iosr-JDMS   Volume-21 ~ Issue-7 ~ July 2022

Abstract: The aim of this case report is to enhance the aesthetic of completely edentulous patient using the customized friction retained cheek plumper. The complete loss of teeth leads to handicap situation due to impairment of mastication and facial disfigurement resulting in negative psychological impact on the patient. To improve this condition apart from the regular measures of teeth arrangements to obtain lip and cheek support, better denture aesthetics can be provided by additional support using cheek plumper. This article provide simple, non-invasive, cost-efficient method to improve facial appearance of complete denture patient with slumped check in addition to flabby ridge.

Keywords: Cheek plumpers, flabby ridge, slumped cheeks, friction retained

[1]. Fernandes A, Correia M, Pinto N: Prosthesis for cheek support—a case report. J Indian ProsthodontSoc 2002;2:19-20
[2]. Keni NN, Aras MA, Chitre V. Customised attachments retained cheek plumper prosthesis: a case report. J Indian Prosthodont Soc. 2012 Sep;12(3):198-200. doi: 10.1007/s13191-012-0132-y. Epub 2012 Jun 8. PMID: 23997472; PMCID: PMC3416943
[3]. Bhushan P, Aras MA, Coutinho I, Rajagopal P, Mysore AR, Kumar S. Customized Cheek Plumper with Friction Lock Attachment for a Completely Edentulous Patient to Enhance Esthetics: A Clinical Report. J Prosthodont. 2019 Jan;28(1):e1-e5. doi: 10.1111/jopr.12591. Epub 2017 Jan 25. PMID: 28122401.
[4]. Watson RM. Impression technique for maxillary fibrous ridge. Br Dent J 1970;128:552.
[5]. Deogade, Suryakant. (2017). Window impression technique: A prosthetic approach to flabby ridges. 10.18231/2455-8486.2017.0032.

Abstract: Background: Psychological impact of COVID 19 Pandemic on Doctors attending Covid duties was not well documented in Aim: The current study aims to evaluate the psychological impact of COVID 19 Pandemic on the Doctors attending COVID patients in COVID Wards and ICU. Materials and Methods: An online survey using Google Forms online platform was carried out to evaluate Depression (using Patient Health Questionnaire, PHQ-9), Anxiety (using Generalized Anxiety Disorder Questionnaire, GAD‑7) and Stress (using Perceived Stress Scale, PSS-10) among the doctors attending COVID 19 patients......

Keywords: COVID 19, Pandemic, Anxiety, Depression, Perceived stress, Doctor

[1]. Selvaraj P, Muthukanagaraj P, Saluja B, Jeyaraman M, Anudeep TC, Gulati A, et al. Psychological impact of COVID-19 pandemic on health-care professionals in India – A multicentric cross-sectional study. Indian J Med Sci 2020;72(3):141-7
[2]. Kang et al., 2020
[3]. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020;3:e203976
[4]. Du J, Dong L, Wang T, Yuan C, Fu R, Zhang L, et al. Psychological symptoms among frontline healthcareworkers during COVID‑19 outbreak in Wuhan. Gen Hosp Psychiatry 2020;67:144‑5.
[5]. Guo J, Liao L, Wang B, Li X, Guo L, Tong Z, et al. Psychological effects of COVID-19 on hospital staff: A national cross-sectional survey in mainland China. Vasc Invest Ther 2021;4:6-11..

Abstract: Context: Obesity has reached epidemic proportions in India in the 21st Century, with morbid obesity affecting 5% of the country's population.Overweight and obesity are also known to affect the respiratory function in various forms depending on severity.Aim:To study the effect of body mass index on pulmonary function tests among healthy non-smoking adults of urban area of Kurnool. Settings and Design:It is a community based observational study conducted at Kurnool Medical College, Kurnool, during the period from August 2015 to July 2016. Methodology:A total of 120 subjects belonging to the urban area of Kurnool age ranging from 20 to 45 years.The study population was grouped intoGroup A: 40 subjects of Normal Weight with BMI between18.5 to 24.9 Kg/m2, Group B: 40 subjects of Overweight with BMI between 25 to 29.9Kg/m2, Group C: 40 subjects who are Obese with BMI ≥30 Kg/m2and....

