iosr-JDMS   Volume-20 ~ Issue-4 ~ April 2021

Abstract: The present study was conducted in the Post Graduate Department of Anatomy, Government Medical College , Srinagar to observe the variations in the branching pattern of brachial artery. The aim of this study was to make clinicians, nurses as well as paramedical staff academically wiser and practically more competent while dealing with these anomalous branches during surgery and other interventional procedures. 30 upper limbs were studied. 16 limbs were dissected for routine teaching during 2015-2017 and 14 wet anatomical specimens were taken and observations regarding the branching pattern of brachial artery were recorded simultaneously. It was observedin our study that brachial artery divided high up in one left upper limb i.e. it was superficial or high up division. This anomalous branching pattern.......

Key Words: Brachial artery, Radial artery, Ulnar artery, high up division, gangrene

[1]. Singh V, Textbook of Anatomy: Upper Limb and Thorax, vol. 1, ed. 2.
[2]. Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson MW, eds. Gray's Anatomy. 38th Ed., London, Churchill Livingstone. 1999; 319, 1539.
[3]. G.R. ROMANES, Cunningham's Textbook of Anatomy, Twelfth edition, OXFORD UNIVERSITY PRESS, Oxford New York Toronto 1981;902
[4]. Adachi B, Das. Arteriensystem der Japaner. Vol.1, Maruzen Kyoto.285-356;ed. 1928.
[5]. McCormack LJ, Cauldwell EW, Anson BJ. Brachial and antebrachial arterial patterns: a study of 750 extremeties.Surgery, gynaecology and Obstetrics. Vol.96;pp 43-54:1953..

Abstract: Aim :To evaluate the efficacy and safety of bandage contact lens in various corneal disorders Background: Therapeutic contact lenses are important tools for the treatment of ocular surface disease and other corneal conditions. Bandage contact lenses protect the cornea from environmental conditions and counter the abrasive effects of the patient's own eyelids. Using these lenses can help repair tissue, manage pain, and maintain visual acuity. Materials and Methods: Bandage contact lens was applied to patients who required corneal re-epithelialization promotion or pain reduction in various corneal disorders from January 2019to April 2020 at Department of ophthalmology,MLB Medical college and hospital,Jhansi.Informed written consents were obtained. Bandage contact lens was applied in the diseased eye. Lens centration and movement was assessed with slit-lamp. Patients were evaluated the next day and then on weekly basis for improvement of ocular condition or occurrence of any complication. After 1 week the........

KEY WORDS: Bandage Contact Lens, Corneal Re-epithelialization, Pain Reduction

[1]. Arrington G E. A History of Ophthalmology. MD Publishers, New York, 1959.
[2]. Bailey N. Neal Bailey's contact lens chronicals. Contact Lens Spectrum 1967;7:6.
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[4]. Leibowitz H M, Rosenthal P. Hydrophilic Contact lenses in corneal disease. Arch Ophthalmol 1971;85:163.
[5]. Aquavella JV. The treatment of herpetic stromal disease EENT Monthly 1972;51:15.
[6]. Leibowitz HM. Hydrophilic contact lenses in Corneal disease Arch Ophthalmol 1972;88:602.

Abstract: The aim of this study was to determine the influence of dialysis duration on oral conditions among Moroccan hemodialysis (HD) patients. A cross-sectional study based on data collected from HD patients treated at two different dialysis centers in Morocco. The medical file of each patient was reviewed. The cause of renal failure was recorded and the oral cavity was examined for plaque deposit, gingivitis, periodontitis and dental caries using plaque index (PI) and gingival index (GI) of Silliness and Löe, and decayed, missing or filled teeth (DMFT), respectively. The condition of the oral mucosa and other oral lesion was recorded. In order to determine the effect of the duration of HD on oral conditions, patients were divided into two groups: (1) those that have been on dialysis for less than 5 years, (2) those that have been......

