iosr-JDMS   Volume-21 ~ Issue-5 ~ May 2022

Abstract: A Granular cell tumour (GCT), is a rare soft tissue tumour which may occur throughout the body, usually in the head and neck, skin or subcutaneous tissues of the trunk and upper extremities and female genital region. The majority of tumor cases are benign and approximately 2% are malignant. It is seen in the breast at a rate of 5-8%. They present with a slow growing, painless, mobile mass. we hereby, present a case of Granular cell tumour in a 72 year old female who presented with swelling in right axilla. The definitive diagnosis is made histopathologically and the treatment is wide excision.

Key Word: axilla, benign, Granular cell tumor, wide excision

[1]. Weber CO: Anatomische untersuchung einer hypertrophischen zunge nebst bemerkungen über die neubildung quergestreifter muskelfasern anatomical examination of a hypertrophic tongue as well as remarks on the new formation of transverse muscle fibers. Virchows Arch A Pathol Anat 7: 115-125, 1954.
[2]. Abrikossoff AI: Weitere untersuchungen über myoblastenmyome. Virchows Arch Pathol Anat Physiol Klin Med 280: 723-740, 1931.
[3]. Aoyama K, Kamio T, Hirano A, Seshimo A and Kameoka S: Granular cell tumors: A report of six cases. World J Surg Oncol 10: 204, 2012.
[4]. Son HY, Kim JP, Ko GH, Lee EJ,Woo SH (2012) Lingual squamous cell carcinoma surrounded by granular cell tumor. honnam Med J 48:65–68
[5]. Andrade ES, Filho JR, Rocha NS, Neto IC, Camargo IB (2010) Isolated intra-oral granular cell tumor: report of two cases and review of the literature. Acta Odontol Latinoam 23:99–104.

Abstract: Every patient comes in the dental office with his own prejudice, attitudes, and value system. There are significant variations in the patient's behavior and attitude towards treatment. They could be determined by the specific personality characteristics of the patient or the scenario in the dental office. The aim of the current paper was therefore to present author's perspective regarding dental patients' values, beliefs, and attitudes towards dental treatment and to outline to what extent these factors might influence attendance and treatment outcomes in dental practice. Based on patients' beliefs and attitudes to dental treatment, five types of patients in dental encounter are discussed.......

Keywords; dentistry, doctor-patient relationships, informed consent, types of patients

[1]. Katrova LP. Dental profession, condition, and prospects. Leading Technology in Dentistry Publishing, Sofia, 1998 [in Bulgarian].
[2]. Bonev B, Filchev D, Uzunov T, Bozhinov P, Yaneva K. Subjective needs among people over 20 years of age in Bulgaria. Health and science. 2014;4(3):4-6 [in Bulgarian].
[3]. Armfield JM. The extent and nature of dental fear and phobia in Australia. Aust Dent J. 2010;55(4):368-77.
[4]. Floríndez LI, Floríndez DC, Floríndez FM, Como DH, Pyatak E, Baezconde-Garbanati L, Polido JC, Cermak SA. Oral Care Experiences of Latino Parents/Caregivers with Children with Autism and with Typically Developing Children. Int J Environ Res Public Health. 2019;16(16):2905.
[5]. Avramova N, Yaneva K. Patients' Informed Consent in Dental Practice in Bulgaria. Oral Health and Dental Management. 2011;36(2):80-7..

Abstract: Background: Surgical delay remains one of the main elements of management and prognosis of patients with femoral neck fracture in elderly. To the best of our knowledge, no data are available in the Maghreb countries for the management of these patients; as well, surgical delays are dependent on the activity of the emergencies and the heterogeneous practices of different stakeholders. The aim of this work was specify in our structure the proportion of deferred patients and to analyze the causes of delay in order to target several areas for improvement in the management of these patients. Patients and methods: We conducted a prospective study that included all patients admitted to emergency departments between February 2013 and April.......

Keywords: femoral neck fracture, surgical delay, causes of delay, elderly.

