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

Abstract: Aim: The aim of this study was to evaluate chewing efficiency of the mandibular implant supported overdenture with OT Equator and mini ball and socket attachments. Subjects and Methods: From the removable prosthodontics department clinic, Faculty of Dental Medicine, (Boys, Cairo), Al-Azhar University, 10 completely edentulous patients were randomly chosen. The patients were divided into two groups, group I received mandibular overdenture supported by two implants with OT Equator attachment while group II received mandibular overdenture supported by two implants with mini ball and socket attachment. Chewing efficiency in terms of unmixed fraction (UF) was measured using chewing gum (after 5, 10, 20, 30 and 50 strokes). The measurements were performed at the time of insertion of overdenture (T1), after six months (T2) and after twelve months (T3).......

[1]. Lee JS, Weyant RJ, Corby P, Kritchevsky SB, Harris TB, Rooks R, et al. Edentulism and nutritional status in a biracial sample of well-functioning, community-dwelling elderly: the health, aging, and body composition study. The American journal of clinical nutrition. 2004;79:295-302.
[2]. Emami E, de Souza RF, Kabawat M, Feine JS. The impact of edentulism on oral and general health. International Journal of Dentistry. 2013;13:1-7.
[3]. Fromentin O, Lassauzay C, Abi Nader S, Feine J, de Albuquerque Junior R. Testing the retention of attachments for implant overdentures–validation of an original force measurement system. Journal of Oral Rehabilitation. 2010;37:54-62.
[4]. Cune M, Burgers M, van Kampen F, de Putter C, van der Bilt A. Mandibular overdentures retained by two implants: 10-year results from a crossover clinical trial comparing ball-socket and bar-clip attachments. International Journal of Prosthodontics. 2010;23:310-17.
[5]. Gargari M, Prete V, Pujia A, Ceruso F. Full-arch maxillary rehabilitation fixed on 6 implants. Oral and implantology. 2013;6:1-4.

Abstract: Supernumerary tooth is an additional tooth to the normal series, found in the region of the dental arch. A mesiodens is a supernumerary tooth located between two maxillary central incisors.3However, an inverted mesiodens in an ectopic location is a rare entity.4 These can be found in patients presenting with symptoms depending on the anatomical ectopic location of the tooth, or can be an incidental finding on dental radiographs, C.T.scans or intranasal operative procedures.5In this case report we discuss a case of an inverted unerupted tooth in the nasal cavity of a male patient who came to D. Y. Patil Medical College, Navi Mumbai on 11.02.2020. Thisreport describes the clinical presentation, radiological findings, and treatment strategy that was undertaken.

[1]. Vishakha Patel is a First-Year Radiology Resident at Dr. D. Y. Patil Medical College, Navi Mumbai, Maharashtra.
[2]. Sarfaraz Shaikh is a Consultant Radiologist () at Dr. D. Y. Patil Medical College, Navi Mumbai, Maharashtra.
[3]. G. Aoun & I. Nasseh, Mesiodens Within the Nasopalatine Canal: An Exceptional Entity, 6(4) Clin Pract. (2016), https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5294929/.
[4]. E. B. Saleh & M. R. Philip, An Inverted Impacted Mesiodens Perforating the Nasal Floor with an Impacted Canine, 5(1) International Journal of Oral and Dental Health (2019), https://clinmedjournals.org/articles/ijodh/international-journal-of-oral-and-dental-health-ijodh-5-082.php?jid=ijodh.
[5]. T. E. Kose et. al., Two Cases of Inverted Ectopic Teeth in Maxillary Sinus, 3(1) Anatomy Physiology & Biochemistry International Journal (2016), https://juniperpublishers.com/apbij/pdf/APBIJ.MS.ID.555563.pdf.

Abstract: Acute appendicitis is the most common abdominal surgical emergency and appendicectomy is a commonly performed procedure globally[1,2].Inflammation of appendix may progress to gangrene,perforation or extend to adjacent bowel or peritoneum there by causing bowel perforation,obstruction,adhesions ,abscess or even peritonitis and even death[3,4]. Appendicular perforation is reported in over 41% of cases of acute appendicitis[5,6] Complications may warrant an adjunct procedure from simple drain placement to need for a laparotomy or even stoma in some cases[7,8]The contribution of site of perforation in appendix to adverse outcome and extent of surgery was found to be a grey area ......

