iosr-JDMS   Volume-19 ~ Issue-5 ~ May 2020

Abstract: Background: In highly resorbed mandibular ridge , rehabilitation of conventional complete denture is not always the best option. Modification in the impression technique or the denture is required not to trigger more resorption in the already resorbed alveolar ridge. In such case, light weight hollow denture is the preferred treatmentoptiontoslowdowntheriskoffurtherridge resorption. Materials and Method :This article shows a simple technique to create a hollowness in the mandibular denture apart from the several techniques given in the literature, by using wire re-inforced suction tube wrapped with plastic cello-tape. Conclusion :Wire re-inforced suction tube wrapped with plastic cello-tape can be used to create a hollowness in the mandibular denture to slow down the severe ridge resorption.

Key Word:Mandibular denture , Ridge resorption , Wire re-inforced suction tube.

[1]. VarunBaslas, simranjeetKaur. A revised technique for fabrication of hollow mandibular denture: A solution to severely resorbed residual ridge. SJ Oral Sci Vol-2 No.1 January 2015, page 43-46.
[2]. RupalJaydip Shah, Sanjay Balaji. Management of Severely Atrophic Mandibular Ridge using Hollow Denture with Analytical Discussion: A clinical case report. Journal of Clinical and Diagnostic Research.2017 April, Vol-11(4): ZD26-ZD29.
[3]. Kathleen Manuela D' Souza, Meena Ajay Aras. A simple approach to Hollow Denture Fabrication: An Innovative Technique. Journal of Dental and Allied Sciences.2017; 6: 84-7.
[4]. Fattore LD, Fine L, Edmonds DC. The hollow denture: An alternative treatment for atrophic maxillae. J Prosthet Dent 1988;59:514-6.
[5]. Worley JL, Kniejski ME. A method for controlling the thickness of hollow obturator prostheses. J Prosthet Dent 1983;50:227-9.

Abstract: Maxillectomy defects can result in oroantral communication that causes difficulty in mastication and deglutition, impaired speech, and facial disfigurement. The prosthodontist plays an important role in the rehabilitation of such defects with obturators. Goal of prosthodontics is rehabilitation of missing oral and extra oral structures with restoration of normal function of mastication, speech, swallowing, appearance etc. Malignancies are common in oral region, which are treated through surgical intervention. Surgical intervention creates anatomic defect which forms communication among the oral cavity, nasal cavity and maxillary sinus. This paper describes a clinical report of fabricating a definitive obturator with a cast metal framework for an acquired maxillary defect. Thus, this definitive prosthesis rehabilitated the patient by providing better masticatory efficiency, improving the clarity of speech and quality of life of the patient

Key Word:Maxillectomy;Obturator;Oro antral communication.

[1]. F. Keyf, ―Obturator prostheses for hemimaxillectomypatients,‖ Journal of Oral Rehabilitation,2001, vol. 28, no. 9,pp. 821–829.
[2]. J. Rieger, J. Wolfaardt, H. Seikaly, and N. Jha, ―Speech outcomes in patients rehabilitated with maxillary obturator prosthesesaftermaxillectomy: a prospective study,‖ International Journal of Prosthodontics,2002 vol. 15, no. 2, pp. 139–144.
[3]. K. J. Ferro, S. M. Morgano, C. F. Driscoll et al., ―The glossary of prosthodontic terms,‖ Journal of Prosthetic Dentistry, 2005,vol. 94, no. 1, pp. 10–92.
[4]. J. Kumar, M. B. Kandarphale, V. Aanand, J. Mohan, and P. Kalaignan, ―Definitive obturator for a maxillary defect,‖ Journal of Integrated Dentistry,2017 vol. 2, no. 3, pp. 1–4.
[5]. Chalian VA, Drane JB, Standish SM. MaxillofacialProsthetics.Baltimore: The Williams and Wilkins Co.; 1971

Abstract: The use of dental implants has become widespread and a predictable treatment modality for the restoration of missing teeth. Success of implant dentistry depends on stability of the implant, whether biological or mechanical. Stability are often classified into two types: Primary and secondary stability. Many factors influence primary and secondary stability of the implants which include implant design, implant surface topography, bone quality and patient related factors. Hence it's essential to understand the multitude of things that persuade the implant stability and to research the results of implant therapy. Measurement of implant stability could also be a valuable tool for creating decisions concerning treatment protocol and it also improves dentist patient communication.

