iosr-JDMS   Volume-20 ~ Issue-7 ~ July 2021

Abstract: Introduction : Hollow viscus perforation is a common abdominal emergency and is still a dreaded condition with high mortality. Perforation of any part of the intestine is life threatening, which is most commonly managed by general surgeons. Materials and Methods : This study was conducted in The Department of General Surgery of the Sri Venkata Sai Medical College& Hospital. Fifty cases of acute bacterial peritonitis secondary to gastro intestinal tract perforations were encountered during the study period of three years from 01.08.2017 to 31.10.2020. Results : Upper Gastro-intestinal......

Keywords: Perforation,Peritonitis,APACHE,Manheim's

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Abstract: Dentists face great challenges in the aesthetic rehabilitation of these young children who has suffered multiple tooth loss subsequent to rampant early childhood caries. Caries in the mandibular region is rare, restorative solutions for mandibular incisors are needed. The present case report discusses about the fabrication and placement of a fixed type of an anterior esthetic appliance for mandible. It constituted a design, whereby the mandibular primary second molars were used to support the appliance through bands and a wire that contained an acrylic flange bearing trimmed acrylic teeth, anteriorly. The appliance was functionally and esthetically compliant.

Keyword: Early Childhood Caries, Primary Teeth, Anterior Restoration, Esthetics, Fixed Functional Appliance

[1]. Fung, M. H. (2013, December 24). Arresting Early Childhood Caries with Silver Diamine Fluoride-A Literature Review. Oral Hyg Health Journal of Oral Hygiene & Health, 01(03), 1-5.
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Abstract: Aims: This study was aimed to measure and evaluate the serum interleukin-6 level in diagnosed cases of COVID-19 Patients. Study design: An observational study. Place and Duration of Study: Department of Biochemistry, Sheikh Bhikhari Medical College and Hospital, Hazaribag, Jharkhand, between 28th March 2021 and 27th April 2021. Methodology: We included 110 patients (68 men, 42 women; age range 18-99 years) with documented COVID-19 were reviewed. The subjects were divided into two group severe and non-severe COVID-19. The details were recorded on a pre-structured performa. Between group, differences were tested using the Mann-Whitney's U-test......

Keyword: [covid-19, serum interleukin level, severe, prognosis]

[1]. Yang X, Yu Y, Xu J et al: Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: A single-centered, retrospective, observational study. Lancet Respir Med, 2020; 8(5): 475–81
[2]. WHO, Coronavirus Disease ( COVID-19), Situation Report, WHO, Geneva, Switzerland, 2020.
[3]. S. Ahmed, L. Jafri, H. Majid, A.H. Khan, F. Ghani, I. Siddiqui, Challenges amid COVID-19 times-Review of the changing practices in a clinical chemistry laboratory from a developing country, Ann. Med. Surg (2020 Jun 6), https://doi. org/10.1016/j.amsu.2020.06.004.
[4]. Soy M, Keser G, Atagunduz P et al: Cytokine storm in COVID-19: Pathogenesis and overview of anti-inflammatory agents used in treatment. Clin Rheumatol, 2020; 39(7): 2085–94
[5]. Jose RJ, Manuel A: COVID-19 cytokine storm: The interplay between inflammation and coagulation. Lancet Respir Med, 2020; 8(6): e46–47

Abstract: Background: There are many unknowns for pregnant women during the coronavirus disease 2019 (COVID-19) pandemic. Even though enormous studies on effect of COVID-19 infection on pregnant women, newborns but there is no data about the covid-19 pregnancy outcomes in rural and tribal areas, so we are collected data related to pregnancy outcomes in covid-19 patients in tertiary care hospital which is surrounded by rural and tribal population. Materials and Methods: A prospective observational study conducted over a period of 1 year from 1/6/2020 to 31/5/2021. All pregnant women with covid-19 infection presented to OPD or in patient department of OBGY in our institute are included.......

Key words: Covid-19 infection, pregnancy outcomes, rural and tribal area.

[1]. Wang C, Horby PW, Hayden FG, et al. A novel coronavirus outbreak of global health concern. Lancet 2020;395:470-3.
[2]. Allotey J, Stallings E, Bonet M, et al. Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis. BMJ 2020;370:m3320.
[3]. Breslin N, Baptiste C, Gyamfi-Bannerman C, et al. COVID-19 infection among asymptomatic and symptomatic pregnant women: two weeks of confirmed presentations to an affiliated pair of New York City hospitals. Am J Obstet Gynecol MFM 20
[4]. Delahoy MJ, Whitaker M, O'Halloran A, et al. Characteristics and maternal and birth outcomes of hospitalized pregnant women with laboratory-confirmed COVID-19 - COVID-NET, 13 states, March 1–August 22, 2020. MMWR Morb Mortal Wkly Rep 2020;69:1347-54.
[5]. WAPM (World Association of Perinatal Medicine) Working Group on COVID-19. Maternal and perinatal outcomes of pregnant women with SARS-CoV-2 infection. Ultrasound Obstet Gynecol 2021;57:232-41.

