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

Abstract: Background: Takayasu arteritis is a rare, systemic chronic inflammatory large vessel vasculitis that causes obliterative stenosis and occlusion and post-inflammatory dilatation in arteries. It comprises of varied clinical features and imaging spectrum due to number of vessel involvement. Symptoms are usually non-specific. Digital Subtraction Angiography is considered the gold standard to evaluate location and type of arterial involvement. Objectives: The aim of this study was to determine the clinical and imaging spectrum of Takayasu's arteritis and to classify the disease based on angiographic findings. Material and methods: The study......

Keywords: Takayasu arteritis, Digital Subtraction Angiography, Stenosis, Occlusion, Artery

[1]. Kerr GS, Hallahan CW, Giordano J, Leavitt RY, Fauci AS, Rottem M, et al. Takayasu arteritis. Ann Intern Med. (1994) 120:919–29. doi: 10.7326/0003-4819-120-11-199406010-00004).
[2]. Rossman MG (2011) Takayasu arteritis.http//emedicine.medscape.com/article332378-overview. Accessed 27 Sep 2011.
[3]. Subramanyan R, Jay J, Balakrishan KG. Natural history of aortoarteritis (Takayasu‟s disease). Circulation 1989; 80: 429-37.
[4]. Takayasu arteritis.Dr. Daniel J Bell, Assoc frank Gaillard et al. https://radiopaedia.org/articles/takayasu-arteritis?lang=us.
[5]. Takayasu. A case with peculiar changes of the central retinal vessels. Acta Societatis ophthalmological Japonicae, Tokyo 1908, 12: 554.

Abstract: Introduction: Hepatitis B is one of the leading causes of ill health globally. Although Vietnam currently has a vaccine to prevent HBV, there is no specific treatment to remove it from infected cells altogether. Especially in the Khmer ethnic minority, they face many difficulties accessing and receiving medical care. Objective: Determine the prevalence of hepatitis B virus infection and related factors in Southern Khmer ethnicity from 18 to 60 years old in Tra Cu District, Tra Vinh Province, in 2021. Research subjects and methods.......

Keywords: Hepatitis B Virus, The percentage of Hepatitis B virus infection

[1]. Ban Tuyên giáo Huyện uỷ (2020) Khái quát đặc điểm dân số, tự nhiên Trà Cú, Government Document, 17.
[2]. Nguyễn Thị Ngọc Bích (2017) Tỉ lệ nhiễm vi rút viêm gan B và các yếu tố liên quan ở người trên 15 tuổi đến khám tại Trung tâm Y tế thị xã Gò Công, tỉnh Tiền Giang Luận văn tốt nghiệp Đại học Y dược TP.HCM.
[3]. Bộ môn nhiễm (2006) Bệnh Truyền Nhiễm, NXB Y học,Thành phố Hồ Chí Minh, tr. 336-337.
[4]. Bộ Y Tế (2015) Quyết định về việc ban hành kế hoạch phòng chống bệnh viêm gan vi rút giai đoạn 2015 - 2019 Government Document, 12.
[5]. Trần Hằng (2019) "Tỉ lệ viêm gan virus ở Việt Nam ở mức cao". Báo Lao Động, tr.1.

Abstract: Background: Hysterectomy is a routinely done surgical procedure. However there have been documented psychological impacts on the women in the post-operative period. The impact can have a significant effect on the long term recovery and quality of life. The present study was designed to assess if education and counselling can aid in removing immediate stressors in these patients. Methodology: A pool of 60 women who were undergoing elective hysterectomy were selected for the study. The consent was obtained for inclusion. The subjects were equally divided in two groups. One was provided with detailed education and counselling regarding the surgery , while the second was not. HADS questionnaire was used to assess the anxiety and depression in the subjects. Observations: There were no statistically significant differences in the age and diagnosis of the subjects in......

Keywords: Counselling, Education, Hysterectomy, Psychological Imoact

[1]. Flory N, Bissonnette F, Binik YM. Psychosocial effects of hysterectomy: literature review. Journal of psychosomatic research. 2005 Sep 1;59(3):117-29.
[2]. Rannestad T. Hysterectomy: effects on quality of life and psychological aspects. Best practice & research Clinical obstetrics & gynaecology. 2005 Jun 1;19(3):419-30.
[3]. Wong LP, Arumugam K. Physical, psychological and sexual effects in multi‐ethnic Malaysian women who have undergone hysterectomy. Journal of Obstetrics and Gynaecology Research. 2012 Aug;38(8):1095-105.
[4]. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta psychiatrica scandinavica. 1983 Jun;67(6):361-70.
[5]. Callaghan P, Li HC. The effect of pre‐operative psychological interventions on post‐operative outcomes in Chinese women having an elective hysterectomy. Br J Health Psychol. 2002;7(2):247–52.

