iosr-JDMS   Volume-22 ~ Issue-6 ~ June 2023

Abstract: Background: The Most Common Disorders Of The Gastrointestinal System Are Anorectal Disorders Such As Fissure In Ano And Haemorrhoids. This Study Was Conducted With An Aim To Study The Clinical Profile Of Patients With Fissure In Ano.
Methods: A Cross Sectional Study Was Conducted At Omandurar Government Medical College Hospital During January To June 2020. A.......

Key Words: Fissure In Ano, Epidemiology, Constipation, Female

[1]. Hananel N, Gordon PH. Re-examination of clinical manifestations and response to therapy of fissure-in-ano. Dis Colon Rectum. 1997;40(2):229–33.
[2]. Lockhart-Mummery JP. Diseases of the Rectum and Colon and Their Surgical Treatment. JAMA J Am Med Assoc. 1935;104(14):1270.
[3]. Herzig DO, Lu KC. Anal Fissure. Surg Clin North Am. 2010;90(1):33–44.
[4]. Beaty J, Shashidharan M. Anal Fissure. Clin Colon Rectal Surg [Internet]. 2016 Feb 16;29(01):030–7. Available from: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1570390
[5]. Abcarian H, Lakshmanan S, Read DR, Roccaforte P. The role of internal sphincter in chronic anal fissures. Dis Colon Rectum. 1982;25(6):525–8.

Abstract: The Debonding Procedure In Orthodontics Is A Very Crucial Step In The Entire Treatment Plan As It Involves The Proper Removal Of The Attachment And All The Adhesive Resin From The Tooth Surface. Debonding Of Brackets Is Followed By Clean-Up Procedures To Remove Residual Composite. This Clean- Up Can Be Accomplished By Scraping Of The Remnant Adhesive With A Very Sharp-Edged Plier Or Scalers, Or By Use Of Burs. Therefore, The Purpose Of This Study Is To Analyse The Impact Of Adhesive Remnant Removal Using Burs Post Debonding Of Orthodontic Brackets On The Pulp. The Electronic Search Was Performed From 2000 To 2022 Producing......

Keywords: Debonding, Pulpal Necrosis, Burs, LASER, Adhesive Remanent Removal

[1]. Vukovich ME, Wood DP, Daley TD. Heat generated by grinding during removal of ceramic brackets. American Journal of Orthodontics and Dentofacial Orthopedics. 1991 Jun 1;99(6):505-12.
[2]. Uysal T, Eldeniz AU, Usumez S, Usumez A. Thermal changes in the pulp chamber during different adhesive clean-up procedures. The Angle Orthodontist. 2005 Mar;75(2):220-5.
[3]. Usumez S, Orhan M, Usumez A. Laser etching of enamel for direct bonding with an Er,Cr:YSGG hydrokinetic laser system. Am J Orthod Dentofacial Orthop. 2002;122:649–656.
[4]. Zarrinnia K, Eid NM, Kehoe MJ. The effect of different debonding techniques on the enamel surface: an in vitro qualitative study. Am J Orthod Dentofacial Orthop. 1995;108(3):284-93
[5]. Zabel, M. Histologia: Podr˛ecznik dla Studentów Medycyny i Stomatologii; Elsevier Urban & Partner: Wrocław, Poland, 2000.

Abstract: Autologous Platelet Concentrates (Apcs) Are Blood Derivatives Prepared From The Patient's Own Blood In Which The Activated Platelets Become Trapped Within A Fibrin Matrix Scaffold And Release Growth Factors And Cytokines Involved In The Key Processes Of Tissue Regeneration. The Forms Of Apc Include The Platelet-Rich Plasma (Prp), Platelet-Rich Fibrin (Prf) And Concentrated Growth Factor (Cgf). The Use Of Autologous Hematological Components Has Become A Highly Attractive Therapeutic Tool In Many Areas Of Medical And Dental Fields For The Past 2 Decades For The Treatment Of Various Debilitations. These Platelet Concentrates Have Shown To Be Of Great Promise In The Field Of Dentistry, Starting From Implantology, Sinus Lifting Procedures, Treating Of.......

