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

Abstract: Background: Dilated cardiomyopathy is thecommon cardiomyopathy worldwide and is an important cause of heart failure. They can have different electrocardiographic findings with significance in their symptoms and disease progression. This study was conducted to uncover baselinecharacteristicsand to analyze resting electrocardiogram of patients of dilated cardiomyopathy.
Material &Methods: A cross sectional study conducted inManmohan Memorial Community Hospital, Thamel Kathmandu Nepal from September 2017 to August 2018including 51 patients of dilated cardiomyopathy. Patients were interviewed regarding their baseline characteristics and 12 lead electrocardiograms were obtained........

Key Words: Cardiomyopathy, Dilated cardiomyopathy, Electrocardiogram.

[1]. Winne J, Braunwald E. Cardiomyopathy and Myocarditis. In Fauci SA, Braundwald E, Kasper LDet al, editors. Harrison's Principles of Internal Medicine (17th ed.). Volume II.New York: McGraw-Hill2008: 1481-86.
[2]. Joshua HM. The Dilated, Restrictive and Infiltrative Cardiomyopathies. In Libby P, Robert BO, Douglas ML, editors. Braunwald's Heart Disease (8th ed.). Philadelphia PA: Saunders 2008: 1739-62.
[3]. Jefferies JL, Towbin JA. Dilated Cardiomyopathy. Lancet 2010; 375: 752-62.
[4]. Towbin JA, Lowe AM, Colan SDet al. Incidence, causes, and outcomes of dilated cardiomyopathy in children. The Journal of the American Medical Association 2006; 296:1867–76.
[5]. Taylor MR, Carniel E, Mestroni L. Cardiomyopathy, familial dilated. Orphanet J Rare Dis2006; 1:27.

Abstract: Different species of microbes reside in the gastro-intestinal tract. On perforation of the GIT these microbes are released in the peritoneal cavity and cause peritonitis and its related manifestations. Early diagnosis and correct treatment may be helpful in improvement of the overall outcome of this serious condition. Fungi constitute between 8%-43% of cases in different studies of perforation peritonitis. Their role in the morbidity and mortality has not been exclusively studied in earlier studies. Our study was focussed on their role in the overall outcome of patients with perforation peritonitis.........

KEY WORDS: perforation peritonitis, Mannheim Peritonitis Index, microbial profile, Fungi, Candida, mortality

[1]. Simon GL, Gorbach SL. Intestinal flora in health and disease. Gastroenterology. 1984 Jan 1;86(1):174-93. [2]. Borriello SP. Microbial flora of the gastrointestinal tract. Microbial metabolism in the digestive tract. 1986 Jun 1:2-16.
[3]. Sherwood L; Willey J; Woolverton C. Prescott's Microbiology (9th ed.). New York: McGraw Hill. 2013. 713–21 p. [4]. Schulze J, Sonnenborn U. Yeasts in the gut: from commensals to infectious agents. Deutsches Ärzteblatt International. 2009 Dec;106(51-52):837.
[5]. De Ruiter J, Weel J, Manusama E, Kingma WP, Van Der Voort PHJ. The epidemiology of intra-abdominal flora in critically Ill patients with secondary and tertiary abdominal sepsis. Infection. 2009;37(6):522–7.

Abstract: Pregnant or gestational hypertension, which is defined by isolated high blood pressure (systolic blood pressure greater than or equal to 140 mmHg and/or pressure diastolic blood pressure greater than 90 mmHg) that appears after 20 weeks of amenorrhea and disappearing before the end of the sixth week postpartum ; preeclampsia, which is the association of significant proteinuria (greater than 0.3 g per 24 hours. In this work, we showed that preeclampsia could cause alterations in retinal tissue that suggest a damage. PE-induced retinopathy is not frequently diagnosed nor reported, probably due to its low incidence. . The management of pre-eclampsia/eclampsia does not finds no specific ophthalmologic treatment even in the patient with eye damage. Multidisciplinary, Preeclampsia/eclampsia related retinopathy generally resolves soon after delivery and no specific treatment is required.

