iosr-JDMS   Volume-23 ~ Issue-9 ~ September 2024

Abstract: Background: injuries to the finger pulp are encountered in occupational, household work and rta.in the present study, fingertip injuries were treated by reducing the fracture fragments, repositioning the nail plate in the nail fold, and securing it with the needle vertical figure of eight tension band sutures. Objective: to know the clinical outcomes of finger pulp injuries treated with 23g needle fixation and figure of 8 suturing.......

Keywords: fingertip injuries, eight tension band suture, distal phalanx fracture, reposition, needle fixation

[1] Chang J, Vernadakis Aj, Mcclellan Wt. Fingertip Injuries. Clin Occup Environ Med. 2006; 5(2):413-22,
[2] Zook Eg, Brown Re. The Perionychium. In: Green Dp Ed. Operative Hand Surgery. 3rd Ed. New York: Churchill Livingstone, 1993, 1283-1287.
[3] Boyle D, Parker D, Larson C, Pessoa‐Brandão L. Nature, Incidence, And Cause Of Work-Related Amputations In Minnesota. American Journal Of Industrial Medicine. 2000; 37(5):542-50.
[4] Sears Ed, Shin R, Prosser La, Chung Kc. Economic Analysis Of Revision Amputation And Replantation Treatment Of Finger Amputation Injuries. Plast Reconstrsurg. 2014; 133(4):827-40.
[5] Reid Dbc, Shah Kn, Eltorai Aem, Got Cc, Daniels Ah. Epidemiology Of Finger Amputations In The United States From 1997 To 2016. Journal Of Hand Surgery Global Online. 2019; 1(2):45-51.

Abstract: Background: Results from several clinical trials show that comprehensive behavioral intervention programs improve lifestyle behaviors and lower weight and BMI. The study was undertaken to determine the effect of structured changes in lifestyle measures on weight and BMI among pre-hypertensive adults presenting it the GOPC of JUTH. Study Design/Setting: The study was a randomized controlled experimental study involving pre-hypertensive adults aged 18 years and above presenting in GOPC of JUTH. Methods: Participants were......

[1] Centre For Disease Control And Prevention. 2013. "Overweight And Obesity 2012" Http://Www.Cdc.Gov/Obesity/Adult/Causes/Index.Html. Accessed On 15/11/2013
[2] Haslam, D.W. And James Wp. 2005. Obesity. Lancet, 366:1197-1209. Popkin, B.M. 2001. The Nutrition Transition And Obesity In The Developing World. J. Nutr, 131:871-873.
[3] Ladabaum, U., Mannalithara, A., Myer, P.A. And Singh, G. Obesity (2014) Abdominal Obesity, Physical Activity And Caloric Intake In Us Adults: 1988-2010. Am. J. Med, 127:717-727
[4] Popkin, B.M., Adair, L.S., Ng, S.W., 2012. Global Nutrition Transition And The Pandemic Of Obesity In Developing Countries. Nutr. Rev., 70:3-21.
[5] Ellulu, M., Abed, Y., Ranneh, Y., Rahmat, A., Ranneh, Y. And Ali, F. 2014. Epidemiology Of Obesity In Developing Countries: Challenges And Prevention. Glob. Epidemi.Obes, 2:2..

Abstract: Human brucellosis is a re-emerging and neglected zoonotic disease caused by Brucella spp., with Brucella melitensis being the principal cause worldwide. Despite the disease's prevalence, serological surveillance is not routinely practiced, even in countries where Brucella is endemic. Although eradication efforts have been successful in many developed and developing countries, brucellosis continues to pose a significant health risk to both animals and humans. Transmission to humans occurs by direct or indirect contact with infected animals or their products......

