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

Abstract: Background:Diffuse large B cell lymphoma can develop in the lymph nodes or in "extranodal sites" such as the gastrointestinal tract, testes, thyroid, skin, breast, bone, brain, or essentially any organ of the body. It may be localized or generalized. Despite being an aggressive lymphoma,Diffuse large B cell lymphoma L is considered potentially curable. Case Report:we are presenting our experience in diagnosing and management of 55 years old male patient with primary retroperitoneal diffuse large B cell lymphoma. Accurate histopathological diagnosis of lymphomas are crucial in formulating chemotherapeutic regimens......

Key words:Diffuse large B cell lymphoma,retroperitoneal mass,immunohistochemistry

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[2]. C. Fulignati, P. Pantaleo, G. Cipriani, et al.An uncommon clinical presentation of retroperitoneal non-Hodgkin lymphoma successfully treated with chemotherapy: a case report World J Gastroenterol, 11 (2005), pp. 3151-3155
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[5]. P. Feugier, A. Van Hoof, C. Sebban, et al.Long-term results of the R-CHOP study in the treatment of elderly patients with diffuse large B-cell lymphoma: a study by the Grouped'Etude des Lymphomes de l'Adulte J ClinOncol, 23 (2005), pp. 4117-4126Sircar S, Taneja VA..

Abstract: Adenomatoid odontogenic tumor is a rare tumor accounting for only 2.2-7% of the tumors originating in the oral cavity. The origins of this rare, slow growing tumor has often been the topic of debate amongst oral diagnosticians and its limited literature can often pose a challenge to diagnosis. The following case report is of a 17 year old diagnosed with adenomatoid odontogenic tumor of the mandible. Surgical enucleation of the entire lesion wasdone followed by a histopathologic diagnosis and the patient was followed up with for 6 months and then referred for aesthetic rehabilitation. Through this article we attempt to report an exceptional occurrence of a this rare tumor in the mandible which is otherwise commonly seen in the maxilla along with the diagnostic and surgical challenges it may pose for clinicians that may help outline the importance of a holistic approach towards diagnosis and treatment planning.

Keywords : Adenomatoid Tumor.....

[1]. Garg D, Palaskar S, Shetty VP, Bhushan A. Adenomatoid Odontogenic tumor-hamartoma or true neoplasm: A case report. J Oral Sci. 2009; 51: 155-9.
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[3]. Marx RE, Stern D. Oral and Maxillofacial pathology: A rationale for diagnosis and treatment. Quitessence Pub Co, Hanover Park, 2012.
[4]. Philipsen HP, Srisuwan T, Reichart PA. Adenomatoid odontogenic tumor mimicking a periapical (radicular) cyst: a case report. Oral Surg Oral Med Oral Pathol Oral RadiolEndod. 2002 Aug;94(2):246-8.
[5]. Phillipsen HP, Reichart PA, Zhang KH, Nikai H, Yu Ox. Adenomatoid Odotogenic tumor: biologic profile on 499 cases. J. Oral Pathol Med. 1991; 20: 149-58..

Abstract: Background and Aims: The objective is to compare the efficacy of addition of buprenorphine or dexmedetomidine to bupivacaine in sensory and motor blockade duration, two segment regression and time of first analgesic requirement. Use of low-dose spinal anaesthesia is advantageous in elderly as it reduces the hemodynamic and heart rate variability. Methods: sixty patients are randomly allocated into three groups Group A: received 15 mg of 0.5% hyperbaric bupivacaine along with 0.2 ml Normal saline; Group B: received 15 mg of 0.5% hyperbaric bupivacaine along with 60 mcg of buprenorphine; Group C: received 15 mg of 0.5% hyperbaric bupivacaine along with 5 mcg of dexmedetomidine. Data between the 3 groups were compared and analysed using ANOVA test and chi....

