iosr-JDMS   Volume-22 ~ Issue-2 ~ February 2023

Abstract: Objective: This Study was performed to assess the functional and radiological outcome of MIROS in the management of tibia fractures and to study the end results of benefit of MIROS with conventional treatment options (pop cast, plate and screws and nailing). Methods: In total, 25 patients with tibia fractures (proximal, middle, distal 1/3rd shaft) were treated with MIROS. Pre-operatively anteroposterior and lateral radiographs were obtained in all cases and computed tomography scans in patients with the most complex fractures.....

Keywords: Incisionless, minimally invasive reduction and osteosynthesis system (MIROS), Johner and wruh criteria , Clamps , dexterity , tibia fractures

[1]. Charley J. fractures of the shaft oftibia. The closed treatment of commonfractures,Edinburg, Churchill Livingstone. 1961, 209-249.
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[3]. M. Tangari A.U. Minniti De Simeonibus.. Su un nuovo sistema di sintesi percutanea: "lasintesi Delta" ( About a new system of percutaneous synthesis: "the Delta synthesis").. G.I.O.T. 2007;33:60-65.
[4]. Wruhs O, Johner R. Classification of tibial shaft fractures and correlation with results after rigid fixation. Clinical Orthop.1983; 178.
[5]. Tangari M. Personale tecnica diapplicazione del Sistema Epibloc. Giornale Italiano diOrtopedia eTraumatologia 2002;28:2-10.
[6]. Di Segni F. Considerazioni sull'usodei fili di Kirschner. Lo Scalpello 2002;16:87-90.

Abstract: Restoration of aesthetic alongwith maintenance of healthy gingival tissue is of utmost importance when treating the maxillary anterior region. Resorption of residual alveolar ridge or irregularities in soft tissue often complicate favourable relationship with the pontic, compromising the final aesthetic outcome. Various techniques were used to overcome this problem. Esthetic emergence profile was achieved in final prosthesis of all the following cases without any adverse consequences on a long term follow up. Apart from esthetics, clinically healthy, functional, and hygienic conditions can be established at ovate pontic sites if appropriate plaque control is performed.

Key words: Aesthetics, ovate pontic, receptor site, provisional restoration, emergence profile

[1]. Tylman's Theory Fixed Prosthodontics, 8th edition.
[2]. Contemporary fixed prosthodontics,Stephen F. Rosenstiel, 6th edition.
[3]. Ruiz JL. The Psychology of a Smile. The Journal of Cosmetic Dentistry 2003;19(1): 58-9.
[4]. Das S, Biswas M, Pal N, Nair V. Creating esthetics in anterior teeth with custom cast post and core. Journal of Case Reports in Medical Science 2017;3(4):81-84.
[5]. Dewey KW, Zugsmith R. An experimental study of tissue reaction about porcelain roots. Journal of Dental Research 1933; 13: 459-72.

Abstract: Background: This randomised control study has been conducted in Gauhati Medical College and Hospital with the view of comparing the supraclavicular brachial plexus with the retroclavicular brachial plexus block using ultrasonographic guidance for patients undergoing operative orthopedic intervention for upper limb trauma. Methodology: This study included cases between the ages 18 to 60 years, posted for elective orthopaedic surgery. All patients were admitted under the Department of Orthopaedics, Gauhati Medical College and Hospital. A written and informed consent was taken......

KEYWORDS: SUPRACLAVICULAR, RETROCLAVICULAR, ROPIVACAINE,ULTRASONOGRAPHY, BRACHIAL PLEXUS BLOCK, HORNERS SYNDROME

[1]. Alfred VM, Srinivasan G, Zachariah M. Comparison of Ultrasound with Peripheral Nerve Stimulator-guided Technique for Supraclavicular Block in Upper Limb Surgeries: A Randomized Controlled Trial. Anesth Essays Res. 2018;12(1):50–4.
[2]. Khanduri K. Regional Anaesthesia Techniques for Orthopaedic Surgery. Med J Armed Forces India. 2008 Apr;64(2):108–10.
[3]. Rashiq S, Finegan BA. The effect of spinal anesthesia on blood transfusion rate in total joint arthroplasty. Can J Surg. 2006 Dec;49(6):391–6.
[4]. Retroclavicular vs Infraclavicular block for brachial plexus anesthesia: a multi-centric randomized trial | BMC Anesthesiology | Full Text [Internet]. [cited 2022 Oct 7]. Available from: https://bmcanesthesiol.biomedcentral. com/articles/10.1186/s12871-019-0868-6
[5]. Retroclavicular vs supraclavicular brachial plexus block for distal upper limb surgery: a randomised, controlled, single-blinded trial Sina Grape1 , Amit Pawa2 , Eric Weber1 and Eric Albrecht3, * 1 Department of Anaesthesia, Valais Hospital, Sion, Switzerland, 2 Department of Anaesthesia, Guy's & St Thomas' NHS Foundation Trust, London, UK and 3 Department of Anaesthesia, Lausanne.

