iosr-JDMS   Volume-19 ~ Issue-8 ~ Aug. 2020

Abstract: BACKGROUND: Back pain is the common complaints found in orthopedic clinics . More than 90% of patients complaining of LBP have nonspecific LBP. Growing evidence suggests an association of–Vitamin-D deficiency with chronic musculoskeletal pain including low back pain (LBP). Evidence on the efficacy of vitamin-D supplementation in symptom improvement in chronic pain including CLBP is conflicting. The present study is performed with an aim to assess the efficacy and safety of vitamin-D3 supplementation in improving pain in CLBP Patients having below normal vitamin-D levels. MATERIAL & METHODS: This prospective randomized study was conducted in two Tertiary level hospitals in South Bengal from April 2018 to March 2019......

Key Word: Vitamin D, Chronic Low Back Pain (CLBP)

[1]. Von Korff M, Saunders K (1996) The course of back pain in primary care. Spine 21 (24), 2833–7.
[2]. Ekman M, Jonhagen S, Hunsche E, J€onsson L (2005) Burden of illness of chronic low back pain in Sweden: a cross-sectional, retrospective study in primary care setting. Spine 30 (15), 1777–85.
[3]. Walker BF (2000) The prevalence of low back pain: a systematic review of the literature from 1966 to 1998. J Spinal Disord 13 (3), 205–17.
[4]. Cassidy JD, C^ot_e P, Carroll LJ, Kristman V (2005) Incidence and course of low back pain episodes in the general population. Spine 30 (24), 2817–23.
[5]. Van Tulder MW, Koes BW, Bombardier C (2002) Low back pain. Best Pract Res Clin Rheumatol 16, 761–75.

Abstract: Background: The management of femoral neck fractures in adult population is aimed at preserving the femoral head. Pauwel's type 3 neck femur fracture in particular has a high propensity to develop non union following osteosynthesis owing to dominant shear forces acting at the fracture site. Valgus intertrochanteric osteotomy is a versatile, well established procedure for delayed and nonunion neck of femur neck fracture. We did a prospective analysis of modified valgus intertrochanteric osteotomy as a primary mode of treatment in fresh type 3 Pauwels neck of femur fracture. Materials and methods: A total of 5 fresh cases of Pauwel's type 3 femur neck fracture were included in our study and were treated primarily by modified valgus intertrochanteric osteotomy. Results: Union was seen in all the 5 cases at an average of 13.2±2.99 weeks. 4 out of the 5patients showed excellent clinical outcome( Harris hip score ≥ 90) with an average Harris score of 92.8±3.18. Conclusion: Modified valgus intertrochanteric osteotomy as a primary procedure in fresh cases of Pauwel's type 3 femur neck fracture has good clinical outcome

Key Word: modified valgus intertrochanteric osteotomy, Pauwel's type 3 fracture, neck of femur fracture, osteotomy

[1]. Dhanwal DK, Dennison EM, Harvey NC, Cooper C. Epidemiology of hip fracture: worldwide geographic variation. Indian journal of orthopaedics. 2011 Feb;45:15-22.
[2]. Roberts KC, Brox WT, Jevsevar DS, Sevarino K. Management of Hip Fractures in the Elderly. J Am Acad Orthop Surg. 2015 Feb 6;23(2):131–7.
[3]. Ly T V., Swiontkowski MF. Management of femoral neck fractures in young adults. Indian J Orthop. 2008 Jan 1;42(1):3–12. [4]. Holmes CA, Edwards WT, Myers ER, Lewallen DG, White III AA, Hayes WC. Biomechanics of pin and screw fixation of femoral neck fractures. Journal of orthopaedic trauma. 1993 Jun 1;7(3):242-7. [5]. Kauffman JI, Simon JA, Kummer FJ, Pearlman CJ, Zuckerman JD, Koval KJ. Internal fixation of femoral neck fractures with posterior comminution: a biomechanical study. Journal of orthopaedic trauma. 1999 Mar 1;13(3):155-9..

