iosr-JDMS   Volume-19 ~ Issue-12 ~ December 2020

Abstract: Aim of the study was to find out relationship of temporomandibular joint dysfunction with forward head posture and severity in neck pain in patients with neck pain temporomandibular joint dysfunction. Methodology: non experimental correlation study, Sample Size- 71 subjects with neck pain, forward head posture and symptoms of temporomandibular dysfunction. Temporomandibular dysfuction was recorded using Modified Clinical Dysfunction Index, Modify Clinical Dysfunction Index (DI) was used for measuring dysfunction associated with temporomandibular joint, Postural assessment grid and goniometer was used to take all mandibular measurements and Visual Analog Scale (VAS) was used to measure subjective neck pain intensity. Data Analysis: Pearson's correlation coefficient analysis was used to find the correlations of neck inclination angle (NIA) with age.....

Key words: Temporomandibular Joint (TMJ), Temporomandibular Joint Dysfunction (TMD), Neck Inclination Angle (NIA), Visual Analog Scale (VAS), Modify Clinical Dysfunction Index (DI), Forward Head Posture (HFP)

[1]. Cagnie B, danneels L, Van tiggelen D, De loose V, cambier D. Individual and work related risk factor for neck pain among office workers: a cross sectional study. Eur spine J 2007; 16(5):679-86.
[2]. Calliete R. Degenerative disc disease .2nd ed. F.A.Davis. Philadelphia 1989: 94-105.
[3]. Ariens GA, Van mechelen W, Bongers PM, Physical risk factor for neck pain. Second journal of work environment health 2000; 26:7-19.
[4]. Bovine G, Scharder H., Sand. T. Neck pain in general population. Spine 1994; 19:1307-1310.
[5]. Bryden L eds. craniofacial dysfunction and pain. Manual Therapy assessment and management 8th edn. Butterworth Heinemann, oxford (2001).

Abstract: Background: Proper hand hygiene is the single most important, simplest, and least expensive means of reducing the prevalence of Health care associated infections and the spread of antimicrobial resistance. The purpose of this project was to observe compliance of hand hygiene, study improvement in hang hygiene compliance and infection control rate improvement following educational intervention Materials and Methods: This was a hand hygiene program implemented with the hopes of improving hand hygiene and decreasing hospital-associated infection rates. A multidisciplinary group developed a hospital supported campaign. Opportunities for hand hygiene were observed during 2 periods, pre campaign and post campaign. The frequency of hospital-associated infection in the burns ward was tracked over time by review of records pre and post campaign Results: Pre campaign the compliance for hand hygiene was 27.09%. The staff was educated regarding importance of hand hygiene and effective....

Key Word: Hand hygiene,compliance, educational intervention

[1]. D Pittet, P Mourouga, T Pernegar ,Compliance with handwashing in a teaching hospital. Annals of Internal Medicine,130(2), 1999,126-130.
[2]. A Tandon, July 29 2006. The Tribune, Chandigarh, India - Chandigarh Stories. (Online) Available: http://www.tribuneindia.com/2006/20060730/cth3.htm. (11 February 2011).
[3]. D Pittet ,Improving Adherence to Hand Hygiene Practice: A Multidisciplinary Approach. Emerging Infectious Diseases, 7(2),2001, 234-240.
[4]. WHO. 2002. Prevention of hospital-acquired infections, A practical guide, 2nd edition. (Online).Available:http://www.who.int/csr/resources/publications/whocdscsreph200212.pdf (30 November 2011).
[5]. WHO. 2007. Improved Hand Hygiene to Prevent Health Care-Associated Infections. (Online). Available: http://www.ccforpatientsafety.org/common/pdfs/fpdf/presskit/PS-Solution9.pdf. (30 November 2011)..

Abstract: The nasopalatine duct cyst also termed as incisive canal cyst. The main aim of this report is to give an overview of the surgical technique and procedure that is done in this case as most of the cyst is removed by the palatal approach. We present a 33 year old male with incisive canal cyst. Radiographic shows globular shape radiolucency. No sign of recurrence after the surgical procedure.

