iosr-JDMS   Volume-23 ~ Issue-11 ~ November 2024

Abstract: Aim: This study aimed to assess how the push out bond strength of a bioceramic sealer (Meta CeraSeal) is affected by three different chelating agents: 17% EDTA, 7% Maleic acid, and 5% Pentetic acid. Methodology: 60 mandibular premolars were shaped using Pro Taper Gold rotary file upto size F2. The canals were irrigated with 2ml of 5.25% sodium hypochlorite (NaOCl) between instrumentation and then the NaOCl was removed by rinsing with five milliliters of distilled water.. The 60 specimens were divided into 4 groups of 15 each, in a random.......

Keywords: bioceramic sealer, chelating agent, Meta CeraSeal, push out bond strength, pentetic acid

[1] Baker Na, Eleazer Pd, Averbach Re, Seltzer S. Scanning Electron Microscopic Study Of The Efficacy Of Various Irrigation Solutions. J Endod. 1975;4:127–35.
[2] Violich Dr, Chandler Np. The Smear Layer In Endodontics – A Review. Int Endod J. 2010;43:2–15.
[3] Ballal Nv, Kandian S, Mala K, Bhat Ks, Acharya S. Comparison Of The Efficacy Of Maleic Acid And Ethylenediaminetetraacetic Acid In Smear Layer Removal From Instrumented Human Root Canal: A Scanning Electron Microscopic Study J Endod.2009;35:1573–6
[4] Torabinejad M, Handysides R, Khademi Aa, Bakland Lk. Clinical Implications Of The Smear Layer In Endodontics: A Review. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, And Endodontology. 2002 Dec 1;94(6):658-66.
[5] Niu W, Yoshioka T, Kobayashi C, Suda H. A Scanning Electron Microscopic Study Of Dentinal Erosion By Final Irrigation With Edta And Naocl Solutions Int Endod J. 2002;35:934–939.

Abstract: Introduction: Acute pancreatitis (AP) is a significant abdominal emergency characterized by inflammation of the pancreas, primarily due to autodigestion by pancreatic enzymes. Early severity assessment is crucial for management, as severe cases lead to complications and mortality. While various scoring systems exist, the Bedside Index for Severity in Acute Pancreatitis (BISAP) and APACHE-II (Acute Physiology and Chronic Health Evaluation) scores are commonly used, each with unique advantages and limitations in severity prediction......

Keywords: Acute pancreatitis; BISAP score; APACHE-II score; severity prediction; abdominal emergency; gallstone pancreatitis

[1] Cruz-Santamaría Dm, Taxonera C, Giner M. Update On Pathogenesis And Clinical Management Of Acute Pancreatitis. World Journal Of Gastrointestinal Pathophysiology. 2012 Jun 6;3(3):60.
[2] Del Vecchio Blanco G, Gesuale C, Varanese M, Monteleone G, Paoluzi Oa. Idiopathic Acute Pancreatitis: A Review On Etiology And Diagnostic Work-Up. Clinical Journal Of Gastroenterology. 2019 Dec;12(6):511-24.
[3] Zheng Z, Ding Yx, Qu Yx, Cao F, Li F. A Narrative Review Of The Mechanism Of Acute Pancreatitis And Recent Advances In Its Clinical Management. American Journal Of Translational Research. 2021;13(3):833.
[4] Gapp J, Hall Ag, Walters Rw, Jahann D, Kassim T, Reddymasu S. Trends And Outcomes Of Hospitalizations Related To Acute Pancreatitis: Epidemiology From 2001 To 2014 In The United States. Pancreas. 2019 Apr 1;48(4):548-54.
[5] Gimenez Tr, Calvo Ag, Vicent Jg. Etiology Of Acute Pancreatitis. Central European Journal Of Medicine. 2014 Aug;9:530-42..

Abstract: Aims: The aim of this randomized clinical trial was to evaluate and compare the clinical efficacy of diode laser using with topical Potassium nitrate (KNO3) gel and Iontophoresis with NaF gel in the treatment of dentinal Hypersensitivity. Methods and Material: 20 systemically healthy patients with Dentinal Hypersensitivity were enrolled in the randomized clinical trial. The patients with dentinal hypersensitivity were randomly allocated into 2 groups: Group I was treated with diode laser and KNO3 gel; Group II with Iontophoresis unit. Sensitivity was recorded using the verbal rating scale before treatment, 10 min after treatment and 7, 15 and 21 days post therapy. Statistical analysis used:....

Keywords: (DH) Dentinal Hypersensitivity, Potassium nitrate (KNO3) gel, Iontophoresis, Diode laser,(VRS) Verbal rating scale.