Keywords: Obesity, Body Mass Index (BMI), FVC (litres), FEV1(litres), FEV1/FVC%, PEFR (litres/sec), FEF25-75%

[1]. Correlation of Body Mass Index and pattern of pulmonary function among south Indian adult males. G.K.Sudhir, P.ChandraSekhara – International Journal of recent trends in science and technology, ISSN 2277 – 2812 E-ISSN 2249, Volume 10, Issue 3 , 2014 PP447-450.
[2]. Global trends of obesity: World Health Organization June 2016.
[3]. The effect of obesity on spirometry tests among healthy non- smoking adults- Mohammed AL Ghobain – BMC Pulmonary Medicine, 2012, DOI: 10.1186/1471-2466-12-10.
[4]. Costa D, Barbalho MC, Miguel GP, Forti EM, Azevedo JL: The impact of obesity on pulmonary function in adult women. Clinics (Sao Paulo). 2008, 63 (6): 719-724.
[5]. Altered respiratory physiology in obesity Parameswaran K, ToddDc, SothM,Canadian respiratory Journal, 2006- hindawi.com.

Abstract: Background and objective: The influence of smear layer on the apical sealing ability of MTA is still controversial. The sealabilityof MTA with and without smear layer can be measured using fluid filtration method with more advantages than other leakage studies. Aim: To investigate the effect of the smear layer on apical microleakage in teeth obturated with Mineral Trioxide Aggregate (MTA) using fluid filtration method.......

Keywords: Mineral trioxide aggregate, Smear layer, obturation,dental leakage, filtration,EDTA.

[1]. Grossman L. Endodontic practice. 10th ed. Philadelphia: Lea and Febiger; 1982. 279 p.
[2]. Bogen G, Kuttler S. Mineral trioxide aggregate obturation: a review and case series. J Endod. 2009;35:777–90.
[3]. Pommel L, Jacquot B, Camps J. Lack of correlation among three methods for evaluation of apical leakage. J Endod. 2001;27:347–50.
[4]. Violich DR, Chandler NP. The smear layer in endodontics - a review. Int Endod J. 2010;43:2–15.
[5]. Yildirim T, Oruçoğlu H, Cobankara FK. Long-term evaluation of the influence of smear layer on the apical sealing ability of MTA. J Endod. 2008;34:1537–40.

Abstract: Introduction:Cellulitis is a non-suppurative, invasive infection caused by bacteria that is characterized by specifically affecting the dermis and subcutaneous fatty layer by normal skin flora or exogenous bacteria. The lower limbs are affected commonly following a breach due to cracks, breaks, blisters, surgical wounds, ulcers in the skin. Untreated conditions will lead to sequential changes causing severe morbidity and sometimes mortality. Aim:To study the age and sex distribution, risk factors, treatment modalities of patients admitted as cellulitis cases in Department of General Surgery, Narayan Medical College & Hospital Sasaram Bihar from August 2021 to February 2022......

Keywords: Cellulitis, Grading, Treatment, Outcome

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[3]. Pasternack MS, Swartz MN. Cellulitis, necrotizing fasciitis and subcutaneous tissue infections. In: Mandell GL, Bennett JE, Dolin R, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. Vol. 1. 7th ed. Philadelphia,PA:Churchill Livingstone Elsevier;2010:1289-1312
[4]. Stevens DL, Bisno AL, Chambers HF, et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections:2014 update by the Inf ectious Di sease Society of Amer ica. Clin Inf ect Di s . 2014;59(2):147–159.
[5]. Björnsdóttir S ,Gottfredsson M , Thórisdóttir AS et al. Risk factors for acute cellulitis of the lower limb: a prospective case-control study . Clin Infect Dis 2005 ;41 :1416 – 22.

Abstract: PURPOSE To elucidate the relationship between metabolic syndrome with respect to grade and stage on histopathologic findings in bladder cancer in our population MATERIALS AND METHODS We retrospectively analyzed data of patients, their tumour characteristics, metabolic syndrome and its components, (Diabetes, hypertension, BMI and triglyceride levels) and included total of 176 patients who were first time detected cases of carcinoma bladder and were operated in Department of Urology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar......

