iosr-JDMS   Volume-22 ~ Issue-8 ~ Aug. 2023

Abstract: Background: The AAST advocated for validation studies using this system to assess its applicability to EGS diseases and its predictive power for outcomes of patients presenting with these diseases. To date, there have been several validation studies. However laparoscopic cholecystectomy being a highly technical procedure can lead to dramatic complications in troublesome cases. So we take clinical, imaging, operative, and pathological details for study.......

Key Word: AAST, Laparoscopic cholecystectomy, cholecystitis, severity grade, validity etc.

[1]. Gurusamy KS, Davidson BR. Gallstones. BMJ. 2014;348:G2669
[2]. Bourgouin S, Mancini J, Monchal T. How To Predict Difficult Laparoscopic Cholecystectomy? Proposal For A Simple Preoperative Scoring System.
[3]. Shafi S, Aboutanos MB, Agarwal S, Brown CV, Crandall M, Feliciano DV, Et Al. Emergency General Surgery: Definition And Estimated Burden Of Disease. J Trauma Acute Care Surg. 2013;74(4):1092-7
[4]. Savage SA, Klekar CS, Priest EL, Crandall ML, Rodriguez BC, Shafi S. Validating A New Grading Scale For Emergency General Surgery Diseases. J Surg Res. 2015;196(2):264-9.
[5]. Shafi S, Priest EL, Crandall ML, Klekar CS, Nazim A, Aboutanos M Et Al. Multicenter Validation Of American Association For The Surgery Of Trauma Grading System For Acute Colonic Diverticulitis And Its Use For Emergency General Surgery Quality Improvement Program. J Trauma Acute Care Surg. 2016;80(3):405-10; Discussion 10-1.

Abstract: Sarcoidosis is a systemic granulomatous disease of unknown cause. The excavated pulmonary form is an atypical form of sarcoidosis because of its similarity to certain infectious diseases, notably tuberculosis, which is a source of confusion for the clinician and should lead to a search for differential diagnoses. The haematological manifestations of sarcoidosis are rare and may include haemolytic anaemia, leukopenia, eosinophilia and peripheral lymphopenia, but thrombocytopenia remains rare. The causes of thrombocytopenia in sarcoidosis have been identified by a few......

Key Word: Excavated mediastinopulmonary sarcoidosis, severe thrombocytopenia

[1]. Kalboussi, S., Et Al. "Atteinte Extra-Thoracique Au Cours De La Sarcoïdose." Revue Des Maladies Respiratoires Actualités 15.1 (2023): 247-248.
[2]. Bonnet, F., Dubuc, J., Morlat, P., Delbrel, X., Doutre, M., De Witte, S., Bernard, N. R., Lacoste, D., Longy-Boursier, M., & Beylot, J. (2001). Sarcoïdose Et Comorbidité : Etude Rétrospective De 32 Observations. Revue De Médecine Interne, 22(7), 619-623.
[3]. Shigemitsu H, Patel HV, Schreiber MP. Extrapulmonary Sarcoidosis. Pulmonary Sarcoidosis: A Guide For The Practicing Clinician. 2014:149-86.
[4]. Armengol, G., Et Al. "Uncommon Manifestation Revealing Sarcoidosis." La Revue De Medecine Interne 30.1 (2008): 53-57.
[5]. Barlas A, Ramachandran L. Immune Thrombocytopenic Purpura Secondary To Sarcoidosis. Maedica (Bucur). 2022 Mar;17(1):234-236..

Abstract: This case study presents the clinical management of a patient with ischemia of the abdomen, a condition characterized by inadequate blood supply to the abdominal organs. This study is based on history of a patient 82 years female having RA, Hypertension, P arkinson disease. She started having stomach for one year with acute constipation and sometimes loose motion. She vomited black and was admitted in hospital. CT of whole abdomen revealed extensive atherosclerotic wall calcification in abdimeninal aorta and its branches causing significant luminal narrowing and involving the celiac and SMA ostium. This case study aims to provide insights into the assessment and management of abdominal ischemia and highlights the importance of a multidisciplinary approach in its diagnosis and treatment..

