iosr-JDMS   Volume-20 ~ Issue-5 ~ May 2021

Abstract: Background: Thyroid eye disease is the most common cause of unilateral or bilateral proptosis in adults. It is the most important extra thyroidal manifestation of autoimmune thyroid diseases such as Graves' disease and Hashimoto's thyroiditis. The five main clinical manifestations of Thyroid Eye Disease ( TED ) are.....

Keywords: Thyroid Eye Disease(TED) Soft tissue involvement, Lid retraction , Proptosis , Optic neuropathy , Restrictive myopathy

[1]. Thyroid. 2010 Jul;20(7):777-83. doi: 10.1089/thy.2010.1634. Risk factors for development or deterioration of Graves' ophthalmopathy. Stan MN1, Bahn RS.
[2]. Prummel MF, Wiersinga WM: Smoking and risk of Graves' disease. JAMA 1993;269:479–482.
[3]. Orbital Disease Present Status and Future Challenges edited by Jack Rootman page ; 214
[4]. Akamizu T, Mori T, Nakao K: Pathogenesis of Graves' disease: molecular analysis of anti-thyrotropin receptor antibodies. Endocr
[5]. Prabhakar et al. • Graves' Disease and Ophthalmopathy Endocrine Reviews, December 2003, 24(6):802–835

Abstract: Background: Some of risk factors for development of SSI are contaminated wound, duration of procedure, body mass index, nutritional status of the patients, blood loss, and frequency of glove changes and use of subcuticular sutures. Serum albumin is an indirect marker of nutritional status of the patients. It is also an acute phase protein which is decreased during stress due to alternations in hepatic metabolism and loss of albumin into the interstitium. With this background we conducted a study the relationship of pre operative serum albumin with SSI. Materials and methods: We conducted a cross sectional study among the emergency abdominal surgeries attended by the department of surgery of a tertiary......

Keywords: Serum Albumin; Surgical Site infection; Emergency Surgery

[1]. Finnerty CC, Mabvuure NT, Ali A, Kozar RA, Herndon DN. The surgically induced stress response. J Parenter Enter Nutr. 2013;37(5 Suppl):21S-9S.
[2]. Mullen MG, Michaels AD, Mehaffey JH, Guidry CA, Turrentine FE, Hedrick TL, et al. Risk Associated With Complications and Mortality After Urgent Surgery vs Elective and Emergency Surgery: Implications for Defining "Quality" and Reporting Outcomes for Urgent Surgery. JAMA Surg. 2017;152(8):768–74.
[3]. Smyth ET, Emmerson AM. Surgical site infection surveillance. J Hosp Infect. 2000;45(3):173–84.
[4]. Blumetti J, Luu M, Sarosi G, Hartless K, McFarlin J, Parker B, et al. Surgical site infections after colorectal surgery: do risk factors vary depending on the type of infection considered? Surgery. 2007;142(5):704–11.
[5]. Watanabe A, Kohnoe S, Shimabukuro R, Yamanaka T, Iso Y, Baba H, et al. Risk factors associated with surgical site infection in upper and lower gastrointestinal surgery. Surg Today. 2008;38(5):404–12

Abstract: Background: The incidence rates of oral cancer differ from region to region.Overall incidence and mortality attributed to oral squamous cell carcinoma (OSCC) is increasing, with current estimates of age-standardized incidence and mortality of 6.6/100,000 and 3.1/100,000 in men and 2.9/100,000 and 1.4/100,000 in women, respectively.Symptoms that raise concern for the possibility of oral malignancy are non-healing ulcer on the tongue, in the floor of mouth or along the inner cheek.Cytology should be considered for any lesion of the surface of the oral mucosa if the diagnosis cannot be established by clinical exam or history. The cytology smear can be considered as an adjunct in the diagnosis of oral malignancy.
Materials and Methods.......

Key words: oral malignancy, exfoliative cytology, biopsy.

[1]. Menck HR, Garfinkel L, Dodd GD. Preliminary report of the national cancer database. CA Cancer J Clin 1991; 41: 7-18.
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[4]. Paymaster JC. Some observations on oral and pharyngeal carcinomas in the state of Bombay.Cancer 1962; 15: 578-583.
[5]. Sanghvi LD, Jain DK, Krishnamurthy S. National Cancer Registry. Annual Report 1983.Indian Council of Medical Research, New Delhi, 1986.

Abstract: Background: In the event of an outbreak, the dentist can be the first person to come in contact with an infected person; they can either become a carrier unknowingly and infect others or by following proper guidelines can prevent the possible spread of the disease and save the entire community from its disastrous consequences. The aim of this study is to assess the awareness of COVID-19 disease and prevention methods among dentists and dental students. Materials and methods: An online questionnaire was distributed among dentists and dental students on COVID-19 awareness and prevention. The questionnaire was divided into 4 sections: the 1st section contained an informed consent form, the...

