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

Abstract: Background: Variations of Renal Artery are common and very important as knowledge of these variations has grown in importance with the increasing numbers of renal transplants, vascular reconstructions, various radiologic and surgical and techniques to avoid vascular injuries.
Aim of Study: The present study aimed to describe the frequency of the anatomical variations in renal arteries and their branching pattern among the patients in Aswan University hospitals, using Computed Tomography Angiography. Patients and Methods: In this retrospective cross sectional study 106 patients were included (53 male and 53 female) (212 kidneys) who were referred to the radiology department-Aswan university hospital and underwent abdominal MDCT angiography. The images were analyzed and evaluated for the presence of multiple renal arteries and pre-hilar branching......

Key Word: Renal artery – Variations – MDCT – pre-hilar branching- multiple renal arteries.

[1]. Saldarriaga, B., Pérez, A. F., & Ballesteros, L. E. (2008). A direct anatomical study of additional renal arteries in a Colombian mestizo population. Folia morphologica, 67(2), 129-134.
[2]. Bordei, P., Şapte, E. and Iliescu, D., (2004). Double renal arteries originating from the aorta. Surgical and Radiologic Anatomy, 26(6), pp.474-479.
[3]. Munnusamy, K., Kasirajan, S. P., Gurusamy, K., Raghunath, G., Bolshetty, S. L., and Miyajan, Z. B. (2016). ''Variations in branching pattern of renal artery in kidney donors using CT angiography''. Journal of clinical and diagnostic research: JCDR, 10(3), AC01.
[4]. AriStotle, S. and SundArApAndiAn, C.F., (2013). Anatomical study of variations in the blood supply of kidneys. Journal of clinical and diagnostic research: JCDR, 7(8), p.1555.
[5]. Pérez, J. A., Torres, F. G., Toribio, A. M., Fernández, L. K., Hayoun, C., and Naranjo, I. D. (2013). ''Angio CT assessment of anatomical variants in renal vasculature: its importance in the living donor". Insights into imaging, 4(2), 199-211..

Abstract: Aims: To assess and compare the management of loculated effusions in patients by ultrasonography (usg) guided simple thoracocentesis and by intrapleural urokinase instillation through intercostal drain and to study the residual pleural thickening by radiological follow up in the study sample. Patients and methods: A total of 34 patients were observed of which 30 patients were included in the study. They were allocated in to two groups of which one group received intrapleural urokinase (n = 15) and the other was treated by usg guided thoracocentesis of pleural fluid in the locules (n = 15). The urokinase (1,00,000 IU) was administered into the pleural cavity per day for 5 days......

Key Word: loculated effusions, usg guided thoracocentesis, intra pleural urokinase instillation

[1]. Enrique Cases Viedmaa, Marı´a Jose´ Lorenzo Dusa, Andre´s Gonza´lez-Molinab, Jose´ Luis Sanchis Alda´sa. A study of loculated tuberculous pleural effusions treated with intrapleural urokinase. Respiratory Medicine (2006) 100, 2037–2042
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[3]. Bourous D, Schiza S, Tzanakis N,Chalkiadakis G, Drositis J, Siafakas N. Intrapleural urokinase versus normal saline in the treatment of complicated parapneumonic effusions and empyema. A randomized double blind study. Am J Respir Crit Care Med 1999; 159: 37-42.
[4]. Godley PJ, Boll RC. Major haemorrhage following administration of intrapleural streptokinase. Chest 1984; 86:486-7.
[5]. Alfagame I, Vazquez R. Ventricular fibrillation after intrapleural urokinase. Intens Care Med 1997; 23:352...

Abstract: Diseases caused by Entamoeba histolytica manifest an acute infectious diarrhea clinically and pathologically as ulcerative and inflammatory lesion in the caecum and the entire colon [1]. The organism during the invasive stage gains access to the liver via the portal vein where marked tissue destruction occurs resulting in a liver abscess [2-7]. In India, due to poor sanitary condition and a lower socioeconomic status, amoebiasis is endemic and amoebic liver abscess accounts for 3-9% of all cases of amoebiasis [8]. Patients with amoebic liver abscess manifest early with abdominal pain and fever or as fever of unknown origin, weight loss and abdominal pain [7]. Coexisting diarrhea occurs in......