Keywords: Brucella spp; Clinical signs; Control; Epidemiology; Pathogenesis; Serological surveillance; Treatment

[1] Young Ej: An Overview Of Human Brucellosis. Clinical Infectious Diseases. 1995;21(2):283–289
[2] Who 2023: The Control Of Neglected Zoonotic Diseases. A Route To Poverty Alleviation. Who. 2023., Https:// Www.Who.Int/Publications-Detail-Redirect/9789241594301
[3] Mantur Bg, Amarnath Sk, Shinde Rs. Review Of Clinical And Laboratory Features Of Human Brucellosis. Indian Journal Of Medical Microbiology 2007; 25 (3):188-202
[4] Woah ,2023. Manual Of Diagnostic Tests And Vaccines For Terrestrial Animals 2022. World Organisation For Animal Health. Https://Www.Woah.Org/En/What-We-Do/Standards/ Codes-And-Manuals/Terrestrial-Manual-Online-Access/58 Williams E. Brucellosis And The British Public. Lancet. 1970; 1:1220-1222.
[5] Callaghan. Human Brucellosis. Recent Advances And Future Challenges Infectious Diseases Of Poverty. 2020; 9:101 Https://Doi.Org/10.1186/S40249-020-00715

Abstract: Organophosphorus poisoning is commonly encountered in agricultural settings where the usage of pesticides is more. These compounds are also known for their potential as chemical warfare agents due to their toxic effects on the nervous system. This case report highlights a rare incident of acute inhalation organophosphorus poisoning in a 38-year-old male, who presented to the emergency department with symptoms of giddiness, nausea, vomiting and generalized fatigue. Early diagnosis and treatment are important in managing this potential life-threatening condition. The patient's clinical presentation, diagnostic findings and treatment are discussed here.

Keywords: organophosphate poisoning, acetylcholinesterase, atropine sulfate, bradycardia. Introduction

[1] Yuri Gagarin P, Lavanya Rajagopal R. Clinical Profile And Outcome Of Organophosphorus Poisoning In A Tertiary Care Centre, A Prospective Observational Study. Int J Med Res Rev [Internet]. 2020 Apr.30 [Cited 2024sep.2];8(2):148-53. Available From: Https://Ijmrr.Medresearch.In/Index.Php/Ijmrr/Article/View/1156
[2] John Victor Peter,Thomas Isiah Sudarsan, Andjohn L. Moranclinical Features Of Organophosphate Poisoning: A Review Of Different Classification Systems And Approaches 10.4103/0972-5229.144017
[3] Eddleston, M., Buckley, N. A., Eyer, P., & Dawson, A. H. (2008). Management Of Acute Organophosphorus Pesticide Poisoning. The Lancet, 371(9612), 597-607.
[4] Karalliedde, L., & Myers, J. (2003). Organophosphorus Pesticides And Health. Occupational Medicine, 53(4), 226-233.
[5] Medeiros, R. S., Bastos, M. S., & Silva, M. L. (2015). Clinical And Analytical Aspects Of Organophosphate Poisoning. Journal Of Toxicology, 2015, 870341

Abstract: The occurrence of Squamous Cell Carcinoma is high in patients with a history of long term tobacco use. Extensive lesions of the oral cavity may lead to resection of mandible, which can compromise the patient's functions and esthetics to varying degrees, due to its complex attachments and prominent position in the facial architecture. Prosthodontic rehabilitation of a completely edentulous hemimandibulectomy patient is even more challenging due to a number of compromising factors. Revamping certain basic principles of Prosthodontics maybe necessary for successful rehabilitation of these patients. The ultimate aim of the Prosthodontist is to improve the quality of life of these patients.....