Keywords: Covid-19, Awareness, Prevention ,Dentists, Dental Students, Survey, Questionnaire based study, Pandemic

[1]. Gorbalenya AE, Baker SC, Baric RS et al. The species Severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2 [Internet]. Vol. 5, Nature Microbiology. Nature Research; 2020 [cited 2021 Mar 12]. p. 536–44. Available from: /pmc/articles/PMC7095448/
[2]. Ather A, Patel B, Ruparel NB et al Coronavirus Disease 19 (COVID-19): Implications for Clinical Dental Care [Internet]. Vol. 46, Journal of Endodontics. Elsevier Inc.; 2020 [cited 2021 Mar 12]. p. 584–95. Available from: https://pubmed.ncbi.nlm.nih.gov/32273156/
[3]. WHO Coronavirus (COVID-19) Dashboard | WHO Coronavirus Disease (COVID-19) Dashboard [Internet]. [cited 2021 Mar 12]. Available from: https://covid19.who.int/
[4]. Khader Y, Al Nsour M, Al-Batayneh OB et al. Dentists' awareness, perception, and attitude regarding COVID-19 and infection control: Cross-sectional study among Jordanian dentists. JMIR Public Heal Surveill [Internet]. 2020 Apr 1 [cited 2021 Mar 12];6(2). Available from: https://pubmed.ncbi.nlm.nih.gov/32250959/
[5]. Zemouri C, De Soet H, Crielaard W et al, A scoping review on bio-Aerosols in healthcare & the dental environment. PLoS One [Internet]. 2017 May 1 [cited 2021 Mar 12];12(5). Available from: https://pubmed.ncbi.nlm.nih.gov/28531183/ https://doi.org/10.1371/journal. pone.0178007

Abstract: Motivation: This paper is an attempt to explain the psychiatric and psychological aspects of a clinical case of psychiatry, namely, a patient with borderline personality disorder with obvious paranoid traits (and elements of antisocial personality structure), followed in longitudinal evolution over several months. This case study aims to highlight how, in terms of borderline personality disorder, along with features of other disorders in cluster B - narcissistic, histrionic and antisocial - and cluster A - paranoid, the personality and behavior of the individual are so disorganized, especially in the case of relationships with others and their social integration, so that the individual fails to adapt to the requirements of the environment to which he belongs, having numerous conflicts with others and resorting to extreme attitudes......

Keywords: borderline personality disorder, bipolar personality disorder, spasmodic episodes, defense mechanisms, paranoid nucleus, attachment disorder.

[1]. Spong, A. J., Clare, I. C. H., Galante, J., Crawford, M. J., & Jones, P. B. (2020). Brief psychological interventions for borderline personality disorder. A systematic review and meta-analysis of randomised controlled trials. Clinical Psychology Review, 101937. doi:10.1016/j.cpr.2020.101937
[2]. Ritschel, L. A., & Kilpela, L. S. (2015). Borderline Personality Disorder. The Encyclopedia of Clinical Psychology, 1–6. doi:10.1002/9781118625392
[3]. Pompili, M., Girardi, P., Ruberto, A.,& Tatarelli, R. (2005). Suicide in borderline personality disorder: A meta-analysis. Nordic Journal of Psychiatry, 59(5):319-324. doi:10.1080/08039480500320025
[4]. Trull, T. J., Distel, M. A., & Carpenter, R. W. (2010). DSM-5 Borderline Personality Disorder: At the Border Between a Dimensional and a Categorical View. Current Psychiatry Reports, 13(1), 43–49. doi:10.1007/s11920-010-0170-2
[5]. Skodol, A. E., & Bender, D. S. (2003). Why Are Women Diagnosed Borderline More Than Men? Psychiatric Quarterly, 74(4), 349–360. doi:10.1023/a:1026087410516

Abstract: In the paper we discuss a new method for assessing the spatial position of the cervical-thoracic junction vertebrae. Objective: to develop an indicator for assessing the vertebra positions of the cervical-thoracic junction from spine radiographs. Materials and methods: Digital radiographs of all spine parts in the sagittal projection were obtained for 141 patients aged 21 to 88 years, 57 males and 84 females. The images were combined with each other so that a single digital image of the entire spine in the sagittal projection was obtained. In the image of the spine on a PC screen the occipital vertical is drawn from the external occipital protuberance down along the entire spine. The anteroposterior axes of vertebrae from CV to TV were drawn. At the point of each axis intersection with the occipital vertical a normal to the.....

Keywords: Spine; Radiography of the Spine; Straightened Kyphosis; Harmonious Kyphosis; Hyperkyphosis; Forward Head Posture; Diagnostic Indicator of the Cervical-Thoracic Junction Vertebra Position; Cervical-Thoracic Junction Types.