Key Word: ischemia, abdomen, abdominal pain, mesenteric ischemia, diagnostic imaging, surgery

[1]. Corcos O , Nuzzo A . Gastro Intestinal Vascular Emergencies. Best Pract Res Clin Gastroenterol 2013 Oct ;27(5):709 25.
[2]. Roussel A , Castier Y , Nuzzo A , Pellenc Q , Sibert A , Panis Y , Bouhnik Y , Corcos O . Revascularization Of Acute Mesenteric
Ischemia After Creation Of A Dedicated Multidisciplinary Center. J Vasc Surg 2015 Nov ;62(5):1251 6
[3]. Acosta S , Ogren M , Sternby NH , Bergqvist D , Björck M . Clinical Implications For The Management Of Acute Thromboembolic
Occlusion Of The Superior Mesenteric Artery: Autopsy Findings In 213 Patients. Ann Surg 2005 Mar ;241(3):516
[4]. Patel A , Kaleya RN , Sammartano RJ . Pathophysiology Of Mesenteric Ischemia. Surg Clin North Am 1992 Feb ;72(1):31 41
[5]. Washington C , Carmichael JC . Management Of Ischemic Colitis. Clin Colon Rectal Surg 2012 Dec ;25(4):228 356. Geboes K ,
Geboes KP , Maleux G . Vascular Anatomy Of The Gastrointestinal Tract. Best Pract Res Clin Gastroenterol 2001 Feb ;15(1):1 14.

Abstract: this descriptive study aims at observing the effectiveness of littlers flap for soft tissue coverage of thumb following traumatic injury . 7 patients who presented with irrepairable injury to the pulp of thumb in our tertiary care emergency between january 2021 – december 2021 were included in the study. 6 patients were male and 1 patient was female with ages ranging from 11years – 57 years. patients were followed up for 6 months post procedure. sensory, functional and aesthetic content of the patient was observed. 6 out of the 7 flaps survived completely, 1 required covering of raw area with ftsg. all of the flaps had good colour, texture, contour match with no reports of venous congestion in......

[1]. 1)Littler ,
[2]. J. W. Neuro Vascular Pedicle Transfer Of Tissue In Reconstruction Of The Hand.
[3]. Journal Of Bone And Joint Surgery ,1956, 38a : 4:917.
[4]. 2) Smith, J R. And Asturias, J .
[5]. Card Injuries Of The Hand: Its Characteristics And Treatment.

Abstract: ANNOTATION: At the current time, the issue of oncological alertness among dentists at the initial admission is becoming increasingly relevant. Neoplasms in the oral cavity are a seriously significant problem, largely due to the close location of anatomically significant structures. The main problem is based on the methods and methods of leveling these conditions through both surgical and conservative treatment, including the use of vitamin therapy. The purpose of this review is to summarize the existing data on the role of vitamin D in the treatment of oncological pathology of the oral cavity, as well as in its ability to have an inhibitory effect on their development...

Key Word: oral carcinogenesis, vitamin D, dentistry, evidence-based dentistry

[1]. Anand A., Singh S., Sonkar A.A., Husain N., Singh K.R., Singh S., Kushwaha J.K. Expression Of Vitamin D Receptor And Vitamin D Status In Patients With Oral Neoplasms And Effect Of Vitamin D Supplementation On Quality Of Life In Advanced Cancer Treatment. Contemp. Oncol. 2017;21:145–151. Doi: 10.5114/Wo.2017.68623.
[2]. Arem H., Weinstein S.J., Horst R.L., Virtamo J., Yu K., Albanes D., Abnet C.C. Serum 25-Hydroxyvitamin D And Risk Of Oropharynx And Larynx Cancers In Finnish Men. Cancer Epidemiol. Biomark. Prev. 2011;20:1178–1184. Doi: 10.1158/1055-9965.EPI-11-0153.
[3]. Autier P., Gandini S., Mullie P. A Systematic Review: Influence Of Vitamin D Supplementation On Serum 25-Hydroxyvitamin D Concentration. J. Clin. Endocrinol. Metab. 2012;97:2606–2613. Doi: 10.1210/Jc.2012-1238.
[4]. Chapple, I.L. Interaction Of Lifestyle, Behaviour Or Systemic Diseases With Dental Caries And Periodontal Diseases: Consensus Report Of Group 2 Of The Joint EFP/ORCA Workshop On The Boundaries Between Caries And Periodontal Diseases / I.L. Chapple [Et Al.] // Clin. Periodontal. - 2017. - Vol. 44. - P. 39-51. Doi: 10.1111/Jcpe.12685
[5]. Dev R., Del Fabbro E., Schwartz G.G., Hui D., Palla S.L., Gutierrez N., Bruera E. Preliminary Report: Vitamin D Deficiency In Advanced Cancer Patients With Symptoms Of Fatigue Or Anorexia. Oncologist. 2011;16:1637–1641.
Doi: 10.1634/Theoncologist.2011-0151

