iosr-JDMS   Volume-23 ~ Issue-1 ~ January 2024

Abstract: BACKGROUND AND OBJECTIVES:The number of people living with HIV/AIDS is on the rise, so are the problems like renal dysfunction which needs to be addressed. The study was aimed at providing data regarding prevalence and the association of certain modifiable and non-modifiable factors with renal function. MATERIALS AND METHODS:This was a cross sectional study on 390 HIV positive subjects. Renal function was assessed by means of eGFR, calculated using Cockcroft-Gault equation, and proteinuria, estimated by spot urine albumin creatinine ratio (UACR). Renal dysfunction was identified by either eGFR<60 ml/min or UACR>30 mg/gm. The data was analyzed based on demographic characteristics, type and duration on ART, height, weight, body mass index, CD4 count........

Key words : HIV Seropositivity; Renal Insufficiency; Proteinuria;CD4 Cell Count

[1]. Barré-Sinoussi F, Chermann Jc, Rey F, Nugeyre Mt, Chamaret S, Gruest J Et Al.Isolation Of A T-Lymphotropic Retrovirus From A Patient At Risk For Acquired Immune Deficiency Syndrome (Aids). Science 1983;220(4599):868–71.
[2]. Rao Tks, Fillipone Ej, Nicastri Ad. Associated Focal And Segmental Glomerulosclerosis In Acquired Immunodeficiency Syndrome. N Engl J Med 1984;1631-45.
[3]. Roling J, Schmid H, Fischereder M, Draenert R, Goebel Fd. Hiv-Associated Renal Diseases And Highly Active Antiretroviral Therapy Induced Nephropathy. Clin Infect Dis 2007;42(10):1488-95.
[4]. Abdul K Abbar. Diseases Of Immunity: Aids. In: Robbins And Cotron Pathologic Basis Of Diseases. 7th Ed. 2004. P.245-65.
[5]. Okafor Uh, Unuigbe Ei, Ojogwu Li, Oviasu E, Wokoma Fs, Renal Disease In Hiv Infected Patients At University Of Benin Teaching Hospital In Nigeria. African Health Sciences 2011;11(S1):S28 - S33.

Abstract: Geriatric patients often face specific challenges related to oral health due to the natural aging process. As people age, they may experience changes in the oral cavity, such as decreased saliva production, alterations in the composition of saliva, and changes in the hard as well as soft tissues of the mouth, which can contribute to an increased risk of oral as well as periodontal diseases and that require periodontal management. The periodontal management of geriatric patients is a specialized aspect of dental care that focuses on addressing the unique periodontal health needs of older individuals and involves comprehensive care, preventive strategies, and tailored treatment plans to maintain or improve oral health. This article discusses the various physiologic changes occurring during the process of aging, emphasizing the methods for providing periodontal care and highlighting the importance of periodontal health education in this population.

Key Word: Aging; Periodontal disease; Inflammaging; Geriatric patients; Oral health.

[1]. Prakash P, Bhandari Sk. Demographics And Age Changes In Geriatric Population- Part 1. Ind J Anat And Surgery Of Head, Neck And Brain 2020;6(3):75–81.
[2]. Mayank Jain Ks. Geriatrics And Periodontics: A Review. Int Healthc Res J 2018;2(1):6–9.
[3]. Flatt T. A New Definition Of Aging? Front Genet 2012; 3:1–2.
[4]. Jithin G, Amalorpavam, Sreelal T Et Al. Geriatric Care In Prosthodontics. J Prosthetic And Implant Dent 2019;2(2):61–5.
[5]. Vissink A, Spijkervet Fk, Van Nieuw Amerongen A. Aging And Saliva: A Review Of The Literature. Spec Care Dentist.1996;16(3):95-103.

Abstract: Dentistry is a noble and healing profession. It needs growth in all aspects especially in the frame of sustainable development. It is necessary for the dental professionals to understand and to act accordingly to control the metallic wastes and other hazardous by-products that are being emitted in large amounts in daily practice.Green is the colour of growth. Going green also means that going in hand with nature and restoring the life in it.A sustainable growth is inevitable to save the resources. Green dentistry is an innovative, environmentally friendly and sustainable dental care practice. At the same time, it saves money and time by reducing waste,saving energy and reducing pollution through the use of the latest techniques and procedures..........

