iosr-JDMS   Volume-20 ~ Issue-8 ~ Aug. 2021

Abstract: Numerous advancements have been made in the procedures for making fixed prosthodontic impressions over the past few decades. Gingival retraction is the temporary displacement of the gingival tissue away from a tooth that helps to register the prepared abutments and finish lines accurately. It permits completion of the preparation, cementation of the restorations and helps the operator to make complete impression of the preparation. This article discusses the current methods that are applied for displacement of gingival tissues and analyse their merits and demerits. The choice of method of retraction depends on the clinical situation and accessibility

[1]. Jokstad A. Clinical trial of gingival retraction cords. J Prosthet Dent 1999;81: 258–61.
[2]. Shaw DH, Krejci RF. Gingival retraction preference of dentists in general practice. Quintessence Int 1986;17:277–80.
[3]. Weir DJ, Williams BH. Clinical effectiveness of mechanical-chemical tissue displacement methods. J Prosthet Dent 1984;51:326–9.
[4]. de Gennaro GG, Landesman HM, Calhoun JE, et al. A comparison of gingival inflammation related to retraction cords. J Prosthet Dent 1982;47:384–9.
[5]. Ramadan FA, El-Sadeek M, Hassanein ES. Histopathologic response of gingival tissues to hemodent and aluminum chloride solutions as tissue displacement materials. Egypt Dent J 1972;18:337–52.

Abstract: this prospective study was done to compare the effect of single dose prophylactic intravenous antibiotic versus conventional triple antibiotic therapy in preventing surgical site infection in clean surgical cases operated in ssims&rc. A total of 200 cases were studied, male to female ratio in study was 3:2, with mean age of 42.7 years, among the clean surgery cases operated, lichtenstein mesh repair done for inguinal hernia is being highest, 31%.in group-ii 6% of and 2% case in group-i had postoperative infection, with staphylococcus aureus being most common organism isolated. This study highlights the rational use of antibiotic as injudicious use can adversely affect the patient, cause emergence of antibiotic resistance and increase the cost of health care

[1]. Rosenberger lh, politano ad, sawyer rg. The surgical care improvement project and prevention of post-operative infection, including surgical site infection. Surg infect (larchmt). 2011;12(3):163-168. Doi: 10.1089/sur.2010.083.
[2]. Alexander jw, solomkin js, edwards mj. Updated recommendations for control of surgical site infections. Ann surg. 2011;253(6):1082-1093
[3]. Barie ps: surgical site infections: epidemiology and prevention. Surg infect (larchmt) 3(suppl 1):s9–s21, 2002.
[4]. national nosocomial infections surveillance system (nnis) system report. Data summary from january 1992–june 2001, issued august 2001. Am j infect control 2001;29:404–21. [5]. Martone wj, nichols rl. Recognition, prevention, surveillance, and management of surgical site infections: introduction to the problem and symposium overview. Clin infect dis. 2001;33:s67-s68..

Abstract: Pneumoperitoneum and perforation are the most commonly seen complications in cases of rectal air entry at a high velocity in a short duration of time. We present a case of 20 year old male who was brought to emergency department with severe abdominal pain and distension for 2 hours. On asking history he told a friend of him pumped high-pressure air from an air compressor into his anus while he was working in a factory. The examination and investigations of patients were suggestive of free gas in peritoneal cavity (pneumoperitoneum) and the patient was taken for emergency exploratory laparotomy. On exploration, gaseous distention of whole colon was observed with multiple serosal tear along the colon . A defect of 2x2 cm seen in middle of transverse colon at anti mesenteric border. The defect was closed primarily.

Keywords: perforation , colonic barotrauma ,Acute abdomen, Emergency exploratory laparotomy, Transverse colon perforation

[1]. Stone GW. Rupture of the Bowel Caused by Compressed Air. Lancet. 1904;164(4221):216-7.
[2]. Cotton FJ. Rupture of the Bowel from Compressed Air. Boston Med. Surg. Jour. 1912;i66(562).
[3]. Bendixen PA, Blything JD. Pneumatic Rupture of the Bowel. Surg. Gynec. Obstet. 1914;18(73).
[4]. Mulkipatil SY, Shirbur SN, Gururaj S. Rare presentation of colonic perforation due to severe barotrauma. Medica. 2014;3:140-5.
[5]. Kim SJ, Ahn SI, Hong KC, Kim JS, Shin SH, Woo ZH. Pneumatic colonic rupture accompanied by tension pneumoperitoneum. Yonsei Med J. 2000;41:533-5.