Abstract: Background: Continuous and porly maintained use of dentures can cause halitosis, poor aesthethic, and imflamation of the oral mucosa. Therefore, maintaining denture hygiene is crucial to prevent contamination of dentures by debris and microorganism. The solution for maximizing denture cleanliness is by soakaing the dentures in a disinfectant solution........

Key Word: dentures, disinfection, castor leaf extract

[1]. Lubis AIK & Putri WUR. The Influence Of Disinfection On Acrylic Resin Denture Base With Chlorhexidine And Castor Oil (Ricinus Communis Oil) On Transverse Strength. Cakradonya Dent J. 2021; 13(2) : 152
[2]. Pebriyanti RS, Suryani CS, Indah M. Procedure For Making Removable Acrylic Partial Dentures For Nonformal Removable Partial Dentures. Health Analyst Journal. 2017; 6(2): 612
[3]. Inda PK, Et Al. Behavior In Maintaining Cleanliness Of Removable Partial Dentures Among The Community Of Kema II Village, Kema District. E-Gigi Journal. 2016; 4(2): 146.
[4]. Budiono R & Ninik N. Isolation Of Castor Oil Plant (Ricinus Communis L) Leaves Using Genomic DNA Mini Kit (Plant) Geneaid. Faculty Of Mathematics And Natural Sciences, Universitas Riau. Page: 2
[5]. Vonisya M & Rasmi ZO. Effectiveness Of Castor Oil Plant (Ricinus Communis L.) Leaves As An Antipyretic. Majority Journal. 2017; 7(1): 37-8

Abstract: Résumé : Introduction : La granulomatose éosinophilique avec polyangéite (GEPA) intéresse les vaisseaux de petit calibre et à moindre degré de moyen calibre, et appartient au groupe des vascularites associées aux anticorps anti-cytoplasme des neutrophiles (ANCA). Son association probable avec un syndrome de Gleich rend notre cas intéressant. Observation : Une patiente de 18 ans, asthmatique, présentait une hyperéosinophilie, des infiltrats labiles et une mononeurpathie multiple. Ce qui a permis de retenir le diagnostic de La granulomatose éosinophilique avec polyangéite (GEPA)......

[1]. Churg J, Strauss L. Allergic Granulomatosis, Allergic Angiitis, And Periarteritis Nodosa. Am J Pathol. 1951;27(2):277–301.
[2]. Jennette JC. Overview Of The 2012 Revised International Chapel Hill Consensus Conference Nomenclature Of Vasculitides. Clin Exp Nephrol. 2013;17(5):603–606.
[3]. Mahr A, Guillevin L, Poissonnet M, Aymé S. Prevalences Of Polyarteritis Nodosa, Microscopic Polyangiitis, Wegener's Granulomatosis, And Churg-Strauss Syndrome In A French Urban Multiethnic Population In 2000: A Capture–Recapture Estimate. Arthritis Care & Research. 2004;51(1):92–99.
[4]. Masi AT, Hunder GG, Lie JT, Michel BA, Bloch DA, Arend WP, Et Al. The American College Of Rheumatology 1990 Criteria For The Classification Of Churg-Strauss Syndrome (Allergic Granulomatosis And Angiitis). Arthritis Rheum. 1990;33(8):1094–1100.
[5]. Guillevin L, Cohen P, Gayraud M, Lhote F, Jarrousse B, Casassus P. Churg-Strauss Syndrome. Clinical Study And Long-Term Follow-Up Of 96 Patients. Medicine (Baltimore). 1999;78(1):26–37.