Key words: maxillary incisive cyst, sublabial approach

[1]. Dass Arjun, Verma Hitesh, Punia RPS. Nasopalatine duct cyst: a rare case report. Egyptian Journal of Oral & Maxillofacial Surgery 2013 April; 39-40
[2]. Dedhia P, Dedhia S, Dhokar A, Desai A. Nasopalatine duct cyst.Case Rep Dent 2013;1-4.
[3]. Cecchetti F,Ottria L, Bartuli F,Bramanti NE, Arcuri C. Prevalence.distribution and differential diagnosis of nasopalatine duct cysts. Oral Implantol (Rome) 2012; 5(2-3):47-53.
[4]. Sankar D, Muthusubramanian V, Nathan JA, Nutalapati RS, Jose YM, Kumar NY. Aggressive nasopalatine duct cyst with complete destruction of palatine bone. J Pharm Bioallied Sci 2016 Oct; S185-S188.

Abstract: AIM: To evaluate the effectiveness of Octreotide in the conservative management of postoperative enterocutaneous fistulas. MATERIALS AND METHODS: Total of 30 patients were included in the study, all of them will receive nasogastric suction, antibiotics, intravenous supportive measures that includes IV glucose, crystalloid solutions and electrolytesas standard treatment.The patients were divided into group A and group B respectively. 15 patients in group A will receive octreotide (100 microgram in 100 ml NS IV 8 hourly) as an adjunct to standard treatment.15 patients in group B will receive the standard treatment alone.Patients were obsereved for clinical and laboratory manifestations of infection and fistula output......

[1]. Haecker FM, Fasler-Kan E, Manasse C, et al: Peritonitis in childhood: clinical relevance of cytokines in the peritoneal exudate. Eur J PediatrSurg. 2006 Apr;16(2):94.
[2]. Solomkin JS, Mazuski JE, Bradley JS, et al. Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. Clin Infect Dis. 2010;50:133.
[3]. Visschers RGJ, Olde Damink SWM, Van Bekkum M, et al. Treatment strategies in 135 consecutive patients with enterocutaneous fistulas. World J Surg. 2008;32:445.
[4]. Kuvshinoff BW, Brodish RJ, McFadden DW, et al. Serum transferrin as a prognostic indicator of spontaneous closure and mortality in gastrointestinal cutaneous fistulas. Ann Surg. 1993;217:615.
[5]. den Dulk M, Marijnen CAM, Collette L, et al. Multicentre analysis of oncology and survival outcomes following anastomotic leakage after rectal cancer surgery. Br J Surg. 2009;96:1066.

Abstract: Background: Systemic Hypertension is a chronic medical condition with various causes which could be primary or secondary. There are various risk factors for Hypertension. The early screening in patients with risk factors is essential for diagnosis and prevention of complications associated with Hypertension. Hypertension is one of the most common worldwide diseases afflicting humans and is a major risk factor for stroke, myocardial infarction, vascular disease, and chronic kidney disease. Complications of hypertension are clinical outcomes that result from persistent elevation of blood pressure.(9)Hypertension is a risk factor for all clinical manifestations of atherosclerosis since it is a risk factor for atherosclerosis itself.(10).I t is an independent predisposing factor for heart failure,(11) coronary artery disease,(12) stroke,(9) renal disease, and peripheral arterial disease. It is the most important risk factor.....

Keywords: Hypertension, Total Cholesterol, HDL (High density Lipid), end organ damage

[1]. Carretero OA, Oparil S; Oparil (January 2000). "Essential hypertension. Part I: definition and etiology". Circulation 101 (3): 329–35. doi:10.1161/01.CIR.101.3.329.PMID 10645931
[2]. Mesdscape. article/241381
[3]. Society of Actuaries. Blood Pressure: Report of the Joint Committee on Mortality of the Association of Life Insurance Medical Directors and the Actuarial Society of America. New York, NY: 1925.
[4]. Blood Pressure Study, 1939. The Actuarial Society of America and the Association of Life Insurance Medical Directors. New York, NY: 1940.
[5]. Build and Blood Pressure Study. Society of Actuaries; Chicago, IL: 1959.

