iosr-JDMS   Volume-18 ~ Issue-5 ~ May-2019

Abstract: The term old age brings to mind , the end of one's productive and fulfilling life. Eric Erikson in his theory of personality has rightly named the old age, the last stage of life span of man, as the stage of matuarity, as it involves certain physicial and psychological changes which in turn lead to personal, interpersonal and other social adjustments. Understanding of this inevitable and essential part of life in BIOPSYCHOSOCIAL perspective is thus needed as this stage in interdependent of previous stages and adjustment in old age is dependent on person's physical, psychological and social interaction. As things stand, the rapid spread of............

[1]. AGEING IN INDIA by Dr. Indira Jai Prakash professor of Psychology Bangalore University Bangalore , Karnataka. Page no: 2.
[2]. Almeida OP , Forlenza OV , Lima NK, Bigliani V, Arcuri SM , Gentile M, Faria MM, Lourenco CC . de Oliveira (1997). Psychiatric morbidity among the elderly in a primary care setting--- report from a survey in Sao Paulo, Brazil. Int J Geriatric Psychiatry. JULY: 12(7): 728-36
[3]. Branch L, Berkman L,et al (1986) social functioning , in established population for epidemiological studies in elderly. Resourse data book; NIH publications 86-2443

[4]. Bulletin of the World Health Organization. 2004;82:213-18

Abstract: Aims and objectives:-This randomised observational study was undertaken to evaluate the efficacy , safety and outcome of laparoscopic surgery for perforated duodenal ulcer in comparison with conventional laparotomy and to determine the risk factors which influence the outcome. Material and method: 100 patients of all age attending outdoor (OPD) or emergency with duodenal ulcer suggestive for laparoscopic surgery & open surgery admitted to the hospital were studied. All patients diagnosed clinically with perforated peptic ulcers were prospectively nonrandomized to undergo either conventional open or laparoscopic suture omental patch repair. Results-As regards complications like Fever and Wound infection the frequency of occurrence was more in Open surgery cases as compared to............

Key Words: Peptic ulcer disease , Open surgery , laparoscopy

[1]. Amutha P, Narayanan ML, Prabhu A. Comparative study of laparoscopic and open repair of duodenal ulcer perforation. J. Evid. Based Med. Healthc. 2017;4(61):3696-3700.
[2]. G. Bas, R. Eryilmaz, I. Okan, M. Sahin. Risk Factors of Morbidity and Mortality in Patients with Perforated Peptic Ulcer. ActaChirBelg, 2008;108:424-427
[3]. Kumar P, Kumar S, Verma RK, Agarwal A, Kumari R. Laparoscopic versus open repair of duodenal perforation: a comparative study in tertiary care hospital in Uttarakhand, India. IntSurg J 2016;3:1975-8.
[4]. Bertleff MJ, Lange JF. Laparoscopic correction of perforated peptic ulcer: first choice? a review of literature. SurgEndosc. 2010;24:1231-9.
[5]. Byakodi KG, Harini BS, Teggimani V, Kabade N, Hiregoudar A, Vishwas MR. Factors affecting morbidity and mortality in peptic ulcer perforation. IntSurg J 2018;5:1335-40

Abstract: Peritonitis is inflammation of the peritoneum and/or peritoneal cavity due to localized or generalized infections. Most cases of peritonitis are consequence to the invasion of the peritoneal cavity by bacteria from the gut. The outcome of an abdominal infection depends on the complexinteraction of many different factors and the success obtained with the early onset of specific therapeutic procedures1. It may also depend upon exact recognition of the seriousness of the disease, an accurate assessment and classification of the patient's risks. Early prognostic evaluation of abdominal sepsis is desirable to select high-risk patients for more aggressive therapeutic procedures such as........

Key Words;-Eosinophils, Allergy, Helminthic, Immunology

[1]. Rajender singh, Ajay kumaretal. World journal of emergency surgery Vol 2006 1:26. Spectrum of perforation peritonitis in india.
[2]. Delibegovic, markovic, Draganaetal Medical Archives Vol 65,Iss2(2011):82. Prognostic indicators in peritonitis.
[3]. Batra P., Gupta Detal. CIBTech Journal of Surgery ISSN: 2319-3875.2013 Vol. 2(3). Mannheim peritonitis index as an evaluative tool in predicting mortality in patients of perforation peritonitis
[4]. Demmel N, Muth G, Maag K, Osterholzer G. Prognostic scores in peritonitis: the Mannheim Peritonitis Index or APACHE II? Langenbecks Arch Chir1994;379:347-52.
[5]. Basnet RB, Sharma VK etal. Evaluation of predictive power of Mannheim Peritonitis Index. PMJN vol 10, number 2..