Key words: preeclampsia , ophthalmologic, retinopathy, Fundus,

[1]. ABALOS_E, CUESTA_C, GROSSO_AL, CHOU_D, SAY_L. GLOBAL AND REGIONAL ESTIMATES OF PREECLAMPSIA AND ECLAMPSIA: A SYSTEMATIC REVIEW. EUROPEAN JOURNAL OF OBSTETRICS, GYNECOLOGY, AND REPRODUCTIVE BIOLOGY 2013;170(1):1-7.
[2]. ABALOS_E, CUESTA_C, CARROLI_G, QURESHI_Z, WIDMER_M, VOGEL_JP, ET AL. ON BEHALF OF THE WHO MULTICOUNTRY SURVEY ON MATERNALAND NEWBORN HEALTH RESEARCH NETWORK. PRE-ECLAMPSIA, ECLAMPSIA AND ADVERSE MATERNAL AND PERINATAL OUTCOMES: A SECONDARY ANALYSIS OF THE WORLD HEALTHORGANIZATION MULTICOUNTRY SURVEY ON MATERNAL AND NEWBORN HEALTH. BJOG: AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY 2014;121(SUPPL 1):14-24.
[3]. AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS, TASK FORCE ON HYPERTENSION IN PREGNANCY. HYPERTENSION IN PREGNANCY. REPORT OF THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS' TASK FORCE ON HYPERTENSION IN PREGNANCY. OBSTETRICS AND GYNECOLOGY 2013;122(5):1122-31.
[4]. KASSEBAUM NJ, BERTOZZI-VILLA A, COGGESHALL MS, ET AL. GLOBAL, REGIONAL, AND NATIONAL LEVELS AND CAUSES OF MATERNAL MORTALITY DURING 1990-2013: A SYSTEMATIC ANALYSIS FOR THE GLOBAL BURDEN OF DISEASE STUDY 2013. LANCET 2014;384(9947):980–1004.
[5]. THE ECONOMIST. MATERNAL MORTALITY: EXCEPTIONALLY DEADLY. DEATH FROM CHILDBIRTH IS UNUSUALLY COMMON IN AMERICA. AVAILABLE AT: HTTP://WWW.ECONOMIST.COM/NEWS/UNITED-STATES/21657819- DEATH-CHILDBIRTH-UNUSUALLY-COMMON-AMERICA-EXCEPTIONALLYDEADLY. ACCESSED JULY 18, 2015

Abstract: Background: Infertility is a menace with untoward emotional, financial and sometimes traumatic consequences. This is a retrospective observational study with some interest concerning the epidemiology of tubal infertility in Nigeria. It is the experience of a single center that evaluates the outcome of HSG examination with the main objective of identifying tuberous occlusions at a private Imaging Centre in Makurdi.
Materials and Methods: Evaluation of all consecutive patients in whom hysterosalpingography (HSG) was performed for infertility between April 2017 and February 2019 in the center. Results: There were 239 patients that were involved in this study. Of these, 228 were investigated for infertility with 18 (7.5%) cases of primary infertility........

Key words: Contrast material; Fallopian tube; Fluoroscopy; Hysterosalpingography; Infertility; Uterus

