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

Abstract: Resume: Le rhabdomyosarcome est une tumeur maligne rare qui s'observe surtout chez l'enfant et l'adolescent. Rarement localisé au niveau de l'extrémité céphalique, la forme alvéolaire est la forme la plus agressive et la plusmétastatique. A partir d'une observation d'une jeune patiente atteinte d'un rhabdomyosarcome alvéolaire jugal et d'une revue de la littérature nous exposons les caractéristiques de cette maladie notamment dans les difficultés de prise en charge. Ainsi que l'intérêt de la chimiothérapie et du protocole AMORE (Ablation surgery, Moulage technique withafterloadybrachytherapie and Reconstructive surgery) qui ont transformé le pronostic de ces tumeurs.

Key Word: rhabdomyosarcome alvéolaire, localisation jugale, chimiothérapie, protocole AMORE.

[1]. D'Andon .A, Hartmann. O, Vassal. G. Tumeurs mésenchymateuses malignes ou sarcomes des parties molles.Institut Gustave Roussy. 2003 Mai: 1-14.
[2]. P. Philippe-Chomette D, Orbach Y, Aigrain et collaborateurs. Rhabdomyosarcomes du sinus urogénital de l'enfant. Annales d'urologie 2006 ; 40 : 280–296.
[3]. Zafad S, M. Harif, S. Benchekroun et collaborateurs. Les rhabdomyosarcome de l'enfant.
[4]. Esp. Médicale. 2002; 9(80): 96-98.
[5]. Sommelet D, Pinkerton R, Brunat-Mentigny M, Farsi F et al. Standards, options and recommendations (SOR) for clinical care of rhabdomyosarcoma (RMS) and other soft tissue sarcoma in children. Federation of the French Cancer Centers.French Society of Pediatric Oncology. Bull Cancer 1998; 85: 1015-42..

Abstract: Objective: To evaluate the effect of preheating and flowable composite on the marginal integrity of Class II composite resinrestorations. Materials and Methods: Forty extracted human sound molars were used in this study. Class II cavities were prepared. The cavities were prepared using carbide bur with water spray and finished with fine- grained diamond stone. The cervical margin was established 1.5 mm above the cement - enamel junction. The overall dimensions and depth of the cavity were standardized as follow: 4 mm length occlusocervically and 4 mm width buccolingually and 2 mm depth axially. The cavity depth and length were judged with a permanent mark on the bur and then verified using a periodontal probe. The teeth were randomly divided into four........

Key Word: Resin composite; Preheating; marginal gap.

[1]. Chan KHS, Mai Y, Kim H, Tong KCT, Ng D, Hsiao JCM. Review: Resin Composite Filling. Materials (Basel).2010; 3:1228–1243.
[2]. Sensi LG, Strassler HE, Webley W. Direct composite resins. Inside Dent. 2007; 3:76..
[3]. Baroudi K, Mahmoud S. Improving Composite Resin Performance Through Decreasing its Viscosity by Different Methods. Open Dent J. 2015; 9:235-242.. [4]. Clelland NL, Pagnotto MP, Kerby RE, Seghi RR. Relative wear of flowable and highly filled composite. J Prosthet Dent. 2005;93:153-157. [5]. Yazici AR, Ozgünaltay G, Dayangac B. The effect of different types of flowable restorative resins on microleakage of Class V cavities. Oper Dent. 2003; 28:773-778.

Abstract: The alleviation of suffering in cancer patients is universally acknowledged as a cardinal goal of medical care. Upper abdominal pain associated with malignancy is often difficult to control with analgesics and can be severely debilitating with significant impairment of quality of life. In these patients, percutaneous image-guided celiac plexus neurolysis is an effective treatment option in managing pain with a low complication rate.We report a case of anterior paramedian percutaneous sonographic-guided celiac plexus neurolysis(CPN)..