Abstract: Background 1. To study the incidence of incidental carcinoma of gall bladder in patients undergoing routine cholecystectomy. 2. To study the demographic profile and management of these patients. Material And Method A retrospective plus prospective study was conducted from January 2016 to August 2018. A total of 2371 patients were included in this study. All patients who have undergone cholecystectomy for cholelithiasis were included in this study. Results Atotalof 2371 patients, whounderwentcholecystectomyfor cholelithiasis, were included in the study. There were 868 males (36.6%) and 1503.......

Key words: -Gallbladder, Incidental carcinoma

[1]. Weinstein D, Herbert M, Bendet N, Sandbank J, Halevy A. Incidental finding of gall bladder carcinoma. IMAJ 2002; 4:334-336.
[2]. Jin K, Lan H, Zhu T, He K, Teng L. Gall bladder carcinoma encountered during laproscopic cholecystectomy. Clin Transl Oncol 2011;13:25-33.
[3]. Shrestha R, Tiwari M, Ranabhat S K , Aryal G, Rauniyan S K, Shrestha H G. Incidental gall bladder carcinoma : value of routine histological examination of cholecystectomy specimens. Nepal Med Coll J 2010;12:90-94.
[4]. Youssef F, Khan A W, Davidson B R. Disseminated bony metastases following incidental gall bladder cancer detected after laproscopic cholecystectomy. J Hep Pancreat Billi 2003;5:258-260.
[5]. Jemal A, Siegel R, Ward E, et all. Cancer statistics, 2006. Ca-A Cancer Journal for clinicians. 2006; 56(2): 106—30..

Abstract: La prise en charge obstétricale est souvent influencée par l'estimation clinique ou échographique du poids foetal. L'objectif de cette étude était d'évaluer le poids foetal estimé selon les formules de Johnson et de Mbu et Kongnyuy ; comparé au poids échographique et de naissance. Cette étude était descriptive transversale et prospective, réalisée aux Cliniques Universitaires de Lubumbashi de Juin 2017 à février 2018, sur 249 parturientes dont l'âge gestationnel était supérieur ou égal à 28 semaines et chez qui une échographie avait été réalisée. La comparaison de la moyenne des poids foetaux estimée selon la formule de Johnson, aux moyennes des poids foetaux échographiques et de naissance......

Key words: estimation, poids naissance, formule de Johnson, formule de Mbu et Kongnyuy

[1]. Ghaemmaghami F, Jamal A, Soleimani MR, Mohammadian H (2002) parturient fundal height and birth weight estimation. Arch Iranian Med 5 (2): 80-83.
[2]. Numprasert W (2004) A study in Johnson's: Fundal Height Measurement for Estimation of Birth Weight. AU JT 8(1): 15-20.
[3]. Fournié A., Lefebvre-Lacoeuille C., Cotici V., Harif M., Descamps P. La mesure de la HU dans les grossesses uniques et le dépistage des retards de croissance intra –uterin La Revue Sage-Femme 2007; 6 : 342-348).
[4]. M. ALTHUSERECHOGRAPHIE foetale de depistagegynecologie/obstetrique5-018-a-40 (2007 elseviermassonsas.paris)
[5]. SHEPARD MJ. RICHARD VA ET AL:an evaluation of two equation for predicting fetal weight byiltrasound.am j obstet gynecol.1982,142:47-54

Abstract: Endondontic treatment of calcified canal is challenging to endodontists and chances of iatrogenic perforation and treatment failure is more. Recent development in techniques and materials utilized in perforation repair has dramatically improved the prognosis of such troublesome cases.MTA is relatively new material which has shown promising results to repair such defects. The present case report illustrates the successful non-surgical management of an iatrogenic perforation at apical third of root canal using MTA.

