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Abstract: The first reported case of Covid 19 is at Wuhan,Hubei province China in november,2019 .As it is novel corona virus the reseaerchers were unware of clinical features and treatment measures.The Chinese center for disease control and prevention announced covid 19 as a causative pathogen in January 8,2020 . From December,2020 the disease presented as a major public health challenge to other parts of the world (Phelan et al,2020) . COVID-19 has been recognized in 34 countries, with a total of 80,239 laboratory-confirmed cases and 2,700 deaths on February ,2020 ,followed by o march ,2020 WHO declared this disease as a pandemic (WHO 2020b).The disease is produced by a highly contagious zoonosis produced by SARS –COV- 2 that can spread from human to human through respiratory.......
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Abstract: Background: Infective Endocarditis (IE) is a life-threatening disease which predominantly affects those with any underlying structural or congenital heart disease or intravascular prosthetic material. The diagnosis of IE requires a combination of clinical, microbiological and echocardiography results. Culture of valvular tissue is of great use in isolating the causative organisms, particularly when blood cultures are negative. Streptococci, Staphylococci and Enterococci are responsible for majority of IE cases, worldwide. Objectives: To determine the clinico-microbiological profile of Infective Endocarditis by identifying the most common risk factors, isolating the causative organisms from excised cardiac valves and determining the antibiotic susceptibility pattern of those isolates.......
Keywords: Infective Endocarditis, Rheumatic heart disease, Staphylococcus aureus
[1]. Durack DT, Lukes AS, Bright DK, Service DE. New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings. The American journal of medicine. 1994 Mar 1;96(3):200-9.
[2]. Barrau K, Boulamery A, Imbert G, Casalta JP, Habib G, Messana T, et al.. Causative organisms of infective endocarditis according to host status. Clinical microbiology and infection. 2004 Apr 1;10(4):302-8.
[3]. Padmaja, K., Sudhaharan, S., Vemu, L., Satish, O. S., Chavali, P., & Neeraja, M. (2017). Clinicomicrobiological spectrum of infective endocarditis - from a tertiary care centre in south India. Iranian journal of microbiology, 9(5), 257–263.
[4]. Kucukates E, Gultekin N, Bagdatli Y. Cases of active infective endocarditis in a university hospital during a 10-year period. J Pak Med Assoc 2013;63:1163–1167.
[5]. Hosseini SM, Bakhshian R, Moshkani Farahani M, Abdar Esfahani M, Bahrami A, Sate A. An observational study on infective endocarditis: A single center experience. Res Cardiovasc Med 2014;3(4):e18423.
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Abstract: Wound healing requires energy and is a catabolic process. Patients who are severely malnourished demonstrate impaired wound healing and predisposition to infection. Malnutrition is common. It appears in about 30 per cent of surgical patients with gastrointestinal disease and up to 60 per cent of those in whom hospital stay has been prolonged because of postoperative complications. It is frequently unrecognized and therefore patients often do not receive appropriate support. There is a substantial body of evidence to show that patients who suffer from starvation or have signs of malnutrition have a higher risk of complications........
[1]. Leite HP, Fisberg M, De Carvallio WB. Serum albumin and clinical outcomes in paediatric cardiac surgery. Nutrition 2005;
21(5):553-58
[2]. Engelman Dt, Adams DH, Byrne JG,Avanki SF, Collins JJ, Coupee GS et al. Impact of BMI and serum albumin on morbidity and
mortality after cardiac surgery. J Thorac Cardiovas Surg 1999; 118:866-73
[3]. Mullen JJ, Davenport DL, Hutter MM, Hosokawa PW, Henderson WG, Khuri Sf et al. Impact of BMI on perioperative outcome in
patients undergoing major interabdominal cancer surgery. Ann Surg Onco 2008; 15:2164-72
[4]. Arozullah A, Daley J, Henderson W et al Multifactorial risk index for predicting postoperative respiration failure in men after non
cardiac surgery. Ann Surg 2000; 232: 243-53
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Abstract: Introduction: according to world health organization (WHO), ATC refers to anatomical, therapeutic and chemical name of the drug. WHO introduced the concept of DDD which refers to assumed average maintenance dose per day for a drug used for its main indication in adults. Objective: This study will help in auditing the prescription at the department of medicine and also help in pharmacy unit for indenting purpose. Materials and Methods: A retrospective observational study was done at the tertiary care hospital where in 400 medical records were analyzed over a period of 3 months. DDD/100 bed days were calculated using DDD of known ATC drug. WHO.......
Key words: Gastrointestinal motility disorders, ATC (Anatomical, therapeutic and chemical classification),DDD (Defined daily dose), ORS (Oral rehydration solution), WHO ( world health organization
[1]. Drug Definition". Stedman's Medical Dictionary. Archived from the original on 2014-05-02. Retrieved 2014-05-01 – via Drugs.com.)
[2]. Bergman U, et al. The measurement of drug consumption. Drugs for diabetes in Northern Ireland, Norway, and Sweden. European Journal of Clinical Pharmacology, 1975,8:83- 89.