[1]. Malik AA,Bari SU.Conservative management of acute appendicitis.J Gastrointest Surg 2009;13:966-970.
[2]. HorattasM,Guyton D,Diane W. A reappraisal of appendicitis in the elderly.Am J Surg1990;160:291-293.doi:10.1016/S00029610(06)800267
[3]. Carr NJ. The pathology of acute appendicitis. Ann Diagn Pathol 2000;14:46-58
[4]. Ambjornsson E,Bengmark S. Obstruction of the appendix lumenin relation to pathogenesis of appendicitis.Acta Chir Scand 1983;149:789-791
[5]. Smithy WB,Wexer SD,Daily TH.The diagnosis and treatment of acute appendicitis in the aged.Dis Colon rectum1986;29:170-173.doi:10.1007/BF02555015

Abstract: Background: Perforation still remains as one of the most common complication of a peptic ulcer. Operative intervention is the treatment of choice and Graham's patch repair is an established procedure in modern literature. Delay in operative intervention significantly influences mortality and morbidity. Aims and objectives: To evaluate the influence of surgical delay in clinical outcome of the patients with perforated peptic ulcer. Material and Methods: A prospective study was conducted on 150 patients diagnosed with perforated peptic ulcer at a tertiary care Centre of Bangalore to study the clinical profile and clinical outcome of peptic ulcer perforation patients post operatively from July 2018 to July 2019......

[1]. Watkins RM, Dennison AR, Collin J. What has happened to perforated peptic ulcer? Br J Surg 1984;71:774-6.
[2]. Jhobta RS, Attri AK, Kaushik R, Sharma R, Jhobta A. Spectrum of perforation peritonitis in India - Review of 504 consecutive cases. World J Emerg Surg 2006;1:26.
[3]. Bali RS, Verma S, Agarwal PN, Singh R, Talwar N. Perforation peritonitis and the developing world. ISRN Surg. 2014 Apr 2;2014:105492. doi: 10.1155/2014/105492. PMID: 25006512; PMCID: PMC4004134.
[4]. Jordan PH Jr, Korompai FL. Evolvement of a new treatment for perforated duodenal ulcer. Surg Gynecol Obstet. 1976 Mar;142(3):391-5
[5]. Boey J, Wong J. Perforated duodenal ulcers. World J Surg. 1987 Jun;11(3):319-24.
[6]. DeBakey ME: Acute perforated gastroduodenal ulceration. A statistical analysis and review of the literature. Surgery, 1940, 8: 852-884.

Abstract: Introduction Lymphangiomas are uncommon congenital malformations usually present in children and are rare in adults. These malformations of the lymphatic system consist of cysts of varying size. Although benign, they can lead to compression and infiltration of adjacent structures. Surgical excision has been the mainstay of treatment, although total excision of the lymphangioma can be a major challenge and may be associated with complications. Therefore, a variety of nonsurgical methods have been proposed to reduce the surgical morbidity and to decrease the recurrence rate. Percutaneous sclerotherapy of lymphangioma involves the injection of sclerosing substances into the lymphangioma cysts. In the past, different sclerosants and sclerosant techniques have been developed. However Polidocanol has never been used for lymphangioma, although a few articles have been published in which polidocanol has been used for treatment of haemangioma.....

Keywords: Cystic hygromaLymphangiomaSclerotherapyPolidocanol

[1]. Bloom DC, Perkins JA, Manning SC. Management of lymphatic malformations. CurrOpinOtolaryngol Head Neck Surg 2004; 12: 500–4. PMid:15548907.
[2]. Naidu SI, McCalla MR. Lymphatic malformations of the head and neck in adults: a case report and review of the literature. Ann OtolRhinolLaryngol 2004; 113: 218–22.PMid:15053205.
[3]. Okada A, Kubota A, Fukuzawa M, et al. Injection of Bleomycin as a primary therapy ofcysticlymphangioma. J PediatrSurg 1992,27:440-443.
[4]. Tanigawa N, Shimomatsuya T, Takahashi K, et al. Treatment of cystic hygroma andlymphangioma with the use of bleomycin fat emulsion.Cancer 1987, 60:741:749.
[5]. Schefter RP, Olsen KD, Gaffey TA. Cervical lymphangioma in the adult. Otolaryngol Head Neck Surg1985; 93: 65–69. PMid:3920626..