Keywords: Completely Edentulous Hemimandibulectomy; Maxillary Twin Occlusion; Mandibular Hollow Denture

[1] Yuri Gagarin P, Lavanya Rajagopal R. Clinical Profile And Outcome Of Organophosphorus Poisoning In A Tertiary Care Centre, A Prospective Observational Study. Int J Med Res Rev [Internet]. 2020 Apr.30 [Cited 2024sep.2];8(2):148-53. Available From: Https://Ijmrr.Medresearch.In/Index.Php/Ijmrr/Article/View/1156
[2] John Victor Peter,Thomas Isiah Sudarsan, Andjohn L. Moranclinical Features Of Organophosphate Poisoning: A Review Of Different Classification Systems And Approaches 10.4103/0972-5229.144017
[3] Eddleston, M., Buckley, N. A., Eyer, P., & Dawson, A. H. (2008). Management Of Acute Organophosphorus Pesticide Poisoning. The Lancet, 371(9612), 597-607.
[4] Karalliedde, L., & Myers, J. (2003). Organophosphorus Pesticides And Health. Occupational Medicine, 53(4), 226-233.
[5] Medeiros, R. S., Bastos, M. S., & Silva, M. L. (2015). Clinical And Analytical Aspects Of Organophosphate Poisoning. Journal Of Toxicology, 2015, 870341

Abstract: Aim: The aim of this study is to evaluate Shear Bond Strength of lithium disilicate ceramic veneers using three adhesive application protocols (pre-curing, co-curing and no adhesive application) using two resin cements (light cure total etch and dual cure self-etch). Material and Methods: By using CAD/CAM milling machine, 42 ceramic disc samples of dimensions 4 X 4 mm in diameter and 0.5mm in thickness from Lithium disilicate ceramic material (Up-cad blocks). Buccal surface of 42 premolar teeth.....

Keywords: Bond strength, Ceramic veneer, Adhesive protocol

[1]. Kim Jh, Oh S, Uhm Sh. Effect Of The Crystallization Process On The Marginal And Internal Gaps Of Lithium Disilicate Cad/Cam Crowns. Landi E, Editor. Biomed Res Int [Internet]. 2016;2016:8635483. Available From: Https://Doi.Org/10.1155/2016/8635483
[2]. Lithium Disilicate Restorations: Overview And A Case Report [Internet]. [Cited 2021 Jan 9]. Available FromHttps://Austinpublishinggroup.Com/Dental-Disorders/Fulltext/Jdod-V2-Id1047.Php#
[3]. (Alias) Malathi Suresh Sm, Anuradha B, Changankary J, Subbiya A. A Detailed Overview On Veneers -Diagnostic And Clinical Considerations. In 2020. P. 20–34.
[4]. Pini Np, Aguiar Fhb, Lima Danl, Lovadino Jr, Terada Rss, Pascotto Rc. Advances In Dental Veneers: Materials, Applications, And Techniques. Clin Cosmet Investig Dent. 2012;9–16.
[5]. Rizk Sk. Types Of Dental Veneers And Bonding Of Veneers To Tooth Structure. Biomater J [Internet]. 2023;2(6):31–47. Available From: Http://Www.Biomatj.Com

Abstract: The Indian healthcare sector is experiencing a major shift, largely driven by progress in health insurance, especially in the area of cashless treatment options. This review article delves into the current landscape of health insurance in India, examines the advantages of cashless treatment, and outlines strategic measures to accelerate its adoption. Data from the fiscal year 2024 reveal a notable increase in insurance penetration and highlight the significant role of private sector participation. The article also presents a case study of Pristyn Care's efforts to reduce claim ratios, curb fraud, and extend services to underserved areas. These findings emphasize the ongoing need for enhancements in healthcare accessibility and efficiency through cashless treatment models......

