iosr-JDMS   Volume-18 ~ Issue-8 ~ August-2019

Abstract: Background: Displaced intraarticular distal humerus fracture has been conventionally treated operatively with various triceps disrupting approaches. These approaches are associated with several complications, such as triceps weakness, nonunion or delayed union of osteotomy, implant prominence, and delayed mobilization of the elbow. We present the functional outcome of intraarticular distal humerus fracture fixation using a triceps-sparing approach which allows early elbow mobilization and preserving triceps strength.
Materials and Methods: Twenty patients with intraarticular distal humerus fracture were operated using triceps-sparing approach with orthogonal...... .

Key words: Distal humerus, orthogonal plate, triceps-sparing surgical approach

[1]. Gupta R, Khanchandani P. Intercondylar fractures of the distal humerus in adults: A critical analysis of 55 cases. Injury 2002;33:511-5.
[2]. Coles CP, Barei DP, Nork SE, Taitsman LA, Hanel DP, Bradford Henley M. The olecranon osteotomy: A six-year experience in the treatment of intraarticular fractures of the distal humerus. J Orthop Trauma 2006;20:164-71.
[3]. Gofton WT, Macdermid JC, Patterson SD, Faber KJ, King GJ. Functional outcome of AO type C distal humeral fractures. J Hand Surg Am 2003;28:294-308.
[4]. Ring D, Gulotta L, Chin K, Jupiter JB. Olecranon osteotomy for exposure of fractures and nonunions of the distal humerus. J Orthop Trauma 2004;18:446-9.

[5]. Sané AD, Dakouré PW, Diémé CB, Kinkpé CV, Dansokho AV, Ndiaye A, et al. Olecranon osteotomy in the treatment of distal humeral fractures in adults: Anatomical and functional evaluation of the elbow in 14 cases. Chir Main 2009;28:93-8...

Abstract: Aims and Objective : -To evaluate the variation in platelet indices in establishing clinical correlation in patients presenting with thrombocytopenia. - To study the relationship of platelet indices with respect to the underlying mechanism of thrombocytopenia. Materials & Methods: This was a hospital-based cross-sectional study for a period of 3 months(from January 2019 to March 2019) on patients with thrombocytopenia, conducted at CIMS & H,LUCKNOW.Platelet count, Plateletcrit (PCT), Platelet Distribution Width (PDW) and Mean Platelet Volume (MPV) and relevant clinical details...... .

Keywords: Thrombocytopenia,Platelet indices,Mean Platelet Volume,Plateletcrit, Platelet Distribution Width

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[4]. Giovanetti TV, do Nascimento AJ, de Paula JP. Platelet indices: laboratory and clinical applications. Rev Bras Hematol E Hemoter. 2011;33(2):164–5.
[5]. Beyan C, Kaptan K, Ifran A. Platelet count, mean platelet volume, platelet distribution width, and plateletcrit do not correlate with optical platelet aggegation responses in healthy volunteers. J Thromb Thrombolysis. 2006 Dec 5;22(3):161–4

Abstract: Inhaled drug delivery is the cornerstone treatment for asthma and chronic obstructive pulmonary disease (COPD). Most patients with asthma or COPD do not use their inhalers properly, and most have not checked or corrected their technique by a health professional. When incorrect inhaler technique is used then COPD/asthma symptom control is poor due to risk of severe flare-ups and hospitalisation. Incorrect inhaler technique when using inhaled corticosteroids increases the risk of side effects like dysphonia and oral thrush. Checking and correcting inhaler technique can improve COPD/asthma outcomes. So this study was planned to be undertaken to assess correction of inhalation technique in the patients of COPD/asthma. Total 150 consecutive patients on inhalation....... .

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[2]. Virchow JC, Crompton GK, dal Negro R, Pedersen S, Magnan A, Seidenberg J et al. Importance of inhaler devices in the management of airway disease. Resp ir Med. 2008;102(1):10–19.
[3]. Usmani OS, Lavorini F, Marshall J, Dunlop WCN, Heron L, Farrington E et al. C ritical inhaler errors in asthma and COPD: a systematic review of impact on hea lth outcomes. Respir Res. 2018;19(1):10.
[4]. Pritchard JN. Industry guidance for the selection of a delivery system for the de velopment of novel respiratory products. Expert Opin Drug Deliv. 2015;12(11):1 755–1765.
[5]. Klijn SL, Hiligsmann M, Evers S, Román-Rodríguez M, van der Molen T, van B oven JFM. Effectiveness and success factors of educational inhaler technique i nterventions in asthma & COPD patients: a systematic review. NPJ Prim Care R espir Med. 2017;27(1):24..

