iosr-JDMS   Volume-20 ~ Issue-6 ~ June 2021

Abstract: Introduction: Involvement of the subtalar joint in fracture calcaneus malunion may give rise to chronic pain and permanent functional impairment. This study evaluated the functional result of subtalar joint fusion and effectiveness of a technique using double lag screw from the posteroinferior calcaneus to the talus. Materials and Methods: In between JULY 2019 and July 2020, we performed 10 isolated subtalar arthrodeses by double lag screw technique from posteroinferior calcaneus to talus. The average patient age was 39 (range 28–50) years. There were 7 males and 3 females. All the cases were followed for upto 8 months after the procedure. Results: 9 out of 10 joints were fused except one who developed infection, resulting in an overall fusion rate of above 90%. The average time for......

Keywords: Arthritis, chronic pain, subtalar arthrodesis

[1]. Rammelt S, Bartoníček J, Park K-H. Traumatic Injury to the Subtalar Joint. Foot Ankle Clin. 2018;23(3):353-374. https://doi.org/10.1016/j.fcl.2018.04.004
[2]. Radnay CS, Clare MP, Sanders RW. Subtalar Fusion After Displaced Intra-Articular Calcaneal Fractures. J Bone Jt Surg. 2010;92:32-43. https://doi.org/10.2106/JBJS.I.01267
[3]. Csizy M, Buckley R, Tough S, et al. Displaced Intra-articular Calcaneal Fractures. J Orthop Trauma. 2003;17(2):106-112. https://doi.org/10.1097/00005131-200302000-00005
[4]. Buckley R, Leighton R, Sanders D, et al. Open Reduction and Internal Fixation Compared With ORIF and Primary Subtalar Arthrodesis for Treatment of Sanders Type IV Calcaneal Fractures. J Orthop Trauma. 2014;28(10):577-583. https://doi.org/10.1097/BOT.0000000000000191
[5]. Potter MQ, Nunley JA. Long-Term Functional Outcomes After Operative Treatment for Intra-Articular Fractures of the Calcaneus. J Bone Jt Surg. 2009;91(8):1854-1860. https://doi.org/10.2106/JBJS.H.01475

Abstract: Resume Les tumeurs des glandes salivaires sont rares, dominées par les tumeurs parotidiennes. Elles sont caractériséespar une grande hétérogénéité morpho-histologique. La tuméfaction parotidienne est le motif de consultation le plus fréquent. L'imagerie par résonnance magnétique représente l'examen radiologique de choix pour explorer ces tumeurs. Le traitement de ces tumeurs demeure chirurgical en premier lieu. Néanmoins, la complication majeure de cette chirurgiereste la paralysie faciale pouvant être transitoire ou permanente.Histologiquement, les formes bénignes sont les plus fréquentes dominées par l'adénome pléomorphe.

Keywords: Tumeurs, glande parotide, adénome pléomorphe, formes bénignes, parotidectomie, paralysie faciale.

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[2]. Shetty A, Geethamani V. Role of fine-needle aspiration cytology in the diagnosis of major salivary gland tumors: A study with histological and clinical correlation. J Oral Maxillofac Pathol JOMFP. 2016; 20(2):224–9.
[3]. Kubacka M, Orendorz-Frączkowska K, Pazdro-Zastawny K, Morawska-Kochman M, Kręcicki T. Epidemiological evaluation of salivary gland tumors in the Wrocław ENT Department patients in the years 2001-2010. Otolaryngol Pol. 2013 Jan; 67(1):30-33.
[4]. Espinoza S, Halimi P. Les éléments clés de l'interprétation de l'IRM des tumeurs parotidiennes. Annales françaises d'oto-rhino-laryngologie et de pathologie cervico-faciale 132 (2013) 130, 30–36.
[5]. Emmanuelle Uro-Coste, C.A. Righini. Tumeurs des glandes salivaires. État des lieux en 2009. Service d'anatomie pathologique et histologie-cytologie, hôpital de Rangueil. 60(3) : 313 6.

Abstract: Oral Lichen Planus (OLP) is a chronic mucocutaneous inflammatory disease that often affects the bilateral buccal mucosa, tongue, and gingiva, but rarely occurs on the palate and lips. This case report aims to describe the occurrence of OLP on the lips in a 49-year-old woman, which occurred for about 3 months before, and clinically appear to be similar with Herpes Associated Erythema Multiforme (HAEM). On examination, there were erosive lesions with crusting on the lips and erosive lesions on the buccal mucosa. The patient received systemic and topical corticosteroid and multivitamin. After 2,5 months, lesions on the lips experienced significant healing. OLP on the lips is a rare case, making it harder to recognise, difficult to detect, and causing misdiagnosis. HAEM was ruled out due to.....

Keywords: Oral lichen planus; Lips; Herpes associated erythema multiforme; Mimicking.

[1]. Nuzzolo P, Celentano A, Bucci P, Adamo D, Ruoppo E, Leuci S, et al. Lichen planus of the lips: an intermediate disease between the skin and mucosa? Retrospective clinical study and review of the literature. Int J Dermatol. 2016;55(9):e473–81.
[2]. Samal DK, Behera G, Gupta V, Majumdar K, Khurana U. Isolated Lichen Planus of Lower Lip: A Case Report. Indian J Otolaryngol Head Neck Surg. 2015;67(Suppl 1):S151–3.
[3]. Asthana A, Singh AK, Pathak AK. A Review of Lichen Planus : Etiopathogenesis and management. Int J Sci Res. 2019;8(6):24–7.
[4]. Hasan S. Lichen Planus of Lip- Report of a rare case with review of literature. J Fam Med Prim Care. 2019;8(3):1269–75.
[5]. Rekha SM, Annigeri AB, Galgali SR, P J. Multivariant lichen planus of lips and gingiva : Report of a case and a review. Int J Oral Heal Sci. 2018;8:109–15..

