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

Abstract: Diabetes is one of the important non communicable disease of the modern era, which leads to multi system involvementcardiac, nervous, renal, ophthalmic, genito-urinal, gastrointestinal, dermatological etc.
 Although diabetes is a multi systemic disorder its pulmonaryinvolvement is not extensively studied. Pathological studies in diabetic patients haverepresented changes in alveolar epithelium and capillaries. The consequenceis development of obstructive or restrictive disorders......

[1]. Kuziemski K, Specjalski K, Jassem E. Diabetic pulmonary microangiopathy: fact or fiction? Polish J Endocrinol. 2011;62:171-5.
[2]. India stats: million plus cities in India as per Census 2011. Press Information Bureau, Mumbai (Press release). Press Information Bureau, Government of India. 31 October 2011.
[3]. S.A. Meo, A.M. Al-Drees, M. Arif, S.F.A. Shah, K. Al-Rubean, Assessment of respiratory muscle endurance in diabetic patients, Saudi Med. J. 27 (2) (2006) 223–226.
[4]. C. Pinar, O. Bilgin, Y. Arzu, O. Dilek, C. Gursel, Pulmonary function parameters in patients with diabetes mellitus, Turkish J. Endocrinol. Metab. 1 (1999) 5–10.
[5]. Klein o l et al diabet med 2010 Sep;27(9):977-87. doi: 10.1111/j.1464- 5491.2010.03073.x....

Abstract: Aim:This study was carried out to evaluate for and compare the presence of Peripheral Artery disease by Ankle Brachial Pressure Index (ABI) in obese and non-obese patients of stroke. Materials and Method:This prospectivecross-sectional observational study was carried out in Acharya VinobhaBhave Rural Hospital, DMIMS over 24 months after obtaining due ethical clearance. The study included 120 cases of stroke which were divided into obese and non-obese groups based on Body Mass Index (BMI) and were later evaluated for the presence of associated peripheral vascular disease by Ankle Brachial Pressure Index (ABI), which was measured by Doppler study. The correlation of the prevalence of the peripheral vascular disease in cases.....

Keywords: ABI, PVD/PAD, Obese, Body Mass Index, Hypertension, Diabetes mellitus, stroke

[1]. Obesity | National Health Portal Of India [Internet]. [cited 2019 Aug 3]. Available from: https://www.nhp.gov.in/disease/non-communicable-disease/obesity
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[3]. Hatano S. Experience from a multicentre stroke register: a preliminary report. :13.
[4]. Shahi MS, Rahman A, Wadud MS, Saha UK, Ahmed ATU, Ali Z, et al. Association of Ankle Brachial Pressure Index (ABI) in Patients with Ischemic Stroke : A Case Control Study. ChattagramMaa-O-ShishuHosp Med Coll J. 2013 Oct 28;12(3):27–33.
[5]. Kumar S, Taylor F. Stroke in India - Fact-sheet (Updated 2012). South Asian Cent Chronic Dis. 2012 Jan 1;..

Abstract: Gossypiboma, an infrequent surgical complication, is a mass lesion due to a retained surgical sponge surrounded by foreign-body reaction. It usually has varied presentation and is difficult to detect on radiological investigations. The time of presentation may range from early post‑operative period to several decades later. A correct diagnosis can be made in only one‑third of the cases. The most common differential diagnosis is a new‑onset or recurrent tumor. This may lead to patient's anxiety as well as several unnecessary attempts at biopsy or surgery. We report a case of a 37 year-old lady presenting with palpable abdominal mass five months after emergency caesarean section. Retained foreign body was diagnosed radiologically and confirmed intraoperatively. Though rare, gossypiboma should be kept in mind as a differential diagnosis in postoperative cases presenting as vague pain, chronic lump, obstruction or fistula even years after the operation.