Abstract: Résumé : L'hydatidose multiple est rare. Les auteurs rapportent le cas d'un jeune patient admis pour une image pulmonaire en lâcher de ballon avec une opacité paracardiaque droite révélée par des hémoptysies minimes récidivantes et plusieurs épisodes d'urticaire inexpliquée. Le bilan a confirmé une hydatidose pulmonaire multiple avec une atteinte du ventricule droit. Le patient a été opéré pour son atteinte cardiaque et pulmonaire.

Key Word: Kyste hydatique, poumon, coeur, urticaire

[1]. Racil.H, Ben Amar.J, El Filali Moulay.R Et All. Kystes Hydatiques Compliqués Du Poumon. Rev Mal Respir 2009 ; 26 :727-34.
[2]. Elkhattabi.W, Afif. H, Berrada.Z, Rhissassi.J, Aichane. A, Bouayad.Z. Hydatidose Pulmonaire Multiple Avec Localisation Cardiovasculaire. Rev Mal Respir 2011 ; 28 :686-90.
[3]. Mzabi.R, Dziri.C. Les Echinoccocoses Extra-Hépatiques : Diagnostic Et Traitement. Rev Prat 1990; 40 : 220-4.
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[5]. Hernigou,A. Plaifosse.MC, Merans.SL, Et Al. Place De L'échographie Dans Le Diagnostic De Diagnostic De Cinq Kystes Hydatiques Du Coeur. Ann Radiol 1983 ;26 :648-54.

Abstract: Résumé : Le syndrome de Doege-Potter est une entité rare, a été décrit dans 2—4 % des fibromes solitaires de la plèvre (TSFP) et constitue un syndrome paranéoplasique dans lequel l'hypoglycémie est le résultat des tumeurs produisant le facteur de croissance insuline-like (IGF-II). Nous rapportons le cas d'un patient âgé de 50 ans, qui consultait pour des hypoglycémies profondes avec énorme formation tissulaire basale gauche à la TDM thoracique. Le diagnostic était fibrome solitaire pleural.

Key Word: Syndrome de Doege-Potter ; Hypoglycémie ; fibrome solitaire pleural

[1]. Kafih M, Boubia S, Ridai M, Et Al. Coma Hypoglycémique Révélant Une Tumeur Fibreuse Solitaire De La Plèvre. Presse Med 2005;34:1370
[2]. Doege KW. Fibrosarcoma Of The Mediastinum. Ann Surg 1930;92:955.
[3]. Potter RE. Intrathoracic Tumors. Radiology 1930;14:60—2.
[4]. Kalebi A, Hale MJ, Wong ML, Et Al. Surgically Cured Hypoglycemia Secondary To Pleural Solitary Fibrous Tumor: Case Report And Update Review On The Doege-Potter Syndrome. J Cardiothorac Surg 2009;4:45.
[5]. Chermiti Ben Abdallah F, Bousnina S, Racil H, Ismail L, El Mezni F, Megdiche0 ML, Et Al. Les Tumeurs Fibreuses Solitaires Malignes De La Plèvre. Rev Pno Clin 2010;66:187—90.

Abstract: Résumé : La microlithiase alvéolaire pulmonaire (MLA) est une maladie rare, caractérisée par l'accumulation de calcosphérites intra-alvéolaires. Nous rapportons le cas d'un patient âgé de 77 ans, sans habitudes toxiques, sans antécédents pathologiques particuliers, qui a consulté pour une dyspnée d'aggravation progressive avec une toux sèche, la TDM thoracique en haute résolution a objectivé des calcifications micronodulaires parenchymateuses avec un aspect compatible avec une fibrose pulmonaire idiopathique et le lavage broncho-alvéolaire objectivait la présence de microlithes. Le diagnostic retenu était la microlithiase alvéolaire pulmonaire

Key Word: Microlithes; Calcifications micronodulaires; Microlithiase alvéolaire pulmonaire

