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

Abstract: Mesenteric cysts are rare benign intra-abdominal vesicles with various clinical presentations.Clinical manifestations of the disease are very diverse and variable, and can occur as a spectrum of asymptomatic abdominal cramps and acute intestinal obstruction.They almost located in the mesentery of the small intestine. The selective therapeutic method is complete surgical excision, however more than half need resection and bowel anastomosis.Here, we presented a 8-year-old boy with a huge mesenteric cyst that was excised surgically., which the diagnosis confirmed by computed tomography scan and managed through surgical excision.

Key Word: Mesenteric Cyst; chylous cyst, Pediatrics; excision of Mesenteric cyst

[1]. Fernandez Ibieta M, Rojas Ticona J, Martinez Castano I, Reyes Rios P, Villamil V, Giron Vallejo O, et al. Mesenteric cysts in children. An Pediatr (Barc). 2015;82(1):e48-51.
[2]. Giannos A, Stavrou S, Goumalatsos N, Fragkoulidis G, Chra E, Argiropoulos D, et al. Mesenteric cysts and mesenteric venous thrombosis leading to intestinal necrosis in pregnancy managed with laparotomy: a case report and review of the literature. J Med Case Rep. 2017;11(1):184.
[3]. Paramythiotis D, Bangeas P, Karakatsanis A, Iliadis A, Karayannopoulou G, Michalopoulos A. Ideal treatment strategy for chylous mesenteric cyst: a case report. J Med Case Rep. 2018;12(1):317.
[4]. Marte A, Papparella A, Prezioso M, Cavaiuolo S, Pintozzi L. Mesenteric cyst in 11-year old girl: A technical note. Case report. J Pediatr Surg Case Rep. 2013;1(4):84-6.
[5]. Mohamed F. Pediatric abdominal chylolymphatic cysts: Sneaky abdominal masqueraders. Turk J Surg. 2018:1-3.

Abstract: Background: Immune response directed against "self" is referred to as autoimmunity. When a patient presents with the signs and symptoms of an autoimmune disorder, a diagnostic work-up of many laboratory tests, including testing of anti-nuclear antibodies (ANA) are advised. ANA are the serological hallmark of autoimmunity. The antibodies that are created by the body against its own cell nuclei are called as anti-nuclear antibodies (ANA). Depending on the organelles and associated target antigens attacked, ANA produce various patterns on indirect immunofluorescence assay (IIFA) on a human laryngeal epithelial cell line (Hep-2 cell line). The present study, aims at analysing various ANA patterns identified and assessing their clinical significance in patients afflicted with autoimmune disorders....

KEY WORDS: Anti-nuclear antibody, ANA, IIFA, Immunofluorescence.

[1]. Kun-Young Sohn, Waliul I. Khan, ANA testing: From microscopy to multiplexing, https://www.aacc.org/cln/articles/2014/june/ana-testing, June 1, 2014.
[2]. Minz RW, Kumar Y, Anand S, et al. Antinuclear antibody positive autoimmune disorders in North India: an appraisal. Rheumatol Int 2012;32(9):2883–2888
[3]. Satoh M, Chan EKL, Ho LA, Rose M, Parks CG, Cohn RD, et al. Study design. 2013;64(7):2319:27
[4]. Gautam K. Anti-Nuclear antibodies: current concepts and future direction for diagnosing connective tissue disease. Journal of Pathology of Nepal 2015;5:766–773
[5]. HEp-2000® IgG fluorescent ANA-Ro test system, Immuno Concepts, kit insert..

Abstract: Background: The aim of the current study is to evaluate the color reproduction of lithium disilicate ceramics after two types of surface treatments (laser surface treatment and Hydrofluoric acid etching ) Materials and Methods: twenty-eight specimens will be sliced into two thicknesses (0.3 & 0.5 mm). Then color reproduction is measured before and after the applied surface treatment. Results: Results showed a significant difference in color reproduction between different treatments with different thicknesses. Hydrofluoric acid etching had a significantly higher value than laser surface treatment. 0.3mm thick samples also had a significantly higher value than 0.5mm thick samples......

