iosr-JDMS   Volume-18 ~ Issue-7 ~ July-2019

Abstract: Introduction: Varicocele, an abnormal dilatation and tortuosity of the pampiniformplexus of veins is found in about 15% of the general population with a marked left sided predominance. However this incidence rises to 35% in men with primary infertility and 70 to 80% in men with secondary infertility. We decided to conduct a prospective study to assess the value of varicocele ligation in improving the semen parameters in case of male infertility/subfertility and relief of symptoms following varicocelectomy in patients with painful varicocele. Material and Methods: A prospective study of 30 adult male patients suffering from unilateral /bilateral varicocele presenting with infertility.......

[1]. Gorelick J, Goldstein M.: Loss of fertility in men with varicocele. Fertility and sterility 1993 ; 59 ( 3 ) : 613 . 6 .
[2]. Witt M A, Lipshultz L. Varicocele: A progressive or static lesion? Urology 1993; 42 (5): 541 .3.
[3]. Schlesinger M H, Wilets I F, Nagler H M.: Treatment outcome after varicocelectomy: A critical analysis. Urology Clinics of North America 1994 ; 21 ( 3 ) : 517 . 29 .
[4]. Spencer W G: Celsus de Medicina (English translation). Cambridge Harvard University Press 1938.
[5]. Curling T B : A practical treatise on the diseases of testis and of the spermatic cord and scrotum . Philadelphia, 1856, Blanchard and Lean..

Abstract: Leiomyosarcoma is a malignant smooth-muscle tumour that has a predilection for the gastrointestinal and female genital tract. Sinonasal Leiomyosarcoma is exceptionally rare with no more than 100 cases reported in the English literature. It is locally fast-spreading and highly aggressive, and the prognosis is poor. We report a rare case of leiomyosarcoma of the nasal cavity in a 74-year-old woman who presented a swelling at the root of the nose. The histopathological and immunohistochemical studies confirmed that it was leiomyosarcoma. The patient underwent a radical surgical resection and adjuvant external radiotherapy. She is currently well and under regular follow up for the past two years with no sign of recurrence. Radical surgery and adjuvant.........

Keywords: Leiomyosarcoma; soft tissue sarcoma; Sinonasal; Head and neck; Radiotherapy .

[1]. Taghipour Zahir S, Naser Sefidrokh Sharahjin. Leiomyosarcoma of the maxilla in a 24-year-old man who initially presented with odontalgia, and suffered from tumour mismanagement. BMJ Case Rep 2013
[2]. Abbas Agaimy, Sabine Semrau, Michael Koch, Lester D. R. Thompson. Sinonasal Leiomyosarcoma: Clinicopathological Analysis of Nine Cases with Emphasis on Common Association with Other Malignancies and Late Distant Metastasis. Head and Neck Pathology December 2017.
[3]. Y K Chew, Y Noorizan, A Khir, S Brito-Mutunayagam. Leiomyosarcoma of the Maxillary Sinus. Med J Malaysia Vol 64 No 2 June 2009.

[4]. Jagveer Yadav, Jaimanti Bakshi, Mahendra Chouhan, Rahul Modi. Head and Neck Leiomyosarcoma. Indian J Otolaryngol Head Neck Surg (July 2013) 65(Suppl 1):S1–S5.
[5]. Marioni G et al. Laryngeal leiomyosarcoma. J Laryngol Otol. 2000; 114:398–401.

Abstract: The periodontium is a functional unit and consists of the gingiva, periodontal ligament, cementum, and alveolar bone. The gingiva surrounds the tooth like a collar and is firmly attached to the alveolar bone and cervical portion of the tooth. The most coronal edge of the gingiva is the gingival margin. Gingival recession caused due to periodontal disease disturbs patients because of sensitivity and esthetics. Gingival prosthesis may be fixed or removable and can be made from silicones, acrylics, composite resins or ceramics according to what is best suited for the case. The gingival veneer is esthetically appealing and easy to maintain. This case report describes the use of gingival veneer as a treatment modality for recession..

Keywords: gingival prosthesis, periodontium, gingival recession.