Abstract: Background: Rheumatoid arthritis (RA) is a chronic, inflammatory, autoimmune disease of unknown etiology affecting approximately 1% of the world population, 0.75% in India and 0.2% in Manipur. The hallmark swelling, bony erosions and synovial thickening reflect the underlying inflammatory and auto immune processes of RA. Anemiais one of the most frequent extra-articular manifestations in RA with a prevalence in RA of 33%- 60% and also correlates with disease activity. Therefore, we conducted this study to determine the prevalence of anaemia in RA patients in Manipur and to correlate with disease activity. Methods: This cross-sectional study was conducted at Regional Institute of Medical Sciences (RIMS), Imphal, Manipur from 2018 to 2020. 236RA patientsabove 18 years of age who attendedRheumatology OPD,Medicine OPD or admitted in the General Medicine wards were enrolled.Complete hemogram and other related blood investigations were studied.....

Keyword: Anemia,Autoimmune disease, DAS-28 ESR, Rheumatoid arthritis.

[1]. Arnett FC, Edworthy SM, Bloch OA, Mcshane DJ, Fries JF, Cooper NS, et al. The AmericanRheumatism Association 1987 revised criteria for the classification of Rheumatoid arthritis. Arthritis Rheum 1988;31(3):315-24.
[2]. Aletaha D, Neogi T, Silman AJ, Funovits J, Felson DT, Bingham CO, et al. 2010 Rheumatoid arthritis classification criteria: an American college of Rheumatology/European league against Rheumatism collaborative initiative. Arthritis Rheum 2010;62(9):2569-81.
[3]. Hamilton PJ. The haematology laboratory and the Rheumatologist. Clin Rheum Dis 1983;9(1):69-92.
[4]. Dr. Manju Kumari, 2018. "Study of anemia in rheumatoid arthritis", International Journal of Development Research, 8, (05), 20568-20572.
[5]. Arul R, Kumar PP. Study of hematological profile in Rheumatoid arthritis patients. JDMS 2016;15(9):96-100.

Abstract: AIM: To evaluate the prevalence and associated risk factors of needle stick and sharp injury sustained by dental students.OBJECTIVE:To determine the prevalence of needle-stick and sharp injuries.To determine the factors associated with needle-stick and sharp injuries among dental students.To assess the knowledge, attitude and practice among dental students regarding needle-stick and sharp injuries. METHODOLOGY: A convenient sample of 269 dental students present at the time of study will be recruited. A set pre- validated 17 item questionnaire related to needle-stick and sharp injuries and the factors associated with it will be used to collect the data . students will be interviewed for demographic data, knowledge, attitude, practice and history related to needle-stick and sharp injuries.....

Keyword: Dental college, dental professionals, needle stick injury, sharps injury

[1]. Panlilio AL, Orelien JG, Srivastava PU, Jagger J, Cohn RD, et al. (2004) Estimate of the annual number of percutaneous injuries among hospital-based healthcare workers in the United States, 1997–1998. Infect Control Hosp Epidemiol 25: 556–562.
[2]. Sahasrabuddhe AG, Suryawanshi SR, Khare R. Determinants of occupational exposure to blood borne pathogens among resident doctors in a tertiary care hospital in the city of Mumbai. Int J Med Sci Public Health 2014;3:1014‑7.
[3]. Muralidhar S, Singh PK, Jain RK, Malhotra M, Bala M. Needle stick injuries among health care workers in a tertiary care hospital in India. Indian J Med Res 2010;131:405‑10
[4]. Maurya R P et al. Knowledge, Awareness and Practices regarding Sharp Injuries amongst the Dental students. International Journal of Oral Health Dentistry; July-September 2017;3(3):181-187.