Abstract: Introduction: Amyotrophic Lateral Sclerosis (ALS) is a rare and debilitating disease. The hypothesis tested is that neurotoxic metals contribute significantly to the risk of ALS. In this study we investigate the metallotoxic etiology of ALS in the region of north coastal AndhraPradesh. Method: We studied the clinical and electrophysiological profile of the patients diagnosed with motor neuron disease (MND) in the tertiary care hospital of North Coastal AndhraPradesh. We also studied the association of blood level of heavy metals in patients, diagnosed with MND by comparing with controls. Diagnostic criteria used were Awaji criteria. We measured concentration of 9 toxic metals in the plasma from 109 patients with MND. Total of 56 patients (51.4%) had ALS, concentration..... .

Key words: Amyotrophic Lateral Sclerosis, blood levels, toxic metals, pathophysiology.

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Abstract: In recent decades , life expectancy in TAMILNADU has considerably improved due to significant improvements in medical and public health policies.The study "caring for our elders:early responses india ageing report 2017" on 20th June 2017 states that TamilNadu has 11.2 percent of elderly population. We did a prospective study to find impact of serum albumin in old age people who are at a higher risk of functional decrease and decreased nutrition, especially those who are Hospitalised

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Abstract: The periodontal surgical procedures has been increasingly progressing, in order to develop anatomic characteristics as well ideal strutural periodontium, lost due the gingival retractions. Based on that, this article reports a clinical case where it was performed a free gingival graft (FGG), observing the necessity of creating a band of keratinized gingival tissue. The obtained result was satisfactory from the clinic point of view..

Key Words: Gingival retraction. Gingival Graft. Periodontology

[1]. Bassani M, Saade J, Castro A. Microcirurgia para recobrimentos radiculares e peri-implantares: Revista da Associacao Paulista de Cirurgioes Dentistas, 2014, 68(4), 283-295.
[2]. Ishirikiyama YT. Enxerto livre de tecido conjuntivo para recobrimento radicular de recessão marginal tecidual: Revisão de literatura. Universidade estadual de Londrina, 2015. 27 f. Disponível em: http://www.uel.br/graduacao/odontologia/portal/pages/arquivos/TCC2015/YURI%20TSUYOSHI%20ISHIKIRIYAMA.pdf. Acesso em: 10 out. 2017.
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[4]. de Melo PCC, Soares LG, Falabella, MEV. Recobrimento radicular com enxerto de tecido conjuntivo, PerioNews 2015;9(1):34-41.
[5]. Carpinetti DM. Quantidade do tecido doador em cirurgias de enxerto gengival. Pindamonhangaba: Faculdade de Pindamonhangaba, 2011. Trabalho de Conclusão de Curso de Bacharel em Odontologia.

Abstract: The objective of this study was to find the outcome of interlocking nail in fracture tibia. Methods: This study was conducted in the Department of Orthopaedic Surgery in RIMS Ongole, from july 2016 to july 2019. Fourty patients were recruited from emergency and outpatient department having closed fracture of tibial shaft. The clinical results of our study were rated on the basis of the criteria of union, nonunion, delayed union, or malunion. All patients were operated under general or spinal anesthesia. All patients were followed for 9 months. Results: Nearly 70% (28/40) patients had union in 90–150 days Union was achieved in 15% (6/40) patients in 95–109 days. About 12.5% (5/40) had delayed unions and 2.5% (1/40) had nonunion which were treated with dynamization and bone graft............

Key Words: Closed reamed interlocking nail, dynamization, tibial shaft fractures, union

[1]. Batta V, Dwyer AJ, Gulati A, Prakash J, Mam MK, John B, et al. No difference in the long term final functional outcome after nailing or cast bracing of high energy displaced tibial shaft fractures. J Trauma Manag Outcomes 2012;6:5.

[2]. Tonk G, Menwal G, Gupta AK, Rustagi N, Kumar A. Anterior knee pain in transtendinous and paratendinous aprroaches of tibia interlocking nail: A comparative study. J Evol Med Dent Sci 2014;3:7874-80.

[3]. Rose KM. Update in tibia intramedullary nailing: Percutaneous suprapatellar access route with the knee in semi extended position for intramedullary stabilization of tibia fractures. Tech Orthop 2014;29:56-61.

