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

Abstract: Dentist, dental hygienistand oral health care workers practice in a highly contaminated environment and get exposed to variety of bacteria, viruses, fungi and protozoa from many sources.One of the methods of reducing microbial load is preprocedural rinsing.Aim:To compare the efficacy of preprocedural mouthrinsing with triphala mouthwash and chlorhexidine (CHX)mouthwashon aerosol contamination produced by ultrasonicscaling. The 50 subjects were randomly divided intotwogroups. The subjects wereadministered 10ml of mouthwash 10 minutes prior to theprocedure and were asked to rinse for 1 minute.Results:On intergroup comparison of the mean colony forming units......

Keywords: Aerosols, preprocedural mouthwash,triphala,chlorhexidine,blood agar plate

[1]. Gupta G, Mitra D, Ashok K, Gupta A, Soni S, Ahmed S, Arya A. Efficacy of preprocedural mouth rinsing in reducing aerosol contamination produced by ultrasonic scaler: A pilot study. J Periodontol 2014;85:562-8.
[2]. Acharya S, Priya H, Purohit B, Bhat M, Ballal M. Aerosol contamination in a rural university dental clinic in South India. Int J Infect Control 2010;6(1):1-7.
[3]. Devker N, Mohitey J, Vibhute A. A study to evaluate and compare the efficacy of preprocedural mouthrinsing and high volume evacuator attachment alone and in combination in reducing the amount of viable aerosol produced during ultrasonic scaling procedure. J Contempt Dent Pract 2012;13(5):681-9.
[4]. Rao R, Shenoy N, Shetty V. Determination of efficacy of preprocedural mouth rinsing in reducing aerosol contamination produced by ultrasonic scalers. Nitte University Journal of Health Sciences 2015;5(3):52-6.
[5]. Logothetis DD, Jean M, Welles M. Reducing bacterial aerosol contamination with a chlorhexidine gluconate pre-rinse. J Am Dent Assoc1995;126: 1634-9..

Abstract: Objective: Whether drains should be routinely used after laparoscopic cholecystectomy is still debated. We aimed to retrospectively evaluate the benefits of drain use after laparoscopic cholecystectomy for non-acute and non-inflamed gallbladders. Materials and Methods: Two hundred and fifty patients (mean age, 47±13.8 years; 200 females and 50 males) who underwent laparoscopic cholecystectomy for cholestasis were included in the study. The medical files of the patients were examined retrospectively to obtain......

Keywords: Laparoscopic cholecystectomy, drains, ultrasonography

[1]. Sarli L, Costi R, Sansebastiano G, Trivelli M, Roncoroni L. Prospective randomized trial of low-pressure pneumoperitoneum for reduction of shoulder-tip pain following laparoscopy. Br J Surg. 2000;87:1161–5. [PubMed]
[2]. Antoniades J, Sagkana E. Randomized comparison between different insufflation pressures for laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech. 2003;13:245–9. [PubMed]
[3]. Vezakis A, Davides D, Gibson JS, et al. Randomized comparison between lowpressure laparoscopic cholecystectomy and gasless laparoscopic cholecystectomy. Surg Endosc. 1999;13:890–3. [PubMed]
[4]. Abbott J, Hawe J, Srivastava P, Hunter D, Garry R. Intraperitoneal gas drain to reduce pain after laparoscopy: randomized masked trial. Obstet Gynecol. 2001;98:97–100. [PubMed]
[5]. Gurusamy KS, Samraj K, Mullerat P, Davidson BR. Routine abdominal drainage for uncomplicated laparoscopic cholecystectomy. Cochrane Database Syst Rev. 2007;3:CD006004. [PubMed]

Abstract: Background: The inappropriate prescription pattern of Proton Pump Inhibitors (PPIs) is on the rise in spite of its inappropriate utilization being well known. Aim: The purpose of this study was to evaluate the pattern of prescription and appropriateness of use with PPIs and outline potential consequences associated with the use of PPIs. Methods: This was a prospective cross-sectional prevalence survey. All pediatric patients and patients attending the Outpatient Department were excluded. Prescribing patterns of the PPIs were analyzed by collecting the details of drug usage, including frequency, route of administration, dosage form, and duration of treatment, indications, and continuation after discharge. The prescription guidelines and references books will be used as tools to analyze the prescription and case.....

