iosr-JDMS   Volume-15 ~ Issue-9 ~ September-2016

Abstract: Introduction: The wide spectrum of etiologies resulting in small intestinal perforation with nonspecific clinical picture poses a challenge for the diagnosis to the general surgeon. The delayed diagnosis thereby delays the management leading to high morbidity and mortality. This study was an attempt to find out the common causes of small bowel perforation and outcome. The prevalence of small bowel perforation in the selected population remains unknown. Hence considering the frequency of small bowel perforation the sample size was estimated based on formula Sample size (n) = 4 p q /d2..............

Keywords: Bowel perforation, Small intestine

[1]. Nolan DJ. Enteroclysis of non-neoplastic disorders of the small intestine. European Radiology 2000;10(2):342–53.
[2]. Bessette JR, Maglinte DDT, Kelvin FM, Chernish SM. Primary malignant tumors in the small bowel: 4 comparison of the smallbowel
enema and conventional follow-through examination. Am J Roentgenol 1989;153(4):741–4.
[3]. Waisberg J, Bromberg SH, Franco MI, De Godoy AC. Spontaneous perforations of the small intestine. Int Surg 1997; 82:420-4.
[4]. Kimchi NA, Broide E, Shapiro M, Scapa E. Nontraumatic perforation of the small intestine: report of 13 cases and review of the
literature. Hepatogastroenterology 2002;49:1017-22.
[5]. Lee MJ, Cresswell FV, John L, Davidson RN. Diagnosis and treatment strategies of tuberculous intestinal perforations: a case
series. Eur J Gastroenterol Hepatol 2012;24:594-9.

Abstract: Nonsteroidal ant-inflamatory drugs are commonly prescribed in out-paient orthopaedic department for acute inflammatory conditions like soft tissue injuries,sports injuries,trauma ;post surgery conditions or chronic inflammatory conditions like lumbago,rheumatoid arthritis and osteoarthritis.To avoid side effects of these NSAIDS ,common gastroprotecive drugs prescribed are proton pump inhibitors,H2 blockers, sucralfate, antacids and misoprostol............

[1] Sharma T,Dutta S,Dhasmana DC.Prescribing pattern of NSAIDs in orthopaedic OPD of a tertiary care teaching hospital in Uttaranchal .JK Sci 2006;8:160-2
[2] Vane JR.Inhibition of prostaglandin synthesis as a mechanism of action for aspirin like drugs.Nat New Biol 1971;231:232-5
[3] Warner TD,Mitchell JA.Cycloxygenase:new forms,new inhibitors and lessons from the clinic.FASEB J 2004;18:790-804.
[4] Marnett LJ,Rowlinson SW,Goodwin DC,Kalgutkar AS,Lanzo CA.Arachidonic acid oxygenation by COX-1 and COX-2.Mechanisms of catalysis and inhibition.J Biol Chem 1999;274:22903-6
[5] .Chandrasekharan NV,Dai H,Roos KC,et al.Cox-3,a cycloxygenase-1 variant inhibited by acetaminophen and other analgesic/antpyretic drugs:cloning,structure and expression.proc Natl Acad Sci USA 2002;99:13926-31

Abstract: Total hip replacement refers to replacement of a diseased hip joint with an artificial acetabulum and head of femur. It is indicated for arthritis of the hip joint and fracture neck of femur. The extraordinary success of total hip replacements has led to a progressive increase in the number of replacement surgeries done. The clinical research towards various components of hip replacement has led to rapid development but the choice of approach remains surgeon dictated.

[1]. PauwelsF.Gesamme / teAbhand / ungenzur funktionellen Anatomie Berlin : Springer Verlag, 1965. Translation with additions : Biomechanics of the locomotor apparatus. Berlin : Springer Verlag, 1980.
[2]. Pauwels F. 1976. Biomechanics of the normal and diseased hip: Theoretical foundation, technique and results of treatment. Berlin: Springer-Verlag.
[3]. S. Zimmera, W. G. Hawkes, J. I. Hudson et al, "Outcomes of surgical management in patients aged 65 years and older: cemented versus cementless femoral compoments and lateral or anterolateral versus posterior anatomical approach," J. Orthop. Res, vol. 20(2), pp. 182- 191,2002.
[4]. Smith-Petersen MN: Approach to and exposure of the hip joint for mold arthroplasty, J Bone Joint Surg 31A:40, 1949
[5]. Smith-Petersen MN. Evolution of mould arthroplasty of hip joint. J Bone Joint Surg Br 1948; 30:59-75.

Abstract: Background: The incidence of thyroid cancer has been increasing several-fold over the decades while other head and neck cancers are decreasing. Whether the increasing incidence of thyroid cancer is a true disease occurrence or due to detection by increased diagnostic scrutiny remains a subject of debate. Hence, we prospectively evaluated the trends in the thyroid cancer incidence, their clinicopathological features and histology...............