[1]. Dr. Aditi A Wargantiwar, Dr. Nikesh Moolya, Dr. Nilima Rajhans, Dr. Supriya Vyavahare. Comparative Efficacy Of Diode Laser, Iontophoresis And Desensitizing Agent In The Treatment Of Dentinal Hypersensitivity: A Randomized Clinical Trial. Int J Appl Res 2021;7(11):41-47.
[2]. Liu, X.-X., Tenenbaum, H. C., Wilder, R. S. Et Al (2020). Pathogenesis, Diagnosis And Management Of Dentin Hypersensitivity: An Evidence-Based Overview For Dental Practitioners. Bmc Oral Health, 20(1).
[3]. Sgolastra, F., Petrucci, A., Gatto, R., & Monaco, A. (2011). Effectiveness Of Laser In Dentinal Hypersensitivity Treatment: A Systematic Review. Journal Of Endodontics, 37(3), 297–303.
[4]. Nammour, S. El Mobadder, M. Namour, M. Brugnera Junior, A. Zanin, F. Brugnera Et Al A. Twelve-Month Follow-Up Of Different Dentinal Hypersensitivity Treatments By Photobiomodulation Therapy, Nd:Yag And Nd:Yap Lasers. Life 2022, 12, 1996.
[5]. Mangalekar, Shoba, Shetty, Raghavendra, Rakesh Et Al. (2017). Comparative Assessment Of Efficacy Of Single Application Of Dipotassium Oxalate, Potassium Nitrate And Sodium Fluoride With Iontophoresis In The Treatment Of Hypersensitive Teeth: An In-Vitro And In-Vivo Study

Abstract: Introduction: The Prothrombin Index (PI) is a critical measure of coagulation status, reflecting the liver's ability to synthesize clotting factors. In the context of liver resection, a procedure associated with a significant risk of bleeding and other complications, the assessment of PI becomes paramount. This study investigates the association between serum Prothrombin Index and early postoperative complications following liver resection.
Methods: This Prospective observational study was conducted among the indoor patients of the Hepatobiliary unit of the surgery department......

Keywords: Serum Prothrombin Index, Liver Resection, Morbidity

[1] Mann Cd, Palser T, Briggs Cd, Cameron I, Rees M, Buckles J, Berry Dp. A Review Of Factors Predicting Perioperative Death And Early Outcome In Hepatopancreatic Biliary Cancer Surgery. Hpb. 2010 Aug 1;12(6):380-8.
[2] Longchamp G, Labgaa I, Demartines N, Joliat Gr. Predictors Of Complications After Liver Surgery: A Systematic Review Of The Literature. Hpb. 2021 May 1;23(5):645-55.
[3] Balzan S, Et Al. The "50-50 Criteria" On Postoperative Day 5. Ann Surg. 2005;242(6):824–9.
[4] Balzan S, Et Al. Safety Of Liver Resections In Obese And Overweight Patients. World J Surg. 2010;34(12):2960–8.
[5] Dixon E, Et Al. Mortality Following Liver Resection In Us Medicare Patients: Does The Presence Of A Liver Transplant Program Affect Outcome? J Surg Oncol. 2007;95(3):194–200

Abstract: Introduction: Pancreaticoduodenectomy (PD), commonly known as the Whipple procedure, is the standard surgical approach for treating pancreatic and periampullary cancers. Despite advancements in surgical techniques, postoperative pancreatic fistula (POPF) remains one of the most significant complications following PD, contributing to increased morbidity. This study aims to evaluate the development and severity of POPF in patients undergoing PD with the Modified Blumgart Pancreaticojejunostomy........

Keywords: Postoperative Pancreatic Fistula, Modified Blumgart Pancreaticojejunostomy, Pancreaticoduodenectomy

[1] Wang Se, Chen Sc, Shyr B-U, Et Al. Comparison Of Modified Blumgart Pancreaticojejunostomy And Pancreaticogastrostomy After Pancreaticoduodenectomy. 2005.
[2] Cao F, Tong X, Li A, Et Al. Modified Blumgart Anastomosis And Interrupted Trans Pancreatic Suture In Pancreaticojejunostomy After Pancreaticoduodenectomy. 2020.
[3] Allen Pj, Gonen M, Brennan Mf, Bucknor Aa, Robinson Lm, Pappas Mm, Et Al. Pasireotide For Postoperative Pancreatic Fistula. N Engl J Med. 2014;370:2014–22.
[4] Menonna F, Napoli N, Kauffmann Ef, Et Al. Results Of A Propensity Score-Matched Analysis Versus Cattle-Warren Pancreaticojejunostomy. 2020.
[5] Vollmer Cm Jr, Sanchez N, Gondek S, Mcauliffe J, Kent Ts, Christein Jd, Et Al. A Root-Cause Analysis Of Mortality Following Major Pancreatectomy. J Gastrointest Surg. 2012;16:89–102