[1]. Srinivasan K, Chitra S. Green Dentistry: A Metamorphosis Towards An Eco-Friendly Dentistry: A Review. International Journal Of Information Research And Review. 2015 Oct 29;2(12):1521-5.
[2]. Pockrass F, Pockrass I. The Four "R's" Of Eco - Friendly Dentistry. Am Dent Hyg Assoc. 2008; 22: 18-21
[3]. Journal Of Dentistry And Oral Biology 2018 | Volume 3 | Issue 6 | Article 114
[4]. Palenik Cj. Managing Regulated Waste In Dental Environments. J Contemp Dent Pract. 2003;4(1):76
[5]. High Tech Dentistry. Eco Dent Association. 2016.

Abstract: Background: A Student Nurse is responsible for taking care of a patient's needs while upholding all the rules and medical regulations of a hospital or clinic. Assertiveness is a key attribute that empowers nursing students to communicate effectively, set boundaries, and advocate for both themselves and their concern patients. Self-esteem is the positive or negative perception of a student's self-value, which affects a student's ability to perform a task. Low self-esteem and non assertiveness have been found to be the major problems in the nursing profession. This research delves into the unique interplay between these two qualities among nursing students. Aim: The aim of the study is to assess the level of assertiveness and self esteem among undergraduate nursing students..........

Keywords: Assertiveness, Self esteem, Assess, Undergraduate Nursing students.

[1]. Dinçer, U. H. F., & Öztunç, G. (2009). Self-Esteem And Assertiveness Levels Of Nursing And Midwifery Students. Journal Of Hacettepe University Faculty Of Nursing, 16(2), 022-033.
[2]. Kutlu, Y. (2009).The Efficiency Of The Assertivite Training For A Group Of Student Nurses. Journal Of Maltepe University Nursing Science And Art, 2(3), 3-11.
[3]. Koçak, B. T., Türkkan, N. Ü., & Tuna, R. (2014). Relationship Between Assertiveness Level With Emotional Labor Behavior Of Nursing Students. Journal Of Health And Nursing Management, 1(3), 123-129.
[4]. Karagözoğlu, S., Kahve, E., Koç, O., & Adamişoğlu, D. (2008). Self Esteem And Assertiveness Of Final Year Turkish University Students. Nurse Education Today, 28(5), 641-649.
[5]. Khosravani S, Mnnoochehri H, Memarian R, (2005). Developing Life Skill In Nursing Students By Group Dynamics, The Internet Journal Of Advanced Nursing Practice .7 (2).

Abstract: Introduction: The preferred method for several abdominal operations, such as cholecystectomy and appendicectomy, is now laparoscopic surgery. The advancement in laparoscopic techniques has led to the exploration of different knot-tying methods, among which Roeder's knot has gained attention for its simplicity and efficiency. This research aims to investigate the analysis of Roeder's knot in laparoscopic appendicectomy and laparoscopic cholecystectomy, focusing on its clinical outcomes and early complications. Methods and Materials: From January 2020 to December 2021, the Department of Surgery at Jahurul Islam Medical College & Hospital in Kishorgonj, Bangladesh, conducted an experimental investigation. Purposively, 100 patients who were hospitalized in the Surgery ward and were undergoing laparoscopic appendicectomy and cholecystectomy were included in this study. SPSS Version 23.0 and MS Office programs were used for data analysis............

Keywords: Laparoscopic, appendicectomy, cholecystectomy, Roeder's knot, complications

[1]. Khattab Os, Role Of Extracorporeal Knots In Laparoscopic Surgery. World Laparoscopy Hospital, 2013.
[2]. Alkatout I. Complications Of Laparoscopy In Connection With Entry Techniques. J Gynecol Surg. 2017;33(3):81–91
[3]. Kiudelis M, Ignatavicius P, Zviniene K, Grizas S. Analysis Of Intracorporeal Knotting With Invaginating Suture Versus Endoloops In Appendiceal Stump Closure. Wideochirurgia I Inne Tech Maloinwazyjne. 2013;8(1):69–73.
[4]. Deans Gt, Wilson Ms, Brough Wa. The Ability Of Laparoscopic Clips To Withstand High Intraluminal Pressure. Arch Surg. 1995; 130: 439-441
[5]. Rickert A, Bönninghoff R, Post S, Walz M, Runkel N, Kienle P. Appendix Stump Closure With Titanium Clips In Laparoscopic Appendectomy. Langenbeck's Arch Surg. 2012;397(2):327–31.