[1]. Muhm M, Arend G, Ruffing T, Winkler H. Mortality after proximal femur fracture with a delay of surgery of more than 48 h. Eur J Trauma Emerg Surg 2013;39:267-75.
[2]. Johnell O, Kanis JA. An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Osteoporos Int 2004; 15:897–902.
[3]. Holt G, Smith R, Duncan K, Hutchison JD, Reid D. Changes in population demographics and the future incidence of hip fracture. Injury 2009; 40:722–6.
[4]. Weller I, Wai EK, Jaglal S, Kreder HJ. The effect of hospital type and surgical delay on mortality after surgery for hip fracture. J Bone Joint Surg Br 2005; 87:361-6.
[5]. Simunovic N, Devereaux P-J, Sprague S, Guyatt G-H, Schemitsch E, DeBeer J, Bhandari M. Effect of early surgery after hip surgery on mortality and complications: systematic review and metaanalysis. CMAJ 2010; 182:1609-16.

Abstract: Background: This article reports the case of a male seventeen years old patient, who presented a rapidly developed tumor from the premolar region of the left mandible after a tooth extraction. Cranio-cervical CT revealed a large maxillary mass which was diagnosed histopathologically as Sporadic Burkitt's lymphoma. The patient was treated with polychemotherapy; complete remission of the disease was attained.

Key words: Burkitt's lymphoma; Oral Cancer; Chemotherapy; oral lymphoma

[1]. Khalil Saleh1 & Jean-Marie Michot2 & Valérie Camara-Clayette3 & Yegor Vassetsky4 & Vincent Ribrag. Burkitt and Burkitt-Like Lymphomas: A Systematic Review. Current oncology reports 2020; 22:33.
[2]. Casulo C, Friedberg JW. Burkitt lymphoma- a rare but challenging lymphoma. Best Pract Res Clin Haematol. 2018; 31:279–84
[3]. Bilodeau E, Galambos C, Yeung A, et al.: Sporadic Burkitt lymphoma of the jaw: case report and review of the literature. Quintessence Int. 2012; 43(4): 333–6.
[4]. Hochberg, J., Waxman, I.M., Kelly, K.M., Morris, E. & Cairo, M.S. (2009) Adolescent non-Hodgkin lymphoma and Hodgkin lymphoma: state of the science. British Journal of Haematology, 144, 24–40.
[5]. Jacobson, C., & LaCasce, A. (2014). How I treat Burkitt lymphoma in adults. Blood, 124(19), 2913–2920. doi:10.1182/blood-2014-06-538504.

Abstract: Ophthalmic artery occlusion (AOA)is an ophthalmic emergency and the ocular analogue of cerebral stroke. Atrial myxomas can lead to a triad of complications. We report a case of left atrial myxoma with cerebral infarctus and ophthalmic artery occlusion as the first manifestation. Atrial myxomas are benign tumours, but secondary complications due to their position and the possibility of embolization can be devastating. Our report will enable ophthalmologists to be attentive and to carry out a complete cardiovascular assessment as a matter of urgency

Key words: occlusion ; ophthalmic artery; emergency

[1]. Christina J. Flaxel, Ron A. Adelman, Steven T. Bailey, Amani Fawzi, Jennifer I. Lim, G. Atma Vemulakonda; Gui-shuang Ying. Retinal and Ophthalmic Artery Occlusions Preferred Practice Pattern. American Academy of Ophthalmology (2019). P264.
[2]. P. E. Rafuse, d. A. Nicolle, c. M. L. Hutnik and c. E. Pringle. Left atrial myxoma causing ophthalmic artery occlusion. Eye (1997) 11, 25-29 © 1997 Royal College of Ophthalmologists.
[3]. Thyagarajan B, Kumar MP, Patel S, Agrawal A. Extracardiac manifestations of atrial myxomas. J Saudi Heart Assoc. 2017 Jan;29(1):37-43.
[4]. Wathek C, Kharrat O, Maalej A, Nafaa MF, Rannen R, Gabsi S. Ophthalmic artery occlusion as a complication of infectious endocarditis. J Fr Ophtalmol. 2014 Dec;37(10):e161-3.
[5]. Anne Kuonen, François-Xavier Borruat, Ocular and Cerebral Emboli From an Atrial Myxoma. Journal of Neuro-Ophthalmology. 37(3):309–310, SEP 2017.

