iosr-JDMS   Volume-20 ~ Issue-9 ~ Sep. 2021

Abstract: Radial head fractures account for 30% of all elbow related fractures[3]. In complex injuries the radial head is actively involved, being a major structure of the humeroradial joint which constitutes the lateral column of elbow. Its integrity provides optimal support even in presence of medial collateral ligament lesion, or minor coronoid fractures[6]. Thus radial head fracture with greater comminution, if left untreated will catalyse complex functional impairment in which there will be block to prono-supination or flexion/extension[16] . The treatment of mason type 3 fractures have been in debate since decades between fixation or replacement[16,18]. Due to the substantial role.....

[1]. Heckman JD, McKee M, McQueen MM, Ricci W, Tornetta III P. Rockwood and Green's fractures in adults. Lippincott Williams & Wilkins; 2014 Sep 4. Green DP. Rockwood and Green's fractures in adults. Lippincott Williams & Wilkins; ninth edition.philadelphia:Wolters kluver; 2020:1415-95
[2]. Azar FM, Canale ST, Beaty JH. Campbell's operative orthopaedics book.SHOULDER AND ELBOW ARTHOPLASTY.13TH ed. Philadelphia: Elsevier Health Sciences; 2016 Nov 1.987-2248
[3]. Ring D, Jupiter JB, Zilberfarb J. Posterior dislocation of the elbow with fractures of the radial head and coronoid. JBJS. 2002 Apr 1;84(4):547-51.
[4]. Meacher H, Hermena S, Isaac S. Open Reduction and Internal Fixation Versus Radial Head Arthroplasty for Mason III Radial Head Fractures: Appraising the Current Literature Evidence. Cureus. 2020 Apr;12(4).
[5]. Zwingmann J, Bode G, Hammer T, Südkamp NP, Strohm PC. Radial head prosthesis after radial head and neck fractures–current literature and quality of evidence. Acta Chir Orthop Traumatol Cech. 2015 Jun 1;82:177-85.

Abstract: Background: Tosafe services in hygienic conditions must be made widely available and affordable, so that the stigma associated with providing and obtaining abortions can lessen and safe services can become normal and accepted, abortion is broadly legal, widely available and safe in Indonesia. Objective: The purpose of this article to discuss iusconstituendum on abortion in Indonesia from criminal law perspective between Common Law System and Civil Law System.In Indonesia IusContituendum on abortion is not directed to legalization of abortion as carried out both in Netherland and USA but tends to be harmonized with therapeutic abortion concept both medical and psychiatric fields.
Material and Method: Systematic review of studies evaluating the prevalence of unsafe abortion in Indonesia. Results: The public health tragedy caused by unsafe abortion is all the more so because it is largely preventable, by improving the.......

Keywords: "Halal" abortion, the public health tragedy, unintended pregnancyCommonlaw system,Civillaw system and IusConstituendum

[1]. Allen, Anita L. Legal and regulatory issues. Encyclopedia of Bioethics, Revised Edition. Volume 1, 2015.
[2]. Barda N.A.Perbandinganhukumpidana. Jakarta, CV. Rajawali. 2015.
[3]. Ida A. danIben S. Pola pembinaankeluargadalampedomanbagipetugaskesehatan. 2017.
[4]. Komari H. Indonesia Country progress report. Jakarta, Borobudur PJT. 2012.
[5]. Rahman A, Katzive L, dan Henshaw SK. A global review of laws on induced abortion. International Health Family Planning Perspectives. June (24), 2018, Pp. 56-71

Abstract: BACKGROUND: Rheumatic Valvular Heart Disease (RVHD) is a systemic immune condition consequent to the beta-hemolytic streptococcal throat infection. It is an acquired heart disease. Single/ repeated attacks of rheumatic fever cause deformity of the heart valves, and over 20-30 years, may result in stenotic/ regurgitant valvular heart lesions. Prosthetic valve implants alleviate these patients. Patients with prosthetic valves project a specific challenge to the anesthesiologist due to the risk of thromboembolic events, bleeding and infective endocarditis. CASE PRESENTATION: A 56-years-old female, who had undergone Mitral valve replacement with a bio-core prosthetic valve five weeks ago, because of RVHD with severe Mitral Regurgitation (MR), was posted for 3rd-degree cystocele repair. The......

