossa: A story of olden days or the problem of recent era. The International Journal of Gastroenterology 2009; 9(1)
[4]. Rose, T. Recurrent appendiceal abscess. Med. J. Aust 1945; 32:659–662
[5]. Piper R, Kager L. Acut appendicitis: A clinical study of 1018 cases of emergency appendecectomy. Acta Chir Scand 1982;148:51

Abstract: Purpose: To report the prevalence of hyphaema and itsaetiological factors in a tertiary facility. Setting: The study was carried out inthe department of ophthalmology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria. Methods: The case records of all patients who presented with hyphaemato the department of ophthalmology from January 2013 to December 2017 were retrieved. Data collected included, age, sex, cause of hyhaema, presenting visual acuity,intraocular pressure,treatment, systemic and ocular comorbidities.Results were analysed using Statistical Package for Social.......

Keywords: Hyphaema, Traumatic Hyphaema, Spontaneous hyphaema, Paracentesis

[1]. Nash DL, Dahi AA.Hyphaema. Available from https://emedicine.medscape.com/article/1190165-overview# a1 (last assessed 2019 March 9)

[2]. Ashaye AO. Traumatic hyphaema: A report of 472 consecutive cases. BMC Ophthalmol2008;8:24.

[3]. Uhumwangho OM, Umolo OC. Traumatic hyphaema in Benin City, Nigeria. Sahel Med J 2014;17:128-131.

[4]. Moses L. Postoperative Hyphaema in Cataract Surgery with Scleral Flap Technique Arch Ophthalmol. 1986;104(6):793

[5]. Fiebai, B. and Onua, A. Prevalence, Causes and Management of Neovascular Glaucoma: A 5-Year Review. Open Journal of Ophthalmology. 2019; 9:1-8.

Abstract: Introduction and Aim: Peripheral arterial disease (PAH) is an ischemic manifestation of atherosclerotic stenosis or occlusion of the lower extremity arteries. Noninvasive diagnostic methods for PAH include Ankle Brachial Index (ABI). ABI is the ratio of the highest brachial systolic blood pressure to the highest systolic blood pressure in both ankles. ABI in the diagnosis of PAH; hand Doppler and sphygmomanometer. The aim of this study was to determine the relationship between risk factors of peripheral arterial disease and ankle brachial index in asymptomatic patients. Material and Method: 150 patients were included in our study. The rates of smoking, HL, DM and HT were significantly different compared to........

Keywords: Ankle Brachial Index, Family medicine, Hypertension, Peripheral arterial disease

[1] Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: The JNC 7 Report. JAMA. 2003; 289:2560-2572
[2] Hankey GJ, Norman PE, Eikelboom JW. Medical treatment of peripheral arterial disease. JAMA. 2006 Feb 1;295(5):547-53.
[3] Pehlivanoglu Ozkan EF. Balcioglu H. Unluoglu I. 2019. Turkish Validation and Reliability of Mediterranean Diet Adherence Screener, Osmangazi Journal of Medicine, Doi:10.20515 /504188.

[4] Yürekli, Banu Şarer, et al. "Is the ankle-brachial index directly associated with current glycemic control in diabetic patients?" Turkish Journal of Vascular Surgery.2018, 27(3): 117-23. [5] Hirsch AT, et al. J Am Coll Cardiol. 2006;47: e1-e192.

Abstract: Discoloration of anterior teeth is a major concern in today's society. This can result in the cosmetic impairment of such patients which effects their social interaction with the peers. Discoloration of anterior teeth is often due to traumatic injury and its aestheticrehabilitation poses a great challenge for the dentist. The aesthetic rehabilitation of an endodontically treated tooth usually done by translucent metal free ceramic restoration is contraindicated for a heavy discoloured tooth, as this affects the shade matching of the affected tooth with that of the natural dentition. So internal bleaching technique can be utilized here to reduce the shade of the discoloured tooth crown.......

Keywords: Lithium disilicate crown; walking bleaching technique;intracoronalbleaching;intrinsic discoloration;cervical resorption

[1]. Ambalia S, Ramgadhia H. Nonvital Tooth Bleaching , Noninvasive Technique : A Case Report. Journal of Dental and Medical Sciences 2017;16:80-82.
[2]. Alqahtani M. Tooth-bleaching procedures and their controversial effects: A literature review. The Saudi dental journal2014;26:33-46.
[3]. Arkan V, Sari S, Sonmez H. Bleaching a devital primary tooth using sodium perborate with walking bleach technique:A case report. Oral Surg Oral Radiol Oral Pathol Oral Radiol Endod2009;107:e80-e 84.
[4]. Abdelkader N. Modified Technique for Nonvital Tooth Bleaching: A Case Report. Electronic physician2015;7:1423-26.
[5]. Attin T, Paque F, Ajam F, Lennon A. Review of the current status of tooth whitening with the walking bleach technique. Int Endod J2003;36:313-29.