Keywords: Cashless treatment, health insurance, India, Pristyn Care, healthcare accessibility, insurance claims, digital health

[1] Kumar A. The Transformation Of The Indian Healthcare System. Cureus. 2023;15(5):E39079. Published 2023 May 16. Doi:10.7759/Cureus.39079
[2] All You Need To Know About Irdai's New Health Insurance Rules. The New Indian Express. Published June 3, 2024. Available At: Https://Www.Newindianexpress.Com/Business/2024/Jun/03/All-You-Need-To-Know-About-Irdais-New-Health-Insurance-Rules. Accessed September 12, 2024.
[3] Insurance Regulatory And Development Authority Of India (Irdai). Irdai Issues Guidelines On Health Insurance Standardization. Irdai. Https://Irdai.Gov.In/Document-Detail?Documentid=4273788. Accessed September 12, 2024
[4] Government Of India. Ministry Of Health And Family Welfare. Answers To Unstarred Question No. 1522 In Rajya Sabha: Steps Taken For Early Diagnosis And Treatment Of Cancer. Rajya Sabha. Available At: Https://Pqars.Nic.In/Annex/258/Au1522.Pdf. Accessed September 12, 2024.
[5] Soon, Cashless System To Be Rolled Out Across 100 Hospitals; Unified Network In Works. The Economic Times. Available At: Https://Bfsi.Economictimes.Indiatimes.Com/News/Insurance/Soon-Cashless-System-To-Be-Rolled-Out-Across-100-Hospitals-Unified-Network-In-Works/104568174. Accessed September 12, 2024.

Abstract: Introduction: Voriconazole, a commonly used antifungal in immunocompromised patients is effective against various fungal pathogens. Despite its efficacy, it is associated with numerous adverse effects, including the less frequently documented motor neuropathy. Case Presentation: We report a case of a 60-year-old male with acute myeloid leukemia (AML) who developed motor neuropathy following voriconazole administration. Initially treated with standard chemotherapy and prophylactic antifungals, he developed febrile neutropenia and was subsequently administered voriconazole. Within a week......

Keywords: Antifungal agents Voriconazole, Electromyography, nerve conduction studies, motor neuropathy

[1] Aksoy F, Akdogan E, Aydin K, Yilmaz M, Altunayoglu V, Sozen Ee, Et Al. Voriconazole-Induced Neuropathy. Chemotherapy. 2008;54(3):224–7.
[2] Patterson Tf, Thompson Gr, Denning Dw, Fishman Ja, Hadley S, Herbrecht R, Et Al.Practice Guidelines For The Diagnosis And Management Of Aspergillosis: 2016 Update By The Infectious Diseases Society Of America. Clin Infect Dis Off Publ Infect Dis Soc Am. 2016 15;63(4):E1–60.
[3] Hayes Ge, Novak-Frazer L. Chronic Pulmonary Aspergillosis-Where Are We? And Where Are We Going? J Fungi Basel Switz. 2016 Jun 7;2(2).
[4] Tsiodras S, Zafiropoulou R, Kanta E,Demponeras C, Karandreas N, Manesis Ek.Painful Peripheral Neuropathy Associated With Voriconazole Use. Arch Neurol. 2005 Jan;62(1):144–6.

Abstract: Maxillofacial prosthetics is a specialized branch of prosthodontics that involves the rehabilitation of patients with defects or disabilities due to disease, trauma, or congenital conditions affecting the head and neck region. The primary goal is to restore the form and function of affected areas, improving the patient's quality of life. Aim: To assess the knowledge and awareness of maxillofacial prosthesis among dental practitioners and dental postgraduate students......

Keywords: Maxillofacial prosthesis, Knowledge, Awareness, Maxillofacial prosthodontics

[1] De Caxias Fp, Dos Santos Dm, Bannwart Lc, De Moraes Melo Neto Cl, Goiato Mc. Classification, History, And Future Prospects Of Maxillofacial Prosthesis. Int J Dent. 2019 Jul 18;2019:8657619.
[2] Côas Vr, Neves Ac, Rode Sde M. Evaluation Of The Etiology Of Ocular Globe Atrophy Or Loss. Braz Dent J. 2005;16(3):243-6.
[3] Dos Santos Dm, De Caxias Fp, Bitencourt Sb, Turcio Kh, Pesqueira Aa, Goiato Mc. Oral Rehabilitation Of Patients After Maxillectomy. A Systematic Review. Br J Oral Maxillofac Surg. 2018 May;56(4):256-266.
[4] Costa H, Zenha H, Sequeira H, Coelho G, Gomes N, Pinto C, Martins J, Santos D, Andresen C. Microsurgical Reconstruction Of The Maxilla: Algorithm And Concepts. J Plast Reconstr Aesthet Surg. 2015 May;68(5):E89-E104.
[5] Ackerman Aj. Maxillofacial Prosthesis. Oral Surg Oral Med Oral Pathol. 1953 Jan;6(1):176-200.