[1]. Hansraj K.K. Assessment of stresses in the cervical spine caused by posture and position of the head. Surg Technol Int. 2014 Nov; 25:277-9. PMID: 25393825.
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[3]. Amig J. P. Dental system (dental concept, osteopathic concept) / J. P. Amig. – SPb. : "Nevsky prospect", 2013. – 240 p. (in Russ.).
[4]. Migliarese S., White E. Review of Forward-Head Posture and Vestibular Deficits in Older Adults. // Curr. Geri Rep 8, 194–201 (2019). https://doi.org/10.1007/s13670-019-00292-8
[5]. Clavel Louis, Rémy-Neris Ségolène, Skalli Wafa, Rouch Philippe, Lespert Yoann, Similowski Thomas, Sandoz Baptiste, Attali Valérie. Cervical Spine Hyperextension and Altered Posturo-Respiratory Coupling in Patients With Obstructive Sleep Apnea Syndrome / Frontiers in Medicine, 2020. https://www.frontiersin.org/article/10.3389/fmed.2020.00030, DOI=10.3389/fmed.2020.00030

Abstract: Background: The coinfection of the SARS-CoV-2 with other microorganisms, such as virus, bacteria, and fungi, is a very important factor in COVID-19. For optimal utilisation of antimicrobials, understanding the proportion of secondary bacterial infections in COVID-19 is crucial. Methods: This is a single-center study on 128 patients with confirmed COVID-19. Bacterial co-infection was determined by positive bacterial culture and resistant pattern was determined by Kirby Bauer disc diffusion method. Results: 186 samples collected from 128 patients. Bacterial co-infection was detected in 19% of the samples. The culture positivity showed no significant difference across genders and different age groups. The rate of positive sputum culture was 36%, followed by 18% in Urine and 14% in Blood. The commonest organisms isolated were Enterobacteriaceae.......

Key words: COVID -19, bacterial coinfection, antimicrobial resistance, antimicrobial stewardship

[1]. WHO Coronavirus disease (COVID-2019) dashboard. Available at: https://covid19.who.int/. Accessed 19 Feb 2021.
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[3]. Chen X, Liao B, Cheng L, et al. The microbial coinfection in COVID-19. Appl Microbiol Biotechnol. 2020;104:7777–7785.
[4]. B.J. Langford et al. Bacterial co-infection and secondary infection in patients with COVID19: a living rapid review and meta-analysis. Clinical Microbiology and Infection. 2020;26:1622-1629
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Abstract: This study aimed to identify the levels of quality of health services in government hospitals. It also aimed to examine the availability of the dimensions of health services quality, which included tangibles, reliability, responsiveness, confidence and empathy. It has been conducted in the Iben Sina teaching hospital in Sirte city. The sample of this study included the all doctors who working in hospital The respondents are exposed to a questionnaire of (41) statements to measure the dimensions of the availability of quality in the health service. The results of the study showed that the doctors demonstrated a high level of awareness towards the presence and quality of dimensions of health services provided by the teaching hospital. It is also revealed that the five health dimensions of quality are available in Iben Sina teaching hospital in Sirte city..

Keywords: Health service dimensions, Health service quality, teaching hospitals

[1]. Habib Mahmoud, Basel Asaad (2014) "Measuring the Level of the Quality of the Medical Services Provided at the Health Centers in Lattakia Province from the Beneficiaries' Point of View A Field Study of Supervision Center of al-Shamia - Tishreen University Journal for Research and Scientific Studies -Economic and Legal Sciences Series Vol. (36) No. (5)
[2]. Rafikul Islam, Selim Ahmed, and Kazi Md. Tarique (2016) "Prioritisation of service quality dimensions for healthcare sector" - Int. J. Medical Engineering and Informatics, Vol. 8, No. 2
[3]. Kui-Son Choi, Hanjoon Lee, Chankon Kim, and Sunhee Lee (2005) "The service quality dimensions and patient satisfaction relationships in South Korea: comparisons across gender, age and types of service"Journal of Services Marketing
[4]. Keith F. Ward, Erik Rolland, and Raymond A. Patterson (2005) "Improving Outpatient Health Care Quality: Understanding the Quality Dimensions"Article in Health Care Management Review ·DOI: 10.1097/00004010-200510000-00010 · Source: PubMed
[5]. Faisal Talib and Zillur Rahman (2015) "An interpretive structural modelling for sustainable healthcare quality dimensions in hospital services" Int. J. Qualitative Research in Services, Vol. 2, No. 1.

Abstract: Background: Degenerative disk disease entails gradual disc space collapse and concurrent discogenic or facet mechanical pain and possible compression radiculopathy. Surgical treatment should aim to re-expand the intervertebral space and to stabilize the involved segment in balanced alignment until fusion is complete. In the posterior lumbar interbody fusion techniques that prevail, installation of large fixed size cages dictate extensive exposure that requires stabilizing the posterior structures.Objectives: To see the efficacy of using cage with bone graft in posterior lumbar interbody fusion for the treatment of degenerative disc disease. Purpose of the study are relief of low back pain, instability, radiculopathy, neurological deficiency in degenerative disc disease and return back to his.......

Key Wards: Degenerative disc; Posterior lumbar; Cage and bone graft

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[5]. Kamiah A Walker 2009, v Surgery for degenerative disc disease, Retrieved may2 8,2009. Availablefrom: www. spineuniverse. com/condition /degenerative disc disease