Key words: Malignancy, Celiac Plexus Neurolysis, Sonographic

[1]. Cornman-Homonoff J, Holzwanger DJ, Lee KS, Madoff DC, Li D. Palliative Care Interventions in the Cancer Patient: Celiac Plexus Block and Neurolysis in the Management of Chronic Upper Abdominal Pain. Paper presented at: Seminars in interventional radiology2017.
[2]. Marker DR, Paweena U, Ungi T, Flammang AJ, Fichtinger G, Iordachita II, et al. MR-guided perineural injection of the ganglion impar: technical considerations and feasibility. Skeletal radiology. 2016;45(5):591-597.
[3]. Narouze SN, Gruber H. Ultrasound-guided celiac plexus block and neurolysis. Atlas of ultrasound-guided procedures in interventional pain management: Springer; 2011:199-206.
[4]. Wong GY, Schroeder DR, Carns PE, Wilson JL, Martin DP, Kinney MO, et al. Effect of neurolytic celiac plexus block on pain relief, quality of life, and survival in patients with unresectable pancreatic cancer: a randomized controlled trial. Jama. 2004;291(9):1092-1099.
[5]. Teixeira MJ, Neto ER, da Nóbrega JCM, dos Ângelos J.S, san Martin M, de Monaco B.A, et al. Celiac plexus neurolysis for the treatment of upper abdominal cancer pain. Neuropsychiatr Dis Treat. 2013;9:1209-1212

Abstract: ABSTRACT: BACKGROUND: CoVid-19 presents itself as a cause of SARS and other important pathologies, every day a new sign, symptom or comorbidity related to it is discovered, such as the pediatric multisystem inflammatory syndrome, including the Kawasaki Syndrome that increased its frequency in children in 2020, raising theses that may be related to CoVid-19. Many signs and symptoms of SARS-COV-2 and Kawasaki Syndrome are present in the oropharyngeal region, and the pediatric dentist may lead to the identification and appropriate referral of these pathologies. OBJECTIVE: To alert pediatric dentists to the suspected signs and symptoms of SARS-CoV-2 and Kawasaki Syndrome. METHODOLOGY: systematic searches in articles and books, using the keywords CORONAVIRUS / + / CHILDREN / OR / PEDIATRICS and, SARS / OR / SEVERE ACUTE RESPIRATORY SYNDROME / AND / CHILDREN / OR / PEDIATRICS, KAWASAKI SYNDROME / AND / PEDIATRICS on the platform on platform Virtual Health Bank and MedScape, in open period, in Portuguese and English, visits to collections of university.....

Keywords: Severe Acute Respiratory Syndrome; Kawasaki Syndrome; Kawasaki, Disease; SARS-CoV-2; CoVid-19; Pediatric Dentistry; Pediatrics.

[1]. DURIGON, Giuliana Stavinskas, BEREZIN, EitanNaaman. Vírus respiratórios. In: LA TORRE, Fabiola Peixoto Ferreira, PASSARELLI, Maria Lúcia Bastos, CESAR, Regina Grigolli, PECCHINI, Rogério (Coords). Emergências em Pediatria: Protocolos Santa Casa. 2 ed. Barueri-SP : Manole, 2013.p.573-590.
[2]. CHANDER, Vishwadha. Cases ofChildrenWithRareInflammatorySyndrome Spike in Italyand France. In. MadScape. 14 Maio 2020. Disponível em <https://www.medscape.com/viewarticle/930566?nlid=135569_5404&src=wnl_dne_200518_mscpedit&uac=129420FV&impID=2385201&faf=1> Acesso em 16/07/2020.
[3]. KUSCHNAROFF, Tuba Milstein, BARBOSA JR, Silas Pereira, MASCHERETTI, Melisa. Síndrome Respiratória Aguda Grave ("Sars"). In: FOCACCIA, Roberto. Veronesi: Tratado de Infectologia. 4 ed. São Paulo : Atheneu, 2009. V.2, p.2238-2246. [4]. GRÜNEWALD. Sabrine Teixeira. Doença de Kawasaki emerge como nova manifestação de Covid-19 em crianças. In: MedScape. Disponível em <https://portugues.medscape.com/verartigo/6504810?src=mkm_ptmkt_200513_mscmrk_ptcoronavirus_nl&uac=129420FV&impID=2378790&faf=1> Acesso em 13/07/2020. [5]. XIAOXIA, Lu, et al. SARS-CoV-2 Infection in Children. In: The New EnglandJournalof Medicine. 17 382. 23. april, 2020. Disponível em <https://www.nejm.org/doi/pdf/10.1056/NEJMc2005073>Acesso em 12/07/2020.