Keywords: calcification, root perforation, MTA

[1]. P. S. McCabe & P. M. H. Dummer ; Pulp canal obliteration: an endodontic diagnosis and treatment challenge; International Endodontic Journal, 45, 2012 177–197
[2]. Silveira CM, Sánchez-Ayala A, Lagravère MO, Pilatti GL, Gomes OM. Repair of furcal perforation with mineral trioxide aggregate: longterm follow-up of 2 cases. J Can Dent Assoc 2008; 74(8): 729-33.
[3]. Aziz S, Ali AK, Moeen F. Two successful cases of root perforation repair using mineral trioxide aggregate. Pak Oral Dent J. 2008;28:103–6.
[4]. Ingle JI. A standardized endodontic technique utilizing newly designed instruments and filling materials. Oral Surg Oral Med Oral Pathol 1961;14:83–91
[5]. Hamad HA, Tordik PA, McClanahan SB. Furcation perforation repair comparing gray and white MTA: a dye extraction study. J Endod 2006; 32(4): 337-40

Abstract: Surgical OPD have variety of patients. Amongst these there are intra-abdominal lumps, which may be painful or painless and can be symptomatic or asymptomatic and are investigated on their merits. A person with an abdominal mass may suffer an increase in weight and symptoms such as abdominal discomfort, pain, and bloating Abdominal masses are mostly treatable. However, complications may arise depending on the cause of the mass. Abdominal masses can be the result of a number of factors, like an injury, cyst, benign tumor, cancer, or other diseases.

[1]. https://www.cancer.net/cancer-types/neuroendocrine-tumor/introduction

[2]. Klimstra, D.S.; Modlin, I.R.; Coppola, D.; Lloyd, R.V.; Suster, S. (2010). "The Pathologic Classification of Neuroendocrine Tumors". Pancreas

[3]. Ramage JK, Davies AH, Ardill J, et al. (June 2005)."Guidelines for the management of gastroenteropancreatic neuroendocrine (including carcinoid) tumours". Gut. 54. 54 (Suppl 4): iv1–iv16

[4]. Burns WR, Edil BH (March 2012). "Neuroendocrine pancreatic tumors: guidelines for management and update". Current Treatment Options in Oncology.
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Abstract: A gastrointestinal stoma is an artificial opening in the abdominal wall to divert the gastrointestinal secretions and waste products to the exterior. A stoma can be made in the esophagus (esophagostomy) stomach (gastrostomy), the jejunum (jejunostomy), the ileum (ileostomy), the caecum (caecostomy) and the colon (colostomy). 64 patients were included in the study in which closure of ileostomy was done during the period of June 2017 to August 2018. Out of 64 patients included in this study, early closure was done in 30 patients and late closure in 34 patients. Stoma related......

Keywords: Stoma, early closure, late closure.

[1]. Dinnick T. The origin and evolution of colostomy. Br J of Surgery 1934;22:142-154.
[2]. Cromar C.D.L. The evolution of colostomy. Diseases of the Colon and Rectum 1968;11:256-280; 367-390; 423-446.
[3]. Richardson R.G. The abdominal stoma. Abbott Laboratories, Queen-borough, Kent, 1973.
[4]. Hardy KJ. Surgical history. Evolution of the stoma. Aust N Z J Surg 1989;59:71-77.
[5]. Cataldo PA. Intestinal stomas:200 years of digging. Dis Colon Rectum 1999;42:137-142...

Abstract: Objective- To report a case of rupture ectopic pregnancy on same side after partial salpingectomy. Design- Case report Setting- Departments of Obstetrics and Gynaecology Regional institute of medical science Hospital, Imphal, Manipur. Patient- A 35 year old female a case of G4P2012 with previous ectopic with rupture ectopic. Intervention- Emergency exploratory laparotomy with securing of rupture ectopic with right tubal ligation. Result-Image diagnosis and pathological examination reveal product of conception

Keywords: Case report, Ectopic pregnancy, Exploratory laparotomy

[1]. SeeberBE, Barnhart KT. Suspected ectopic pregnancy. Obstetrics &Gynecology. 2006 Feb 1;107(2):399-413.
[2]. de Boer CN, van Dongen PW, Willemsen WN, Klapwijk CW. Ultrasound diagnosis of interstitial pregnancy. Eur J ObstetGynecolReprodBiol 1992;47:164–166.
[3]. Lin EP, Bhatt S, Dogra VS. Diagnostic clues to ectopic pregnancy. Radiographics. 2008 Oct;28(6):1661-71.
[4]. Varma R, Gupta J. Tubal ectopic pregnancy. BMJ clinical evidence. 2012;2012.

