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

Abstract: Cemento-ossifying fibroma is a type of benign fibro-osseous lesion with odontogenic in origin and belonging to the same category as fibrous dysplasia and cementifying dysplasia. The histopathologic findings alone may be similar to other pathologies therefore accurate diagnosis requires careful clinical & radiological correlation. Nowadays, CBCT provides information for diagnosis as well as it guides in surgical planning. Here, we are presenting a case report of cemento-ossifying fibroma in an adult lady in her 4th decade of life with clinical findings of growth, present in the lower left jaw and explaining the role of CBCT in their diagnosis.

Key Word: Cemento-ossifying fibroma, Fibro-osseous lesion, Cone beam computed tomography

[1]. White SC, Pharoah MJ. Oral Radiology 6th ed. China: Mosby Co; 2009.p.440-1.
[2]. Khan SA, Sharma NK, Raj V, Sethi T. Ossifying fibroma of maxilla in a male child- Report of a case and review of the Literature. Natl J Maxillofacsurg 2011;2:73-9
[3]. Mithra R, Baskaran P, Sathyakumar M. Imaging in the diagnosis of cemento-ossifying fibroma: a case series. Journal of Clinical Imaging Science. 2012;2.
[4]. Sarwar HG, Jindal MK, Ahamad SS. Cemento-ossifying fibroma-a rare case. J Indian SocPedodPrev Dent 2008;26:128-31.
[5]. Galdeano-Areanas M, Crespo-Pinilla JI, Alvarez-Otero R, Espeso- Ferrero A, Verrier-Hernandez A. Fibroma cement-osificante gingival mandibular. Presentication de uncaso. Med Oral 2004;9:176-9.

Abstract: Objective- To assess the severity of acute pancreatitis using Ranson's scoring system and APACHE II scoring system. and to compare these two scoring systems with respect to their accuracy in predicting the outcome in cases of acute pancreatitis. Materials and method- A time bound prospective study was conducted on patients admitted with acute pancreatitis. Patients were subjected to detailed clinical examination, laboratory investigations and radiological imaging for patient evaluation and diagnosis Results- Ranson's scoring system is not inferior to APACHE II scoring system in predicting the severity of acute pancreatitis....

Keywords-Pancreatitis, APACHE, Ranson's

[1]. Moynihan B. Acute Pancreatitis. Ann Surg. 1925;81:132-142.
[2]. Hall TC, Garcea G, Webb MA, Al-Leswas D et al. The socioeconomic impact of acute pancreatitis: a systematic review. J Eval Clin Pract 2014; 20:203-207.
[3]. Banks PA. Practice guidelines in acute pancreatitis. American Journal of Gastroenterology, vol. 92, no. 3, pp. 377–386, 1997.
[4]. Ranson, K. M. Rifkind, D. F. Roses, S. D. Fink, K. Eng, and F. C. Spencer. Prognostic signs and the role of operative management in acute pancreatitis. Surgery Gynecology and Obstetrics, vol. 139, no. 1, pp. 69–81, 1974.
[5]. Blamey SL, C. W. Imrie, J. O'Neill, W. H. Gilmour, and D. C. Carter. Prognostic factors in acute pancreatitis. Gut, vol. 25, no. 12, pp. 1340–1346, 1984..

Abstract: Background :It has been more than 30 years since Norman Cousins published an article in the New England Journal of Medicine(1) extolling the potential medicinal benefits of laughter and humor. Yet the study of laughter still occupies a rather modest place in scientific inquiry.(2)Many studies have proved that laughter has both, short term and long term benefits on our physical, mental and emotional health. Purpose: The purpose of this study is to assess and compare the pulmonary functions of elderly attending laughter clubs and sedentary individuals of same age group. Study Design: This was a case control study. Methods : 55 elderly healthy males who were...

