iosr-JDMS   Volume-18 ~ Issue-9 ~ September-2019

Abstract: Introduction: Intestinal malrotation comprises a spectrum of rotational abnormalities that may lead to a variety of clinical symptoms in neonates, infants, and older children. Embryologically, intestinal nonrotation and incomplete rotation occur due to a narrow base of the mesentery. Materials and Methods: This study was conducted in the Department of Paediatric Surgery, R.G Kar Medical College, Kolkata. The following technique has been adopted in all cases. The child is placed in a supine position. To avoid slipping during tilting the operation table, patient's legs are fixed with the table by adhesive tapes. The laparoscopic trolley containing monitor, camera-unit, insufflator, light source & power sources (monopolar , bipolar &.........

Key word: Intestinal malrotation, laparoscopy, Malrotation

[1]. Mall FT (1898) Development of the human intestine and its position in the adult. Bull Johns Hopkins Hosp 90– 91:197–208
[2]. Frazer JE, Robbins RH (1915) On the factors concerned in causing rotation of the intestine in man. J AnatPhysiol 50:75–110
[3]. Dott NN (1923) Anomalies of intestinal rotation: their embryology and surgical aspects: with report of 5 cases. Br J Surg 24:251–286 849
[4]. Snyder WH Jr, Chaffin L (1954) Embryology and pathology of the intestinal tract: presentation of 40 cases of malrotation. Ann Surg 140:368–379
[5]. Skandalakis JE, Gray SW, Ricketts R, et al (1994) The small intestines. In: Skandalakis JE, Gray SW (eds) Embryology for surgeons, 2nd edn. Williams and Wilkins, Baltimore, pp 184–241

Abstract: The tibial shaft is one of the most common sites of open fractures of all the open fractures, 63% are seen in the tibia alone. Ramon Gustilo has laid down the foundations of open fracture management; thorough debridement and irrigation, fracture stabilization, early soft tissue coverage and rehabilitation. The optimum treatment for open fractures of the tibia remains controversial; treatment options include closed reduction and cast immobilization, open reduction and fixation either with plate or external fixators and closed reduction with intramedullary nailing. With the advent of image intensifier, high-class antibiotics and meticulous debridement technique, stabilization of fractures, and soft tissue cover many orthopaedic surgeons are now using intramedullary interlocking nailing..........

Key words : unreamed, open tibia fractures, unreamed tibial intramedullary nailing

[1]. Chapman MW, Oslon SA. Open fractures. In: Rockwood and Green‟s Fracture in Adults. 4th ed. Philadelphia: Lippincott-Raven; 1996. p. 305-52.
[2]. Gustillo RB, Merkow RL, Templeman B. Current concept review: The management of open fracture. JBJS. 1990; 72 A: 299-303. [3]. Kim PH, Leopold SS. Gustilo-Anderson Classification. Clinical Orthopaedics and Related Research. 2012;470(11):3270-4.
[4]. Harley BJ, Beaupre LA, Jones CA, Dulai SK, Weber DW. The effect of time to definitive treatment on the rate of nonunion and infection in open fractures. J Orthop Trauma. 2002;16:484-90.
[5]. Lang GJ. Knee and leg: bone trauma. In: Koval KJ. Orthopaedic Knowledge Update 7. Am Acad Orthop Surg 2002, p.483-7.

Abstract: Aim:To report on a young, active population with symptomatic lumbar disc herniations who had failed a reasonable trial of non-operative care and then underwent micro-discectomy. Validated outcome measures, patient satisfaction, and return to duty were correlated with type and level of herniation to determine clinical success.Materials and methods: 36 patients with clinically diagnosed disc herniationswho were subjected to micro-discectomy were analyzed for the outcome using VAS (Visual analogue score) and OPDS (Oswestry Disability Index scoring) pre and postoperatively. Results: There was a significant difference in type of disc herniation (p=0.008). However there..........

Key words: Lumbar Discectomy,Herniation type, Herniation level, Visual analogue score (VAS), Oswestry Disability Index score (OPDS).

[1]. Atlas SJ, Chang Y, Deyo RA, Kammann E, Keller RB, Singer DE, Long-term disability and return to work among patients who have a herniated lumbar disc: the effect of disability compensation. J Bone Joint Surg Am 2000; 82:4–15.
[2]. Deyo RA, Weinstein JN, Low back pain. N Engl J Med 2001; 344:363–70.
[3]. Herzog RJ, Saal JA,Saal JS,The natural history of lumbar intervertebral disc extrusions treated nonoperatively. Spine 1990; 15:683–6.
[4]. Weber H. Lumbar disc herniation. A controlled, prospective study with ten years of observation. Spine 1983; 8:131–40.
[5]. Atlas SJ, Deyo RA, Keller RB, Wu YA, Singer DE,Long-term outcomes of surgical and nonsurgical management of sciatica secondary to a lumbar disc herniation: 10 year results from the lumbar spine study. Spine 2005; 30:927–35..