Abstract: This is the review of result of mechanical and dosimetric data measure during commissioning of Elekta Synergy Plat form Linear Accelerator (Elekta Oncology Systems, Crawley, UK) with 3 photon energies. All data collection and testing were performed in accordance with the National and International practice and guidelines & Measured by qualified Radiation Physicist. All measurement was made at gantry and collimator angle of 0 degrees. The Isocenter, percentage depth dose (PDDs), cross plane and in-plane profiles, penumbra, relative photon output factor (Scp),head scatter factor (Sc),wedge and MLC transmission factor were done. The observation obtained in study meeting all the tolerance values as prescribed by Atomic Energy Regulatory Board.

Keywords: Beam data, cross line, Flatness, Penumbra, Elekta Synergy Platform

[1]. Precise Treatment System Clinical mode users manual R50- Elekta Oncology System Ltd, Crawley, west Sussex, United
[2]. Kingdom -2003(pg 12-15)
[3]. Das IJ, Cheng CW, Watts RJ, et al. Accelerator beam data commissioning equipment and procedures: report of the TG-106 of the Therapy Physics Committee of the AAPM. Med Phys. 2008;4186-215.
[4]. Almond PR, Biggs PJ, Coursey BM, et al. AAPM's TG-51 protocol for clinical reference dosimetry of high-energy photon and electron beams. Med Phys. 1999;26(9):1847-1870.
[5]. Klein EE, Hanley J, Bayouth J, et al. Task Group 142 report: quality assurance of medical accelerators. Med Phys. 2009;36(9):41974212..

Abstract: Introduction: iron deficiency anemia is the most common form of anemia. Iron is an essential component of brain growth, myelination, and is required for cell differentiation, protein synthesis, hormone production and fundamental aspects of cellular energy metabolism and functioning. It has also been found that higher hemoglobin levels results in better cns functions. AIM: to assess the relationship between iron deficiency anemia and cognitive function in young adults. MATERIAL: 100 young adults, 67 female..............

Keywords: iron deficiency anaemia, mmse,moca,serum ferritin

[1]. Cook JD (1995) Iron supplementation: is less better? Lancet 346:58
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[5]. Demetri GD (2001) Anaemia and its functional consequences in cancer patients: current challenges in management and prospects for improving therapy. Brit J Cancer 84(Suppl 1):31–37.

Abstract: Metabolic Mapping includes use of MRI and MR spectroscopy in differentiating various ring enhancing lesions like abscess, tumour like glioblastoma multiformae, tuberculoma, radiation necrosis and metastasis.MRI has inherent sensitivity and capability to detect ring enhancing lesions. MR spectroscopy provides information about the chemical nature of ring enhancing lesions by analyzing the presence and ratio of tissue metabolites like NAA, choline, creatine, lactate, lipid etc. Objectives To evaluate the efficacy of metabolic mapping(MRI and MR spectroscopy) in evaluation of brain lesions that shows ring enhancemen.......

Keywords: MRI and MR spectroscopy, Ring enhancing lesions, tuberculoma, abscess

[1]. Omuro AM, Leite CC, Mokhtari K, Delattre JY. Pitfalls in the diagnosis of brain tumours. Lancet Neurol 2006;5:937-48.
[2]. Cunliffe CH, Fischer I, Monoky D, Law M, Revercomb C, Elrich S, et al. Intracranial lesions mimicking neoplasms. Arch Pathol Lab Med 2009;133:101-23.
[3]. Zee CS, Segall HD, Boswell W, et al. MR imaging of neurocysticercosis. J Comput Assist Tomogr 1988:12:927-934
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[5]. Desprechins B, Stadnik T, Koerts G, et al. Use of diffusion-weighted MR imaging in differential diagnosis between intracranial necrotic tumors and cerebral abscesses. AJNR Am J Neuroradiol 1999;20:1252 1257..

