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

Abstract: BACKGROUND: Multiple gestations are becoming a problem of increasing dimensions with a dramatic increase in numbers in the last decade due to pregnancy at older age and widespread use of assisted reproductive technology Objectives:To study the incidence of vaginal delivery versus caesarean section in twin pregnancy in primigravida. To study maternal and fetal outcome in twin pregnancy among primigravida. METHODS: A Prospective observational study carried out in the Department of Obstetrics and Gynaecology, Sri Venkateswara Medical College, Tirupati conducted over one year from October 2017 to September 2018. RESULTS: In one year, total of 11,242 deliveries were conducted and amongst them 48 were twin pregnancies in primigravida, giving an incidence........

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[2]. Russell RB, Petrini JR, Damus K, Mattison DR, Schwarz RH. The changing epidemiology of multiple births in the United States. Obstet Gynecol. 2003;101(1):129-35
[3]. Chamberlain GPV. Multiple pregnancies. In: Baker PN. Obstetrics by ten teachers. 15th edition, UK: Arnold; 1990.p. 136–41.
[4]. National Centre for Health Statistics–Multiple Births.
[5]. Pyrbot JE et al. Int J Reprod Contracept Obstet Gynecol. 2017 Nov;6(11):5089-5094..

Abstract: Introduction: The success of the restoration depends on the proper bonding of the restorative material to the prepared cavity in order to provide pulp protection and achieving adequate seal. This was met with the introduction of new materials like resin modified glass ionomer cement (RMGIC) and Biodentine. The development of the adhesive agents for bonding of restorative material has rapidly evolved in recent years, which will increase the bonding between the RMGIC and Biodentine to the composite resin. Aim: To evaluate and compare shear bond strength of tricalcium silicate-based restorative material and resin modified glass ionomer cement in premolars using two adhesive systems. Materials and Methods:.........

[1]. Weiner R. Liners and bases in general dentistry. Aust Dent J. 2011;56:11-22.
[2]. Nicholson JW, CzarneckaB.The biocompatibility of resin-modified glass-ionomer cements for dentistry. Dent Mater. 2008;24(12):1702-08.
[3]. Odabas ME, Bani M, Tirali RE. Shear bond strengths of different adhesive systems to biodentine. Scientific World Journal. 2013;2013:626103.
[4]. Barkmeier WW, Cooley RL. Laboratory evaluation of adhesive systems. Oper Dent. 1992; Suppl 5:50-61.
[5]. Singh H, Kaur M, Markan S, Kapoor P. Biodentine: A promising dentin substitute. J Interdiscipl Med Dent Sci. 2014;2(140):2.

Abstract: Background: Traditionally open surgical techniques have been used for the management of hepatic hydatid disease. The aim of our study was to evaluate the feasibility of laparoscopic surgery and its safety in its management with special reference to perioperative and postoperative complications and cyst recurrence. Methods: Ours was a prospective cohort study of 136 patients of hepatic hydatid disease managed by laparoscopy over a period of 6 years with a minimum follow-up of 5 years conducted in a tertiary care hospital of an endemic area. Results: The mean operative time was 86 minutes. We encountered spillage in 16 patients with one patient developing anaphylaxis. We needed conversion in one patient. Biliary leaks occurred in 13 patients with two eventually needing endoscopic..........

Key Words: Hydatid cyst; Laparoscopy; Liver; Echinococcus; Recurrence

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[2]. Merrett N, Hunt DR. Recurrent hepatic hydatid disease or prior omentoplasty: diagnostic dilemma. Aust N Z J Surg. 1989 Oct;59(10):791-4.
[3]. Reddy CR, Narasiah IL, Parvathi G, Rao MS. Epidemiology of hydatid disease in Kurnool. Indian J Med Res. 1968 Aug;56(8):1205-20.
[4]. Akin ML, Erenoglu C, Uncu EU, Basekim C, Batkin A. Surgical management of hydatid disease of the liver: a military experience. J R Army Med Corps. 1998 Oct;144(3):139-43.
[5]. Gourgiotis S, Stratopoulos C, Moustafellos P, Dimopoulos N, Papaxoinis G, Vougas V, et al. Surgical techniques and treatment for hepatic hydatid cysts. Surg Today. 2007;37(5):389-95.

