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

Abstract: This review aims to provide a comprehensive understanding of the LANAP-laser assisted new attachment procedure, its various other dimensions and the recent advances following the procedure. The numerous literature sources available regarding the LANAP procedure and its applications in Periodontology are reviewed and analyzed systematically to ensure a detailed description on the topic in this section.

Keywords: LANAP, new attachment, Nd:YAG lasers, periodontal therapy, periodontal regeneration

[1]. Jha A, Gupta V, Adinarayan R. LANAP, periodontics and beyond: A review. Journal of lasers in medical sciences. 2018; 9(2):76-79.
[2]. Nevins M, Kim SW, Camelo M, Martin IS, Kim D, Nevins M. A prospective 9-month human clinical evaluation of laser-assisted new attachment procedure (LANAP) therapy. Int J Periodont Rest.2014; 34(1):21- 27.
[3]. Brown IS. Current advances in the use of lasers in periodontal therapy: a laser-assisted new attachment procedure case series. Clin Adv Periodontics. 2013; 3(2):96- 104.
[4]. Katuri KK, Bollepalli AC, Sunkireddy HKR, Chilakalapudi HCB, Kurapati S, Vinnakota NR. Clinical effectiveness of laser assisted new attachment procedure as an adjunct to nonsurgical periodontal treatment: a randomized clinical study. J Int Oral Health. 2015; 7(11):57-62.
[5]. Myers TD, Myers WD, Stone RM. First soft tissue study utilizing a pulsed Nd:YAG dental laser. Northwest Dent. 1989;68:14–17

Abstract: Background: Cardiac autonomic neuropathy (CAN) is a serious and common complication of Diabetes. Hyperglycemia is the leading cause of the initiation of this pathogenic process, even though the pathogenesis of Diabetic CAN is multifactorial. The present study aims to estimate the effect of reduced fasting blood sugar (FBS), post prandial blood sugar (PPBS) and glycated hemoglobin (HbA1c) levels on the cardiac autonomic function in recently detected cases of diabetes. Materials and methods: The study was done on 100 recently detected cases of type 2 Diabetes. A series of autonomic function tests were done according to Ewing's criteria on the patients to determine cardiac autonomic neuropathy and percentage of patients showing abnormal result were calculated. FBS, PPBS and HbA1c were also estimated. Statistical analysis was done by applying Student's t test. Results: The mean differences for all.......

Keywords: cardiac autonomic neuropathy, diabetes mellitus, fasting blood sugar, post prandial blood sugar

[1]. Boulton AJ, Vinik AI, Arezzo JC, Bril V, Feldman EL, Freeman R, Malik RA, Maser RE, Sosenko JM, Ziegler D. Diabetic neuropathies: a statement by the American Diabetes Association. Diabetes Care 2005; 28: 956-962 [PMID: 15793206 DOI: 10.2337 / diacare .28 .4.956]
[2]. Albers JW, Pop-Busui R. Diabetic neuropathy: mechanisms, emerging treatments, and subtypes. CurrNeurolNeurosci Rep 2014; 14: 473 [PMID: 24954624 DOI: 10.1007/s11910-014-0473-5]
[3]. Haffner SM, Lehto S, Ronnemaa T, Pyorala K, Lakso M. Mortality from coronary heart disease in subjects with type 2 diabetes and in nondiabetic subjects with and without prior myocardial infarction. N Engl J Med 1998; 339: 229-234.
[4]. Koistinen MJ. Prevalence of asymptomatic myocardial ischemia in diabetic patients. BMJ 1990; 301: 92-95
[5]. Dimitropoulos G, Tahrani AA, Stevens MJ. Cardiac autonomic neuropathy in patients with diabetes mellitus. World J Diabetes. 2014; 5:17-39

Abstract: Leiomyosarcoma are aggressive soft tissue sarcomas, derived from smooth muscle cells, typically of uterine, gastrointestinal, blood vessels, or other soft tissue origin. Leiomyosarcomas of the mesentery are rare tumors. We report a case of a patient who presented with a mass per abdomen associated with pain, diagnosed with leiomyosarcoma of mesentery after immunohistochemistry.