Abstract: Introduction: Peritoneal carcinomatosis is a recurrence pattern in gastric cancer, commonly complicating the postoperative course, especially in high-risk individuals. These complications adversely affect quality of life, increase mortality, and have immediate postoperative clinical implications. Surgery is the best treatment for early-stage tumors, despite its associated risks, including mortality. Aim: To evaluate the impact of postoperative complications on the clinical outcomes of patients undergoing peritoneal cancer surgery......

Keywords: Gastric carcinoma, Peritoneal cytology, Staging

[1] Vineis P, Wild CP. Global Cancer Patterns: Causes And Prevention. The Lancet. 2014 Feb 8;383(9916):549-57.
[2] Cavalli F. An Appeal To World Leaders: Stop Cancer Now. The Lancet. 2013 Feb 9;381(9865):425-6.
[3] Allemani C, Weir HK, Carreira H, Harewood R, Spika D, Wang XS, Bannon F, Ahn JV, Johnson CJ, Bonaventure A, Marcos-Gragera R. Global Surveillance Of Cancer Survival 1995–2009: Analysis Of Individual Data For 25 676 887 Patients From 279 Population-Based Registries In 67 Countries (CONCORD-2). The Lancet. 2015 Mar 14;385(9972):977-1010.
[4] Zegers M, De Bruijne MC, De Keizer B, Merten H, Groenewegen PP, Van Der Wal G, Wagner C. The Incidence, Root-Causes, And Outcomes Of Adverse Events In Surgical Units: Implication For Potential Prevention Strategies. Patient Safety In Surgery. 2011 Dec;5:1-1.
[5] Ricciardi R, Roberts PL, Read TE, Hall JF, Marcello PW, Schoetz DJ. Which Adverse Events Are Associated With Mortality And Prolonged Length Of Stay Following Colorectal Surgery?. Journal Of Gastrointestinal Surgery. 2013 Aug 1;17(8):1485-93.

Abstract: Introdcution: microstomia, or the reduction of oral opening, can indeed present challenges for patients across various contexts, from eating and speech to prosthetic treatment. It's essential for clinicians to understand the underlying causes and tailor their approach accordingly. By synthesizing existing evidence, this review aims to provide insights into the effectiveness and feasibility of different prosthetic interventions, thereby guiding clinicians in their decision-making process for optimal patient care. Materials and methods: published.....

[1] Management Of Edentulous Microstomia Patient: A Case Report And Classification System: Maria S. Abbas, Volume 2022, Article Id 2686983, 5 Pages, 2; Published 1 February 2022
[2] Patil S, Sarode Sc, Sarode Gs, Bhandi S, Awan Kh, Ferrari M. Prosthetic Rehabilitation Of Oral Submucous Fibrosis Patients: A Systematic Review Of Published Case Reports And Case Series. 2017;12:E0184041. 2. Kirchheimer S, Sainuddin S, Bojanic S, Saeed Nr.
[3] Simultaneous Custom-Made Replacement Of The Temporomandibular Joint And Cranioplasty. Br J Oral Maxillofac Surg 2013;51:E70-E71.
[4] Cheng Ac, Wee Ag, Shiu-Yin C, Tat-Keung L. Prosthodontic Management Of Limited Oral Access After Ablative Tumor Surgery: A Clinical Report. J Prosthet Dent 2000;84:269-273.
[5] Garg Sk, Bansal S, Shireen Rk. Microstomia In A Maxillectomy Patient: A Prosthetic Challenge. Contemp Clin Dent 2011;2:34-36.

Abstract: Artificial Intelligence (AI) is transforming various medical fields, including neurosurgery. This review explores the evolving role of AI in neurosurgical planning and outcome prediction, with a focus on its applications in preoperative imaging, intraoperative navigation, and postoperative outcome forecasting. A meta-analysis of recent studies shows that AI enhances precision, reduces errors, and offers personalized patient care. However, significant challenges such as interpretability and integration into clinical practice remain. This article discusses current developments, limitations, and future innovations in the use of AI in neurosurgery.....