Abstract: Superior mesenteric artery syndrome(SMAS) has been proposed as a rare cause of proximal bowel obstruction resulting from compression of the third portion of duodenum between aorta and superior mesenteric artery. SMAS presenting with recurrent vomiting and upper abdominal pain in a Type 1Diabetic patient along with ABG showing normal pH metabolic acidosis and positive urine ketone bodies mislead the clinician to erroneously diagnose it as diabetic ketoacidosis, making the underlying SMAS to remain undetected. The possibility of SMA syndrome should be considered in lean type 1 diabetic patients presentingwithsymptoms of proximal bowel obstruction. Here we report a case of SMAS masquerading as diabetic ketoacidosis in a 34 year old male patient with T1DM..

Key words: Superior Mesenteric Artery Syndrome, Type 1 Diabetes Mellitus, Diabetic Ketoacidosis

[1]. Raman SP,Neyman EG,Horton KM,Eckhauser FE,Fishman EK. Superior mesenteric artery syndrome: Spectrum of CT findings with multiplanar construction and 3-D imaging. Abdominal Imaging 2012;37:1079-88.
[2]. Lippl F,Hanning C,Allescher HD,Classen M,Kurjak M. Superior mesenteric artery syndrome: Diagnosis and treatment from the gastroentrologist's view. J Gastroenterol 2002;37:640-3.
[3]. Feldman M, Friedman LS, Brandt LJ, Sleisengerand Fordtran's Gastrointestinal and Liver Disease,10(USA: Elsevier,2016) 213-14
[4]. Singh SK,Bhandari S,Patel VH,Nath M,Kant S,Bansal N,et al. Superior Mesenteric Artery Syndrome Causing Normal PH Diabetic Ketoacidosis in Type 1 Diabetes. Diabetes Case Rep 2 2017:120.doi: 10.4172/2572-5629.10001.

Abstract: The sickle cell disease has high prevalence in India. The increased lifespan of sickle patients has facilitated to study its cardiovascular effects. The present study documents the electrocardiogram indices between the sickle cell and non-sickle cell subjects from Chhattisgarh state. The study concludes a significant increase in PR interval, corrected QT interval, left ventricular hypertrophy and biventricular hypertrophy and no difference in heart rate and rhythm, ventricular axis and right ventricular dimensions. These observations can be attributed to increased cardiac output on left ventricular dimensions and effect of microinfarcts on myocardial repolarization.

[1]. Shrivastava S, Kalvit P. Blood Pressure Indices in Children with Sickle Cell Disease, of Age 8-18 Yrs. at a Tertiary Care Centre in Chhattisgarh- A Cross Sectional Study. jemds [Internet]. 2020 Jan 1 [cited 2020 Jul 30];9(28):1983–7. Available from: 10.14260/jemds/2020/432
[2]. Rupani MP. OJHAS: 2012-2-4. Rupani MP, Vasava BC, Mallick KH, Gharat VV, Bansal R. Reaching Community Through School Going Children For Sickle Cell Disease In Zankhvav Village Of Surat District, Western India [Internet]. http://www.ojhas.org/. 2012 [cited 2020 Jul 30]. Available from: http://www.ojhas.org/issue42/2012-2-4.htm
[3]. McKerrell TDH, Cohen HW, Billett HH. The older sickle cell patient. Am J Hematol [Internet]. 2004 Jan 1 [cited 2020 Jul 30];76(2):101–6. Available from: 10.1002/ajh.20075
[4]. Gladwin MT, Sachdev V. Cardiovascular Abnormalities in Sickle Cell Disease. Journal of the American College of Cardiology [Internet]. 2012 Jan 1 [cited 2020 Jul 30];59(13):1123–33. Available from: 10.1016/j.jacc.2011.10.900
[5]. Dosunmu A, Akinbami A, Uche E, Adediran A, John-Olabode S. Electrocardiographic Study in Adult Homozygous Sickle Cell Disease Patients in Lagos, Nigeria. Journal of Tropical Medicine [Internet]. 2016 Jan 1 [cited 2020 Jul 30];2016:1–5. Available from: 10.1155/2016/4214387