Abstract: Congenital muscular dystrophies are a complex group of disorders consisting of two broad divisions, namely, laminin alpha2 chain deficient type and with hypoglycosylated alpha-dystroglycan type. Magnetic resonance imaging of the brain reveals white matter abnormalities in the former, whereas both grey and white matter abnormalities in the latter group. There can be overlap of MRI findings. Imaging (CT and MRI) along with clinical-genetic correlation are extremely useful in disease detection and differentiation from other entities in the spectrum.

Keywords:

 Walker-Warburg Syndrome (MeSH unique ID: D058494).
 Lissencephaly (MeSH unique ID: D054082).
 Cobblestone Lissencephaly(MeSH unique ID: D054222).
 Magnetic Resonance Imaging (MeSH unique ID: D008279).

 Dystroglycans(MeSH unique ID: D049030).

 Muscle Hypotonia(MeSH unique ID: D009123).

[1]. Vajsar J. MRI findings in congenital muscular dystrophies associated with brain abnormalities. Future Neurology. 2006; (1):765-773. doi: 0.2217/14796708.1.6.765.
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[4]. Brasseur-Daudruy M, Vivier PH, Ickowicz V, Eurin D, Verspyck E. Walker-Warburg syndrome diagnosed by findings of typical ocular abnormalities on prenatal ultrasound. PediatrRadiol. 2012 Apr; 42(4):488-90. PMID: 22002842.
[5]. Abdel Razek AA, Kandell AY, Elsorogy LG, Elmongy A, Basett AA. Disorders of cortical formation: MR imaging features. AJNR Am J Neuroradiol. 2009 Jan; 30(1):4-11. PMID: 18687750.

Abstract: Objective: To study the correlation of oral health status and stress. To evaluate patients for the symptoms of stress and then to correlate these symptoms with oral findings. Material and Method: This study was carried out in the Department of Oral Medicine and Radiology, V.S.P.M's Dental College & Research Centre, Nagpur. Study group comprised of a total of 400 patients with age group 18-70 years of both sexes. Patients were asked to answer 20 questionnaires related to stress symptoms based on the George Washington University Stress Symptom Checklist. Then the correlation of oral health status and stress was assessed. The association between oral disease and the stress was studied by statistical analysis........

Keywords: Stress, Gingivitis, Soft tissue lesion, Caries.

[1]. Uma Maheshwari TN, Gnansundaram N. Stress related oral diseases- A research study. Journal of Pharma & Bio sciences.2010;1(3): 1-10
[2]. www.definitionofstress.com.Simple template. Template images by Ollestrator. Powered by Blogger.
[3]. www.sacralmusings.com/profiles/blogs/MervynWaldman pathophysiology of chronic pain.
[4]. Schwartz LL. Pain associated with the temporomandibular joint. J Am Dent Assoc.1955; 51: 394
[5]. Jose L, et al. Psychological factors and oral liche planus. Oral Surgery Oral Medicine Oral Pathlogy. 1998;86(6): 687-691

Abstract: Background: Pharmacology, being both basic and applied science, forms the backbone of rational therapeutics in medical field. This study was done to determine the perception and feedback of teaching learning pharmacology as it isimportant for their betterment.. Methods: Descriptive cross sectional questionnaire based study was conducted in Siddhartha medical college, Vijayawada, India 2019. A questionnaire was distributed in the class and then collected. Data was analysed using the Statistical Package for Social Sciences (SPSS). Results: Total of 100 students, 19 males and..........

Keywords: Feedback, Pharmacology, Perception, Student, Teaching-learning

[1]. Rao K. Y. Undergraduate Pharmacology: Student's view – A Questionnaire Study J. Phys. Pharm. Adv., 2013, 3(2):27-32
[2]. Garg A, Rataboli PV, Muchandi K. Students opinion on the prevailing methods of teaching methods in pharmacology and changes recommended. Indian J Pharmacol., 2004; 36(3): 155-58.
[3]. Shankar PR, Mishra P, Shenoy N et al. Importance of transferable skills in pharmacology. Pharmacy Education 2003; 3: 97– 101.
[4]. Jalgaonkar SV, Sarkate PV, Tripathi RK. Students' perception about small group teaching techniques: role play method and case based learning in pharmacology. Education in Medicine Journal, 2012; 4(2): 13-18.
[5]. Gitanjali B and Shashindran CH. Curriculum on clinical Pharmacology for medical undergraduates of India. Indian J Pharmacol. 2006; 38: 108-14.