Abstract: Résumé : Les cystadénocarcinomes hépatiques sont des tumeurs épithéliales malignes du foie très rares. Le diagnostic préopératoire de cette tumeur kystique est difficile car sa présentation clinique et radiologique est non spécifique. L'exérèse chirurgicale complète est le traitement recommandé pour le cystadénocarcinome hépatique. Une résection incomplète est source de récidive tumorale et de dissémination métastatique, c'est le cas quant il est diagnostiqué à tort comme une autre lésions kystiques bénignes du foie. Nous rapportons un nouveau cas de cystadénocarcinome hépatique qui été diagnostiqué comme kyste hydatique du foie avec comme conséquence une prise en charge inadéquate.

[1]. Klompenhouwer AJ, Ten Cate DWG, Willemssen FEJA, Bramer WM, Doukas M, de Man RA, Ijzermans JNM. The impact of imaging on the surgical management of biliary cystadenomas and cystadenocarcinomas; a systematic review. HPB (Oxford). 2019 Oct;21(10):1257-1267. doi: 10.1016/j.hpb.2019.04.004. Epub 2019 May 10. PMID: 31085104.
[2]. M. Souei Mhiri, K. Graiess Tlili, M.T. Yacoubi, À propos d'un cas de cystadénocarcinome biliaire, Journal de Radiologie, Volume 86, Issue 9, Part 1, 2005, Pages 1035-1037, ISSN 0221-0363, https://doi.org/10.1016/S0221-0363(05)81488-X.
[3]. Läuffer JM, Baer HU, Maurer CA, Stoupis C, Zimmerman A, Büchler MW. Biliary cystadenocarcinoma of the liver: the need for complete resection. Eur J Cancer. 1998 Nov;34(12):1845-51. doi: 10.1016/s0959-8049(98)00166-x. PMID: 10023304.
[4]. Vogt DP, Henderson JM, Chmielewski E. Cystadenoma and cystadenocarcinoma of the liver: a single center experience. J Am Coll Surg. 2005 May;200(5):727-33. doi: 10.1016/j.jamcollsurg.2005.01.005. PMID: 15848365.
[5]. Labib PL, Aroori S, Bowles M, Stell D, Briggs C. Differentiating Simple Hepatic Cysts from Mucinous Cystic Neoplasms: Radiological Features, Cyst Fluid Tumour Marker Analysis and Multidisciplinary Team Outcomes. Dig Surg. 2017;34(1):36-42. doi: 10.1159/000447308. Epub 2016 Jul 7. PMID: 27384180..

Abstract: Necrotizing pneumonia as a complication of mycobacterium tuberculosis is a rare but severe condition of lung parenchymal destruction, which is characterized by necrosis and liquefaction of consolidated lung parenchyma. Necrotizing pneumonia is complicated by cavitating pneumonia, intrapulmonary abscesses, sepsis and bronchopleural fistula. Incidence of necrotizing pneumonia is less than 1% of hospital admissions for pneumonia. In this case report, we discuss a rare case of necrotizing pneumonia as a complication of mycobacterium tuberculosis in an infant male who came to DR. D. Y. Patil Medical Hospital, Navi Mumbai. This report describes the clinical presentation, radiological features and treatment strategy.