Keywords: Autologous Platelet Concentrates, Growth Factors, Platelet Rich Fibrin, Platelet Rich Plasma, L-Prp, Tissue Regeneration, Temporomandibular Disorders, Lllt.

[1]. Bizzozero G. Su di un nuovo elemento morfologico del sangue dei mammiferi e della sua importanza nella trombosi e nella coagulazione. L'Osservatore. 1881;17(3).
[2]. Wright JH. The origin and nature of the blood plates. The Boston Medical and Surgical Journal. 1906 Jun 7;154(23):643-5.
[3]. Weyrich AS, Schwertz H, Kraiss LW, Zimmerman GA. Protein synthesis by platelets: historical and new perspectives. Journal of thrombosis and haemostasis. 2009 Feb 1;7(2):241-6.
[4]. Andia I, Abate M. Platelet-rich plasma: underlying biology and clinical correlates. Regenerative medicine. 2013 Sep;8(5):645-58.
[5]. Andia I, Rubio-Azpeitia E, Maffulli N. Potential links between tendon pathology and platelet rich plasma biology. Platelet Rich Plasma in Musculoskeletal Practice. 2016:223-40.

Abstract: Primary Testicular Leiomyosarcoma Is A Rare Entity, Arising Secondarily Following Exposure Of Radiotherapy, Use Of Anabolic Corticosteroids And Testicular Germ Cell Tumor. Herein We Present A Case In An Elderly Male Who Presented With Left Sided Scrotal Swelling. He Underwent Left High Inguinal Orchidectomy And Histopathologic And Immunostaining Confirmed Primary Leiomyosarcoma..

Keywords : Testis ,Immunohistochemistry, Leiomyosarcoma, Orchidectomy

[1]. Hachi H, Bougtab A, Amhajji R, Otmany F, al Bouzidi A, Laalou L, et al. A case report of testicular Leiomyosarcoma. Med Trop (Mars). 2002; 62:531–3.
[2]. Singh R, Chandra A, O'Brien TS. Primary intra testicular leiomyosarcoma in a mixed race man: a case report. Clin Pathol..2004;57:1319–20.
[3]. Canales BK, Lukasewycz SJ, Manivel JC, Pryor JL. Post radiotherapy intratesticular leiomyosarcoma. Urology. 2005;66:657.
[4]. Kumar M, Patne SC, Kumar S, Shukla VK. Primary high-grade testicular leiomyosarcoma. Indian J Pathol Microbiol. 2009;52:91–3.
[5]. Narula V, Siraj F, Bansal A. Renal leiomyosarcoma with soft tissue metastasis: An unusual presentation. Can Urol Assoc J.
[6]. Froeher M, Fischer R, Leike S, Hakenberg OW, Noack B, Wirth MP. Intratesticular leiomyosarcoma in a young man after high doping with oral Turinabol: a case report. Cancer. 1999;86:1571–5.

Abstract: Background: Renal Stone Disease Is A Persistent Medical Disorder With A Recurrence Rate Of 50% And Consequently Has A Significant Influence On Health-Related Quality Of Life.Management Of Urolithiasis Ranges From Conservative Watchful Waiting To Traditional Open Surgical Procedure. In Between These Two, There Exist Spectrums Of Procedures, Which Include The Recently Developed Non-Invasive To Minimally Invasive Procedures. Now The Preferred Treatment Of Less Than 1 Cm Stone Is ESWL While Standard Of Care For Renal Stone More Than 2 Cm Is Standard PCNL But The Procedure Of Choice For 1 To 2 Cm Renal Stone Is Still A Subject Of Debate.Therefore, The Present Study Will Be Conducted To Compare The Stone Clearance And Complications Of ESWL.