Abstract: Objective: we aimed to provide correlation of D-dimer & CRP with severity of disease in 2 nd wave of covid 19.
Methods: 100 patients admitted in Shri Mahant Indresh Hospital Covid Ward with positive RT PCR. Serum samples taken and run on VITROS 5600/7600 and reported for D-dimer & CRP.
Results: with 100 patients 34 were females & rest 66 were males. Out of which both parameters run on all patients. Mean age of CRP for males 58.92 ±15.63 & Mean age for females 55.23±15.60. Observed value for CRP 55.40±64.98 for males 47.46±57.00 for females & observed value for D-dimer is 2736± 2948 for males & for females 3968± 4912. In this study D-dimer was significant as compared to Crp

[1]. Wang F, Yang Y, Dong K, Yan Y, Zhan S, Ren H, et al. CLINICAL CHARACTERISTICS OF 28 PATIENTS WITH DIABETES AND COVID 19 IN WUHAN, CHINA. Endocrine Practice. 2020; 26(6):668-674.pmid:32357072
[2]. Ciceri F, Beretta L, Scandroglio AM, Colombo S, Landoni G, Ruggeri A, et al. Microvascular COVID19 lung vessels obstructive thromboinflammatory syndrome ( MicroCLOTS): an atypical acute respiratory distress syndrome working hypothesis. Crit Care Resusc. 2020 ;22(2):95-97. Pmid:32294809
[3]. Lee DW, Gardner R, Porter DL, Louis C, Ahmed N, Jensen M, et al. Current concepts in the diagnosis and management of cytokine release syndrome . Blood .2014;124(2):188-195.pmid:24876563.
[4]. Teachey DT, Lacey SF, Shaw PA, Melenhorst J, Maude S, Frey N, et al. Identification of predictive biomarkers for cytokine release syndrome after chimeric antigen receptor T cell theraphy for acute lymphoblastic leukemia. Cancer discovery. 2016;6(6):664-679.pmid:27076371
[5]. Zhang T, Sun L, Feng R. Comparison of clinical and pathological features between severe acute respiratory syndrome and coronavirus disease 2019. Chinese Journal of tuberculosis and Respiratory disease. 2020;43:E040-E040.pmid:32241072.

Abstract: Les radionécroses des lésions chroniques dont l'évolution spontanée est l'aggravation. Leur traitement est essentiellement chirurgical. Le parage doit être large et concerner l'ensemble des tissus radiodystrophiques. La reconstruction doit être immédiate. La localisation cervicale présente le risque de rétraction cutanée en premier plan et celui d'exposition vasculaire plus rare. La chirurgie des radionécroses est difficile et répond à des critères stricts. Elle doit éviter les risques de surinfection et de cancérisation et permettre d'améliorer la qualité de vie des patients. Nous présentons dans ce travail la stratégie adoptée par notre équipe dans la prise en charge d'un cas clinique d'une radiodermite cervicale.......

[1]. Cox JD, Byhardt RW, Wilson JF, Haas JS, Komaki R, Olson LE. Complications of radiation therapy and factors in their prevention. World J Surg 1986;10:171-88
[2]. Rubin P, Casarett W. Clinical radiation pathology. Philadelphia: Elsevier; 1975
[3]. Bobin JY, Rivoire M, Delay E, el Arini A, Mignotte H, Wagner P, et al. Radiation induced sarcomas following treatment for breast cancer: presentation of a series of 14 cases treated with an aggressive surgical approach. J Surg Oncol 1994;57:171-7
[4]. Boice Jr. JD, Day NE, Andersen A, Brinton LA, Brown R, Choi NW, et al. Second cancers following radiation treatment for cervical cancer. An international collaboration among cancer registries. J Natl Cancer Inst 1985;74:955-75. [5]. E.ECHINARD brulures de la face et du cou. LES BRULURES, chapitre 24. 271..

Abstract: Preterm Labor is defined as onset of uterine contractions of sufficient and frequency to effect progressive dilatation &effacement of cervix at less than 37 wks of gestation ACOG CRITERIA to document PTL. 1. Contraction of 4 in 20 minutes or 8 in 60 minutes 2. Cervical dilatation greater than 1 cm &cervical effacement of 80 %or greater