[1]. C. Jacobs, P. Goussard, and R. P. Gie, "Mycobacterium tuberculosis, a cause of necrotising pneumonia in childhood: a case series," International Journal of Tuberculosis and Lung Disease, vol. 22, no. 6, pp. 614–616, 2018.
[2]. Nguyen, H. L., Duong Thanh, H., Le, T. V., & Tran Van, N. (2019). Mycobacterium tuberculosis-Associated Necrotizing Pneumonia With Adjunctive Corticosteroid Therapy. Case Reports in Infectious Diseases, 2019.
[3]. Wei, M., Zhao, Y., Qian, Z., Yang, B., Xi, J., Wei, J., & Tang, B. (2020). Pneumonia caused by Mycobacterium tuberculosis. Microbes and Infection, 22(6-7), 278-284.
[4]. R. A. Smego and N. Ahmed, "A systematic review of the adjunctive use of systemic corticosteroids for pulmonary tuberculosis," International Journal of Tuberculosis and Lung Disease (IJTLD), vol. 7, pp. 208–213, 2003.View at: Google Scholar
[5]. F. A. Khan, M. Rehman, P. Marcus, and V. Azueta, "Pulmonary gangrene occurring as a complication of pulmonary tuberculosis," Chest, vol. 77, no. 1, pp. 76–80, 1980..

Abstract: Jet lag results from the desynchronization of the biological clock following a rapid crossing of several time zones during trans-meridian flights. The effects include fatigue, sleep, cognitive and mood disorders. The management of jet lag by air crew differs according to the length of stay in the country of arrival.

Key words: jet lag, circadian rhythms, management, air crew

[1]. Gisque A, Quera-Salva M-A. Le syndrome de décalage horaire. Médecine aéronautique et spatiale 2006 ; 173 : 23-28.
[2]. Colin J, Timbal J. Médecine aéronautique et spatiale 250-254.
[3]. Leger D, Metlaine A et Gronfier C. Physiologie de l'horloge biologique. La Presse Médicale, 2018-11-01, Volume 47, Numéro 11, Pages 964-968.
[4]. Bessot N, Pottier M. Davenne D et B.Sesboüé. Rythmes biologiques: implications pour les activités physiques et sportives. Médecine du sport, Chapitre 15, 130-137
[5]. Perrier E, Manen O. Chronopathologie des voyages aériens. la revue de médecine interne 32 S(2011) S233-S235.

Abstract: Multifocal choroiditis is an uncommon idiopathic inflammatory disease affecting young women. It is a chronic, progressive and bilateral affection. This entity has a good visual prognosis but the risk of complications, in particular neovascularization, is not negligible. We report the case of a 50-year-old patient who complains from visual haze and floaters for several years in whom clinical examination and multimodal imaging data have made the diagnosis. Multimodal imaging data, including OCT A, helps diagnosis, guiding treatment, monitoring, and detecting complications.

Key words: Multifocal choroiditis; Choroïdal neovascularisation ; Multimodal ; OCT

[1]. Amer R, Lois N. Punctate inner choroidopathy. Surv Ophthalmol. 2011;56:36–53.
[2]. Silva et al. Multifocal choroiditis. Rev Bras Oftalmol. 2018; 77 (6): 366-8.
[3]. Matsumoto Y, Francis JH, Yannuzzi LA. Curvilinear streaks in multifocal choroiditis. Eur J Ophthalmol. 2007;17:448–450.
[4]. Astroz P, Miere A, Mrejen S et al. OCT Angiography to Distinguish Choroidal Neovascularization from Macular Inflammatory Lesions in Multifocal Choroiditis. .
[5]. Cahier.

Abstract: The pattern of homicidal deaths differs widely from place to place. The present study was carried out at the Institute of Forensic Medicine, Kurnool Medical College, Kurnool, India, during the period of Nov 2016 and Oct 2021. The study was done to assess the regional pattern of homicides in and around Kurnool, one of the major districts in Andhra Pradesh, India. During this study period, 50 cases of homicidal deaths were subjected to autopsy. Most of the cases were in the age group of 30-39 yrs, followed by 20-29 years. The peak incidence was found in the age group of 31-40 yrs. 76% are........