Abstract: Aim: To compare the efficacy of topical Hydrogel wound dressings with that of conventional wound dressings in healing of diabetic foot ulcers Methods : A Prospective Comparative study was done from December 2018 to October 2020 among 100patients with clinical diagnosis of diabetic foot ulcers. They were divided into two groups; Group A: 50 patients subjected to hydrogel application and Group B: 50 patients subjected to normal saline dressing. The day of appearance of granulation tissue was observed and Size of the ulcer was measured on; Day 0, Day 7 and Day 14. One sample t-test was used to compare the results. Results: In the hydrogel dressing group..........

[1]. Muldner GD, Haberer PA, Jeter KF. Clinician's Pocket Guide to Chronic Wound Repair. 4th ed. Springhouse: Springhouse Corporation; 1998: p 85.
[2]. Chiang TM. The role of protein phosphatases 1 and 2A in collagen platelet interactions. Archives of Biochemistry and Biophysics 1993; 302: 52-63.
[3]. Eaglstein WH, Falanga V. Chronic Wounds. Surgical Clinics of North America 1997; 77(3): 689-96.
[4]. Meggitt B. Surgical management of Diabetic foot. British journal of Hospital Medicine 1976; 16: 227-332. 100
[5]. Regional Wound Care Guidelines Working Group CHA. Regional Wound Care Guidelines. Edmonton

Abstract: Myasthenia Gravis is the most frequent neurological disorder associated with thymoma, which encompasses Thymoma associated Myasthenia Gravis (TAMG) [1]. Thymoma-associated Myasthenia gravis (TAMG) is associated with autoantibodies to the nicotinic acetylcholine receptor (AChR-Ab) presenting with fatigable weakness of skeletal muscles [2]. The thymus is abnormal in 75% of the patients with antibody-positive MG, in 65%of the patients it is usually hyperplastic and in an additional 10%, there are thymoma [3]. The prognosis of Myasthenia Gravis (MG) in patients with thymoma is equal or less malignant when compared to Myasthenia without a thymoma probably attributable to the early detection and remission with thymectomy [7]. We hereby present the manifestation of Generalized myasthenia in a young female after successful radiotherapy of thymoma and its association with autoimmune antibodies..

Keywords: MG (Myasthenia Gravis), thymoma, autoimmunity

[1]. Alvarez-Velasco R, Gutiérrez G, Trujillo J C, Martínez E, Segovia S, Arribas-Velasco M et al., Characteristics and Outcomes of Thymoma-Associated Myasthenia Gravis. European Journal of Neurology, 28.6 (2021) <https://doi.org/10.1111/ene.14820>.
[2]. Geuder K I, Marx A, Schalke B, Toyka K, Kirchner T, Müller H, et al., 'Pathogenetic Significance of Fetal-Type Acetylcholine Receptors on Thymic Myoid Cells in Myasthenia Gravis', Developmental Immunology, 2.2 (1992), 69–75 <https://doi.org/10.1155/1992/40576>.
[3]. Harrison's Principles of Internal Medicine. 20th edition page 3232-34.
[4]. Sa-Yoon Kang, M.D., Jung Seok Lee, M.D., Jay Chol Choi, M.D., Ji-Hoon Kang, M.D. Myasthenia Gravis Appearing After Thymectomy: A Case Report and Review of the Literature. Journal of Clinical Neurology 2007; 3(3): 158-160.
[5]. Kazuya Kondo and Yasumasa Monden, 'Myasthenia Gravis Appearing after Thymectomy for Thymoma', European Journal of Cardio-Thoracic Surgery, 28.1 (2005), 22–25 <https://doi.org/10.1016/j.ejcts.2005.03.039>.

Abstract: The purpose of this study was to compare the effects of 3 different rotary Ni-Ti instruments on change of the oval-shaped root canal through measuring of canal circularity and dentin thickness removal by using multislice computed tomography. Thirty extracted single-rooted permanent mandibular premolar teeth with single oval-shaped root canal were selected and randomly divided into three equal group according to the type of Ni-Ti rotary system used for root canal preparation: Alpha, RaCe and ProTaper system. The amount of dentin thickness removal was assessed through comparing pre and post-instrumentation CT scan at different root canal levels (cervical,......