[1]. Mekayarajjananonth T, Kiat-amnuay S, Sooksuntisakoonchai N, Salinas TJ. The functional and esthetic deficit replaced with an
acrylic resin gingival veneer. Quintessence Int 2002;33:91-4.
[2]. Barzilay I, Irene T. Gingival prostheses – A review. J Can Dent Assoc 2003;69:74-8.
[3]. Greene PR. The flexible gingival mask: An aesthetic solution in periodontal practice. Br Dent J 1998;184:536-40.
[4]. Priest GF, Lindke L. Gingival-colored porcelain for implant-supported prostheses in the aesthetic zone. Pract Periodontics Aesthet
Dent 1998;10:1231-40.
[5]. Blair FM, Thomason JM, Smith DG. The flange prosthesis. Dent Update 1996;23:196-9.

Abstract: Now a days, MRI is the examination of choice for sellar and parasellar pathology due to its excellent soft tissue contrast, fine multiplanar capability and with no ionizing radiation. This permits fair visualization of pathology, bearing close relation to adjoining organs with concrete tissue differentiation. CT, though less employed is of immense use especially for demonstrating calcification, bony destruction and surgically relevant bony anatomy (sphenoid septae and pneumatization). When sella gets enlarged as a result of intrasellar tumor, it takes the shape of a round (balloon and extends its tentacles underneath the anterior clinoid processes). Pruning underneath the clinoid processes and intact dorsum sella in these cases can appear in a closed type of sella, due to characteristic of intrasellar.........

Keywords: PITUITARY , SELLA , SPHENOID , MACROADENOMA , TUMOR , MAGNETIC RESONANCE IMAGING (MRI).

[1]. Rennert J, Doerfler A. Imaging of sellar and parasellar lesions. Clin Neurol Neurosurg. 2007;109:111–124.

[2]. Eduardo DS, Franco SB, Castro JDV. Magnetic resonance imaging of sellar and juxtasellar abnormalities: atypical findings of common diseases and typical findings of rare diseases. Radiol Bras. 2018;51:45–51.

[3]. Chakeres DW, Curtin A, Ford G. Magnetic resonance imaging of pituitary and parasellar abnormalities. Radiology Clinics North America 1989;27(2):265–281.

[4]. Peck WW, Dillon WP, Norman D, et al. High-resolution MR imaging of pituitary microadenomas at 1.5T: experience with Cushing disease. Am J Roentgenol 1989;152(1):145–151.

[5]. Lee BC, Deck MD. Sellar and juxtasellar lesion detection with MR. Radiology 1985;157(1):143-7.

Abstract: Objective: To determine the disease pattern of patients attending retina clinic of assam medical college,dibrugarh. Materials and Methods: A retrospective hospital based analysis of 385 cases visiting Retina Clinic of Assam Medical College over a period of one year was carried out in order to know the disease pattern for planning purpose. Results: Out of 23,241 new patients,385 patients attended retina clinic over a period of one year. Males outnumbered females(67.53% versus 32.46%). The diseases were common in the age group between 50-59 years. Diabetic retinopathy was the commonest cause for attendance in retina clinic(35.58%) with CSME in 43.06% DR cases, followed by ARMD and hypertensive retinopathy changes

Keywords: posterior segment diseases pattern,diabetic retinopathy, ARMD, hypertensive retinopathy

[1]. Nazimul H, Rohit K, Anjli H. Trend of retinal diseases in developing countries. Expert Review of Ophthalmology. 2008 Feb 1;3(1):43-50.

[2]. Gadkari SS, Maskati QB, Nayak BK. Prevalence of diabetic retinopathy in India: The all India ophthalmological society diabetic retinopathy eye screening study 2014. Indian journal of ophthalmology. 2016 Jan;64(1):38.

[3]. Srinivasan S, Swaminathan G, Kulothungan V, Raman R, Sharma T. Prevalence and the risk factors for visual impairment in age-related macular degeneration. Eye. 2017 Jun;31(6):846.

[4]. Uhumwangho OM, Itina EI. Retinal diseases in a tertiary hospital in southern Nigeria. Journal of the West African College of Surgeons. 2015 Apr;5(2):1.

[5]. Khan A, Riaz Q, Soomro F, Qidwai U, Qazi U. Frequency and patterns of eye diseases in retina clinic of a tertiary care hospital in Karachi. Pak J Ophthalmol. 2011;27(3):155-9.