Keywords: Extracorporeal Shock Wave Lithotripsy, Kidney Stones, Mini Percutaneous Nephrolithotomy

[1]. Ferakis N, Stavropoulos M. Mini percutaneous nephrolithotomy in the treatment of renal and upper ureteral stones: lessons learned from a review of the literature. Urol Ann 2015;7:141–8.
[2]. .Nalbant I, Ozturk U, Sener NC, Dede O, Bayraktar AM, Imamoglu MA. The comparison of standard and tubeless percutaneous nephrolithotomy procedures. Int Braz J Urol.2012 Nov-Dec;38 (6) :795-800
[3]. Martin X, Tolley D, Gallucci M, Alken P. The difficult stone case: Definition and management. Eur Urol 2001;40(1):1-9.2012;38:795–800.
[4]. Yun SI, Lee YH, Kim JS, Cho SR, Kim BS, Kwon JB. Comparative study between standard and totally tubeless percutaneous.2012 Nov ,53 (11) :785-9.
[5]. Hossain MZ, Biswas NP, Islam MS, Hossain MZ, Shameem IA, Kibria S. Effect of tamsulosin on stone clearance after extra-corporeal shock wave lithotripsy. BMJ 2011; 40(1):27-32

Abstract: Introduction: Intertrochanteric Femur Fractures Are Common In The Elderly And Can Have Significant Morbidity And
Mortality. While Dynamic Hip Screws Are Commonly Used For Stable Fractures, Intra-Medullary Nailing With The Proximal Femoral Nail (PFN) Is Becoming More Popular. The Purpose Of This Study Was To Evaluate The Outcomes Of PFN In The Treatment Of Intertrochanteric Femur Fractures.......

[1]. Karakus O, Ozdemir G, Karaca S, Cetin M, Saygi B. The relationship between the type of unstable intertrochanteric femur fracture and mobility in the elderly. J Orthop Surg Res. 2018; 13(1):207.
[2]. Sharma A, Sethi A, Sharma S. Treatment of stable intertrochanteric fractures of the femur with proximal femoral nail versus dynamic hip screw: a comparative study. Rev Bras Ortop. 2018; 53(4):477-481.
[3]. Sermon A. AO principles of fracture management. Acta Chir Belg. 2018; 118(6):773-788.
[4]. Dhanwal DK, Dennison EM, Harvey NC, Cooper C. Epidemiology of hip fracture: worldwide geographic variation. Indian J Orthop. 2011; 45(1):15-22.
[5]. Roth T, Kammerlander C, Gosch M, Luger TJ, Blauth M. Outcome in geriatric fracture patients and how it can be improved. Osteoporos Int. 2010; 21 Suppl 4:S615-S619.

Abstract: Most Cases Of Infectious Diarrhea Due To Staphylococcus Reported In The Literature Have Been Linked To A Risk Factor Such As Antibiotics. However, Since 1970, Cases Of Staphylococcus Aureus-Associated Enterocolitis Have Rarely Been Published. Here, We Report A Case Of A 42-Year-Old Man Who Had Acute Bloody Diarrhea Associated With Abdominal Pain And Altered General Condition. Radiological And Endoscopic Explorations Revealed Ulcerative Pancolitis And The Results Of The Stool Culture Were Positive For Methicillin-Resistant Staphylococcus Aureus (MRSA) And Negative For Clostridium Difficile. Empirical Antibiotic Therapy Was Initiated Including Ceftriaxone And Metronidazole And Then Replaced By Trimethoprim-Sulfamethoxazole.