Keywords: Papillary thyroid carcinoma, Thyroid cancer incidence, Total thyroidectomy, secular trend

[1]. J.A. Sipos ELM. Thyroid cancer epidemiology and prognostic variables. Clin Oncol (R Coll Radiol), 22, 2010, 395-404.
[2]. Davies L, Welch HG. Increasing incidence of thyroid cancer in the United States, 1973-2002. JAMA, 295(18), 2006, 2164-7.
[3]. Kilfoy BA, Zheng T, Holford TR, Han X, Ward MH, Sjodin A, et al. International patterns and trends in thyroid cancer incidence,
1973-2002. Cancer Causes Control. 2009 Jul;20(5):525-31.
[4]. A.R. Hogan YZ, E.A. Perez 2009. Pediatric thyroid carcinoma: incidence and outcomes in 1753 patients. J Surg Res, 156, 2009,
167-72.
[5]. E. Steliarova-Foucher CAS, E. Pukkala. Thyroid cancer incidence and survival among European children and adolescents (1978-
1997): report from the Automated Childhood Cancer Information System project. Eur J Cancer, 42, 2006, 2150-69.

Abstract: Bronchial Asthma and COPD are airway disorders and form a major part of the Physician workload. Both the diseases present as airway obstruction producing wheeze. Though Pulmonary Function Test and other modalities of investigation are available to help us differentiating between these two airway disorders , they may not be available always and everywhere. Hence the need for a test that is useful, less expensive and reproducible one, which helps to differentiate between Asthma and COPD.The Study conducted at Chengalpattu.Medical college and Hospital In the period of January 2015 to November 2015 study group consist of fifty patient each Bronchial asthma, COPD and control.

[1]. Ruth H Green et al; Asthma exacerbations and sputum eosinophil counts: a randomized controlled trai,lThe Lancet Nov 2002;Vol,360;
[2]. A Bhowmik et al- comparison of spontaneous and induced sputum for investigation airway inflammation in chronic obstructive pulmonary disease
[3]. Brigthling et al- sputum eosinophilia& short term response to prednisolone in chronic obstructive pulmonary disease- arandomized controlled trial-Lancet;2000;Oct 356:1480-5
[4]. Rosi E Ronchi et al-Diagnostic accyracy of sputum outcomes in chronic stable asthma-clini exp Allergy 2000 Apr 30:577-84.s

Abstract: Aim : To evaluate the role of Magnetic resonance cholangiopancreatography (MRCP) and ERCP in assessment of choledocholithiasis with peroperative findings and repeat imaging as reference. Materials And Methods : Fifty patients with clinically suspected choledocholithiasis and sonological evidence of hepatobiliary obstruction with gallstone disease were included in this prospective study performed In The Department Of Radiodiagnosis And Gastroenterology, Stanley Medical College, Chennai.............

Keywords: MRCP, choledocholithiasis, HASTE, RARE

[1]. David V, Reinhold C, Hochman M, et al. Pitfalls in the interpretation of MR cholangiopancreatography. AJR Am J Roentgenol
1998; 170: 1055-1059
[2]. Laing et al,Magnetic resonance cholangiopancreatography. Australas Radiol. 1999 Aug;43(3):284-93.
[3]. Kim YJ et al, Preoperative evaluation of common bile duct stones in patients with gallstone disease. AJR Am J Roentgenol. 2005
Jun;184(6):1854-9.
[4]. Zidi SH et al, Use of magnetic resonance cholangiography in the diagnosis of choledocholithiasis: prospective comparison with a
reference imaging method European Journal of Gastroenterology & Hepatology: July 2003 - Volume 15 - Issue 7 - p 809–813
[5]. Hochwalk S N et al, Magnetic resonance cholangiopancreatography accurately predicts the presence or absence of
choledocholithiasis. J Gastrointest Surg. 1998 Nov-Dec;2(6):573-9

Abstract: Background and Objectives: Mud therapy is a system of Naturopathic medicine where treatment is given using various forms of mud. Full mud bath is one of the treatment used in Mud therapy for the management of various disorders. Hence present study aims to evaluate the physiological effects of full mud bath. Materials and Methodology: 60 male healthy volunteers were recruited for the study. Subjects were randomly allocated into two groups, full mud bath and cold wet wrap. Results: In the present study, among two groups full mud bathgroup shown increase in The square root of the mean squared difference between adjacent N-N intervals (RMSSD)..........

Keywords: Autonomic Nervous System, Cold wrap, Heart rate variability, Mud bath, Naturopathy.

[1]. Hough H, Dower C, O'Neil E, Profile of a profession. san francisco: naturopathic practice (San Francisco, CA: Center for the
Health Professions, University of California, 2001).
[2]. Rajiv R, Therapeutic uses of mud therapy in naturopathy, Indian journal of traditional knowledge, 11, 2012, 556-559.
[3]. Chadzopulu A, Adraniotis J, Theodosopoulou E, The therapeutic effects of mud, Progress in Health Sciences, 1, 2011, 132-136.
[4]. Lake C R, Chernow B, Zaloga G, Labow J, Quirk R, Hedges S M, The effects of phenylpropanolamine on human sympathetic
nervous system function, J Neuro Psy Pharma, 1(2), 1988, 163-168.
[5]. Altman D G, Gore S M, Gardner M J, Pocock S J, Statistical guidelines for contributors to medical journals, BMJ, 286, 1983, 1489-
1493.