Abstract:AIMS AND OBJECTIVES The aim of this study is to assess the available standards for respectful maternity care in The Department of Obstetrics in KING GEORGE HOSPITAL, Visakhapatnam by evaluation of responses to a questionnaire given to birthing women. METHODOLOGY 100 post operative patients satisfaction response taken from the patient feed back form in the NHM case sheets in the classical Donabedian framework in The Department of OBGY, KING GEORGE HOSPITAL. Assessment was done to find out the level of respectful maternity care provided......

[1]. Veronica Reis B, Deller C, Carr JS. Respectful Maternity Care Country experiences Survey Report November 2012 [Internet]. 2012. Available from: https://www.mhtf.org/document/respectful- maternity-care-countryexperiences/.
[2]. FederalMinistryofHealth(FMOH)Ethiopia. Respectful Maternity Care (RMC) and Partograph Training Resource Package [Internet]. Addis Ababa, Ethiopia; 2015. Available from: http://midwives.org.et/261.
[3]. LaQshya guldelines , national helath mission. Available from https://nhm.gov.in/index1.php?lang=1&level=3&sublinkid=1307&lid=690
[4]. National Health Portal http://nhp.gov.in › "laqshya‟-progra...'LaQshya' programme (Labour Room Quality Improvement Initiative)
[5]. Respectful maternity care for positive birthing experience at Pravara Rural hospital . Available from https://www.ijrcog.org/index.php/ijrcog/article/view/8635.

Abstract:Background HDP-gestosis score is a risk scoring system (score 1–3) for the development of pre-eclampsia. When a pregnant woman's total score is equal to or greater than 3, she is labelled as "at risk for pre-eclampsia" and is managed accordingly. Objectives To determine relation ship between HDP gestosis score and preeclampsia....

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Abstract: Background: Fractures lower end of radius are most common fractures of upper extremity, constituting 17% of all fractures & 75% of all forearm fractures. Elderly patients are at high risk because of low mineral bone density. Among all fractures of distal end of radius, about 50% of them involves the articular surface of either the radiocarpal joint or distal radio ulnar joint and displacement of the fracture fragments, impairs the articular congruity attained by the reduction technique and lead to post traumatic osteoarthritis.Extensor tendon rupture and irritation caused by implantswhen a dorsal approach is used. To prevent complications, the dorsally displaced fracture......

Keywords: Precontoured Palmar Plating, Dorsally displaced fractures of distal radius

[1]. P.A. Martineau, G. K. Berry, and E. J. Harvey, ―Plating for distal radius fractures,‖ Orthopedic Clinics of North America, vol. 38, no. 2, pp. 193–201, 2007.
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[3]. P. J. Mackenney, M. M. McQueen, and R. Elton, ―Prediction of instability in distal radial fractures,‖ Journal of Bone and Joint Surgery. American, vol. 88, no. 9, pp. 1944–1951, 2006.
[4]. Y. C. Chou, A. C. Y. Chen, C. Y. Chen, Y. H. Hsu, and C. C. Wu, ―Dorsal and volar 2.4-mm titanium locking plate fixation for AO type C3 dorsally comminuted distal radius fractures,‖ Journal of Hand Surgery, vol. 36, no. 6, pp. 974–981, 2011.
[5]. P. M. Simic, J. Robison, M. J. Gardner, R. H. Gelberman, A. J. Weiland, and M. I. Boyer, ―Treatment of distal radius fractures with a low-profile dorsal plating system: an outcomes assessment,‖ Journal of Hand Surgery, vol. 31, no. 3, pp. 382–386, 2006..

Abstract: Background: Effective post-operative analgesia after caesarean section (CS) is important because it facilitates early amelioration, ambulation and expedites breastfeeding. The Quadratus lumborum (QL) block is a posterior abdominal wall block not commonly practised. Very few studies have been conducted to compare the analgesia between TAP block and QL block in caesarean section under spinal anaesthesia in the Indian population. So, in our study we will compare the analgesic efficacy of QL block with TAP block in elective caesarean section under spinal anaesthesia....

