iosr-JDMS   Volume-20 ~ Issue-3 ~ March 2021

Abstract: Knee dislocation is a rare but serious injury due to the risk of vascular injury (14 to 65%). In the absence of vascular lesions, which is an absolute therapeutic emergency requiring emergency surgery, multi ligament injuries of the knee are lesions that are difficult to manage. We recall a case of posterior dislocation of the knee in a 20-year-old patient, the patient underwent emergency reduction and olecranization of the kneecap, followed by a control CT angiography without vascular injury.

[1]. Marin EL, Bifulco SS, Obesity Fast A. A risk factor for knee dislocation. Am J Phys Med Rehabil 1990 ; 69(3) : 132–4.
[2]. Chin-Ho Wong et al Knee dislocations- a retrospective study comparing operative versus closed Immobilization treatment outcomes Knee surg sports Traumatol Arthrose (2004) 12: 540-544
[3]. Green NE, Allen BL. Vascular injuries associated with dislocation of the knee. J Bone Joint Surg Am 1977 ; 59 : 236–9.
[4]. Hoover NW. Injurie of the popliteal artery associated with fractures and dislocations. Surg Clin North Am 1961 ; 41 : 1099–124
[5]. Mahfoud. Traite de traumatologie fracturaire et luxations des membres Tome 2 : membre inferieur 2006 [6]. Grammont P. : Olecranisation of Patella Meeting of the European Society for Knee and Arthroscopy (ESKA) Berlin April 11, 1984 [7]. Hermens K.A., Hackenbruch W. : Olecranisation of the Patella in Posterior Instability of the Knee Orthopaedic Review Vol. XV, N 9, Sept 1986, P 65-68

Abstract: Background: This clinical study aimed to compare between Cobalt chrome and poly-ether-ether-ketone material in the fabrication of a mandibular Removable Partial Denture Kennedy Class II clinically and radiographically. Materials and Methods: In this prospective randomised controlled study, fourteen patients having mandibular Kennedy Class II RPD (missing from 6 to 8 at one side) were selected from those attending to the Outpatient Clinic of The Prosthodontics Department, Faculty of Dentistry, Tanta University. These patients were divided randomly by coin flipping into two groups, each group consists of seven patients: Group A: Seven patients received cobalt chrome (CO-CR) removable partial denture using conventional method. Group B: Seven patients received RPD fabricated from poly-ether-ether-keton (PEEK) (BioHPP) using lost wax technique......

Keyword: PEEK; CoCr; Lower RPD Kennedy class II; Periotest; Pocket depth; Clinical attachment level; Digital periapical x-ray.

[1]. Jones JD, Turkyilmaz I, Garcia LT. Removable partial dentures--treatment now and for the future. Texas dental journal. 2010; (4):365-372.
[2]. Anderson GF, Hussey PS. Population Aging: A Comparison Among Industrialized Countries: Populations around the world are growing older, but the trends are not cause for despair. Health affairs. 2000; (3):191-203.
[3]. McCord JF, Grey NJ, Winstanley RB, Johnson A. A clinical overview of removable prostheses: 1. Factors to consider in planning a removable partial denture. Dental update. 2002; (8):376-381.
[4]. Van Noort R, Barbour M. Introduction to Dental Materials-E-Book: Elsevier Health Sciences; 2014:304-310.
[5]. Jarman-Smith M. Evolving uses for implantable PEEK and PEEK based compounds. Medical device technology. 2008; (6):12-15.

Abstract: Anterior skull base tumours are usually removed by a trans cranio-facial approach or an anterior trans cranial approach. The latter implies typically a retraction of the brain which could be responsible of seizures onset. Recently, the endoscopic endonasal approach for these anterior skull base tumours has been reported such as the extended endoscopic approach. The role of the endoscopic endonasal approach in the treatment of the malignant tumours of the anterior skull base has evolved. The EEN approach can be combined to a trans cranial approach in the purpose to realise a gross total resection and can be therefore be followed by radiotherapy. This endoscopic trans ethmoidal trans cribriform approach is the most rostral extension of the standard transsphenoidal approach and involves the area ranging from the anterior part of the planum to the posterior edge of the frontal sinuses. The purpose of this study is to present our experience in the endoscopic anterior skull base approach and to describe the technique......

