iosr-JDMS   Volume-23 ~ Issue-2 ~ February 2024

Abstract: Objective To study the variation of salivary PH in patients undergoing antineoplastic treatment. Methods This is a cross-sectional study conducted during the period from January to March 2020 in the medical oncology department of the Blida cancer centre. We included patients treated with antineoplastic therapy (chemotherapy; targeted therapy; hormone therapy). Patients undergoing radiotherapy in the ENT sphere, patients with asialia, and those who refused to participate in our study were excluded. Salivary PH was measured with an electronic PH meter from unstimulated saliva of patients undergoing antineoplastic drugs. Clinical data were collected from the interview, oral clinical examination and the patient's medical record. These data were then transcribed on a prepared form. Data analysis was performed using SPSS version 20 software.......

Key words: Salivary PH, Cancer, antineoplastic treatment, PH meter, CAC Blida.

[1]. Pellat, B. (2016). Salives Et Milieu Buccal. Médecine, 10(6), 0-2.Pe.
[2]. Aframian, D. J., Davidowitz, T., & Benoliel, R. (2006). The Distribution Of Oral Mucosal Ph Values In Healthy Saliva Secretors. Oral Diseases, 12(4), 420-423.
[3]. Matzeu, G., Naveh, G. R., Agarwal, S., Roshko, J. A., Ostrovsky‐Snider, N. A., Napier, B. S., & Omenetto, F. G. (2021). Functionalized Mouth‐Conformable Interfaces For Ph Evaluation Of The Oral Cavity. Advanced Science, 2003416.
[4]. Т. V. Popruzhenko And S. P. Boris, "Salivation In Children During Anticancer Chemotherapy," Stomatologiya, Vol. 95, No. 2, Pp. 30–33, 2016.
[5]. K. P. Wu, J.-Y. Ke, C.-Y. Chung Et Al., "Relationship Between Unstimulated Salivary Flow Rate And Saliva Composition Of Healthy Children In Taiwan," Chang Gung Medical Journal, Vol. 31, No. 3, Pp. 281–286, 2008.

Abstract: L'origine psychologique ou Morale d'une douleur est souvent difficile à affirmer avec certitude. Le diagnostic de douleur psychogène ou morale est souvent posé après que l'on ai exclu l'hypothèse d'une douleur d'origine NOCICEPTIVE ou NEUROGENE. On parle alors de diagnostic d'exclusion. La douleur psychogène défini par l'association internationale de la douleur comme « une expérience sensorielle et émotionnelle désagréable associée à des lésions tissulaires potentielles ou simplement décrites en ces termes ».

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Abstract: Background: Thrombocytopenia is common in patients with chronic liver disease. Its pathogenesis is multifactorial. The aim of our study is to assess the frequency of thrombocytopenia in cirrhotic patients, as well as to evaluate the prognostic value of thrombocytopenia and its correlation with survival, and the occurrence of cirrhosis-related complications.
Materials and Methods: This is a retrospective analytical study, conducted over a two-year period from January 2020 to December 2022. We included any cirrhosis selected based on a range of clinical, biological, radiological and endoscopic arguments. Thrombocytopenia was defined as a platelet count < 150,000/L. Data were collected on a survey form and analyzed using SPSS software. We used the Chi-square test to analyze our results. The significance threshold was set at a p-value of less than 0.05..........

Keywords: Cirrhosis, thrombocytopenia, complications, prognosis.