Key words: Homicide, Autopsy, Vital organs, Lacerations, Contusions

[1]. Estimates of rate of homicides (per 100 000 population) [Internet]. Who.int. [cited 2021 Nov 8]. Available from: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/estimates-of-rates-of-homicides-per-100-000-population: In Metadata
[2]. Estimates of rate of homicides [Internet]. Available from: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/estimates-of-rates-of-homicides-per-100-000-population
[3]. Genevadeclaration.org. [cited 2021 Nov 8]. Available from: http://www.genevadeclaration.org/measurability/global-burden-of-armed-violence/global-burden-of-armed-violence-2011.html
[4]. Walker BB, Moura de Souza C, Pedroso E, et al. Towards a situated spatial epidemiology of violence: a placially-informed geospatial analysis of homicide in Alagoas, Brazil. Int J Environ Res Public Health. 2020;17:1–15. [5]. Padmaraj RY, Tandon RN. Pattern of homicides at mortuary of civic hospital Ahmedabad. Journal of Forensic Medicine and Toxicology. 2010;27:51–55.

Abstract: Background: Paediatric spinal anaesthesia has been used since the early 20th century, but it is not common in our country. Spinal anaesthesia can be given in neonates and children for lower abdominal surgery with an expert anesthesiologist. Objective: The objective of this study was to establish spinal anaesthesia as a safe and effective method in children aged 5-12 years. Materials and Method: This study was done in the anaesthesia and intensive care unit department of Bangladesh Shishu Hospital and institute from June 2012 to May 2014. A total of 40 patients with age 5-12 years with ASAI and ASAII were......

Key words: Spinal anaesthesia, children, pediatric spinal anaesthesia.

[1]. Aitkenhead AR, Smith G, Rowbotham DJ. Paediatric Anaesthesia. In: Textbook of anaesthesia. 5th and. London: Churchill Livingstone, Elsevier, 2007: 653–670.
[2]. De Jong E, Felix J, De Klein A, Tibboel D. Etiology of Esophageal Atresia and Tracheoesophageal Fistula: "Mind the Gap". Curr Gastroenterol Rep (2010) 12:215-222 DOI: 10.1007/ s11894-010-0108-1
[3]. Wynn J, Yu L, Chung W. Genetic causes of congenital diaphragmatic hernia. Semin Fetal Neonatal Med. 2014 December; 19(6): 324-330. DOI: 10.1016/j.siny.2014.09.003
[4]. Mann S, Blinman T, Wilson R. Prenatal and postnatal management of omphalocele. Prenat Diagn 2008; 28: 626-632. DOI: 10.1002/pd.2008.

Abstract: Background: Allergic rhinitis (AR) and Bronchial Asthma (BA) are common health problems that cause major illnesses and disabilities worldwide. These are common diseases worldwide affecting about 10–50 % of the population and their prevalence are increasing. Multiple factors contribute to the wide range of reported prevalence rates. Although allergic rhinitis (AR) is not a fatal disease, it alters the social life of patients, affecting learning performance and work productivity. Allergic rhinitis and bronchial asthma are two entities often coexisting. In fact, in recent years the concept "one airway, one disease" has been proposed. Many asthmatic patients, particularly.......

[1]. Pawankar R (2002) Allergic rhinitis and its impact on asthma: evidence-based strategy for allergic rhinitis. Asian J Allergy Immunol 20:43–52
[2]. Georgopoulos R, Krouse JH, Toskala E (2014) Why otolaryngologists and asthma are a good match: the allergic rhinitisasthma connection. Otolaryngol Clin N Am 47:1–12
[3]. Alsamarai AM, Alwan AM et al (2009) The relationship between asthma and allergic rhinitis in the iraqi population. Allergol Int 58:549–555
[4]. Maslan J, Mims JW (2014) What is asthma? Pathophysiology, demographics, and health care costs. Otolaryngol Clin N Am 47:13–22
[5]. de Groot EP, Nijkamp A, Duiverman EJ, Brand PL (2012) Allergic rhinitis is associated with poor asthma control in children with asthma. Thorax 67(7): 582–587

Abstract: Background: post endodontic treatment which can minimally invasive and maximize the longevity of a root canal treated teeth is a dentist concern. One such approach is an Vonlay. So this study was conducted to evaluate the stress distribution pattern in endodontically treated mesio occlusally involved premolars restored with ceramic onlay, vonlay and full crown restorations. Materials and Methods....

Key words: Finite element method, Stress pattern, Von Misses stress, Vonlay

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