Abstract: A 23 year old previously diagnosed female with Gilbert's syndrome on treatment with Prednisone, presented with a lower respiratory tract infection for the past 4 days with additional complaints of significant lethargy and fatigue, palpitation and intermittent yellowish discolouration of sclera since 9 years old. The patient's mother and elder sister also had similar history of intermittent jaundice. Routine investigations of the patient revealed normal values except a hemoglobin level of 6.0 g/dl, HCT of 19.5%, MCV of 75.6 fL, serum total bilirubin of 6.3 mg/dl ( Direct: 1.3mgdl, Indirect: 5.0 mg/dl ). This made us suspect another basic hematologic abnormality that contributed to such elevated indirect bilirubin levels. Further investigations revealed a peripheral smear with moderate microcytic hypochromic anemia, anisopoikilocytosis, leucopenia and a reticulocyte count of 2.3%, negative Direct coombs test and......

[1]. Bosma PJ, Chowdhury JR, Bakker C, Gantla S, de Boer A, Oostra BA, Lindhout D, Tytgat GN, Jansen PL, Oude Elferink RP. The genetic basis of the reduced expression of bilirubin UDP-glucuronosyltransferase 1 in Gilbert's syndrome. N Engl J Med. 1995;333:1171-1175.
[2]. Perrotta S, Gallagher PG, Mohandas N. Hereditary spherocytosis. Lancet. 2008;372:1411-1426.
[3]. Kang LL, Liu ZL, Zhang HD. Gilbert's syndrome coexisting with hereditary spherocytosis might not be rare: Six case reports. World J Clin Cases 2020; 8(10): 2001-2008.
[4]. Garg PK, Kumar A, Teckchandani N, Hadke NS. Hereditary spherocytosis coexisting with Gilbert's syndrome: a diagnostic dilemma. Singapore Med J. 2008;49:e308-e309
[5]. Strassburg CP. Hyperbilirubinemia syndromes (Gilbert-Meulengracht, Crigler-Najjar, Dubin-Johnson, and Rotor syndrome). Best Pract Res Clin Gastroenterol. 2010;24:555-571..

Abstract: Background: Schizophrenia is characterized by symptoms such as delirium, hallucinations, disorganized behavior, which affects the entire personality. All these symptoms are found in a high-intellect patient, but highly suggestable, which makes the disease more complex, especially over such a long period (20 years). Materials and Methods: The present case presents quasi-psychotic episodes. The present paper aims to evaluate a current profile of a schizophrenia and quasi-psychotic episodes in a 40-year-old patient. The methods that were used are the interview (with both the patient and his father), the observation, the administration of psychological tests and psychiatric treatment. The symptoms specific to a schizophrenia filled with quasi-psychotic episodes are well outlined in the light of disorganized......

Key Word: confabulations; pseudo-hallucinations; pyromania; quasi-psychotic; sadomasochism, schizophrenia; self-persecution

[1]. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
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[3]. Berrios, G. E., & Luque, R. (1995). Cotard's syndrome: analysis of 100 cases. Acta Psychiatrica Scandinavica, 91(3), 185-188.
[4]. Lavretsky, H. (1998). The Russian concept of schizophrenia: A review of the literature. Schizophrenia Bulletin, 24(4), 537-557.
[5]. Noll, R. (2009). The encyclopaedia of schizophrenia and other psychotic disorders. Infobase Publishing..

Abstract: Background- Abnormal uterine bleeding is a common complaint of women presenting in out patient department of Obs & Gynae. The objective of this study was to find out thyroid disorders as a cause of AUB. Methods - This is a non interventional prospective study conducted in the department of Obs & Gymae, Nalanda Medical College, Patna for a period of one year. A total of 100 patients were recruited for this study after considering inclusion and exclusion criteria. A detailed clinical history, thorough clinical examination, routine investigations, ultrasonography and thyroid function......