Abstract: Introduction: Lymphatic filariasis is a major public health problem in India. Since 2004, India adopted WHO's strategy of Mass Drug Administration with DEC and Albendazole to eliminate filariasis. Aims and Objectives: To assess the coverage and compliance of MDA, to document the side effects reported and to identify the factors for non-compliance to MDA. Material and Methods: A cross-sectional study was conducted among the fourrandomly-selected clusters in the district of North 24-Paraganas , West Bengal, India, covering 558 individualsfrom 128 households, using a predesigned pretested schedule..........

Keywords: Lymphatic filariasis, Compliance, Coverage, Mass drug administration, India.

[1]. India. Directorate General of Health Services. National Filaria Control Programme (NFCP), Ministry of Health & Family Welfare
available from http://nvbdcp.gov.in/fil5.html accessed on 13-08-2015.
[2]. West Bengal. State Bureau of Health Intelligence, Directorate of Health Services. Health On The March 2012-2013. Government of
West Bengal. page 113.
[3]. Kumar P, Prajapati PB, Saxena D, Kavishwar AB Wynd S, Melrose D W,Durrheim D N, Carron J, Gyapong M. Understanding the
community impact of lymphatic filariasis: a review of the sociocultural literature. Bulletin of the World Health Organization.
available from http://www.who.int/bulletin/volumes/85/6/06-031047/en/ accessed on 14-08-2015.
[4]. Park K.Textbook of Preventive and Social Medicine. 23nd Edition 2015 Jabalpur India: M/s BanarasidasBhanot page 270.
[5]. Kurian J. An evaluation of coverage and compliance of mass drug administration 2006 for elimination oflymphaticfilariasis in
endemic areas of Gujarat. Indian J Community Med2008;33:38-42.

Abstract: GISTs, the most common mesenchymal neoplasms of the GIT are generally characterized by activating KIT/PDGFR-α mutations; a small subset also shown to harbor molecular abnormalities like BRAF and SDHB mutations. Immunohistochemically though GISTs are often CD117 positive, CD117 is significantly less expressed in PDGFR-αmutant GISTs and a minority of PDGFR-α mutant GISTs are CD117 negative. Aim: To analyse the clinicopathological features of 36 cases of GISTs and evaluate the immunohistochemical expression of the markers - CD117, PDGFR-α, CD34, SMA and S100..........

Keywords: Gastrointestinal stromal tumors, CD117, PDGFR-α, clinicopathological features, immunohistochemistry.

[1]. MarkkuMiettinen, MD; Jerzy Lasota, MD . Gastrointestinal Stromal Tumors – Review on Morphology, Molecular Pathology,
Prognosis and Differential Diagnosis. Arch Pathol Lab Med. 2006;130:1466-1478.
[2]. B P Rubin, University of Washington Medical Center, Seattle, USA. Gastrointestinal stromal tumors : an update. Histopathology
(2006) 48, 83-96.
[3]. MarkkuMiettinen, MD; Jerzy Lasota, MD. Gastrointestinal stromal tumors – definition, clinical, histological, immunohistochemical
and molecular genetic features and differential diagnosis. VirchowsArch(2001) 438:1-12.
[4]. Javier A Laurini, MD; J.Elliot Carter, MD. Gastrointestinal stromal tumors – A review of the literature. Arch Pathol Lab Med.
2010;134:134-141.
[5]. Wozniak A, Rutkowski P, Piscorz A, Ciwoniuk M, Osuch C, Bylina E, et al. Prognostic value of KIT/PDGFR-α mutations in
gastrointestinal tumors:Polish Clinical GIST Registry experience. Ann Oncol 2012;23:353-60.

Abstract: We present a young female patient who had pelvic congestion syndrome caused by pelvic varicosities associated with Budd-Chairi syndrome, but without other symptoms or signs related to Budd-Chairi syndrome. Medical therapy was effective in improving her symptoms.

Keywords: Pelvic congestion, Budd-Chiari syndrome..

[[1]. Madangopalan N, Soloman V, Jayanthi V, et al. Clinical spectrum and surgical relief of Chronic obstruction of hepatic and suprahepatic segment of inferior venacava of chronic Budd Chiari Syndrome . J Gastroenterol Hepatol 1986; 1: 359 -69
[2]. Ludwig J, Hashimoto E, McGill DB, van Heerden JA. Classification of hepatic venous outflow obstruction: ambiguous terminology of the Budd-Chiari syndrome. Mayo Clin Proc 1990;65:51
[3]. Hartung O. Pelvic varicose veins:Embolisation by vascular surgeon.Controversies and updates in vascular surgery 2006.Available from URL (www.cacvs.org/.../EN/.../HARTUNG_BARTHELEMY_BOUFI_ALMI.pdf )
[4]. Eapen C E ,Thomas Mammen, Vinus Moses, et al. Changing profile in Budd Chiari syndrome in India . IJG 2007 ;26 :77-81
[5]. Hadengue A, Poliquin M, Vilgrain V, et al. The changing scene of hepatic vein thrombosis: recognition of asymptomatic cases. Gastroenterology 1994;106:1042-7.