Abstract: Background- Thyroid swellings shows increasing trend in our tertiary care centre inspite of a strict government legislation which allows only iodine fortified salt to be sold, bought and used as per National Iodine Deficiency Disorders Control Programme (NIDDCP) 1998, Objectives- To study the emerging and changing trend of goitre in all thyroid swellings in a tertiary care centre.. Methods-1000 Patients with thyroid swellings who came to department of pathology G.R Medical college Gwalior over a period of 10 years (from Jan 2009 to December 2018) were studied.Study included age, sex, duration, presenting...........

Keywords- Colloidgoitre, Papillary neoplasm, Thyroiditis

[1]. Delange F, Burgi H, Chen ZP, Dunn JT. World status of monitoring iodine deficiency disorders control programs. Thyroid. 2002;12:915-24.
[2]. Peter PAS eds. Epidemiology of Thyroid dysfunction-hypothyroidism and hyperthyroidism. Thyroid Int. 2009;2:1-16.
[3]. Unnikrishnan AG, Menon UV. Thyroid disorders in India: An epidemiological perspective. Indian J Endocrinol Metabol. 2011;15(2):78-81.
[4]. Aminorroaya A, Janghorbani M, Amini A, Hovsepian S, Tabatabaei A, Fallah Z. The prevalence of thyroid dysfunction in an iodinesufficient area in Iran. Arch Iranian Med. 2009;12:262-70.
[5]. Vir SC (2002) Current status of iodine deficiency disorders (IDD) and strategy for its control in India. Indian J Pediatr 69, 589–596.

Abstract: Gingival recession is the exposure of root surfaces due to migration of gingival margins apical to the cement-enamel junction. The etiology of gingival recession is considered multifactorial and its prevalence increases with age. Periodontal plastic surgery deals with regenerative procedures designed to restore form, function and enhance esthetics. There are various techniques for root coverage. The correction of class I and II gingival recessions are presented as a means of minimizing surgical trauma and achieving predictable aesthetic results. In this case report, I present a technique in treating gingival recession by using the Tunnel subepthelial connective tissue graft.

Keywords: Connective tissue Graft, Gingival Recession, Root coverage, Tunneling Procedure.

[1]. Singh J, Bharti V. Treatment of multiple gingival recessions adopting modified tunnel subepithelial connective tissue graft technique. Indian J Dent Res 2014;25:816-20.
[2]. Dani S, Dhage A, Gundannavar G. The pouch and tunnel technique for management of multiple gingival recession defects. J Indian Soc Periodontol 2014;18:776-80.
[3]. Guttiganur N, Aspalli S, Sanikop MV, Desai A, Gaddale R, Devanoorkar A. Classification systems for gingival recession and suggestion of a new classification system. Indian J Dent Res 2018;29:233-7.
[4]. Liu CL, Weisgold AS. Connective tissue graft: A classification for incision design from the palatal site and clinical case reports. Int J Periodontics Restorative Dent 2002;22:373‑9.
[5]. Akkaya M, Böke F. Shallow localized gingival recession defects treated with modified coronally repositioned flap technique: A case series. Eur J Dent 2013;7:368-72..

Abstract: Introduction: Non-Alcoholic Fatty Liver Disease (NAFLD) is public health problem world wide . It is one of the most common forms of liver diseases, affecting 2.8-24% of the population. It is also currently the most common cause of abnormal liver function tests and is recognized as a major cause of cryptogenic cirrhosis of liver. Methodology: A cross sectional was conducted in the rural area o for a period of one year w.e.f., 1st November 2016 to 31st October 2017. Total population of 5150 was covered. 250 individuals aged 30 years were selected using simple random sampling technique. . A 12hr fasting venous sample was taken from each participant to measure biochemical parameters...........