Keywords: Lithium disilicate; Color change; Emax; Laser; Surface treatment

[1]. Holand W., Rheinberger V., Apel E., Hoen C., Holand M. clinical applications of glass ceramics in dentistry. J mater sci. 2006; 17(11): 1037-42. https://www.ncbi.nlm.nih.gov/ pubmed/17122916 SHIGEMI ISHIKAWA-NAGAI, DDS, MSD, PhD. Spectrophotometric Analysis of Tooth Color Reproduction on Anterior All-Ceramic Crowns. 2010.
[2]. Blackman RB. Ceramic shade prescriptions for work authorizations. J Prosthet Dent 1982; 47: 28-35.
[3]. Brewer JD, Akers CK, Garlapo DA, Sorensen SE. Spectrometric analysis of the influence of metal substrates on the color of metal-ceramic restorations. J Dent Res 1985; 64: 74-77.
[4]. Blackman RB. Ceramic shade prescriptions for work authorizations. J Prosthet Dent 1982; 47: 28-35.
[5]. M.Aboushelib, W. Elmahy, M. Ghazy, "Internal Adaptation, Marginal Accuracy and Microleakage of a Pressable versus a Machinable Ceramic Laminate Veneers," J.Dent. 2012, 40: p 670-677.

Abstract: Background: The introduction of antimicrobials have influenced the modern medical care in a massive way. Antimicrobial resistance (AMR) is a serious threat to the modern world. Enterobacteriaceae, a family encompassing many clinically important bacterial species, exhibits rising levels of AMR. Infection with either extended spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) or carbapenemase-producing Enterobacteriaceae (CPE) is associated with increased mortality rates, length of stay in the hospital and overall healthcare costs......

Keywords: Antimicrobial resistance, ESBL, MBL, MRSA, exudate samples

[1]. O'Neill J. The Review on Antimicrobial Resistance. London: Wellcome Trust and HM Government; 2016.
[2]. World Health Organization. Antimicrobial Resistance: Global Report on Surveillance. Geneva: World Health Organization; 2014.
[3]. European Centre for Disease Prevention and Control. Antimicrobial Resistance Surveillance in Europe 2015. Annual Report of the European Antimicrobial Resistance Surveillance Network (EARS-Net). Stockholm: European Centre for Disease; Prevention and Control; 2017.
[4]. Clinical and Laboratory Standards Institute. Performance standards for antimicrobial susceptibility testing; 23th informational supplement. Document M100-S23. Wayne, PA (2013)
[5]. Brunauer, A.; Verboket, R.D.; Kainz, D.M.; von Stetten, F.; Früh, S.M. Rapid Detection of Pathogens in Wound Exudate via Nucleic Acid Lateral Flow Immunoassay. Biosensors 2021;( 11): 74.

Abstract: Introduction: Percutaneous radioguided biopsy is an accurate, minimally invasive and safe alternative to surgical biopsy. However, some biopsies of intra-, retro-, or subperitoneal lesions may be difficult to access due to anatomical, imaging, or patient-related factors. They may involve an increased risk of non-target noble organ injury, hemorrhage, or bowel perforation. To avoid these complications, several biopsy-assisting techniques have been described in the literature to overcome these challenges: notably, aeroslice or hydrodissection. In this case report, we describe the interest of using hydrodissection per scannoguided biopsy to facilitate access to a suspicious lesion near the vaginal stump.....

Keywords: Hydrodissection, radioguided biopsy, subperitoneum.

[1]. Sainani NI, Arellano RS, Shyn PB, Gervais DA, Mueller PR, Silverman SG. The challenging image-guided abdominal mass biopsy: established and emerging techniques 'if you can see it, you can biopsy it.' Abdom Imaging 2013; 38:672–696
[2]. McDermott S, Levis DA, Arellano RS. Approaches to the difficult drainage and biopsy. Semin Intervent Radiol 2012; 29:256–263
[3]. Arellano RS, Gervais DA, Mueller PR. CT-guided drainage of abdominal abscesses: hydrodissection to create access routes for percutaneous drainage. AJR 2011; 196:189–191
[4]. Langen HJ, Jochims M, Gunther RW. Artificial displacement of kidneys, spleen, and colon by injection of physiologic saline and CO2 as an aid to percutaneous procedures: experimental results. J Vasc Interv Radiol 1995; 6:411–416
[5]. Levis, D., Arellano, R., & McDermott, S. (2012). Approaches to the Difficult Drainage and Biopsy. Seminars in Interventional Radiology, 29(04), 256–263. doi:10.1055/s-0032-1330059