Abstract: Background: Rapid rise in non-communicable diseases (NCD) has become a major public health challenge in Sri Lanka. Healthy lifestyle centers (HLCs) were established in 2011 for screening of NCDs and risk factors with majority of them functioning at primary care institutions. A web based HIMS-HLC module was developed to gather screening data from HLCs. Objective of the study was to assess the post-training status of the Healthcare workers (HCW) conducting HLCs trained on HLC-HIMS module in Sri Lanka. Materials and Methods: A descriptive cross-sectional study was carried out in June 2021 among 119 HCW attached to the HLC trained on HLC-HIMS module selected using simple random sampling. The questionnaire was formulated based on Kirkpatrick model covering four domains i.e., reaction, learning, behaviour and result. Data were collected by using a pre-tested self-administered questionnaire........

Keywords: NCD; HIMS; Healthy Lifestyle Centres; post-training evaluation

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Abstract: Background: Carcinoma of the gallbladder is an aggressive disease with a poor prognosis. Gallbladder Carcinoma is more common in females than males. Most of the patients with Gallbladder Carcinoma presents in advanced stage and often unresectable though Surgical resection is the only effective treatment. So, most of the patients receive only palliative therapy. Aims and Objective : To study the clinical presentation and management of carcinoma gallbladder in the department of Surgery, AMCH, Dibrugarh during the study period. Materials and Methods: Hospital based observational study, was conducted from 1st June 2018 to 31st May 2019 in the department of Surgery, AMCH, Dibrugarh. 61 patients with carcinoma gallbladder were evaluated during the study period........

Keywords: Carcinoma Gallbladder, Chemotherapy, Surgical Resection.

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Abstract: clear cell carcinomas of breast is rare entity. We report a case of clear cell carcinoma of breast in a 30 Y old female , which was clinically diagnosed as fibroadenoma of breast. Less than 150 cases have been reported in the world literature so far.

Key words; Fibroadenoma , Clear cell carcinoma of breast. Glycogen rich carcinoma of breast.

[1]. Budoor Mohamed Al-Musaifer, Veena Nagaraj, Latifa Al-Buainain, and Abdulla Darwish.Glycogen rich clear cell carcinoma of the breast: a rare subtype with good prognosis. Journal of Surgical Case Reports, 2019;5, 1–3.
[2]. Marcela Adriana Durán Alvarez. Glycogen-rich Clear Cell Carcinoma of Breast: A Case with an Unusual Macroscopic Presentation and A Good Clinical Outcome. J Med Surg Pathol, 2016, 2:1-4.
[3]. Vilma Ratti Olivia Pagani. Clear Cell Carcinoma of the Breast: A Rare Breast Cancer Subtype – Case Report and Literature Review. Case Rep Oncol 2015;8:472–477.
[4]. Christos Markopoulos*, Dimitris Mantas, T Philipidis, Efstatios Kouskos, Zoi Antonopoulou, ML Hatzinikolaou and Helen Gogas. Glycogen-rich clear cell carcinoma of the breast. World Journal of Surgical Oncology 2008, 6:44
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Abstract: The temporomandibular joint (TMJ), rightly called as craniomandibular articulation is a highly specialized joint in both anatomy and function as unlike other synovial joints in the body, the articular surfaces of TMJ are covered with avascular fibrocartilage instead of hyaline cartilage. Currently there are three acceptable management modalities available for total TMJ reconstruction (TJR) which include - autogenous bone grafts (fibula, metatarsal, clavicle, iliac crest and costochondral) and alloplastic replacement(acrylic, synthetic fibers, ulnar head prosthesis, compressible silicone rubber and total joint systems) and transport distraction osteogenesis techniques. Current reconstructive techniques lie in favor of autogenous replacement in children and alloplasts in adults. Bioengineered TMJ devices are currently being investigated and may be a futuristc viable option for TJR.

Keywords: Temporomandibular joint, osteogenesis, reconctruction, articular disc.

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Abstract: 3 neonates presented with severe pallor in early gestational period .Complete blood count with peripheral smear examination showed abnormal cells suggestive of Congenital Leukemia which was a Rare diagnosis.Bone Marrow Examination confirmed the Diagnosis.All patients needed blood transfusion.However,Immunohistochemistry and Cytogenetic study could not be done due to paucity of investigation in our institute and patients were referred to higher centre.

Keywords: Neonates, Pallor, Leukemia

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Abstract: "I cried because I had no shoes until I met a man who had no feet"-Helen Keller
In terms of grief, losing a part of the body may be on par with that of losing a loved one be it a digit or an entire leg. This loss is usually unexpected and traumatic especially for a piece of oneself which has been well known and been neglected through-out life, has gone forever or changed. Amputation is not something which anyone could find in the brain's dictionary of words. It becomes of utmost importance in this fast-paced life of ours to prevent unnecessary amputations especially in the wake of chronic diseases like Diabetes Mellitus. In India, as opposed to western countries

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