Key word: Rheumatic Valvular Heart disease, Regional Anaesthesia, Epidural Anaesthesia, Mitral valve Replacement, Bridging therapy of anticoagulants..

[1]. Dass C, Kanmanthareddy A. Rheumatic heart disease. StatPearls (internet). s.l. : StatPearls Publishing, Treasure Island (FL), 2021, Jan.
[2]. Remenyi B, Wilson N, Steer A, Ferreiera B. World Heart Federation criteria for Echocardiographic diagnosis of rheumatic heart disease--an evidence based guideline. Nat Rev Cardiol., 2012, 5, feb 28, Vol. 9, pp. 297-309.
[3]. Iung B, Vahanian A. Epidemiology of acquired valvular heart disease. Can J Cardiol, 9, Sept 2014, Vol. 30, pp. 962-970.
[4]. Bayliss A, Faber P, Dunning J,Ronald A. What is te optimal level of anticoagulation in adult patients receiving warfarin following implantation of a mechanical prosthetic mitral valve? Interact CardioVasc Thorac Surg, 2007, Vol. 6, pp. 390-396.
[5]. Kearon C, Hirsh J. Management of anticoagulation before and after elective surgery. N Engl J Med, 1997, Vol. 336, pp. 1506-1511..

Abstract: Introduction Pityriasis versicolor (PV) is a superficial fungal infection of the stratum corneum caused by a dimorphic fungus, Malessezia species. It is a common dermatological condition with worldwide distribution and especially prevalent in the tropical region with high temperatures and humidity. Clinically, it is usually asymptomatic with frequent recurrences and cosmetically unpleasant. Methods A prospective cross-sectional study was done in all patients presenting with signs and symptoms of PV. Patients under topical or oral antifungals for.....

[1]. Ghosh SK, Dey SK, Saha I, Barbhuiya JN, Ghosh A, Roy AK. Pityriasis versicolor: A clinicomycological and epidemiological study from a tertiary care hospital. Indian journal of dermatology 2008;53(4):182.
[2]. Santana JO, Azevedo FLAd. Pityriasis versicolor: clinical-epidemiological characterization of patients in the urban area of Buerarema-BA, Brazil. Anais brasileiros de dermatologia 2013;88(2):216-221.
[3]. Lowell A SI, Barbara A, Amy S, David J, Klaus W. . Fitzpatrick Dermatology in General medicine. Vol 2. 8th ed. ed. New York: McGrawHill; 2012 2278-2311.
[4]. William G. Merze RJH, Edward Drouhet. Topley and Wilson's microbiology and microbial infections. 10thed ed. London: Hodder Arnold; 2005.
[5]. Sharma A, Rabha D, Choraria S, Hazarika D, Ahmed G, Hazarika NK. Clinicomycological profile of pityriasis versicolor in Assam. Indian Journal of Pathology and Microbiology 2016;59(2):159

Abstract: Objective: To evaluate the influence of different polishing protocols on the surface topography of polyether ether ketone (PEEK) RPD frameworks fabricated by the CAD/CAM technique. Materials and Methods: Six male patients were enrolled in this split-mouth study. All patients had mandibular Kennedy Class I arch form with remaining teeth extending from the first premolar on one side to the first premolar on the other side and opposed by a completely edentulous maxillary arch. Modified polyether ether ketone RPD frameworks were fabricated by CAD/CAM technique. According to the followed polishing protocol, each framework was divided into two sides (2 groups); group I ) right side(: polished using Abraso-Starglanz polishing system, and group II (left side): polished using Acrypol polishing system. Scanning electron microscopy was used for evaluation through Tri-stage scanning; the first scanning was performed before polishing (control), the second.....