Key words: Dialysis duration, oral health, chronic kidney disease

[1]. Bayraktar G., Kurtulus I., Duraduryan A., Cintan S., Kazancioglu R, Yildiz A et al., Dental and periodontal findings in hemodialysis patients. Oral Dis., 2007, 13: 393–7
[2]. Cole B, Clark DC, Seale JP, Shellenberger S, Lyme A, Johnson JAet al. Reinventing the reel: An innovative approach to resident skill building in motivational interviewing for brief intervention. Subst Abus 2012;33:278- 81
[3]. Benghanem G M. Renal replacement therapies for end-stage renal disease in North Africa. Clin Nephrol. 2010 Nov;74 Suppl 1:S17-9
[4]. Souza CM, Braosi AP, Luczyszyn SM, Casagrande RW, Pecoits-Filho R, Riella MC, et al. Oral health in Brazilian patients with chronic renal disease. Rev Méd Chil 2008;136:741-6.
[5]. Craig RG. Interactions between chronic renal disease and periodontal disease. Oral Dis 2008;14:1-7

Abstract: Background and Objectives: Intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly. These fractures are three to four times more common in women and the mechanism of injury is usually due to low-energy trauma like a simple fall. More than 50% of intertrochanteric fractures are unstable. The surgical stabilization of unstable intertrochanteric fractures remains a persistent challenge. The purpose of this study is to evaluate the effectiveness and drawbacks of the cephalomedullary Nail in the management of unstable intertrochanteric fractures.
Methodology: This study is a prospective, time bound, hospital based study conducted at Saint Raphael Hospital, between October 2017 to November 2018.......

Key words: Cephalomedullary nail, Intertrochanteric fractures, AO classification, Harris hip score

[1]. Kulkarni G, Limaye R, Kulkarni M, Kulkarni S. Intertrochanteric fractures. Indian journal of orthopaedics. 2006; 40(1):16.
[2]. Takigami I, Matsumoto K, Ohara A, Yamanaka K, Naganawa T, Ohashi M et al. Treatment of trochanteric fractures with the PFNA (proximal femoral nail antirotation) nail system - report of early results. Bulletin of the NYU hospital for joint diseases. 2008; 66(4):276-9.
[3]. Koval KJ, Aharonoff GB, Rokito AS, Lyon T, Zuckerman JD. Patients with femoral neck and intertrochanteric fractures. Are they the same? Clinical orthopaedics and related research. 1996; (330):166-72.
[4]. Bucholz RWH, James D, Court-Brown, Charles M. Tornetta, Paul. Rockwood and Green's Fractures in Adults, 7th Edition. Russell TA, editor. Philadelphia
[5]. Harrington KD. The use of methylmethacrylate as an adjunct in the internal fixation of unstable comminuted intertrochanteric fractures in osteoporotic patients. The Journal of bone and joint surgery American volume. 1975; 57(6):744-50

Abstract: Odontoid process' fracture is the most common post-traumatic upper cervical spine fracture, the classification of these fractures, proposed in 1974 by Anderson & D'Alonzo, remains the most widespread because of its simplicity and its prognostic value. This retrospective study includes 35 patients treated for odontoid fracture in our neurosurgery department at the EHS of Cherchel between 2015 and 2021. The circumstances of the trauma were dominated by road accidents .The clinical presentation was dominated by neck pain in 100% of cases, 06 cases with tetra paresis. All the patients were previously explored by a simple x-ray of the cervical spine, a CT scan and a cervical MRI. According to Anderson and Alonzo classification, 35 patients classified as Anderson Alonzo Type II (25 type IIB cases and 10 type.......

[1]. GRAUER JN, SHAFI B, HILI BRAND AS, HARROP JS, KWON BK, BEINER JM, ET AL. Proposal of a modified, treatment-oriented classification of odontoid fractures. Spine J 2005;5:123-9.
[2]. L. Barresi, R. Saddiki. Ostéosynthèse par vissage antérieur des fractures de l'odontoïde : sur une série de 36 cas. Revue de chirurgie orthopédique et traumatologique (2010) 96, 816-820.

Abstract: Introduction: Dengue a viral febrile illness had an outbreak in Bangladesh in the year 2019 in its different cities. So objective of the present study was to observe the clinical serological pattern of dengue in our context. Methods: Present study was conducted in the Department of Medicine, Chattogram Maa O Shishu Hospital Medical college during a period of six month in the year 2019. 33 cases were of dengue fever was included in the study. Dengue was diagnosed on clinical ground with serological tests. Fever with other focal signs was excluded from the study. clinical and serological features were evaluated . Results: Among the total 33 patients revealed most were at age group <20 years 9(27.3%) and 21-30 years were 12(36.4%) and the mean ± SD of age was......