Abstract: Background: Amyotrophic lateral sclerosis (ALS) is a motor neuron disease (MND) that affects both upper and lower motor neurons. The prevalence of people living with ALS, varies among geographic regions worldwide. For the betterment of the patients with amyotrophic lateral sclerosis it is very important to have the proper knowledge on the demographic pattern of amyotrophic lateral sclerosis. Aim of the Study: The aim of this study was to evaluate the demographic pattern of amyotrophic lateral sclerosis in Bangladesh. Methodology & Materials: This hospital-based prospective cohort study was conducted in the Department of Neurology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh during the period from January 2010 to December 2011. Among 56 MND patients......

Key words:ALS, sclerosis, amyotrophic

[1]. Willium BD, Windebank AJ. (1991). Motor neuron disease (amyotrophic lateral sclerosis). Mayo Clinic Proc; 66: pp54-82.
[2]. Rodgers-Johnson P, Garruto RM, Yanagihara R et al. (1986) Amytrophic lateral sclerosis and Parkinsoism-dementia on Guam: a 30-year evaluation of clinical and neuropathological trends. Neurology; 36: pp. 7-13
[3]. Spencer PS, Nunn PB, Hugon J et al. (1987). Guam Amytrophic lateral sclerosis and Parkinsoism-dementia linked to a plant excitant neurotoxin. Science;237: pp.517-22.
[4]. Mitsumoto H, Chad DA, Pioro EP. Amyotrophic Lateral Sclerosis: Contemporary Neurology Series 49. Philadelphia: FA Davis; 1998. Terminology and classification of ALS; pp. 18–33.
[5]. Rowland LP. Ten central themes in a decade of ALS research. Adv Neurol. 1991; 56:3–23..

Abstract: Background: This prospective study is to know the incidence of tuberculosis in acute intestinal obstructionand to analyze the modalities of operative management and post-operative complications. Methods: This is a prospective study of fifty cases of acute intestinal obstruction that presented to emergency department of Mediciti General Hospital,Ghanpur between August 2018 &March 2020 were studied. Results: In this study of 50 patients,mean age was 35 years, male to female ratio was 2.6:1 and small bowel obstructions (41) outnumbered large bowel obstruction (9) with Tubercular Strictures accounted for 4% of all cases and most common operative.....

[1]. Winslet MC.Intestinal obstruction. In: RusselRCG,WilliamsNS,Bull strodeCJK,editors.Bailey& Loves Short practice of Surgery 23rdedn .2000.EdwardArnold ltd NY.1058-75.
[2]. Jones RS.Intestinal obstruction. In:SabistonDC,Jr.editor. Text book of surgey –The biological basis of modern surgical practice 13th edn. 1986.W.B.Saunders company. 905-13.
[3]. Oschner A. X-ray diagnosis of ileus – value of Roentgenogram in simple andstrangulated obstruction. Surg. Gynaecol. Obstet.1933; 56:719.
[4]. Donhauser JL, Kelly EC. Intussusception in the adult. AJS 1950; 79: 673-77.
[5]. Wangensteen OH, Rea CE, Smith BA, Schwyzer HC. Experiences withemployment of suction in treatment of acute intestinal obstruction. Surg.Gynecol. Obstet.1939; 68:851-68.