KEYWORDS: Primary implant stability, Secondary implant stability, Bone density, Implant design, Insertion torque, Resonance frequency analysis

[1]. Krafft T, Graef F, Winter W, Wichmann M, Karl M. Use of osteotomes for implant bed preparation-effect on material properties of bone and primary implant stability. J Oral Implantol. 2013; 39:241-7.
[2]. Dos Santos MV, Elias CN, Cavalcanti Lima JH. The effects of superficial roughness and design on the primary stability of dental implants. Clin Implant Dent Relat Res 2011; 13:215‑23.
[3]. Ostman PO, Hellman M, Wendelhag I, Sennerby L. Resonance frequency analysis measurements of implants at placement surgery. Int J Prosthodont 2006; 19:77‑83.
[4]. Öncü E, Alaaddinoğlu EE. The effect of platelet‑rich fibrin on implant stability. Int J Oral Maxillofac Implants 2015; 30:578‑82.
[5]. Al‑Juboori MJ, AbdulRahaman SB. The effect of flapless and full‑thickness flap techniques on implant stability during the healing period. Open Dent J 2015; 9:243‑9

Abstract: Currently, there is limited evidence about Theragun. We describe the effect of Theragun on the improvement of back flexibility. After one week of the treatment, there was a considerable reduction in his tightness and improve his flexibility. Hence we propose that Theragun may be considered as the management of improvement back flexibility.

Keywords: Back flexibility, Theragun, Hamstring tightness, Back pain, Sit and reach, Horse riding.

[1]. Dionne CE, Dunn KM, Croft PR, et al. A consensus approach toward the standardization of back pain definitions for use in prevalence studies. Spine (Phila Pa 1976) 2008; 33:95-103.
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[3]. Lopez-Minarro PA, Alacid F. Influence of hamstring muscle extensibility on spinal curvatures in young athletes. Sci Sports 2010; 25:188-93.
[4]. Adkitte R, Rane SG, Yeole U, Nandi B, Gawali P. Effect of muscle energy technique on flexibility of hamstring muscle in Indian national football players. Saudi J Sports Med 2016; 16:28.
[5]. Koeda T, Ando T, Inoue T, Kamisaka K, Tsukamoto S, Torikawa T & Mizumura K. A trial to evaluate experimentally induced delayed onset muscle soreness and its modulation by vibration. Environmental Medicine: annual report of the Research Institute of Environmental Medicine, Nagoya University. 2003; 47: 22-25.

Abstract: Context:An appropriate method for veneering titanium abutment with esthetic material that has sufficient bond strength has not been determined. Various esthetic materials are frequently used to coat the surface of titanium abutment. A pilot study was conducted to assay the effects of provisional surface treatment using etchant and primer between a resin composite and Ti–6Al–4V alloy on bond strength Methods:Discs of Ti–6Al–4V alloy was milled of 6mm diameter and 4 mm in height. The specimen was prepared by air abrasion with alumina and subsequently etching the alloy.......

Keywords: Titanium alloy, fluoride etchant,phosphate primer,CAD/CAM systems

[1]. L. Hjalmarsson, A. Örtorp, J.I. Smedberg, T.JemtPrecision of fit to implants: a comparison of Cresco™ and Procera® implant bridge frameworksClin Implant Dent Relat Res, 12 (2010), pp. 271-280
[2]. R.C.S. Rodrigues, E.P. Almeida, A.C.L. Faria, A.P.Macedo, M.G.C. de Mattos, R.F. RibeiroEffect of different investments and mold temperatures on titanium mechanical propertiesJ Prosthodont Res, 56 (2012), pp. 58-64
[3]. Y. Guilin, L. Nan, L. Yousheng, W. YiningThe effects of different types of investments on the alpha-case layer of titanium castingsJ Prosthet Dent, 97 (2007), pp. 157-164
[4]. T. Kapos, L.M. Ashy, G.O. Gallucci, H.P. Weber, D. WismeijerComputer-aided design and computer-assisted manufacturing in prosthetic implant dentistryInt J Oral Maxillofac Implants, 24 Suppl. (2009), pp. 110-117
[5]. C. Drago, R.L. Saldarriaga, D. Domagala, R.AlmasriVolumetric determination of the amount of misfit in CAD/CAM and cast implant frameworks: a multicenter laboratory studyInt J Oral Maxillofac Implants, 25 (2010), pp. 920-929