Abstract: Background: Fine Needle Aspiration Cytology (FNAC) is a cost effective, minimally invasive, diagnostic tool in evaluation thyroid lesions. Thyroid lesions are more common in females than in males. Both benign and neoplastic lesions of thyroid can be diagnosed on thyroid FNAC and categorised using The Bethesda System for Reporting Thyroid Cytology. Aims and Objectives: Present study was done to evaluate the thyroid lesions by FNAC with the help of The Bethesda System for reporting thyroid cytopathology at a tertiary care hospital in rural area. Materials and Methods: This is a one year prospective study done from March 2018 to March 2019 on 189 thyroid........

Keywords:Thyroid lesions, Fine Needle Aspiration Cytology

[1]. Sengupta A, Pal R, Kar S, Zaman FA, Sengupta S, PaL S. Fine needle aspiration cytology as the primary diagnostic tool in thyroid enlargement. Journal of Natural science, Biology and Medicine. 2011 Jan; 2(1):113–8. https://doi. org/10.4103/0976-9668.82308 PMid:22470244 PMCid:PMC3312690
[2]. Shital Sameer Dharrao1 and Suresh V Mahajan et al, 2Fine Needle Aspiration Cytological Study of Various Thyroid Lesions and its Clinical Correlation in a Tertiary Health Care Centre - A Prospective Study.,MVP Journal of Medical Sciences, Vol 4(2), 152–155, July-December 2017
[3]. Nandedkar SS, Dixit M, Malukani K, Varma AV, Gambhir S. Evaluation of thyroid lesions by fine-needle aspiration cytologyaccording to bethesda system and its histopathological correlation. Int J App Basic Med Res 2018;8:76-82.
[4]. Bamanikar S, Soraisham P, Jadhav S, Kumar H, Jadhav P, Bamanikar A. Cytohistology and clinical correlation of Thyroid gland lesions. Journal of Clinical Cancer Investigation. 2014 May-Jun; 3(3):208–12. https://doi.org/10.4103/2278- 0513.132112
[5]. Hoffman HW. Diagnostic accuracy of fine needle aspiration biopsy in the diagnosis of thyroid malignancy. Pathologist 1986;9:9‑14.

Abstract: Low backache (LBA) is one of the commonest presenting complaints of patients and it is important to evaluate it. Since degenerative changes and neoplastic lesion present initially with (LBA, it is important to differentiate the lesions as degenerative, benign or malignant. Once the lesion is differentiated the patient can be managed appropriately. Considering these facts in mind, the present study was planned to evaluate the role of MRI in lower backache. A hospital based observational study which was cross-sectional in nature was carried out for a period of 12 months among adult patients those attended the MRI Centre of the Midnapore Medical College and Hospital, West Bengal for MRI evaluation for their lower backache. This study revealed various pathological conditions.......

Keywords: Low backache, MRI, Radiculopathy

[1]. Gopalakrishnan N, Nadhamuri K, Karthikeyan T. Categorization of pathology causing low back pain using magnetic resonance imaging (MRI). J Clin Diagn Res. 2015; 9(1):17-20.
[2]. Roudsari B, Jarvik GJ. Lumbar spine MRI for low back pain: indications and yield. AJR. 2010; 195(3):550-59.
[3]. Munter MF, Wasserman AB, Hsiu-Mei Wu, Yousem DM. Serial MR Imaging of annular tears in lumbar intervertebral disks. Am J Neuroradiol. 2002; 23:1105-09.
[4]. Jarvik J, Deyo R. Diagnostic evaluation of low back pain with emphasis on imaging. Ann Intern Med. 2002;137:586–95.
[5]. Andersson G. Epidemiological features of chronic low back pain. Lancet. 1999; 354:581-85..

Abstract: Introduction: Most common site for Giant cell tumour is knee, Where the tumour characteristically extends up to the subarticular bone plate. Extensive curettage with preservation of joint should be done where ever possible. The alternatives for filling the void left after curettage are either bone graft or bone cement. Curettage followed by cementation is a commonly accepted treatment modality for giant cell tumours of the bone. However, concerns regarding articular cartilage damage related to the exothermic reaction during polymerization and the change in stress distribution in the subchondral region have been reported to occur within 5 yrs following cementation. Sandwich technique uses the advantages of both, taking care to prevent damage to articular cartilage.......

