iosr-JDMS   Volume-18 ~ Issue-8 ~ August-2019

Abstract:Close to 800 000 people die due to suicide every year, which is one person every 40 seconds. Suicide is a global phenomenon and occurs throughout the lifespan is the second leading cause of death among 15-29year olds globally. There are indications that for each adult who died by suicide there may have been more than 20 others attempting suicide.[1] Worldwide intentional poisoning is one of the important causes for mortality and morbidity[2].A conservative estimate based on these data indicates that there were approximately 110,000 pesticide self-poisoning deaths each year from........

[1]. World Health Organization, suicide data,© 2019 WHO.
[2]. Eddleston M, Phillips MR. Self-poisoning with pesticides. BMJ. 2004 Jan 3;328(7430):42-4.
[3]. Mew EJ, Padmanathan P, Konradsen F, Eddleston M, Chang SS, Phillips MR, Gunnell D. Affect Disord. 2017 Sep; 219:93-104.
[4]. Accidental Deaths & Suicides in India 2015- chapter National Crime Bureau Records

[5]. CH Srinivas Rao, V Venkateswarlu, T Surender, et al. Pesticide Poisoning in South India – Opportunities for Prevention and Improved Medical Management.Trop Med Int Health. 2005 June; 10(6): 581–588....

Abstract: The primary maxillary incisors teeth are small and require restorations that are retentive, esthetic and resistant to fracture and wear, therefore, are difficult to treat. Esthetic treatment of severely decayed primary teeth is one of the greatest challenges for pediatric dentists. The use of esthetic restoration has become an important aspect of pediatric dentistry. However, various treatment options have been described in literature to ensure proper esthetics and retention of restorations for such cases.

Key Words: Esthetic Crowns

[1]. Garg V et al. Crowns in pediatric dentistry. Journal of Advanced Medical and Dental Sciences Research |Vol. 4|Issue 2|March - April 2016
[2]. Waggoner WF, Cohen H. Failure strength of four veneered primary stainless steel crowns. Pediatr Dent. 1995; 36-40.
[3]. Hartmann CR. The open-faced stainless steel crowns: An esthetic technique. ASDC J. Dent. Child. 1983;50:31-3
[4]. Sahana S, Vasa AAK, Sk Ravichandra. Esthetic Crowns For Anterior Teeth: A Review. Annals and Essence of Dentistry. 2010-2:87-93.
[5]. Castro AA: Evaluation of the Clinical Performance of Pedo Jacket Crowns in the Treatment of Maxillary Anterior Teeth with Early Childhood Caries: A Prospective Clinical and Laboratory Study. University of Toronto, 2014..

Abstract: Background: Acceptability is one dimension of quality of health care demanding that patient satisfaction with care be evaluated and incorporated into planning and implementation of continuous quality improvement. In the global trend towards patient centeredness, what the Patients value in any given facility should be the benchmark for satisfaction with services as these vary with different populations and other factors. Rated importance of service components is proposed as a benchmark for rated patient satisfaction and the difference between them as the Service Gap providing measurable index for continuous quality improvement. Aim: To determine the pattern of patient satisfaction with service quality, patients' rated importance of service components and existing Service Gaps........

Key words: patient-satisfaction, service quality, benchmarking, rated-importance, service gaps

[1]. Goodrich J., Cornwell J. Seeing the Person in the Patient: The Point of Care Review Paper. The King's Fund 2008. available @www.kingsfund.org.uk/publications. Accessed 23/07/16
[2]. Creel L.C., Sass J.V., Yinger N.C. Client-Centered Quality: Clients' Perspectives and Barriers to Receiving Care. Population Council and Population Reference Bureau. Available@ www.measurecommunication.org or www.prb.org. Accessed 10/04/16.
[3]. Agency for Health Care Research and Quality: The Six Domains of Health Care Quality. Available @ www.ahrq.gov. Accessed on 5/6/16
[4]. Yeddula V. R. ―Healthcare Quality Room Issues‖ (2012). Industrial and Management Systems Engineering-Dissertations and Student Research. paper 29. http:/digital commons.unl.edu/imsediss/29. Accessed 10/04/16
[5]. Keegan O, McGee H.A. A guide to hospital Outpatient Satisfaction Surveys, Practical Recommendation and the Satisfaction with Outpatient Services (SWOPS) Questionnaire. Dublin Royal College of Surgeons in Ireland; 2003. Available athttps://epubs.rcsi.ie>psycholrep. Accessed 10/04/16..

