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

Abstract: Background and Objectives: The lifetime prevalence of urinary tract stone has been estimated to be 10-14%.The morbidity associated with urolithiasis includes colic pain and kidney obstruction, which can lead to renal failure and severe urinary tract infections such as pyonephrosis and septic shock in some patients . Dual –energy CT ,by facilitating low and high –energy scanning during a single acquisition, has inherent capability to help differentiate different materials that have similar electron densities but varying photon absorption .Our aim in this study was to preoperatively assess the composition of urinary tract stones with dual energy CT by..........

[1]. Neisius A, Preminger GM. Stones in 2012: epidemiology, prevention and redefining therapeutic standards. Nature Reviews Urology. 2013 Jan 8;10(2):75.
[2]. Sakhaee K. Epidemiology and clinical pathophysiology of uric acid kidney stones. Journal of nephrology. 2014 Jun 1;27(3):241-5.
[3]. Hidas G, Eliahou R, Duvdevani M, Coulon P, Lemaitre L, Gofrit ON, Pode D, Sosna J. Determination of renal stone composition with dual-energy CT: in vivo analysis and comparison with x-ray diffraction. Radiology. 2010 Nov;257(2):394- 401.
[4]. Zhang GM, Sun H, Xue HD, Xiao H, Zhang XB, Jin ZY. Prospective prediction of the major component of urinary stone composition with dual-source dual-energy CT in vivo. Clinical radiology. 2016 Nov 1;71(11):1178-83.
[5]. Ranabir S, Baruah MP, Devi KR. Nephrolithiasis: endocrine evaluation. Indian journal of endocrinology and metabolism. 2012 Mar;16(2):228

Abstract: Background: The entity Ganglion cysts are best described as benign soft tissue tumors, which are most commonly encountered in the wrist, but they may occur in any joint. No conservative treatment is beneficial, intervention is must. Aim: To compare and analyze different outcome between surgical excision and aspiration followed by sclerosant injection for the management of ganglion. Objectives: To assess,.........

Key words: ganglion, sclerosant therapy, surgical excision

[1]. Lowden CM, Attiah M, Garvin G. The prevalence of wrist ganglia in an asymptomatic population: Magnetic resonance evaluation. J Hand Surg Br. 2005;30(3):302–6. doi: 10.1016/j.jhsb.2005.02.012
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[3]. Greendyke SD, Wilson M, Shepler TR. Anterior wrist ganglia from the scaphotrapezial joint. J Hand Surg. 1992;17(3):487–90. doi: 10.1016/0363-5023(92)90358-V
[4]. Thornburg LE. Ganglions of the hand and wrist. J Am Acad Orthop Surg. 1999;7(4):231–38.
[5]. Tophoj K, Henriques U. Ganglion of the wrist—a structure developed from the joint. Acta Orthop Scand. 1971;42(3):244–50.

Abstract: Klippel trenaunay syndrome (KTS) is characterized by triad of portwine stain, venous varicosities and bone and soft tissue hypertrophy. It is not commonly seen in dermatological practise. Hypertrophy and vascular malformations are usually confined to single limbs. We report a series of 2 cases with different presentations and they attended to our OPD in a span of 6 months from June 2018 to December 2018. Management is usually conservative and surgical management for varicosities with lifelong follow-up..

Keywords: Klippel Trenaunay syndrome, limb hypertrophy, lymphangioma, port wine stain, syndactyly, varicosities.

[1]. Kharat Amit T, Bhargava Rajul, Bakshi Vidhi, Goyal Akhilesh .Klippel–trenaunay syndrome: A case report with radiological review. Year : 2016 | Volume: 9 | Issue Number: 4 | Page: 522-526

[2]. Zea MI, Hanif M, Habib M, Ansari A. Klippel-Trenaunay Syndrome: a case report with brief review of literature. J Dermatol Case Rep. 2009;3(4):56-9.

[3]. Sharma D, Lamba S, Pandita A, Shastri S. Klippel-trénaunay syndrome - a very rare and interesting syndrome. Clin Med Insights Circ Respir Pulm Med. 2015;9:1-4. Published 2015 Mar 5. doi:10.4137/CCRPM.S21645

[4]. Ikpeme AA, Usang UE, Inyang AW, Ani N. Klippel Trenaunay Syndrome: A Case Report in an Adolescent Nigerian Boy. Open Access Maced J Med Sci. 2015;3(2):322-5.