Key words: Elderly individuals, laughter clubs, Pulmonary Function test (PFT) parameters

[1]. Cousins N. Anutomy of an illness as perceived by the patient N Engl J Med. 1976; 295 (26) : 1458 - 63
[2]. Devereux PG, Heffner KL. Psychophysiological approaches to the study of laughter toward an integration with positive psychology. In : Ong A.D., Van Dolmen MIIM, editors. Oxford Handbook of methods in positive psychology New York. Ny Oxford University Press; 2007 P, 233 - 49.
[3]. William B Strean. Laughter prescription. Can Fam Physician October 2009; 55 (10); 965 - 67
[4]. Park K. Park‟s textbook of preventive and social medicine. Jabalpur : M/s Banursidas Bhanot : 2011 ed. 21 : Page 40.
[5]. Goodman J. Fry WF Jr. Toward Optimal health : the experts discuss therapeutic homor. Interview by Jodi R. Godfrey. J Womens Health (Larchmt) 2004 June; 13 (5) : 474 - 9.

Abstract: Background: An unidentified pneumonia outbreak was first observed in Wuhan, the capital of Hubei Province, China, in December 2019. WHO officially named the virus Severe Acute RespiratorySyndromeCoronavirus-2(SARS-CoV-2)and the disease, Coronavirus Disease 2019 (COVID-19), and on Mar 11, 2020, declared COVID-19 as pandemic Hence, we aimed to perform a systematic review of the epidemiological and clinical characteristics of COVID-19 patients admitted in a tertiary care hospital in North East India. Methods: We retrospectively analysed 375 cases admitted at AyursundraSuperSpeciality Hospital, Guwahati between July 6th to September 10th, 2020. Results: We included a total of 375 patients.......

Keywords:COVID19, fever, cough, D-dimer, SARS-CoV2

[1]. World Health Organization. Coronavirus disease(COVID-19) outbreak situation. [cited 2020 March25]. Available at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019.
[2]. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinicalfeatures of patients infected with 2019 novel coronavirusinWuhan, China. Lancet. 2020;395(10223):497–506. https://doi.org/10.1016/s0140-6736(20)30183-5.
[3]. Rothe C, SchunkM, Sothmann P, BretzelG, FroeschlG, WallrauchC, et al. Transmission of 2019-nCoV infection from an asymptomaticcontact in Germany. N Engl J Med. 2020;382(10):970–1.https://doi.org/10.1056/NEJMc2001468.
[4]. National Health Commission of the People's Republicof China. National COVID-19 diagnosis and treatmentscheme (the seventh edition). [cited 2020 Mar 3].Available at: http://www.nhc.gov.cn/yzygj/s7653p/202003/46c9294a7dfe4cef80dc7f5912eb1989/files/ce3e6945832a438eaae415350a8ce964.pdf.
[5]. Guan WJ, Ni ZY, Hu Y, et al. Clinical characteristics ofcoronavirus disease 2019 in China. N Engl J Med.2020;382(18):1708–1720.

Abstract: Background: Ca cervix is a major cause of morbidity and mortality, particularly in developing countries like India.Itsecond most common cancer in females after breast cancer.2nd malignancy site after treatment of ca cervix can be related to radiation dose and radiation portal used e.g ca bladder,ca vagina, ca rectum, it can also be related to same etiological factor such as smoking e.g lung/bronchus/esophageal cancer or HPV related cancers like vagina, vulva, or anal cancer. Case Report: We report a case of 56-year old female patient who was diagnosed as CA Cervix IIB and treated 10 years ago in our institutewith 45Gy/20#/4 weeks......