[1]. Petri WA Jr, Haque R, Lyerly D, et al: Estimating the impact of amebiasis on health. Parasitol Today 2000, 16:320-321.
[2]. Hughes MA, Petri WA Jr: Amebic liver abscess. Infect Dis Clin North Am 2000, 14:565-582.
[3]. Ravdin JI: Amebiasis. Clin Infect Dis 1995, 20:1453-1466.
[4]. WHO Scientific Working Group: Parasite related diarrhoeas. Bull World Health Organ 1980, 58:819-830.
[5]. Abd-Alla M, Wahib A, Ravdin JI: Diagnosis of amebic colitis by antigen capture ELISA in patients presenting with acute diarrhea in Cairo, Egypt. Trop Med Int Health 2002, 7:1-6..

Abstract: Objectives: To evaluate and compare the remineralization potential of living two types of bacteria probiotic and casein phosphopeptide amorphous calcium phosphate with fluoride (CPP-ACPF)on in vitro incipient enamel lesion and the stable of remineralization produced by this agent when subjected to demineralizing solution immediately and after three months. Methods: Six specimens sounds, freshly extracted bovine central incisor teeth were used in the study. Each tooth of the six specimens incorporated four windows (5×5 mm) one of which will be a control (sound enamel), the remaining three windows were contain......

Key Word: probiotic, remineralization, incipient enamel lesions, CCP-ACPF.

[1]. Amoras, D., Corona, S., Rodrigues, J., Serra, M. (2012). Effect of beverages on bovine dental enamel subjected to erosive challenge with hydrochloric acid. Brazilian Dental Journal, 23(4), 367-372.
[2]. Ashwin, D., Ke, V., Taranath, M., Ramagoni, N., Nara, A., Sarpangala, M. (2015). Effect of probiotic containing ice-cream on salivary mutans streptococci (SMS) levels in children of 6-12 Years of Age: A randomized controlled double blind study with six-month follow up. Journal of Clinical Diagnostic Research, 9(2), 1-5.
[3]. Chaturvedi, S., Jain, U. (2015). Importance of probiotics in orthodontics. Journal of Orofacial Research, 5(3), 99-103.
[4]. Deo, P., and Deshmukh, R. (2015). Evaluation of salivary levels of Streptococcus mutans pre- and post-probiotics use. Journal of Advanced Clinical & Research Insights, 2(3), 112–115.
[5]. Groisman, S., Borzino, L., Olival, A., Borzino, T., Corvino, M., Toledo, M. (2015). Effects of Casein Phosphopeptide Amorphous Calcium Fluoride Paste on White Spots Lesions during Orthodontic Treatment: One Year Follow Up- Tooth Mousse GC in White Spot during Orthodontic Treatment. Journal of Dental Health, Oral Disorders & Therapy, 2(2), 1-4..

Abstract: Background;Manget, is credited to have coined the term "military TB" in 1700. Miliary TB is a fatal form of disseminated TB that results from a massive lymphohematogenous dissemination from a mycobacterium tuberculosis-laden focus. Radiologically, the miliary pattern has been defined as "a collection of tiny discrete pulmonary opacities that are generally uniform in size and widespread in distribution, each of which measures 2 mm or less in diameter. Tuberculosis (TB) persists as a global public health problem of serious magnitude requiring urgent attention. India accounts for one fourth of global burden. Global incidence of tuberculosis is 10.0 million(9.0-11.3) million[28]. Globally, there were 1.2 million......

Key Word: Miliary Tuberculosis, Disseminated Tuberculosis,Mycobacterium Tuberculosis,Clinical profile,CBNAAT.

[1]. D. Behera. Expanding DOTS-New strategies for TB control . Indian J Tuberc 2010; 57: 63-66.
[2]. V K Arora and K.K.Chopra. Extra pulmonary Tuberculosis. Indian J Tuberc 2007; 54: 165-167.
[3]. SK Sharma, Alladi Mohan. Disseminated and Miliary Tuberculosis, in: SK Sharma,A.Mohan Editors, Tuberculosis. New Delhi: Jaypee Brothers medical publishers: 2nd edition 2009 : 34:493-518.
[4]. Maria C, Raviglion, Richards,O;Brien, Tuberculosis in: Fauci, Braunwald. .editors: Harrison's principles of Internal medicine: Mc Graw Hill:17th edition,2008 : 158:1013.
[5]. Stephen N.Baker, Jeffray Glassroth. Miliary Tuberculosis, in: William N. Rom, Stuart M. Garay editors, Tuberculosis. Lippincot Williams and Wilkins publishers: 2nd edition 2004: 27:427-444.