[1]. Lawan RO, Ibinaiye PO, Onwuafua P, Hamidu A (2015) Evaluation of Pattern of Tubo-peritoneal Abnormalities Potentially Responsible for Infertility in Zaria, Nigeria: Hysterosalpingographic Assessment. Sub-saharanAfr J Med. 2: 110 – 116. Available from: http://www.ssajm.org/text.asp?2015/2/3/110/164418
[2]. Lindsay TJ, Vitrikas KR. Evaluation and treatment of infertility. Am. Fam. Physician. 2015;91:308–314. – PubMed
[3]. Phleps JY, Thamas AU. Diagnosis and contemporary management of infertility. Clin ObstetGynecol1978;18:1-7.
[4]. Omelu C, Adajarha E, Ewungalo E, Majimeta A (2015) relative assessment of abnormalities patterns in HSG diagnostic laparoscopy and hysteroscopy with infertility cases in women in Nigeria. Int J ObstetGynecol3(4):81-89.
[5]. Schankat AC, Fasching N, Urech-Ruh C, Hohl MK, Kubik-Huch R (2012) Hysterosalpingography in the work up of female infertility: indication technique and diagnostic findings. Insights Imaging Journal 3(5):475-483.

Abstract: BACKGROUND: Recurrent pregnancy loss is defined as two or more consecutive pregnancy losses prior to 20 weeks of gestation. It affects 2 to 5% of the couples. Primary RPL refers to multiple losses in a women with no previous viable infants whereas secondary RPL refers to multiple losses in a woman who has already had a pregnancy beyond 20 weeks of gestational age. Most pregnancy losses result from chromosomal and genetic abnormalities and are random events. The abnormality may come from the egg, sperm or the embryo and it is estimated that about 12 to 15% of the clinically recognised pregnancies end up in miscarriage. Hence early diagnosis and treatment is essential for successful pregnancy outcome.......

[1]. van den Boogaard E, Cohn DM, Korevaar JC, Dawood F, Vissenberg R, Middeldorp S, Goddijn M, Farquharson RG. Number and sequence of preceding miscarriages and maternal age for the prediction of antiphospholipid syndrome in women with recurrent miscarriage. Fertil Steril 2013;99: 188-192.
[2]. van den Boogaard E, Kaandorp SP, Franssen MT, Mol BW, Leschot NJ, Wouters CH, van der Veen F, Korevaar JC, Goddijn M. Consecutive or non-consecutive recurrent miscarriage: is there any difference in carrier status? Hum Reprod 2010;25: 1411-1414.
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[5]. Alberman E. The epidemiology of repeated abortion Early Pregnancy Loss. 1988. Springer, pp. 9-17

Abstract: Aim : this study was conducted to assess the knowledge , attitude and practice of various management options available for compromised mandibular ridges in edentulous patients, among prosthodontists and dental practitioners and to identify the variations in their knowledge ,attitude and practice with respect to dentist' s various factors such as age, qualification, specialty in MDS and years of experience.
Material and method: A cross sectional questionnaire based survey was conducted with an informed consent. The instrument for data collection was an online goggle form with a pretested questionnaire which was sent to the participants questionnaire containing demographic details and knowledge, attitude practice based questions .Data was subjected to statistical analysis using Statistical package for social sciences (SPSS v 26.0, IBM)........

Key words: compromised mandibular ridge, dental implant

[1]. Disha Nagpal, Shobha Prakash. Knowledge, Attitude, and Practice of Dental Implants among Dental Postgraduates and Practitioners in Davangere City, Karnataka: A Cross-sectional Study
[2]. Mgbeokwere U, Okoye L, Ekwueme O. A survey of the knowledge of dental implants as a choice in treatment of edentulous jaws among health workers in Government Dental Clinics in Enugu. Ann Med Health Sci Res 2011;1:91-5
[3]. Lang-Hua BH, Lang NP, Lo EC, McGrath CP. Attitudes of general dental practitioners towards implant dentistry in an environment with widespread provision of implant therapy. Clin Oral Implants Res 2013;24:278-84
[4]. Pjetursson BE, Lang NP. Prosthetic treatment planning on the basis of scientific evidence. J Oral Rehabil 2008;35 Suppl 1:72-9
[5]. Ng PC, Pow EH, Ching SH, Lo EC, Chow TW. Dental implant practice among Hong Kong general dental practitioners in 2004 and 2008. Implant Dent 2011;20:95-105.