Abstract: Clinical and mycological features of onychomycosis show variation with time and place. Onychomycosis is a major public health problem with high incidence, associated morbidity and long lasting treatment with anti-fungal agents. A study was carried out on 118 patients having clinical diagnosis of onychomycosis, attending the dermatology out-patient department of R. G. Kar Medical College, Kolkata. Nail clippings were subjected to direct microscopy and cultured on Sabouraud's Dextrose Agar with antibiotics.........

Keywords: Onychomycosis, Dermatophytes, Non-dermatophyte moulds, Yeasts.

[1]. Kaur R, Kashyap B, Bhalla P. Onychomycosis – epidemiology diagnosis and management. Indian journal of medical microbiology
2008; 26(2):108-16.
[2]. Gupta M, Sharma NL, Kanga AK, Mahajan VK, Tegta GR. Onychomycosis: Clinico-mycological study of 130 patients from
Himachal Pradesh, India. Indian J Dermatol Venereol Leprol 2007; 73:389-92.
[3]. Satpathi P, Achar A, Banerjee D, Maiti A, Sengupta M, Mohata A. Onychomycosis in Eastern India - study in a peripheral tertiary
care centre. Journal of Pakistan Association of Dermatologists 2013; 23(1):14-19.
[4]. Chander J. Dermatophytosis. In: Chander J, editor. Textbook of Medical Mycology. 2nd ed. New Delhi: Mehta Publishers, 2002;
p.100-101.
[5]. Ahmad M, Gupta S, Gupte S. A Clinico-mycological Study of Onychomycosis. Egyptian Dermatology Online Journal 2010; 6 (1):
4.

Abstract: Agenesis, the absence of permanent teeth, is a common occurrence among dental patients. The total incidence of tooth agenesis is about 4.2% among patients that are seeking orthodontic treatment and with the exception of third molars, the maxillary lateral incisors are the most common congenitally missing teeth with about a 2% incidence. Esthetically correcting congenitally missing maxillary lateral incisors is a common challenge that every orthodontist and dental team will face, and dentists must consider the treatment options that are most appropriate for each patient...........

Keywords: Tooth agenesis, Lateral incisors, Orthodontics, space closure, dental implants.

[1]. Abu-Hussein M, Watted N, Abdulgani A, Borbély B (2015) Modern Treatment for Congenitally Missing Teeth: A
MultidisciplinaryApproach. Int J Maxillofac Res 1: 179-190.
[2]. Abusalih A, Ismail H, Abdulgani A, Chlorokostas G, Abu-Hussein M (2016) Interdisciplinary Management of Congenitally
Agenesis Maxillary Lateral Incisors: Orthodontic/Prosthodontic Perspectives. J Dent Med Sci 15: 90-99.
[3]. Abdulgani A , Kontoes N , Chlorokostas G, Abu-Hussein M (2015) Interdisciplinary Management Of Maxillary Lateral Incisors
Agenesis With Mini Implant Prostheses: A Case Report. J Dent Med Sci 14: 36-42.
[4]. Abu-Hussein Muhamad , Watted Nezar and Abdulgani Azzaldeen Managing congenitally missing lateral incisors with single tooth
implantsDent Oral Craniofac Res, 20162(4): 318-324doi: 10.15761/DOCR.1000169
[5]. Abu-Hussein M, Chlorokostas G, Watted N, Abdulgani A, Jabareen A (2016) Pre- Prosthetic Orthodontic Implant for Management
of Congenitally Unerupted Lateral Incisors – A Case Report. J Dent Med Sci 15: 99-104.

Abstract: The aim of the study is to describe the clinical manifestations, complications and response to treatment of patients with Malaria, and to find out the factors which determine the severity of the disease. This will be a one year retrospective and one and half year prospective study. All patients diagnosed to have Malaria will be included in this study. Clinical features, complications and response to treatment will be recorded carefully and the data will be analysed by the appropriate statistical methods.........

Keywords: Clinical profile, complications, response, factors, malaria.

[1]. Dash AP, Valecha N, Anvikar AR and Kumar A. Malaria in India: Challenges and opportunities. J Biosc 2008; 33: 583-92.
[2]. Kochar DK, Saxena V, Singh N, Kumar SV, Das A. Plasmodium vivax malaria. Emerg Infect Dis 2005; 11: No.01/04-0519.
[3]. Makkar RP, Monga SM, Gupta AK. Plasmodium vivax malaria presenting with severe thrombocytopenia. Braz J Infect Dis 2002;
47: 24-6.
[4]. Rodriguez MAJ, Sanchez E, Varges M, Piccolo C, Colina R, Arria M. et al. Occurrence of thrombocytopenia in Plasmodium vivax
Malaria. Clin Infect Dis 2005; 4: 130-1.
[5]. Fajarda LF, Tallent C. Malarial parasites within human platelets. JAMA 1974; 229: 1205.