Abstract: Aim: To compare the role of Infliximab and Mesalazine in patients with Inflammatory Bowel Disease. Methods:30 IBD patients were included in the study.15 patients (Group A) were treated with Infliximab 5mg/kg i.v and 15 patients (Group B) were treated with Mesalazine 2.4g/day orally.Both the drugs were administered for one year. Result: Out of total 30 patients all patients of Group A achieved no of stools < 2 after 12 months therapy where as it is only 10 patient in group B.It is observed that there is more improvement in all the different parameters at 1month,6 month and 12month with infliximab therapy in comparision to mesalazine therapy. Conclusion: Infliximab observed to give better response in comparision to Mesalazine in the treatment of Inflammatory Bowel Disease.

Keyword: Inflammatory Bowel Disease,Tumor Necrosis Factor,Infliximab,Mesalazine

[1]. Ng SC,Shi HY,Hamidi N et al.Worldwide incidence and prevalence of inflammatory bowel disease in the 21st century:a systemic review of population-based studies.Lancet 2017;390:2769-2778.
[2]. Ng WK,Wong SH,Ng SC.Changing epidemiological trends of inflammatory bowel disease in Asia.Intest Res 2016;14:111-119.
[3]. Singh P,Ananthakrishna A,Ahuja V.Pivot to Asia:inflammatory bowel disease burden.Intest Res 2017;15:138-141.
[4]. Lee KM,Lee JM.Chron's disease in Korea:past,present, and future.Korean J Intern Med 2014;
29:558-570.
[5]. R.J.Xavier and D.K.Podolsky,Unravelling the pathogenesis of inflammatory bowel disease,Nature,vol 448,no.7152,pp.427-434,2007..

Abstract: Introduction Inner ear malformations is an important cause of congenital sensorineural hearing loss .Cross sectional imaging plays a crucial role not only in the diagnosis but also for preoperative evaluation in candidates deemed fit for cochlear implant. Aim To study the various spectrum of SNHL on HRCT temporal bone and MRI cochlea. Material And Methods A prospective study was conducted to study the spectrum of cases in 30 patients evaluated over a period of 2 years.....

Key words – SNHL,IP type 1,2,cochlea,VA

[1]. Varsha M. Joshi, DNB • Shantanu K. Navlekar, DMRD • G. Ravi Kishore, MBBS • K. Jitender Reddy, MD • E. C. Vinay Kumar, MS RadioGraphics 2012; 32:683–698
[2]. Sennaroglu L, Saatci . A new classification for cochleovestibular malformations. Laryngoscope 2002; 112(12):2230–2241.
[3]. Ozgen B, Oguz KK, Atas A, Sennaroglu L. Complete labyrinthine aplasia: clinical and radiologic findings with review of the literature. AJNR Am J Neuroradiol 2009;30
[4]. 774–780. [4Swartz JD, Mukherji SK. The inner ear and otodystrophies. In: Swartz JD, Loevner LA, eds. Imaging of the temporal bone. 4th ed. New York, NY: Thieme, 2009; 298–411.
[5]. Casselman JW, Offeciers EF, De Foer B, Govaerts P, Kuhweide R, Somers T. CT and MR imaging of congenital abnormalities of the inner ear and internal auditory canal. Eur J Radiol 2001;40(2): 94–104..

