iosr-JDMS   Volume-19 ~ Issue-11 ~ November 2020

Abstract: Inguinal lymphadenectomy, or groin dissection, has a key role in the management of patients with penile, vulval, anal, and cutaneous malignancy. The venous drainage of the inguinal region occurs mainly through the external pudendal, superficial circumflex iliac and saphena magna veins. The inguinal nodes are one of the major lymphatic blocs of the human body. They are responsible for drainage of the inferior limbs, genitalia, posterior perineum, and inferior extremity of the abdominal wall . The anatomy of the inguinal lymphatics informs a logical approach to the examination of the region that can readily be taught to patients at risk of inguinal metastasis from a range of cancers.. Groin dissection is associated with high postoperative morbidity, chiefly related to wound healing and lymphoedema. Meticulous surgical technique is required to reduce postoperative complications. Complications of inguinal lymphadenectomy are common, and trials are currently seeking ways of reducing moridity associated with the operation.

[1]. Catalona WJ. Modified inguinal lymphadenectomy for carcinoma of the penis with preservation of saphenous veins: technique and preliminary results. J Urol 1988;140:306–10.
[2]. Djajadiningrat RS, Graafland NM, van Werkhoven E, et al. Contemporary management of regional nodes in penile cancer—improvement in survival? J Urol 2014;191:68–73.
[3]. Hagarty PK, Dinney CP, Pettaway CA. Controversies in ilioinguinal lymphadenectomy. Urol Clin North Am 2010;37:421–34.
[4]. Kroon BK, Horenblas S, Lont AP, et al. Patients with penile carcinoma benefit from immediate resection of clinically occult lymph node metastases.J Urol 2005;173:816–9.

Abstract: Anaemia, a very common blood disorder causes a great burden of morbidity and even mortality in severe cases. Iron deficiency anaemia has been the most common type of anaemia, typically in the settings of developing countries like India. Iron deficiency anaemia adversely affects the hemodynamics of cardiovascular system, manifested by different clinical signs and symptoms like tiredness, pale skin, palpitations, anxiety, headaches and dizziness, shortness of breath etc. The homeostatic compensatory mechanisms come into action when the iron deficiency anaemia lasts longer and the structure and function of the heart gets modulated accordingly. These changes can be detected by electrocardiography.......

Key words: Iron deficiency anaemia, Electrocardiography, Hemodynamics.

[1]. Hakema SH. Hassan : Electrocardiographic Changes In Patients With Aplastic Anaemia: Prof. /Nursing College / University of Baghdad Accepted on 22/11/2011
[2]. Wintrobe`s Clinical Haematology 13th Ed.
[3]. WHO Hb concentrations for the diagnosis of anaemia and assessment of severity WHO/NMH/NHD/MNM/11.1 VMNIS | Vitamin and Mineral Nutrition Information System
[4]. Goldman Cecil Medicine 25th Ed.
[5]. Kumar & Clark`s Clinical Medicine 9th Ed.
[6]. Harrison`s Principles of Internal Medicine 20th Ed.

Abstract: Aim: To estimate the utility of Pleural fluid ADA: Serum CRP ratio in differentiating Tuberculous and Malignant Pleural effusions Materials and Methods: A hospital based prospective observational study was conducted at GHCCD, Visakhapatnam. A total of 43 patients were recruited in the study using inclusion and exclusion criteria. Pleural fluid analysis was done in all patients for protein, glucose, total and differential count, ADA levels along with Serum CRP levels. Subsequent statistical analysis was done using Microsoft Excel and SPSS software. Results: Out of 43 patients, 19 were diagnosed with Malignant pleural effusion and 24 with Tuberculous pleural effusion. Mean ADA level in Malignant pleural effusions was 69±43 U/l with mean Serum CRP level of 85.56±61.56 mg/l. Mean ADA level in Tuberculous.....

