iosr-JDMS   Volume-19 ~ Issue-11 ~ November 2020

Abstract: BACKGROUND Delay in wound healing leads to social and financial burden to the patients, with frequent hospital stay, visits and increase cost of treatment. Negative Pressure Wound Therapy is an alternative to the routine wound management. Negative Pressure Wound Therapy has evolved both as a mainstay and as an adjunct in wound management, especially in the last two decades. MATERIALS & METHODS This was a prospective study with a sample size of 60 patients with Gustilo Anderson type IIIA or IIIB open fractures, of whom 30 patients each were selected for Negative Pressure Wound Therapy(NPWT) or Vacuum Assisted Closure (VAC) therapy and standard saline wound therapy......

Keywords: Negative Pressure Wound Therapy(NPWT), Vacuum Assisted Closure(VAC), Gustilo Anderson, Open fracture.

[1]. Sop JL, Sop A. Open Fracture Management. [Updated 2019 Jan 20]. In: StatPearls [Internet].
[2]. Gustilo, R B; Merkow, R L; Templeman, D. The management of open fractures.JBJS: Feb 1990 - Volume 72 - Issue 2 - p 299-304.
[3]. Paul H. Kim, MD and Seth S. Leopold, MD. Gustilo-Anderson Classification Clin Orthop Relat Res. 2012 Nov; 470(11): 3270–3274.
[4]. T VELNAR, T BAILEY AND V SMRKOLJ .The Wound Healing Process: an Overview of the Cellular and Molecular Mechanisms.2009; 37: 1528 – 1542.
[5]. Amna Diwan ,Kyle R.Eberlin, Raymond Malcolm Smith. The principles and practice of open fracture care, 2018. Chinese Journal of Traumatology Volume 21, Issue 4, August 2018, Pages 187-192.

Abstract: Radicular cysts are inflammatory odontogenic cysts of tooth bearing areas of the jaw. The present case report documents a massive radicular cyst crossing the midline of the mandible from one side of mental foramen to another. Based on patient history, clinical, radiographic and histopathological findings the present case was diagnosed as a radicular cyst. The clinical characteristics of this cyst could be considered interesting and unusual, due to its giant nature. Owing to its clinical characteristics similar to other more commonly occurring lesions in the oral cavity, differential diagnosis should include dentigerous cyst, ameloblastoma, odontogenickeratocyst, periapicalcementoma and Pindborg tumour. Most of these lesions involve the apices of offending teeth and appear as well-defined radiolucencies. The lesion was surgically enucleated along with the retrograde filling of the associated tooth, without any postoperative complications..

Key words: Anterior mandible, odontogenic cyst, radicular cyst, surgical enucleation

[1]. Vinayakrishna, KolariRao, HT & Thomas, Taniya. Maxillary and mandibular unusually large radicular cyst: A rare case report. National Journal of Maxillofacial Surgery.2019;10(2). 270-273.
[2]. Singh C, Agarwal T, Gupta S. Surgical and supportive management of radicular cyst with palatal perforation: A case report. IJADS. 2017;3(2):224-227.
[3]. Kumar ND, Sherubin JE, Jose M, Swaminathan C. Surgical Management of Large Radicular Cyst in Mandible. Int J Dent Oral Health. 2017;3(2):1-5.
[4]. Bava FA, Umar D, Basheer B, Baroudi K. Bilateral radicular cyst in mandible: an unusual case report. Journal of international oral health: JIOH. 2015;7(2):61-63.

Abstract: The appearance of mandibular condyle varies greatly among different age groups and individuals. Morphologic changes of condyle occur due to developmental variations, remodelling, various diseases, trauma, endocrine disturbances and radiation therapy. Genetic, acquired, functional factors, age groups, individuals have a role in morphologic changes in shapes and sizes of condyle. This study comprised radiographic evaluation of 464 condylar heads in 232 digitalised OPGs taken for routine investigation in a scan centre. Trends occurring in the shapes were evaluated, and their distribution instudy population were identified.Of the four types identified (bird's beak, crooked finger, diamond and the oval), the oval shape is more frequently found and the crooked finger is less.

Key-words: Condylar Shape, Orthopantomographs,Tempromandibular Joint (TMJ),

[1]. Richard Ohrbach, Bruce Blasberg and Martin S. Greenberg. Temporomandibular Disorders. In: Burket's Oral Medicine.12th edition.Michael Glick. People's Medical Publishing House-USA. 2015. 263-308
[2]. Hegde S, Praveen BN, Shetty SR (2013) Morphological and Radiological Variations of Mandibular Condyles in Health and Diseases: A Systematic Review. Dentistry 3: 154.
[3]. Standring S (2005) Gray's anatomy the anatomical basis of clinical practice, (39thedn). Elsevier Ltd. 519- 530.
[4]. Alomar X, Medrano J, Cabratosa J, Clavero JA, Lorente M, et al. (2007) Anatomy of temporomanidular joint. Seminars in Ultrasound CT and MRI 28: 170-183.
[5]. Yale SH, Rosenberg HM, Ceballos M, Haupt-Fuehrer JD (1961) Laminagraphiccephalometry in the analysis of mandibular condyle morphology. A preliminary report. Oral Surg Oral Med Oral Path 14: 793-805

Abstract: Background: Basically, erectile dysfunction is an inability to get or keep an erection firm enough to have sexual intercourse. On the other hand, hypogonadism of male or testosterone deficiency is a failure of the testes to produce the male sex hormone testosterone, sperm, or both. Now a day both the disorders are considered to be associated with Types 2 Diabetes Mellitus. But we have a very few data regarding this issue. Aim of the study: The aim of this study was to determine the frequency of erectile dysfunction & hypogonadism status of the male patients with T2DM. Materials and Methods: This was a cross-sectional study and it was conducted among 168 newly detected T2DM male patients,.....