Abstract: INTRODUCTION: Periapical surgery is an endodontist's last option for effectively treating periapical lesions caused by pulp necrosis. A variety of regenerative materials, such as bone grafts, growth factors, and membranes, influence the healing outcome of periapical surgery.
PRESENTATION OF CASE :The primary goal of the two cases presented here was to evaluate the potential benefits of a combination of bone graft, platelet-rich fibrin (PRF), and amnion membrane in terms of reduced post-operative discomfort and radiographic evidence of accelerated periapical bone healing.A case of radicular cysts treated with a combination of Sybograf®, PRF, and amnion membrane regeneration. The patient was evaluated for discomfort both immediately after surgery......

KEYWORDS: Amnion memebrane , Bone graft , Periapical Lesion , Regeneration

[1]. Review and meta-analysis, J. Endod. 37 (2011) 1039–1045. [10] E. Deenadayalan, Ashok Kumar, Rajendra Kumar Tewari, Surendra Kumar Mishra, HumaIftekhar, Management of Large Periapical Lesion with the combination of second generation platelet extract and hydroxyapatite bone
[2]. Amniotic Membrane as Barrier Membrane in Endo-Perio Lesion – A Interdisciplinary Approach , RamnathElangovan , RamakrishnanTheyagarajan, MejallaMuthiahAmalaDhas , J Dent Oral Health 6: 1-7
[3]. Choukroun J, Adda F, Schoeffler C, Vervelle A. Uneopportunité en paro-implantologie: Le PRF. Implantodontie 2001;42:55-62.
[4]. Combination of hydroxyapatite, platelet rich fibrin and amnion membrane as a novel therapeutic option in regenerative periapical endodontic surgery: Case series ,UdayKiranUppada,∗, ButchibabuKalakonda , PradeepKoppolub, Narendravarma, KiranPalakurthy , VenkateshManchikanti , Shilpa Prasad, Shereen Samar , Lingam Amara Swapna , / International Journal of Surgery Case Reports 37 (2017) 139–144 .
[5]. Bone Regeneration Using Hydroxyapatite Crystals for Periapical Lesion , Dr.RohitArora, , Dr.Shalya Raj (IOSR-JDMS) , Volume 14, Issue 8 Ver. VII (Aug. 2015)

Abstract: Anterior teeth frequently present with weakened coronal and radicular tooth structure. Restoring such teeth can be challenging owing to the compromised geometry. The flared canal can be due to developmental defects, internal resorption or open apex. Trauma is very common in young age leading to incomplete root formation. Apexification using calcium hydroxide is a long process and the quality of calcific barrier obtained may be inadequate. Nowadays, one visit apexification with MTA is generally preferred. Earlier, metal post or prefabricated fibre post were used to rehabilitate such teeth. However, they do not adapt to the canal anatomy causing inadequate stress distribution. The root canal of such debilitated teeth can be reinforced by intraradicular rehabilitation. This paper presents a technique of restoring grossly mutilated teeth with Ribbond fiber and composite resin..

KEYWORDS: Intraradicular rehabilitation, fiber post, composite, apical barrier

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Abstract: Back ground: Thyroid malignancy is the most common endocrine malignancy. Its incidence is on increasing trend in recent years. Thyroid cancer is a cancer that develops from tissues of thyroid gland.it is a disease in which cells grow abnormally and have the potential to spread to other parts of the body. women are more affected often than men. Asian descents are more commonly affected. It most commonly occurs between ages of 35 to 65 years. Materials and Methods: The study of 100 cases selected by prospective cohort study technique, patients with goiter undergoing evaluation and admitted in surgical wards of Coimbatore medical college hospital, Coimbatore. during the period from January........

KEYWORDS: Goiter, thyroid malignancy, papillary carcinoma, follicular carcinoma.