KEYWORDS- Caesarean section, quadratus lumborum block, transversus abdominis plane block

[1]. Verma K, Malawat A, Jethava D, Jethava D. Comparison of transversus abdominis plane block and quadratus lumborum block for post-caesarean section analgesia: A randomised clinical trial. Indian J Anaesth. 2019;63(10):820-826. doi: 10.4103/IJA.IJA_61_19
[2]. Yousef N. Quadratus Lumborum Block versus Transversus Abdominis Plane Block in Patients Undergoing Total Abdominal Hysterectomy: A Randomized Prospective Controlled Trial. Anesth Essays Res. 2018;12(3):742. doi: 10.4103/AER.AER_108_18
[3]. Blanco R, Ansari T, Riad W, Shetty N. Quadratus Lumborum Block Versus Transversus Abdominis Plane Block for Postoperative Pain after Cesarean Delivery: A Randomized Controlled Trial. Reg Anesth Pain Med. 2016;41(6):757-762. doi:10.1097/AAP.0000000000000495
[4]. Baaj JM, Alsatli RA, Majaj HA, Babay ZA, Thallaj AK. Efficacy of ultrasoundguided transversus abdominis plane (TAP) block for postcesarean section delivery analgesia--a double-blind, placebo-controlled, randomized study. Middle East J Anaesthesiol. 2010;20(6):821-826. Accessed July 23, 2022. https://pubmed.ncbi.nlm.nih.gov/21526667/
[5]. Shin HJ, Kim ST, Yim KH, Lee HS, Sim JH, Shin YD. Preemptive analgesic efficacy of ultrasound-guided transversus abdominis plane block in patients BIBLIOGRAPHY Page 124 undergoing gynecologic surgery via a transverse lower abdominal skin incision. Korean J Anesthesiol. 2011;61(5):413-418. doi:10.4097/KJAE.2011.61.5.413.

Abstract: Background: Popliteal block is used to block the sciatic nerve at the popliteal fossa to anesthetize the region supplied by it, distal to the site of local anestheticadministration. Various approaches to sciatic nerve block have been described in the literature. The study aimed to compare posterior versus lateral approaches to block the sciatic nerve in the popliteal fossa. Methodology: After approval and permission from the institutional ethics committee no.MC/190/2007/Pt-11/July-2021/TH-22) 60 patients of either sex, ASA I and II, between the ages of 18-60, posted for lower limb surgeries under popliteal sciatic nerve block were selected for the study. The patientswere divided into groups A (n=30) and B (n=30) by a computer......

Keywords: popliteal nerve block, nerve stimulator, block performance time, sciatic nerve block, lateral approach, posterior approach.

[1]. Cappellino A, Jokl P, Ruwe PA. Regional anesthesia in knee arthroscopy: a new technique involving femoral and sciatic nerve blocks in knee arthroscopy. Arthroscopy. 1996 Feb;12(1):120–3.
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Abstract: Introduction Acute appendicitis is one of the most common causes of acute abdominal pain in surgical patients. After reviewing the literature, we found that negative appendectomy rates have remained consistent over the past few years. Negative appendectomy not only adds an economic burden to healthcare facilities in developing countries such as India, but also negatively impacts patients overall health. The following study was done to evaluate the diagnostic accuracy of the Modified Alvarado scoring systemand its ultimate effect on mortality and morbidity of the patient....

KEYWORDS- Acute Appendicitis; Right Iliac Fossa Pain; Modified Alvarado Score (MAS); RIPASA Score.

[1]. F. Maximos, S. Konstantinos, k Dimitra, S. Dimitrios, K. Konstantinos, T. Konstantinos, Alvarado or RIPASA score for diagnosis of acute appendicitis? A metanalysis of randomized trials, Int. J. Surg. 56 (2018) 307–314.
[2]. Carlos Magno Queiroz da Cunha, Giovanni Troiani Neto, et al., Correlation of clinical data and the Alvarado's Score as predictors of acute appendicitis, Journal of Coloproctology 38 (2) (2018) 95–98.
[3]. M.C. Meer, S. Anilkumar, T.N. Jiju, RIPASA and air scoring systems are superior to Alvarado scoring in acute appendicitis: diagnostic accuracy study, Annals of Medicine and Surgery 59 (2020) 138–142.
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[5]. Raja AS, Wright C, Sodickson AD, et al. Negative appendectomy rate in the era of CT: an 18-year prospective. Radiolology.2010;256:460-65.

Abstract: Introduction: Abnormal uterine bleeding is the most common presenting symptom in the gynaecology outpatient clinic (AUB). It affects about 20% women of reproductive age, and accounts for almost two thirds of all hysterectomies.However, the perimenopausal and postmenopausal age groups comprised the majority of it. Along with the usual haematological and hormonal testing, an endometrial sample may be used as its first diagnostic step in AUB. Aims and Objectives: The study was aimed to detect the frequency of various pathological conditions which can cause AUB in perimenopausal and postmenopausal women and to know the distribution of functional changes as well as malignancy causing AUB...

KEYWORDS- Abnormal uterine bleeding, Endometrium

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