Keywords: Drug utilization, Proton Pump Inhibitors, Prescription pattern, PPI

[1]. World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO. [2]. Connelly D. The development and safety of proton pump inhibitors. Pharm J. 2016 [3]. Shin JM, Sachs G. Pharmacology of proton pump inhibitors. Curr Gastroenterol Rep. 2008;10(6):528-534. doi:10.1007/s11894-008-0098-4 [4]. Protonix (pantoprazole) Philadelphia, PA: Wyeth Pharmaceuticals Inc; Oct, 2011. Product information. [Google Scholar]][ 55 Ali T, Roberts DN, Tierney WM. Long-term safety concerns with proton pump inhibitors. Am J Med. 2009;122:896–903 [5]. Ahn JS, Park SM, Eom CS, Kim S, Myung SK. Use of proton pump inhibitor and risk of colorectal cancer: A meta-analysis of observational studies. Korean J Fam Med. 2012;33:272–9.

Abstract: Background:Torticollis or Wry neck is a rare condition in which neck muscles contract, causing the head to tilt to one side. This causes painfully twisted and tilted neck. The top of the head generally tilts to one side while the chin to the other side. Torticollis is a 3 dimensional deformity where cervical flexion occurs in the sagittal plane, lateral flexion in the frontal plane and rotation of head in the transverse plane. Although there are cervical orthosis available, studies on a Dynamic Cervical Orthosis that can correct the above mentioned deformities of torticollis is less. Materials and Methods: The Dynamic Torticollis Orthosisis fabricated mainly using low temperature thermoplastic (LTTP). After......

Keywords: Torticollis, Cervical Orthosis, Turnbuckle

[1]. AAOS, Atlas of Orthoses and Assistive Technology.
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[5]. C.Y. Cheng, K.W. Ho, K.K Leung. Multi-adjustable post-operative orthosis for congenital muscular torticollis. Prosthetics and Orthotics International, 1993, 17, 115-119.

Abstract: Introduction: Vesico-vaginal fistula (VVF) is most common type of uro genital fistula1 and is a physically, socially and psychologically devastating condition. Although advances occurred in the understanding of etiology, pathogenesis, diagnosis and management, it still poses challenges to the treating surgeon because of the controversies regarding the optimum time of repair and the ideal surgical approach. The objective of our study was to review cases of VVF referred to our department over a 4-year period, with respect to etiology, types , trans-vaginal approach using martius flap as interposition flap in prone jack knife position and its outcome. Material and methods: This was a retrospective....

[1]. Goyal NK, Dwivedi US, Vyas N, et al. A decade's experience with vesicovaginal fistula in India. Int Urogynecol J 2007; 18: 39–42.
[2]. Moir JC. Vesico-vaginal fistulae as seen in Britain. J Obstet Gynaecol Brit Commonw 1973; 80: 598–602.
[3]. Rathee S, Nanda S: Vesicovaginal fistula: a 12-years study. J Indian Med Assoc 1995; 93:93–94.
[4]. Priyadarshi V, Singh JP et al Genitourinary Fistula: An Indian Perspective. J Obstet Gynaecol India. 2016;66:180-4.
[5]. Thomsons JD: Vesicovaginal and urethrovaginal fistula; in Rock JA, Thomson JD (eds): Te Linde's Operative Gynecology, 8th ed.Philadelphia, Lippincott, 1997,1175–1205

Abstract: Liver diseases that are most unique to pregnancy consist of hyperemesis gravidarum, acute fatty liver of pregnancy, intrahepatic cholestasis of pregnancy, and hemolysis, elevated liver enzymes and low platelets syndrome. In this review, risk factors, etiology, symptoms, diagnosis, prognosis and treatment of each entity followed by principles of anaesthetic management based on the case reports or retrospective records will be addressed.