[1] Litjens, G., Et Al. (2017). "A Survey On Deep Learning In Medical Image Analysis." Medical Image Analysis, 42, 60-88.
[2] Esteva, A., Et Al. (2021). "Deep Learning-Enabled Medical Computer Vision." Nature Biomedical Engineering, 5(6), 541-551.
[3] Haidegger, T. (2021). "Ai-Driven Robotic Surgery: Trends, Advancements, And Challenges." Ieee Reviews In Biomedical Engineering, 14, 27-45.
[4] Ferguson, S., Et Al. (2019). "Machine Learning Models For Predicting Postoperative Complications In Neurosurgery." Neurosurgical Review, 43(4), 891-900.
[5] Bricault, I., Et Al. (2021). "Ai-Driven Robotic Neurosurgery: Techniques And Clinical Outcomes." Journal Of Neurosurgery, 135(2), 543-553.

Abstract: Background: Maxillofacial trauma is routinely evaluated on the basis of high and low velocity injuries, types of fractures in the literature. On the other hand, we have evaluated them on the basis of timing of surgery after trauma and their outcomes. In India RTA (Road traffic accidents) scenario is quite different from other countries. The highway traffic consists of a variety of vehicles from a cyclist, a two-wheeler, a four-wheeler to a heavy loaded truck. Animals like cows and dogs frequent the highways. Hence, we have classified the patients based on Single.....

Keywords: Maxillofacial Trauma, road Traffic accidents, Head Injury, mandible fractures, panfacial trauma, early intervention

[1]. Beogo R, Dakoure P, Savadogo LB, Coulibaly AT, Ouoba K. Associated Injuries In Patients With Facial Fractures: A Review Of 604 Patients. Pan Afr Med J. 2013;16:119.
[2]. Maloney PLLR, Lincoln RE, Coyne CP. A Protocol For The Management Of Compound Mandibular Fractures Based On The Time From Injury To Treatment.J Oral Maxillofac Surg. 2001;59(8): 879-884.
[3]. Powers DB, Will MJ, Bourgeois SL, Hatt HD. Maxillofacial Trauma Treatment Protocol. Oral And Maxillofacial Surgery Clinics Of North America. 2005 Aug;17(3):341–55.
[4]. Oren D, Dror AA, Zoabi A, Kasem A, Tzadok L, Kablan F, Et Al. The Impact Of Delayed Surgical Intervention Following High Velocity Maxillofacial Injuries. Scientific Reports. 2021 Jan 14;11(1).
[5]. Gaelen B. Stanford-Moore,Mphil,Gilbert Niyigaba,Gratien T., Jenny Y., Amolk., Victorn., Isaie N., David A. Effect Of Delay Of Care For Patients With Craniomaxillofacial Trauma In Rwanda. American Academy Of Otolaryngology-Head And Neck Surgery. 2022

Abstract: Background: Laparoscopic appendectomy (LA) has become the preferred method for treating acute appendicitis due to its minimally invasive nature, reduced postoperative complications, and faster recovery times. This study aimed to evaluate postoperative outcomes, complications, and recovery metrics following LA in a single-center in Bangladesh. Methods: This retrospective study analyzed 100 patients who underwent laparoscopic appendectomy from April 2021 to January 2024 at 250 Bed District Hospital, Moulvibazar, Bangladesh. Data were collected from medical records, including demographic......

Keywords: Laparoscopic Appendectomy, Postoperative Complications, Recovery Time, Comorbidities, Acute Appendicitis, Bangladesh, Surgical Outcomes.

[1] Kumar S, Jalan A, Patowary Bn, Shrestha S. Laparoscopic Appendectomy Versus Open Appendectomy For Acute Appendicitis: A Prospective Comparative Study. Kathmandu Univ Med J (Kumj). 2016 Sep;14(55):244–8.
[2] Weledji Ep, Zisuh Av, Ngounou E. Management Of Appendicitis: Appendicectomy, Antibiotic Therapy, Or Both? Annals Of Medicine And Surgery [Internet]. 2023 Apr [Cited 2024 Oct 24];85(4):897. Available From: Https://Journals.Lww.Com/Annals-Of-Medicine-And-Surgery/Fulltext/2023/04000/Management_Of_Appendicitis__Appendicectomy,.46.Aspx
[3] Reiter Aj, Schlottmann F, Kajombo C, Gallaher J, Charles Ag. Surgical Outcomes Of Acute Appendicitis In High- Middle- And Low-Income Countries. The American Surgeontm [Internet]. 2019 Feb 1 [Cited 2024 Oct 24];85(2):97–9. Available From: Https://Doi.Org/10.1177/000313481908500210
[4] Hernandez Mc, Finnesgaard E, Aho Jm, Kong Vy, Bruce Jl, Polites Sf, Et Al. Appendicitis: Rural Patient Status Is Associated With Increased Duration Of Prehospital Symptoms And Worse Outcomes In High- And Low-Middle-Income Countries. World Journal Of Surgery [Internet]. 2018 [Cited 2024 Oct 24];42(6):1. Available From:
Https://Onlinelibrary.Wiley.Com/Doi/Abs/10.1007/S00268-017-4344-5
[5] Aly Oe, Black Dh, Rehman H, Ahmed I. Single Incision Laparoscopic Appendectomy Versus Conventional Three-Port Laparoscopic Appendicectomy: A Systematic Review And Meta-Analysis. International Journal Of Surgery [Internet]. 2016 Nov 1 [Cited 2024 Oct 24];35:120–8. Available From:3.

