iosr-JDMS   Volume-22 ~ Issue-3 ~ March 2023

Abstract: This study was conducted to compare the shear bond strength of lingual retainer wire bonded with conventional orthodontic composite (Enlight,Ormco) and nano-ceramic flowable composite (Tetric N-Flow,Ivoclar.) Materials and Methods: Sixty pairs of extracted human incisor teeth were collected, stored and divided into two groups of 30 pairs each. The teeth samples were mounted on acrylic blocks and the coaxial stainless steel lingual retainer wire of 7mm length was bonded with conventional orthodontic composite (Enlight,Ormco) in Group I and nano-ceramic flowable composite (Tetric N-Flow,Ivoclar.) in Group II, as per manufacturer's protocol. The composite used to bond retainer wire was restricted to 2mm in diameter on each tooth in both the groups. The shear bond strength was measured using Universal testing machine with the crosshead speed of 1.25mm/min and the data obtained was statistically analyzed using Unpaired 't' test........

Key Word: Lingual retainer, Bond Strength, Enlight Ormco, Tetric N-Flow Ivoclar.

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Abstract:Aims: To study the clinical profile of anaemia in a tertiary care hospital. Methods: This was a prospective observational study conducted in the Department of General Medicine. In all 100 patients thorough history was taken, general physical examination and systemic examination were done. Patients were subjected to routine blood investigations including complete blood count, peripheral smear study and serology for viral markers. Results: 48(48%) were easy fatiguability and generalised weakness the most common symptoms of anaemia in our study......

Key Word: Anaemia, Clinical profile, Platonychia, Koilonychia, Haemic mumurs, Microcytic Hypochromic, Dimorphic, Jugular venous pressure, Pedal edema.

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Abstract: Background: Foramen ovale and foramen spinosum are associated with the greater wing of sphenoid bone. The former is passage to mandibular nerve, the accessory meningeal artery, the lesser petrosal nerve and the emissary vein while the latter gives passage to middle meningeal artery, middle meningeal vein. It has been noted that both foramina exhibit noticeable variations in size, shape, and dimensions. The awareness of these differences is crucial for the concerned experts doing therapeutic interventions in these regions. The current study represents a modest effort to offer morphometric information and to evaluate variances in both the foramina.........

Keywords: ovale, mandibular nerve, foramen of Vesalius, canalis innominatus, trigeminal rhizotomy.

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Abstract: Background: In this prospective study we identify the factors influencing conversion of laparoscopic cholecystectomy to open cholecystectomy and determining the rate of conversion of laparoscopic to open surgery.
Methods: A total of 50 patients presenting to Mediciti Institute of Medical Sciences with symptomatic gall stone disease without choledocholithiasis between july 2020 and july 2022 undergoing laparoscopic cholecystectomy were included in the study.
Results: In this prospective........

Keywords: laparoscopic cholecystectomy, open cholecystectomy, anatomy, calot's triangle, bleeding.

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Abstract: Background: Pseudomonas aeruginosa is a challenging and prominent nosocomial pathogen, its infection associated with high morbidity, mortality and cost of therapy. Apart from multidrug resistance in Pseudomonas, presence of Metallo-Beta-lactamase (MBL) producing strains has added to treatment failures in Healthcare Institutions. The present study aimed at determining the occurrence of MBL producing Pseudomonas isolated from various clinical samples and their antibiogram pattern, along with their clinico-bacteriological correlation.
Materials and Methods: Pseudomonas aeruginosa isolates were subjected to antimicrobial susceptibility testing, using CLSI.........

Keywords: Pseudomonas aeruginosa, Metallo-beta-lactamase, resistance.