[1]. Crane JM and Hutchinson D .Chochrane library articles for review s of trans vaginal cervical length and its relation to pre term labour. Ultrasound Obstet Gynecol. 2008 May;31 •Berghella V, Tolosa JE ,Kuhlman KA et al. Cervical ultrasonography compared to manual examination as a predictor of preterm delivery .Am J Obstet and Gynecol 1997 ;177 :pg 723 -730 • www.who.int/bulletin/volumes/88/1/08-062554/en.
[2]. F.Gary Cunningham , Leveno, Bloom , Hauth, Gilstrap, Wenstorm ;Preterm birth , Williams Obs. Ed 23 rd pg.
[3]. .Stiphen A Walkinshaw.Preterm labour &delievery of preterm infant :Turnbull Obstetrics.3rd ed. Pg 493-514
[4]. WHO. International statistical classification of diseases& related health problems, 10 th revision , Vol 2. Geneva , Switzerland: WHO, 1983.
[5]. Strobino B , Pantel –Silverman J .Gestational vaginal bleeding and pregnancy outcome.AM J Epidemiol 1989 :129 :p 806-815 (Level II -2)

Abstract: Meckel–Gruber syndrome (MGS) is a serious disorder of ciliopathic origin and is lethal in nature with guarded prognosis. As per available literature its incidence is quite rare. It is a multisystem developmental disorder associated with various malformations like occipital encephalocele, post-axial polydactyly and renal cystic dysplasia. Other nervous system abnormalities are less frequently reported which include hydrocephaly, anencephaly or malformation of cerebellum. We are presenting this case of MGS associated with anencephaly. Main goal of this case report is to highlight the importance of ante natal check-up along with ultrasound that precisely diagnose the malformations of Central Nervous System (CNS) and alerts a physician to prescribe medication e.g. folic acid as a preventive measure against major defects and also aids in active management of other neural tube defects

Keywords: MGS (Meckel Gruber Syndrome), CNS (Central Nervous System),

[1]. Yuksel MA, Mammadov Z, Sofiyeva N, AliciDavutoglu E, TemelYuksel I, Madazli R. Anunusual case of Meckel– Gruber syndrome (MKS) associated with visceroatrialhet- erotaxy and facial anomalies. J ObstetGYNAECOL(LAHORE) [Internet] 2016;36:524–5. http://www.tandfonline.com/doi/ full/10.3109/01443615.2015.1110123.
[2]. Vernekar JA, Mishra G, Pinto R, Bhandari M, Mishra M. Antenatal ultrasonic diagnosis of Meckel Gruber syndrome (a case report with review of literature).AUSTRALASRAdiol[Internet] 1991;35:186–8. http://doi.wiley.com/10.1111/j.1440-1673.1991.tb02864.x. [3]. Nyberg DA, Mack LA, Bronstein A et-al. Holoprosencephaly: prenatal sonographic diagnosis. AJR Am J Roentgenol. 1987;149 (5): 1051-8. AJR Am J Roentgenol (abstract) - Pubmed citation
[4]. Barisic I, Boban L, Loane M, Garne E, Wellesley D, Calzolari E, et AL. Meckel–Gruber syndrome: a population-based study on prevalence, prenatal diagnosis, clinical features, and survival in Europe. Eur J Hum Genet [Internet] 2015;23:746–52.http://www.ncbi.nlm.nih.gov/pubmed/25182137.
[5]. Jeevika M, Reddy TA, Kumar KA, Kona eddy R. Meckel Gruber syndrome—a case report. IOSR J Dent Med SciVerIII[Internet] 2016;15:2279–861.www.iosrjournals.org.

Abstract: Aim: The aim was to estimate the prevalence of portal hypertensive polyps in patients with portal hypertension due to any etiology. Methods: This is a prospective observational study of patients with portal hypertensive polyps. All patients in age group of 18 to 80 years who had portal hypertension diagnosed by clinical, laboratory and imaging criteria who went upper gastro intestinal endoscopy from the period of August 2020 to May 2021 were included in the study. Diagnosis of portal hypertensive polyps was confirmed histologically. Patients with proton pump inhibitor use, gastric varices, h. pylori gastritis....

Keywords: Portal hypertension, Portal hypertensive polyp, Polyp in cirrhosis

[1]. Lam MCW, Tha S, Owen D. Gastric polyps in patients with portal hypertension. Eur J GastroenterolHepatol. 2011;23:1245-9.
[2]. Devadason D, Murphy MS, Brown R. Duodenal capillary hemangiomatous polyp: a novel manifestation of extrahepatic portal hypertension? J PediatrGastroenterolNutr. 2007;45:114-6.
[3]. Gine P. EASL clinical practice guidelines on the management of ascites, spontaneous bacterial peritonitis, and hepato renal syndrome in cirrhosis.J Hepatology. 2010;53:397-417.
[4]. Ferenci P, Lockwood A, Mullen K, Tarter R, Weissenborn K. Hepatic encephalopathy, definition, nomenclature, diagnosis, and quantification: final report of the working party at the 11th World Congresses of Gastroenterology 1998. Hepatology. 2002;35:716-21.
[5]. Weston BR, Helper DJ, Rex DK. Positive predictive value of endoscopic features deemed typical of gastric fundic gland polyps. J ClinGastroenterol. 2003;36:399-402.