Abstract: Background: Inventory management in a healthcare system needs to be compatible with its operations and critical characteristics ensuring minimization of inventory-related cost as well as maximization of service level with a significant reduction in the price of treatment and wastage of resources. Over the years, numerous approaches and methodologies have been developed by the researchers and practitioners for modeling and analysis of varieties of inventory management systems in the healthcare sector. In this paper, the existing modeling approaches and solution methods concerning inventory systems in healthcare are classified and critically reviewed......

Keywords: ABC (Always, Better, Control) Analysis, VED (Vital, Essential, Desirable) Analysis, ABC-VED Matrix, Inventory control, Dental consumables

[1]. M Sundaresan P Gopalakrishnan. Materials management : An integerated approach. First Edit. PHI Learning Pvt.ltd; 1977. 280 p.
[2]. B.M.Sakharkar. Principles of Hospital Administration and Planning. Jaypee Brothers Medical Publishers (P) Ltd., New Delhi.; 1999.
[3]. Levin R. Inventory management. J Am Dent Assoc [Internet]. 2004;135(6):786–7. Available from: http://dx.doi.org/10.14219/jada.archive.2004.0278
[4]. Levin R. Inventory Control. J Am Dent Assoc. 2004;135(9):1319–20.
[5]. Patterson C. The Economics Of Ordering Inventory. J Am Dent Assoc. 1997;128(9):1293–5.

Abstract: Background: Organ donation is the cornerstone for the transplantation and with the increase in the number of non- communicable disease, there is also a demand for organs. Worldwide there is very poor organ donation for various reasons. Young students who contribute a significant number in the society can bring about a big change. Aim: To assess the awareness and attitude of the young graduates in medical and engineering stream. Materials and methods: It is a cross sectional observational study using a semi structured questionnaire prepared after reviewing the literature and studied on 400 students....

Key words: Organ donation, medical Student, engineering student, Awareness, Attitude.

[1]. Sugumar JP, Padhyegurjar MS, Padhyegurjar SB. An interventional study on knowledge and attitude regarding organ donation among medical students.Int J Med Sci Public Health 2017;6:402-408.
[2]. Hamed H, Awad ME, Youssef KN, Fouda B, Nakeeb AE, et al. (2016)Knowledge and Attitudes about Organ Donation among Medical Students inEgypt: A Questionnaire. J Transplant Technol Res 6: 155. doi:10.4172/2161-0991.1000155
[3]. H.OmerTontus, MuberraKarabey, NagamanGurdal. Survey of medical student attitudes, religious beliefs, and knowledge of organ donation.Article in Cells Tissues Organs. August 2011; 14(3): 203-206.
[4]. Kishore Y. JothulaSreeharshika D. Study to assess knowledge, attitude and practice regarding organ donation among interns of a medical college in Telangana, India. International Journal of Community Medicine and Public Health.April 2018; 5(4): 1339-1345.
[5]. Meghana SG, Subramanian M, Atmakuri SA, Tarun S, Bera P, Nelson J. A study on knowledge, attitude and practice regarding organ donation and transplantation among final year health science students in Bengaluru, Karnataka, India.Int J Community Med Public Health 2018;5:1529-34

Abstract: AIM: To present a case of Dunbar syndrome and the associated surgicalexperience. BACKGROUND: Dunbar Syndrome or otherwise also known as Celiac artery compression syndrome or Median Arcuate Ligament Syndrome is a rare cause of abdominal pain and weight loss. It is caused by compression of the celiac artery and possibly the celiac ganglion by median arcuate ligament (MAL). The incidence is 10-24% but approximately 1% of these individualsexhibit symptoms of severe compression by median arcuate ligament.....