Keywords: Polyether etherketon ,PEEK ,mandibular kennedy class I, RPD framework, polishing protocol, surface roughness, CAD/CAM

[1]. Campbell SD, Cooper L, Craddock H, Hyde TP, Nattress B, Pavitt SH, et al. Removable partial dentures: The clinical need for innovation. The Journal of Prosthetic Dentistry. 2017;118(3):273-80.
[2]. BoÇAri G, Hysenaj N, BoÇAri A. The Advantages of Partial Dentures Made of Cast Framework Cr-Co toward those Made of Resin Based Dentures. International Journal of Dental Sciences and Research. 2014;2(2):32-5.
[3]. Gupta SH, Viswambaran M, Vijayakumar R. Telescopic retainers for removable partial dentures. Medical Journal Armed Forces India. 2015;71:S578-S80.
[4]. Bae E-B, Kim S-J, Choi J-W, Jeon Y-C, Jeong C-M, Yun M-J, et al. A Clinical Retrospective Study of Distal Extension Removable Partial Denture with Implant Surveyed Bridge or Stud Type Attachment. BioMed Research International. 2017;2017:1-7.
[5]. Canger EM, Celenk P. Radiographic evaluation of alveolar ridge heights of dentate and edentulous patients. Gerodontology. 2012;29(1):17-23.

Abstract: Background: Adult intussusception constitutes 5% of all intussusceptions. Gastrointestinal non-Hodgkin lymphomas represent 1%-4% of all gastrointestinal malignancies. Diffuse large B-cell lymphoma is the most common lymphoma, while 40% of these tumors arise in extranodal sites. Case presentation: Herein, we report a 77-year-old female who appeared in the emergency department with a two-day history of abdominal pain localized in the right lower quadrant, associated with nausea and lack of appetite. Computed tomography of the abdomen revealed an ileocolic intussusception; however, it did not detect a pathological lead point. A right hemicolectomy was performed. Histopathological report evinced the diagnosis of a diffuse large B-cell lymphoma......

Keywords: Intussusception; extranodal disease; diffuse large B-cell lymphoma; computed tomography; management.

[1]. Brill A, Lopez RA. Intussusception In Adults. 2021 Aug 11. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan–.
[2]. Panzera F, Di Venere B, Rizzi M et al. Bowel intussusception in adult: Prevalence, diagnostic tools and therapy. World J Methodol. 2021;11(3):81-87.
[3]. Hong KD, Kim J, Ji W, Wexner SD. Adult intussusception: a systematic review and meta-analysis. Tech Coloproctol. 2019;23(4):315-324.
[4]. Azar T, Berger DL. Adult intussusception. Ann Surg. 1997;226(2):134-138.
[5]. Zubaidi A, Al-Saif F, Silverman R. Adult intussusception: a retrospective review. Dis Colon Rectum. 2006;49(10):1546-1551.
[6]. Wagh AN, Ganesan B, Jawale HM, Mishra RA, Bhatt R. A rare case report of large B cell lymphoma in adult presentation as intussusception. Clin Pract. 2020;10(4):1292.

Abstract: Background: Anaplastic thyroid cancer is a rare but lethal type of thyroid cancer.
Case presentation: Herein, we report a 69-year-old male who was diagnosed with anaplastic thyroid cancer. The patient received neoadjuvant radiation therapy because the mass encased the left common carotid artery and infiltrated the left jugular vein. The tumor decreased in size; thus, surgery was performed. The patient underwent a total thyroidectomy with en bloc excision of the neoplasm and the carotid artery, ligation of the left jugular vein, and excision of the lymph nodes. The placement of a PTFE graft restored the continuity of the left common carotid artery.

Keywords: anaplastic thyroid cancer; BRAF mutation; radiation therapy; chemotherapy; prognosis

[1]. Kebebew E, Greenspan FS, Clark OH, Woeber KA, McMillan A. Anaplastic thyroid carcinoma. Treatment outcome and prognostic factors. Cancer. 2005;103(7):1330-1335.
[2]. Hundahl SA, Fleming ID, Fremgen AM, Menck HR. A National Cancer Data Base report on 53,856 cases of thyroid carcinoma treated in the U.S., 1985-1995 [see commetns]. Cancer. 1998;83(12):2638-2648.
[3]. Cabanillas ME, Zafereo M, Gunn GB, Ferrarotto R. Anaplastic Thyroid Carcinoma: Treatment in the Age of Molecular Targeted Therapy. J Oncol Pract. 2016;12(6):511-518.
[4]. American Cancer Society. Cancer Statistics. http://cancerstatisticscenter.cancer.org. March 14, 2019.
[5]. De Leo S, Trevisan M, Fugazzola L. Recent advances in the management of anaplastic thyroid cancer. Thyroid Res. 2020;13(1):17..