Abstract: Ventricular tachycardia due to occlusive engagement of right coronary artery by different types of coronary catheters have been known. The authors describe here a case of ventricular tachycardia occurring when a stent was being positioned in the proximal right coronary artery after uneventful engagement of a right coronary ostium by a Judkins 6F Guide. It is presumed that direct stent placement across the lesion without predilating the lesion could have caused occlusion of the right coronary artery lumen with consequent myocardial hypoxia and ventricular arrhythmia..........

Keywords: Ventricular Tachycardia, Right Coronary Artery, Direct Stenting.

[1]. Ventricular Arrhythmia Onset During Diagnostic Coronary Angiography With a 5F or 4F Universal Catheter.Jun Chen, LiJian Gao,
Min Yao, Jilin Chen. Rev Esp Cardiol. 2008;61:1092-5 - Vol. 61 Num.10 DOI: 10.1016/S1885-5857(09)60013-X.
[2]. Nishimura RA, Holmes DR, McFarland TM, Smith HC, Bove AA. Ventricular arrhythmias during coronary angiography in patients
with angina pectoris or chest pain syndromes. Am J Cardiol. 1984;53:1496-9.
[3]. Murdock DK, Euler DE, Becker DM, Murdock JD, Scanlon PJ, Gunnar RM. Ventricular fibrillation during coronary angiography:
an analysis of mechanisms. Am Heart J. 1985;109:265-73.
[4]. Morris TW. A review of coronary arteriography and contrast media induced ventricular fibrillation. Acta Radiol Suppl. 1995;399:
100-4.

Abstract: Context: Autism spectrum disorder (ASD) is a group of lifelong, neurodevelopmental disorders characterized by severe impairment of social reciprocity, communication and behavior. Complexity in barriers to dental care may be due to behavioral, emotional or developmental disturbances, inability to communicate and financial disincentives. Objective: To assess the barriers to dental care for children with autism spectrum disorder (ASD). Materials and method: A cross sectional, case control questionnaire based study was done to evaluate the main hurdles to dental care experienced by children with ASD in Mangalore city. The study group comprised of parents / care takers of children aged 3-12 years with ASD attending special schools in Mangalore city.........

Keywords: Barriers, Dental care, Autism spectrum disorder

[1]. Autism.net.au [homepage on the Internet]. Australia: Behavioural neurotherapy clinic; 2015 [cited 17 May 2015?]. Available
from: http://www.autism.net.au/
[2]. Centers for Disease Control and Prevention. Facts about ASDs. Children assessed by the ASSQ (Autism Spectrum Screening
Questionnaire). J. Child Psych. Psychiatry Allied Disciplines. 2011; 4: 167-75.
[3]. Glassman P, Miller CE, Lechowick J. A dental school's role in developing a rural, community-based, dental care delivery system
for individuals with developmental disabilities. Spec Care Dentist. 1996;16(5):188-93.
[4]. Barry S, O'Sullivan EA, Toumba KJ. Barriers to dental care for children with autism spectrum disorder.Eur Arch Paediatr
Dent.2014. (15):127-134
[5]. Delli K, Reichart P, Bornstein M, Livas CH. Management of children with autism spectrum disorder in the dental setting:
Concerns, behavioural approaches and recommendations. Med Oral Patol Oral Cir Bucal. 2013; 18 (6): 862-8.

Abstract: Introduction: Abnormal uterine bleeding (AUB) is considered as one of the most common problems both to the patient and the gynecologist. Until the pathology underlying atypical uterine bleeding is accurately diagnosed, proper therapy is hardly possible. The objectives of the study were to determine the types and frequencies of pathologies in endometrial curettings of abnormal uterine bleeding & compare different endometrial pathologies in different types of abnormal uterine bleeding in peri and postmenopausal patients...........

Keywords: Abnormal uterine bleeding, endometrium, perimenopausal, postmenopausal, carcinoma .

[1]. Munro MG, Critchley HO, Fraser IS, FIGO Menstrual Disorders Working Group. The FIGO classification of causes of abnormal
uterine bleeding in the reproductive years. Fertil Steril 2011;95:2204-8.
[2]. Albers JR, Hull SK, Wesley MA. Abnormal uterine bleeding. Am Fam Phys 2004; 69:1915‑26.
[3]. Thoms SL, Ellertson C: Nauisance or natural and health: should monthly menstruation be option for women? Lanct, 2000;355:922-
4
[4]. Dangal G. A study of endometrium of patients with abnormal uterine bleeding at Chitwan valley. KUMJ 2003;1:110-2.
[5]. Kumar A, Mittal S. Endometrial sampling: How? & why? Obs and Gynae Today. 2007; 12 (6) :284-87

Abstract: Background: Cigarette smoking is a widely recognized health hazard, yet despite worldwide antismoking campaigns, some people continue to consume cigarettes on a regular basis. Likewise prevalence of infertility is also in increasing trend, and among the various cause cigarette smoking in one of the important cause for male infertility. So the present study was conducted objectives of, to assess how much is the impact of the various level of smoking on semen quality parameters in infertile males...........