KEY WORD: Median Arcuate Ligament Syndrome, Dunbar Syndrome, Celiac Artery Compression Syndrome, Median Arcuate Ligament

[1]. P.T. HarjolaA rare obstruction of the coeliac artery; report of caseAnn. Chir. Gynecol. Fenn., 52 (1963), pp. 547-550
[2]. J.D. Dunbar, W. Molnar, F.F. Beman, S.A. MarableCompression of celiac trunk and abdominal anginaAm. J. Roentgenol. Radium. Ther. Nucl. Med., 95 (1965), pp. 731-744
[3]. S. Gander, D.J. Mulder, S. Jones, J.D. Ricketts, D.A. Soboleski, C.J. JustinichRecurrent abdominal pain and weight loss in an adolescent: celiac artery compression syndromeCan. J. Gastroenterol., 24 (2010), pp. 91-93
[4]. J.L. BobadillaMesenteric ischemiaSurg. Clin. North. Am., 93 (2013), pp. 925-940
[5]. J.C. Jimenez, M. Harlander-Locke, E.P. DutsonOpen and laparoscopic treatment of median arcuate ligament syndromeJ. Vasc. Surg., 56 (2012), pp. 869-872

Abstract: In Wuhan city China , a case of pneumonia of unknown etiology was detected on 31st December 2019 . WHO renamed the virus as SARS - CoV - 2 and the disease caused by it as COVID - 19 . The disease now spread to over 200 countries . In India as on 30th April 2020 , More than 30,000 cases has been reported . Here the first set of index cases in Jharkhand and preventive strategies on the emergence of COVID 19 were reviewed .

Key Words: Coronavirus , COVID 19 , Jharkhand , SARS CoV - 2

[1]. 19th Edition Harrison Internal Medicine P1204
[2]. www.who.int 11th March 2020
[3]. https;//www.indiatoday.in/india/story/kerala-reports-first-confirmed-novel-coronavirus-case-in- india -1641593-2020-01-30
[4]. https://www.mohfw.gov.in/
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Abstract: When a patient presents with some musculoskeletal problem, radiological evaluation is undertaken as a common first line investigation modality. Clinicians may get perplexed when a finding of "Ivory pelvis‟ like presentation, so mentioned due to diffusely increased density, is obtained on radiographs, a situation which was encountered by us. We all know that bones undergoes continous remodelling during the life, where both bone deposition and bone resorption is taking place. However, due to some diseases this normal process can get disturbed leading to either predominance of bone deposition manifesting as increased bone density, the causes of which may vary depending on whether the patient falls in pedatric or adult age group or predominance of bone resorption as seen in osteoporosis inducing diseases. Such a finding when affecting vertebrae has been defined in literature as "Ivory vertebra‟ sign. However, we do not find a case of so called "Ivory pelvis‟, which can well be a novel sign to be brought to the notice of clinicians through our case

Key words- Ivory vertebra, ivory pelvis, pediatric bone tumors

[1]. Graham TS. The ivory vertebra sign. Radiology. 2005;235 (2): 614 5. doi:10.1148/radiol.2352021743
[2]. Donald Resnick. Diagnosis of Bone and Joint Disorders. 4th Edition (2002)

Abstract: Objectives: To compare the performance of medical students of year 4 in using Statistical Package for Social Sciences (SPSS) version 23.0 taught through Peyton's four step approach versus traditional teaching at Shifa College of Medicine (SCM), Pakistan. Methodology: An experimental study including 100 students in Year 4 of SCM was carried out. Fifty students were exposed to Peyton's four step approach while the remaining 50 were taught through the regular teaching methodology practiced at SCM, serving as a control group. All students were assessed on their SPSS skill through a uniform examination. In the end, feedback was obtained from all students in terms of content, structure, presentation and overall satisfaction......

Keywords:SPSS, Peyton approach four steps, Social Learning theory.