[5]. Karim T, Singh U, Nanda NS. A rare presentation of Klippel-Trenaunay syndrome. Indian Dermatol Online J. 2014;5(2):154-6.

Abstract: The fissures in lung allows uniform expansion. Awareness of Anatomical variations in lung fissures is essential during segmental resection of lungs Anatomical variations of lungs including number, fissures and lobes are important for clinicians. The aim of the present study is to observe the variations of lung fissures in Costal Andhra Pradesh region. 30 Pairs (Right 30, Left 30) of lungs were used for this study. segmentation of pulmonary lobes is challenging because of anatomical variations and incomplete fissures. With the development of radiological and endoscopic techniques and the advancement of pulmonary surgery, the knowledge of morphological variations of lung fissures is of utmost importance to clinicians to correctly locate the bronchopulmonary segment during pulmonary lobectomy, and for radiologists to correctly interpret X-rays and CT scans.

Keywords: Lobes; Lung; Oblique fissure; Tranverse Fissure

[1]. Nene,R.,Gajendra,S.and Sarma,R.(2011).Lung lobes and fissures; a morphological study. International journal of experimental and clinical Anatomy.5; 30-38
[2]. Ghosh,E., Basu,R.,Dhur,A.,Roy,A.,Roy,H. and Biswas,A. (2013).Variations of Fissures and Lobes In Human Lungs-A Multicentric Cadaveric Study from West Bengal, India. International Journal of natomy, Radiology and Surgery; 2(1): 5-8
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[4]. Moore KL, Persaud TVN. The developing human:clinically oriented embryology. 8th ed. Philadelphia: Elsevier; 2008.
[5]. Rosse, C. and P. Gaddum-Rosse, 1997. Hollinsheds Textbook of Anatomy. Lippincott-Raven, Philadelphia, pp: 441-61. ed.Philadelphia, Lippincott-Raven, 1997.

Abstract: Background: Coronary artery disease is one of the major reasons for death in developing countries like India. Dominance pattern of the heart has an important clinical significance. Left dominant anatomy is believed to be associated with worse prognoses for patients with acute coronary syndrome and stable coronary artery disease. Not much study has been done in North India regarding dominance of coronary artery. This study was to determine the pattern of coronary artery dominance in North Indian hearts. Results: This study was carried on.........

Keywords: Coronary artery disease, coronary domination, myocardial infarction.

[1]. Gawlikowska-Sroka A, Miklaszewska D, CzerwiÅ ski F. Folia Morphol(Warsz). Analysis of the influence of heart size and gender on coronary circulation type. 2010 Feb;69(1):35-41.
[2]. Libby P, Bonow RO, Mann DL, Zipes DP. Braunwald Heart Diseases a text book of Cardiovascular Medicine 8th ed. Saunders 2008:478. In.
[3]. Goldberg A, Southern DA, Galbraith PD, Traboulsi M, Knudtson ML, Ghali WA, et al. Coronary dominance and prognosis of patients with acute coronary syndrome. Am Heart J. 2007 Dec;154(6):1116–22.
[4]. Veltman CE, de Graaf FR, Schuijf JD, van Werkhoven JM, Jukema JW, Kaufmann PA, et al. Prognostic value of coronary vessel dominance in relation to significant coronary artery disease determined with non-invasive computed tomography coronary angiography. Eur Heart J. 2012 Jun;33(11):1367–77.
[5]. The Radiology Assistant : Coronary anatomy and anomalies [Internet]. [cited 2019 Mar 6]. Available from: http://www.radiologyassistant.nl/en/p48275120e2ed5/coronary-anatomy-and-anomalies.html

Abstract: Hypermelanosis is a commonly encountered pigmentary disorder in dermatology practice. This study was aimed to study the epidemiology, clinical presentation, and precipitating and/or provocation factors associated with facial hypermelanosis. The study included 200 patients attended, with dermatological problems to the DVL OPD Department ACSR Government General hospital, Nellore, Andhra Pradesh, India. The present study was conducted from January 2018 to December 2018 over a period of 12 months. The demographic data was recorded and clinical evaluation was done. Out of 200 cases studied the most common cause being melasma in 94(47%) cases followed.........