Keywords: Gossypiboma, retained foreign body, obstruction, fistula

[1]. Rajput A, Loud PA, Gibbs JF, Kraybill WG. "Diagnostic challenges in patients with tumors: case 1. Gossypiboma (foreign body) manifesting 30 years after laparotomy". J Clin Oncol. 2003; 21:3700–01.
[2]. Lu YY, Cheung YC, Ko SF, Ng SH. Calcified reticulate rind sign: A characteristic feature of gossypiboma on computed tomography. World J Gastroentero. 2005; 11:4927‑9.
[3]. Lincourt AE, Harrell A, Cristiano , Sechrist C, Kercher K, Heniford BT. "Retained foreign bodies after surgery." J Surg R. 2007; 138:170–4.
[4]. Ulucay T, Dizdar MG, SunayYavuz M. "The importance of medico-legal evaluation in a case with intraabdominal gossypiboma." Forensic Sci Int. 2010; 198:15–18.
[5]. Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ: Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003; 348:229-35..

Abstract: Musculoskeletal pain (MSP) is the most common chronic impairment in developed and developing countries as nearly 25% of adult subjects suffer from chronic MS pain. Obesity leads to increased loading of the weight-bearing joint, which may be the most important mechanical contribution. Objective: To study the magnitude of musculoskeletal pain among women and to assess relation between musculoskeletal pain and body composition parameters. Material and method: a cross-sectional study, conducted in the population around Rural Health Training Centre (RHTC) and Urban Health......

Keywords: MSP, BMI, body composition parameters

[1]. Leavitt SB (2012) Soaring Burden of Musculoskeletal Pain. Available:http://updates.pain-topics.org/2012/12/a-soaring-burden-ofmusculoskeletal- pain.html. Accessed 1 May 2014.
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[3]. GunsahSahin, HayalGuler, MelekSezgin, Ismet As. The Effect of Body Composition and Hand Grip Strength on Axial Bone Mineral Density in Turkish Postmenopausal Women Aged 50-65 Years: Is Lean Mass a Predictor?Turk J Phys Med Rehab 2006;52(1):28-30
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[5]. Morrison, J.H., Brinton, R.D., Schmidt, P.J. and Gore, A.C. (2006) Estrogen, menopause, and the aging brain: How neuroscience can inform hormone therapy in women. The Journal of Neuroscience, 26, 10332-10348. doi:10.1523/JNEUROSCI.3369-06.2006.

Abstract: Many drug combinations have been used to improve the quality of subarachnoid block during caesarean section. The synergistic effect of combining local anaesthetic with opioid intrathecally has numerous advantages. Amongst the opioids, Fentanyl addition has been suggested to have various benefits and this has proved in various studies. Hence, this prospective and randomized double blind study was undertaken to compare the efficacy and safety of two different intrathecal fentanyl doses with hyperbaric bupivacaine in terms of the quality and intensity of subarachnoid block in patients undergoing elective caesarean sections. METHODS - 100 healthy parturients, scheduled.....

Keywords: Intrathecal Fentanyl, Caesarean Delivery, Hyperbaric Bupivacaine, Subarachnoid Block

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Abstract: Aims and Objectives: The study objective isto assess the knowledge of HPV vaccination, the attitude towards HPV vaccination and the practice of HPV vaccination among medical students of GMC, Ongole. Material and Methods: This is a cross sectional community based study of 6 months duration. 487 medical students with in the age group 18- 24 yearsfrom GMC, Ongoleparticipated in the study.Results: Out of all the subjects 81.5%, 28.2% and 14.5% know that HPV vaccine protects against carcinoma cervix, genital warts and carcinoma penis respectively.....

Keywords: HPV, Cervical cancer, Pap smear, HPV Vaccine

[1]. Sarah B. Maness, PhD, MPH [Assistant Professor], Am J Health Behav..HPV Awareness, Knowledge and Vaccination Attitudes among Church-going African-American Women 2016 November ; 40(6): 771–778. doi:10.5993/AJHB.40.6.9.
[2]. SalimaKasymova, Sayward E Harrison and Caroline Pascal,Knowledge and Awareness of Human Papillomavirus ,Among College Students in South Carolina, Volume 12: 1–9 ,© The Author(s) 2019,sagepub.com/journals-permissions, DOI: 10.1177/1178633718825077
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[4]. Shandong, China,Yang Yu1☯, Minglei Xu2☯, Jiandong, Human Papillomavirus Infection andVaccination: Awareness and Knowledge of HPV and Acceptability of HPV Vaccine amongMothers of Teenage Daughters in Weihai, Sun3aqxuepi@163.com (AX); zhangdf1961@126.com (DZ)
[5]. Harper DM, Franco EL, Wheeler C, Ferris DG, Jenkins D, Schuind A, et al. Efficacy of a bivalent L1, virus-like particle vaccine in prevention of infection with human papillomavirus types 16 and 18 in young women: a randomised controlled trial. Lancet (London, England). 364: 1757±65. doi: 10.1016/S0140- 6736(04)17398-4.