Keywords: Gaint cell Tumour, Curettage, Sandwich Technique, Bone cement

[1]. Campanacci M, Baldini N, Boriani S, Sudanese A. Giant-cell tumor of bone. J Bone Joint Surg Am 1987; 69: 106–14.
[2]. Fong YC, Chen TH, Chen WM, Lo WH. Giant-cell tumor of bone around the knee. Zhonghua Yi Xue Za Zhi (Taipei) 1997; 59: 240–7.
[3]. Bini SA, Gill K, Johnston JO. Giant cell tumor of bone. Curettage and cement reconstruction. Clin Orthop Relat Res 1995; Dec: 245–50.
[4]. Turcotte RE, Wunder JS, Isler MH, Bell RS, Schachar N, Masri BA et al. Giant cell tumor of long bone: a Canadian Sarcoma Group study. Clin Orthop Relat Res 2002; apr: 248–58.
[5]. Saibaba B, Chouhan DK, Kumar V, Dhillon MS, Rajoli SR. Curettage and reconstruction by the sandwich technique for giant cell tumours around the knee. J Orthop Surg (Hong Kong) 2014; 22: 351–5..

Abstract: Congenital diaphragmatic hernia (CDH) is a lethal birth defect with a reported incidence of 1:3000 live births. Herniation of abdominal contents occurs most often, in over 95% of cases, through the posterior foramen of Bochdalek, with 80% occurring on the left side. Diaphragmatic defects may be approached either through the thorax or the abdomen; this choice depends on the expertise and preference of the surgeon. Supporters of the laparoscopic approach refer to easier manipulation of the instruments and the ability to visualize the reduced viscera, thus avoiding unnoticed lesions. The present study was a prospective study that included patients with CDH presented at the Pediatric Surgery Unit and Neonatal Care Unit, Coimbatore medical college Hospital, Coimbatore........

[1]. Abubakar AM, Bello MA, Chinda JY, Danladi K, and Umar IM(2011): Challenges in the management of early versus late presenting congenital diaphragmatic hernia in a poor resourcesetting. Afr J PaediatrSurg; 8(1):29-33.
[2]. Akbiyik F, Tiryaki TH, Senel E, Mambet E, Livanelioglu Z andAtayurt H (2006): Is hernial sac removal necessary? Retrospective evaluation of eight patients with Morgagniherniain 5 years.PediatrSurgInt; 22:825–827.
[3]. Akkoyuna I and Keçecioğlu M (2012): A new, easy, and safesuturing technique for laparoscopic repair of Morgagni hernias. J PediatrSurg; 47: 1626–1628.
[4]. Al-Arfaj AL (1998): Morgagni‟s hernia in infants and children.Eur J Surg; 164: 275–279.
[5]. Al-Jazaeri A (2012): Simplified technique for minimally invasiverepair of congenital diaphragmatic hernia using hollow-needlesnare and transthoracic traction stitches. J PediatrSurg; 47: 258–263..

Abstract: Introduction:Number of patients of CKD are growing worldwide (3) present study helps in knowing the cause of CKD and clinical and biochemical profile of patients and from the information it helps in preventing the cause of the disease or preventing the progression.Aim: To assess the clinical profile of patients with chronic kidney disease at the time of presentation. To assess the biochemical profile of patients with chronic kidney disease.To determine the etiology of Chronic Renal Failure wherever possible.Methods: After obtaining approval from the IEC and valid informed consent, the participants were recruited into the study Prospective descriptive........

[1]. Kidney disease improving global outcome [KDIGO] CKD work group; KDIGO clinical practice guideline for the evaluation and management of chronic kidney disease kidney intsuppl [2013].
[2]. Rodriguez -ortizME,canalejoet al magnesium modulates parathyroid hormone secretion Nephro dial transplant 29;282-289,2014.
[3]. CoreshJ,Astor BC, GreeneT, et al .prevalanceof chronic kidney disease anddecreased kidney function in the adult us population ;third national Health andnutritional survey. Am J kidney dis2003;41:1.
[4]. Lysaght MJ. Maintenance dialysis population dynamics: Current trends and long-term implications. J Am SocNephrol 2002; 13: S37–S40.
[5]. Xue JL, Ma LZ, Louis TA et al. Forecast of the number of patients with the endstage renal disease in the United States..Am J Kidney Dis 2001; 12: 2753–2758..