Keywords- NAFLD, Cholesterol, triglycerides, AST, ALT

[1]. Clark JM, Brancati FL, Diehl AM. The prevalence and etiology of elevated aminotransferase levels in the united states. AMJ Gastroenterology 2003;98:960-7.
[2]. Ali R, Cust k. New diagnostic and treatment approaches in non-alcoholic fatty liver disease(NAFLD). Ann Med 2009;41:265-78
[3]. Kalra S, Vithalani M, Gulati G, Kulkarni CM, Kadam Y, Pallivathukkal J et al. Study of prevalence of non-alcoholic fatty liver disease(NAFLD) in type 2 diabetes patients in India (SPRINT). J Assoc Physicians India .2013;(7):448-53.
[4]. Targher G. Non-alcoholic fatty liver diseases, the metabolic syndrome and the risk of cardiovascular diseases: The plot thickens.Diabet Med 2007;24:1-6.
[5]. Zakim D. Metabolism of glucose and fatty acids by the liver. In Zakim D, Boyer TD, editors: Hepatology: A Textbook of Liver diseases, Philadelphia; WB Saunders; 1982;76-109..

Abstract: Epidermoid and dermoid cysts are benign, developmental lesions that can be encountered anywhere in the body. Literature search does not report any epidermoid cyst location in the palatine tonsils. However we encountered a case of a 34-year-old female patient who underwent a tonsillectomy for diagnostic purposes because of an epidermoid cyst arising from the tonsil which was confirmed by histology.

Keywords- Dermoid cyst, epidermoid cyst, palatine tonsil

[1]. Kenichiro S, Kyotaro M, Takeshi U, Nobuo T, Takahiko S. Congenital epidermoid cyst arising in soft palate near uvula: A case report. Bull Tokyo Dent Coll. 2010;51:207–11

[2]. Turetschek K, Hospodka H, Steiner E. Case report: Epidermoid cyst of the floor of the mouth: Diagnostic imaging by sonography, computed tomography and magnetic resonance imaging. Br J Radiol. 1995;68:205–7.

[3]. Jhams BC, Duraes GV, Jhams AC, Santos CR. Epidermoid cyst of the floor of the mouth: A case report. J Can Dent Assoc. 2007;73:525–8.

[4]. Som PM, Curtin HD. 3rd ed. Vol. 1. St Louis: Mosby; 1996. Head and Neck Imaging; pp. 500–1.

[5]. Rajayogeswaran V, Eveson JW. Epidermoid cyst of the buccal mucosa. Oral Surg Oral Med Oral Pathol. 1989;67:181–4..

Abstract: CKD is recognized as a major health problem. Anemia is a well- known complication in chronic kidney disease, thus assessment of safety of erythropoietic drugs become necessary, since it is widely used in the treatment of anemia associated with CKD. CTCAE criteria grades condition of a patient on the basis of symptoms.The aim of present study is to evaluate the adverse effect of Erythropoietin according to CTCAE v4.03 criteria in patient having anemia in Chronic Kidney Disease. A prospective observational single centered study was conducted on 80 CKD patients in Nephrology department of NIMS Hospital, Jaipur from February. Observed Adverse events of subjects were graded according to CTCAE v4.03. In our study out of total parameters observed 37.38% was found to be Normal, 31.93% Mild, 15.68% Moderate, 12.38% Severe, 1.70% Life threatening. No Parameters.........

Keywords- Common Terminology Criteria for Adverse Events (CTCAE), Anemia, Erythropoietin, Chronic Kidney Disease..

[1]. Hudson M M, Ehrhardt M J, Bhakta N, "Approach for classification and severity-grading of long-term and late- onset health events among childhood cancer survivors in the St. Jude Lifetime cohort", Cancer Epidemiology Biomarkers & Prevention, 2017, volume 26(issue 5), page no. 666 - 674.
[2]. Robert Thomas, Abbas Kanso and John, "chronic kidney disease and its complication", PubMed, 2008, volume 35(issue 2), page no.-329-344.
[3]. Bikbov B, Perico N, Remmuzzi G, "Disparities in chronic Kidney Disease prevalence among males and females 195 countries analysis of the global burden of disease 2016 study, PubMed, 2016, Volume 139(issue 4) , page no. 313 – 318 .
[4]. Ryu SR, Jung YY, park SK, "Prevalence of anemia in chronic kidney disease patient: result from the Korean cohort study for outcomes in patient with chronic kidney disease (KNOW -CKD)", Journal of Korean medical science, volume 32 (issues 2), 2017, page no. - 249 - 256...

Abstract: Occlusal plane is defined as the average plane established by the incisal and occlusal surfaces of the teeth (GPT)1. Although the orientation of occlusal plane is under the control of the clinician, it should be established taking onto considerations the esthetics, phonetics and biomechanical factors. It is generally recognized that vertical height of occlusal plane in anterior region is governed by aesthetic and phonetic requirements, there are contrasting views on the orientation of artificial occlusal plane in posterior region2. Many biometric landmarks and methods have been used over the years for the determination of occlusal plane in posterior region which include:..........