Keywords: Pleural fluid , ADA, CRP

[1]. R Guleria, S K Agarwal, Sanjeev Sinha, J.N.Pande, Anoop Mishra.Role of pleural fluid cholesterol in differentiating transudative from exudative pleural effusion.Nat Med J India.2003;1:64-69.
[2]. Light RW. Anatomy of pleural disease. Pleural diseases 4th edn. Philadelphia: Lippincott Williams and Wilkins; 2001
[3]. Madhure BR, Bedarkar SP, Kulkarni HR, Paplnwar SP. Ind J of Tub 1994 ;41:161-5.
[4]. Light RW. Clinical Practice. Pleural effusion. New Eng J of Medicine.2002; 346(25):1971-7.
[5]. Madhure BR, Bedarkar SP, Kulkarni HR, Paplnwar SP. Ind J of Tub.1994 ;41:161-5.
[6]. Hira HS, Ranjan R. Role of percutaneous closed needle pleural biopsy among patients of undiagnosed exudative pleural effusion. Lung India.2011; 28(2):101-4.

Abstract: Mousetrap appliance is an effective treatment modality for anterior open bite that utilizes implants inserted into the anterior palate and brings about open bite correction by intruding the maxillary molars. This is a finite element study that assesses the displacement contours of maxillary molars when they are intruded by a mousetrap appliance.Materials and Methods:A finite element model of the maxilla and the mousetrap appliance made of 288332 elements and 64771 nodes was generated using software tools like MIMICS and HYPERMESH. A simulated force of 100 grams was applied to the maxillary molar through the appliance and the displacement of the molar was assessed in three planes X,Y and Z..Results: Maximum intrusion of the maxillary molar was found to be 0.005mm along the Z-direction.Conclusion:It is therefore concluded that the mousetrap appliance which exerts a force within the range of recommended force for molar intrusion brings about desirable displacement of the tooth.

Key Word: TADs, molar intrusion, mousetrap appliance.

[1]. A V-Hernandez, R Lopez-Garcıa, V Garcıa-Sanz, V Paredes-Gallardo, F Lasagabaster-Latorre. Nonsurgical treatment of skeletal anterior open bite in adult patients: Posterior build-ups. Angle Orthod 2017; 87: 33–40.
[2]. Wilmes B, Nienkemper MA, Ludwig B, Nanda R, Drescher D. Upper-molar intrusion using anterior palatal anchorage and the Mousetrap appliance. J Clin Orthod. 2013 May;47(5):314
[3]. Nanda R. Biomechanics and Esthetic Strategies in Clinical Orthodontics, 1st ed., Ch. 8. New York: Elsevier Inc.; 2005. p. 156-76.
[4]. Pekhale N, Maheshwari A, Kumar M, Kerudi VV, Patil H, Patil B. Evaluation of stress patterns on maxillary posterior segment when intruded with mini implant anchorage: a three-dimensional finite element study. APOS Trends Orthod. 2016 Jan 1;6:18-23
[5]. Stenvik A, Mjor I (1970) Pulp and dentin reactions to experimental tooth intrusion: a histologic study of the initial changes. Am J Orthod 57, 370-385

Abstract: Purpose-To identify preoperative, perioperative and postoperative risk factors that influence the success of pterygium surgery.. Materials and Methods This is a prospective study of fifty patients with primary or recurrent pterygia. A detailed anamnesis and an ophthalmological examination were performed looking for the following factors: age, race, latitude and altitude of the main place of residence, hours of exposure to the sun, use of protective measures against UV-radiation, classification of pterygium, width of the pterygium at limbus, surgical technique (conjunctival autograft plus suturing versus tissue glue), graft alterations (misapposition, granuloma, haemorrhage, oedema, retraction or necrosis), and postoperative symptoms (foreign-body sensation, pain). The examinations were performed 2 and 7 days and........