Abstract: Résumé : L'ostéoporose est une maladie qui touche 75 millions de personnes dans le monde. Chez les plus de 60 ans, elle occasionne, chaque année, 8 millions de fractures, sources potentielles d'incapacité, de séquelles douloureuses et de surmortalité. L'ostéoporose est un véritable problème de santé publique justifiant des stratégies préventives et de prise en charge. Aujourd'hui nous avons à notre disposition des molécules réduisant efficacement le risque de fracture ostéoporotique et cet arsenal thérapeutique ne cesse de se diversifier.Cependant, l'utilisation de ces médicaments à titre préventif est loin d'être toujours justifiée, notamment chez........

[1]. Melton Lj. How Many Women Have Osteoporosis Now? J Bone Miner Res 1995; 10 175–7.
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[3]. Cauley Ja. Public Health Impact Of Osteoporosis. J Gerontol A Biol Sci Med Sci2013; 68: 1243–51.
[4]. Benedetti Mg, Furlini G, Zati A, Letizia Mauro G, The Effectiveness Of Physical Exercise On Bone Density Osteoporotic Patients, Biomed Res Int. (2018).
[5]. Christine B, Anne-Marie B, Bernard B Place De L'activité Physique Dans L'acquisition Et Le Maintien Du Capital Osseux Revue Ep.S N°277 Mai-Juin 1999 C. Editions Eps

Abstract: Bell's palsy is a common cranial neuropathy causing unilateral lower motor neuron facial paralysis immune, infective and ischemic mechanism are potential contributor to the development of Bell's palsy. However the etiology of Bell's palsy is unclear and this affects its treatment.Thus, it is critical to determine the causes of Bell's palsy so that targeted treatment approach he's can be developed and employed.This article reviews the literature of the diagnosis of Bell's palsy and examine the possible etiologies of the disorder....

Keywords: Bell's palsy;trauma; facial nerve palsy;viral infection; ischemia; inflammation;cold stimulation

[1]. Anil K Tripathi, Kamal K Sawlani. Essential Of Medicine For Dental Students,4thedition.
[2]. Mower S.Bell's Palsy: Excluding Serious Illness In Urgent And Emergency Care Setting. Emerg Nurse.2017 Apr 13;25(1):32-39(Pubmed).
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[4]. Swapan Kumar Purkait. Essential Of Oral Pathology, 4th Edition;2019
[5]. Peitersen E. Bell's Palsy: The Spontaneous Course Of 2,500 Peripheral Facial Nerve Palsies Of Different Etiologies. Acta Otolaryngol Suppl 2002; 549:4–30

Abstract: RESUME : Le syndrome de Beckwith-Wiedemann (SBW) est une maladie génétique rare caractérisée par une croissance excessive et une prédisposition tumorale. Sa clinique est faite de macroglossie, macrosomie, omphalocele et organomégalie et peut être associé à d'autres anomalies (spina bifida, les cardiopathies congénitales) CAS CLINIQUE
Il s'agit d'un nouveau-né à terme de 3 jours, de sexe féminin, admis au service de néonatologie pour omphalocele et détresse respiratoire.........

[1]. Frédéric Brioude, Jennifer M. Kalish, Et All: Consensus International. Rev Endocrinol.Avril 2018 ; 14 (4) : 229-249.
[2]. C Le Vaillant, C Beneteau, N Chan-Leconte, A David, A-S Riteau. Le Syndrome De Beckwith-Wiedman : Que Faut-Il Rechercher En Anténatal ? A Propos D'une Série De 145 Cas.
[3]. Sequera-Ramos L, Duffy Ka, Fiadjoe Je, The Prevalence Of Difficult Airway In Children With Beckith-Wiedemann Syndrome : A Retrospective Cohort Study. Anasth Analg 2021 ; 133 :1559-67.
[4]. Cherly Shuman, Ms, Cgc, Jennifer M Kalish Et Rosanna Weksberg, Syndrome De Wiedemann Beckwith, Spectre De Beckwith-Wiedemann Yut(Bwsp). National Library Of Medecine, Generewiews, 2021.
[5]. Sebastien Mbuyi-Musanzayi, Toni Lubala Kasole, Meningocèle Chez Une Femelle Congolaise De Phenotype Beckwith-Wiedmann. Pubmed, Dossier Genet.2014