[1]. World Health Organization(WHO). Dengue and dengue haemorrhagic fever. Fact Sheet N 117, March 2009.
[2]. Jacobs M. Dengue: Emergence as a global public health problem and prospects for control. Trans Royal Soc Trop Med Hyg 2000;94:7-8.
[3]. Guzmแn MG, Kourํ G. Dengue: An update. Lancet Infect Dis 2002;2(1):33-42.
[4]. World Health Organization. Dengue haemorrhagic fever: Diagnosis, treatment, prevention and control. Geneva: WHO; 1997.
[5]. Sharma S and Sharma SK. Clinical profile of DHF in adults during 1996 outbreak in Delhi, India.Dengue Bulletin. 1998; 22: 20-27.

Abstract: Objective: - To assess the stress among parents of thalassaemic children and also to assess coping strategies among parents of thalassaemic children. Materials and Methods: - It is a prospective observational cross section study conducted over the duration of one year in parents of thalassaemic patients G.G.G Hospital for regular blood transfusion for their children after ethical clearance and informed consent a total of 50 parents were enrolled according to inclusion criteria. Parents were assessed using general health questionaries' and cope strategies by using COPE INVENTORY. Results were analysed with help of standard deviation z test and chi square test. Results: - Out of total 50 parents of thalassaemic patient's majority parents (48%) where in age group of 31 to 40 years and most of them where mothers (60%). Stress was observed in 28% of parents on GHQ 28 score which was more in mothers (33.33%), stress observed.....

Keywords: - Thalassemia, General health questionaries' (GHQ28), COPE inventory, Psychological stress

[1]. Weatherall DJ, Clegg JB (2000): The Thalassemia syndromes, 4th ed. Oxford, Blackwell science (in press).
[2]. www. Medindia.net/patients/ patients info/ thalassemia
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[4]. Cooley TB, Lee P: Series of cases of splenomegaly in children with anaemia and peculiar changes in The bones. Tans AmPediatr Soc 1925, 38:29.
[5]. Dr M.R. Lokeshvar, Thalassemia: Indian Scenario, issues in tropical paediatrics, I.A.P.-1999, Jaipur Printers Pvt. Limited page No. 188, 188-191.
[6]. Choudhary VP, Desai N. Pati HP and Nanu A, Current Management of homozygous beta Thalassemia, India Paediatrics 1991,28:1221-29..

Abstract: Objective: To study the prevalence of genitourinary syndrome in post-menopausal females aged between 45 – 65 years and its correlation with UTI.
Methods: All post-menopausal females aged between 45 to 65 years of age having symptoms of genitourinary syndrome presenting in the Gynae OPD of Government Medical College and Hospital, Amritsar and fulfill the inclusion and exclusion criteria were selected for the study. After a thorough history, genitourinary symptoms, signs were noted. GSM positive patients were subjected to urinary culture examination.
Results: Of all the 200 women evaluated for external genital, urinary and sexual signs and symptoms, the prevalence of GSM was found to be 74% (148/200). The prevalence of urinary tract infection was found to be 10.8% of the women reporting positive for GSM........

[1]. Gandhi J, Chen A, Dagur G, Suh Y, Smith N, Cali B et al. Genitourinary syndrome of menopause: an overview of clinical manifestations, pathophysiology, etiology, evaluation, and management. Am J Obstet Gynecol. 2016;215(6):704-11.
[2]. Moral E, Delgado J, Carmona F, Caballero B, Guillán C, González P et al. Genitourinary syndrome of menopause. Prevalence and quality of life in Spanish postmenopausal women. The GENISSE study. Climacteric. 2018;21(2):167-73.
[3]. Huang KE, Xu L, Nasri N, Jaisamrarn U. The Asian Menopause Survey: knowledge, perceptions, hormone treatment and sexual function. Maturitas. 2010 Mar 1;65(3):276-83.
[4]. Fazel N, Shomoossi N. The prevalence of urogenital symptoms and associated risk factors in post-menopausal women of Sabzevar, Iran (2009). Middle-East J Sci Res. 2011;7:733-.
[5]. Kapur P, Sinha B, Pereira B. Measuring climacteric symptoms and age at natural menopause in an Indian population using the Greene Climacteric Scale. Menopause. 2009;16(2):378-84.

Abstract: La mission humanitaire du 5éme hôpital militaire médico-chirurgicale (5 HMMC) à Beyrouth avait pour but le rapprochement des soins à la population après la catastrophe de l'explosion du port de Beyrouth. L'objectif de notre travail est d'exposer le bilan d'activité de l'équipe de de chirurgie plastique au sein du 5éme HMMC à Beyrouth de la période du 10 Aout 2020 au 10 Octobre 2020.