Abstract: Nasopharyngeal carcinoma is commonly a squamous cell carcinoma arising from the epithelial lining of nasopharynxmore frequently seen at the fossa of Rosenmüller. It is a leading form of cancer in a few well-defined populations, including natives of Southern China, Southeast Asia, the Arctic, and the Middle East/ North Africa. Nasopharyngeal carcinoma is very common among the inhabitants of Nagaland........

Keywords: Nasopharyngeal carcinoma, TNM classification of malignant tumours, EBV DNA.

[1]. William IW. Nasopharyngeal cancer. In: Bryon JB, Jonas TJ, Shawn DN, editors. Head and Neck surgery-Otolaryngology. 2nd ed. Philadelphia: Lippincott Williams and Wilkin; 2006. p. 1657-71.
[2]. Chang ET, Adami HO. The enigmatic epidemiology of nasopharyngeal carcinoma. Cancer Epidemiol Biomarkers Prev 2006;15(10):1765-77.
[3]. Brennan B. Nasopharyngeal carcinoma. Orphanet J Rare Dis 2006;26(1):1-23.
[4]. Baruah T. A clinical and epidemilological study of nasopharyngeal carcinoma. Indian JOtolaryngol 1990;42(2):54-9.
[5]. Prasad U. Cells of origin of nasopharyngeal carcinoma: an electron microscopical study. J LaryngolOtol 1974;88(11):1087-94.

Abstract: Tubular adenomas are rare benign epithelial tumors of the breast accounting for only 0.13% to 1.7% of all benign breast lesions. Preoperative diagnosis is often difficult as they mimic fibroadenomas both clinically as well asradiologically. Histopathological examination is necessary for correct diagnosis.We describe a case of a breast lump in young femalewhich was diagnosed as fibroadenoma clinically as well as on FNAC. Surgical excision was done and on histopathological examination a diagnosis of tubular adenoma with a concurrent fibroadenoma was made. The development of tubular adenoma alongwithfibroadenoma in the same breast concurrently as seen in our case is a very rare occurrence.

Key Words: Benign breast lesions, Fibroadenoma,Tubular adenoma.

[1]. Salemis NS, Gemenetzis G, Karagkiouzis G, Seretis C, Sapounas K, Tsantilas V, Sambaziotis D. et al. Tubular adenoma of the breast: a rare presentation and review of the literature. J Clin Med Res. 2012;4(1):64–67.
[2]. Huang Y, Zhang H, Zhou Q, Ling L, Wang S. Giant tubular adenoma of the accessory breast in the anterior chest wall occurred in a pregnant woman. DiagnPathol. 2015;10:60. doi: 10.1186/s13000-015-0286-0.
[3]. Dusunceli F, Manukyan MN, Midi A, Deveci U, Yener N. Giant tubular adenoma of the breast: a rare entity.Breast J. 2012;18(1):79–80.
[4]. Komaki K, Morimoto T, Mori T, Sasa M, Oshimo K, Monden Y, Hirose T. et al. A rare case of fibroadenoma in a tubular adenoma of the breast. Surg Today. 1992;22(2):163–165.
[5]. Nwachokor F, Igbe AP, Forae GD. Histopathological review of breast tumours in children and adolescents in Delta State Nigeria. Afr J Paediatr Surg. 2013;10(2):65–67.

Abstract: The β thalassemias are a heterogeneneous group of inherited disorders of haemoglobin (Hb) synthesis characterized by a reduction(β+) or absence of (β0) synthesis of the β globin chains of Hb, resulting in an imbalanced chain synthesis.1 As per WHO estimates 4-5% of the world's population are carriers of hemoglobinopathies. World wide 15 million people have clinically apparent thalassemic disorders. There are about 240 million carriers of β thalassemia world wide and in India alone ,the number is approximately 30 million with a mean prevalence of 3.3.Every year approximately 100,000..............