Abstract: Cutaneous pathomimias, or dermopathomimias, are defined as factitious disorders entirely induced by the subject in a clear state of consciousness, affecting the skin or mucous membranes and/or appendages, with varied clinical presentations. The diagnosis is considered in the presence of lesions with sharp, often geographical borders, located in easily accessible areas and a specific psychological context. They pose one of the most complex challenges for dermatologists and psychiatrists. We report a case of an 11-year-old girl presenting with cutaneous pathomimia.......

Keywords: Cutaneous pathomimia – factitious disorder – induced lesions – psychotherapy.

[1]. Gieler U, Consolf Sg, Tomas-Aragones L, Linder Dm. Self-Inflicted Lesions In Dermatology: Terminology And Classification, A Position Paper From The European So Ciety For Dermatology And Psychiatry. Acta Derm Venereol. 2013; 93 (1): 4-12.
[2]. Wong Jw, Nguyen Tv, Koo Jy. Primary Psychiatric Conditions: Dermatitis Artefacta, Trichotillomania And Neurotic Excoriations. Indian J Dermatol. 2013; 58 (1): 44-8.
[3]. Misery L. Skin Pathomimias. Medico-Psychological Annal, Psychiatric Journal. Volume 168, Issue 4, May 2010, Pages 297-300.
[4]. Malas N, Ortiz-Aguayo R, Giles L, Ibeziako P. Pediatric Somatic Symptom Disorders. Curr Psychiatry Rep. 2017; 19(2):11.
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Abstract: Summary: Psoriasis is a chronic, non-contagious, and non-allergic erythematous-scaly inflammatory dermatosis, often accompanied by itching. It affects over 2% of the global population, impacting both men and women equally, and can manifest at any age. This multifactorial disease exerts a considerable physical and psychosocial impact, negatively affecting the patient's quality of life. It leads to psychological repercussions and difficulties in self-acceptance and interpersonal relationships. Numerous studies have highlighted an increased prevalence of depression.......

Keywords: psoriasis, inflammation, quality of life, depression

[1]. Affandi A.M., Khan I., Saaya N.N. Epidemiology And Clinical Features Of Adult Patients With Psoriasis In Malaysia: 10-Year Review From The Malaysian Psoriasis Registry (2007-2016) Dermatology Res Pract. 2018
[2]. Kwan Z., Bong Y.B., Tan L.L., Lim S.X., Yong A.S.W., Chng C.C. Socioeconomic And Sociocultural Determinants Of Psychological Distress And Quality Of Life Among Patients With Psoriasis In A Selected Multi-Ethnic Malaysian Population. Psychol Health Med J. 2016; 22(2):184–195.
[3]. Sampogna F, Tabolli S, Abeni D. Multipurpose Psoriasis Research On Vital Experiences (Improve) Investigators: Living With Psoriasis: Prevalence Of Shame, Anger, Worry, And Problems In Daily Activities And Social Life. Acta Derm Venereol 2012; 92: 299-303
[4]. Armstrong Aw, Schupp C, Wu J, Bebo B. Quality Of Life And Work Productivity Impairment Among Psoriasis Patients : Findings From The National Psoriasis Foundation Survey Data 2003-2011. Plos One 2012; 7: E52935
[5]. Dowlatshahi E.A., Wakkee M., Arends L.R., Nijsten T. The Prevalence And Odds Of Depressive Symptoms And Clinical Depression In Psoriasis Patients: A Systematic Review And Meta-Analysis. J Invest Dermatol. 2014; 134 (6):1542–1551.

Abstract: Background: Most of the elderly people are more vulnerable to diseases and death because their health issues which are often neglected. Very few elderly people residing in rural areas are utilizing the health care facilities. Objectives: To estimate the proportion of elderly people residing in Rural Health Training Centre area of Agartala Government Medical College isutilizing the health care services and to determine the factors associated with the utilization of health care services. Methods:This cross sectional study was carried out among 212 elderly residing in rural health training center area of Agartala Government..........

Keywords: Health Care Services utilization, Determinants, Elderly.

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