Keywords: Leiomyosarcoma, Mesentery

[1]. Sharma R, Mahajan N, Vij A, Chaudhary UK, Sharma A. Mesenteric Leiomyosarcoma Mistaken as Subserosal Fibroid. A Rare Case Report. 2015;2:8–10.
[2]. Kato T, Noda H, Abe I, Alonso S, Yokoyama N, Rikiyama T. Curative resection for leiomyosarcoma of the descending mesocolon with metachronous liver metastasis: A case report and literature review. Mol Clin Oncol. 2016;5:53–56.
[3]. Dalal V, Kaur M, Menia R, Siraj F, Bhatnagar A, Agrawal U. Primary Leiomyosarcoma of the Mesentery: A Case Report. Iran J Med Sci. 2017;42(5):505-508.
[4]. Bathan AJ, Constantinidou A, Pollack SM, Jones RL. Diagnosis, prognosis, and management of leiomyosarcoma: recognition of anatomic variants. Curr Opin Oncol. 2013;25:384–9.
[5]. Nagarsheth NP, Nicastri DG, Kashani M, Fried K. Complete surgical resection of a 40‐cm leiomyosarcoma of the large bowel mesentery. J Surg Educ. 2007;64:162–4.

Abstract: Acute appendicitis is the most common indication for emergency surgery worldwide, with incidence of 1.17 per 1000 and lifetime risk of 8.6% in men and 6.7% in women. Appendicitis is associated with morbidity and mortality as it can progress to perforation and peritonitis if left untreated. Though the lifetime risk of appendicitis is 8.6 % for males and 6.7 % for females, the risk of undergoing appendectomy is much lower for males than for females (12 vs. 23 %) with a male: female ratio of approximately 1.4:1and it occurs most often between the ages of 10 and 30. The incidence is highest in adolescents and young adults, but the incidence of complicated appendicitis shows little variance between different age groups.1-2.......

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[3]. D J Humes, J Simpson: Acute appendicitis. BMJ. 2006 Sep 9; 333(7567): 530–534.doi:10.1136/bmj.38940.664363.AE:PMCID:PMC1562475.
[4]. Hoffmann J, Rasmussen OO: Aids in the diagnosis of acute appendicitis. Br J Surg 1989, 76(8):774–779.
[5]. Raja AS, Wright C, Sodickson AD, Zane RD, Schiff GD, Hanson R, Baeyens PF, Khorasani R: Negative appendectomy rate in the era of CT: an 18-year perspective. Radiology 2010, 256(2):460–465.

Abstract: Background: Abruptio placenta is one of the obstetric emergency which require intense management at earliest to get favourable maternal & fetal outcome. The study was a prospective analytical study done in Govt General hospital,Anantapur during November 2019 and October 2020 aimed to know the incidence, analyse maternal &fetal outcome and to know the predictors of maternal &fetal morbidity and mortality. Materials &Methods: All pregnant women diagnosed to have abruptio placenta from 28 weeks of gestation were included in the study. Other causes of APH are excluded. Detailed history, Clinical examination, appropriate investigations were done. Mode of delivery was decided depending on obstetric assessment. Results: 124 patients identified out of 9902 deliveries......

Keywords: Abruption, Anaemia, Feto-Maternal out come

[1]. Yinka Oyelese CVA: Placental Abruption. Obstet Gynecol 2006, 108 1005-1016.
[2]. Rasmussen S IM, Bergsjo P, Dalaker K.: Outcome of pregnancies subsequent to placental abruption: a risk assessment. Acta Obstet Gynecol Scand 2000, 79:496-501.
[3]. Tikkanen. M: Etiology, clinical manifestations, and prediction of placental abruption. Acta obstetrician et Gynecologica Sacandinavica 2010, 89::732-740.
[4]. Witlin AG SB: Perinatal and maternal outcome following abruption placentae. Hypertens Pregnancy, 2001, 20: 195-203.
[5]. Sheiner E, Shoham-Vardi I, Hallak M, Placental abruption in term pregnancies: clinical significance and obstetric risk factors. J Matern Fetal Neonatal Med. 2003; 13 (1):45-9.