Key Word :2nd Primary malignancy, NSCLC, Ca Cervix

[1]. Bosch FX, de Sanjose S. Chapter 1: human papillomavirus and cervical cancer—burden and assessment of causality, J Natl Cancer Inst Monogr, 200331(pg. 3-13)program (NCEP) expert panel on detection, evaluation, and treatment of highblood cholesterol in adults (adult treatment panel III) finalreport. Circulation. 2002;106(25, article 3143).
[2]. Rabkin CS, Biggar RJ, Melbye M, Curtis RE. Second primary cancers following anal and cervical carcinoma: evidence of shared etiologic factors, Am J Epidemiol, 1992, vol. 136 (pg. 54-8)
[3]. Cai T, Mazzoli S, Bartoletti R. Re: Second cancers among 104,760 survivors of cervical cancer: evaluation of long-term risk. J Natl Cancer Inst. 2008 Apr 16;100(8):600; author reply 600-1. doi: 10.1093/jnci/djn087. Epub 2008 Apr 8. PMID: 18398096.
[4]. DOI: 10.1200/GO.20.00122 JCO Global Oncology no. 6 (2020) 1063-1075. Published online July 16, 2020.PMID: 32673076
[5]. Chaturvedi AK, Engels EA, Gilbert ES, Chen BE, Storm H, Lynch CF, Hall P, Langmark F, Pukkala E, Kaijser M, Andersson M, Fosså SD, Joensuu H, Boice JD, Kleinerman RA, Travis LB. Second cancers among 104,760 survivors of cervical cancer: evaluation of long-term risk. J Natl Cancer Inst. 2007 Nov 7;99(21):1634-43. doi: 10.1093/jnci/djm201. Epub 2007 Oct 30. PMID: 17971527.

Abstract: Anterior capsular phimosis is the centripetal fibrosis and contraction of the capsulorhexis margin seen after cataract extraction. Individuals with zonular laxity are at increased risk for this condition. It often results in clinically significant visual reduction secondary to central opacification, intraocular lens decentration and tilt. This features as shrinkage and whitening of the anterior capsular opening – capsular contraction syndrome – a well-known complication after uneventful phacoemulsification. Here, a 72-year-old lady presented with complaints of painlessdecrease in vision in right eye since last 2 months. There was no associated redness, or discharge. Visual acuity was hand....

Keywords Anterior capsular opening, Capsulorhexis, Acrylicoptic IOL, Best Corrected Visual Acuity (BCVA), Nd: YAG radial anterior capsulotomy, Vitrectorhexis,

[1]. Werner L, Pandey SK, Escobar-Gomez M, Visessook N, Peng Q, Apple DJ. Anterior capsule opacification: a histopathological study comparing different IOL styles. Ophthalmology 2000;107(3):463-71. [2]. Masket S. Postoperative complications of capsulorhexis. JCataract Refract Surg 1993;19(6):721-4. [3]. Spang KM, Rohrbach JM, Weidle EG. Complete occlusion of the anterior capsular opening after intact capsulorhexis: clinicopathologic correlation. Am J Ophthalmol 1999;127(3):343-5. [4]. Hayashi H, Hayashi K, Nakao F, Hayashi F. Anterior capsule contraction and intraocular lens dislocation in eyes with pseudoexfoliation syndrome. Br J Ophthalmol 1998;82(12):1429-32. [5]. Joo CK, Shin JA, Kim JH. Capsular opening contraction after continuous curvilinear capsulorhexis and intraocular lens implantation. J Cataract Refract Surg 1996;22(5):585-90.

Abstract: Objectives To present our center's experience in managing bladder outlet obstruction (BOO) conditions using bougie dilators. We described the dilation technique methodically for teaching purpose. Patients and method Retrospectively, a total of 196 medical records over the last four years denoting BOO conditions in men, women, and children were retrieved for analysis. Data reviewed for common complications was namely: perforation, recurrence, urinary tract obstruction (UTI) and inability to overcome the obstruction. Results Among the 196 analyzed cases, 24 (12.2%) cases were cured, whereas 172 (87.8%) cases reported complications. Within the complicated cases analyzed....

Keywords: urethral dilation technique, bougie dilators, urethral sounds, urethral stricture, BOO

[1]. Steenkamp JW, Heyns CF, de Kock ML. Internal urethrotomy versus dilation as treatment for male urethral strictures: a prospective, randomized comparison. J Urol. 1997;157:98–10. [2]. Fujita K, Matsushima H, Nakano M, Kaneko M, Munakata A. Prophylactic oral antibiotics in urethral instrumentation. Nihon Hinyokika Gakkai Zasshi. 1994;85:802–805. [3]. Luis R. Saint Louis: The C.V. Mosby Company; 1985. Decision Making in Urology: Urethral Stricture, Adult Male. [4]. Greenwell TJ, Castle C, Andrich DE, MacDonald JT, Nicol DL, Mundy AR. Repeat urethrotomy and dilation for the treatment of urethral stricture are neither clinically effective nor cost–effective. J Urol. 2004;172:275–277. [5]. Wong SS, Aboumarzouk OM, Narahari R, O'Riordan A, Pickard R. Simple urethral dilatation, endoscopic urethrotomy, and urethroplasty for urethral stricture disease in adult men. Cochrane Database Syst Rev. 2012 doi: 10.1002/14651858..