Abstract: Crown lengthening is a surgical procedure which aims at removal of periodontal tissue to increase the clinical crown height and reestablishing the biologic width. It helps to meet both restorative and aesthetic demands of the patient. The clinician needs to have a sound knowledge of the biological width, indications, technique as well as limitations regarding crown lengthening. Taking into account of all these biological factors, crown lengthening can be carried out in a controlled and predictable manner as part of an overall treatment plan. Recently, crown lengthening procedures have become an integral component of the esthetic armamentarium and are utilized with increasing frequency to enhance the appearance and retention of restoration. This case report discusses about the surgical crown lengthening of attrited teeth for adequate prosthetic restoration.

Keywords: Crown lengthening, Biologic width, periodontal surgery

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[3]. Oh SL. Biologic width and crown lengthening: case reports and review. Gen Dent. 2010 Sep;58(5):e200-5.

[4]. Ardakani MR, Khalilian F, Nateghi Z, Esmaeilnejad A, Janbakhsh N. A Review of the Crown Lengthening Surgery; The Basic Concepts. British Journal of Medicine & Medical Research 2016 ;13(3): 1-7.
[5]. American Academy of Periodontology. Glossary of Periodontal Terms. 4th ed. Chicago: American Academy of Periodontology; 2001. p. 11...

Abstract: Lung cancer is one of the commomest cancer by prevalence and incidence. Treatment of Lung cancer depends on staging. Staging of Lung cancer includes mediastinal nodes.Mediastinal nodes can be detected by imaging like x-ray , CT scan, MRI and also by Endoscopic Ultrasound.We did a study to see whether mediastinal nodes could be picked up by Endoscopic USG as much as it could be picked up by CT scan. Aim: To compare the detection rate of mediastinal lymph node involvement in non-small cell lung cancer by x-ray chest, Computed tomographic (CT) scan of chest with transesophageal endoscopic ultrasonography

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Abstract: Although the oral cavity lesions constitute only a small minority of pathological conditions, they are of great significance, as they have a potential to jeopardize the health and longevity of the patient. Among the various oral cavity lesions, oral cancer is a global health problem with increasing incidence and mortality rates. In India a vast majority of oral cancers are preceded by precancerous lesions & conditions caused by the use of tobacco in various forms. The aim of the present study is to know the spectrum and patterns of various oral cavity lesions at a tertiary care hospital, Ahmedabad, Gujarat, India. This is a one year study from June 2017 to May 2018. All the oral cavity specimens received in the Department of Pathology, GCS Hospital during the study period were included for the study. Data such as age, gender, and site of the lesion was collected. Data collected was analyzed..........

Key words: Oral cavity, Squamous cell carcinoma, Buccal mucosa, Malignancy

[1]. Ali M, Joseph B, Sundaram D. Prevalence of oral mucosal lesions in patients of the Kuwait University Dental Center. Saudi Dent J. 2013 Jul;25(3):111-8.

[2]. Prasad KV, Javali SB, Rajesh G, Jithendra A. An epidemiological study of oral mucosal lesions in Karnataka State, India. J Indian Acad Oral Med Radiol. 2004 Jan 1;16(1):9-18

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Abstract: Aim of the study is to compare the efficacy of oral gabapentin and oral pregabalin as a premedication for anxiolysis , sedation and attenuation of stress response to laryngoscopy and intubation in patients undergoing general anaesthesia. A total of 100 patients aged 20 to 60 years, ASA Risk 1 and 2 of both gender were randomized into 2 groups of 50 patients each, group G received oral gabapentin 600mg and group P received oral pregabalin 150mg 1 hour prior to surgery. Anaesthetic technique was standardized and both groups were assessed for pre operative sedation and hemodynamic changes after the premedication, before and after induction, after laryngoscopy and intubation along with intraoperative hemodynamic stability and post operative side effects...........

