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

Abstract: Menstrual cup is bell shaped made up of silicon rubber, which does not cause any irritation, collects menstrual fluid for a period of 10-12 hrs and disposal of menstrual blood and it can be reused for a period of 10 years by boiling it.To reduce the solid waste burden and to increase the menstrual hygiene in developing countries, menstrual cup is highly suggested. only recently the cup is made available in India and only few are advising it. so in the present study the awareness about menstrual cup among south Indian gynaecologists and their opinion regarding advisability when awareness is created is explored In the study 189 participatedand all of them were awarethat current practises for menstrual management..........

[1]. "Menstruation and the menstrual cycle fact sheet". Office of Women's Health. 23 December 2014. Archived from the original on 26 June 2015. Retrieved 25 June 2015.

[2]. Diaz A, Laufer MR, Breech LL, American Academy of Pediatrics Committee on Adolescence, American College of Obstetricians and Gynecologists Committee on Adolescent Health (November 2006). "Menstruation in girls and adolescents: using the menstrual cycle as a vital sign". Pediatrics. 118 (5): 2245–50. doi:10.1542/peds.2006-2481. PMID 17079600.

[3]. https://www.thenewsminute.com/article/cups-cloth-pads-and-more-why-you-should-switch-sustainable-menstruation-75295

[4]. Delaney J. Lupton M. Toth E. The curse—A cultural history of menstruation.Urbana: University of Illinois Press; 1988.

[5]. Arundati muralidharan.water aid india,menstrual health alliance india,management of menstrual waste.insight from india and pakisthan.june 21,2018...

Abstract: In fire accidents and cremation, fires may reach temperaturesas high as 11500 C. In such circumstances , teeth and bones are the only remains which can help in personel identification, as teeth and restorations are unique to an individual. This "in vitro" study was to observe the effects of high temperatures on teeth restored by (1) amalgam (2) composite/adhesive system, (3) GIC vs. unrestored teeth. 10 un-restored teeth (control group), 10 teeth with class I amalgam restorations and , 10 teeth with class I composite/adhesive system restorations and and.........

Key Words: Dental identification, dental materials, dental tissues, forensic odontology,forensic sciences, high temperatures

[1]. Shubhangi P. Bagdey, RohitBalwantMoharil, Alka M. Dive, Samantha Thakur, AshishBodhade, and Akshay A. Dhobley. Effect of various temperatures on restored and unrestored teeth: A forensic study. J Forensic Dent Sci. 2014 Jan-Apr; 6(1): 62–66
[2]. Sandra Moreno, Giuseppe Merlati1, Liliana Marín2, Caterina Savio1, Freddy Moreno. Effects of high temperatures on different dental restorative systems: Experimental study to aid identification processes. Journal of Forensic Dental Sciences .2009.,vol 1(1)
[3]. Moya V, Roldan B, Sánchez JA. Materialesdentales en la identiÞ - cación. In: Odontologíalegalyforense. Barcelona: Editorial Masson, 1994. p. 269-76.
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[5]. Andersen L, Juhl M, Solheim T, Borrman H. Odontologicalidenti Þ cation of Þ re victims - potentialities and limitations. Int J Leg Med 1995;107:229-2..

Abstract: Lactose intolerance is a common problem worldwide, especially in tropical areas. This study was carried out to see the comparison of prevalence of lactose intolerance and its symptom pattern in rural and urban areas. Fasting blood sugar and blood sugar after 30 minutes of intake of 25 gram lactose was measured in apparently healthy volunteers. Blood sugar level rise <1.1 mmol/l after 30 minutes was considered as positive lactose tolerance test. Specific symptoms like abdominal pain, diarrhea, vomiting, flatulence, nausea, headache, muscle pain and frequency of micturition were noted from the participants over 24 hour period. Among 133 participants, 57........