[1]. Michelle Rook, Juan vargas, Aaron caughey, Peter bacchetti, Philip Rosenthal, Laura bull "Foetal outcomes in pregnancies complicated by intrahepatic cholestasis of pregnancy in a northern california cohort" March 2012|volume 7|issue 3|e28343.
[2]. Poupon R:intrahepatic cholestasis of pregnancy:from bedside to bench to bedside. Liver int2005,25:467-468.
[3]. Lammert F, Marschall HU, Glantz A, Matern S: Intrahepatic cholestasis of pregnancy: molecular pathogenesis, diagnosis and management. J Hepatol2000, 33:1012-1021.
[4]. Nelson piercyC ,Girling J et al .Obstertric cholestasis outcome with active management: a series of 70 cases . BJOG 2000;109:282-8.
[5]. Thomas Pusl et al Orphanet Journal of Rare Diseases, intrahepatic cholestasis of pregnancy; jan 20072:26 doi:10.1186/1750-1172-2-26..

Abstract: Digital dentistry is the new era in dental practice. However, not many clinicians are aware of the far reaching applications of digital dentistry in dental implantology which is one of the most commonly sought solutions to dental problems. Poor awareness of the contemporary applications of digital technology in implant dentistry could result in reduced reference to successful prosthodontics and dental rehabilitation. The study investigated clinicians' awareness of contemporary applications of digital technology for implant dentistry. Three research questions guided the study. The design of the study was descriptive survey. The population of the study was targeted on all clinicians in public health care facilities in Delta state and a sample of 1,600 clinicians was involved in the study. Data was collected.....

Keywords: Digital dentistry, technology, implants, prosthodontics, clinicians

[1]. Beuer, F., Schweiger, J. &Edelhoff, D. (2008). Digital dentistry: an overview of recent developments for CAD/CAM generated restorations. British Dental Journal, 204, 505-511. DOI: 10.1038/sj.bdj.2008.350 [2]. Bollen, C.M. &Beikler, T. (2012). Halitosis: the multidisciplinary approach. International Journal of Oral Science, 4(2):55-63. doi:10.1038/ijos.2012.39
[3]. Bozini, T., Petridis, H., Garefis, K. &Garefis, P. (2011) A meta-analysis of prosthodontics complication rates of implant-supported fixed dental prostheses in edentulous patients after an observation period of at least five years. The International Journal of Oral and Maxillofacial Implants, 26, 304–318.
[4]. Malhotra R, Kapoor A, Grover V, Kaushal S. Nicotine and periodontal tissues. J Indian SocPeriodontol. 2010;14(1):72-9. doi:10.4103/0972-124X.65442
[5]. Ng, F.C., Ho, K.H. & Wexler, A. (2005). Computer-assisted navigational surgery enhances safety in dental implantology. Case Series, 34(5), 284-388..

Abstract: Objective: In this study our main goal is to evaluate the outcome of posterior urethral incision technique for urethrocauteneous fistula repair following hypospadias surgery. Method: this prospective interventional study was carried out at the Department of Paediatric Surgery, Mymensingh Medical College Hospital, Mymensingh from January, 2017 – April, 2018. A total number of 20 patients with urethrocauteneous fistula following hypospadias surgery who were admitted in paediatric surgery department in Mymensingh Medical College on routine basis were included in the study. Results: During the study, 11(36.7%) patients were present with....