Keywords: diabetes mellitus, hypertension, obesity, stage, bladder cancer, grade, metabolic syndrome

[1]. Behera P, Patro BK. Population Based Cancer Registry of India – the Challenges and Opportunities. Asian Pac J Cancer Prev. 2018;19(10):2885-2889. Published 2018 Oct 26. doi:10.22034/APJCP.2018.19.10.2885
[2]. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011 Mar-Apr;61(2):69-90. doi: 10.3322/caac.20107. Epub 2011 Feb 4. Erratum in: CA Cancer J Clin. 2011 Mar-Apr;61(2):134.
[3]. Krishnamoorthy Y, Rajaa S, Murali S, Rehman T, Sahoo J, Kar SS. Prevalence of metabolic syndrome among adult population in India: A systematic review and meta-analysis. PLoS One. 2020;15(10):e0240971. Published 2020 Oct 19. doi:10.1371/journal.pone.0240971
[4]. Stocks T, Bjørge T, Ulmer H, Manjer J, Häggström C, Nagel G, Engeland A, Johansen D, Hallmans G, Selmer R, Concin H, Tretli S, Jonsson H, Stattin P. Metabolic risk score and cancer risk: pooled analysis of seven cohorts. Int J Epidemiol. 2015 Aug;44(4):1353-63. doi: 10.1093/ije/dyv001.
[5]. Gacci M, Russo GI, De Nunzio C, Sebastianelli A, Salvi M, Vignozzi L, Tubaro A, Morgia G, Serni S. Meta-analysis of metabolic syndrome and prostate cancer. Prostate Cancer Prostatic Dis. 2017 Jun;20(2):146-155. doi: 10.1038/pcan.2017.1. Epub 2017 Feb 21. PMID: 28220805.

Abstract: Background: Nomophobia "no mobile phone" and phobia" is a pathological fear of being out of contact with a mobile phone, has no mobile networks, or has insufficient balance or battery. Aim: The present study aims to assess the effect of Nomophobia and its impact on Quality of Life in Medical Students and resident doctors in a tertiary care hospital. Materials and Methods: An online survey using Google Forms online platform was carried out to evaluate Nomophobia using Nomophobia Questionnaire and quality of life using WHOQOL-BREF scale.
Results: The study sample comprised 252 participants with mean age of 21.31 years. 66.7% (n=168) of them were Females and 33.3% were males......

Keywords: Nomophobia, Quality of life, Medical Students, Doctors

[1]. Marcos Kubrusly et al., Nomophobia among medical students and its association with depression, anxiety, stress and academic performance.
[2]. Babadi-Akashe Z, Zamani BE, Abedini Y, Akbari H, Hedayati N. The relationship between mental health and addiction to mobile phones among University Students of Shahrekord , Iran. Addict Health 2014;6:93-9.
[3]. Clayton RB, Leshner G, Almond A. The extended iSelf: The impact of iPhone separation on cognition, emotion, and physiology. J ComputMediatCommun2015;20:119-35.
[4]. Alhassan, A.A., Alqadhib, E.M., Taha, N.W. et al. The relationship between addiction to smartphone usage and depression among adults: a cross sectional study. BMC Psychiatry 18, 148 (2018). https://doi.org/10.1186/s12888-018-1745-4
[5]. Mohammed Qutishat et al. University students‟ nomophobia prevalence, sociodemographic factors and relationship with academic performance at a University in Oman. https://doi.org/10.1016/j.ijans.2020.100206

Abstract: Background: There is an ethnic disparity in the prevalence of ABO and Rhesus D blood groups and genotypes. The aim of this present study is to determine the ABO and Rhesus D blood group as well as the genotypeprofileof the clinical students of African descent attending Bingham University Teaching Hospital Jos Plateau State Nigeria. MaterialsandMethods: ABO and Rhesus D phenotype of 110 consecutively-recruited medical students of Bingham University in Jos Plateau State, Nigeria were determined with the monoclonal anti-A, anti-B, and anti-D antisera using the forward cell grouping method to observe for agglutinations. The Hemoglobin electrophoresis machine using tris buffer of PH 8.6 was used to determine various genotypes. Each subject was also asked to state his/her known blood group and genotype prior to the study. Results: Our study shows the following....

Keywords: ABO; Rhesus; Blood groups; Prior knowledge of blood group and genotype; BhUTH.

[1]. Nwakwo CG, Adebayo A, Ode IC, Tizhe- Gumi WN, Adeniyi OG, Emmanuel -Kinkini M. Haematology practical manual for medical students, College medicine and health sciences, Bingham, University, Jos, Nigeria. 2nd Ed. 2019.
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[4]. Khan MS, Subhan F, Tahir F, Kazi BM, Dil AS,.Sultan S. Prevalence of blood groups and Rh factor in Bannu region. Pakistan Journal of Medical Sciences, 2004; 8–10.
[5]. Tadesse H, Tadesse K, "Assessing the association of severe malaria infection and ABO blood groups in northwestern Ethiopia," Journal of Vector Borne Diseases, 2013;4:292–296.