Keywords: Oval-shaped Root Canal , Multisilice CT, Dentin Thickness

[1]. Razumova, S, Brago, A, Khaskhanova, L, Howijieh, A, Barakat, H, Manvelyan A. A Cone-Beam Computed Tomography Scanning of the Root Canal System of Permanent Teeth among the Moscow Population. Int J Dent 2018; 2615746.
[2]. Valenti-Obino F, Di Nardo D, Quero L, Miccoli G, Gambarini G, Testarelli L, Galli M. Symmetry of root and root canal morphology of mandibular incisors: A cone-beam computed tomography study in vivo. J Clin Exp Dent 2019;11: 527.
[3]. Boschetti E, Silva-Sousa YTC, Mazzi-Chaves JF, Leoni GB, Versiani MA, Pecora JD, Saquy PC, de Sousa-Neto MD. Micro-CT Evaluation of Root and Canal Morphology of Mandibular First Premolars with Radicular Grooves. Braz Dent J 2017; 28:597–603.
[4]. Jou YT, Karabuchak B, Levin J, Liu D. Endodontic working width: current concepts and technqiues. Dent Clin North Am 2004;48:323–335.
[5]. Kacharaju, K.R.; Hari, P.; Yee, A.; Ngo, J.; Ismail, M.F. Analysis of Mandibular Premolars Root Canal Morphology Using Radiographic and Cross-Sectional Techniques in Malaysian Population. Dent. Hypotheses 2019;10:9–14.

Abstract: Background: Preterm infants i.e. those born before the end of 37 gestational weeks constitute between 6 and 10% of births in the West, which is why they are more exposed to serious medical problems during the neonatal period that can alter the development of oral tissues, especially the modification of the palate. Preterm infants also have limited development to the suction response and usually have to be fed through an orogastric tube (SOG). The orofacial region plays an important role in the development of the neonate. During the early stages of oral cavity development, the bony structures of the palate are malleable and the pressure of any object causes the shape of the palate to be easily shaped......

Keywords: Neonate; pre-term; palatal index; orogastric tube

[1]. Hohoff A, Rabe H, Ehmer U, Harms E. Palatal development of preterm and low birthweight infants compared to term infants - What do we know? Part 2: The palate of the preterm/low birthweight infant. Head Face Med. 2005 Oct 28;1:9. doi: 10.1186/1746-160X-1-9. PMID: 16270909; PMCID: PMC1298321.
[2]. Bush JO, Jiang R. Palatogenesis: morphogenetic and molecular mechanisms of secondary palate development. Development. 2012 Jan;139(2):231-43. doi: 10.1242/dev.067082. Erratum in: Development. 2012 Feb;139(4):828. PMID: 22186724; PMCID: PMC3243091.
[3]. Ministerio de Salud. Guías de práctica clínica para la atención del recién nacido: guía técnica / Dirección General de Salud de las Personas. Estrategia Sanitaria Nacional de Salud Sexual y Reproductiva. 2007. Lima
[4]. Cuneyt, M. Alper, M. Arjmand,S. Stool, L.&Casselbrant. Pediatric Otolaryngology. Cuarta Edición.(2003) Recuperado de http://books.google.com.pe
[5]. Seow WK. Effects of preterm birth on oral growth and development. Aust Dent J. 1997 Apr;42(2):85-91. doi: 10.1111/j.1834-7819.1997.tb00102.x. PMID: 9153835.

Abstract: Background :LVenous lake is a common vascular lesion presenting as elevated, usually dome-shaped papule, ranging in color from dark blue to dark purple and are most commonly found on lips, face, neck and ear lobes. These lesions are benign but can bleed profusely if injured. Lot of treatment modalities are there including laser sclerosing agents, cryotherapy with variable outcome. Objective: To evaluate the effectiveness of radiofrequency coupled with a surgical incision made on the roof of the venous lake on lips . Material and Methods: Four female patients with venous lake on the lips were taken for this preliminary study. Results: All the four patients......

Keywords: venous lake, lips ,radiofrequency, diascopy, glass slide

[1]. Azevedo LH, Galletta VC, Eduardo Cde P, Migliari DA. Venous lake of the lips treated using photocoagulation with high-intensity diode laser. Photomed Laser Surg. 2010 Apr;28(2):263-5.
[2]. Kim SH, Kim JY, Park ES. Venous Lakes of the Lips Successfully Treated by a Single Session of Multiplex Dual-Wavelength Laser. Medical Lasers 2016;5:39-41.
[3]. Cheung, ST, and Lanigan, SW (2007). Evaluation of the treatment of venous lakes with the 595-nm pulsed-dye laser: a case series. Clin Exp Dermatol. 32, 148-50.
[4]. Scherer, K, and Waner, M (2007). Nd:YAG lasers (1,064 nm) in the treatment of venous malformations of the face and neck: challenges and benefits. Lasers Med Sci. 22, 119-26.
[5]. Bekhor PS. Long-pulsed Nd:YAG laser treatment of venous lakes: report of a series of 34 cases. Dermatol Surg. 2006 Sep;32(9):1151-4..