[4]. Kamal Y, Khan HA, Gani NU, Gul S, Lone AA, Singh D. role of primary intramedullary interlocking nail in compound Gustilo-IIIA tibia fracture in developing world. Int J Health Sci Res 2014;4:151-8.

[5]. Mitkovic M, Milenkovic S, Micic I, Mladenovic D, Mitkovic M. Results of the femur fractures treated with the new selfdynamisable internal fixator (SIF). Eur J Trauma Emerg Surg 2012;38:191-200..

Abstract: Background: Supracondylar fracture of the humerus is the second most common fracture in children.These fractures are classified, according to Gartland's criteria, as nondisplaced fractures (type I), partially displaced fractures with the posterior cortex intact (type II) and completely displaced fractures (type III).Even though the treatment guidelines for type I and II fractures have been well established, controversies still persist for the treatment of type III fractures.Many modalities have been recommended for the treatment of type III fractures including closed reduction and cast immobilisation, traction by various methods and reduction via closed or open means and fixation by Kirschner (K) wires.........

Key Words: Supra- condylar fracture of Humerus, Gartland's classification, Flynn's criteria, k-wires, closed reduction, open reduction.

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Abstract: Background: To get ideal sedative state in patients undergoing surgery in local anesthesia is challenging for Anaesthesiologists. Aim: To evaluate efficacy of intravenous Dexmedetomidine and intravenous Propofol infusion in patients undergoing surgery in regional anaesthesia. Material and Methods: Ninety patients were randomly divided into two groups of 45 each. Group D patients were given I.V. Dexmedetomidine on initial loading dose of 1 μg/kg for 10 minutes period followed by 0.2-0.7 μg/kg/hr. Patients in group P were given I.V. Propofol 75 μg/kg/min for 10 minutes followed by maintenance dose of 12.5-75 μg............

Key Words: Dexmedetomidine, Regional anaesthesia, Monitored Anaesthesia Care and Propofol

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Abstract: Fluorosis is a term used for chronic intoxication of the body due to excessive fluoride in drinking water(1).Endemic skeletal fluorosis is the state of chronic fluorideintoxication caused by high intake of natural fluoridethrough drinking water(2).It is endemic in many countries around the world including India. Cases of skeletal fluorosis are reported from many parts of India, like Southern Rajasthan, Andhra Pradesh, Kanpur district of Uttar Pradesh and Punjab(2–4).Fluorosis patients may be asymptomatic or present as serious crippling deformities. In 8-10 percent cases of skeletal fluorosis, neurological complications occur. The neurological characteristics present in the form of cervical myeloradiculopathy, cervical myelopathy or radiculopathy, dorsal myelopathy, and peripheral neuropathy........

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[5]. Reddy Dr. The element fluorine and its effects on human health including its neurological manifestations. Neurol India. 2017;65(2):238.

Abstract: Background: Direct psychiatric consultation is not still prevalent in India, even in health care professionals due to stigma regarding mental illness. This delay in referral and failing to identify psychiatric symptoms in the right time is responsible for undue morbidity. Hence studies regarding cross referrals and liaison psychiatry is the need of the hour in providing comprehensive health care to the patients. It is really welcoming sign that mental health services had moved from mental hospital to a general hospital setting which made the availability of psychiatric services closer to the public and made an effort to reduce the prevailing stigma Materials and Methods: Referrals to Psychiatric Department were assessed for six months period with 505 patients. Out of these, 384 were inpatients referred from the general hospital and other hospitals, 59 were outpatients referred from various specialities, and 62 were from the emergency unit.........

[1]. SR Parkar, NS Sawant Review Article: Liaison psychiatry and Indian research.Indian Journal of Psychiatry, Year 2010, Volume 52, Issue 7 [p. 386-388]
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[3]. Ehrenreich MJ, Robinson CT, Glovinsky DB, Dixon LB, Medoff DR, Himelhoch SS. Medical inpatients adherence to outpatient psychiatric aftercare: a prospective study of patients evaluated by an inpatient consultation liaison psychiatry service. Int J Psychiatry Med. 2012;44(1):1-15.
[4]. Sood A, Singh P, Gargi PD. Psychiatric morbidity in non-psychiatric geriatric inpatients. Indian J Psychiatry. 2006 Jan;48(1):56-61.
[5]. Sachdeva JS, Shergill CS, Sidhu BS. Prevalence of psychiatric morbidity among medical in-patients. Indian J Psychiatry. 1986;28:293–6