Abstract: Borderline ovarian tumors (BOTs) represent 15 to 20% of epithelial tumors of the ovary, and generally affect young women. Their prognosis is much better, with a survival of 95% at five years and 90% at 10 years. Imaging has a major role in the diagnostic, prognostic and therapeutic approach, allowing a better management, avoiding recurrences and preserving fertility in young patients. Our work is a retrospective study of 28 cases of BOTs, collected at the Mother-Child Radiology and Gyneco-obstetrics departments of the CHU HASSAN II in Fez, spread over a period of 5 years and 6 months, from January 2015 to June 2020. Which allowed us to evaluate the epidemiological and clinical profile, to describe the radiological signs of BOTs and their histological subtypes, to specify the role of imaging, and to correlate results with the anatomopathological data. Pelvic MRI was performed in 43% of our patients, and allowed characterization of BOTs and their histological subtypes with high sensitivity and specificity (17 serous, 8 mucinous and 3 mixed).

Keywords: Borderline, Ovary, MRI.

[1]. Tulpin L, Rouzier R, Morel O, Malartic C, Daraï E, Barranger E. Tumeurs borderline de l'ovaire : état des lieux. Gynécologie Obstétrique Fertil. Avr. 2008;36(4):422-9.
[2]. Taïeb S, Fauquet I, Narducci F, Baranzelli M-C, Leblanc É, Ceugnart L. Tumeurs borderline de l'ovaire. Imag Femme. Févr 2009; 19(1):21-
[3]. Skírnisdóttir I, Garmo H, Wilander E, Holmberg L. Borderline ovarian tumors in Sweden 1960–2005: Trends in incidence and age at diagnosis compared to ovarian cancer. Int J Cancer 2008; 123(8):1897-1901.
[4]. Anfinan, N., Sait, K., Ghatage, P., Nation, J., & Chu, P. (2010). Ten years experience in the management of borderline ovarian tumors at Tom Baker Cancer Centre. Archives of Gynecology and Obstetrics, 284(3), 731–735. Doi: 10.1007/s00404-010-1713-9
[5]. Leveque J., Ouldamer L., Bendifallah S., Dion L., Nyangoh-Timoh K., 2020. Tumeurs Frontières de l'ovaire. Recommandations pour la pratique clinique CNGOF-Pertinence des marqueurs tumoraux. Gynécologie Obstétrique Fertilité & Sénologie, 48: p 277-286

Abstract: Background: Conservative nonsurgical treatment of endodontically involved teeth consisting of complete biomechanical cleansing, shaping and obturation of the root canal system during one visit was defined as single visit endodontic treatment. Case report: A 25-year-old female patient came to the Dental Conservative clinic with the chief complaint of a broken tooth on the upper front tooth. The patient has a history of trauma in the past 2 months which caused a fractured front tooth, tooth #22 was painful 1 month ago.......

Keywords: Single Visit; Complicated Crown Fracture

[1]. Dennis, Nurliza C (2017). Single Visit Endodontic in the Management of Symptomatic Irreversible Pulpitis and Pulp Necrosis with Apical Periodontitis: Report of Two Cases. Int J Dentistry Oral Sci, 4(2), 418-421.
[2]. Aishwarya S T, et al (2020). Role of Single Visit Endodontics in Contemporary Dental Practice – A review. IP Indian J Conserv Endod, 5(4),165-167.
[3]. American Association of Endodontists. (2019). The Recommended Guidelines of the American Association of Endodontists for the Treatment of Traumatic Dental Injuries.
[4]. Day PF et al (2020). International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dental Traumatology, 36, 343–59.
[5]. Schwendicke F, Göstemeyer G. (2017). Single-visit or multiple-visit root canal treatment: systematic review, meta-analysis and trial sequential analysis. BMJ Open, 7, e013115.

Abstract: Trauma to the maxillofacial structures is very not very uncommon. About 12-56% of trauma constitutes mandibular fractures, out of which condylar fracture accounts for 29-52%. Condylar region has its unique anatomy and healing potential hence requiring special considerations. Direct or indirect impact to the symphysis and/or parasymphysis region can transfer the forces directly to the condyle leading to its fracture. The clinical manifestation depends upon the location of fracture on the condyle. Presenting here is a case of a 57-year-old female patient who reported with chief complaint of pain and discomfort in the right side of jaw while opening her mouth, immediately after trauma to the face.