[1]. Soares SR, Melo MA. Cigarette smoking and reproductive function.Curr Opin Obstet Gynecol. 2008;20:281–91.
[2]. Vine MF, Margolin BH, Morrison HI, Hulka BS. Cigarette smoking and sperm density: a meta-analysis. Fertil Steril. 1994;61:35–
43.
[3]. Zavos P, Correa J, Antypas S, Zarmakoupis-Zavos P, Costantinos N.Effects of seminal plasma from cigarette smokers on sperm
viability and longevity. Fertil Steril. 1998a;69:425–429.

Abstract: Nowadays laparoscopic cholecystectomy ( LC ) is the gold standard treatment for chronic cholecystitis with cholelithiasis.. General anesthesia with positive pressure ventilation is the preferred mode of anesthesia in this technique. There are limited data about LC under spinal anesthesia. This study was designed to evaluate LC under spinal anesthesia for uncomplicated chronic cholecystitis with cholelithiasis . In this prospective study, 335consecutive patients of ASA grade I or II, with a mean age of 32.5 years and mean BMI of 21.35 kg/m2 , suffering from chronic cholecystitis with cholelithiasis, were included. All patients were informed about spinal anesthesia in detail...........

Keywords: Laparoscopic cholecystectomy, spinal anesthesia, monitored anesthesia care

[1]. Pursnani KG, Bazza Y, Calleja M, Mughal MM. Laparoscopic cholecystectomy under epidural anaesthesia in patients with chronic
respiratory disease. Surg Endosc. 1998;12:1082–4. [PubMed]
[2]. Gramatica L, Jr, Brasesco OE, Luna MA, Martinessi V, Panebianco G, Labaque F, et al. Laparoscopic cholecystectomy performed
under regional anaesthesia in patients with obstructive pulmonary disease. Surg Endosc. 2002;16:472–5. [PubMed]
[3]. Tzovaras G, Fafoulakis F, Pratsas K, Georgopoulou S, Stamatiou G, Hatzitheofilou C. Laparoscopic cholecystectomy under spinal
anaesthesia: A pilot study. Surg Endosc. 2006;20:580–2. [PubMed]
[4]. Sinha R, Gurwara AK, Gupta SC. Laparoscopic cholecystectomy under spinal anaesthesia: A study of 3492 patients. J
Laparoendosc Adv Surg Tech A. 2009;19:323–7. [PubMed]
[5]. Sharp JR, Pierson WP, Brady CE. Comparison of CO2 and N2O-induced discomfort during peritoneoscopy under local
anaesthesia. Gastroenterology. 1982;82:453–6. [PubMed]

Abstract: The red blood cell (RBC) distribution width (RDW) is a term used to describe the heterogeneity of the peripheral blood erythrocyte (i.e., Anysocytosis) volume hematology indexes of anemia in the etiology diagnosis, especially the thalassemia anemia and has important value in the differential diagnosis of iron deficiency anemia. Recently accumulated studies have found that RDW plays an important role in the diagnosis, risk stratification and prognosis of cardiovascular diseases. This review article explains the relationships between red blood cell distribution width and heart failure, acute myocardial infarction and acute coronary syndrome.

Keywords: Red blood cell Distribution Width (RDW), Heart Failure (HF), Acute Myocardial Infarction (AMI), Acute Coronary Syndrome (ACS)

[1]. Felker GM, Allen LA, Pocock SJ, et al. Red cell distribution width as a novel prognostic marker in heart failure: data from the
CHARM Program and the Duke Databank[J]. J Am Coll Cardiol, 2007, 50(1):40-47.
[2]. Lippi G, Plebani M. Red blood cell distribution width (RDW) and human pathology. One size fits all[J]. Clin Chem Lab Med,
2014,52(9): 1247-1249.
[3]. Allen LA, Felker GM, Mehra MR, et al. Validation and potential mechanisms of red cell distribution width as a prognostic marker
in heart failure[J]. J Card Fail, 2010, 16(3): 230-238.
[4]. Al-Najjar Y, Goode KM, Zhang J, et al. Red cell distribution width: an inexpensive and powerful prognostic marker in heart
failure[J]. Eur JHeart Fail, 2009, 11(12): 1155-1162.
[5]. Aung N, Ling HZ, Cheng AS, et al. Expansion of the red cell distribution width and evolving iron defi ciency as predictors of poor
outcome in chronic heart failure[J]. Int J Cardiol, 2013, 168(3): 1997-2002.