Abstract: Background: In the developing countries, women lost their lives due to preeclampsia every year and the risk of infant mortality in preeclampsia is 4 times higher than that in normal pregnancies. In Bangladesh, eclampsia contributes 20% of the maternal mortality on a national basis which is equivalent to about 4500 women in one year. Objective: Main objective of this study is to compare the serum iron and TIBC among the preeclamptic patients and normotensive group Method: It was a cross sectional comparative study on serum iron and iron binding capacity in preeclamptic and normotensive pregnancy....

Key words: Serum Iron, preeclampsia, normotensive, corticosteroids

[1]. Raza N, Sarwar I, Munazza B, Ayub M, Suleman M. Assessment of iron deficiency in pregnant women by determining iron status. J Ayub Med Coll Abbottabad 2011;23(2):36-40.
[2]. Chaparro CM. Setting the stage for child health and development: prevention of iron deficiency in early infancy. J Nutr 2008;138(12):2529-2533.
[3]. Abu-Saad K and Fraser D. Maternal Nutrition and Birth Outcomes. Epidemiol Rev 2010; 32(1): 5-25.
[4]. Beard JL. Effectiveness and strategies of iron supplementation during pregnancy. Am J Clin Nutr 2000;71 5 suppl:1288S-1294S.
[5]. Scholl TO and Reilly T. Anemia, Iron and Pregnancy Outcome. J. Nutr 2005;130 (2):443S-447S.
[6]. Entman SS, Richardson LD, Killam AP. Elevated serum ferritin in the altered ferrokinetics of toxemia of pregnancy. Am J Obstet Gynecol 1982;144:418-422.

Abstract: Aim:To evaluate the awareness and knowledge of using various gingival displacement techniques prior to impression making in fixed dental prosthesisby the dentists in Gandhinagar district. Settings and Design: Questionnaire based survey among dentists in Gandhinagar district. Materials and methods: All the participants in Gandhinagar district weresurveyed through a questionnaire regarding their usage of gingival displacement technique and their reasonsand methods ofusing gingival displacement technique for fixeddental prosthesis.The results were analysed through discriminated statistical analysis.......

Key words: Gingival retraction, Gingival retraction systems, impression procedure,fixed dental prosthesis

[1]. Glossary of prosthetic terms.9th edition.J Prosthodent 2017;117(5s).
[2]. Rosensteil sf, Land MF and Fujimoto J contemporary fixed prosthodotics. 4thedition. S T LOUIS; Mosby Inc.2001;354.
[3]. ShillinburgHT, Sather DA and Wilson EL. Fundamental of fixed prosthodontics 4thedition. Chicago:2012
[4]. Tylman SD.Theory and practise of crown and partial fix prosthodotic,8th edition. St.Louis:the c.v.Mosby co.22.
[5]. Ferenczjllmaintaing the and enhancing gingival architecture in fixed prosthodotics.Jpd1991;65;650-7.

Abstract: Background:Complete cytoreductive surgery is the cornerstone of treating advanced ovarian cancer with platinum salt chemotherapy. The tumorresidue after maximal cytoreduction surgery is an essential prognostic factor for survival. The chronology of treatment is still debated, French and especially American recommendations place primary surgery as the standard and interval surgery as an option when initial surgery is not possible from the outset. The goal of resectability must be the same regardless of the option chosen, namely obtaining an infra-centimetric or ideally zero residue with a lower morbidity rate. Care must of course be discussed in a multidisciplinary consultation meeting.