[1]. Galanello, Renzo; Origa, Raffaella (2010). "Beta-thalassemia". Orphanet Journal of Rare Diseases. 5 (1): 11. doi:10.1186/1750-1172-5-11. PMC 2893117. PMID 20492708.
[2]. GBD 2013 Mortality and Causes of Death, Collaborators (17 December 2014). "Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013
[3]. John P. Greer JP, Arber DA, Glader B, et al. Wintrobe's Clinical Hematology 2013. ISBN 9781451172683
[4]. Vichinsky, Elliott P. (1 November 2005). "Changing Patterns of Thalassemia Worldwide". Annals of the New York Academy of Sciences. 1054 (1): 18–24. doi:10.1196/annals.1345.003. ISSN 1749-6632. PMID 16339647.
[5]. Study of Complication in Patients with Beta Thalassemia Dr Mukesh Kumar Sharma , International Journal of Science and Research (IJSR) ISSN (Online): 2319-7064 Volume 5 Issue 10, October 2016.

Abstract: Introduction: 20% off India's population is comprised of the adolescent age group. Adolescents present a distinct array of reproductive, sexual, psychological and nutritional health problems. The situation is further compounded by an increasing incidence of RTAs, substance use and violence.. Adolescents comprise one of the most neglected sections of society and it is with the aim of addressing these issues that AFHCs were established and further strengthened under RKSK. This study was conducted to assess the functioning of AFHCs across Kashmir Valley. Methods: The.........

Keywords : Adolescent, AFHCs, RKSK

[1]. Bashir R. Prevalence of iron deficiency anemia among adolescent girls and impact of health and nutrition education programme in changing their dietary behavior. Thesis submitted to Institute of Home Science Faculty of Applied Science and Technology University of Kashmir, Srinagar. 2013.
[2]. http://www.who.int/topics/adolescent_health/en/
[3]. Census of India 2011. New Delhi: Office of theRegistrar General.
[4]. Kumar D., Yadav R.J., Pandey A. Evaluation of adolescent friendly health services (AFHS): clients' perspectives. Int J Cur Res Rev. August 2015. Vol 7; Issue 16.
[5]. International Institute of Population Sciences and ORC Macro. National Family Health Survey - 4. International Institute of Population Sciences, Mumbai.
[6]. WHO. Available from: www.who.int/school_youth_health/media/en/family_life.

Abstract: India's immunisation programme is the largest in the world, with annual cohorts of around 26.7 million infants and 30 million pregnant women. However an estimated 38% of children failed to receive all basic vaccines in the first year of life in 2016. Intensified Mission Indradhanush (IMI was launched to accelerate progress with the aimed to reach 90% full immunisation coverage in districts and urban areas with persistently low levels of coverage. This study finds the coverage in one of the rounds of IMI in Patna city of Bihar, India. Methodology: Monitoring.........

Key Words: Intensified Mission Indradhanush, Immunization, Monitoring.

[1]. Levine OS, Bloom DE, Cherian T, de Quadros C, Sow S, Wecker J, et al. The Future of Immunisation Policy, Implementation, and Financing. Lancet. 2011;378(9789):439-48.
[2]. 2. World Health Organization. WHO vaccine safety basics learning module. Geneva, Switzerland: WHO 2013. Available from http://ww.who.int/ vaccinesafety/initiative/tech_support/vaccine-safety- E-course-manual.pdf. Accessed on 15 November 2018.
[3]. Vashishtha VM, Agrawal R, Sukumaran TU. IAP Textbook of Vaccines. New Delhi: Jaypee Brothers Medical Publishers(P) Ltd; 2014: 57

[4]. Ministry of Health and Family Welfare, Government of India. Immunization handbook for medical officers. WHO, 2016. http://www.searo.who.int/india/publications/immunization_handbook2017/en/
[5]. Singh A (2018) Mission Indradhanush (MI) and Intensified Mission Indradhanush (IMI): The Immunization Programmes in India – A Brief Review. Gut Gastroenterol 1: 001-002.

Abstract: Purpose: To study the occurrence of posterolateral instability of elbow joint following radial head excision in patients with radial head fracture and to determine the coexisting condition which contributes to instability. Methods :A retrospective cross sectional study designed to assess the occurrence of posterolateral instability of elbow following radial head excision. 30 patients who had undergone radial head excision for Masons type 2,3, and 4 fracture between March 2006 to July 2014 were included in the study. On their follow up visit persistent symptomof elbow pain, signs of elbow instability(pivot shift test and chair push up test) , mayo elbow score and radiological featureswere assessed..........