Abstract: Aim 1 . Tostudy theoperative time in fixing themesh 2.Tocomparethepostoperativepainandpostoperativeinfectioninbothgroups. METHODOLOGY: This prospective study comprised of 40 cases of inguinal hernia which were randomly divided into two groups of 20 each named group A and group B. Group A includes Lichensteins repair using conventional mesh and group B includes lichensteins repiar using self- retaining mesh .detailed history and examination done and recorded.patients were intraoperatively for time taken for surgery and postoperatively for complications.Pain was measured using the pain visual analog scale.Results were based on Intraoperative time andpostoperative complications like pain,infection and recurrence......

[1]. Lim L,Gilyard SM,Sydorak RM,Lau ST,Yoo EY,Shaul DB, Minimally Invasive Repair of Pediatric Morgagni Hernias Using Transfascial Sutures with Extracorporeal Knot Tying. The Permanente journal. 2019;
[2]. Nicholson, S, Keane, T.E., Devlin, H.B. Femoral hernia: an avoidable source of surgical mortality. (1990) Br J Surg 77(3): 307-308.
[3]. Cobaleda, F.S.B., Muñoz-Najar, A.G., Trujillo, B.M., et al. Recurrent inguinal hernia: treatment using a preperitoneal approach and a wide polypropylene mesh prosthesis. (2000) Cir Esp 67: 354-357.
[4]. Acevedo, A., Reyes, E., Herrera, J.C. Femoral hernia: study of the posterior wall of the Inguinal Canal. (2005) Reuchi Cir 57: 495-499.
[5]. Townsend, C.M., Beanchamp, R.D., Evers, B.M., et al. Sabiston Texbook of Surgery. 20th ed. The Biological Basis of Modern Surgical Practice . (2017) Elsevier Saunders, USA

Abstract: Introduction : Les disjonctions acromio-claviculaires sont des affections fréquemment rencontrées en traumatologie. Elles font également l'objet d'intérêt particulier vu les multiples publications en rapport avec leurs physio-pathogénies, leurs conséquences cliniques et radiologiques et enfin les différentes techniques de prise en charge chirurgicales. Les résultats de ces techniques sont souvent hétérogènes, d'ou l'intérêt de notre étude dont l'objectif est de comparer les résultats fonctionnels et radiologiques d'une chirurgie de stabilisation acromio claviculaire assistée par Arthroscopie à celle d' une ligamentoplastie par ligament artificiel (LARS) ; puis d'évaluer l'impact fonctionnel d'une anomalie de réduction.......

Keywords: Disjonction acromio claviculaire, Stabilisation acromio claviculaire, Arthroscopie, LARS

[1]. Murray, G. Fixation of dislocation of the acromioclavicular joint and rupture of the coracoclavicular ligaments. Can Med Assoc J 1940 ; 43 : 270-271.
[2]. Bosworth, Boardman Marsh. Acromioclavicular dislocation: end-results of screw suspension treatment. Annals of surgery 1948 ;127 (1): 98.
[3]. Mumford, E. B. Acromioclavicular dislocation: a new operative treatment. JBJS1941 ; 23(4) : 799-802.
[4]. Rockwood Jr, C. A., and D. P. Greep. "Subluxations and dislocations about the shoulder: Fractures in adults." JB Lippincott, Philadelphia 1984:722-805
[5]. Hootman, Jennifer M. Acromioclavicular dislocation: conservative or surgical therapy. Journal of athletic training2004 ;39(1): 10..