[3]. "Definition of Rx". Merriam Webster. 19 December 2019. a 16th-century symbol, the letter R with a line through its slanted leg-the line signaling that the "R" is functioning as an abbreviation.
[4]. Instead, next to the player's name and number was a generic avatar.— Hayes Gardner, The Courier-Journal, 2 Dec. 2021
[5]. "General Background: Antibiotic Agents". Alliance for the Prudent Use of Antibiotics. Archived from the original on 14 December 2014. Retrieved 21 December 2014
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Abstract: Background: Tibial plateau fracture (TBF) is a very crucial issue for surgical management. Usually, it results from axial loading in combination with valgus stress forces, present a variety of soft tissue and bony injuries that can produce permanent disabilities. Locking compression plate (LCP) is a contemporary implant that allows for both the conventional screw placement and locking screw placement. Although there are various methods for fixation of such fractures with satisfactory results, there is no general consensus as to which method is the best regarding functional outcomes. Aim of the study: The aim of this study was to assess the functional outcome of surgical management of tibial plateau fractures in adult patients by locking compression. Methods: This was a prospective observational......
Keywords: Management, Tibial plateau fractures, Outcome, Axial, Schatzker classification
[1]. J.L.Marsh, Tibial Plateau Fractures, chapter 53 in Rockwood and Green's fractures in adults, Bucholz RW and Heckman JD, 7th Edition. Vol 2: Philadelphia, Lippincott Williams and Wilkins 2010; 1780-1831.
[2]. Markhardt BK, Gross JM, Monu JU. Schatzker classification of tibial plateau fractures: Use of CT and MR imaging improves assessment. Radiographics 2009; 29:585-97.
[3]. Swamy, K. V., Ajay, A., Venkateswararao, T., Reddy, K. R. K., & Thirupathi, S. (2017). Surgical management of tibial plateau fractures by various modalities. INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY, 5(2), 206-209.
[4]. Wang SQ, Gao YS, Wang JQ, Zhang CQ, Mei J, Rao ZT. Surgical approach for high-energy posterior tibial plateau fractures. Indian J Orthop 2011; 45:125-31.
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Abstract: Background: Intracorporeal lithotripsy modalities and stone removal devices have been created to facilitate endoscopic management of ureteral stones. These devices, along with improved techniques, have resulted in stone-free rates greater than 95% with low morbidity. However, problems remain that preclude consistent 100% stone-free rates with endoscopic treatment of ureteral calculi. Retrograde migration during ureteroscopic procedures remains a significant problem. Objective: The aim of this study was to assess efficacy of instilling 2% Lidocaine jelly in prevention of retropulsion during ureteroscopic lithotripsy. Method: This study included......
Keywords: Intracorporeal lithotripsy, Pneumatic lithotripter, 2% Lidocaine jelly
[1]. Ahmed, M, Pedro, RN & Kieley, S 2009, 'Systematic evaluation of ureteral occlusive devices; insertion, deployment, stone migration, and extraction', The journal of urology, vol. 73, pp. 976-980.
[2]. AI-Sammarraie, SH, AL-Dabbagh, AD & Ahmed, SB 2016, 'The efficacy of using Lidocaine jelly 2% for prevention of inadvertent retrograde stone displacement during pneumatic lithotripsy of upper ureteral stone', International Journal of Science and Research, vol. 5, no. 7, pp. 2166-2169.
[3]. Bastawisy, M, Gameel, T, Radwan, M, Ramadan, A, Alkathiri, M & Omar, A 2011, 'A comparison of Stone Cone versus Lidocaine jelly in the prevention of ureteral stone migration during ureteroscopic lithotripsy', Ther Adv Urol, vol. 3, no. 5, pp. 203-210.
[4]. Bravo-Castroa, El, Campos-Salcedob, JG, Torres-Gomeza, JJ, CastelanMarti neza, JA, Lopez-Silvestrec, JC, Zapata-Villalbac, MA, Estrada-Carrascoc, CE, Rosas-Hernandezc, H, Diaz-Gomezc C & Calderon-Garcia, JG 2014, 'Polymer gel use for preventing migration during lithotripsy in a patient with ureteral lithiasis', Rev Mex Urol, vol. 74, no. 3, pp. 193-196.
[5]. Jayram, G & Gerber, GS 2012, 'Uretesoscopic management of ureteral calculi', in Smith, AD, Badlani, GH, Preminger, GM, Kavokssi, LR (Eds), Smith's Textobook of Endourolgy, 3rd edn, pp. 412-417, Blackwell publishing Ltd, West Sussex.
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Abstract: AIM: The aim of this study is to Comparatively evaluate marginal integrity of interim crowns fabricated with two different CAD/CAM materials. The materials selected for this study are commercially available CAD/CAM based PMMA viz. VITA-CAD temp, Telio CAD. METHOD: A dentoform molar was prepared for a ceramic crown and it was scanned for fabrication of 30 stereolithical resin dies and interim crowns. The 30 interim crowns were fabricated by two commercially available CAD/CAM materials (group A VITA CAD -15 samples, group B TELIO CAD -15 samples). After fabrication of interim crowns cementation was done. Later sectioning of crowns was performed to evaluate marginal integrity of the interim crowns manufactured by two different CAD/CAM materials......