Abstract: Objective:Toevaluate the oral findings and correlating the oral findings with the clinical disease activity index. Subjects, Materials and Methods:This cross- sectional studyincludedeighty-five rheumatoid arthritis patients. Twenty-five patients were on Methotrexate, thirty patients on Etanercept and thirty patients were on a combination of Methotrexate and Etanercept. Each patient was examined to calculate the clinical disease activity index and to detect any oral finding. Results: The highest summation of rheumatoid arthritis patients was presented with a high clinical disease activity index, while the number of those with low disease activity index was the lowest. Oral dryness showed to be the most common oral findings (60%) followed..........

Keywords: Rheumatoid arthritis, Oral findings, Clinical disease activity index.

[1]. Hayward, Kristen, and Carol A. Wallace. "Recent developments in anti-rheumatic drugs in pediatrics: treatment of juvenile
idiopathic arthritis.",Arthritis research & therapy2009; 11(1): 1.
[2]. Klippel H, Stone J, Crofford L, White P. ―Primer on the Rheumatic Diseases‖. 13th edition. Springer. USA 2008; 114-140.
[3]. Felson D, Anderson J, Boers M, Bombardier C, Chernoff M, Fried B, Furst D, Goldsmith C, Kieszak S, Lightfoot R, Paulus H,
Tugwell P, Weinblatt M, Widmark R, Williams H and Wolfe F. ―The American college of Rheumatology preliminary core set of
disease activity measures for rheumatoid arthritis clinical trials‖. Arthritis & Rheumatism 1993; 36(6): 729–740.
[4]. Pedrazas C, Azevedo M, Torres S. ―Oral events related to low-dose methotrexate in rheumatoid arthritis patients‖. Braz. oral res
2010; 24 (3): 368- 370.

Abstract: Background:Chronic neck pain is a common musculoskeletal disorder. The use of Naturopathy, Moist heat and Acupuncture is common, it is essential to understand individual contributions of therapies when used as an adjuvant to Naturopathy in alleviating chronic neck pain and improving quality of life. Materials and Methods: Sixty subjects were assigned to either group 1 (Moist heat with Naturopathy) or group 2 (Acupuncture with Naturopathy). Subjects received treatments for ten days. Assessments were made before (baseline) and after intervention. The assessment tools included were Visual Analogue Scale (VAS), neck disability index (NDI), State Trait Anxiety Inventory (STAI) and Short form-36 (SF-36)..........

Keywords: Acupuncture, Chronic neck pain, Moist heat therapy,Naturopathy, State and Trait Anxiety Inventory

[1]. Petri Salo, Assessing physical capacity, disability and health related quality of life in neck pain. Studies in sports, physical
education and health. (University of Jyvaskyla 2010).
[2]. Nikolai Bogduk, The anatomy and pathophysiology of neck pain, Physical medicine and rehabilitation clinics of North America, 14.
2003, 455-472.
[3]. Jiang-Ti Kong, Rosa N. Schnyer, Kevin A. Johnson, Sean Markey, Understanding central mechanism of analgesia using dynamic
quantitative sensory testing: A review, Evidence based complementary and alternative medicine, 2013.
[4]. Inge E.Lam, Madeleon L.Peters, Johan W.S.Vlaeyan, Maarten V.Kleef, Jacob Patijn, Quality of life in chronic neck pain is more
associated with beliefs about pain, than with pain intensity, European Journal of Pain, 9. 2005, 15-24.
[5]. Palmer KT, Walsh K, Bendall H, Cooper C, Coggon D. Back pain in Britain: comparison of two prevalence surveys at an interval
of 10 years, British Medical Journal, 320. 2000, 1577-8.

Abstract: Urinary tract infections (UTIs) are counted among the most common infections in humans. In spite of the availability and use of the antimicrobial drugs, UTIs caused by bacteria have been showing increasing trends. Patients diagnosed clinically as UTI during the study period (January 2015 to December 2015) in a Shri Vasantrao Naik Government Medical College and Hospital, Yavatmal (Maharashtra) were included in the study. Urine sample of these patients were tested for Culture and antibiotic susceptibility testing. A total of 472 urine samples were included in the study of that 368 from female patients and 104 from male patients.........

Keywords: Urinary tract infection, Antibiotic sensitivity, Gram Negative, Gram Positive

[1]. ShaistaBano, Sarfraz A Tunio, AmeerAfzalMenom, Hakim Detho,RozinaBano, KalpanakumariEvaluation of antibiotic
susceptibility patterns of uropathogens circulating in Hydrabad, Pakisthan. Khyber Med Univ J 2014;6(3):110-115.
[2]. Rama Biswas, RaihanRabbani, HasanShahrear Ahmed, Mohammed AbdusSatterSarkar, NahidaZafrin, Md. MotlaburRahman.
Antibiotic sensitivity pattern of urinary tract infection at a tertiary care hospital. Bangladesh Crit Care J 2014 March;2(1):21-24
[3]. Humayun, T., Iqbal, A. 2012. The Culture and Sensitivity Pattern of Urinary Tract Infections in Females of Reproductive Age
Group. Ann. Pak. Inst. Med. Sci., 8(1): 19–22.
[4]. Sibi, G., Devi, A. P., Fouzia, K., and Patil, B. R. 2011. Prevalence, microbiologic profile of urinary tract infection and its treatment
with trimethoprim in diabetic patients. Research Journal of Microbioogy. 6: 543-551.