Key words: Abnormal Uterine bleeding, Hyperthyroidism, Hypothyroidism

[1]. Nesse R. Abnormal vaginal bleeding in perimenopausal women. An family physician 1989; 40:185
[2]. M. G. Munro. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in non gravid women of reproductive age. Int J gynecol Obstet. 113(2011): 3-13
[3]. Doifode CD, Fernandes k. Study of thyroid dysfunction in patients with dysfunctional uterine bleeding. J Obstet and gynecol of India. 2001; 51(2) : 93-5
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[5]. Pilli GS, Sethi B, Dhaded AV, Mathur PR Dysfuncitonal uterine bleeding. J Obstet gynecol India. 2001; 52(3) : 87-9..

Abstract: Background: Obsessive-compulsive disorder is an easily diagnosable disease, but it raises equally well in multiple differential diagnoses, given the "ease" with which it moves from the neurotic spectrum to the psychotic pole, when it becomes poorly critical or when the ideation reaches obsessive intensity. Materials and Methods: The methods used were the initial psychological evaluation, the progressive one, the structured and unstructured clinical interview, psychoanalytic psycho-therapy cure, periodical psychiatric evaluation and treatment monitoring, psychoanalytic interpretations, analysis of transference and countertransference dynamics, the transgenerational analysis, the analysis of his social functioning, psychological monitoring, as well as the psychiatric treatment.....

Key Word: obsessive-compulsive disorder; paranoid personality disorder; hypochondria; fear; negative thoughts.

[1]. Goodwin GM. The overlap between anxiety, depression, and obsessive-compulsive disorder. Dialogues Clin Neurosci. 2015;17(3):249-260.
[2]. Mancini MA. The Intersections of Social, Behavioral, and Physical Health. Integrated Behavioral Health Practice. 2020;25-57.
[3]. Levine S, Kleiman-Weiner M, Schulz L, Tenenbaum J, Cushman F. The logic of universalization guides moral judgment. Proc Natl Acad Sci U S A. 2020;117(42):26158-26169.
[4]. Stein DJ, Costa DLC, Lochner C, et al. Obsessive-compulsive disorder. Nat Rev Dis Primers. 2019;5(1):52.
[5]. Sun Z, Ma Y, Duan S, et al. cAMP Response Element Binding Protein Expression in the Hippocampus of Rhesus Macaques with Chronic Ephedrine Addiction. Biomed Res Int. 2017;2017:1931204..

Abstract: Background: Chronic paranoid schizophrenia involves over time moments of emotional decompensation, in which the person in question, overlaps manic coloring over all the implicit symptoms of positive, negative dimensions and disorganization. Materials and Methods: The methods used were the initial psychological evaluation, the progressive one, the structured and unstructured clinical interview, psychoanalytic psychotherapy cure, periodical psychiatric evaluation and treatment monitoring, psychoanalytic interpretations, analysis of transference and countertransference dynamics, the transgenerational analysis, the analysis of his social functioning, psychological monitoring, as well as the psychiatric treatment. Results: The present case exposes the psychiatric pathology of a 56-year-old patient, in whom the disease started around the age of 20, the.....

Key Word: paranoid schizophrenia; prolonged evolution; positive phenomenology; delusional ideation of filiation; disorganization of thinking; impairment of social functioning.

[1]. Predescu, V. (1976). Psychiatry. Bucharest: Editura Medicală
[2]. Hare, E. H. (1973). A short note on pseudo-hallucinations. The British Journal of Psychiatry, 122(569), 469-476
[3]. Kiran C, Chaudhury S. (2009) Understanding delusions. Industrial Psychiatry Journal, 18(1), 3-18
[4]. Kuperberg, G. R. (2010). Language in schizophrenia part 1: an introduction. Language and linguistics compass, 4(8), 576-589.
[5]. Martindale, B., & Summers, A. (2013). The psychodynamics of psychosis. Advances in Psychiatric Treatment, 19(2), 124–131.