[1]. Radhika A, Lakshmi JT, Ariyanachi K, Sakthivadivel V. Detection of Metallo Beta-Lactamase (MBL) Producing Pseudomonas in a Tertiary Care Hospital, Ghanpur, MEDCHAL, India. A Journal of Clinical Medicine. 2022; 17(1):134-142.
[2]. Agarwal S, Durlabhji P, Gupta S. Mittal J, Dalela G. Incidence of Metallo-β-lactamase producing Pseudomonas aeruginosa isolates and their antimicrobial susceptibility pattern in clinical samples from a tertiary care hospital. International Journal of Research and Review. 2017; 4(1):92-98.
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[4]. Choudhary V, Pal N, Hooja S. Prevalence and antibiotic resistance pattern of Metallo-β-lactamase-producing Pseudomonas aeruginosa isolates from clinical specimens in a tertiary care hospital. J of Mahatma Gandhi Inst Med Sci. 2019; 24:19-22.
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Abstract: Paraduodenal hernias are rare hernias that result from error of rotation of the mid-gut. This congenital anomaly is present only in 2% of total population. These hernias are discovered incidentally or rarely cause small bowel obstruction. We report three cases of Para-duodenal hernia, two male and one female. Patients presented with varied manifestations of gastro-intestinal obstruction such as abdominal pain, vomiting, constipation, etc. radiological images showed cluster of dilated bowel segments with displaced mesenteric vessels. Open surgical approach was adopted for all and the patients were discharged about a week later without further complications. These cases have been reported as the mortality of symptomatic patients is near 100% if not treated timely and adequately and to highlight the methods adopted to surgically treat these patients.

Keywords: Paraduodenal hernia, Intestinal obstruction, Abdominal pain, CT images, Laparoscopic surgery

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Abstract: Background: Previously uncuffed endotracheal tubes have been the gold standard for intubation in under 8 years age children. The aim of our study was to compare the safe use of Microcuff tubes with uncuffed tubes in children in terms of tube exchange rate, consumption of sevoflurane and post operative stridor Materials and Methods: A total of 32 patients of ASA grade I and II , from newborn to 5 years posted for elective surgery who gave consent for intervention were included in group A ( Microcuff tube ) . Appropriate age matched controls were selected......

Keywords: Microcuff endotracheal tube, Paediatric airway

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Abstract: Objective :1)To study the clinical and microbial profile of T2 DM patients with acute pyelonephritis.2.To determine serum Albumin,Creatinine,CRP,PCN,Platelet,HbA1c level as prognostic factors in T2 DM patients presenting with acute pyelonephritis(EPN & NEPN) .Background : Diabetes mellitus is one of the most common cause of acute pyelonephritis seen usually in those patients with poorly controlled blood sugar .Methods : This study was conducted on 100 diabetic patients attending emergency and outpatient department of General Medicine at Gauhati Medical College & Hospital. All patients in the study group had undergone Complete blood count , Renal function test, Liver function test, Glycosylated hemoglobin , Erythrocyte Sedimentation rate, C......

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[5]. Sanjay Kumar Bhat, Alok Srivastava, Nisar Ahmed Ansari, Priyanka Rai, R P Singh, Rohit Srivastava, A K Roy, Jalees Fatima. Emphysematous Pyelonephritis in Type 2 Diabetes - Clinical Profile and Management. Saudi Journal of Kidney Diseases and Transplantation. 2021 Nov; 32 (6) : 1646-1654.

Abstract:Aim and objective: To analyse the outcomes of harmonic focus and traditional suture ligation technique in open thyroidectomy in terms of operating time, volume of blood loss, infection, hypocalcemia and RLN palsy Materials and methods: A prospective comparative study conducted in the Department of General surgery, Govt Rajaji Hospital & Madurai Medical College from November 2021– October 2022.Totally 40 patients were included in the study. Observation and results: On assessing the variables related to the surgical procedure it was found that the operating time and blood loss was found to be having significant association by performing the t test (p<0.005) whereas the other post operative......

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Abstract: Tumours of Glial cells are c/a Glioma.Gliomasare classified as grades I to IV based on histology and clinical criteria.(1)
Modern classification of gliomasis based on the World Health Organization (WHO) Classification of Central Nervous System Tumors, first published in 1979 and revised five times since then, most recently in 2021(2,3). As of the 2021 edition of the WHO classification, gliomasare classified based not only on histomorphologicfeatures but also followed by defining molecular characteristics(2). The incorporation of molecular......

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