Key words: Hypermelanosis, Clinico-epidemiology, dermatology, Melasma, multifactorial

[1]. Nicolaidus E, Antoniou C, Kastambas AD. Origin, Clinical presentation, and Diagnosis of Facial hypermelanosis. Dermatol Clin. 2007; 25: 321-326.
[2]. Anstey AV. Disorders of skin colour. ROOK's Text book of dermatology. Blackwell publication; 2010 te vol 3, p 58.34 – 58.37.
[3]. Dereu O. Drug- induced skin pigmentation. Epidemiology, diagnosis and treatment. Am J clin Dermatol. 2001; 2(4): 253-62
[4]. Fitzpatricks text book and Atlas of Dermatology in General Medicine.5th edition [Oage No's – 986,996, 998] Published by Mc Graw Hill.
[5]. Rook's text book of Dermatology; 7th Edition, edited by Tony Burns SB, Neil Cox, Christopher Griffiths [Page No's -39.16, 39.40] Published by Blavk Well Science Ltd.

Abstract: Comet assay also known as Single cell gel electrophoresis (SCGE) assay is a rapid and highly sensitive fluorescent molecular technique for detecting various forms of deoxyribonucleic acid (DNA) damage at individual cellular level. The present study was done to detect the extent of DNA damage in oral leukoplakia (OL) and compare with normal individuals. The sample population was obtained from Department of Dental Surgery, Sri Padmavathi Medical College for women, and Sri Venkateswara Institute of Medical Sciences (SVIMS) Tirupathi. Andhra Pradesh. In the period of 24months,from January 2017 to January 2019. A total of 180 consecutive patients with leukoplakia.........

Keywords: SCGE, Comet assay, DNA damage, Leukoplakia, Single cell gel electrophoresis assay

[1]. Silverman S Jr, Gorsky M, Lozada F. Oral leukoplakia and malignant transformation. A follow-up study of 257 patients. Cancer 1984;53(3):563-568.
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[3]. Warnakulasuriya S, Dietrich T, Bornstein MM, Casals Peidro E, Preshaw PM, Walter C, Wennstrom JL, Bergstrom J. Oral health risks of tobacco use and effects of cessation. Int Dent J 2010;60(1):7-30.
[4]. Dietrich T, Reichart PA, Scheifele C. Clinical risk factors of oral leukoplakia in a representative sample of the US population. Oral Oncol 2004;40(2):158-163.
[5]. Pindborg JJ, Jolst O, Renstrup G, Roed-Petersen B. Studies in oral leukoplakia: a preliminary report on the period prevalence of malignant transformation in leukoplakia based on a follow-up study of 248 patients. J Am Dent Assoc 1968;76(4):767-771.

Abstract: Background and Objectives: High-resolution computed tomography (HRCT) imaging of the lungs with high quality spatial resolution may reveal the normal and abnormal lung interstitium and morphological features of parenchymal disorders. High-resolution computed tomography (HRCT) has an added advantage to diagnose critically affected individuals with chronic diffuse infiltrative lung disease in patients with normal chest radiographs. Hence, this provides a precise assessment of the pattern and peculiar distribution of lung disease, it furnishes a concrete assessment and improves the.........

Key words: High-resolution computed tomography (HRCT), lung interstitium, Bronchiectasis ,opacity , resolution, reconstruction and lung parenchyma

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Abstract: L'occlusion intestinale est une urgence médico-chirurgicale, définie par un empêchement à la progression aborale du contenu intestinal par obstacle mécanique ou par faillite de l'activité musculaire intestinale. Les objectifs de notre travail étaient d'illustrer les occlusions intestinales aiguës de cause inhabituelle et de montrer à travers une approche didactique la place des différentes techniques d'imagerie dans la prise en charge des patients. Pour ceux-ci on a rapporté uneétude prospective de 55 patients admis au service d'accueil des urgences du CHU Hassan II FES, dans un tableau d'occlusion aigue et chez qui une investigation radiologique a été accordée et réalisée par l'équipe de garde du service de radiologie. Le travail était effectué durant 3 ans de juin 2015 au septembre 2018...........

[1]. Taurel P, Blayac PM, Bruel JM. : Occlusion intestinale aigue : éliminer une occlusion mécanique compliquée d'une strangulation. Imageries des urgences. Ed Masson 2004;p83-99.
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[3]. Chevallier P, Denys A, Schmidt S, et al . Valeur du scanner dans l'occclusion mécanique de l'intestin grêle. J Radiol Paris 2004 ;85:541-51.
[4]. Danse E. Imagerie des urgences abdominales non traumatiques de l'adulte. 2004. EMC RADIOLOGIE.233-279
[5]. PETER RENTON. Imagerie medicale, 2005, p 64 , Elsevier