iosr-JDMS   Volume-19 ~ Issue-6 ~ June 2020

Abstract: Background: Mesh is routinely implanted to give mechanical artificial re-enforcement in front of the sutured hernia defect in the mid line abdominal wall or ventral hernias. This study shows how anterior rectus sheath is used in place of mesh to give such mechanical and biological re-enforcement in small and medium size ventral hernias. Additional recti muscle suture in mid line takes care of the divarication of recti, strengthens the weakened linea alba and repair such hernias on physiological principle with excellent success rate.
Materials and methods: This is a prospective study done on 161 patients operated during a period from June 2010 to May 2018 and followed up till June......

Key words: Ventral hernia, Mid line abdominal wall hernia, Rectus diastasis, Linea alba, Physiological repair

[1]. Burger JWA, Luijendijk RW, Hop WCJ, Halim JA, Verdaasdonk EGG, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg. 2004: 240 (4): 578–585
[2]. Köhler G, Kuketina RR, Emmanuel K. Sutured repair of primary small umbilical and epigastric hernias: concomitant rectus diastasis is a significant risk factor for recurrence. World J Surg. 2015: 39:121–6. https://doi.org/10.1007/s00268-014-2765-y
[3]. Reinpold W, Köckerling F, Bittner R, Conze J, Fortelny R, Koch A, Kukleta J, Kuthe A, Lorenz R and Stechemesser B. Classification of Rectus Diastasis—A Proposal by the German Hernia Society (DHG) and the International Endohernia Society (IEHS). Front. Surg. 2019; 6:1. https://doi.org/10.3389/fsurg.2019.00001
[4]. Bellido Luque J, Bellido Luque A, Valdivia J, Suarez Grau JM, Gomez Menchero J, Garcia Moreno J, et al. Totally endoscopic surgery on diastasis recti associated with midline hernias. The advantages of a minimally invasive approach. Prospective cohort study. Hernia. 2014; 19:493–501. https://doi.org/10.1007/s10029-014-1300-2
[5]. Cassar K, Munro A. Surgical treatment of incisional hernia. Br J Surg. 2002; 89: 534–545

Abstract: Introduction: Mediastinum is located in the central part of the chest cavity splitting into the superior, anterior, middle and posterior compartments. They represent a wide diversity of disease states. So, the location and composition of a mass is significant in confining the differential diagnosis. Aims: To study the frequency, location and distribution of various pathologically diagnosed masses and correlate their clinical, histological and immunohistochemical (IHC) findings. Settings and Design: This was a cross-sectional observational study conducted for two years at a tertiary care hospital with a sample size of 40.......

Keywords: Mediastinum, benign, malignant, histopathology, immunohisto chemistry

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[3]. Karki S, Chalise S. Analysis of mediastinal lesions: a study of 27 cases. Journal of Pathology of Nepal 2011; 1:114-117

Abstract: Nasal irrigation is an old and well-documented practice originating in ancient India for taking care of the upper respiratory tract. It is a relatively common and beneficial method for maintaining nasal hygiene. It not only flushes out allergens and mucus, but also keeps the nose moist. Hence, it augments clearance of the sinonasal cavity.Here, we are making a modest attempt to discuss the relevance of nasal irrigation and its potential use during the current COVID-19 pandemic. We believe that regular alkaline nasal irrigation is an inexpensive and simple preventive and therapeutic measure in all cases of upper respiratory tract infections.In the absence of a suitable vaccine or an antiviral agent for SARS-CoV-2, we can recommend regular alkalinenasal douching as a safe and effective intervention that can be implemented globally.......