Abstract: Mental health has emerged as a major concern in the modern era and this subsequently prompted India to implement the Mental Healthcare Act, 2017. It aims to provide better right based patient care service. The Concepts such as advance directive and nominated representative have been introduced, and the responsibilities of government and supervisory boards, are clearly emphasized. Despite our search for a study that explores the issues related to this act among the psychiatric residents, we could not find any. So the present study will attempt to know.......

Keywords: Attitude, Mental Healthcare act 2017, Opinion, Psychiatric residents.

[1]. Gururaj G, Varghese M, Benegal V, Rao GN, Pathak K, Singh LK, et al. National Mental Health Survey of India, 2015–2016: prevalence, patterns and outcomes. Bengaluru: National Institute of Mental Health and Neuro Sciences; 2016
[2]. Baxter AJ, Charlson FJ, Cheng HG, Shidhaye R, Ferrari AJ, Whiteford HA. Prevalence of mental, neurological, and substance use disorders in China and India: a systematic analysis. Lancet Psychiatry. 2016;3:832–41.
[3]. Ministry of Law and Justice. The Mental Healthcare Act; 2017. Available from: http://www.egazette.nic.in/ Write Read Data/2017/175248.pdf.
[4]. United Nations. Convention on the Rights of Persons with Disabilities (CRPD); 2017. Available from: https://www.un.org/development/desa/disabilities/convention-on-the-rights-of-persons-with-disabilities.html

[5]. Duffy, R. M., & Kelly, B. D. (2017). Concordance of the Indian Mental Healthcare Act 2017 with the World Health Organization‟s Checklist on Mental Health Legislation. International Journal of Mental Health Systems, 11, 48. http://doi.org/10.1186/s13033-017-0155-1

Abstract: Introduction Society Ethical And Moral Values Are Reflected In The Way It Takes Care Of Most Vulnerable Members In The Society That Is Children, Elderly People, Socioeconomically Deprived Citizen And Patient With Disabilities. Patient With Special Health Care Needs Are Among The Most Undeserved Category In Our Society. Censes Revealed That Over 26 Million People In India Are Suffering From One Or Other Kind Of Disabilities. These People Have More Dental Disease And Difficulties In Obtaining Dental Care Than Any Other Segment Of Population............

Keywords: PSHCN, Positive Attitude, Rare Practice, Barriers

[1]. Gagandeep Chadha, Shenoy Panchmal, P Shenoy. Attitude Of Dentist Towards Providing Oral Health Care To Patient With Special Health Care Needs In Mangalore India (2015)
[2]. American Academy Of Pediatric Dentistry. Definition Of Special Health Care Needs. Reference Manual 2004; 35(6):13-4.
[3]. The Attitude Of Private Dental Practitioners Towards Treatment And Management Of Children In RIYADHL, South Arabia.
[4]. American Academy Of Pediatric Dentistry. Symposium On Lifetime Oral Health Care For Patient With Special Needs. Pediatr Dent 2007; 29(2):92-152.
[5]. Milano M, Seybold SV. Dental Care For Special Needs Patient: A Survey Of Texas Pediatric Dentists. ASDC J Dent Child 2002; 69(2):212-5:26..

Abstract: Introduction :L'inhibition du TNF a été un progrès majeur dans le traitement des maladies inflammatoires chroniques en agissant sur leur expression locale et systémique. Cependant ce traitement peut être responsable d'infections graves, en particulier,la réactivation de la tuberculose. Observation : Nous rapporterons le cas d'une patiente âgée de 23 ans, suivie pour une rectocolite hémorragique distale traité par infliximab après un bilan pré-immunosuppresseur négatif. L'indication était une colite aigue grave corticorésistante. L'évolution était marquée par la survenue un mois après le traitement anti-TNF d'une tuberculose pulmonaire. Un traitement antituberculeux de 6 mois a permis la guérison. Devant le caractère sévère de sa maladie (Score sous-mayo endoscopique à 3), on a repris l'infliximab avec une évolution favorable.......