Abstract: Background:: Bone marrow examination is necessary for diagnosis and management of many haematological malignancies. For bone marrow examination two types of samples, bone marrow aspiration and bone marrow biopsy can be obtained in the laboratory. The amount of bone marrow reticulin staining Often exhibits correlation to disease prognosis,while the presence of type1 collagen,as detected by trichome staining ,is often associated with more severe disease and a poorer prognosis . The use of reticulin and trichome stain was effective when compared with the use of H&E stain alone as a laboratory diagnostic method for detection and grading of marrow fibrosis.
Aims and objectives: 1. To study cytomorphology in adult bone marrow haematological malignancies.2. To study reticulin pattern in adult bone marrow.....

Keywords: MGS (Meckel Gruber Syndrome), CNS (Central Nervous System),Bone marrow aspiration, bone marrow biopsy, bone marrow fibrosis H&E Stain, Reticulin stain, Masson trichome stain.

[1]. 1.Bain, B.J., Clark, D.M, Lampert, I.A.&Wilkins,B.S(2001) Bone Marrow Pathology. 2nd Edition.Blackwell Science Ltd, London
[2]. Hann IM, Evans DI, Marsden HB, Jones PM, Palmer MK. Bone marrow fibrosis in acute lymphoblastic leukaemia of childhood. J ClinPathol. 1978 Apr;31(4):313-315
[3]. Thiele J, Grashof K, Fisher R. Follow-up study on bone marrow reticulin fibrosis in AML. Anal Cell Pathol. 1991 Jul;3(4):225-31
[4]. O'Malley DP, Sen J, Juliar BE, Orazi A. Evaluation of stroma in human immunodeficiency virus/acquired immunodeficiency syndrome-affected bone marrows and correlation with CD4 counts. Arch Pathol Lab Med. 2005 Sep;129(9):1137-40
[5]. Bauermeister DE. Quantitation of bone marrow reticulin--a normal range. Am J ClinPathol. 1971 Jul;56(1):24-31.

Abstract: Résumé: Le diagnostic d'une tumeur cérébrale pendant la grossesse est souvent difficile. En effet, le diagnostic est souvent égaré devant des signes non spécifiques attribués à tort à la grossesse et /ou à ses complications. Si la voie basse est généralement privilégiée, les modalités de l'accouc ement doivent cependant tre adaptées cette pathologie. Dans ce contexte la prise en charge anesthésique est particulièrement délicate car doit tenir compte des différentes caractéristiques liées au terrain gravidique, celui de l'HTIC et du contexte d'urgence. ous rapportons le cas d'une patiente de ans, terme, en travail, admise aux urgences de la maternité Soussi (niveau 3) dans un tableau de crise convulsives faisant découvrir un astrocytome..

Keywords: Grossesse, HTIC, tumeur cérébrale.

[1]. B E B GI F, CHA EL E P I IE Interactions entre grossesse et tumeurs cérébrales EMC. Instant. Med. 1988, 2:7-8
[2]. A. SIF umeurs cérébrales et grossesse hèse éd. Casablanca, 2005, N°419
[3]. CHATEL M, BRUNET-BOURGIN Pathologies maternelles et grossesse Paris: Medsi Mc GrawHill, 1988; 232-238
[4]. TARNOW.VON Cerebral tumors in pregnancy Zbl. Neurochir.1960; 20:134-158
[5]. BECK D.W. MENEZEES A.H. Intracerebral hemorrhage in a patient with eclampsia J.A.M.A 1981 ; 246 : 1442-1443.

Abstract: We report the case of a 60-year-old patient presenting a protrusion of the left eyeball with diplopia, which prompted the consultation. Ophtha lmologic examination found retained visual acuity, left elevation deficit, painless non-pulsatile exophthalmos, eyelid edema and chemosis. Orbital CT with injection showed the presence of a cavernous hemangioma. The imaging workup is supplemented by an arteriography to specify the vascularization of the tumor with a view to surgical treatment such as lateral orbitotomy. However, the patient presented spontaneous involution.......

Keywords: Intraorbital cavernous hemangioma; Spontaneous regression; Exophthalmos.