Key words: gabapentin, hemodynamic pressor response,intubation,laryngoscopy,pregabalin,sedation.

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[4]. Kumar B, Raut K, Routray S. Fentanyl and fentanyl plus lidocaine on attenuation of haemodynamic stress response to laryngoscopy: a comparative study in controlled hypertensive patients posted for laparoscopic cholecystectomy. 2017.

[5]. Kakkar A, Tyagi A, Nabi N, Sethi A, Verma U. Comparision of clonidine and dexmedetomidine for attenuation of laryngoscopy and intubation response – A randomized controlled trial. Journal of Clinical Anesthesia. 2016;33:283-288..

Abstract: Background: Beyond the fundamental role in bone metabolism and calcium homeostasis, vitamin D influence several other medical conditions, including cardiovascular disease.Vitamin D deficiency has been independently associated with increased risk of developing acute myocardial infarction Aims And Objectives:Vitamin D deficiency is emerging as a new risk factor forvarious cardiovascular diseases (CVDs), especiallyatherosclerotic vascular diseases. The aims of this study is to assess serum 25(OH)D level in cases of ST-segment elevated acute myocardial infarction patients admitted in the Department of Cardiology, R.G.KarMedical College ,Kolkata.....

Keywords: Vitamin D, Cardiovascular disease, Acute Myocardial Infarction,AMI

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[5]. Cigolini M, Iagulli MP, Miconi V, Galiotto M, Lombardi S, Targher G. Serum25-hydroxy vitamin D3 concentrations and prevalence of cardiovascular diseases among type 2 diabetic patients. Diabetes Care 2006;29:722–4.

Abstract: The interrelationship of restorative dentistry and periodontics is ever changing. Various guidelines are set for performing restorations that are compatible to periodontium. In order to achieve superior restorative results periodontal corrective procedures are necessary to take back the tooth foundation to a healthy state. Gingival retraction of implants and Chu's aesthetic gauges are the latest additions. These guideline and corrective procedures pave way to a restorative care that directly aid periodontal treatment by restoring an aesthetically pleasing, comfortable and stable dentition..

Keywords: Biologic-width, crown-lengthening, margin fit, gingival retraction

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Abstract: Introduction: The menstrual cycle is the regular natural change that occurs in the uterus and ovaries that make pregnancy possible. The cycle is required for the production of ovocytes, and for the preparation of the uterus for pregnancy. Up to 80% of women report having some symptoms during the one to two weeks prior to menstruation. Common symptoms include acne, tender breasts, bloating, feeling tired, irritability, and mood changes. Aims and objectives: The purpose of this study was to evaluate the changes in serum Calcium, Magnesium and Phosphorus levels during various phases of menstrual cycle in healthy normally menstruating female. Materials and methods: The 90 healthy.........

Keywords: Serum, Calcium, Magnesium, Phosphorus, Menstrual cycle.

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Abstract: Background: Amniotic fluid acts like a protection wall for fetus and also provides essential nutrients to fetus. Oligohydramnios, that is too little amniotic fluid, is associated with high rate of maternal and perinatal morbidity and mortality. Amniotic fluid index assessed antepartum help inidentifying women who need increased antenatal surveillance for pregnancycomplication. Objective of the study: To assess and compare the perinatal outcome in AFI <5 cm (oligohydramnios) and AFI >5 cm (control group) in term pregnancies. Materials and Methods: A total of 100 patients admitted in obstetrics emergency ward were grouped as cases (AFI <5 cm; n=50) and controls (AFI >..........

Keywords: Amniotic fluid, Oligohydramnios, fetal distress, Neonatal death, NICU

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[5]. Biradar KD, Shamanewadi AN. Maternal and perinatal outcome in oligohydramnios: Study from a tertiary care hospital, Bangalore, Karnataka, India. Int J Reprod Contracept Obstet Gynecol 2016; 5:2291-94.