Abstract: Background: In India, there has been a notable increase in the use of electronic cigarettes despite the government's ban. This study aims to review the cytotoxic & genotoxic damage in vape users. There are existing reports on the use of electronic cigarettes and their potential impact on developing oral squamous cell carcinoma. We aimed to assess the association between e-cigarettes and oral cancers. Additionally, the paper addresses the composition of E-juice and safety considerations of electronic cigarettes compared to conventional cigarette smoking......

Keywords: Vape; E-Cigarettes; ENDS (Electronic nicotine delivering systems); Micronuclei; E-juice.

[1]. Dash Kc, Nishat R, Kumar H, Mishra S, Raghuvanshi M, Bajoria A. Comparative Study Of Micronuclei Count In Patients With Different Tobacco-Related Habits Using Exfoliated Buccal Epithelial Cells: A Tool For Assessment Of Genotoxicity. J Contemp Dent Pract. 2018 Sep 1;19(9):1076-1081
[2]. Kimura M, Umegaki K, Higuchi M, Thomas P, Fenech M. Methylenetetrahydrofolate Reductase C677t Polymorphism, Folic Acid And Riboflavin Are Important Determinants Of Genome Stability In Cultured Human Lymphocytes. J Nutr 2004 Jan;134(1):48-56
[3]. Indian Council Of Medical Research. White Paper On Electronic Nicotine Delivery System. Indian J Med Res. 2019 May;149(5):574-583.
[4]. Say, A. (2024). The Impact Of E-Cigarette Use On Adolescents And Adults: Understanding The Risks And Challenges. Ejons International Journal, 8(3), 329–335.
[5]. Alzahrani, Talal, Et Al. "Association Between Electronic Cigarette Use And Myocardial Infarction." American Journal Of Preventive Medicine 55.4 (2018): 455-461

Abstract: Background: The Levonorgestrel Intrauterine System (LNG-IUS) is a highly effective, long-acting reversible contraceptive with additional non-contraceptive benefits. Despite its global popularity, data on its use and acceptability in low- and middle-income countries like Bangladesh are limited. Objective: To assess the acceptability, initial experiences, and satisfaction rates of LNG-IUS among Bangladeshi women......

Keywords: Levonorgestrel Intrauterine System, LNG-IUS, contraception, Bangladesh, Women's health, Family planning

[1]. Rademacher KH, Sripipatana T, Pfitzer A, Mackay A, Thurston S, Jackson A, et al. A global learning agenda for the Levonorgest rel Intrauterine System (LNG IUS): addressing challenges and opportunities to increase access. Glob Health Sci Pract. 2018; 6:635 43.
[2]. World Health Organization Department of Reproductive Health and Research (WHO/RHR) and Johns Hopkins Bloomberg School of Public Health/Center for Comm unication Programs (CCP) KfHP. Family planning: a global handbook for providers (2018 update).
In: World Health Organization Department of Reproductive Health and Research (WHO/ RHR) and Johns Hopkins Bloomberg
School of Public Health/Center for Communicat ion Programs (CCP) KfHP, editor. Baltimore: CCP and WHO; 2018.
[3]. Hubacher D, Kavanaugh M. Historical record setting trends in IUD use in the United States. Contraception. 2018; 98:467 70.
[4]. Dhamangaonkar PC, Anuradha K, Saxena A. Levonorgestrel intrauterine system (Mirena): an emerging tool for conservative treatment of abnormal uterine bleeding. J Midlife Health. 2015; 6:26 30.
[5]. Romer T, Linsberger D. User satisfaction with a levonorgestrel releasing intrauterine system (LNG IUS): data from an international survey. Eur J Contracept Reprod Health Care. 2009;14(6):391 8.