[1]. Sigal S, Mitchell O, Feldman D, Diakow M. The Pathophysiology Of Thrombocytopenia In Chronic Liver Disease. Hmer. 2016;39.
[2]. Hayashi H. Management Of Thrombocytopenia Due To Liver Cirrhosis: A Review. Wjg. 2014;20(10):2595.
[3]. Poynard T, Bedossa P. Age And Platelet Count: A Simple Index For Predicting The Presence Of Histological Lesions In Patients With Antibodies To Hepatitis C Virus. Journal Of Viral Hepatitis. 1997;4(3):199-208.
[4]. Sheikh M, Raoufi R, Atla P, Riaz M, Oberer C, Moffett M. Prevalence Of Cirrhosis In Patients With Thrombocytopenia Who Receive Bone Marrow Biopsy. Saudi J Gastroenterol. 2012;18(4):257.
[5]. Vallet-Pichard A, Mallet V, Nalpas B, Verkarre V, Nalpas A, Dhalluin-Venier V, Et Al. Fib-4: An Inexpensive And Accurate Marker Of Fibrosis In Hcv Infection. Comparison With Liver Biopsy And Fibrotest. Hepatology. 2007;46(1):32-36.

Abstract: Le lambeau plantaire interne, bien que moins fréquemment décrit dans la littérature comme choix, peut être utilisé pour couvrir les pertes de substance cutanée de la région du tendon d'Achille. La reconstruction des tissus mous nécessite l'utilisation de tissus robustes, sensibles et cohérents. L'un des inconvénients intrinsèques de l'élévation de ce lambeau est que le système vasculaire plantaire médian est sacrifié

Keywords: tendon d'Achille, lambeau plantaire interne, reconstruction.

[1]. Youn, S. K., Kim, S. W., Kim, Y. H., & Hwang, K. T. (2015). The Composite Anterolateral Thigh Flap For Achilles Tendon And Soft Tissue Defect Reconstruction With Tendon Repair By Fascia With Double Or Triple Folding Technique. Microsurgery, 35(8), 615-621.
[2]. Asplund, C. A., & Best, T. M. (2013). Achilles Tendon Disorders. Bmj, 346.
[3]. O'brien, M. (2005). The Anatomy Of The Achilles Tendon. Foot And Ankle Clinics, 10(2), 225-238.
[4]. Marchesi, A., Parodi, P. C., Brioschi, M., Riccio, M., Perrotta, R. E., Colombo, M., ... & Vaienti, L. (2016). Soft-Tissue Defects Of The Achilles Tendon Region: Management And Reconstructive Ladder. Review Of The Literature. Injury, 47, S147-S153.
[5]. Innocenti, M., Innocenti, A., Ghezzi, S., & Delcroix, L. (2017). Achilles Region Soft-Tissue Defects: A Reconstructive Algorithm Based On A Series Of 46 Cases. Journal Of Reconstructive Microsurgery, 33(S 01), S40-S47.

Abstract: Phyllodes tumors, which make up 0.3–1% of all malignancies, are a rare type of fibroepithelial neoplasm that affect the breast. Twelve percent of all Phyllodes tumors fall into the borderline category. Giant borderline phyllode tumor have not been re-ported in many case reports. Here, we present a case of gigantic borderline phyllode tumor, approached with extensive local excision and negative margins were successfully accomplished. The aim of this study is to describe the clinical history, presentation, intraoperative and histological findings of the patient, along with a review of the literature to assess the importance of these results and the therapy strategy.

Keywords: Phyllode tumor, breast, borderline.

[1]. National Cholesterol Education Program (Ncep) Expert Panel On Detection, Evaluation, And Treatment Of High Blood Cholesterol In Adults (Adulttreatment 1. Guerrero, M. A., Ballard, B. R., & Grau, A. M. (2003). Malignant Phyllodes Tumor Of The Breast: Review Of The Literature And Case Report Of Stromal Overgrowth. Surgical Oncology, 12(1), 27-37. Pp.
[2]. Spitaleri, G., Toesca, A., Botteri, E., Bottiglieri, L., Rotmensz, N., Boselli, S., ... & De Pas, T. (2013). Breast Phyllodes Tumor: A Review Of Literature And A Single Center Ret-Rospective Series Analysis. Critical Reviews In Oncology/Hematology, 88(2).
[3]. Lakhani, S. R., Ellis, I. O., Schnitt, S., Tan, P. H., & Van De Vijver, M. J. (2019). World Health Organization Classification Of Tumours, Volume 2: Breast Tumours.
[4]. Belkacémi, Y., Bousquet, G., Marsiglia, H., Ray-Coquard, I., Magné, N., Malard, Y., & Ozsahin, M. (2008). Phyllodes Tumor Of The Breast. International Journal Of Radiation Oncology* Biology* Physics, 70(2), 492-500.
[5]. Rosen, P. P., & Oberman, H. A. (1993). Tumors Of The Mammary Gland (Vol. 7). American Registry Of Pathology.