Abstract: Appendiceal diverticulitis is a rare pathology that mimics acute appendicitis and should be overlooked because increasing risk of complications, such as perforation and neoplasm .A 35-year male presented with right lower quadrant pain associated with vomiting ,fever and leukocytosis (10.5 × 10; neutrophils 80%). Sonography was suggestive of acute appendicitis .After conforming the diagnosis of acute appendicitis. Patient was posted for laparoscopic appendectomy. The removed specimen had multiple diverticula on antimesentric border with appendicitis and thickened mesentery. The postoperative course was uneventful and discharged on pod 2.The histological examination....

Keywords: Appendiceal diverticula, diverticulitis, laparoscopy.

[1]. ltieri ML, Piozzi GN, Salvatori P, Mirra M, Piccolo G, Olivari N. Appendiceal diverticulitis, a rare relevant pathology: Presentation of a case report and review of the literature. Int J Surg Case Rep. 2017;33:31-34
[2]. B.J. Phillips, C.W. Perry Appendiceal diverticulitis Mayo Clin. Proc., 74 (1999), pp. 890-892, 10.4065/74.9.890
[3]. Abdullgaffar B. Diverticulosis and diverticulitis of the appendix. Int. J. Surg. Pathol. 2009;17:231–237.
[4]. Collins D.C. A study of 50,000 specimens of the human vermiform appendix. Surg. Gynecol. Obstet. 1955;101:437–445
[5]. Sohn T.J. Clinical characteristics of acute appendiceal diverticulitis. J. Korean Surg. Soc. 2013;84:33–37.

Abstract: Background:Stroke is an important health issue for individuals and society. C-reactive protein is a marker of acute inflammation. CRP level is elevated in patients who suffer from acute stroke. Aim of the study:To study the level of CRP in patients with acute stroke.To compare the level of CRP in ischemic and hemorrhagic stroke with the healthy population. Methods:This observational study was undertaken in the department of Neuromedicine, Rajshahi Medical College Hospital, from July 2010 to June 2011. A total of 130 patients were included in the study group who met the inclusion and exclusion criteria. Out of 130 patients, 63 were ischemic strokes and 67 were hemorrhagic strokes......

[1]. Aho K, Harmsen P, Hatano S, Marquardsen J, Smirnov VE, Strasser T. Cerebrovascular disease in the community: results of a WHO collaborative study. Bulletin of the World Health Organization. 1980;58(1):113.
[2]. Jauch EC, Saver JL, Adams Jr HP, Bruno A, Connors JJ, Demaerschalk BM, Khatri P, McMullan Jr PW, Qureshi AI, Rosenfield K, Scott PA. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013 Mar;44(3):870-947.
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Abstract: We present a case of 47 year old female patient who presented with complains of fatigue, pain in bilateral upper and lower limbs especially around right knee and difficulty in walking. Xray of right knee shows multiple lytic lesions with cortical breakdown in distal femur and proximal tibia. MRI shows presence of multiple solid cystic lesion with septations and fluid-fluid levels, enhancing soft tissue. Differential of fibrous dysplasia, metastasis, brown tumor was considered. Radiograph of hands shows osteopenia, subperiosteal bone resorption, multiple lytic bone lesions, acral osteolysis - all in favor of hyperparathyroidism. USG neck shows well defined hypoechoic lesion in inferior pole of left lobe of thyroid and sestamibi scan shows uptake suggestive of adenoma. Surgical resection was done and HPR shows parathyroid adenoma. Patient condition improved gradually post excision and supportive medications.

Keywords: case report, brown tumor, hyperparathyroidism.

[1]. Brown Tumors: A Case Report and Review of the Literature - Özgür Can,a,* Başak Boynueğri,a Ali Murat Gökçe,b Ebru Özdemir,e Ferhat Ferhatoğlu,c Mustafa Canbakan,a Gülizar Manga Şahin,a Mesut İzzet Titiz,f and SüheylaApaydıne.
[2]. Brown Tumor as a Result of Hyperparathyroidism in an End-Stage Renal Disease Patient-
[3]. Jesse M. Jakubowski,1 Ines Velez and Shawn A. McClure.
[4]. A case report of brown tumor in a patient with chronic renal failure and renal cell carcinoma. Yong-Jun Liu MD, PhD,Elizabeth E. Frauenhoffer MD,Eric Walker MD, MHA,Nicole C. Williams MD. First published: 29 November 2017 https://doi.org/10.1002/ dc.23854.