Abstract: Background: The profunda brachi artery is the main arterial supply to the back of the arm. Variations in its origin have been reported in foetal and adult human limbs. Variations of profunda brachii artery are important during harvesting of the lateral arm flaps and may lead to inadvertent injury during percutaneous arterial catheterization or injection of drugs. Knowledge of such variations has got clinical importance especially in the field of orthopedic, vascular and plastic surgeries. Method: The study was conducted on 100 numbers of upper limb of both male and female belonging to different age group in Department of Anatomy, Assam Medical College and Hospital, Dibrugarh. Results: In the present study, normal origin of the profunda brachi artery in foetus were found in 93.75% and 93.75% . Variations.....

Key Word: Profunda brachi artery, Brachial artery, Axillary artery, Variation of artery

[1]. Standring S, Johnson D, Ellis H, Collins P(2007).. Gray's Anatomy. 39th ed. London: Churchill Livingstone; . p. 356
[2]. Massie, G(1944): Surgical anatomy In: The upper limb. 4th Edn. J. & A. Churchill Ltd. London. pp 136-139 .
[3]. Spalteholz, W: Hand atlas of human anatomy. In: arteries of the neck & arm. 7th Edn. Vol II J.B. Lippincott Co. Philadelphia: pp 424-35. (Year not provided).
[4]. Anson, B.J. (1966). Morris 'Human Anatomy In: The Cardiovascular system-Arteries & Veins. Thomas, M. Edr. McGraw Hill Book C. New York: pp 708-724 .
[5]. Patnaik, V.V.G; Kalsey, G., Singla Rajan, K. (2002) : Branching Pattern of Brachial Artery-A Morphological Study, J Anat. Soc. India 51(2) 176-186..

Abstract: Introduction-SSI is the second most common complication following surgical procedure due to virulent bacterial entry,altered wound micro environment and changed host defence. Despite every effort to maintain asepsis, most surgical wounds are contaminated to some extent. Material and methods-This was a descriptive type of cross sectional study in which 100 patients were selected randomly from department of surgery, Jawaharlal Nehru medical College hospital ,Bhagalpur .SSI rates were concluded in different types of operations and using different types of incision. Results-The highest rate of SSI was seen in casesof volvulus and lowest rate of SSI was found in appendicectomy cases.Highest rate of SSI were seen in operation done through lower midline incision. Conclusion- It was revealed that, overall surgical site infection rate was 21 %. It can be concluded from the findings of the study that and factors associated with surgery like type of incision, type of operation greatly contribute to occurrences of SSI.

Keywords- SSI, Type of incision, Type of operation, emergency surgery

[1]. Hernandez, K., Ramos, E., Seas, C., Henostroza, G., Gotuzzo, E., 2005. Incidence of and risk factor for Surgical site infections in a Peruvian Hospital, Chicago Journals, 26(5) 473-477
[2]. Razavi, S. M., Ibrahimpoor, M., Sabouri, A., Kashani, Jafarian A, 2005. Abominal surgical site infections: incidence and risk factors at an Iranian teaching hospital, BMC surgery, 5(2), 3-5.
[3]. Huda M. N., 2005. Wound infection profile in different non-traumatic emergency abdominal operations. Dissertation (FCPS). Bangladesh College of Physicians and Surgeons. P 60-61.
[4]. Kumar V., Abbas A. K., Fausto N. 2005. Robbins and Cotran Pathologic basis of disease, Seventh edition, 88-116.
[5]. Levinson W., 2005. Medical Microbiology & Immunology: Examination & Board review, Eighth edition, England, The McGraw-Hill Companies, 131-34

Abstract: Introduction-SSI previously called postoperative wound infections,result from bacterial contamination during/after a surgical procedure.SSI are the 3rd most common HAI, accounting for about 15% of all infections in hospitalized patients. Material & Methods- Starting from 13feb.2019 to 12 june 2020 ,100 cases of emergency abdominal operations were selected non randomly from the dept. of surgery JLNMCH, Bihar & studied for SSI. Results- SSI rate increased with degree of wound contamination. Staphylococcus aureus were found as the most common organism, causing 42.85% of SSI.E.coli were 2nd most common causing 33.33% of infections Conclusion- it is necessary to use prophylactic antibiotics to encounter the various types of microorganisms responsible for SSI,particularly staph.aureus & E.coli