Abstract: Aim – To investigate the levels of burnout and related demographic factors – age, gender, and marital status among dentists in Bulgaria.Material and Methods–A self-administered questionnaire consisting of 20 items regarding socio-demographic characteristics, work environment factors and lifestyle patterns was piloted on a random sample of 150 dentists (response rate=90.6%, n=136), practicing in the capital of Republic of Bulgaria – Sofia. To assess the levels of burnout aspects – emotional exhaustion, depersonalization and reduced personal accomplishment – the standard instrument MBI-HSS was used.Results – Females demonstrated lower levels of emotional exhaustion compared to males. Higher levelsof emotional exhaustion were registered among 41-55-year olds and single dentists. Very high levels....

Key words: burnout, dentistry, socio-demographic factors

[1]. Avramova, N. Dentists'Job Satisfaction. Dissertation. Medical University-Sofia, 2014, 154 pp. [PhD Thesis in Bulgarian].
[2]. Katrova, L.G.P. Social status of dentists and social perspectives for the dental profession. LeadingTechnology in Dentistry Publishing, Sofia, 1998, 290 pp. [Book in Bulgarian].
[3]. Hodson, Randy & Teresa A. Sullivan. The social organization of work. 1990,Wadsworth Publ. Comp, Belmont, California.
[4]. Bonev, B. Dental health and quality of life of people aged 20 and over in Republic of Bulgaria. Dissertation. Medical University-Sofia, 2013,150 pp. [PhD Thesis in Bulgarian].
[5]. Avramova N., Yaneva Kr. Communications, and job satisfaction in dental practice. Medical management and health policy. 2012, (3): 9-26.[Article in Bulgarian]..

Abstract: Background: Coronary heart disease (CHD) remains the major cause of mortality and morbidity in the entire world population despite therapeutic advances that control many risk factors. Lipid profile is regarded as an important factor in the development of coronary heart disease. There have been numerous studies confirming the association of hyperlipidemias with coronary heart disease in most of the Western as well as Asian countries of the world. We have very few data on the relation between CHD and lipid profile. Aim of the study: The aim of this study was to determine the prevalence of abnormal lipid levels and its association with coronary heart disease. Methods: This comparative...

Key words: Lipid Profile, Coronary heart disease, CHD, Cardiology.

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[5]. Bonow RO, Carabello BA, Kanu C. Guidelines for the management of patients with valvular heart disease: a report of the American Heart Association Task Force on Practice Guidelines. Circulation. 2006; 114: 84 – 231..

Abstract: Objective To assess the graft uptake and audiological gain followed by type-1 tympanoplasty using temporalis fascia alone and a modified cartilage shield technique using tragal cartilage and temporalis fascia. Methods A prospective study of 30 Chronic otitis media (Mucosal disease –inactive)patients were done, out of which 15 underwent type-1 tympanoplasty using temporalis fascia and 15 of them using modified tragal cartilage shield technique. Patients were assessed for graft uptake and audiological evaluation was done preoperatively and at 1 month, 3 months & 6 months post op....

[1]. Sharma K, Manjari M, Salaria N. Middle ear cleft in chronic otitis media: a clinicohistopathological study. Indian J Otolaryngol Head Neck Surg. 2013;65 (Suppl3):493497.https://doi:10.1007/s12070-011-0372-x
[2]. E. Iacovou, E. Kyrodimos, and A. Sismanis, "Cartilage "shield‟ tympanoplasty: an effective and practical technique," European Archives of Oto-Rhino-Laryngology, vol. 271, no. 7, pp. 1903–1908, 2014.
[3]. M. Cavaliere,M. Panetti, andM. Iemma, "Tragal cartilage shield tympanoplasty: our technique and results in 612 cases," ActaOto-Laryngologica, vol. 134, no. 9, pp. 890–897, 2014.
[4]. J. M. Kartush, E. M. Michaelides, Z. Becvarovski, and M. J.LaRouere, "Over-under tympanoplasty," Laryngoscope, vol. 112,no. 5, pp. 802–807, 2002.
[5]. Vashishth A, Mathur NN, Choudhary SR, Bhardwaj A. Clinical advantages of cartilage palisades over temporalis fascia in type I tympano- plasty. AurisNasus Larynx. 2014;41(5):422–7.