Keywords: Unilateral Condylar fracture; Intra-capsular fracture ; Vertical condylar head fracture; Split fracture of condyle ; CBCT ; Conservative ; Surgical

[1]. Hackenberg B, Lee C, Caterson EJ. Management of subcondylar mandible fractures in the adult patient. J Craniofac Surg. 2014;25(1):166-171. doi:10.1097/SCS.0000000000000498
[2]. Sawazaki R, Lima Júnior SM, Asprino L, Moreira RWF, de Moraes M. Incidence and patterns of mandibular condyle fractures. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2010;68(6):1252-1259. doi:10.1016/j.joms.2009.03.064
[3]. Road Accidents in India | Ministry of Road Transport & Highways, Government of India. Accessed May 22, 2022. https://morth.nic.in/road-accident-in-india
[4]. Lindhal L. Condylar fractures of the mandible. I. Classification and relation to age, occlusion, and concomitant injuries of teeth and teeth-supporting structures, and fractures of the mandibular body - PubMed. Accessed May 22, 2022. https://pubmed.ncbi.nlm.nih.gov/402318/
[5]. Smith H, Peek-Asa C, Nesheim D, Nish A, Normandin P, Sahr S. Etiology, diagnosis, and characteristics of facial fracture at a midwestern level I trauma center. J Trauma Nurs Off J Soc Trauma Nurses. 2012;19(1):57-65. doi:10.1097/JTN.0b013e31823a4c0e

Abstract: La cataracte post-traumatique est une affection fréquente et grave touchant les sujets jeunes surtout de sexe masculin. . Elle peut être liée à un traumatisme contusif ou perforant. Le pronostic dépend surtout des lésions associées. Le but de notre étude est l'analyse des aspects épidémiologiques, cliniques, thérapeutiques et pronostiques des cataractes post-traumatiques. C'est une étude rétrospective de 53 cas de cataractes post-traumatiques, colligés au service d'ophtalmologie adulte de l'hôpital 20 Aout de Casablanca, sur une période de 2 ans, de novembre 2015 à octobre 2017........

Keywords: Cataracte post-traumatique, lésions associées, implantation.

[1]. GAIN P., THURET G., MAUGERY J. Les cataractes traumatiques: conduite à tenir en pratique. J Fr Ophtalmol, 2003; 26,512-520. (5) (5)
[2]. PARKS M.M. Posterior lens capsulotomy during primary surgery in children. Ophthalmology, 1983; 20:658-664.(10)
[3]. BLUM M., TETZ M., GREINER C., VOELKER H.E. Treatment of traumatic cataract. J Cataract Refract Surg 1996; 22:342-6.(2)
[4]. LONCAR V., PETRIC I. Surgical treatment, clinical outcomes and complications of traumatic cataract. Ophthalmology 2004, 45:310- 313.(9)
[5]. GRADIN D., YORSTON D. Intraocular lens implantation for traumatic cataract in children in East Africa. J Cataract Refract Surg 2001; 27:2017-2025.(6)

Abstract: The ocular manifestations of Behçet's disease are diverse, the most frequent being hypopyon uveitis and especially occlusive retinal vasculitis. We report a retrospective study spread over a period of two years between December 2016 and December 2018 including patients with Behçet's disease followed at the specialized uveitis consultation in the adult ophthalmology department at the August 20 hospital in Casablanca. A total of 153 patients are included in the study. The average age was 32 years, 67% of patients were male. Ocular involvement was inaugural in 22% of cases. The average consultation time varied between 1 day and 4 years. Ocular involvement was bilateral in 119 patients........

Keywords: Ophthalmological manifestations, Behçet's disease, uveitis, vasculitis, blindness.

[1]. Benchekroun O, Lahbil D, Lamari H, Rachid R, El Belhadji M, Laouissi N et al. La maculopathie dans la maladie de Behçet. Journal Français d'Ophtalmologie. 2004; 27(2):154- 9
[2]. Saadoun D, Cassoux N, Wechsler B, Boutin D, et al. Ocular manifestations of Behçet's disease. Rev Med Interne. 2010; 31(8):545–50.
[3]. B'chir Hamzaoui S, Harmel A, Bouslama K, et al. Behçet's disease in Tunisia. Clinical study of 519 cases. Rev Med Interne. 2006 Oct; 27(10):742–50.
[4]. Criteria for diagnosis of Behcet's disease. International Study Group for Behcet's Disease. Lancet. 1990 May 5; 335(8697):1078-80.
[5]. Behçet H. Uber rezidivierende aphtose durch ein virus verursachte gesch-wure am mund, am auge und and den genitalie. Dermatol Wochenschr. 1937;105(1152):7.