Keywords: ovarian cancer, cytoreduction surgery, neoadjuvant chemotherapy, tumor residue

[1]. V. Lavoue. Huchon, E.Daraı . Management of Epithelial Ovarian Cancer: French joint recommendations of FRANCOGYN, CNGOF, SFOG, GINECO-ARCAGY and endorsed by INCa. Introduction ; Gynécologie Obstétrique Fertilité & Sénologie 47 (2019) 93–94
[2]. Ignace Vergote, Frédéric Amant, Gunnar Kristensen et al. Primary surgery or neoadjuvant chemotherapy followed by interval debulking surgery in advanced ovarian cancer
[3]. Isabelle Jaffré, Virginie Bordes, Magali Dejode et al. Place de la chirurgie d'intervalle dans le traitement du cancer avancé de l'ovaire ; Bull Cancer vol 98.N :1 Janvier 2011
[4]. P. Morice, E. Leblanc, F. Narducci et al. Chirurgie initiale ou d'intervalle dans les cancers de l'ovaire de stade avancé ? Etat de la question en 2004 et critères de sélection des patientes ; Gynéco obstétrique, fertilité 33(2005)55-63
[5]. Lijuan Yang, Bo Zhang, Guangyang Xing et al; Neoadjuvant chemotherapy versus primary debulking surgery in advanced epithelial ovarian cancer: A meta-analysis of peri-operative outcome; PLOS ONE, October 23,2017

Abstract: We report a case of a 14-year-old boy who presented with blurry vision in both eyes and headaches of 2 weeks' duration. He was not on medication and denied any health problems. Fundus examination showed bilateral but markedly asymmetric macular exudates and optic disk edema. The blood pressure measurements was markedly elevated.Computed tomography revealed unilateralleftsuprarenal tumorand led with laboratory studies to a diagnosis of pheochromocytoma, a rare catecholamine-secreting tumor. Resection of the tumor along with left total adrenalectomy were performed. Blood pressure and visual acuity returned to normal after surgery.

Key words: hypertensive retinopathy,Pheochromocytoma, , child, bilateral

[1]. Sisson JC, Shapiro B, Beierwaltes WH, et al: Locating pheochromocytomas by scintigraphy using 131Imetaiodiobenzylguanidine. CA Cancer J Clin 1984;34:86–92.
[2]. Fernandez-Calvet L, Garcia-Mayor RV: Incidence of pheochromocytoma in South Galicia, Spain. J Intern Med 1994; 236:675–7.
[3]. DeGraeff J, Horak BJ: The incidence of pheochromocytoma in the Netherlands. Acta Med Scand 1964; 176:583–93.
[4]. Abramson SJ: Adrenal neoplasms in children. Radiol Clin North Am 1997;35:1415–53
[5]. Hayreh SS, Servais GE. Retinal hemorrhages in malignant arterial hypertension. Int Ophthalmol 1988; 12: 137–145
[6]. Sathyan P, Myint K, Singh G et al. Acute painful visual loss from accelerated hypertensive choroidopathy. Acta Ophthalmol Scand 2007; 85: 337–338.

Abstract: Hydronephrosis means dilatation of calyces resulting from impairment to the flow of urine. Common causes of Hydronephrosis

[1]. Wilson Dr. 1980: Pathophysiology of obstruction nephropathy. Kidney Int 18: 281-292
[2]. Jaerike J.R.: The renal functional defect of post obstructive nephropathy. The effect of bilateral obstraction in Rat. Clin. 51-2999, 1992
[3]. Roberge-wade AP, Hosking DH, MacEwan DW, Ramsay E.W. J. Urol 140: 1473-1474, December-1988
[4]. Lalli AF 1980. Contrast media reactions: data analysis and hypothesis. Radiology; 134:1-12.
[5]. Ellenbogen PH, Schieble FW, Talner LB, Leopold GR, : Sensitivity of grey scale ultrasound in detecting urinary tract obstruction: AJR-1978;130:731-733.