Abstract: Background:-Benign Breast Disorder (BBD) is the most common cause of breast problems seen in women and 1/3rd of women suffer from this disorder at some period of their lives. Aim:To assess the different types of presentation of BBD in a Tertiary Care Hospital. Methods:This is a Hospital Based prospective study carried out in the Department of General Surgery, Assam Medical College & Hospital, Dibrugarh, Assam for a period of one year from 1st July, 2018 to 30th June, 2019. The study was done in 88 patients who presented to the Surgery OPD and admitted in different surgical units of AMCH for benign breast diseases fulfilling the inclusion criteria. Results:This study comprised of 88 patients with BBD. Fibroadenoma was found to be the commonest problem accounting for 62.5% followed by fibroadenosis (15.91%). The other benign lesions observed where breast abscess, cystosarcomaphyllodes, lipoma and breast cyst. Lump in the breast was the predominant symptom present in 83 cases (94.32%) followed by pain in breast in 30 cases (34.09%)......

Keywords: Benign breast diseases, Fibroadenoma, Fibroadenosis.

[1]. Norman S. Wiliams, Andrew W. McCaskie, P. Ronan O' Connall. The breast. Bailey & Love's. Short practice of surgery. 27th Edn.2018 Ch. 53, p865.
[2]. Houghes LE, Mansel RE, Webster DJT. The approach to diagnosis and assessment of benign breast lumps benign disorders and diseases of the breast concepts and clinical management, 2nd edition. London: WB Saunders; 2005:35.
[3]. JulideSagiroglu, TugrulOzdemir, Ibrahim Ali Ozemir, TarikArtis, TuncEren et al. Benign diseases of breast: A retrospective study. Istanbul Medeniyet University, Turkey. 2015.
[4]. Selvakumaran S, Sangma MB. Study of various benign breast diseases.IntSurg J 2017:4:339-43.
[5]. Abhijit MG,,Anantharaman D, SumanthBhoopal, RanjaniRamanujam, et al. Benign breast diseases: experience at a teaching hospital in rural India,. Int J Res Med Sci. 2013 May; 1(2): 73-78..

Abstract: Introduction:Splenic cysts and splenic artery aneurysms (SAA) are rare, the combination itself is much rarer. Treatment is total splenectomy. Case report: A 45-year female presented with abdominal distension since 2 years.She was diagnosed to be having large splenic cyst. Intra operativelya splenic artery aneurysm was found. Total splenectomy was done. Conclusion: A large splenic cyst with splenic artery aneurysm has not been reported. Though various options of treatment of splenic cyst and SAAindividually reported, uniqueness of the combination in this case made total splenectomy the only treatment of choice..

Key words: splenic cyst, splenic artery aneurysm, total splenectomy

[1]. Chung et al. Massive splenic cyst in pregnancy: case report, BMC Pregnancy and Childbirth (2020) 20:273
[2]. R Kenningham, M J Hershman, R G McWilliams, F Campbell; Incidental splenic artery aneurysm; J R Soc Med. 2002 Sep; 95(9): 460–461. doi: 10.1258/jrsm.95.9.460
[3]. Abbas MA, Stone WM, Fowl RJ, et al. Splenic artery aneurysms: two decades experience at Mayo Clinic. Ann Vasc Surg. 2002;16(4):442–449
[4]. Qureshi MA, Hafner CD, Dorchak JR. Nonparasitic cysts of the spleen: report of 14 cases. Arch Surg. 1964;89:570
[5]. Fowler RH. Cysts of the spleen: a pathological and surgical study. Ann Surg. 1913;57(5):658.

Abstract: Endometriosis is classically defined as the presence of functional endometrial glands and stroma outside the uterine cavity. [1][2]. Endometriosis is found predominantly in women of childbearing age. Overall prevalence, including both symptomatic and asymptomatic women, is estimated to be 5–10% [3][4].

Key Endometriosis, rectus abdominis

[1]. Basu PA, Kesani AK, Stacy GS, et al. Endometriosis of the vastus lateralis muscle. Skeletal Radiol. 2006;35:595–598.
[2]. Coeman V, Sciot R, Van Breuseghem I. Case report: rectus abdominis endometriosis; a report of two cases. Br J Radiol. 2005;78:68–71.
[3]. Olive DL, Schwartz LB. Endometriosis. N Engl J Med 1993;328:1759–69.
[4]. Lu PY, Ory SJ. Endometriosis: current management. Mayo Clin Proc 1995;70:453–63.
[5]. Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: A surgeon's perspective and review of 445 cases. Am J Surg 2008; 196: 207–212..

