iosr-JDMS   Volume-20 ~ Issue-12 ~ December 2021

Abstract: Pindborg defined oral submucous fibrosis (OSMF) as 'an insidious chronic disease affecting any part of the oral cavity and sometimes the pharynx , it is always associated with juxta-epithelial inflammatory reaction, followed by a fibroblastic change in the lamina propria, with epithelial atrophy, leading to stiffness of the oral mucosa and causing trismus. It is a severe disease which may cause restriction of mouth opening and may lead to dysplastic changes and even progress to malignancy. Hence, early management of this condition along with reconstruction remains the mainstay of the treatment

[1]. Madhushree, Manjunath, Ankit, Malavika, Ameena. Epidemiology of Oral Submucous Fibrosis: A Review, IJOHMR, March 2017 Vol. 3 Issue 6
[2]. Agrawal et al. Nasolabial Flap for Oral Submucous Fibrosis. J Oral Maxillofac Surg 2018.
[3]. Faisal, Rana, Shaheen. Reconstructive management of rare bilateral oral submucous fibrosis using nasolabial flap in comparison with free radial forearm flap – a randomized prospective trial
[4]. Yen DJ: Surgical treatment of submucous fibrosis. J Oral Surg 54: 230, 1986
[5]. Stuzin JM, Wagstrom L, Kawamoto HK, et al: The anatomy and clinical application of the buccal fat pad. Plast Reconstr Surg 85:29, 1990.

Abstract: AIM OF THE STUDY: 1. To assess factors that will help in clinching the diagnosis of Necrotizing Fasciitis. 2. To identify factors responsible for morbidity and mortality MATERIALS AND METHODS: It is a hospital based observational study of 100 cases of Necrotizing Fasciitis admitted patients in NRI medical college chinnakakani, Dept of General Surgery, from 20th august 2019 to 20th july 2021 RESULTS: Total of 100 patients were included in the study. There were 64 males(64%) and 36 female(36%).Male to female ratio being 1.77. The patients age ranged from 20 to 85 years . Diabetes mellitus(54%),cardiac or.......

Keywords: NF-necrotising fasciitis,NSTI- Necrotising soft tissue infections

[1]. Richard Sal'' Salcido, MD, Necrotizing Fasciitis: Reviewing the Causes and Treatment Strategies, ADVANCES IN SKIN & WOUND CARE & VOL. 20 NO. 5 ,may 2007 288-93.
[2]. Trent JT, Kirsner RS. Diagnosing necrotizing fasciitis. Adv Skin Wound Care 2002; 15(3):135-8.
[3]. Courtney M. Townsend Jr., MD .: Sabiston Textbook of Surgery, 18th ed, 307-9.
[4]. Green RJ, Dafoe DC, Raffin TA: Necrotizing fasciitis. Chest 1996; 110:219-229,
[5]. Majeski JA, John JF: Necrotizing soft tissue infections: A guide to early diagnosis and initial therapy. South Med J 2003; 96:900-905.

Abstract: Background: Hypertension is a leading cause of death world-wide. The increased prevalence of hypertension in young is an indicator of explosion of cardiovascular, cerebrovascular and renal diseases in future. Hypertension among young people is common, affecting 1 in 8 adults aged between 20 and 40 years. This number is likely to increase with lifestyle behaviours and lowering of hypertension diagnostic thresholds. Early-life factors influence blood pressure (BP) although the mechanisms are unclear; BP tracks strongly within individuals from adolescence through to later life. Higher BP at a young age is associated with abnormalities on heart and brain imaging.......

Keywords: hypertension,uric acid,BMI,TGL,LDL,VLDL.

[1]. Reddy KS. Cardiovascular disease in non-Western countries. N Engl J Med. 2004;350(24):2438–2440.
[2]. Murray CJ, Lopez AD. Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet. 1997; 349(9063):1436–1442
[3]. Joshi P, Islam S, Pais P, et al. Risk factors for early myocardial infarction in South Asians compared with individuals in other countries. JAMA. 2007;297(3):286–294.
[4]. Mora S, Glynn RJ, Ridker PM. High-density lipoprotein cholesterol, size, particle number, and residual vascular risk after potent statin therapy. Circulation. 2013;128(11):1189–1197.
[5]. Liu Y, Zhang B, Chen JY, Chen PY. The relationship between fasting triglyceride level and prevalence and severity of angiographic coronary artery disease in 16,650 patients from the TRUST study in the statins era. Eur Heart J. 2013;34(Suppl 1):P1550