Abstract: Background and objectives: Proteinuria is an integral association of chronic kidney disease (CKD), and heavy proteinuria indicates a rapid decline in renal function. However, the epidemiologic trend of this important biomarker is not well described in the Indian CKD population. Design, setting, participants & measurements: This cross-sectional study of adults with CKD examined the association of proteinuria with the glomerular filtration rate. The CKD EPI formula used for eGFR and Urinary protein-to-creatinine ratios (Up/c) were used to measure level of proteinuria. Results: Of the 100 subjects studied, the mean eGFR as measured by CKD EPI equation was 14.43 ml/min per 1.73 m2. Twenty-four percent....

[1]. Tonelli M, Muntner P, Lloyd A, Manns BJ, Klarenbach S, Pannu N, James MT, Hemmelgarn BR. Risk of coronary events in people with chronic kidney disease compared with those with diabetes: a population-level cohort study. Lancet 2012; 380: 807–1
[2]. Donadelli R, Zanchi C, Morigi M, Buelli S, Batani C, Tomasoni S, Corna D, Rottoli D, Benigni A, Abbate M, Remuzzi G, Zoja C. Protein overload induces fractalkine upregulation in proximal tubular cells through nuclear factor kappaB- and p38 mitogen-activated protein kinase-dependent pathways. J Am SocNephrol 2003; 14: 2436–46.
[3]. Cravedi P, Ruggenenti P, Remuzzi G. Kidney failure stabilizes after an increase over 2 decades. J Ren Care 2007; 33: 100–4.
[4]. Poggio ED, Nef PC, Wang X, Greene T, Van Lente F, Dennis VW, Hall PM. Performance of the Cockcroft-Gault and modification of diet in renal disease equations in estimating GFR in ill hospitalized patients. Am J Kidney Dis 2005; 46: 242–52.
[5]. Ruggenenti P, Gaspari F, Cannata A, Carrara F, Cella C, Ferrari S, Stucchi N, Prandini S, Ene-Iordache B, Diadei O, Perico N, Ondei P, Pisani A, Buongiorno E, Messa P, Dugo M, Remuzzi G. Measuring and estimating GFR and treatment effect in ADPKD patients: results and implications of a longitudinal cohort study. PLoS ONE 2012; 7: e32533..

Abstract: Background: Thyroid dysfunction is not uncommonly observed during pregnancy which may affect pregnancy outcome. Aim and objectives: The study was aimed to evaluate the pregnancy outcome in thyroid dysfunction among pregnant mother in a tertiary level hospital setting. Materials and methods: This observational and longitudinal study encompassed 300 pregnant mothers who were recruited on consecutive basis in their first trimester from the Department of Obstetrics and Gynecology, BSMMU and antenatal clinic of a maternity hospital after fulfillment of inclusion criteria. Assay for anti-thyroid peroxidase (anti-TPO) and anti-thyroglobulin (anti-TG) antibodies as well as free thyroxin (FT4) and thyroid stimulating hormone (TSH).......

Key words:Thyroid Dysfunction, Pregnancy, First Trimester, Antithyroid Antibodies, Maternal Complications

[1]. Begum SA, Shamsuddin L, Chowdhury SB, Fariduudin M and Chowdhury TS, 2004 Routine screening of thyroid function in early pregnancy. Diab Endocr J. 32: 31-35
[2]. Akter SN, Tarannum R and Kabir MS, 2013. Pregnancy in overt and subclinical hypothyroidism and its Feto-Maternal Outcome.Medicinetoday, 25: 69-7.
[3]. Shah JM, Mehta MN and Viradia HB, 2013. Screening for thyroid dysfunction during pregnancy. Thyroid research and practice. 10: 65-67
[4]. Glinoer D. 1997. The regulation of thyroid function in pregnancy: pathways of Endocrine adaptation from physiology to pathology. Journal of Endocrine society 18:404-433
[5]. Wang W, Teng W, Shan Z, Wang S, Li J, Zhu L, 2011. The prevalence of thyroid disorders during early pregnancy in china: the benefits of universal screening in the first trimester of pregnancy. European Journal of Endocrinology 164:263-268