Abstract: Background: Colonic volvulus constitutes 5% of all cases of bowel obstruction and 10-15% of all cases of large bowel obstruction.
Case presentation: Herein, we report a 73-year-old male who appeared in the emergency department with a three-day history of abdominal pain associated with nausea, vomiting, and constipation. Computed tomography evinced the diagnosis of sigmoid volvulus. The patient underwent an urgent colonoscopy by the experienced gastroenterology team. Endoscopic detorsion was applied, while the gas and faecal particles were aspirated. A soft flatus tube was inserted above the torsion. Sigmoidectomy was not performed due to the patient's severe comorbidities.....

Keywords: Volvulus; bowel ischemia; coffee bean sign; whirl sign; endoscopic decompression; surgery

[1]. Lieske B, Antunes C. Sigmoid Volvulus. 2021 Aug 11. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan.
[2]. Halabi WJ, Jafari MD, Kang CY et al. Colonic volvulus in the United States: trends, outcomes, and predictors of mortality. Ann Surg. 2014;259(2):293-301.
[3]. Le CK, Nahirniak P, Anand S, Cooper W. Volvulus. 2021 May 14. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan.
[4]. Atamanalp SS. Comments on Contemporary Management of Sigmoid Volvulus. J Gastrointest Surg. 2019;23(2):391-392.
[5]. Kajihara Y. Sigmoid volvulus: Coffee bean sign, whirl sign. Cleve Clin J Med. 2020;87(2):81-82..

Abstract: Background: Appendiceal endometriosis is a rare disease with a reported incidence of 0.4% in the general population and 2.8% in patients diagnosed with endometriosis Case presentation: Herein, we report a 33-year-old female who appeared in the emergency department with a two-day history of abdominal pain localized in the right iliac fossa, associated with fever (37.7 oC), nausea, and anorexia. The patient was in the middle of her menstrual cycle. Abdominal examination disclosed deep tenderness at Mc Burney point and positive Rovsign's sign. Abdominal ultrasound indicated a diagnosis of acute appendicitis. The patient underwent an open appendectomy. The histological report evinced the diagnosis of appendiceal endometriosis. Conclusion: The clinical findings......

Keywords: Appendicitis; endometriosis; incidence; appendectomy; laparoscopy

[1]. Tepelenis K, Stefanou SK, Stefanou CK et al. Small bowel obstruction 4 years after open appendectomy: A case report and narrative review of the literature. IOSR-JDMS. 2021;7(6):53-56.
[2]. Gustofson RL, Kim N, Liu S, Stratton P. Endometriosis and the appendix: a case series and comprehensive review of the literature. Fertil Steril. 2006;86(2):298-303.
[3]. Uwaezuoke S, Udoye E, Etebu E. Endometriosis of the appendix presenting as acute appendicitis: a case report and literature review. Ethiop J Health Sci. 2013;23(1):69-72.
[4]. St John BP, Snider AE, Kellermier H, Minhas S, Nottingham JM. Endometriosis of the appendix presenting as acute appendicitis with unusual appearance. Int J Surg Case Rep. 2018;53:211-213.
[5]. Levine CD, Aizenstein O, Wachsberg RH. Pitfalls in the CT diagnosis of appendicitis. Br J Radiol. 2004;77(921):792-799.
[6]. Mittal VK, Choudhury SP, Cortez JA. Endometriosis of the appendix presenting as acute appendicitis. Am J Surg. 1981;142(4):519-521.

Abstract: Background: Appendiceal neuroendocrine tumors are the most typical tumor of the appendix. Case presentation: Herein, we report the case of a 16-year-old female who underwent laparoscopic appendectomy for acute appendicitis. The histological report evinced the diagnosis of acute appendicitis, but it also revealed a well-differentiated 7 mm neuroendocrine tumor located at the tip of the appendix. The tumor invaded the subserosa. The Ki-67 index was less than 3%, and the mitotic rate was less than 2 mitoses/10 high power field. The surgical margins were negative for tumor cells. Conclusion: Simple appendectomy is sufficient for tumors......