[1]. Lauta VM. Pulmonary Alveolar Microlithiasis: An Overview Of Clinical And Pathological Features Together With Possible Therapies. Respir Med 2003;97:1081—5.
[2]. Huqun, Izumi S, Miazawa H, Ishi K, Uchiayama B, Ishida T, Et Al. Mutations In The SLC34A2 Gene Are Associated With The Pulmonary Alveolar Microlithiasis. Am J Respir Crit Care Med 2007;175:263—8.
[3]. Corut A, Senyigit A, Ugur SA, Ozcelik U, Calisir H, Yildirim Z, Et Al. Mutations In SCL34A2 Cause Pulmonary Alveolar Microlithiasis And Are Possibly Associated With Testicular Microlithiasis. Am J Hum Genet 2006;79: 650—6.
[4]. Harbitz F. Extensive Calcification Of The Lungs As A Distinct Disease. Arch, Intern. Med. 1918; 21(1): 139–146.
[5]. Puhr L. Mikrolithiasis Alveolaris Pulmonum. Virchows Archiv Für Pathologische Anatomie Und Physiologie Und Für Klinische Medizin. 1933; 290(1):156–160

Abstract: Background: The method of denture disinfection can be done mechanically because it is easy to do and can cover the entire surface of the denture. Clorhexidine is a non-tradiotional denture disinfection and castor leaf extract (Ricinus communis) is a traditional disinfection that has been extensively studied at this time, casator leaves contain compounds that work as antimicrobials but it is possible that these ingredients can effect the mechanical properties of acrylic resin. Materials and Methods: The design of this study was a laboratory experimental design with a post test only design with a control group design. The........

Key Word: Heat-cured acrylic resin, desinfection, castor leaves extract

[1].Erlinda Muchtar A, Apsari A. Pengaruh Perendaman Resin Akrilik Heat Cured Dalam Ekstrak Sargassum Ilicifolium Sebagai Bahan Pembersih Gigi Tiruan Terhadap Kekerasan Permukaan (Effect Of Immersion Resin Acrylic Heat Cured On Sargassum Ilicifolium As A Denture Cleanser Towards To Hardness Surface). 2018;12(1).
[2]. Jubhari Eh, Putri Ndu. Tingkat Pemahaman Terhadap Instruksi Cara Pembersihan Gigi Tiruan Lepasan Pada Pasien Rsgm Fakultas Kedokteran Gigi Universitas Hasanuddin. Jurnal Pdgi 2014;63(2):54–57.
[3]. Sofya Pa, Rahmayani L, Fatmawati F. Tingkat Kebersihan Gigi Tiruan Sebagian Lepasan Resin Akrilik Ditinjau Dari Frekuensi Dan Metode Pembersihan. Journal Of Syiah Kuala Dentistry Society 2016;1(1):91–95.
[4]. Mulyawati E. Peran Bahan Desinfeksi Pada Perawatan Saluran Akar. Maj Ked Gigi 2011;18(2):205–209.
[5]. Razak Pa. Geriatric Oral Health: A Review Article. J Int Oral Health 2014;6:110–116

Abstract: Laparoscopic cholecystectomy has become the primary procedure for the majority of patients with benign gallbladder disease. The main objective of this study was to investigate the impact of gallbladder wall thickness on the outcomes of cholecystectomy, along with any associated intra or postoperative complications. This prospective clinical trial was conducted on patients undergoing cholecystectomy, either by open or laparoscopic method, at a single surgical unit in M.B. Govt. Hospital, Udaipur, during the period between January 2023 and June 2023. Before the cholecystectomy procedure, abdominal sonography was performed on all 50 patients. The surgeon re-confirmed the sonography findings in the operating room. Among the patients with cholecystolithiasis, 27 cases (54 %) underwent a straightforward and normal cholecystectomy, while the remaining 23 cases (46%) encountered difficult cholecystectomy.

Key Word: cholecystectomy, Gall bladder wall thickness, management

[1]. Cho KS, Baek SY, Kang BC, Choi HY, Han HS: Evaluation Of Preoperative Sonography In Acute Cholecystitis To Predict Technical Difficulties During Laparoscopic Cholecystectomy. J Clin Ultrasound. 2004, 32:115-22.
[2]. Khan LF, Naushaba H, Paul UK, Et Al.: Gross And Histomorphological Study Of Thickness Of The Gall Bladder Wall. J Dhaka National Med Coll Hos. 2012, 18:34-8.
[3]. Raghavendra BN, Feiner HD, Subramanyam BR, Ranson JH, Toder SP, Horii SC, Madamba MR: Acute Cholecystitis: Sonographic-Pathologic Analysis. AJR Am J Roentgenol. 1981, 137:327-32.
[4]. Handler SJ: Ultrasound Of Gallbladder Wall Thickening And Its Relation To Cholecystitis . AJR Am J Roentgenol. 1979, 132:581-5.
[5]. Raman SR, Moradi D, Samaan BM, Chaudhry US, Nagpal K, Cosgrove JM, Farkas DT: The Degree Of Gallbladder Wall Thickness And Its Impact On Outcomes After Laparoscopic Cholecystectomy. Surg Endosc. 2012, 26:3174-9.