Keywords: Anaesthesia, buprenorphine, dexmedetomidine, intrathecal

[1]. Mahima Gupta,1 S. Shailaja,2 and K. Sudhir Hegde3Comparison of Intrathecal Dexmedetomidine with Buprenorphine as Adjuvant to Bupivacaine in Spinal Anaesthesia. J Clin Diagn Res. 2014 Feb; 8(2): 114–117.
[2]. Kim JE, Kim NY, Lee HS, Kil HK. Effects of intrathecal dexmedetomidine on low-dose bupivacaine spinal anesthesia in elderly patients undergoing transurethral prostatectomy. Biol Pharm Bull 2013;36:959-65.
[3]. Kanazi GE, Aouad MT, Jabbour-Khoury SI, Al Jazzar MD, Alameddine MM, Al-Yaman R, et al. Effect of low-dose dexmedetomidine or clonidine on the characteristics of bupivacaine spinal block. Acta AnaesthesiolScand2006;50:222-7.
[4]. Maharani B, Sathya PrakashM, KalaiahP, ElangoNC. Dexmedetomidine and buprenorphine as adjuvant to spinal anesthesia – A comparitive study. Int J Curr Res Rev 2013;5:97-103.
[5]. Gupta M, Shailaja S, Hegde KS. Comparison of intrathecal dexmedetomidine with buprenorphine as adjuvant to bupivacaine in spinal anaesthesia. J Clin Diagn Res 2014;8:114-7..

Abstract: BACKGROUND AND AIM: Caudal epidural analgesia is a simple and safe technique practised in children undergoing infraumbilical surgeries but has a shorter duration of action after a single shot injection. The aim of this study is to compare the analgesic efficacy of dexmedetomidine and tramadol co-administered with 0.25% ropivacaine caudally in pediatric patients undergoing urogenital surgeries. OBJECTIVES: The primary objective is to compare the efficacy of dexmedetomidine and tramadol in prolonging the duration of analgesia.The secondary objectives include measurement of duration of motor block, sedation score, emergence time and adverse effects.....

Key Words: Caudal, analgesia, ropivacaine, tramadol, dexmedetomidine, emergence time.

[1]. Silvani P, Camporesi A, Agostino MR, Salvo I. Caudal anesthesia in pediatrics: An update. Minerva Anestesiol2006;72:453-9.
[2]. Verghese ST, Hannallah RS. Postoperative pain management in children. Anesthesiol Clin North America 2005;23:163-84.
[3]. Dobereiner EF, Cox RG, Ewen A, Lardner DR. Evidence-based clinical update: Which local anesthetic drug for pediatric caudal block provides optimal efficacy with the fewest side effects? Can J Anaesth2010;57:1102-10.
[4]. Doctor TP, Dalwadi DB, Abraham L, Shah N, Chadha IA, Shah BJ. Comparison of ropivacaine and bupivacaine with fentanyl for caudal epidural in pediatric surgery. Anesth Essays Res 2013;7:212-5..
[5]. Yildiz TS, Ozdamar D, Bagus F, Solak M, Toker K. Levobupivacaine-tramadol combination for caudal block in children: A randomized, double-blinded, prospective study. PaediatrAnaesth2010;20:524-9.

Abstract: INTRODUCTION Spinal induced hypotension is a common problem during the caesarian section. To decrease the hemodynamic instability, a localanesthetic can be combined with opioids. AIM : To compare the incidence of spinal hypotension during caesarian section with hyperbaric bupivacaine alone and with pethidine. METHODS : After written informed consent and ethics committee approval, 50 parturients belonging to ASA status I or II were randomly allocated to two groups.Non complicated pregnancy and without contraindication for regional anesthesia were included, and......

Keywords : Pethidine, bupivacaine, spinalanesthesia, caesarian section.....

[1]. Carpenter RL, Caplan RA, Brown DL, Stephenson C, Wu R. Incidence and risk factors for side effects of spinal anesthesia. Anesthesiology 1992;76(6):906–916.
[2]. Atalay, Canan& Aksoy, Mehmet & Aksoy, Ayse& Dogan, N & Kürsad, H. (2010). Combining Intrathecal Bupivacaine and Meperidine during Caesarean Section to Prevent Spinal Anaesthesia-Induced Hypotension and other Side-Effects. The Journal of international medical research. 38. 1626-36. 10.1177/147323001003800507.
[3]. Ngan Kee WD: Intrathecal pethidine: pharmacology and clinical applications. Anesth Intensive Care 1998; 26: 137 – 146. [4]. Sng BL, Siddiqui FJ, Leong WL, et al. Hyperbaric versus isobaric bupivacaine for spinal anesthesia for cesarean section. Cochrane Database Syst Rev. 2016;9(9):CD005143. Published 2016 Sep 15. doi:10.1002/14651858.CD005143.pub3
[5]. Yu SC, Ngan Kee WD, Kwan AS: Addition of meperidine to bupivacaine for spinal anesthesia for Cesarean section. Br J Anaesth 2002; 33: 379 – 383.