Keywords: nasal irrigation; COVID-19 pandemic; upper respiratory tract infection

[1]. Muktibodhananda, S. Hatha Yogo Pradipika. Light on Hatha Yoga. Fourth Edition edn, 202–205 (Bihar School of Yoga, India., 2012).
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[3]. The species Severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nat Microbiol.. 2020;;5::536--44. . DOI: 10.1038/s41564-020-0695-z. [32123347]
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Abstract: Background: Medicinal plants have received a lot of interest for producing agents that could be considered as treatment options against oral bacteria. Dental caries has been strongly associated with Streptococcus mutans. Literature suggests that Enterococcus faecalis is associated with chronic periodontitis and failed root canal treatments. Wheat grass, Kokum, Sumac berry and Jambu seed are some of the natural products that have received renewed interest for their antimicrobial effect. The present study was conducted to investigate the effect of Wheat grass, Kokum, Sumac berry and Jambuseed on Streptococcus Mutans&E.Faecalis.The present study aimed to evaluate and compare the antimicrobial efficacy of four herbal extracts against E. faecalis bacteria and streptococcus mutans.....

Key Word: Antimicrobial activity, Chlorhexidine, Herbal Extract, E. faecalis bacteria and streptococcus mutans.

[1]. Hegde RJ, Kamath S. Comparison of the Streptococcus mutans and Lactobacillus colony count changes in saliva following chlorhexidine (0.12%) mouth rinse, combination mouth rinse, and green tea extract (0.5%) mouth rinse in children.J Indian SocPedodPrev Dent 2017;35:150-5.
[2]. LoescheW.J,RowanJ,Straffon L.H. And Loos P.J. Association of Streptococcus mutans with Human Dental Decay. Infection and Immunity1975;11(6):1252-1260
[3]. Wang QQ, Zhang CF, Chu CH and Zhu XF. Prevalence of Enterococcus faecalis in saliva and filled root canals of teeth associated with apical periodontitis. International Journal of Oral Science 2012; 4:19–23.
[4]. Ranveer R C and Sahoo A K.Bioactive Constituents of Kokum and its Potential Health Benefits. Nutrition and Food Toxicology.2017; 1(6): 236-244.
[5]. Jagtap P, Bhise K, Prakya V. A Phytopharmacological Review on Garciniaindica. International Journal of Herbal Medicine 2015; 3(4): 02-07

Abstract: Aim: To study the origin, course, branches and relations of AnteriorInterosseous Nerve (AIN) Objectives: 1. To study the variations in origin and branching pattern of AIN 2. To find out the anatomical structures that can compress the nerve during its course in the forearm resulting in entrapment syndrome. 3. To look for anastomosis between median nerve or AIN with ulnar nerve in the forearm.......

[1]. Standring, Susan. Gray's Anatomy – The Anatomical Basis of Clinical Practice. Churchill Livingstone Elsevier 41st edition p.858
[2]. Johnn Taylor, Casadiego Duran, Humberto , Ferreira Arquez.. Anastomosis Between Median and Ulnar Nerves in Forearm and Hand. Journal of chemical and Pharmaceutical research, 2016, 8(8): 675-70.
[3]. Mangala M Pai, Soubhagya R Nayak, AshwinKrishnamurthy.The accessory heads of flexor pollicislongus and flexor digitorumprofundus: incidence and morphology Clinical Anatomy, Vol21 ,No.3,2008 , pp 252-58.
[4]. Kiloh LG, Nevin S, Isolated Neuritis of the Anterior InterosseousNerveBr Med J. 1952 Apr 19;1(4763):850-1.
[5]. Gunnal SA, Siddiqui AU, Daimi SR. et al A Study on the Accessory Head of the Flexor PollicisLongus Muscle (Gantzer's Muscle)J ClinDiagn Res. 2013 Mar; 7(3): 418–21.

Abstract: Ophthalmoplegia in diabetes is an uncommon but not rae ocular complication.we report a case of abducens paralysis in a diabetic patient.Oculomotor paralysis is not uncommon in diabetes that should be Systematically sought during any ophthalmological examination of the diabetic subject.