Key words:- risk factors,sunlight exposure ,pterygiumsurgery,conjunctival autograft

[1]. Leonard P, Jocelyn L, Donald T: Current concepts and techniques in pterygium treatment. Curr Opin Ophthalmology. 2007, 18: 308-313. 10.1097/ICU.0b013e3281a7ecbb. Article Google Scholar [2]. Mejía L, Sánchez J, Escobar H: Management of primary pterygia using free conjunctival and limbal-conjunctival auto grafts without antimetabolites. Cornea. 2005, 24: 972-975. 10.1097/01.ico.0000160971.96447.9e. Article PubMed Google Scholar [3]. Solomon A: Pterygium. Br J Ophthalmol. 2006, 90: 665-666. 10.1136/bjo.2006.091413. CAS Article PubMed PubMed Central Google Scholar [4]. Bradley J, Yang W, Bradley R, Reid T, Schwab I: The science of pterygia. Br J Ophthalmol. 2010, 94 (7): 815-820. 10.1136/bjo.2008.151852. CAS Article PubMed Google Scholar [5]. Song Y, Ryu Y, Choi S, Kim C: The involvement of adult stem cells originated from bone marrow in the pathogenesis of pterygia. Yonsei Med J. 2005, 46: 687-692. 10.3349/ymj.2005.46.5.687. Article PubMed PubMed Central Google Scholar

Abstract: Background: Diabetes mellitus has become a worldwide epidemic. Applying exercise regularly has a positive impact on type II diabetics and considered as a therapeutic non-pharmacological mode for diabetes mellitus (DM). Aims: to study the effects of moderate intensity aerobic physical activity on glycemic control, lipid profile and body mass index (BMI) of type II diabetics. Method: 80 cases of type II diabetic patients were recruited. While 54 subjects were involved on non-supervised regular exercise (30 minutes- 5 to 7 days/week) for 12 weeks (EX group), 26 were sedentary (NEX group). Complete history and laboratory investigations including fasting blood sugar (FBS), random blood sugar......

[1]. American College of Sport Medicine (ACSM) and the American Diabetes Association (ADA) (July 2010).
[2]. Bjorntorp P. Metabolic implications of body fat distribution (1991). Diabetes Care; 14(12):1132–43.
[3]. Boden G. Role of fatty acids in the pathogenesis of insulin resistance and NIDDM (1997). Diabetes; 46(1):3–10.
[4]. Church TS, La Monte MJ, Barlow CE, et al. Cardiorespiratory fitness and body mass index as predictors of cardiovascular disease mortality among men with diabetes (2005). Arch Intern Med; 165(18): 2114–20.
[5]. Colberg SR, Sigal RJ, Fernhall Bo, et al., (2010): Exercise and Type 2 Diabetes (The American College of Sports Medicine and the American Diabetes Association: joint position statement) Diabetes Care. 33(12): e147–e167

Abstract: Introduction : Organophosphorus compounds are the widely used insecticides worldwide. They are being utilised in increasing quantities for the control of insects affecting agriculture and residential places. Organophosphorus compounds are anti acetylcholinesterase's which exert their toxicity by interfering with the normal function of acetylcholine. Cardiac complications with these compounds may be serious and often fatal. The complications are potentially preventable if they are recognized early and treated adequately. So the present study was done to assess the electrocardiographic and echocardiographic changes and determine changes in cardiac enzyme level [LDH, CPK-MB, Troponin – I] in acute organophosphorus poisoning adult patients...........

Key word: organophosphorus; folidol; sumithion; lactate dehydrogenase.

[1]. Cullen G. Organophosphate Insecticides: In: The Chemical Incident Management Handbook. 1st edition,London. The Stationary office. 2000; 194-6.
[2]. Jeyratnam J. Acute pesticide poisoning, a major health problem. World Health stat Q1990. 43; 139-145.
[3]. Jones A.L. Karalliedde L. In: Davidson's Principles and Practice of Medicine. 20th edition. Chapter 9, Page 216- 220.
[4]. Cherian AM, Jeyaseelan L, Peter JV et al. Pralidoxime in the treatment of organopphosphorus poisoning-a randomized double blind, placebo controlled trial INCLEN Monograph Series on Critical International Health Issues. No 7. Dec 1997.
[5]. Eddleston M. Patterns and problems of deliberate self poisoning in the deloping world. QJM 2000. 93; 715-731.