Abstract: OBJECTIVE: To compare sublay versus onlay meshplasty in massive incisional hernia in terms of recurrence and complication. DESIGN: Prospective comparative study. SETTING AND DURATION OF STUDY: Study was carried out in surgery department at ANMMC GAYA& SKMC Muzaffarpur during 2019 to 2021. METHODOLOGY: This study includes 57 elective cases of massive incisional hernia with defect size greater than 10 cm were randomly placed in sublay........

Key words: Sublay onlay,meshplasty and prospective.

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Abstract: Intra-abdominal fibromatosis are uncommon benign neoplasms which originate from musculoaponeurotic structures of the body and primarily affects the mesentery or retroperitoneum. However, rarely, they can arise from the intestinal wall and mimic gastrointestinal malignant neoplasm. A rare case of proliferative fibroblastic lesion involving the appendix and meso appendix presenteting as RIF mass with its origin ,diagnosis and differential diagnosis are discussed here .

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Abstract: Anterior teeth trauma is considered a common occurrence. The management of a complicated tooth fracture is multi-factorial, Reattaching tooth fragment can be considered as a more conservative, cost effective, esthetic, less time consuming treatment option for restoring fractured tooth compared with resin based composite or a crown, also reattachment helps in maintaining tooth colour, wear resistance, morphology, and translucency in restoration. The current case report describes a multi-disciplinary approach for managing fractured maxillary lateral incisor that was treated, endodontically, followed by reattachment of the fractured fragment facilitated by surgical crown lengthening procedure.......

Key words: Trauma, Fractured Tooth, Reattachment, Bonding, Crown lengthening

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Abstract: Diabetes mellitus is a metabolic disorder which is characterized by chronic hyperglycaemia caused by disturbances of metabolism due to impaired β cell function of pancreas or insulin resistance or both. Biguanides and Sulphonylureas are the most commonly prescribed drugs due to their efficacy and safety, but nowadays a new class of drugs, named as DPP4 inhibitors are used frequently alone or with combination with Biguanides with the better efficacy and safety profile. A total of 60 patients were chosen in the present study who met the inclusion criteria. They were divided into two equal groups—Group 'A' and Group 'B' based on their treatment plan. Patients of Group A were treated with.......

Key words: Teneligliptin, Glimepiride, Metformin, HbA1C

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Abstract: Over the years, despite improved methods of controlling diabetic foot infections, the incidence of amputations is on the rise. In an attempt to salvage limbs with moderate to severe infections of the diabetic foot, a new surgical technique has evolved which takes into account the anatomy of the layers of the foot and the mode of spread along facial planes. A detailed study of limbs amputated for uncontrolled diabetic foot infections was carried out by means of plain radiographs, angiography and dissection of these limbs. The factors leading to ischaemia and gangrene and the perpetuation of infection were delineated. Based on these findings, it was found that infections of the foot have a tendency......

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[4]. N.S. Murali. Limb conservation in severe diabetic foot – Third Dimension; Diabetic Foot – First International Syposium & Work Shop 1991, The Netherlands – Abstract 67ss of the procedure in preventing amputations in about 95% of cases treated. Hence, this study proves the importance of the fascial compartment with trapped infection and their decompression in the treatment of severe diabetic foot infection, as the prime modality of treatment in addition to good diabetic control

Abstract: Full mouth rehabilitation is a challenging treatment modality that aims to restore a harmonious state of functional as well as biological efficiency. It is dependent on the clinician to choose an appropriate occlusal scheme for a particular reconstruction. Pankey–Mann–Schuyler (PMS) philosophy is a commonly used, organized approach for oral rehabilitation. The principles of PMS are based on the spherical theory of Monson and functionally generated path technique (FGPT). However, due to certain drawbacks of FGPT, it has been avoided in this full mouth rehabilitation case report.

Key words: Restoration; Crown and bridge; Attrition

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