Keywords: Neuroendocrine tumors; appendicitis; staging; grade; appendectomy; right colectomy

[1]. Moris D, Tsilimigras DI, Vagios S et al. Neuroendocrine neoplasms of the appendix: A review of the literature. Anticancer research. 2018;38:601-612.
[2]. Alexandraki KI, Kaltsas GA, Grozinsky-Glasberg S, Chatzellis E, Grossman AB. Appendiceal neuroendocrine neoplasms: diagnosis and management. Endocr Relat Cancer. 2016;23(1):R27-41.
[3]. Bayhan Z, Yildiz YA, Akdeniz Y et al. Appendix Neuroendocrine Tumor: Retrospective Analysis of 4026 Appendectomy Patients in a Single Center. Emerg Med Int. 2020;2020:4030527.
[4]. Volante M, Grillo F, Massa F et al. Neuroendocrine neoplasms of the appendix, colon and rectum. Pathologica. 2021;113(1):19-27.
[5]. Roggo A, Wood WC, Ottinger LW. Carcinoid tumors of the appendix. Ann Surg. 1993;217(4):385-390.

Abstract: Introduction- Periodontal dressings have been used for several years as a protection over injured tissue to shield the area from further insult. Several dressings are commercially available. A recently introduced light - cured resin, claimed to be more biocompatible and esthetic, needs a critical evaluation. Aim- The aim was to compare the gingival tissue response following placement of a non-eugenol periodontal dressing (Coe-Pak) and a light cure dressing (Barricaid) after periodontal flap procedure. Materials and Methods- A total of 10 patients with chronic generalized periodontitis requiring surgery in atleast two different quadrants were enrolled for this split mouth study. After periodontal flap surgery, Coe-Pak was placed in the.....

[1]. Fraunhofr JA, Argyropoulos DC. Properties of periodontal dressings. Dent Mater 1990; 6: 51‑5.
[2]. Blanquie RH. Fundamentals and technique of surgical periodontal packing. J Periodontol 1962; 33:346‑52.
[3]. Bernier JL, Kaplan H. The repair of gingival tissue after surgical intervention. J Am Dent Assoc 1947; 35:697‑705.
[4]. Kakar A, Lamba AK, Tandon S, Faraz F, Ahad A. Gingival tissue response following placement of a light cure dressing and a non-eugenol dressing after periodontal flap procedure: A comparative clinical study. J Nat Sc Biol Med 2018; 9: 65-71.
[5]. Ward AW. Postoperative care in the treatment of pyorrhea. J Am Dent Assoc 1929; 166: 35‑40.
[6]. Rubinoff CH, Greener EH, Robinson PJ. Physical properties of periodontal dressing materials. J Oral Rehabil 1986; 13: 575‑86

Abstract: Pancreatic tuberculosis is an extremely rare entity, even in tuberculosis endemic areas. It closely mimics pancreatic cancer on clinical presentation as well as on imaging studies. A 58-year-old woman presented with features of obstructive jaundice and abdominal pain. Ultrasonography and computed tomography scan showed mass in the pancreatic head for which she underwent an Endoscopic ultrasound with fine needle aspiration of the pancreatic head. Histological examination of the biopsy showed granulomatous inflammation with caseous necrosis, Polymerase chain reaction (PCR) test of the specimen was positive for Mycobacterium tuberculosis. Antituberculous medicines were started and she showed a clinical and biological improvement 2 months later.

Keywords: tuberculosis, pancreatic mass, endoscopic ultrasound, diagnosis

[1]. Global Tuberculosis Report, World Health Organization WHO, Oct 2020.
[2]. Mazza-Stalder J, Nicod L, Janssens JP. Extrapulmonary tuberculosis. Rev Mal Respir. 2012 Apr; 29(4):566-78.
[3]. Pravin Rathi , Pravir Gambhire. Abdominal Tuberculosis. J Assoc Physicians India. 2016 Feb; 64(2):38-47.
[4]. Ali M, Shaukat A, Al-Suwaidi Z, et al. Tuberculosis of pancreas, the first case reported from Qatar. Int J Mycobacteriol 2019; 8: 101–103.
[5]. Sukanta Ray, Kshaunish Das, Ranajoy Ghosh. Isolated pancreatic and peripancreatic nodal tuberculosis: A single-centre experience. Tropical Doctor 2020; 0(0) 1–7

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