Abstract: Coccydynia is a pain around the coccyx exacerbated on sitting. Massobrio and Postacchini suggested the morphology of the coccyx as a causative role for coccydynia. Massobrio and Nathan proposed the etiology of coccydynia based on the classification of coccyx morphology based on the Sacrococcygeal angle. Though CT and MRI fail to determine the causation of idiopathic coccydynia being static, dynamic X-rays in standing and sitting positions . Immobility or hypermobility are marked cases for being so. In this study we hypothesize the proprioceptive changes that might occur on dynamization of the sacro and Intercoccygeal angles in 99 subjects between 20-60 years both male and female with idiopathic coccydynia.......

Keywords: Idiopathic coccydynia; coccyx morphology; Sacrococcygeal angle; Intercoccygeal angle; filum terminale.

[1]. Lirette Ls, Chaiban G, Tolba R, Eissa H. Coccydynia: An Overview Of The Anatomy, Etiology, And Treatment Of Coccyx Pain. Ochsner J. 2014;14(1):84-7.
[2]. Albrecht S, Hicks Mj, Antalffy B. Intracoccygeal And Pericoccygeal Glomus Bodies And Their Relationship To Coccygodynia. Surgery. 1994;115:1-6.
[3]. Özkal B. Surgical Treatment Outcomes In Patients With Coccydynia. Bozok Med J. 2018;8(1):103-8.
[4]. Howorth B. The Painful Coccyx. Clin Orthop 1959;14:145-60.
[5]. Sugar O. Coccyx: The Bone Named For A Bird. Spine 1995;20:379-83.

Abstract: Introduction: To compare the effects of Mirabegron versus Tamsulosin on improving symptoms and QoL in patients with indwelling ureteral stents using the validated version of USSQ questionnaire. Materials and methods: This study was conducted on 200 patients (men and women) who underwent DJ stenting after uneventful endourological surgeries. Total of 150 patients reported DJ SRS, they were randomized into 3 groups (A, B, and C) in a ratio of 1: 1: 1. Group A were put on placebo, Group B on Tab Mirabegron 50mg OD, and Group C on Tab Tamsulosin 0.4mg OD. They were given the USSQ questionnaire and asked to complete it on the first week to see the magnitude of DJ SRS and third week before the DJ stent was removed.........

Keywords: Urinary symptoms, Endourology, flank pain, DJ stent

[1]. H.B.Joshi,A.Okeke,N.Newns,F.X.Keeleyjr.,And A. G. Timoney, "Characterization Of Urinary Symptoms In Patients With Ureteral Stents," Urology,Vol.59, No.4,Pp. 511–516, 2002.
[2]. R. Thomas, "Indwelling Ureteral Stents: Impact Of Material And Shape On Patient Comfort," Journal Of Endourology,Vol.7,No. 2, Pp.137–140,1993.
[3]. H.B.Joshi, A.Stainthorpe, R.P.Macdonagh, F. X. Keeley Jr., And A. G. Timoney, "Indwelling Ureteral Stents: Evaluation Of Symptoms, Quality Of Life And Utility," Journal Of Urology,Vol.169, No. 3, Pp. 1065–1069, 2003.
[4]. H.B.Joshi, N.Newns, A.Stainthorpe, R.P.Macdonagh, F. X. Keeley Jr., And A. G. Timoney, "Ureteral Stent Symptom Questionnaire: Development And Validation Of A Multidimensional Quality Of Life Measure," The Journal Ofurology,Vol.169,No. 3, Pp. 1060–1064, 2003.
[5]. Otsuki H, Yamasaki T, Hori S, Aoki H, Kosaka T, Uehara S, Fujio K. The Efficacy Of Mirabegron For The Relief Of Ureteral Stent-Related Symptoms. Acta Med Okayama. 2020 Apr;74(2):145-150.