Key Words: radial head excision, posterolateral instability, lateral pivot shift test

[1]. Harrington IJ, Tountas AA. Replacement of the radial head in the treatment of unstable elbow fractures. Injury. 1981;12:405
[2]. Ring D, Quintero J, Jupiter JB. Open reduction and internal fixation of fractures of the radial head. J Bone Joint Surg Am. 2002;84:1811-5
[3]. Morrey BF, An KN. Stability of the elbow: osseous constraints. J Shoulder Elbow Surg. 2005;14(1 Suppl S):174
[4]. Hausman MR, Lang P. Examination of the elbow: current concepts. J Hand Surg Am. 2014;39(12) 1.
[5]. Bryce CD, Armstrong AD. Anatomy and biomechanics of the elbow. Orthop Clin North Am. 2008;39(2):141e154, v..

Abstract: Background : Knowledge regarding the several variations of origin ,course ,branching pattern of profunda femoris artery and its branches is very useful to several clinicians ,where the various types of surgeries & diagnostic procedures are performed. Materials & Methods: The present study was conducted in 50 lowerlimbs (25 right & 25 left) in our department..Origin ,course ,branching pattern of profunda femoris artery on both sides is observed.Pattern of branching is classified according to Vasquez et al study (5).They are Type 1a ,type 1b ,type 1c ;Type 2a ,type 2b ;Type 3.In our study all these patterns are observed........

Key Words:Femoral artery , Profunda femoris artery , Medial circumflex femoral artery (MCFA) , Lateral circumflex femoral artery (LCFA)

[1]. Standring S. Pelvic girdle, gluteal region and hip joint, Profunda femoris artery. In: Gray‟s Anatomy, The anatomical basis of clinical practice. 40th ed. Elsevier Churchill Livingstone,2008:1379-1380.
[2]. Siddharth P, Smith NL, Mason RA, Giron F.Variational anatomy of the deep femoral artery. Anat Rec 1985;212: 206–09.
[3]. Massoud.TF, Fletcher EW.Anatomical variants of the profunda femoris artery-an angiographic study. Surg Radiol Anat 1997;19(2):99-103.
[4]. Dixit DP, Mehta LA, Kothari ML. Variations in the origin and course of profunda femoris artery. Journal of Anatomical Society of India. 2001;50(1):6–7.
[5]. Vazquez MT, Murillo J, Maranillo E, Parkin I, Sanudo J. Patterns of the circumflex femoral arteries revisited. Clin Anat. 2007;20:180-5..

Abstract: Adipose tissue that surrounds the Heart and its vessels functions as a complex organ being composed of adipocytes, stromal cells, macrophages, and a neuronal network, all these being nourished through a rich micro-circulation. Adipose tissue around the heart can further be subdivided into intrapericardial and extra pericardial fat. Their thicknesses and volumes can be quantified by echocardiography as well as computed tomography or magnetic resonance imaging. The term extra-pericardial fat consists of thoracic adipose tissue external to the parietal pericardium. Its origin is from the primitive........

[1]. Iacobellis G, Willens HJ. ‗Echocardiographic epicardial fat: a review of research and clinical applications. J Am Soc Echocardiogram'. 2009; 22:1311–1319.
[2]. Gorter PM, van Lindert ASR, de Vos AM, et al. ‗Quantification of epicardial and peri coronary fat using cardiac computed tomography; reproducibility and relation with obesity and metabolic syndrome in patients suspected of coronary artery disease'. Atherosclerosis. 2008; 197:896–903.
[3]. Sacks HS, Fain JN. ‗Human epicardial adipose tissue: a review'. Am Heart J. 2007; 153:907–917.
[4]. Iacobellis G, Corradi D, Sharma AM. ‗Epicardial adipose tissue: anatomic, biomolecular and clinical relationships with the heart. Nat Clin Pract Cardiovasc Med'. 2005; 2:536–543.
[5]. Mazurek T, Zhang L, Zalewski A, et al. ‗Human epicardial adipose tissue is a source of inflammatory mediators. Circulation'. 2003; 108:2460–2466