Abstract: Justification: Local anaesthesia is widely used in various procedures in dental specialties. However, even though it is rare, a medical emergency may occur. Objective: The article aims to show the necessary care in the administration of local anaesthetic in dentistry and the medical emergencies, signs and symptoms and first procedures. Show the importance of the dental surgeon be alert to any signs and symptoms during the application of anaesthetic, and able to intercede in any risk to health or the patient's death and knowing the formula and possible side effects of anaesthetic use and their medicine interactions.....

Keywords: Local anaesthetics, dentistry, medical emergencies

[1] Pogrel, M. A., Kahnberg, Karl-Erik,. Andersson, L. Cirurgia Bucomaxilofacial. Rio De Janeiro : Santos, 2016.
[2] Martelete, M., Junqueira Júnior, G., Santos, L..M.M. Dos. Anestesia Regional. In: Duncan, B.B., Schmidt, M.I., Giugliani, E.R.J. E Col. Medicina Ambulatorial: Condutas De Atenção Primária Baseada Em Evidências. 3 Ed. Porto Alegre : Artmed, 2006. P. 1043-1050.
[3] Longo, R.S. Anestesia Local. In: Amato, A. C. M.. Procedimentos Médicos: Técnicas E Táticas. São Paulo : Roca, 2008. P. 22-25.
[4] Soares, I.J., Goldberg, F. Endodontia: Técnicas E Fundamentos. 2 Ed. Porto Alegre : Artmed, 2011. (Coleção Odontologia).
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Abstract: Background: Retrograde intra-renal surgery (RIRS) has gained popularity as a result of technological advances. Although widely used, the literature on its feasibility for the treatment of large renal stone burdens is limited. This study aimed to assess the efficacy of RIRS for the treatment of large renal stone burdens.. Materials and Methods: Fifty-five patients with stone burdens ≥21 mm and treated with RIRS between November 2019 and October 2021 were evaluated for patient demographics, stone characteristics, and stone-free rates (SFR). Patients were divided into three groups according to stone burdens (21–30 mm, 31–40 mm, and >40 mm). A standard......

Keyword: Retrograde intra-renal surgery; Flexible ureteroscopy; Large renal stone burden; Holmium laser lithotripsy; Stone-free rate.

[1]. Rob S., Bryant T., Wilson I., Somani B.K. Ultra-Low-Dose, Low-Dose, And Standard-Dose Ct Of The Kidney, Ureters, And Bladder: Is There A Difference? Results From A Systematic Review Of The Literature. Clin Radiol. 2017;72:11–15.
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[3]. Demirbas A, Resorlu B, Sunay Mm, Karakan T, Karagöz Ma, Doluoglu Og, Et Al. Which Should Be Preferred For Moderatesize Kidney Stones? Ultramini Percutaneous Nephrolithotomy Or Retrograde Intrarenal Surgery? J Endourol 2016;30:12859.
[4]. Taylor E, Miller J, Chi T, Stoller Ml. Complications Associated With Percutaneous Nephrolithotomy. Transl Androl Urol 2012;1:2238.
[5]. De La Rosette J, Assimos D, Desai M, Gutierrez J, Lingeman J, Scarpa R And Tefekli A; Croes Pcnl Study Group: The Clinical Research Office Of The Endourological Society Percuta- Neous Nephrolithotomy Global Study: Indications, Complications, And Outcomes In 5,803 Patients. J Endourol 25: 11-17, 2011.