Keywords: Diarrhea, Methicillin-Resistant Staphylococcus Aureus, Infectious Colitis, Stool Culture

[1]. Gururangan K, Holubar MK. A Case of Postoperative Methicillin-Resistant Staphylococcus aureus Enterocolitis in an 81-Year-Old Man and Review of the Literature. Am J Case Rep. 2020 Sep 29;21:e922521. doi: 10.12659/AJCR.922521.
[2]. R. E. Pecha, T. Prindiville, E. R. Drell, et M. W. Redor, « Severe Colitis Caused by Staphylococcus aureus Associated with Antibiotic Use: 2 Cases: 436 », Off. J. Am. Coll. Gastroenterol. ACG, vol. 100, p. S167, sept. 2005.
[3]. Yarwood JM, Schlievert PM. Quorum sensing in Staphylococcus infections. J Clin Invest. 2003 Dec;112(11):1620-5. doi:
10.1172/JCI20442.
[4]. Kalakonda A, Garg S, Tandon S, Vinayak R, Dutta S. A rare case of infectious colitis. Gastroenterol Rep (Oxf). 2016
Nov;4(4):328-330. doi: 10.1093/gastro/gov016.
[5]. Estifan E, Nanavati SM, Kumar V, Vora A, Alziadat M, Sharaan A, Ismail M. Unusual Presentation of Methicillin-Resistant Staphylococcus aureus Colitis Complicated with Acute Appendicitis. J Glob Infect Dis. 2020 Feb 19;12(1):34-36. doi:
10.4103/jgid.jgid_117_19

Abstract: Background: Pleural Effusion Or Collection Of Fluid In Pleural Space Surrounding Lungs Is Common Condition Resulting From TB,Para Pneumonia,Trauma,Cancer,Congestive Hearailure,Pulmonary Embolism Etc.Pleuroscopy Providing Direct Visualization Thus Helping To Take Sample Of Fluid For Cytology & Biochemical Estimation And Biopsy To Diagnose The Disease Correctly Beside Offering Drainage As Therapeutic Cure. The Main Objective Of This Study Is To Evaluate Efficacy Of Pleuroscopy In Diagnosis & Therapeutic Modality Of Undiagnosed Pleural Effusion. Pleuroscopy Is Superior To Blind Aspiration (Thoracocentesis) And Closed Biopsy.....

Keywords: Pleural Effusion.Pleuoscopy,Empyema,TB,Decortication.

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[3]. D. Rand and I. Maskell, "Introduction and methods: British Thoracic Society pleural disease guideline 2010," Thorax, vol. 65,no. 2, pp. 1–3, 2010.
[4]. N. Sinzobahamvya and H. P.Bhakta, "Pleural exudate in a tropical hospital," Eur. Respir. J., vol. 2, no. 2, pp. 145–148, 1989.
A. Emad and G. R. Rezaian, "Diagnostic value of closed percutaneous pleural biopsy vs pleuroscopy in suspected malignant pleural effusion or tuberculous pleurisy in a region with a high incidence of tuberculosis: a comparative, age-dependent study," Respir. Med., vol. 92,no. 3, pp. 488–492, 1998

Abstract: The Hydatid Cyst Is A Zoonosis Widespread Throughout The World, Is Endemic In Morocco. Its Complications Are Numerous And Include Those Related To Compression Of Adjacent Viscera, Infection Of The Cyst Contents Or Perforation. Fistulization Of The Hepatic Hydatid Cyst Into The Duodenum Is An Extremely Rare Complication Whose Diagnosis Is Difficult. We Report The Clinical Case Of A Spontaneous Fistiluzation Of The Hepatic Hydatid Cyst Into The Duodenum Revealed By A Digestive Haemorrhage, Through Which We Recall The Diagnostic Difficulties Of This Unusual Presentation As Well As The Therapeutic Modalities..