Keywords: CAD/CAM, provisional restoration, marginal integrity, marginal fit.
[1]. The Glossary of Prosthodontic Terms: Ninth Edition. The Journal of prosthetic dentistry. 2017;117(5):e1-e105.
[2]. Burns DR, Beck DA, Nelson SK. A review of selected dental literature on contemporary provisional fixed prosthodontic treatment: report of the Committee on Research in Fixed Prosthodontics of the Academy of Fixed Prosthodontics. The Journal of prosthetic dentistry. 2003 Nov 1;90(5):474-97.
[3]. Mathur S, Shah A, Makwana R, Shah M, Shah A, Jathal N. Provisional restorative materials in fixed prosthodontics: A comprehensive review. B Bhavnagar University's Journal of Dentistry. 2013;3(3):50-7.
[4]. Abdullah AO, Tsitrou EA, Pollington S. Comparative in vitro evaluation of CAD/CAM vs conventional provisional crowns. Journal of Applied Oral Science. 2016 Jun;24(3):258-63.
[5]. Al Rifaiy MQ. Evaluation of vertical marginal adaptation of provisional crowns by digital microscope. Nigerian journal of clinical practice. 2017;20(12):1610-7..
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Abstract: Résumé:
Introduction: L'étude a pour objectif de rechercher et analyser les facteurs de risque infectieux des fractures ouvertes des membres dans notre milieu.
Matériels et méthodes: il s'agit d'une étude descriptive transversale à visée analytique des fractures ouvertes des membres réalisée aux cliniques Universitaires de Lubumbashi, HGR Jason Sendwe, Hôpital SNCC et l'Hôpital Militaire de la Ruashi pendant une période de quatre ans soit de Janvier 2006 à Décembre 2010 a analysé 87 dossiers des patients admis pour fracture ouverte des membres.
Résultats: L'analyse des résultats a révélé que l'infection était la complication la plus fréquente (16,3%) et a concerné plus les patients admis au-delà......
Keywords: Morbidité infectieuse, fracture ouverte, facteurs de risque
[1]. Le Nen D, Le Guillou E, Hu W, Dubrana F, Poureyron Y. Lambeau musculaire dans le traitement des fractures ouvertes des membres. Débat. In 1997. p. 107‑15.
[2]. MOKASSA B. Elément de traumatologie de l'appareil locomoteur. UNIKIN; 2002.
[3]. Piriou P. Infection des fractures de jambe: Facteurs de risque et prévention. Cahiers d'enseignement de la SOFCOT. 2004;85:85‑104.
[4]. KAPIA N'SELE BELLO B. Prise en charge chirurgicale des blessés de guerre aux Cliniques Universitaires de Kinshasa. Mémoire de Spécialisation en chrirurgie Générale. UNIKIN; 2002.
[5]. NSUN Z, KUMASAMBA K. Treatment of femur gunshot wound, SHJO. Johannesburg Hospital; 2004.
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Abstract: Introduction: Post cardiothoracic surgery neurological complication causing poor out come and incidence was quite high. Aims & Objective: To find out neurological complications, to analyze risk factors and outcome of the neurological complication in cardiac surgery. Methods: Total 477 patients who underwent different types of cardiothoracic operation following same anesthesia & cardiopulmonary bypass protocol evaluated. Predesigned case record form and bed head ticket, CT scan used to collect data. Results: Rate of neurological complication
; Stampa 6.7%, type I -3.6%, type-II 3.1%. Incidence of neurological outcome among CABG- 8.6%, Valve-8.2%, non-valve-1.7%. Mortality of type-I neurological injury-4.1%; type-II 6.7%. CT scan report showed ischemic lesion- 26.7%; whereas......
Keywords: neurological, complication, type-I, type- II, mortality, CT scan.
[1]. Gibbon JH Jr. Application of a mechanical heart and lung apparatus to cardiac surgery. Minn Med, 1954; 37(3):171-85.
[2]. Hand BM, Nathanson DL. Neurologic complications following cardiac surgery. The American journal of cardiology, 1963; 12:480-1.
[3]. Filsoufi F, Rahmanian PB, Castillo JG, Adams DH. Incidence, imaging analysis, and early and late outcome of stroke after cardiac valve operation. Am J Cardiol, 2008; 101:1472-78.
[4]. Edmunds LH Jr, Clark RE, Cohn LH et. al. Guidelines for reporting morbidity and mortality 1 cardiac valvular operation. J Thorac Cardiovasc Surg, 1996; 112:708-11.
[5]. Wolman RL, Nussmeier NA, Aggarwal A, et. al. Cerebral injury after cardiac surgery: identification of a group at extraordinary risk. Stroke, 1999; 30: 514-22..