[1]. Inayat ullah,Muhammad hafeez,naseer ahmad,Ghulam Muhammad,sanum gandapur (2014) Incidence of thyroid malignancy in multinodular goiter.j.med.sci. (Peshawar,print) October 2014,vol.22,no.4;164-165(page1)
[2]. Nikhil Nanjappa BA, Alok Mohanty, Tirou Aroul T, Robinson Smile S, Dhananjay Kotasthane (2012) Thyroid Carcinoma (Tc) in Nodular Goitre. Thyroid Disorders Ther 1:115. doi:10.4172/2167-7948.1000115
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Abstract: A 55-year-old man was referred for growing lesions on his left eyelid for several years. The patient had not seen a physician during the progression of the disease. On admission, a large ulcerated lesion was seen on his left upper eyelid (Figur.1). Ophthalmologic examination objective a 10/10 visual acuity bilaterally. Ocular tone was normal in both eyes. Slit lamp examination showed no abnormalities in the anterior segment and fundus. Cerbro-orbital imaging showed no loco regional invasion; extension workup for secondary locations was unremarkable.
A fine needle biopsy of the lesion was performed........

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Abstract: Background: Marginal fit plays an important role in the long-term success of restorations. Inadequate marginal adaptation of the crown to abutment leads to vertical or horizontal discrepancies which are detrimental to tooth and cause failure of the prosthesis. Traditionally, metal copings were fabricated by lost wax technique. Advancements in dental technology led to development of sophisticated methods like direct metal laser sintering (DMLS) for casting metal crowns. There is limited data on marginal fit of fixed prosthesis fabricated by direct metal laser sintering technology. We aimed to evaluate and compare the marginal fit of metal copings fabricated by conventional and DMLS techniques with two different finish lines. Materials and Methods: In this in-vitro study, two cobalt chromium alloy models of mandibular first molars with chamfer and radial shoulder......

KEYWORDS: CAD/CAM, DMLS, Stereomicroscope, Marginal gap, co-cr copings, Chamfer, Radial shoulder.

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[5]. Ezatollah Jalalian, Neda Sadat Aletaha. The effect of two marginal designs (chamfer and shoulder) on the fracture resistance of all ceramic restorations, Inceram: An in vitro study. Journal of Prosthodontic Research 2011; 55:121–125.

Abstract: INTRODUCTION: Increased plasma levels Homocysteine is now considering as individual risk factors for cerebrovascular disease, myocardial infarction, and peripheral arterial occlusive disease. Hyper homocysteinemia not only accelerates atherosclerosis but also by various mechanisms can increase the incidence of cerebrovascular disease. MATERIAL & METHODS: It was an observational (case control) study done from November 2017 to 2018. The present study was carried out on 50 patients (cases) admitted in the Medicine department, King George Hospital, Visakhapatnam. About 50 asymptomatic controls were taken. Demographic data like......

KEYWORDS: Plasma homocysteine levels, ischemic stroke, case control study

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Abstract: Aim: The aim of our study was to analyze the usefulness of ultrasound guided fine needle aspiration cytology in the diagnosis of intraabdominal and pelvic masses. Material and Methods: The study included 70 clinically and radiologically suspected palpable and non-palpable intra-abdominopelvic lesions studied over a period of 1 year. USG guided FNAC was done in all the non-palpable lesion and for a few selected palpable lesions. Giemsa's and Papanicolaou's stains were used. Results: Cases were reported in age range of 2-78 years with a M: F of 1.1:1. There were 45 (64.2%) malignant, 22 (31.4%) benign and 3 (4.2%) inconclusive cases. Liver and gallbladder were most common involved sites. This study showed 100% specificity and 95% sensitivity for malignant lesions. Conclusion: USG guided FNA cytology is a simple and safe procedure. It can be utilized as a pre-operative procedure for the management of intra-abdominopelvic lesions

KEYWORDS: USG guided FNAC, Intra-abdominal masses, Pelvic masses

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Abstract: Objective: To study the impact of Severe Acute Respiratory Syndrome CoronaVirus-2 (SARS-CoV-2) disease Pandemic lockdown on routine childhood immunization, considering the limited healthcare and transport facilities while reaching the tertiary care hospital. Methods: It was a hospital based observational study done in a tertiary care centre in Western Maharashtra comparing 4 periods of year 2020, each consisting of 4 weeks viz 1-28th of February,1-28th of May and 1-28th of August and 1-28th of December. Results: Total number of vaccine beneficiaries decreased significantly during lockdown from 2687 in February to 1688 in May and improved in August to 2091 and almost to pre-lockdown levels i.e. 2295 in December. The percent reduction was maximally seen in beneficiaries receiving DPT-b1 followed by DPT-1+MR-2, MR-1 and combination vaccines. The category least affected was the birth dose with reduction of 19% during lockdown and 15.6 and 14.3% reduction comparing pre-lockdown levels........

KEYWORDS: Combination vaccines, Lockdown, Pentavalent, Measles

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