Abstract: Background: Preeclampsia/eclampsia is part of a spectrum of multi-systemic pregnancy disorder that contributes substantially to maternal and perinatal morbidity and mortality, especially in low resource setting. This study was done in Abakaliki, Ebonyi State, Southeast Nigeria. Objectives: To compare the efficacy of loading dose of magnesium sulphate with that of the Pritchard regimen in the prevention of eclampsia in patients with severe preeclampsia and recurrent fits in eclampsia in a low resource setting like ours........

Keywords: Eclampsia, pre-eclampsia, poor resource setting.

[1]. Jeffrey Michael Smith, Richard F Lowe. Judith Fullerton. Shina M Currie, Laura Harris, Erica Feika – Kantor. An Integrative Review Of The Side Effects. An Integrative Review Of The Side Effects Of The Use Of Magnesium Sulphate For Preeclampsia/Eclampsia Management. Bmc Pregnant And Child Birth .2013. 13.34
[2]. Labib Gbaulimiyyah, Baha Sibai. Maternal Mortality From Preeclamsia And Eclampsia Sem Perinat2012; 36(1):56-59.
[3]. Kabiru Ar. Adeniyiaa. Ottunta. Akinlusi Fm. Adebanjo Aa.Alausa Tg. Risk Factorsfor Maternalmortality In A Nigerian Tertiary Hospital. Inter J Women's Health.2018; 10:715-721 Wh.S178729.
[4]. Pallab R, Sonela Bk, Dilip P, Latio My. Recent Advances In The Management Of Preeclampsia, Bjmp, 2011,4 (3):Q433
[5]. Tukur J. The Use Of Magnesium Sulphate For The Treatment Of Severe Preeclamsia / Eclampsia. Ann Afr Med 2009. 8:76-80.

Abstract: Background: The COVID-19 pandemic has brought several uncertainties and insecurities about sources of information. In this way, the need to have a way of disseminating knowledge that was easy to understand and could be quickly disseminated became evident. Thus, there was the rise of infographics, which contain flashy images and simple texts, to meet this demand. Materials and Methods: In this study, information was collected through Instagram (@combatec0vid), using the platform itself and the PUC Campinas.......

Keywords: Infographics; COVID-19; information; Ease; Pandemic

[1]. Spicer Jo, Coleman Cg. Creating Effective Infographics And Visual Abstracts To Disseminate Research And Facilitate Medical Education On Social Media. Clinical Infectious Diseases. 2022 May 15;74(Supplement_3):E14–22.
[2]. Venegas-Vera A, Colbert G, Lerma E. Positive And Negative Impact Of Social Media In The Covid-19 Era. Reviews In Cardiovascular Medicine. 2020;21(4):561.
[3]. Traboco L, Pandian H, Nikiphorou E, Gupta L. Designing Infographics: Visual Representations For Enhancing Education, Communication, And Scientific Research. Journal Of Korean Medical Science. 2022;37(27).
[4]. Joshi M Gupta L. Preparing Infographics For Post-Publication Promotion Of Research On Social Media. Journal Of Korean Medical Science. 2021;36(5).
[5]. Da Silva Al, Machado La De O, Kuhn Ft. Vacinas: Da Criação Revolucionária Ao Polêmico Movimento De Rejeição. Revista De Saúde Coletiva Da Uefs. 2021 Oct 4;11(2):E5724

Abstract: Background: Retention plays a vital role in maintainng the obtained results after orthodontic treatment. Despite the utilization of various retention methods, studies suggest that a significant portion of patients who have undergone orthodontic treatment show insufficient dental alignment few years later. The lack of scientific guidelines dictating retention, relapse, and retreatment procedures implies a reliance on clinicians' preferences in current practices. Thus, the purpose of this study was to identify the most common orthodontic retention, relapse and retreatment protocols.......