Abstract: Nasal polyps and chronic rhinosinusitis are often taken together as one disease entity, because it seems impossible to clearly differentiate between them1,2. Nasal Polyposis is therefore considered a subgroup of Chronic Rhinosinusitis. Approximately 20% of CRS patients have nasal polyps3. Nasal polyps have a strong tendency to recur after surgery even when aeration is improved4. Nasal polyps originating from within the ostiomeatal complex appear as grape-like structures in the upper nasal cavity. In the general population, the prevalence of nasal polyposis is considered to be around 4%5. In cadaveric studies, this prevalence has been shown to be as high as 42%6 .They predominantly affect adults and usually present in patients older than 20 years. They are uncommon in children under 10 years age and may be the presenting feature of cystic fibrosis. There is at least a 2:1 male........

[1]. Steinke J, Bradley D, Arango P, Crouse C, Frierson H, Kountakis S et al. Cysteinyl leukotriene expression in chronic hyperplastic sinusitis–nasal polyposis: Importance to eosinophilia and asthma. Journal of Allergy and Clinical Immunology. 2003;111(2):342-349.
[2]. Dykewicz M. 7. Rhinitis and sinusitis. Journal of Allergy and Clinical Immunology. 2003;111(2):S520-S529
[3]. Bhattacharyya N. Clinical and Symptom Criteria for the Accurate Diagnosis of Chronic Rhinosinusitis. Laryngoscope. 2006;116(S110):1-22.
[4]. Vento S, Ertama L, Hytönen M, Wolff C, Malmberg C. Nasal polyposis: clinical course during 20 years. Annals of Allergy, Asthma & Immunology. 2000;85(3):209-214.
[5]. Hedman J, Kaprio J, Poussa T, Nieminen M. Prevalence of asthma, aspirin intolerance, nasal polyposis and chronic obstructive pulmonary disease in a population-based study. International Journal of Epidemiology. 1999;28(4):717-722.

Abstract: Sheehan's syndrome is defined by anterior pituitary hormone deficiency due to post-partum ischemic necrosis of the pituitary gland after massive blood loss. We describe a case of 45 year old woman who presented with recurrent hypoglycemia for ten years following history of postpartum hemorrhage. Laboratory test revealed features of hypopituitarism and pancytopenia.Pancytopenia has been rarely associated. Treatment by hormone replacement corrected her hypoglycemia and pancytopenia.

Keywords :Sheehans syndrome,hypopituitarism,pancytopenia,postpartum haemorrhage

[1]. Anfuso S, Patrelli TS, Soncini E, Chiodera P, Fadda GM, Nardelli GB: A case report of Sheehan's syndrome with acute onset, hyponatremia and severe anemia.

[2]. Acta Biomed 2009, 80(1):73-76. PubMed Abstract

[3]. Huang YY, Ting MK, Hsu BR, Tsai JS: Demonstration of reserved anterior pituitary function among patients with amenorrhea after postpartum hemorrhage.

[4]. Gynecol Endocrinol 2000, 14(2):99-104. PubMed Abstract | Publisher Full Text

[5]. Gokalp D, Tuzcu A, Bahceci M, Arikan S, Bahceci S, Pasa S: Sheehan's syndrome as a rare cause of anemia secondary to hypopituitarism.

[6]. Ann Hematol 2009, 88(5):405-410. PubMed Abstract | Publisher Full Text.

Abstract: Gastric carcinoma is common worldwide and also in India. The diagnosis of gastric carcinoma depends on clinical, radiological, biochemical and pathological parameters 1,2,. 52 cases of endoscopic biopsy and histopathology positive patients were studied on the aforesaid parameters and clinical records were correlated with histopathology. Age range was 30 to 90 years, predominantly males. Main age group affected for male was 5th and 6th decades, and women affected mostly in the age range 36 to 45 years. Clinically dyspepsia and weight loss were commonest symptoms. History of smoking was fairly common(53.86.....