Abstract: Background: Maintaining a patent airway is essential for adequate oxygenation and ventilation failure to do so, even for a brief period, can be life threatening. The anthropometric parameters are preferred over the observational parameters due to higher specificity, sensitivity and positive predictive value. This study was conducted to find out whether the western parameters can be applied to the Indian population which is ethnically different as well as to calculate the average values of different airway anthropometric parameters in the local population from Eastern India. Material and methods: In this prospective observational study, 1000 patients of aged 20 - 60 years with BMI <30 kg/m2 were evaluated by single investigator......

Keywords: Inter-incisor gap (IIG), Thyromental distance (TMD), Sternomental distance (SMD), Horizontal length of Mandible (HLM), Ratio of Height to Thyromental Distance.

[1]. Gupta S, Sharma R, Jain D. Airway assessment: predictors of difficult airway.Indian J Anaesth. 2005 Jul 1;49(4):257-62.
[2]. Benumof JL. Definition and incidence of difficult airway. Airway management: principles and practice. 1996:121-5.
[3]. Shah PJ, Dubey KP, Yadav JP. Predictive value of upper lip bite test and ratio of height to thyromental distance compared to other multivariate airway assessment tests for difficult laryngoscopy in apparently normal patients. Journal of anaesthesiology, clinical pharmacology. 2013 Apr;29(2):191.
[4]. S S.OzaV.KumarV.ParmarV.Chhaya V. Assessment of difficult airwaypredictors for predicting difficult laryngoscopy and intubation.International Journal of Biomedical and Advance Research 2014;05(07):340-342.
[5]. Shiga T, Wajima ZI, Inoue T, Sakamoto A. Predicting Difficult Intubation in Apparently Normal PatientsA Meta-analysis of Bedside Screening Test Performance. Anesthesiology: The Journal of the American Society of Anesthesiologists. 2005 Aug 1;103(2):429-37.

Abstract: A prospective study was done for a period of two years from November 2018 to November 2020 in patients diagnosed to be of Acute Pancreatitis. A detailed history and physical examination was carried out and diagnosis of Acute Pancreatitis was made. All the study cases underwent laboratory investigations like C.B.C, Serum electrolytes, R.F.T, L.F.T, L.D.H, B.U.N, A.B.G. Radiology investigations included Chest X-ray and Ultrasound abdomen going and pelvis. BMI was calculated for all patients. Based on the results, the APACHE II score and PANC 3 score were calculated. The APACHE II was taken as gold standard scoring system and PANC 3 score was compared to it. Our study shows that PANC-3 can be used to predict......

Keywords: Acute Pancreatitis, APACHE II, Glasgow Severity Index, PANC 3 criteria

[1]. Bollen TL, van Santvoort HC, Besselink MG, van Leeuwen MS, Horvath KD, Freeny PC, et al. The Atlanta Classification of acute pancreatitis revisited. Br J Surg. 2008 Jan;95(1):6–21.
[2]. Isenmann R, Beger HG. Natural history of acute pancreatitis and the role of infection. Best Practice & Research Clinical Gastroenterology. 1999 Jul 1;13(2):291–301.
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[4]. Uhl W, Warshaw A, Imrie C, Bassi C, McKay CJ, Lankisch PG, et al. IAP Guidelines for the Surgical Management of Acute Pancreatitis. Pancreatology. 2002;2(6):565–73.
[5]. Mc Kay C J, Imrie C W, "Staging of Acute Pancreatitis. Is it important?". Surg Clin North Am 1999; 79: 733-43

Abstract: Background and objectives: An emergency can be defined as a situation of serious and often dangerous nature, developing suddenly and unexpectedly and demanding immediate attention in order to save life.1 Obstetrics is unique in that there are two lives to consider and care for, a mother and a baby or foetus. Obstetric emergencies are the leading cause of maternal mortality worldwide and particularly in developing countries where literacy, poverty, lack of antenatal care, poor transport facilities and inadequate equipment/ staffing combine to magnify the problem.2A Prospective Observational study was carried out over a period of two years among patients who are referred for obstetric emergency to department of Obstetrics and Gynaecology, Kakatiya Medical College, Warangal with an aim to study the reasons and outcomes of obstetric emergency referrals......

Keywords: Obstetric Emergency Referral, Maternal & foetal outcome

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[5]. Goswami P, Bindal J, Chug N. To study pattern of obstetric cases referred at tertiary care centre in Central india. Int J Reprod Contracept Obstet Gynecol. 2017 Jun;6(6):2370-4