Keywords: Retainer failure, Relapse, Retreatment

[ Ingervall B, Thüer U. Cheek Pressure And Head Posture. The Angle Orthodontist. 1988 Jan 1;58(1):47-57. [ Lyotard Nc. Evaluation Of Short-Term Stability Without Retention: A Pilot Study (Doctoral Dissertation, Case Western Reserve University). [3]. Thilandera B. Orthodontic Relapse Versus Natural Development. American Journal Of Orthodontics And Dentofacial Orthopedics. 2000 May 1;117(5):562-3. [ Blake M, Garvey Mt. Rationale For Retention Following Orthodontic Treatment. Journal-Canadian Dental Association. 1998 Oct 1;64:640-4.
[5].
Proffit Wr. Contemporary Orthodontics. 3rd Ed. St Louis: Mosby; 2000. P. 597-614.

Abstract: Objective: To compare the efficacy of single versus double burr-hole for drainage of chronic subdural hematoma, keeping in consideration pertinent demographic, pre and postoperative associations. Methods: A prospective cohort study carried out in Stanley Medical College Hospital, Chennai, (August 2023 - January 2024), on adults with diagnosed chronic subdural hematoma (CSDH); being segregated by randomized control trial, non-probability purposive sampling into Group-A and Group-B (who underwent single and double burr-holes for......

Keywords: Glasgow Coma Scale, Seizures, Recurrence, Chronic SDH (Subdural Hemorrhage).

[1]. Yadav Yr, Parihar V, Namdev H, Bajaj J. Chronic Subdural Hematoma. Asian J Neurosurg. 2016;11(4):330.
Http://Www.Asianjns.Org/Text.Asp?2016/11/4/330/145102
[2]. Watanabe S, Amagasaki K, Shono N, Nakaguchi H. Fibrin Glue Injection Into The Hematoma Cavity For Refractory Chronic Subdural Hematoma: A Case Report. Surg Neurol Int. 2016;7(Suppl 37):S876. Doi: 10.4103/2152-7806.194498.
[3]. Miranda Lb, Braxton E, Hobbs J, Quigley Mr. Chronic Subdural Hematoma In The Elderly: Not A Benign Disease. J Neurosurg. 2011;114(1):72-76. Doi:10.3171/2010.8.Jns10298.
[4]. Munteanu V, Luca-Husti I, Coman Tc, Ciurea Av. Differential Diagnostic Problems In Elderly Chronic Subdural Hematoma Patients. Roman Neurosurg. 2016;30(2):195-199. Doi: 10.1515/Romneu-2016-0030.
[5]. Gaist D, Rodriguez Lag, Hellfritzsch M, Poulsen Fr, Halle B, Hallas J, Et Al. Association Of Antithrombotic Drug Use With Subdural Hematoma Risk. Jama. 2017;317(8):836-846. Doi: 10.1001/Jama.2017.0639.

Abstract: Introduction: Understanding the morphometric properties of the lumbar spine is crucial for accurate clinical assessments and treatments. Previous studies have explored relationships between lumbar shape and sagittal parameters, contributing to our knowledge. However, a comprehensive analysis of various morphometric characteristics is assumed to be lacking. This study aims to address this gap, providing radiological anatomic features and morphometry of the lumbar spine, incorporating transverse and anteroposterior diameters of the spinal canal, vertebral body dimensions, vertebral and intervertebral disc heights, and the index of the intervertebral disc (Id)........