Keywords: posterior urethral incision technique, urethrocauteneous fistula repair, hypospadias surgery

[1]. Elbakry Management of urethrocutaneous fistula after hypospadias repair: 10 years' experience. J Urol2003;170:328.
[2]. Cimador M, Castagnetti M, Milazzo M, Sergio M, De Grazia E. Suture materials: do they affect fistula and stricture rates in flap urethroplasties?. J Urol2002;168:1751-3.
[3]. Baskin L. Hypospadias. A Critical Analysis Of Cosmetic Outcomes Using Photography. BJU International 2001;87:534-9.
[4]. Kirkali Z. Tunica Vaginalis: An aid in hypospadias surgery. BJU International 1990;65:530-2.
[5]. Yutaro H, Yoshiyuki K, Satoshi K, kentaro M, Akihiro N, kenjiro K. Scrotal dartos flap for the prevention of the urethrocutaneous fistula on hypospadias urethroplasty,Int J Urol 2005;12:280.

Abstract: Résumé; Le pseudomyxome péritonéal est une entité rare et encore mal connue caractérisée par l'accumulation de mucine dans la cavité péritonéale le plus souvent d'origine appendiculaire. La présence de cellules inflammatoires ou néoplasiques dans la mucine le distingue d'une simple ascite muqueuse acellulaire causée par des déversements mucineux. Le diagnostic est largement aidé par l'imagerie notamment la TDM abdominale qui permet d'objectiver des signes pathognomoniques. Le diagnostic est confirmé par l'histologie et le traitement repose sur la combinaison de chirurgie de cytoréduction complète et d'une chimiothérapie hyperthermique intra-péritonéale. Nous rapportons ici deux cas de pseudomyxomes

[1]. Werth R: Pseudomyxoma peritonei. Arch Gynaecol 1884, 24:100-118.
[2]. Shih IM, Yan H, Speyrer D, Shmookler BM, Sugarbaker PH, et al. Molecular genetic analysis of appendiceal mucinous adenomas in identical twins, including one with pseudomyxoma peritonei. Am J Surg Pathol. 2001; 25: 1095-1099. Ref.: https://tinyurl.com/y2ks76zw
[3]. Ronnett BM, Kurman RJ, Zahn CM, Shmookler BM, Jablonski KA, Kass ME, Sugarbaker PH. Pseudomyxoma peritonei in women: a clinicopathologic analysis of 30 cases with emphasis on site of origin, prognosis, and relationship to ovarian mucinous tumors of low malignant potential. Hum Pathol. 1995;26(5):509-524. doi
[4]. Ronnett BM, Zahn CM, Kurman RJ, Kass ME, Sugarbaker PH, Shmookler BM. Disseminated peritoneal adenomucinosis and peritoneal mucinous carcinomatosis. A clinicopathologic analysis of 109 cases with emphasis on distinguishing pathologic features, site of origin, prognosis, and relationship to "pseudomyxoma peritonei". Am J Surg Pathol. 1995;19(12):1390-1408. doi pubmed
[5]. Young RH, Gilks CB, Scully RE. Mucinous tumors of the appendix associated with mucinous tumors of the ovary and pseudomyxoma peritonei. A clinicopathological analysis of 22 cases supporting an origin in the appendix. Am J Surg Pathol. 1991;15(5):415-429. doi pubmed.

Abstract: Endometrial wall thickness is a commonly measured parameter on routine gynecological ultrasound. Its clinical importance and applications extend throughout the phases of the reproductive lives of women. It is often considered an indicator of many diseases such as endometrial carcinoma or hormonal changes. The study aimed to assess and characterize endometrium wall using ultrasound. Material and Method: Descriptive, cross sectional study has been applied on 54 female patients. Within the age range from 10 to 70 years old. The patients were divided into sixth age groups (10-20, 21-30, 31-40, 41-50, 51 to 60 and 61-70 years old). Frequency distribution was then calculated using SPSS program. Results: The most presentation was 43(79.6%).....