Key Words: Lactose intolerance, lactose tolerance test, urban area, rural area

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[4]. Cook GC, Kajubi SK. Tribal incidence of lactase deficiency in Uganda. Lancet 1966 Apr 2; 1(7440): 725-729
[5]. Gilat T, Kuhn R, Gelman E, Mizrahy O. Lactose deficiency in Jewish Communities in Israel. Am J Dig Dis 1970 Oct; 15 (10): 895-904.

Abstract: Laparoscopic surgery is now the gold standard in the management of gallbladderdiseases as for many other surgical conditions.[3] The advantages of laparoscopic overopen cholecystectomy are many as reported throughout the world and includes lesspost-operative pain, earlier return of bowel function, shorter length of hospital stay,earlier return to full activity, improved cosmesis and decreased overall cost.[3-7]Laparoscopic cholecystectomy is however not without drawbacks. Two operativecomplications, namely bile duct injury and complications due to spillage of stone/bilewithin the peritoneal cavity are reported to occur with greater frequency duringlaparoscopic cholecystectomy.[8-10] Several studies have shown that the incidence inspilled gallstones during laparoscopic cholecystectomy is about 5-40% of thesurgeries performed, while incidence of stone loss is unknown........

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Abstract: Shivering is a common problem in patients undergoing surgery under spinal anesthesia. Dexmedetomidine and Tramadol have been used to reduce the shivering threshold. The aim of the study was to compare the efficacy of dexmedetomidine and tramadol in the treatment of post-spinal anesthesia shivering as well as to compare their side effect profile. Materials and Methods: A total of 60 American Society of Anaesthesiologist physical status class I and II adult patients (aged 18-65 years) undergoing lower limb surgery under spinal anesthesia and developed shivering received either dexmedetomidine 0.5μg/kg or tramadol 0.5mg/kg intravenously. The response rate, time to cessation of shivering, percentage...........

Key words: post spinal anesthesia, shivering, tramadol, dexmedetomidine.

[1]. Sessler DI, Ponte J. Shivering during epidural anaesthesia. Anaesthesiology 1990;72(5):816-21
[2]. Sessler DI, editor. Miller's anaesthesia. 7th ed. New York: Churchill Livingstone;2010.
[3]. Crowley LJ, Buggy DJ. Shivering and neuraxial anaesthesia. Reg Anaesth Pain Med 2008;33:241-52
[4]. Alfonsi P. Postanaesthetic shivering: Epidemiology, pathophysiology, and approaches to prevention and management. Drugs 2001;61:2193-205.
[5]. Panner M,Murugaiyan P,Rao SV. A comparative study of intravenous dexmedetomidine and intravenous clonidine for post spinal shivering in patients undergoing lower limb orthopedic surgeries. Anaesth Essays Res 2017;11:151-4..

Abstract: Purpose: To assess knowledge, attitude and practice about DM and Diabetic Retinopathy & to find out the correlation of socio-demographic and underlying risk factor of DM & DR Method: Prospective observational study by fix formed questionnaire regarding knowledge attitude and practice about DM & DR. Results: Most of the study subjects were between the age group of 56-65 years (35.4%) followed by 46-55 years (29.1%). Of the 1414 patients, 1179 (83.3%) had good knowledge of diabetes, 925 (65.4%) had positive attitude towards diabetes, while only 334 patients (23.6%) were found to have good practice patterns. In more than one-fifth (21.8%) of study subjects diabetes retinopathy was present, out of these 16.6% have mild-moderate NPDR and 5.2% have severe NPDR-PDR...........

Key words: DM, Diabetic Retinopathy, KAP.

[1]. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care 2004; 27: 1047-1053
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[3]. Resnik off, S. and Kocur, I. (2014) Non-Communicable Eye Diseases: Facing the Future. Community Eye Health Journal, 27, 41-43.
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Abstract: Anterior inter osseous artery perforator flap is a versatile and reliable flap in covering volar aspect of distal forearm, dorsal surface of hand that are classical defects following electrocution and snake bite cellulitis sequel. Our experience with 5 cases done between 2017 t0 2018 as transposition flap and island flap for defects following electrocution, infection and following trauma, was shared. No prior Doppler study was done to locate the perforator in any case. Perforator was present in all the cases. The planning, ease of dissection, surgical technique, reach of the flap and reliability has been discussed. All the flaps survived well..