Keywords: Lumbar spine morphometry, vertebral body dimensions, spinal canal diameters, intervertebral disc proportions, gender-specific norms, clinical implications

[1]. Yong S, Zeeshan Ms, Jean-Charles Le H, Stephane B, Hasegawa S, Hee-Kit W, Et Al. Variation In Lumbar Shape And Lordosis In A Large Asymptomatic Population. Spine. 2023;48:758-65.
[2]. alupoP citamotpmysA egraL A nI sisodroL dnA epahS rabmuL nI noitairaV . محمد ال هادي ب tion. Spine. 2023;Publish Ahead Of Print.
[3]. Sharad A, Kalluraya Ps, Mangala Mp, Bukkambudhi Vm, Yelluru Lakshmisha R, Latha Vp, Et Al. Morphometric Study Of The Lumbar Vertebrae In Dried Anatomical Collections. F1000research. 2022;11:1408-.
[4]. Solène P, Yann Philippe C, Brice I, Guillaume R, Sébastien P, Benjamin B. Thoracolumbar Sagittal Shape Varies With Pelvic Morphology And Aging. Spine. 2023.
[5]. John Ah, Grieco T, Patrick Sn, Charles Ar. Definition Of Normal Vertebral Morphometry Using Nhanes‐Ii Radiographs. Jbmr Plus. 2022;6(10).

Abstract: Background The medical staff is recognized as a major target group for influenza vaccination by the Ministry of Health and Medical Education every year, according to the global guidelines for influenza treatment and control. The present study was designed and performed due to the importance of evaluating vaccine immunogenicity. Materials and Methods: This cross-sectional study was performed on 47 male and female healthcare workers of Sina Hospital in Hamadan, Iran,.......

Keywords: Influenza, vaccination, immune response, medical staff.

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Abstract: Recent studies have shown that the fermentation period of cassava have significant effect on the nutrient content and anti-nutrient factors of the products. This research was carried out to evaluate and compare the nutrient and cyanide level of cassava products (fufu and garri) with different fermentation period. Cassava tubers were purchased at kpirikpiri market Abakiliki Ebonyi State. The change that took place during the fermentation of cassava mash and cassava tuber over a period of 72 hours to 120 hours at ambient temperature (28-32oc) were investigated. Changes in proximate Composition, micronutrients and hydrocyanic acid (HCN) Composition were determined using standard method. Statistical package for Social Science (SPSS) version 22.0 was for analyzing the data and analysis........

Keywords: Fermentation Time, Nutrient and Hydrogen Cyanide Content, Fufu and Garri

[1]. Aja P.M, Ibiam, U.A., Uraku, A.J, Orji O.U., Offor C.E., And Nwali B.U (2013).Comparative Proximate And Mineral Composition Of Moringaolerfera Leaf And Garri. Global Advanced Researcgh Journal Of Agricultural Science (Issn) 2315-5094) Vol 2(5) Pp.137-141
[2]. Akindahunsi, A. A., Oboh, G., And Oshodi, A.A. (2008).Effect Of Fermenting Cassava With Rhizopus Oryzae On The Chemical Composition Of Its Flour And Garri Products.'' La Rivista Italiana Dette Sostanze Grasses 76: 437-440.
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Abstract: Introduction: Addressing public health challenges is a significant undertaking for Bangladesh's healthcare system, particularly in the context of striving to achieve the Sustainable Development Goals (SDGs) by 2030. Central to this endeavor is the crucial role played by the nursing profession within the healthcare service framework. Public Health Nurses, leveraging their specialized knowledge and skill set, play a pivotal role in implementing life-saving measures and promoting overall health and well-being. Objectives: This study, framed......

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Abstract: Background: The Titanium Elastic Nail is generally used in children to repair diaphyseal and metaphyseal fractures. The age of the patient, as well as the nature and location of the fracture, determine if the TEN is required. The treatment of femoral diaphyseal fractures in children aged 5 to 16 years remains debatable. It is a successful and acceptable therapeutic option in eligible cases of femoral diaphyseal fractures. The TEN enables the use of elastically stable intramedullary nailing.
Aim of the study: The goal of this study is to show the efficiency of titanium elastic nailing system (TENS) intramedullary fixation of femoral shaft fractures.......

Keywords: Titanium elastic nail (TEN), Diaphyseal, Femoral, Fractures

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