Abstract: Concomitant severe Dengue with COVID-19 can be difficult to diagnose as both diseases have similar symptoms and laboratory findings. Bangladesh is currently facing a double burden of severe Dengue and SARS-CoV-2 infection. Co-infection with these viruses can result in severe morbidity. Worldwide this co-infection is rare. However, we present a complicated case of severe Dengue with SARS-CoV-2 infection. The child presented with multiorgan dysfunction with plasma leakage and positive for Dengue nonstructural protein 1 antigen and reverse transcription polymerase chain reaction (RT-PCR) for SARS-CoV-2. Echocardiographic evaluation showed coronary arterial abnormalities. Patient was successfully managed according to Dengue syndrome guidelines and received intravenous immunoglobulin with methyl prednisolone, aspirin for coronary arterial involvements. Through.....

Key Words: Dengue with Covid-19, MIS-C due to Covid-19, Severe Dengue, SARS-CoV-2.

[1]. WHO. Dengue Guidelines for Diagnosis, Treatment, Prevention and Control, New Edition. Geneva: WHO, 2011.
[2]. Chacko B, Subramanian G.: Clinical, laboratory and radiological parameters in children with dengue fever and predictive factors for dengue shock syndrome. J Trop Pediatr. 2008, 54:137-40.10.1093/tropej/fmm084. Epub 2007 Oct 26. PMID: 17965098.
[3]. The Daily star, Dengue Amid Covid-19 Outbreak: With rain comes risk Available: https://www.thedailystar.net/backpage/ news/dengue-amid-covid-19-outbreak-rain-comes-risk-1897489.
[4]. Riphagen S, Gomez X, Gonzalez-Martinez C, Wilkinson N, Theocharis P.: Hyperinflammatory shock in children during COVID-19 pandemic. Lancet. 2020, 395:1607-8.10.1016/S0140-6736(20)31094-1. Epub 2020 May 7. PMID: 32386565; PMCID: PMC7204765..

Abstract: Chest tube placement is an invasive bedside procedure that is commonly used by different specialty physicians. Malposition of the chest tube is considered the most common complication of chest tube placement. Here we present a rare case where in a 32-year-old male who had an alleged history of road traffic accident. CT chest revealed that the chest tube was in the liver. Complications of misplaced chest tube include malposition, infection, organ injury. Malpositioning of chest tube causing injury to abdominal organs like stomach, spleen, liver is rare. And therefore position should always be confirmed with a bedside AP radiograph. Whenever in doubt, CT provides invaluable information about the position and complications that might be present due to misplaced chest tube...

Keywords: Chest tube; pleural effusion; liver; radiograph; computed tomography

[1]. Serji B, Mirali H, Chablou M, Kamaoui I, El Harroudi T. Liver injury secondary to chest tube placement: a case report of conservative management and review of literature. Clin Case Rep. 2017;6(1):45-48. Published 2017 Nov 22.
[2]. Bae JM. Life threatening hemoperitoneum and liver injury as a result of chest tube thoracostomy. Clin Med Insights Case Rep. 2015 Feb 26;8:15-7. doi: 10.4137/CCRep.S23139. PMID: 25780345; PMCID: PMC4345926.
[3]. Kesieme EB, Dongo A, Ezemba N, Irekpita E, Jebbin N, Kesieme C. Tube thoracostomy: complications and its management. Pulm Med. 2012;2012:256878. doi: 10.1155/2012/256878. Epub 2011 Oct 16. PMID: 22028963; PMCID: PMC3195434.
[4]. Tait, P., Waheed, U. & Bell, S. Successful Removal of Malpositioned Chest Drain Within the Liver by Embolization of the Transhepatic Track. Cardiovasc Intervent Radiol 32, 825–827 (2009).
[5]. Alqasem Fuad H. Al Mosa, Mohammed Ishaq, Mohamed Hussein Mohamed Ahmed, "Unusual Malposition of a Chest Tube, Intrathoracic but Extrapleural", Case Reports in Radiology, vol. 2018, Article ID 8129341, 4 pages, 2018.