Key word: rhinorrhea, cribriform plate, endoscopic endonasal trans-ethmoidal trans cribriform approach, méningo-encephaloceles.

[1]. amin b. Kassam, m.d.,1,2 daniel m. Prevedello, m.d.,1ricardo l. Carrau, m.d.,1,2 carl h. Snyderman, m.d.,1,2 ajith thomas, m.d.,1 paul gardner, m.d.,1 ada m Zanation, m.d.,2 bulent duz, m.d.,3 s. Tonya stefko, m.d.,1,4 karin byers, m.d.,5 and micha el b. Horowitz, m.d.1: endoscopic endonasal skull base surgery: analysis of complications in the authors' initial 800 patients a review.j neurosurg 114: 2011.1544–1568.
[2]. castelnuovo p, bignami m, delù g, battaglia p, bignardi m, dallan i: endonasal Endoscopic resection and radio therapy in olfactory neuroblastoma: our experience. Head neck. 2007
[3]. Sep; 29 (9): 845-50. 3] ceylan s, koc k, anik i: Extended endoscopic approaches for midline skull-base lesions. Neurosurg rev. 2009 jul; 32 (3): 309-19.
[4]. darlene lubbe, patrick semple, johan fagan: advances in endoscopic sinonasal and anterior skull base surgery. August 2008, vol. 98, no. 8 samj
[5]. davide locatelli, m.d. federic orampa, m.d. ilariaacchiardi, m.d. francesca de bernardi, m.d. endoscopic endonasal approaches

Abstract: Background: Emergency gastrointestinal surgery and electrolyte imbalance is very common association in surgical field. Sodium and potassium are most common of all for imbalance. Alternation of its level causes deterioration of general condition of patient. So it's very important to prevent alteration during and after gastrointestinal surgery, management of altered electrolyte levels after gastrointestinal surgery. Principally the sodium and potassium alterations have been taken into account along with special notice to other electrolytes such as bicarbonate ion, calcium ion and magnesium ion and various comparison between the.......

KEYWORDS: Electrolyte imbalance; Hypokalaemia; Hyponatremia; gastrointestinal surgery.

[1]. Hill GL, Mair WSJ, Goligher JC. Cause and management of high volume output salt depleting ileostomy. Br JSurg1975; 62: 720- 726.
[2]. Hill GL, Goligher JC, Smith AH, Mair WS. Long term changes in total body water, total exchangeable sodium and total body potassium before and after ileostomy. Br Jsurg 1975; 62: 524-7.
[3]. Journal of Dept. of General Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India.
[4]. Wilson AO, B.Sc., M.B, Ch.B., F.R.C.S.E., Observation on serious disturbance of water and electrolyte metabolism in patient with terminal ileostomy Dept. of Surgery, Post Graduate Medical School of London.
[5]. Abbot, WE, Krieger H, Babb. Metabolic alteration in surgical patients I. The effects of altering the electrolyte, carbohydrates, and aminoacid intake. AMA Annals of Surgery, 1963; 138: 434.

Abstract: Aims & Objectives: To find the prevalence of depression/anxiety & sleep disorder among front line corona warriors in government medical college, Meerut, U.P Methodology: 50 doctors & nurses who were posted in Covid isolation ward /ICU enrolled in the study. A two-part questionnaire was distributed among participants, the first part of which include PHQ-9 questionnaire to rule out mental health disorder and the second part consisted of ESS scale for sleep disturbance. Both parts also consist of few questions regarding basic socio demographic details of participants. Results: The evidence showed that the majority of the subjects affected psychologically were below the age of 30 years, males and were married. Bases on PHQ-9 questionnaire and ESS scale 34.0% subjected were having psychological symptoms and 6.0% were having insomnia........

KEYWORDS: Stress, Doctors, Nurses, Frontline Warriors, Covid 19

[1]. Cañadas-De la Fuente GA, Ortega E, Ramirez-Baena L, De la Fuente-Solana EI, Vargas C, Gómez-Urquiza JL. Gender, Marital Status, and Children as Risk Factors for Burnout in Nurses: A Meta-Analytic Study. Int. J. Environ. Res. Public Health. 2018;15:2102.
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[4]. Johns MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 1991; 50-55.
[5]. Bai Y, Lin C-C, Lin C-Y, Chen J-Y, Chue C-M, Chou P. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Serv. 2004;55(9):1055–7.