Key Word: SSI, Pus culture sensitivity, contamination

[1]. Hernandez, K., Ramos, E., Seas, C., Henostroza, G., Gotuzzo, E., 2005. Incidence of and risk factor for Surgical site infections in a Peruvian Hospital, Chicago Journals, 26(5) 473-477
[2]. Razavi, S. M., Ibrahimpoor, M., Sabouri, A., Kashani, Jafarian A, 2005. Abominal surgical site infections: incidence and risk factors at an Iranian teaching hospital, BMC surgery, 5(2), 3-5.
[3]. Huda M. N., 2005. Wound infection profile in different non-traumatic emergency abdominal operations. Dissertation (FCPS). Bangladesh College of Physicians and Surgeons. P 60-61.
[4]. Kumar V., Abbas A. K., Fausto N. 2005. Robbins and Cotran Pathologic basis of disease, Seventh edition, 88-116.
[5]. Levinson W., 2005. Medical Microbiology & Immunology: Examination & Board review, Eighth edition, England, The McGraw-Hill Companies, 131-34.

Abstract: Myasthenia gravis in pregnant women requires multidisciplinary management (neurologist, obstetrician, anesthetist and pediatricians) due to the risk of maternal myasthenia gravis and the risk of neonatal myasthenia gravis. We present the case of an 18-year-old primigravida with myasthenia gravis for which an immunosupressant and pirydostigmine were administered even during the preconceptional period and first trimester. The patient exhibited several relapses during her pregnancy none of which had an impact on her respiratory system. The labourand delivery were closely monitored and came to pass with ease. The post partum period was uneventful for the mother and newborn..

Key words: Myasthenia gravis, pregnancy, neonatal myasthenia

[1]. O. Picone, D. Friedman, B. Clair, D. Annane, Myasthénie et grossesse, pathologie et grossesse, p42
[2]. Vincent A, Palace J, Hilton-Jones D. Myasthenia Gravis. The Lancet 2001; 357: 2122-8.
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[4]. O. Picone*, F. Audibert*, P. Gajdos**, H. Fernandez* Myasthénie et grossesse J GynecolObstetBiolReprod 2003 ; 32 : 654-659..

Abstract: Background: Despite the advent of newer diagnostics to diagnose tuberculous meningitis, clinicians in limited resource settings still rely on simple clinical algorithms.This study was done to validate simple clinical algorithm derived by Rashmi Kumar et al to diagnose tuberculous meningitis. Materials and methods: We did a retrospective study of adult patients admitted with meningitis between March 2003 to April 2005. Patients were diagnosed to have tuberculous meningitis based on a composite criteria involving clinical, CSF, radiological features, histopathology and microbiological reports. Sensitivity and Specificity of Rashmi Kumar's diagnostic algorithm was measured in comparison with final diagnosis. Results: If only one feature of the....

Key words: Rashmi Kumar algorithm, tuberculous meningitis

[1]. Thwaites GE, Chau TTH. Diagnosis of adult tuberculous meningitis by use of clinical and laboratory features. The Lancet 2002;360:1287-1293.
[2]. Rashmi Kumar, Singh SN, Neera Kohli. A diagnostic rule for tuberculous meningitis. Arch Dis Child 1999;81:221-224.
[3]. Ravindra Kumar Garg. Microbiological diagnosis of tuberculous meningitis: Phenotype to genotype. Indian J Med Res 150, November 2019, pp 448-457
[4]. Metcalf T, Soria J, Montano SM, Ticona E, Evans CA, Huaroto L, et al. (2018) Evaluation of the GeneXpert MTB/RIF in patients with presumptive tuberculous meningitis. PLoS ONE 13(6): e0198695. https://doi.org/10.1371/journal. pone.0198695
[5]. Marais S, waites G, Schoeman JF, Török ME, Misra UK, Prasad K, et al. Tuberculous meningitis: a uniform case definition for use in clinical research. Lancet Infect Dis 2010 Nov;10(11):803-812.