Abstract: Spasticity in the plantar flexors can contribute to pathological gait patterns in both stance and swing phase of gait. Spastic plantar flexors affect forward foot clearance during swing phase; the consequence is toe drag while walking. Spastic plantar flexors resist extension at the knee and dorsi flexion of the foot. The ratio of prevalence in males and females in India is 1:2 per 1000 live births........

Keywords: Spastic diplegia, Prolonged Icing, Passive stretching with weight bearing, Modified Ashworth scale (MAS) and Resting angle (RA).

[1]. Primary Care of the Child with Chronic Condition Seconded; Patricia Luddter Jackson and Judith A. 237 [2]. Gage J.R., Schwartz M.H.G., Koop S.E., Novacheck T.F. The Identification and Treatment of Gait Problems in Cerebral Palsy. 2nd ed. Mac Keith Press; Cambridge, UK: 2009. [3]. Andersen G., Hollung S., Vik T., Elkjær S., Myklebust G., Jahnsen R. Cerebral Palsy Follow-up Program and Norwegian Cerebral Palsy Register, Annual Report 2017. [4]. Bell K.J., Ounpuu S., DeLuca P.A., Romness M.J. Natural progression of gait in children with cerebral palsy. J. Pediatr. Orthop. 2002; 22:677–682. doi: 10.1097/01241398-200209000-00020 [5]. Ross S.A., Engsberg J.R. Relationships between spasticity, strength, gait, and the GMFM-66 in persons with spastic diplegia cerebral palsy. Arch. Phys. Med. Rehabilt. 2007;88:1114–1120. doi: 10.1016/j.apmr.2007.06.011.

Abstract: BACKGROUND: The present study compares the efficacy of epidural versus combined spinal-epidural technique with ropivacaine and fentanyl and the goal here is to provide painless labor with minimal or no side-effects. METHODS : This is a prospective, randomized, double-blind study. sixty, consenting laboring parturient of ASA I/II in active labor were randomized to receive either Epidural(E) or Combined-Spinal Epidural(CSE) technique for labor analgesia. Group E received 0.125% ropivacaine with 2microgram/cc fentanyl epidurally and group CSE received 20 microgram fentanyl intrathecally and 0.125% ropivacaine with 2microgram/cc fentanyl epidurally. Onset of analgesia, duration of labor, maternal haemodynamic, Visual Analog Scale (VAS), Foetal Heart Sounds (FHS), mode of delivery, motor blockade, total top-ups, side-effects, and neonatal outcomes were observed........

Keywords: Epidural, combined spinal-epidural, ropivacaine, fentanyl.

[1]. Lisa R. Leffert, Roulhac D. Toledano; Obstetric Anesthesia: Origins and Current Practice. ASA Monitor 2020; 84:50–52
[2]. Sharma, Sudha et al. ―Labor Analgesia: An Unmet Right of Laboring Women in India.‖ Journal of SAFOG 5 (2013): 26-32.
[3]. McKenzie, A. (2016-09). Historic timeline of obstetric anaesthesia. In Oxford Textbook of Obstetric Anaesthesia. Oxford, UK: Oxford University Press. Retrieved 29 Sep. 2021, from https://oxfordmedicine.com/view/10.1093/med/9780198713333.001.0001/med9780198713333-chapter-1.
[4]. Pandya ST. Labour analgesia: Recent advances. Indian J Anaesth. 2010 Sep;54(5):400-8. doi: 10.4103/0019-5049.71033. PMID: 21189877; PMCID: PMC2991649.
[5]. Mędrzycka-Dabrowska W, Czyż-Szypenbejl K, Pietrzak J. A review of randomized trials comparisons of epidural with parenteral forms of pain relief during labour and its impact on operative and cesarean delivery rate. Ginekol Pol. 2018;89(8):460-467. doi: 10.5603/GP.a2018.0079. PMID: 3021546