[1]. Toruner M, Loftus EV Jr, Harmsen WS, et al. Risk factors for opportunistic infections in patients with inflammatory bowel disease.Gastroenterology.2008;134:929–936.
[2]. Aberra FN, Stettler N, Brensinger C, et al. Risk for active tuberculosis in inflammatory bowel disease patients. Clin Gastroenterol Hepatol off Clin Pract J Am Gastroenterol Assoc.2007; 5:1070–1075.
[3]. Pierre MIOSSEC. Réactivation de la tuberculose au cours des traitements par inhibiteurs du TNF : compréhension et prévention. Bull. Acad. Natle Méd., 2018, 202, nos 1-2, 321-329, séance du 20 février 2018
[4]. Keane J, Gershon S, Wise R, Mirabile-Levens E, Kasznica J, Schwieterman W et al. Tuberculosis associated with infliximab, a tumor necrosis a-neutralizing agent. N Engl J 2001;345(15):1098-104.
[5]. Baronnet L, Barnetche T, Kahn V, Lacoin C, Richez C, Shaeverbeke T. Incidence de la tuberculose chez les patients atteints de polyarthrite rhumatoïde. Revue systématique de la littérature. Rev Rhum 2011;78:140-6

Abstract: Introduction: Unplanned pregnancy is a major public health problem with psychological and economic repercussion for the unprepared individual. In spite of availability of several contraceptive methods 75% of pregnancy is unplanned. Aim: To ascertain the level of awareness of emergency contraceptive and assess the effect of health education in improving its awareness in women of reproductive age at a military station in India. Material and methods: Four hundred female were selected and their awareness about contraceptive methods was assessed with help of questionnaire.......

Keywords: emergency contraceptive, awareness, families in cantonment

[1]. Kanojia K, Nirbhavane NC, Toddywala VS. Dynamics of contraceptive practice amongst urban Indian Women. Int J Gynae Obst 2002: 197-8.
[2]. Gy Bartfai. Editorial; Emergency oral contraception in global perspective. In J Gynae Obs 2002: 191-8. [3]. Ghosh, Dr Gautam, Addressing the Sex Related Problems among Adolescent in India (March 1, 2013). Available at SSRN: https://ssrn.com/abstract=2226777 or http://dx.doi.org/10.2139/ssrn.2226777=
[4]. Sharma R. More than a quarter of India's youngsters have premarital sex. BMJ 2001; 322: 575-9.
[5]. Harper C, Ellertson C. The emergency contraceptive pill: A survey of knowledge and attitudes among students at Princeton University. Am J Obst Gynecol 1995;173: 1438-45.

Abstract: Malignant conditions involving the maxilla or mandible are usually treated with surgical resection. To prevent the relapse, substantial surgical intervention might be done; leaving the patient with anatomical defects. In this case series, we have evaluated the different designs and techniques for the fabrication of obturator prosthesis used for the rehabilitation of maxillofacial defects. We have rehabilitated the defects with interim and definitive prosthesis according to the requirement of an individual cases using magnet retained, stud retained and microwave polymerized hollow bulb obturators for definitive prosthesis whereas microwave and heat polymerized for interim prosthesis.Clinician should be able to select the best suitable technique depending on the cases, for effective rehabilitation of the defect thereby improving the quality of life..

Keywords: Heat polymerized, Hollow bulb obturator, Magnet retained, Microwave polymerized, Stud retained

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[3]. Habib BH, Carl F. Driscoll. Fabrication of a closed hollow obturator. J Prosthet Dent 2004;91:383-5.

[4]. McAndrew KS, Rothenberger S, Minsley GE. An innovative investment method for the fabrication of a closed hollow obturator prosthesis. J Prosthet Dent 1998;80:129-32.

[5]. Fernandes MJ, Ruta DA, Ogden GR, Pitts NB, Ogston SA. Assessing oral health‐related quality of life in general dental practice in Scotland: validation of the OHIP‐14. Community Dent Oral Epidemiol. 2006 Feb;34(1):53-62.