Abstract: Cardiac disease in pregnancy still remains a major problem worldwide, particularly in developing countries like ours. The reported incidence of cardiac disease varies between 0.1 and 4%, and remains a significant cause of maternal death worldwide. The objective of this research was to analyse the incidence of cardiac disease in pregnancy in our hospital and to assess the maternal and foetal outcome.
Material and methods A retrospective study was carried out in 78 women with cardiac disorders during the period of 18 months in the Department of Obstetrics and Gynaecology of Mahatma Gandhi Medical college and Hospital, Jaipur. Maternal and foetal outcome was analysed, Data were collected and presented as number and percentage.....

Key Word: Mitral valve stenosis, Pregnancy, Rheumatic heart disease, Congenial heart disease, Cardiomyopathy

[1]. Barbosa, P.J.B.; Lopes, A.A.; Feitosa, G.S.; Almeida, R.V.d.; Silva, R.M.d.; Brito, J.C.; Duarte, M.L.; Almeida, A.J.G. Prognostic factors of rheumatic mitral stenosis during pregnancy and puerperium. Arq. Bras. Cardiol. 2000, 75, 220–224. [CrossRef] [PubMed]
[2]. Sawhney, H.; Aggarwal, N.; Suri, V.; Vasishta, K.; Sharma, Y.; Grover, A. Maternal and perinatal outcome in rheumatic heart disease. Int. J. Gynecol. Obstet. 2003, 80, 9–14.
[3]. Bansode BR. Pregnancy and heart disease. Assoc Physicians Ind. 2010;773-6.
[4]. Konar H, Chaudhuri S. Pregnancy complicated by maternal heart disease: A review of 281 women. J Obstet Gynaecol India 2012;62:301-6.
[5]. Klein LL, Galan HL. Cardiac disease in pregnancy. Obstet Gynecol Clin N Am 2004; 31: 429−459

Abstract: This study examined the association between the E23K allele variant of the KCNJ11 gene with type 2 diabetes mellitus in a Nigerian population and the possible complications that may arise from the variant. The E23K polymorphism of the KCNJ11 gene results from a substitution of the amino acid lysine to glutamate at codon 23. This alteration causes a critical inhibition of glucose-induced insulin secretion thereby resulting in hyperglycaemia. Hundred consenting Nigerian adults (73 diabetics and 27 non-diabetic subjects) aged at least 40 participated in this study. Genotyping was carried out with the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) technique using BanII restriction digestion enzyme. The restriction fragments were then electrophoresed on DNA grade.....

Key Word: Diabetes, Complications, E23K, Polymorphism, KCNJ11 gene.

[1]. Abdelhamid, I., Lasram, K., Meiloud, G., Ben Halim, N., Kefi, R., Samb, A., Abdelhak, S., & Houmeida, A. (2014). E23K variant in KCNJ11 gene is associated with susceptibility to type 2 diabetes in the Mauritanian population. Primary Care Diabetes, 8, 171-175.
[2]. Alsmadi, O., Al-Rubeaan, K., Wakil, S. M., Imtiaz, F., Mohamed, G., Al-Saud, H., Al-Saud, N., Aldaghri, N., Mohammad, S. & Meyer, B.F. (2008). Genetic study of Saudi diabetes (GSSD): significant association of the KCNJ11 E23K polymorphism with type 2 diabetes. Diabetes/Metabolism Research and Review, 24, 137-140.
[3]. Asaf, A., Ayesh, B.M. & Humdona, O.M. (2013). Single nucleotide polymorphism of E23K of KCNJ11 gene and other risk factors associated with type 2 diabetes mellitus in Gaza. International Journal of Chemical and Life Sciences, 2,1146-52.
[4]. Assman, T.S., Duarte, G.C., Rheinheimer, J., Cruz, L.A., Canani, L.H. & Crispim, D. (2014). The TCF7L2 rs7903146 (C/T) polymorphism is associated with risk to type 2 diabetes mellitus in Southern-Brazil. Brazillian Society of Endocrinology and Metabolism, 58(9), 918-25.
[5]. Basile, K. J., Guy, V. C., Schwartz, S. & Grant, S. F. (2014). Overlap of genetic susceptibility to type 1 diabetes, type 2 diabetes, and latent autoimmune diabetes in adults. Current Diabetes Reports, 14(11), 550.