Keywords: Hydatid Cyst – Digestive Hemorrhage – Duodenal Fistula - Liver

[1]. Craig, PS, McManus, DP, Lightowlers, MW, Chabalgoity, JA, Garcia, HH, Gavidia, & Schantz, PM (2007). Prevention and control of cystic echinococcosis. The Lancet infectious diseases, 7(6), 385-394.
[2]. Lo Casto A, Salerno S, Grisanti M, Mastrandrea G. Hydatid cyst of the liver communicating with the left colon. J Radiol 1997; 70:650-1.
[3]. Diez Valladares L, Sanchez-Pernaute A, Gonzalez O, Perez-Aguirre E, Talavera P, Gutierrez del Olmo A, et al. Hydatid liver cyst perforation into the digestive tract. Hepatogastroenterology 1998; 45:2110-4.
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[5]. Nouira K, Hila H, Bedioui H, Baccar S, Ben Messaoud M, Ksantini R, et al. Rupture of hydatid cyst of the liver into the duodenum: a case report. Tunis Med 2007; 85:979-81.

Abstract: Introduction: Pterygium Is A Wing-Shaped, Degenerative, Fibrovascular Growth Of Subconjunctival Tissue Onto The Cornea. It Affects Vision Due To Induced Astigmatism Or Due To Direct Invasion Of The Visual Axis. Surgical Intervention Of Pterygium Leads To Reduction In Astigmatism Which Leads To Significant Improvement In Vision. Aim: To Study Change In Corneal Astigmatism Following The Different Pterygium Surgical Techniques And The Uncorrected Visual Acuity Post Operatively. Methods And Material.....

Keywords: Astigmatism, Pterygium, Amniotic Membrane Graft, Conjunctival Autograft

[1]. Ang LPK, Chua JLL, Tan DTH. Current concepts and techniques in pterygium treatment. Curr Opin Ophthalmol 2007;18(4):308–13.
[2]. Moran DJ, Hollows FC. Pterygium and ultraviolet radiation: a positive correlation. Br J Ophthalmol 1984;68(5):343–6.
[3]. Ashaye AO. Refractive astigmatism and size of pterygium. Afr J Med Med Sci 2002;31(2):163–5.
[4]. Lin A, Stern G. Correlation between pterygium size and induced corneal astigmatism. Cornea 1998;17(1):28–30.
[5]. Maheshwari S. Effect of pterygium excision on pterygium induced astigmatism. Indian J Ophthalmol 2003;51(2):187–8.

Abstract: Background: The Success Of Endodontic Therapy Depends On Major Factors Like Better Apical Sealing Property Of The Root Canal Sealer And A Highly Efficient Bonding Of The Sealer With Both The Root Canal Wall And The Core Filling Material. To Improve The Sealing Ability Of The Root Canal Sealers They Have Been Formulated To Use In Combination With A Bondable Core Filling Material That Might Fulfill The Ideal Requirements Of The Root Canal Sealers And The Core Filling Material. Since No Previous Studies Compare These Three Types Of Obturating Materials That Helps In Identifying The Material With The Least Microleakage Value By Evaluating Its Apical Sealing Ability.....

Keywords: Apical Seal, Stereomicroscope, Microtome, Methylene Blue.

[1]. Rotstein I, Ingle JI. Ingle's endodontics: Obturation of the radicular spaces. 7th edition. PMPH USA. 2019 Jun 1; 669-727.
[2]. Suresh Chandra B, Gopikrishna V. Grossman's endodontic practice: Obturation of the Radicular Space. 13th edition Haryana-02; Wolters Kluwer Health (India): 2021. 343-373.
[3]. Osiri S, Banomyong D, Sattabanasuk V, Yanpiset K. Root reinforcement after obturation with calcium silicate–based sealer and modified gutta-percha cone: Journal of endodontics. 2018 Dec 1;44(12):1843-8.
[4]. Bioceramics as root canal sealer. International journal of science and research.2018;9(11): 494-498.
[5]. López-García S, Myong-Hyun B, Lozano A, García-Bernal D, Forner L, Llena C, Guerrero-Gironés J, Murcia L, Rodríguez-Lozano FJ. Cytocompatibility, bioactivity potential, and ion release of three premixed calcium silicate-based sealers: Clinical oral investigations. 2020 May;24(5):1749-59.