Abstract: Peptic ulcer is one of the most common causes of abdominal pain which presents in emergency with perforation. Peptic ulcer perforation patients presenting late in to the emergency department has significant effect on the morbidity and mortality. The study is undertaken to evaluate the duration of onset of abdomen pain and surgery on outcome of peptic ulcer perforation. We have conducted this prospective study among 100 patients admitted for perforated peptic ulcer at Department of General surgery, Coimbatore Medical College Hospital, Tamilnadu . The diagnosis of ulcer perforation was established by the admitting surgeon based on presenting complaints, clinical features and supported by radiological investigation and confirmed preoperatively.......

Keywords: Peptic ulcer perforation

[1]. Chalya PL, Mabula JB, Koy M, McHembe MD, Jaka HM, Kabangila R, et al. Clinicalprofile and outcome of surgical treatment of perforated peptic ulcers: A tertiary hospital experience. World J EmergSurg 2011;6:31.
[2]. Noguiera C, Silva AS, Santos JN, Silva AG, Ferreira J, Matos E, et al. Perforated peptic ulcer: main factors of morbidity and mortality. World J Surg 2003;27:782-787.
[3]. Schein M: Perforated peptic ulcer. In: Schein's common sense emergency abdominal surgery. vol. part III: Springer Berlin Heidelberg; 2005: 143-150.
[4]. Imhof M, Epstein S, Ohmann C, Röher HD. Duration of survival after peptic ulcer perforation. World J Surg 2008;32:408- 412
[5]. Graham R, R: The treatment of perforated duodenal ulcers. . SurggynecolObstet1937(64):235-238.
[6]. Sharma SS, Mamtani MR, Sharma MS, Kulkarni H: A prospective cohort study of postoperative complications in the management of perforated peptic ulcer. BMC Surg2006, 6:8.

Abstract: Dengue is a febrile illness caused by Flavivirus transmitted by Aedes mosquito. Dengue is the most rapidly spreading mosquito borne viral disease in the world. It is endemic in Asia, the Pacific, Africa and the Americas. Approximately 50 million infections occur annually 1 with 500,000 cases of dengue haemorrhagic fever and 22,000 deaths (CDC 2014). WHO categorised severe dengue as group C which includes dengue haemorrhagic fever and dengue shock syndrome due to its wide spectrum of manifestations.

[1]. WHO. Dengue and dengue haemorrhagic fever. Factsheet No 117, revised May 2008. Geneva, World Health Organization, 2008 (http://www.who.int/mediacentre/factsheets/fs117/en/).
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[5]. Souza LJ, Alves JG, Nogueira RM, et al. Aminotransferase changes and acute hepatitis in patients with dengue fever: analysis of 1,585 cases. Braz J Infect Dis 2004; 8:156–163.

Abstract: This case report presents the successful treatment of a Class II division 2 malocclusion with missing lower lateral incisors. The discrepancy in the maxillary and mandibular arches were resolved by extraction of the bilateral maxillary first premolars on both sides. Deep bite was corrected using an interior biteplate. Space gained by extraction was utilised for retraction of protruded upper anteriors. Multiple loop archwire was used for intrusion of upper central incisors, then active laceback of maxillary canines was done followed by retraction of maxillary incisors using 19x25 TMA t-loop. A nance palatal arch was incorporated to reinforce the anchorage. Posttreatment changes were favourable with respect to deep bite, inclination of upper incisors and lower incisors as well as the stomatognathic function of patient..

KEYWORDS: class II Div 2; extraction;

[1]. Bishara S.E., 2006, March. Class II malocclusions: diagnostic and clinical considerations with and without treatment. In Seminars in orthodontics (Vol. 12, No. 1, pp. 11-24). WB Saunders
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[3]. Andrews, L.F., 1972. The six keys to normal occlusion. Am J Orthod, 62(3), pp.296-309.
[4]. Burstone, C.R., 1977. Deep overbite correction by intrusion. American journal of orthodontics, 72(1), pp.1-22.
[5]. Burstone, C.J. and Koenig, H.A., 1988. Creative wire bending—the force system from step and V bends. American Journal of Orthodontics and Dentofacial Orthopedics, 93(1), pp.59-67.