Abstract: Diabetes is the fastest growing chronic disease worldwide, and has become one of the most common non communicable diseases and its burden is on the rise among all age groups. This study was conducted to evaluate the Indian Diabetes Risk Score (IDRS) and its usefulness. 120 subjects were taken and studied for 2 months. The risk score was calculated for everyone. Only 45% were in low-risk category, 34.2% were in moderate risk category and 20.8% were in high-risk group as per the IDRS. Our results were similar to many other studies. We concluded that a diabetes risk score will help us to device effective screening strategies to unmask hidden burden of the disease in countries like India.

[1]. Nandeshwar S, Jamra V, Pal DK. Indian diabetes risk score for screening of undiagnosed diabetic subjects of Bhopal city. National Journal of Community Medicine 2010; 1:176-77.
[2]. Patel DN, Shah M, Ahir GN, Dhiren V. Amin DV, Singh MP.A study on validity of Indian diabetes risk score (MDRF) for screening of diabetes mellitus among the high risk group (policemen) of diabetes mellitus of Bhavnagar city. Innovative Journal of Medical and Health Science 2012; 2:1-3.
[3]. Markam J. Screening of Type II Diabetes Mellitus on the Basis of IDRS among Urban Population of Bhopal, Madhya Pradesh. National Journal of Research in Community Medicine 2014; 3:310-14.
[4]. Rao CR, Kulkarni MM, Narayanan S, Veena G, Kamath A, Ballala K et al. Utility of Indian Diabetic Risk Score (IDRS) in a rural area of coastal Karnataka, India. Journal of Evolution of Dental and Medical Sciences2014; 3:3272-77.
[5]. Bhadoria AS, KasarPK,Toppo NA. Validation of Indian Diabetic Risk Score in Diagnosing Type 2 Diabetes Mellitus Against High Fasting Blood Sugar Levels among Adult Population of Central India. Biomed J 2014. doi: 10.4103/2319-4170.143508

Abstract: Background/aim: Diabetes mellitus is a chronic metabolic disease having predisposing factor for fungal infections and causes significant morbidity and mortality. Mycotic infections may increase the risk of developing diabetic foot syndrome. The aim of this study is to determine the prevalence of fungal infections in diabetes foot, as well as to know the diagnostic tests for fungi that cause diabetic foot infection. Materials and methods: 32 samples were collected from Khalid Bin Al-Waleed Clinic. Data was collected from patients' files by the responsible medical staff, and samples were collected by sterile swabs taken from the site of the injury and examined under microscope using KOH . The data were analyzed via Excel. Results: The total.......

Key Words: Prevalence, Fungal infection, Diabetic foot

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[4]. Eckhard M, Lengler A, Liersch J, Bretze RG, Mayser P. Fungal foot infections in patients with diabetes mellitus, results of two independent investigations. Mycoses.2007; 50 (Suppl 2): 14-9
[5]. Joshi N, Caputo GM, Weitekamp MR, Karchmer AW. Infections in patients with diabetes mellitus. N Engl J Med. 1999; 341: 1906-12..

Abstract: The role of MSMEs is very important to drive the wheels of the economy in Indonesia. This means that the Indonesian economy is supported by micro-economic activities (MSMEs). The obstacle that occurs in MSMEs is the lack of financial understanding so that it is related to efforts to improve product quality and lack of innovation. The purpose of this study is to see the effect of financial literacy and financial inclusion on the sustainability of the culinary sector SMEs registered at the Yogyakarta Cooperatives and UMKM Service which is moderated by self-efficacy. The method used is a survey method in the form of a questionnaire distributed to respondents. Questionnaires......

Keywords, financial literacy, financial inclusion, self efficacy, sustainability of MSME

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[4]. Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Advances in Behaviour Research and Therapy, 84(2), 139–161.
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Abstract: Background: Seizures are a common medical emergency, frequently faced by every pediatrician. Studies delineating the clinical profile and the role of neuroimaging in diagnosis and subsequent management of pediatric seizures are relatively meager in this part of the country. The current study aimed to provide a baseline profile of pediatric seizures and the importance of neuroimaging, in diagnosing the etiology. Methodology: The study was conducted over a period of one year. Patients presenting with seizures, in the age group of 1 month to 12 years, to the emergency and the Paediatric Neurology Clinic of the institution (Midnapore Medical........

Keywords: seizures, pediatric, magnetic resonance imaging

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