Keywords: carcinoma, lymphoma, leiomyosarcoma, immunostaining

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Abstract: Lots of developments and researches are being done in the quest for ideal wound dressings. Epidermal growth factor dressings are one of these new developments. Epidermal growth factor is a growth factor that stimulates the cell growth, proliferation and differentiation by binding to its EGFR. There are not so many studies to quantify the rate of healing applied to the chronic non healing ulcers. The present study is being done to compare the rate of healing of epidermal growth factor dressings vs antiseptic dressings. Though the exact mechanism of action of dressing with antiseptic is unknown. This study is done to evaluate the effects of healing in chronic non healing..............

Keywords: wound healing, epidermal growth factor, REGEN-D, Ulcers

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[5]. Falanga V. Wound healing and its impairment in the diabeticfoot. Lancet 2005;366:1736–43

Abstract: In this modern era, the Incisional hernia is still a surgeon's nightmare with a reported incidence of nearly 10% of patients undergoing abdominal operations. This study has been undertaken to assess the magnitude of Incisional Hernia and different modalities of open treatment in our setup. Our study comprises of 82 cases of incisional hernia admitted and treated in the Department of Surgery, Guntur Medical college, Guntur for a period from May 2014 to April 2017. History, clinical finding, investigations, operation findings, operative procedures and complications during the stay in hospital are documented and recorded in a proforma. Patients underwent incisional.....

Keywords: Incisional hernia, Anatomical repair, Mesh repair

[1]. Norman S. Williams MS FRCS FMed Sci, Christopher J.K. Bulstrode MCh FRCS(T&O), P. Ronan O'Connell, MD FRCSI, FRCPS Glas. Bailey & Love's Short Practice of Surgery 26e
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[3]. Feliciano Crovella • Giovanni Bartone • Landino Fei. Incisional Hernia
[4]. Millikan KW, Baptisa M, Amin B, et al. Intraperitoneal underlay ventral hernia repair utilizing bilayer ePTFE and polypropylene mesh. Am Surg 2003;69:258
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Abstract: Introduction:-Forensic Odontology is an investigative aspect of dentistry that analyzes dental evidence for human identification. Forensic Odontology plays an important role in establishing sex, age, and race of victims. Aim and Objectives:- To determine the sex of an individual from tooth pulp tissue, using Fluorescent body test (F-Body test). Materials and Method:- The study sample consisted of 60 extracted teeth (maxillary and mandibular teeth combined) which were collected from private dental clinics. Of these 60 teeth taken for study, 30 teeth were taken from Female patients and 30 teeth were taken from Male patients. The teeth were divided into 3 groups of 20 teeth.....

Keywords: Forensic Odontology, Y bodies.

[1]. Kavitha H. Sex determination in teeth. 2005. Dissertation submitted to Dr. MGR Medical University, Chennai.
[2]. Vihanwala S et al.. Study of lip print as an aid for sex determination. Medico-legal update, July-Sep 2005; Vol 5: No. IV
[3]. Leung CK. Forensic odontology. Dental Bulletin. In the Hong Kong medical diary 2008; 133 (11): 16-20
[4]. Preety A, Sweet D. A look at forensic dentistry- part 1. The role of teeth in determination of human identity. Bri Dent J; 2001;190(7): 359-366
[5]. Rajendran R, Shivapathasundharam B. Shafer's Textbook of oral pathology; 6th edition, Elsevier publication

Abstract: Aim: To evaluate the perioral soft tissue characteristics of skeletal Class II Division 1 subjects (group II) with various vertical patterns compared with skeletal Class I subjects (group I).in himachali population. Material and Methods: Lateral cephalograms of 100 adults (60 women, 40 men; age range 18-50yrs) were divided into 4 groups based on horizontal and vertical skeletal pattern (SN-MP angle): group I, 25 subjects; group II-low angle (<27°), 25 subjects; group II-normal angle (27°-36°), 25 subjects; and group II-high angle (>37°), 25subjects. The............

Keywords: Perioral soft tissue, Class II division 1 malocclusion, cephalometry

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