Abstract: Aim: This study aimed to analyze morphologic changesofTemporomandibular Joints and Masseter Muscles in Khat Chewers Yemeni Population Using Computed Tomography (CT). Materials and Methods: A descriptive analytical study was performed on 255 Yemenis subjects(128) (52.9%)were males and 127(47.1%) were females. 135 (52.9%) of them wereKhat chewers and 120 (47.1%) Non chewers.CT scan was performed for each participant in Radiology department of University of Science and Technology Hospital, Sana'a City-Yemen. The measurements of temporomandibular joints, massetermuscles and mandibular condyles obtained from axial and coronal sections, soft tissue and bone windows usingRadiAnt DICOM Viewer. The measurements were compared between Khat chewers and Non-Khat chewers and correlated with frequency and duration of Khat chewing.......

Key Word: Morphometric; Temporomandibular joints; Masseter muscles;Khat chewers;Computed Tomography.

[1]. AL-Sanabani JSM. Oral white lesions due to qat chewing among women in Yemen: Freie Universität Berlin; 2011.
[2]. Fountain J, Korf DJ. Drugs in Society: European Perspectives: Radcliffe; 2007.
[3]. Numan N. Exploration of adverse psychological symptoms in Yemeni khat users by the Symptoms Checklist‐90 (SCL‐90). Addiction. 2004;99(1):61-5.
[4]. Wedegaertner F, al-Warith H, Hillemacher T, te Wildt B, Schneider U, Bleich S, et al. Motives for khat use and abstinence in Yemen-a gender perspective. BMC Public Health. 2010;10(1):735.
[5]. Dependence WECoD, Organization WH. WHO Expert Committee on Drug Dependence: Thirty-third Report: World Health Organization; 2003

Abstract: Background: More than 6% of elderly patients will develop severe acute cholecystitis. Case presentation: We report a 91-year old male who appeared in the emergency department with diffuse abdominal pain associated with fever and vomiting. Clinical examination, laboratory tests, and imaging modalities confirmed the diagnosis of grade III acute cholecystitis. A percutaneous cholecystostomy under ultrasound guidance was performed. However, after seven days, the patient's condition aggravated, and soon he became septic. Due to the patient's poor general condition and comorbidity, an open cholecystostomy under local anesthesia was carried out.......

Key Word: Severe acute cholecystitis; Grade III acute cholecystitis; Percutaneous cholecystostomy; Endoscopic cholecystostomy; Open cholecystostomy

[1]. Lee SW, Yang SS, Chang CS, Yeh HJ. Impact of the Tokyo guidelines on the management of patients with acute calculous cholecystitis. J GastroenterolHepatol. 2009;24(12):1857-1861. [2]. Takada T. Tokyo Guidelines 2018: updated Tokyo Guidelines for the management of acute cholangitis/acute cholecystitis. J Hepatobiliary Pancreat Sci. 2018;25(1):1-2. [3]. Chopra S, Dodd GD 3rd, Mumbower AL et al. Treatment of acute cholecystitis in non-critically ill patients at high surgical risk: comparison of clinical outcomes after gallbladder aspiration and after percutaneous cholecystostomy. AJR Am J Roentgenol. 2001;176(4):1025-1031. [4]. Yang MJ, Yoo BM, Kim JH et al. Endoscopic naso-gallbladder drainage versus gallbladder stenting before cholecystectomy in patients with acute cholecystitis and a high suspicion of choledocholithiasis: a prospective randomised preliminary study. Scand J Gastroenterol. 2016;51(4):472-428.
[5]. Halldestam I, Kullman E, Borch K. Incidence of and potential risk factors for gallstone disease in a general population sample. Br J Surg. 2009;96(11):1315-1322.