Abstract: Introduction : L'incidence de l'infection VIH a connu une augmentation importante ces dernières années; avec des complications oculaires se produisant dans environ 70% de cas. L'objectif était de déterminer le profil épidémio clinique et biologique des manifestations oculaires chez les personnes vivant avec le VIH dans notre milieu. Méthodes : Il s'agit d'une étude prospective transversale à visée analytique réalisée chez 90 patients VIH/SIDA du Centre d'Excellence de Lubumbashi, de Juillet à Décembre 2018. L'échantillonnage était aléatoire simple et les considérations éthiques étaient respectés. Les données étaient récoltées par interview à l'aide d'un questionnaire préétabli complété d'un examen clinique ophtalmologique ainsi que des analyses biologiques. Résultats :La fréquence des manifestations oculaires....

[1]. Pichard É. Malintrop Afrique: Manuel de maladies infectieuses pour l'Afrique. John Libbey Eurotext; 2002.
[2]. Girard P-M, Katlama C, Pialoux G. VIH. Edition 2007. Wolters Kluwer France; 2007.
[3]. Ayena KD, Amedome KM, Agbo ARD, Kpetessou-Ayivon AL, Dzidzinyo BK, Djagnikpo PA, et coll. Atteintes oculaires chez les personnes vivant avec le VIH/SIDA sous trithérapie au Togo. Médecine Trop. 2010;70(2):137.
[4]. Balo K-P, Amoussou Y-P, Béchetoille A, Mihluedo H, Djagnikpo P-A, Akpandja S-M, et coll. Rétinites à cytomégalovirus et complications oculaires du SIDA au Togo. BDSP. 1999; 22 (10):1042–6.
[5]. Nsiangani N., Kaimbo Wa Kaimbo D., Kapelela M K. Les manifestations oculaires chez l'enfant vivant avec le VIH/SIDA à Kinshasa. Bull Soc Belge Ophtalmol. 2013; 322:117–124

Abstract: Accuracy in 3D printing is refining by the advancement in 3Dprinting technology and among many 3D printing facilities, Fused Deposition Modelling (FDM) printer is beneficial. As it is simple to modify printing extruder units and easy to calibrate printing parameters according to the design of scaffold and biomaterials used for printing scaffold. These modifications can be used to print porous scaffold precisely to meet the requirement for tissue engineering applications. Based on the information from digital design, printing tip present in the Extruder unit of FDM Printer,which prints scaffold with perfect geometry by layering melted biomaterial. The printing tips used in the extruder varies with dimension and size and depending.......

Key Words: FDM printer, calibration, scaffold, precision of printing, printing tip, biomaterial, regeneration, bone engineering.

[1]. Arvidson, Abdulla, et al. Bone regeneration and stem cells, journal of cellular and molecular medicine. 2011; 15(4): 718-744.
[2]. Qian Yan, Hanhua Dong, Jin Su, Jianhua Han, Bo Song, et al. A review of 3D printing technology for medical application, Elsevier. 2018;4(5):729-742.
[3]. Susmitha Bose, SaharVahabzadeh, et al. Bone tissue engineering using 3Dprinting, Material study. 2013; 16(12):496-504.

Abstract: Background: Determination of maxillomandibular relationships in long term complete denture wearer following fabrication of new prosthesis by radiographic method has been performed by several investigators. If radiographic evaluation can be used to re-establish the maxillomandibular relationship, it would act as a boon to the stomatognathicsystem of elderly long standing complete denture wearing patient.The aim of the study wasto evaluate cephalometricallychange in maxillomandibular relationship between worn existing prostheses and newly fabricated complete dentures. Material and Methods: A total of fifteen completely edentulous individuals from 68 to 85 years fulfilling the inclusion criteria were included in thestudy. Cephalometric radiography was performed in all the patients with existing old denture with four year duration.......

Key Words: Cephalometry,Jarabak ratio, TMJ disorder, Denture.

[1]. Singh S, Das S, Bhattacharyya J, Ghosh S, Goel P, Dutta K, et al. A comparative study to correlate between clinically and radiographicallydetermined sagittal condylar guidance in participants with different skeletal relationships. J Indian ProsthodontSoc 2017;17:175‑82.
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[3]. Tallgren A. The effect of denture wearing on facial morphology. A 7-year longitudinal study. ActaOdontolScand1967;25:563–592.
[4]. Carlsson GE, Persson G. Morphologic changes of the mandible after extraction and wearing of dentures. Odontol Rev1967;18:27–54.
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