Key words: Anterior inter osseous artery perforator flap, post electrical burn defects of the hand and fore arm, dorsal defects of hand, distal island flap of hand

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Abstract: The control of pain in different stagesduringorthodontic treatment is important for orthodontic practitioners and their patients. Following the application of separators, many patients experience pain till the next 24 hours. Usually orthodontists permit their patients to consume analgesics to get rid of the pain. This study compares the effects of pre-operative administration of Ketorol DT and Aceclofenac on pain relief following separatorplacement. Patients were segregated into 3 groups (Use of Placebo,Ketorol DT and Aceclofenac) and pain following separator placement was evaluated using Visual analogue scale.Patients prescribed with Ketorol DT exhibited less pain and discomfort compared with other groups.

Keywords: Ketorolac, Aceclofenac

[1]. Erdinc AM, Dincer B. Perception of pain during orthodontictreatment with fixed appliances. Eur J Orthod 2004;26:79-85.
[2]. Bergius M, Berggren U, Kiliaridis S. Experience of pain during an orthodontic procedure. Eur J Oral Sci 2002;110:92-8.
[3]. Bird SE, Williams K, Kula K. Preoperative acetaminophen vs ibuprofen for control of pain after orthodontic separator placement. Am J OrthodDentofacialOrthop 2007;132:504-10
[4]. Bernhardt MK, Southard KA, Batterson KD, Logan HL, Baker KA, Jakobsen JR. The effect of preemptive and/or postoperative Ibuprofen therapy for orthodontic pain. Am J OrthodDentofacialOrthop 2001;120:20-7.
[5]. Steen Law SL, Southard KA, Law AS, Logan HL, Jakobsen JR.An evaluation of preoperative ibuprofen for treatment of painassociated with orthodontic separator placement. Am J OrthodDentofacialOrthop 2000;118;629-35.

Abstract: Introduction:Suprasellar arachnoid cysts are benign developmental collections of CSF and constitute approximately 9% of all pediatric intracranial arachnoid cysts. Objectif:The aim of this study is to demonstrate the feasibility and interest of the endoscopy in the treatment of suprasellar arachnoid cysts. Materials and methods:We report our experience with endoscopic management in 22 patients with suprasellar arachnoid cyst treated with endoscopic fenestration during the period ranged from 2009 to 2018 in our institution. Results:The average........

Keywords: Arachnoid cyst, ventriculostomy, head bobbling, hydrocephalus

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[5]. Lyu J. Possible origins of suprasellar arachnoid cysts based on anatomical considerations. World Neurosurg. 2014;82(3-4):e570-e573.

Abstract: Introduction: L'asthme est une maladie inflammatoire chronique des voies aériennes dont l'étiologie principale est l'allergie dans 50% des cas. Son association avec le reflux gastro-oesophagien (RGO) n'est pas rare. L'effet du reflux sur la fonction pulmonaire et notamment l'asthme reste controversée dans la littérature. Le but de notre travail est de déterminer la prévalence du reflux gastro-oesophagien à la pH métrie et son impact sur la sévérité et le contrôle d'asthme chez la population asthmatique adulte de la région de Fès. Matériels et méthodes : Etude prospective étalée..........