Keywords: Diabetic neuropathy, ocular cranial nerve, diabetic , microangiopathy

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Abstract: Development of gingival marginal and papillary recession is common sequele of periodontal disease impairing the esthetic and functional activity making surgical management at times difficult. A non-surgical conservative approach was carried out in this case report to tackle the recession in a novel way using pink coloured composites/ gingival composites to achieve good pink and white appearance and maintain oral hygiene.Gingival composites are available in various shades to allow matching with the tissue and can be used to restore cervical abrasions due to traumatic tooth brushing, gingival recession, papillary deficiency

Key-words: gingival veneers, esthetics, pink composite, recession

[1]. Newman MG, Takei H, Klokkevold PR, Carranza FA. Carranza's Clinical Periodontology. 10 th ed. St. Louis, Missouri, United States: Saunders Elseviers; 2007. p. 494-500.
[2]. Wahbi MA, Al Sharief HS, Tayeb H, Bokhari A. Minimally invasive use of coloured composite resin in aesthetic restoration of periodontially involved teeth: Case report. The Saudi dental journal. 2013 Apr 1;25(2):83-9.
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[4]. Patel M, Nixon PJ, Chan MY. Gingival recession: Part 1. Aetiology and non-surgical management. British dental journal. 2011 Sep;211(6):251-4.
[5]. 5.Coachman C, Salama M, Garber D, Calamita M, Salama H, Cabral G. Prosthetic gingival reconstruction in a fixed partial restoration. Part 1: introduction to artificial gingiva as an alternative therapy. International Journal of Periodontics & Restorative Dentistry. 2009 Sep 1;29(5).

Abstract: A Prospective study on hanging was done, which included 155 consecutive cases of hanging, at Indira Gandhi Government General hospital, Pondicherry, from September 2011 - March 2013. The main objective of this article was to ascertain the profile of ligature material, knot & the type of suicidalhanging. In this study, males constituted bulk of the cases (70.3 %) & the age group of 20 - 40 years was noted to be the most affected age group. Nylon materials (74.82%) were the most commonly used ligature material. Running knot (28.38 %) & single turn of ligature (89.67%) was the commonest. Complete hanging (76.19%) cases were more than partial hanging cases. Among the partial hanging cases feet touching the ground, was the most common posture noted..

Keywords: Hanging, prospective study, ligature material, type of knot, type of hanging

[1]. Ahmad M, Hossain M. Hanging as a Method of Suicide: Retrospective Analysis of Postmortem Cases. Journal of Armed Forces Medical College, Bangladesh. 2011 Mar 14;6(2):37-9.
[2]. Srivastava AK, Das GS, Tripathi CB. A study of fatal strangulation cases in Varanasi (India). The American journal of forensicmedicine and pathology. 1987;8(3):220.
[3]. Kanchan T, Menezes RG. Suicidal hanging in Manipal, South India - victim profile and gender differences. J Forensic Leg Med. 2008 Nov;15(8):493–6.
[4]. Saisudheer T, Nagaraja TV. A study of ligature mark in cases of hanging deaths. International Journal of Pharmacy and Biomedical Sciences. 2012;03(03):80–4.
[5]. Meera T, Singh MBK. Pattern of Neck Findings in Suicidal Hanging A Study in Manipur. Journal of Indian Academy of Forensic Medicine. 2011 Oct;33(4):350–2.

Abstract: Aim- To study Effects of Zumba dance on management of stress in adult age group. Background--Zumba is a global dance fitness program focused on whole body rythymic movements which fuses fitness &entertainment.It can stimulate the production of endorphins in the body in order to suppress the action of stress causing hormones such as cortisol and adrenaline. Material & Method- Group of 50 individuals(18-25 years) were selected as sample subjects.Each individual was given a survey form( Perceived stress questionnaire) to be completed at the begining.After a month the same survey form was given again to each individual .The survey forms of individuals pre and post Zumba were compared.The difference between 2 survey forms was recorded to study effects of Zumba dance in the management of stress.Data analysis was done by using chi square test....