Abstract: A 66-year-old man presented to our hospital with sudden onset double vision since one day.There was history of head injury followed with paralysis since 15 years. There had been no previous history of fever, cold, malaise, convulsions, or loss of consciousness. Ocular examination showed uncorrected visual acuity on the right eye was 6/60 with pinhole improving to 6/18 and on the left eye was 6/24 improving to 6/12 with pinhole. He had adduction paresis on his left eye, and right gaze-evoked nystagmus on his right eye. Vertical eye movement and convergence was unaffected. Patient.......

Key Word: Internuclear ophthalmoplegia; medial longitudinal fasciculus; paramedian pontine reticular formation; magnetic resonance imaging

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[2]. Miller NR, Newman NJ, Biousse V, Kerrison JB. Walsh And Hoyt's Clinical Neuro-Ophthalmology: The Essentials. 2nd Ed. Philadelphia: Wolters Kluwer Lippincott Williams & Wilkins; 2008. P348-63.
[3]. Rucker J. Acquired Ocular Motility Disorder And Nystagmus. In: Kidd D, Newman N,Eds. Neuro-Opthalmology. Philadelphia: Butterworth Heinemann Elsevier;2008:13:312-13,324.
[4]. Eggenberger E, Golnik K, Lee A, Santos R, Suntay A, Satana B, Et Al. Prognosis Of Ischemic Internuclear Ophthalmoplegia. Ophthalmology; 2002:109(9):1676-8.
[5]. Mitchell L, Richard P, Beverley H, Gordon P. Strokes And Vision: The Management Of Ischemic Arterial Disease Afecting The Retina And Occipital Lobe. Survey Of Ophthalmology 2014. P.1-34

Abstract: Nowadays, aesthetic treatments are more and more in demand as people's concerns about their appearance, particularly in the dental industry, have grown. Various principles of a pleasing smile have been put forth by numerous authors, along with guidelines for the ideal structure of the face and teeth. Recently, ideas like Visagism have been combined with these parameters. It places emphasis on the individuality and beauty of each person. It is an art that focuses on developing a unique personal brand that is in tune with aesthetics and each person's personality and lifestyle.

Key Word: Visagism, smile design, personality characteristics

[1]. Feraru M, Musella V, Bichacho N. Individualizing A Smile Makeover. J Cosmet Dent. 2016 Mar 1;32(1):108-20.
[2]. Sharma A, Luthra R, Kaur P. A Photographic Study On Visagism. Indian Journal Of Oral Sciences Vol. 2015 Sep;6(3).
[3]. Gürel G, Shayder MA, Hallawell CP. Visagism: The Art Of Dental Composition
[4]. Yankov B, Iliev G, Filchev D, Gurel G, Paolucci B, Shayder A, Misheva I. Visagismile-Dental Software For Digital Smile Design.
[5]. Yankov B, Iliev G, Filchev D, Gurel G, Paolucci B, Shayder A, Misheva I. Software Application For Smile Design Automation Using The Visagism Theory. Inproceedings Of The 17th International Conference On Computer Systems And Technologies 2016 2016 Jun 23 (Pp. 237-244).

Abstract: Labile blood products (LBP) are collected from voluntary donors through whole blood donations or apheresis techniques. The transfusion of these LBPs is a delicate and complex therapeutic procedure due to the nature of the products used and the vulnerability of the recipients. Therefore, it is essential to ensure that the appropriate product is administered to the specific patient at the right time. Thus, mastering the specific characteristics of LBPs, adhering to indications, and immunological safety measures are essential to ensure better therapeutic efficacy.

Keywords: Labile blood products, Transfusion, Characteristics, Indications

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