Abstract: AIM & BACKGROUND: Total intravenous anaesthesia is the use of intravenous agents for induction and maintenance of anaesthesia. This study compares propofol‐ketamine with propofol-butorphanol for short surgical procedures in terms of hemodynamic, respiratory stability, postoperative sedation, nausea/vomiting and pain relief after injecting propofol. METHODS: A randomized double blinded study conducted in 60 patients belonging to ASA I &II, aged between 25‐50 years. Patients were divided into two groups: Group K Propofol‐Ketamine combination(n=30) and Group B Propofol‐Butorphanol combination(n=30). The baseline values for heart rate, mean arterial pressure and SPO2 recorded and every five minutes after induction for half an hour.RESULTS: MAP in Butorphanol group at 5, 10, 15, 20, 25, and......

Keywords : Total intravenous anaesthesia, propofol‐ketamine, propofol‐butorphanol, hemodynamic stability, respiratory stability, sedation.

[1]. Regmi NK, Khatri S, Datta PK. Comparison of propofol-butorphanol with propofol-ketamine for Total intravenous anesthesia on short surgical procedures. Journal of Nepalgunj Medical College, 2014.
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Abstract: Objective: Our primary objective was- how much this method was helpful for prevention of PPH. Our secondary intension was to evaluate operative interference, operative time, and requirement of uterotonic agent. Study design: This is a prospective cross sectional study of PPH in cesarean section, done at department of gynae & obstetric, Bankura Sammilani Medical College, Bankura, West Bengal, India, from January 2019 to October 2019. Total 608 number of mother was included in this study those who were prepared for cesarean section from Labour room and antenatal ward and were randomly selected -305 cases in study group and 303 in control group. In study group we confirmed uterine contraction not only by inspection and palpation of uterus but also real time feeling of uterine.....

[1]. Ann Eversen, Janice M. Anderson, Patricia Fontain. Postpartum Hemorrhage: Prevention and Treatment. A peer reviewed journal of the American Academy of Family Physicians. 2017 Apr 1;95(7):442-449
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Abstract: Case:A 23 year old female with 9 months of pregnancy sustained a injury on right thigh following a motor vehicle collision. Clinical examination demonstrated pain, swelling and deformity over the right thigh. X-ray was done and diagnosed as femoral shaft fracture right side. As patient was near date of delivery, decision was taken to do a caeserian section and wasdone immediately without delay. After 7 days of caeserian section interlock nailing was done for fracture femur. Probably, an undisplaced neck femur fracture was missed at that time which get displaced as patient gradually started weight bearing after 1 month of nail insertion. Later on neck femur fracture was fixed with " MISS-A-NAIL technique". Conclusion: Here we present the miss-a-nail technique that has shown good long term results in young active individuals.Rather than going for other techniques of fixation, cancellous screw fixation in a young patient with ipsilateral interlock nail in situ shows good long term results..

[1]. Yang KH, Choi YW, Won JH, Yoo JH. Subcapital femoral neck fracture after removal of Gamma/Proximal Femoral nails: report of two cases.
[2]. Kow RY, Abdul-Aziz A, Low CL. Miss-A-Nail Technique for Neck of Femur Screw Fixation: It Is Easier Said Than Done. Malaysian Orthopaedic Journal. 2020 Mar;14(1):96.
[3]. Kow RY, Abdul-Aziz A, Low CL. Miss-A-Nail Technique for Neck of Femur Screw Fixation: It Is Easier Said Than Done. Malaysian Orthopaedic Journal. 2020 Mar;14(1):96..

Abstract: The novel coronavirus disease (COVID-19), the global pandemic poses great challenges towards health care system. Optimal treatment to the disease has not been determined and is often guided by institutional guidelines. COVID-19 and its effect in pregnancy is yet not known, but is extrapolated from the experiences of previous pandemics and infectious diseases like SARS and MERS that since pregnancy is a high-risk state in the context of infectious diseases, pregnancy makes women more susceptible to pathogens and may lead to adverse outcomes. The implications of COVID-19 in pregnancy still remains understudied......

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