Abstract: Introduction: Diabetesmellitusis a chronicdiseasecausingserious complications that affect the quality of life of people living with. Itknows an increase in the number of cases in Sub-SaharanAfrica. It isestimatedthatafter 15 years of developingdiabetes, 10% of patients are visuallyimpaired and 2% are blind. WHO has establishedthat 4.8% of blind people are due to diabeticretinopathy (DR). However, there are othereye complications such as functional vision problems, oculomotor damage, cornealdisorders, etc. Few doctors know thatophthalmological screening shouldbeincluded in the follow-up of diabetics. So wewanted to assess the doctor'sknowledge, the diabetic's first contact......

[1]. Fédération internationale du diabète. L'atlas du diabète. 9è édition. Fédération internationale du diabète; 2019. 176 p.
[2]. Mbuyi G, Nsio J. Normes et directives de la prise en charge du diabète sucré de type 2 [Internet]. Direction de lutte contre la maladie-Ministère de la santé publique; 2013. Disponible sur: https://extranet.who.int/ncdccs/Data/COD_B6_NV_Draft%20final_Normes%20Diab%C3%A8te_09_11_13final%20(2).pdf
[3]. Prevention of blindness from Diabetes Mellitus report of a WHO consultation in Geneva, Switzerland, 9-11 November 2005. Geneva: World Health Organization; 2006.
[4]. Sawadogo NI. Etude des aspects épidémiologiques et cliniques des principales complications oculaires au cours du diabète sucré au centre hospitalier national Yalgado Ouedraogo. Thèse 10/97; 1997.
[5]. World Health Organization, International Diabetes Federation. Definition and diagnosis of diabetes mellitus and intermediate hyperglycaemia: report of a WHO/IDF consultation [Internet]. 2006 [cité 20 juin 2020]. Disponible sur: http://www.who.int/diabetes/publications/diagnosis_diabetes2006/en/.

Abstract: Aim: To compare the incidence of granuloma formation, post-operative outcome and recurrence in Limbal-conjunctival auto graft techniques in Pterygium excision using autologous blood Vs Sutures. Materials and Methods : This was a prospective observational study undertaken in a tertiary health centre involving patients with primary onset Pterygium involving 100 patients divided into two groups, with group I auto graft attached in place using 10-0 polyamide monofilament suture, and group II using autologous blood. The groups were then compared in terms of post-operative complications, recurrence and outcome. Results: Mean surgical time for limbal-conjunctival auto graft using sutures was found to be 48.6 min as compared to with autologous blood grafting to be 40.8 min. One case of Recurrence was found in each of the suture and autologous blood method at the end of 6 month. No incidence of Granuloma was found in either technique.....

Keywords: Autologous blood, conjunctival auto graft, Pterygium.

[1]. Sarkar P, Tripathy K. Pterygium. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2020.
[2]. Ang LP, Chua JL, Tan DT. Current concepts and techniques in pterygium treatment. Curr Opin Ophthalmol. 2007 Jul
[3]. Nangia V, Jonas JB, Nair D, Saini N, Nangia P, Panda-Jonas S. Prevalence and associated factors for pterygium in rural agrarian central India. The central India eye and medical study. PLoS ONE. 2013
[4]. Barbados Eye Studies Group. Nemesure B, Wu SY, Hennis A, Leske MC. Nine-year incidence and risk factors for pterygium in the Barbados eye studies. Ophthalmology. 2008;115:2153–8.
[5]. Liu L, Wu J, Geng J, Yuan Z, Huang D. Geographical prevalence and risk factors for pterygium: a systematic review and meta-analysis. BMJ Open. 2013 Nov 19;3(11):e003787.