Keywords: Endometrium thickness;Echogenicity ;Echotexture

[1]. Bourne, T., et al. (1997). "Ultrasound in gynecology: endometrium." International Journal of Gynecology & Obstetrics 56(2): 115-127.
[2]. Chopra, S., et al. (2006). "Adenomyosis: common and uncommon manifestations on sonography and magnetic resonance imaging." Journal of ultrasound in medicine 25(5): 617-627.
[3]. Cracchiolo, B. M. and J. J. Apuzzio (2017). "Anatomy of the anterior abdominal wall, uterus, and pelvic organs." Operative Obstetrics, 4E: 13-34.
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Abstract: In the era of modern dentistry the ultimate goal of dentistry is to impart good dental health to everyone throughout their lives, despite of this if all the teeth lost after giving efforts to save teeth option left with us is rehabilitation to function efficiently and comfortably in harmony with the muscles of the stomatognathic system and the temporomandibular joints .Now a days ,implant therapy is one of the several treatment modalities available to rehabilitate severely resorbed ridge but in few cases where implant therapy is not advisable in such cases neutral zone techniques serves the best option for severely resorbed ridges. The aim of this review article is to enlighten the concept behind the neutral zone technique and illustrates the achieving of stabilization of denture with neuromuscular coordination for severely resorbed ridges..

Keywords: Neutral zone, Severe resorbed ridge, neuromuscular coordination...

[1]. Amit Porwal, Preet Jain, Siddesh.P.Birader, Santosh Nelogi, Naveen.H.CNeutral Zone Approach for Rehabilitation of Severely Atrophic Ridge Int.J.dent. 2010: 2 (3):53-57.
[2]. Suneel V Vadavadagi, M N Hombesh, C V Anusha Liberation of a Severely Resorbed Mandibular Ridge with a Neutral Zone Technique: A Case Report International Journal of Advanced Health Sciences Vol1 Issue8 December 2014.
[3]. B C Muddugangadhar , Siddhi Tripathi , Amarnath G S , AnshurajKopal Ashok Kumar Das , Swetha M U Zone of Minimal Conflict: The Mystery Unveiled - An Overview Journal of Dental & Allied Sciences 2013;2(1):24-28.
[4]. Nadira Saba Dilip Kumar NathPratikGupta Neutral Zone Technique for the Management of Unstable MandibularComplete Denture: A Case Report Journal of Dental Sciences & Oral Rehabilitation 2013; April –June.
[5]. Swatantra Agarwal ,Praveen Gangadhar , Nafis Ahmad ,AtulBhardwaj A Simplified Approach for Recording Neutral ZoneJ Indian ProsthodontSoc (Apr-June 2010) 10(2):102–104.

Abstract: Sturge-Weber syndrome (SWS), which is also known as encephalo-trigeminal angiomatosis, is a neurocutaneous disorder, usually found with angiomas involving the leptomeninges and the skin of the face, typically in the ophthalmic (V1) and maxillary (V2) distributions of the trigeminal nerve. In this case report, we intend to present a case of a female who had come for a regular check-up and was diagnosed with type 2 Sturge-weber syndrome.

Keywords: Sturge-weber syndrome, port-wine stain, telangiectatic vessels

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[2]. Abdolrahimzadeh S, Scavella V, Felli L, et al. Ophthalmic alterations in the Sturge Weber syndrome, Klippel Trenaunay syndrome and the phakomatosis pigmentovascularis: an independent group of conditions? Biomed Res Int. 2015; Article ID 786519:11 pages.
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[4]. Rihani HT, Dalvin LA, Hodge DO, Pulido JS. Incidence of Sturge-Weber syndrome and associated ocular involvement in Olmsted County, Minnesota, United States. Ophthalmic Genet. 2020 Apr;41(2):108-124.
[5]. Sener RN. Sturge-Weber syndrome: a patient with a cervical port-wine nevus. Comput Med Imaging Graph. 1997 Nov-Dec. 21(6):359-60..