Keywords: Zumba, stress, endorphins

[1]. Miss Neema Kumari Jadoun,Mr.Abdesh Singh KushwahMr.ParmanandBarodiyaDr.UmeshHolani, Need of stress management
(Journal of management Value &Ethics july-sept.12 Vol. II No.III
[2]. AljonaShchuka, Stress at work Stress management. University of Applied Sciences (18.02.2010).
[3]. Record, Geneva, "Stress Relief Habits and Perceived Stress among College Nursing Students." Undergraduate Honors Theses. April
10, 2013; Paper 92
[4]. Impact of Zumba training in stress management among students.
[5]. Lloyd, J. (2011). Zumba brings the dance party into the health club. USA TODAY.
http://usatoday30.usatoday.com/news/health/wellness/fitness-food/exercise/story/2011-10-27/Zumba-bringsthe-dance-party-into-the- health-club/50940786/1

Abstract: Background: In the South-East Asian countries oral cancer is one among the commonly occurring malignancies due to tobacco use. Early stage diagnosis of the disease is reported to have a better prognosis. Saliva comprises of a wide range of analytes, oxidative stress related molecules that can be utilized as biomarkers for clinical applications. Sialo chemistry studies involving antioxidants have recently gained importance as biomarkers for oral cancer risk assessment One such oxidative stress related biomarker is superoxide dismutase. The objective of the study was to estimate and correlate the level of salivary super oxide dismutase in controls, tobacco users with and without Potentially Malignant Disorders, so that these levels can be used as a prognostic biomarker in the progression into PMDs. Materials and Methods: Study subjects were selected from department of Oral medicine and Radiology, Dayananda Sagar College of Dental Sciences, Bengaluru. The sample size for the study was 60 patients.....

Key words: Potentially malignant disorders, Super oxide dismutase(SOD), Saliva, Tobacco

[1]. Neha Gupta, Ritu Gupta, Arun Kumar Acharya, Basavaraj Patthi, Venkatesh Goud, Somanath Reddy, Anshul Garg, Ashish Singla .Changing Trends in oral cancer - a global scenari. Nepal J Epidemiol. 2016 Dec; 6(4): 613–619.
[2]. Bano S, David MP, Indira AP. Salivary biomarkers for oral squamous cell carcinoma: An overview. IJSS Case Reports & Reviews 2015;1(8):39-45
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[5]. 5.Fazeli Z, Pourhoseingholi MA, Pourhoseingholi A, Vahedi M, Zali MR. Mortality of oral cavity cancer in Iran. Asian Pac J Cancer Prev2011;12:2763‑6.

Abstract: As the world is facing the crisis of ferocious virus "COVID 19'' the entire health care system has been broken. The entire health care team has to be diverted to the care of COVID patients1. Maximizing focus on COVID 19 has directly or indirectly resulted in neglect of other illness and conditions2. In spite of this crisis there are few conditions or illness which cannot be neglected and needs immediate actions. Inability to have appropriate or prompt actions within stipulated time may be proven fatal to the patients or may leave disability for life. Stroke or Cerebro vascular accident is one among them. A medical emergency caused by blockage or bleeding in the brain is the.....

[1]. Mariene Al dahadah, Mathieu Ferry et al. The Covid 19 Crisis in India: A Nascent Humanitarian Tragedy. Books and Ideas, college De france.
[2]. Fernando E. Alvarez, David Argente, Francesco Lippi. A simple Planning problem for Covid 19 lockdown. NBER working paper. 26981. April 2020.
[3]. P J Camarta, RC Heros, RE Latchaw. "Brain attack": The rationale for treating as a medical emergency. Neurosurgery, 1994. Academic group.com
[4]. P Langhome, E Bernhart et al. Stroke Rehabilitation. The lancet, Elsevier 2011.
[5]. Robert Simpson, Larry Robinson et al. Rehabilitation following critical illness in people with COVID-19 infection. American Journal of Physical Medicine & Rehabilitation Articles Ahead of Print DOI: 10.1097/PHM.0000000000001443.