Abstract: Background: A challenging scenario for today's clinician is to treat dyspeptic symptoms among the chronic kidney disease (CKD) patients. Levosulpiride is a substituted benzamide which is most commonly used as a prokinetic drug. At present there is enough evidence to say that levosulpiride causes movement disorders (LIM) when used in elderly patients. This study attracts attention as there was high occurrence of extra pyramidal symptoms (EPS) in CKD patients even with recommended doses for dyspeptic symptoms...........

Keywords: Chronic kidney disease, Elderly, Levosulpiride, Movement Disorders, Prokinetic agent

[1]. Gupta S, Garg GR, Halder S, Sharma KK. Levosulpiride: A Review. Delhi Psychiatry Journal. 2007;10(2):144-6.
[2]. Corazza GR, Biagi F, Albano O, Bianchi Porro G, Cheli R, Mazzacca G, et al. Levosulpiride in functional dyspepsia: a multicentric,
double-blind, controlled trial. Ital J Gastroenterol. 1996;28(6):317-23.
[3]. Serra J. [Levosulpiride in the management of functional dyspepsia and delayed gastric emptying]. Gastroenterologia y hepatologia.
2010;33(8):586-90.
[4]. Shin H-W, Chung SJ. Drug-induced parkinsonism. Journal of clinical neurology. 2012;8(1):15-21.
[5]. Distrutti E, Fiorucci S, Hauer SK, Pensi MO, Vanasia M, Morelli A. Effect of acute and chronic levosulpiride administration on
gastric tone and perception in functional dyspepsia. Alimentary Pharmacology & Therapeutics. 2002;16(3):613-22.

Abstract: Introduction: Chronic obstructive pulmonary disease (COPD) is an airflow obstruction disease that is not completely reversible. It includes chronic obstructive bronchiolitis with fibrosis and obstruction of small airways. Spirometry is an important tool used for assessing conditions such as asthma, pulmonary fibrosis, cystic fibrosis and COPD. Aim: To assess the pulmonary functions in COPD subjects and in normal individuals Methods and materials: This prospective study was carried out in 30 COPD patients attending the department of Pulmonology, SRM medical college hospital and research centre.........

Keywords: COPD, PFT

[1]. Rabe KF, Hurd S, Anzueto A, Barnes PJ, Buist SA, Calverley P, et al. Global strategy for the diagnosis, management, and
prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med. 2007 Sep 15;
176(6):532–555.
[2]. Buist AS, Vollmer WM, McBurnie MA. Worldwide burden of COPD in high- and low-income countries. Part I. The burden of
obstructive lung disease (BOLD) initiative. Int J Tuberc Lung Dis. 2008;12(7):703-08.
[3]. S.K.Jindal, A.N.Aggarwal,D.Gupta, A review of population studies from India to estimate national burden of chronic obstruction
pulmonary disease and its association with smoking. The Indian journal of chest diseases and allied sciences. 43, 139-147,2001.
[4]. Heindl, S, Lehnert, M, Criée, CP. Marked sympathetic activation in patients with chronic respiratory failure.Am J RespirCrit Care
Med 164:597-601, 2001.

Abstract: Background: Peritoneal fluid or ascitic fluid is a day to day specimen in the department of Clinical Pathology and Cytology. Ascites is a common clinical sign which is a result of excessive accumulation of fluid in peritoneal cavity. As in pleural fluid, ascitic fluid is also classified as exudate and transudate indicative of the underlying pathology. Material and Methods: The present work is a descriptive, cross-sectional, analytical and retrospective type of study, undertaken in the department of Pathology of a tertiary care hospital over a period of one year from January 2015 to December 2015. The peritoneal fluid received were processed and studied for the cell count, number, cellular features, presence or absence of organisms if any and malignancies.........

[1] Turnage RH, Li DLB, McDonald JC. Abdominal wall umbilicus, peritoneum, mesenteries, omentum. In: Sabiston Textbook of Surgery – The biological basis of modern surgical practice. 17th edn. Philadelphia:
[2] Elsevier Saunders; 2004: 1182-6.
[3] Turnage RH, Li DLB, McDonald JC. Abdominal wall umbilicus, peritoneum, mesenteries, omentum. In: Sabiston Textbook of Surgery – The biological basis of modern surgical practice. 17th edn. Philadelphia:
[4] Elsevier Saunders; 2004: 1182-6.
[5] Turnage RH, Li DLB, McDonald JC. Abdominal wall umbilicus, peritoneum, mesenteries, omentum. In: Sabiston Textbook of Surgery – The biological basis of modern surgical practice. 17th edn. Philadelphia: Elsevier Saunders; 2004: 1182-6.