[1]. The Glossary of Prosthodontic terms; J Prosthet Dent;2005;94;48
[2]. F.Bassi et al;Evaluation of the utility of the cephalometric parameters in construction complete denture. Part II: placement of anterior teeth; J Oral Rehab;2001;28;349-353
[3]. B.S.Monteith;Acephalometric method to determine the angulation of the occlusal plane in edentulous patients; J Prosthet Dent;1985;54; 81-87
[4]. K.Shigli,B.R.Chetal,J.Jabade; Validity of soft tissue landmarks in determining the occlusalplane;J.IndianProsthodont Soc;2005;3;139-145
[5]. P.R.L‟Estrange;P.S.Vig;A comparative study of the occlusal plane in dentulous and edentulous subjects; J Prosthet Dent;1975;33;5;495-503.

Abstract: Ocular prosthesis is an artificial replacement of the eye which improves patient's psychological status as well as his confidence. An acceptable ocular prosthesis is that which improves comfort and matches with that of adjacent natural eye. Fabrication of custom made ocular prosthesis is a tedious task and may cause distortion at various steps especially during scleral wax pattern contouring and its retrieval.A sequence of steps for fabrication of custom made ocular prosthesis is outlined in this case report with an emphasis on ease of scleral wax pattern retrieval with minimum distortion.

Keywords: custom ocular prosthesis, scleral wax pattern, stock eye shell

[1]. Raflo, G.T., 1995. Enucleation and evisceration. Duane's clinical ophthalmology, 5, pp.1-25.

[2]. Parr, G.R., Goldman, B.M. and Rahn, A.O., 1983. Surgical considerations in the prosthetic treatment of ocular and orbital defects. Journal of Prosthetic Dentistry, 49(3), pp.379-385.

[3]. Lubkin, V. and Sloan, S., 1990. Enucleation and psychic trauma. Advances in ophthalmic plastic and reconstructive surgery, 8, pp.259-262.

[4]. Patil, S.B., Meshramkar, R., Naveen, B.H. and Patil, N.P., 2008. Ocular prosthesis: a brief review and fabrication of an ocular prosthesis for a geriatric patient. Gerodontology, 25(1), pp.57-62.

[5]. John, A.V., Anilkumar, S., Rajesh, C. and Raghavan, S.M., 2016. A novel technique of custom ocular prosthesis fabrication. Journal of Oral Research and Review, 8(2), p.82..

Abstract: Background: The kidney plays a vital role in the metabolism,degradation and excretion of thyroid hormones. Patients with End-stage renal disease (ESRD) have thyroid dysfunction due to severe renal failure and effects of hemodialysis. This study was designed to know thyroid function abnormalities in patients with ESRD undergoing hemodialysis. Material and Methods: This was a hospital based observational study conducted at Universal College of Medical Sciences and Teaching Hospital,Bhairahawa,Nepal from 1st February 2019 to 31st July 2019. A total of 99 ESRD patients were enrolled..........

Keywords: End-stage Renal Disease; Hemodialysis; Thyroid dysfunction; Subclinical Hypothyroidism

[1]. Ekart R, Ferjuc A, Furman B, Gerjevic S, Bevc S, HojsR. Chronic kidney disease progression to end stage renal disease: a single center experience of the role of theunderlying kidney disease. Ther Apher Dial. 2013;17:363-7.
[2]. Singh PA, Bobby Z, Selvaraj N, Vinayagamoorti R. Anevaluation of thyroid hormone status and oxidative stressin undialyzed chronic renal failure patients. Indian J Physiol Pharmacol. 2006;50(3):279-84.
[3]. Malyszko J, Malyszko J, Wolczynski S, Mysliwiec M. Adiponectin, leptin andthyroid hormones in patients with chronic renal failure and on renalreplacement therapy: are they related? Nephrol Dial Transplant.2006;21(1):145-52.
[4]. Carrero JJ, Qureshi AR, Axelsson J, Yilmaz MI, Rehnmark S, Witt MR, et al. Clinical and biochemical implications of low thyroid hormone levels (total and free forms) in euthyroid patients with chronic kidney disease. Journal of internal medicine. 2007;262(6):690-701.
[5]. Kaptein EM, Quion-Verde H, Chooljian CJ, Tang WW, Friedman PE, Rodriquez HJ, et al. The thyroid in end-stage renal disease. Medicine (Baltimore) 1988; 67(3):187-97.