[1]. Walker M, Peyton JW. Teaching and Learning in Medical Practice. Heronsgate Rickmansworth, Herts.: Manticore Europe Ltd; 1998. Teaching in the Theatre; p. 171–180.
[2]. Jawhari J, Krautter M, Dittrich R, Jünger J, Nikendei C. Instruktionim Skills-Lab: DifferentielleEffekte der Peyton-Schritte auf die Gedächtnisleistung. Jahrestagung der Gesellschaft fürMedizinischeAusbildung (GMA). Aachen, 27.-29.09.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DOcV568. DOI: 10.3205/12gma199
[3]. Krautter M, Dittrich R, Safi A, Krautter J. Peyton's four-step approach: differential effects of single instructional steps on procedural and memory performance–a clarification study. Adv Med EducPract. 2015;6:399-406. DOI: 10.2147/AMEP.S81923
[4]. Krautter M, Weyrich P, Schultz JH, Buss SJ, Maatouk I, Jünger J, Nikendei C. Effects of Peyton's four-step approach on objective performance measures in technical skills training: a controlled trial. Teach Learn Med. 2011;23(3):244–250. DOI: 10.1080/10401334.2011.586917
[5]. Lund F, Schultz JH, Maatouk I, Krautter M, Möltner A, Werner A, Weyrich P, Jünger J, Nikendei C. Effectiveness of IV Cannulation Skills Laboratory Training and Its Transfer into Clinical Practice: A Randomized, Controlled Trial. PLoS. 2012;7(3):e32831. DOI: 10.1371/journal.pone.0032831.

Abstract: Small gut volvulus is a rare clinical entity in adult and patients usually present with recurrent abdominal pain after taking food in the surgical emergency.Often patient develops the features of intestinal obstruction which may or maynot need any surgical intervention.Here we present a 40 years old male patient who presented to us with similar condition with a background of sigmoid volvulus for which he underwent resection and anastomosis 3 years back.

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[2]. Katis PG, Dias SM: Volvulus: a rare twist on small-bowel obstruction . CMAJ .2004, 171 : 728– 728. 10.1503/cmaj.1040662
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[5]. Gurleyik E, Gurleyik G. Small bowel volvulus: a common cause of mechanical intestinal obstruction in our region. Eur J Surg. 1998; 164:51–55. https://doi.org/10.1080/110241598750004959 PMID: 95377094.
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Abstract: Background:The World Health Organization (WHO) recommends that institutions engaged in health professional education and training consider implementing interprofessional education (IPE) in both undergraduate and postgraduate programs (WHO, 2013) [5]. The purpose of this study was to investigate the attitudes of faculties at MNUMS toward IPE. Materials and Methods: Cross-sectional study, Curran et al and Gardner et al developed the Attitudes Toward Health Care Teams (ATHCTS, 14 items-IPC, 15 items-IPE, 13 items – IPLAS, 10 items for barriers) measured attitudes toward students. This......

Keywords: Interprofessional learning, interprofessional education, attitudes, teamwork

[1]. Howkins E, Bray J, Barr H. Preparing for Interprofessional Teaching 2008; 3.
[2]. Forman D, Jones M, Thistlethwaite J. Leading Research and Evaluation in Interprofessional Education and Collaborative Practice. London, UK: Springer; 2016. p 46-47.
[3]. O‟Keefe M, Ward H. Implementing interprofessional learning curriculum: how problems might also be answers. BMC Med Educ 2018; 18: 132. http://doi.org/ :10.1186/s12909-018-1231-1.
[4]. Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members toward interprofessional teamwork and education. Med Edu 2007; 41: 892-6.
[5]. Hayashi T, Shinozaki H, Makino T, Ogawara H, Asakawa Y, Iwasaki K, et al. Changes in attitudes toward interprofessional health care teams and education in the first- and third-year undergraduate students. J Interprof Care 2012; 26: 100-7..

Abstract: Résumé: Hyperplasie endothéliale papillaire intravasculaire(HEPI) ou tumeur de Masson est une tumeur vasculaire bénigne rare de localisation cutanée et sous cutanée surtout au niveau cervico-facial et au niveau des membres, de diagnostic histologique. Sa localisation intra-abdominale est extrêmement rare. Nous présentons un cas rare d'une HEPI de localisation mésentérique découverte sur une tomodensitométrie de surveillance chez une patiente suivie pour un angiolipome rénal gauche.

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[3]. Goldblum JR, Weiss SW, Folpe AL. Enzinger and Weiss's soft tissue tumors. 6th ed. Philadelphia, PA: Elsevier; 2014 671-4.
[4]. Intraabdominal Locations of Intravascular Papillary Endothelial Hyperplasia (Masson's Tumor): A Rare and Novel Etiology of GI Bleeding and Review of the Literature.
[5]. Kitagawa Y, Tamai K, Kim Y, Hayashi M, Makino A, Takai S. Intravascular papillary endothelial hyperplasia of the digit: MRI features with histological correlation. J Hand Surg Eur Vol 2013;38(3):306–12.