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 and an increased risk of death in comparison with patients who have adequate nutritional reserves. Long-standing........

[1]. MacFie J; Nutrition and Fluid Therapy. Bailey and Love, Short Practice of Surgery 26th edition, 261-271
[2]. Corbett S A, Barbul A; Systemic response to injury and metabolic support & Wound healing; 10th edition, 40 Shwartz Principles of Surgery, 13-64, 241-272
[3]. Mahmood N. K, Marril T.D, Surgical Complications, Sabiston Textbook of Surgery, The biologic basis of Modern Surgical Practice; 19th edition
[4]. Barbour J R, Barbour E F, Herrmann V M; Surgical metabolism and nutrition. Current Surgical Diagnosis and Treatment, 13th edition, 107-134
[5]. Voss A C, Mayer K E; Obesity: Overview of treatments and interventions. Nutrition in the prevention and treatment of disease, 465-467.

Abstract: Background: The present study aimed to describe the Outcome & its correlation with socio-demographic factors among children admitted as a case of Multisystem Inflammatory Syndrome in Children (MIS-C) in A Tertiary care Hospital in the Western Himalayan Region . Material & Methods: We conducted a cross sectional study for MIS-C from January to July 2021, in the pediatric ward of Indira Gandhi Medical College Shimla in Himachal Pradesh. All children admitted with a diagnosis of MIS-C were included in the study. Data regarding socio-demographic factors and outcome was extracted and analyzed using Epi Info V7 software. Results: In the present study, a total of 31......

Keywords: Outcome, correlation socio-demiographic factors , Multisystem Inflammatory Syndrome in Children (MIS-C)

[1]. Feldstein LR, Tenforde MW, Friedman KG, et al. Characteristics and Outcomes of US Children and Adolescents With Multisystem Inflammatory Syndrome in Children (MIS-C) Compared With Severe Acute COVID-19. JAMA. 2021;325(11):1074–1087.
[2]. Mayo clinic. Available at: https://www.mayoclinic.org/diseases-conditions/mis-c-in-kids-covid-19/symptoms-causes/syc-20502550(Accessed on 22 July 2021)
[3]. Childrens hospital. Available at: https://www.childrenshospital.org/conditions-and-treatments/conditions/m/mis-c (Accessed on 21 July 2021)
[4]. Hopkins Medicine. Available at: https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus/misc-and-covid19-rare-inflammatory-syndrome-in-kids-and-teens(Accessed on 24 July 2021)
[5]. Kwak JH, Lee SY, Choi JW. Clinical features, diagnosis, and outcomes of multisystem inflammatory syndrome in children associated with coronavirus disease 2019. Clin Exp Pediatr 2021;64:68-75

Abstract: The study aims to assess the morbidity associated with ports at the site of their insertion in laparoscopic surgery, to define, control risk factors for complications and their management. All patients who underwent laparoscopic surgeries, between 2019 and 2021, at GGH, Guntur, in the Department of General Surgery after receipt of written consent were included, and port sites were monitored for complications. Data collected and analyzed by various statistical methods. Of the 100 patients undergoing laparoscopic surgery, 36 had developed complications directly linked to the port-site during a minimum follow-up of two year period; port site discharge (PSD) was the most frequent, followed by port site infection, bleeding.

[1]. Ahmed G, Duffy JM, Phillips K, Watson A. Laparoscopic entry technique. Cochrane Database Syst Rev. 2008;2:CD006583.
[2]. Jansen FW, Kolkman W, Bakkum EA, de Kroon CD, Trimbos-Kemper TC, Trimbos JB. Complications of laparoscopy: an inquiry about closed-versus open-entry technique. American journal of obstetrics and gynecology. 2004 Mar 1;190(3):634-8.
[3]. Jansen FW, Kapiteyn K, Trimbos‐Kemper T, Hermans J, Trimbos JB. Complications of laparoscopy: a prospective multicentre observational study. BJOG: An International Journal of Obstetrics & Gynaecology. 1997 May;104(5):595-600.
[4]. Azziz R. Advantages and disadvantages of operative endoscopy. InPractical Manual of Operative Laparoscopy and Hysteroscopy 1992 (pp. 1-6). Springer, New York, NY.
[5]. Kadar N, Reich H, Liu CY, Manko GF, Gimpelson R. Incisional hernias after major laparoscopic gynecologic procedures. American journal of obstetrics and gynecology. 1993 May 1;168(5):1493-5.