[1]. Yan J, Wu Z. Cavernous hemangioma of the orbit: analysis of214 cases. Orbit 2004; 23:33—40.
[2]. Cophignon et al. J, d'Hermies F, Civit T. [Vascular tumors of theorbit]. Neurochirurgie 2010; 56:197—212.
[3]. Bouguila J. [Intraorbital cavernous hemangioma]. Rev StomatolChir Maxillofac 2008; 109:312—5.
[4]. Rootman J. Diseases of the Orbit. A Multidisciplinary Approach.second edition (ed). Philadelphia: Lippincott Williams & Wil-kins; 2003. p. 513—4.
[5]. Leatherbarrow B, Noble JL, Lloyd IC. Cavernous haemangioma of the orbit. Eye 1989 ; 3:90-9..

Abstract: Objective: To evaluate the role of umbilical cord blood culture in neonates at high risk of early onset sepsis Study Design: Prospective analytical study Setting and Participants: Newborns delivered by labour natural/LSCS having two or more risk factors for sepsis admitted at Neonatology Division, Department of Pediatrics, Coimbatore Medical College Hospital, Coimbatore, tertiary care hospital in Tamilnadu. Methodology: Neonates who were at risk of developing sepsis based on presence of two or more risk factors for early onset sepsis were enlisted. These risk factors were prematurity (<35 completed weeks),prolonged rupture of membrane (>18 hours), premature rupture of....

Keywords: sepsis, culture, umblical cord, peripheral vein.

[1]. Gotoff SP. Neonatal Sepsis and meningitis: in: Nelson textbook of Paediatrics. (15th Edi on). Eds Behraman RE, Kleigman RM,
Arbin AM. Philadelphia, WB saunders company 1996: 528537.
[2]. Agrawal R, Sarkar N, Deorary AK and Paul VK. Sepsis in newborn. Ind J Paediatr 2001;68:114347
[3]. Stoll BJ, Hansen NI, Sanchez PJ. Early onset neonatal sepsis: the burden of group B Streptococcal and E. coli disease continu es.
Pediatr. 2011; 127:817-26
[4]. Chawla D, Agarwal R. Rational approach to diagnosis of neonatalsepsis. J Neonatol. 2006; 20:4-7
[5]. Hansen A, Forbes P, Buck R. Potential substitution of cord blood for infant blood in the neonatal sepsis evaluation. Neonatology.
2005; 88(1):12-8.

Abstract: Background: Plasma cell dyscrasias are a formidable group of disorders among haematologic neoplasms. These are also termed as plasma cell disorders and plasma cell proliferative diseases. The medical term "dyscrasia" literally means "bad mixture," and can be traced back to the Greek physician Galen (A.D. 130 to 199). The clinical presentation of Plasma cell dyscrasias may vary from asymptomatic to life threatening malignant neoplasms. Monoclonal gammopathy of undetermined significance (MGUS), Malignant monoclonal gammopathies, Malignant lympho-proliferative disorders and immunoglobulin deposition diseases are among them. Plasmacytomas and multiple myeloma comes under.....

Keywords: Plasma cell, Plasma cell dyscrasias, Plasmacytoma, Extra medullary Plasmacytoma, Multiple myeloma.

[1]. http://atlasgeneticsoncology.org/Anomalies/PlasmacytomaID1759.html
[2]. Lombardo EM, Maito FLDM, Heitz C. Solitary plasmacytoma of the jaws: therapeutical considerations and prognosis based on a case reports systematic survey. Braz J Otorhinolaryngol. 2018 Nov-Dec; 84(6):790-798.
[3]. Jaffe, ES, Harris, NL, Stein, H, Vardiman, JW., editors. World Health Organization classification of tumours: Pathology and genetics of tumours of haematopoietic and lymphoid tissues. IARC Press; Lyon: 2001.
[4]. Dores G M, Landgren O, McGlynn K A, Curtis R E, Linet M S, and Devesa S S. Plasmacytoma of bone, extramedullary plasmacytoma, and multiple myeloma: Incidence and survival in the United States, 1992−2004 Br J Haematol. 2009 January; 144(1): 86–94. doi:10.1111/j.1365-2141.2008.07421.x.
[5]. Narasimhan M, Chinnaswamy R, V Giri GV, Subramani VN. Oral medullary plasmacytoma: Rare case reports. J Oral Maxillofac Pathol. 2020 Feb; 24(Suppl 1):S55-S58. doi: 10.4103/jomfp.JOMFP_37_19. Epub 2020 Feb 28. PMID: 32189906; PMCID: PMC7069149..