[1]. Kluger Y., Peleg K., Daniel-Aharonson L., Mayo A.: The special injury pattern in terrorist bombings. J. Am. Coll. Surg. 2004; 199: pp. 875-879.
[2]. Peleg K., Aharonson-Daniel L., Stein M., Michaelson M., Kluger Y., Simon D., et. al.: Gunshot and explosion injuries: characteristics, outcomes, and implications for care of terror-related injuries in Israel. Ann. Surg. 2004; 239: pp. 311-318.
[3]. DePalma R.G., Burris D.G., Champion H.R., Hodgson M.J.: Blast injuries. N. Engl. J. Med. 2005; 352: pp. 1335-1342.
[4]. Wong J.M., Marsh D., Abu-Sitta G., Lau S., Mann H.A., Nawabi D.H., et. al.: Biological foreign body implantation in victims of the London July 7th suicide bombings. J. Trauma 2006; 60: pp. 402-404.
[5]. Pats B, Lenoir B, Ausset S, Benois A. Blast et blessures par explosion. EMC (Elsevier Masson SAS, Paris), Anesthésie-Réanimation, 36-725-D-10, 2000 : 11p.

Abstract: Trapeze flap is a technique in releasing the contractures following burns at joints. Often, in joint contractures, the contractural band, confined to either to medial or lateral side with tenting of nearby normal tissue is observed restricting the movement of the joint desired. Many procedures are applied ranging from release with split thickness skin grafting to free tissue transfer with their own merits and demerits. Here, we are sharing 8 cases, where the technique of 'Trapeze' flap applied at various occasions over joints to release post burn contractures with satisfactory outcome......

[1]. Grishkevich V (1991) The basic types of scar contractures after burns and methods of eliminating them with trapeze plasty flaps. Plast Reconstr Surg 88: 1044-1054.
[2]. Grishkevich VM, Moroz VY. Surgical treatment of burn consequences of lower extremities. Medicina: Moscow, 1996.
[3]. Grishkevich VM, Grishkevich M (2018) Exploration of Scar Surface Deficit as a Cause of Post burn Scar Contractures. JSM Burns Trauma 3(1): 1035

Abstract: Platelet aggregates has been used in surgery for many years. The primary goal of these 'Autologous Preparation' was to aggregate platelets and their growth factors and to convey it to a surgical site, to improve healing only. The latest research work shows that the PRF also can be used for Protection of Graft, neoangiogenesis, vascularization locally and release of various growth factors apart from healing.
Platelet rich fibrin (PRF) is considered as the new generation of platelet concentrate. "Choukroun's PRF" or Leucocyte PRF (L-PRF) is the new development, which was first developed by Choukroun's et al. in 2001 as an 'Autologous biomaterial.' A systematic literature search was performed to identify relevant articles that describes the use of PRF, through PubMed and Scopus....

Key words- Platelet rich fibrin, Platelet aggregates, facial plastic surgery

[1]. Dohan Ehrenfest DM, Rasmusson L, Albrektsson T. Classification of platelet concentrates: From pure platelet-rich plasma (P-PRP) to leucocyte- and platelet-rich fibrin (L-PRF). Trends Biotechnol 2009;27:158– 167.
[2]. Choukroun J, Diss A, Simonpieri A, Girard MO, Schoeffler C, Dohan SL, Dohan AJ, Mouhyi J and Dohan DM. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part IV: clinical effects on tissue healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: e56-60.
[3]. Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan AJ, Mouhyi J and Gogly B. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part III: leucocyte activation: a new feature for platelet concentrates? Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 101: e51-55.
[4]. Kawase T, Kamiya M, Kobayashi M, Tanaka T, Okuda K, Wolff LF and Yoshie H. The heat-compression technique for the conversion of platelet-rich fibrin preparation to a barrier membrane with a reduced rate of biodegradation. J Biomed Mater Res B Appl Biomater 2015; 103: 825-31.
[5]. Wu CL, Lee SS, Tsai CH, Lu KH, Zhao JH and Chang YC. Platelet-rich fibrin increases cell attachment, proliferation and collagen-related protein expression of human osteoblasts. Aust Dent J 2012; 57: 207-212.

Abstract: Background: Academic learning environment includes everything that happens in the educational institute. It surrounds the educational, physical, social and psychological situation in which students are immersed. It plays a significant role in the professional and moral development of the students and effectiveness of learning and educational activities. The study was conducted with an aim to evaluate the academic learning environment of selected medical colleges of Bangladesh.......

Key words: Academic Learning Environment, DREEM, Medical College, Bangladesh

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