[1]. Dirou S, et al. Reflux gastro-oesophagien et pathologies respiratoires chroniques. Revue des Maladies Respiratoires (2015), http://dx.doi.org/10.1016/j.rmr.2015.03.004
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[3]. L. Senhaji, B. Amara. Asthme et reflux gastro-oesophagien. Mémoire de fin de spécialité. Faculté de médecine et de pharmacie de Fès. 2016..
[4]. J.X.Zhang, X.B.Zhan, C.Bai, Q.Li. Belching, regurgitation, chest tightness and dyspnea : not gastrooesophageal reflux disease but asthma. World J Gastroenteral 2015 February 7;21(5): 1680-1683.
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Abstract: The objective of this study is to characterize the Fibroid masses by using Computed Tomography .Study depend on practical scanning, of 100 patients of uterine fibroid from different area in Khartoum state, with different age, distributionthe data was collected of study found that the most common affectedrelated age was between (29-39) years old (44) Patients 44% .Most common related clinical finding was uterine bleeding. In terms of the location of fibroids in the uterus, the intramural fibroids had the greatest percentage (67%), the subserosalwas (16%) and the submucosal fibroids was (12%) Pedunculated and Interligamentous was very rare in Khartoum state which is that means the intramural fibroids are the most common type with a high incidence rate..

Keywords: Fibroid masses, fibroid type, uterus, computer tomography. Cite This Article:Nuha Mohamed NourEldaim Mohamed Elkandri, Characterization Of fibroid masses using Computed Tomography.

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[3]. Medically reviewed by Debra Rose Wilson, PhD, MSN, RN, IBCLC, AHN-BC, CHT on February 6, 2018 Written by Brindles Lee Macon & Winnie Yu.
[4]. Medically reviewed by Debra Rose Wilson, PhD, MSN, RN, IBCLC, AHN-BC, CHT on February 6, 2018 — Written by Brindles Lee Macon & Winnie Yu.
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Abstract: Pain management is a major concern for most practicing dentists and poses a problem for pediatric patients as well. There have been many recent developments in the field of local anesthesia for dentistry which can be utilized along with conventional techniques to minimize the pain associated with syringe and needles as well as alleviate the apprehension in patients. A pediatric dentist bears the responsibility of instilling a positive dental attitude among children and these newer techniques,when used exclusively or in conjunction with the traditional method of anesthesia, prove to be quite helpful in meeting the objective of pain control during dental procedures. This review aims to summarize the recent advances in painless local anesthesia techniques as well as provide information to practicing dentists regarding better pain control and patient management..

Key words: Dental anaesthesia, painless dentistry, pediatric dentistry, pedodontics

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Abstract: Context- Mode of delivery is considered to be an important factor in maternal experience. Anxiety symptoms are commonly manifested during pregnancy and in the postpartum period, at times it is affected by the Various mode of deliveries . Objectective- To assess & Compare Anxiety in women following caesarean section and vaginal delivery. Methods- Study was conducted in the of Department of Obstetrics and Gynaecology, C.S.S. Hospital, attached to the Subharti Medical College, Meerut. Two groups were formed, group A consisted of subjects undergoing elective Cesarean Section and group B consisted of subjects undergoing vaginal delivery. Hamilton's Anxiety Rating Scale (HAM-A).........

Key words: Cesarean Section, Vaginal Delivery , Postpartum anxiety

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[2]. Carter FA, Frampton C, Mulder RT. Cesarean Section and Postpartum Depression: A Review of the EvidenceExamining the Link PHD. Journal of Psychosomatic Medicine 2006; 68:321–30.
[3]. Shaily Mina, Yatan Pal Singh Balhara, Rohit Verma, Shachi Mathur. Anxiety and depression amongst the urban females of Delhi in antepartum period. Delhi Psychiatric Journal 2012;15:347-51
[4]. Sankapithilu GJ, Nagaraj AKM, Bhat SU, Raveesh BN, Nagaraja V. A comparative study of frequency of postnatal depression among subjects with normal and caesarean deliveries. Online J Health Allied Scs2010;9:4.

[5]. Goker A, Yanikkerem E, Demet MM, Dikayak S, Yildirim Y, Koyuncu FM. Postpartum depression: is mode of delivery a risk factor? ISRN Obstet Gynecol ;2012:616-759....