Key-words: Erectile Dysfunction, Hypogonadism, T2DM, SHBG.

[1]. Kahn SE, Hull RL, Utzschneider KM (2006). Mechanisms linking obesity to insulin resistance and type 2 diabetes. Nature; Vol 444:840.
[2]. International Diabetes Federation. IDF Diabetes Atlas. Epidemiology and Morbidity. International Diabetes Federation. Available from: http://www.idf.org/. Accessed on 2016 March 1.
[3]. Professor geoffreyhackett, erectile dysfunction, diabetes and cardiovascular risk, volume 16 issue 2 l april/May/june 2016. P- 53-57
[4]. Mohamed AbdelraoufKorani& Ahmed Sonbol(2018)Study of risk factors for erectile dysfunction in patients with type 2 diabetes mellitus: Correlation to serum testosterone level,Alexandria Journal of Medicine,54:4,319-321
[5]. Professor geoffreyhackett, erectile dysfunction, diabetes and cardiovascular risk, volume 16 issue 2 lapril/May/june 2016. P- 53-57
[6]. Basaria S. Male hypogonadism. The Lancet. 2014; 383(9924):1250-63. 3

Abstract: Background and Aims: Spinal anaesthesia enjoys being the most popular anaesthetic technique for lower abdominal surgeries. Levobupivacaine is an amide type of long acting local anaesthetic agent which is an S (-) enantiomer of bupivacaine. Dexmedetomidine is a new addition to the class of alpha-2 agonist which has got numerous beneficial effects. Dexmedetomidine has the advantage of a lack of opioid-related side effects like respiratory depression, pruritus, nausea, and vomiting. Considering the merits of levobupivacaine and dexmedetomidine, study was conducted to know the influence of dexmedetomidine added to levobupivacaine on the characteristics of subarachnoid......

Key-words: Levobupivacaine, dexmedetomidine, bromage scale, intrathecal, enantiomers

[1]. Shukla D, Verma A, Agarwal A, Pandey H. D, Tyagi C. Comparative study of intrathecal dexmedetomidine with intrathecal magnesium sulfate used as adjuvants to Bupivacaine. J Anaesthesiol Clin Pharmacol 2019;27:495-9.
[2]. Movafegh A, Razazian M, Hajimaohamadi F, Meysamie A. Dexamethasone added to lidocaine prolongs axillary brachial plexus blockade. Anesth Analg. 2006;102:263-7.
[3]. Pani N, Routray SS, Mishra D, Pradhan BK, Mohapatra BP, Swain D. A clinical comparison between 0.5% levobupivacaine and 0.5% levobupivacaine with Dexamethasone 8 mg combination in brachial plexus block by the supraclavicular approach. Indian J Anaesth 2017;61:302-7.
[4]. Gristwood RW , ―Cardiac and CNS toxicity of levobupivacaine strength of evidence for advantage over bupivacaine: strength of evidence for advantage over bupivacaine,‖ Drug Safety 2002;25:153–3.
[5]. Morrison SG, Dominguez JJ, Frascarolo P, Reiz S. A comparison of the electrocardiographic cardiotoxic effects of racemic bupivacaine, levobupivacaine, and ropivacaine in anesthetized swine. Anesthesia and Analgesia 2000;90:1308–14

Abstract: Background: there is a dearth of adolescent health care services in our country. Poor mental health literacy and stigma further deepens the mental health gap in patient reporting, diagnosis and treatment for this large, critically important and vulnerable demographic subset. Data to drive advocacy and provision of care necessary to bridge this gap is urgently needed. Aim: to determine the pattern of clinical presentation of mental health disorders among adolescent primary care attendees, the associated psychosocial factors and compare with the pattern in the community. Methodology: Cross sectional design using simple random sampling to recruit 251 respondents in the hospital and 679 in the community. The GAD2, PHQ2, PHQ-9(Q9) and CRAFFT-II were used with a customized questionnaire. P-value was set at 0.05......

Key-words: Adolescent, mental health disorder, abuse, silent presentation

[1]. Wille N, Bettge S., Ravens-Sieberer U. and the BELLA Study group. Risk and protective factors for children's and adolescents' mental health: results of the BELLA study. Eur Child Adolesc Psychiatry (Suppl 1) 17:133-147 (2008) D01 10.1007/s00787-008-1015-y
[2]. Holling H., Schlack R. Psychosocial risk and protective factors for mental health in childhood and adolescence – results from The German Health interview and Examination Survey for Children and Adolescents (KIGGS). 2008 Mar; 07(3):154-63, dol: 10.1055/s-2008-1062741
[3]. Tunde-Ayinmode M., Adegunloye O., Ayinmode B., Abiodun O. Psychiatric disorders in children attending a Nigerian primary care unit: functional impairment and risk factors. Child and Adolescent Psychiatry and Mental Health 2012, 6:28 htt://222.capmh.com/content/6/1/28.

Abstract: Résumé Le syndrome de Heerfordt-Waldenström (HWS)est une variante subaiguë rare de la sarcoïdose, caractérisée par une hypertrophie des glandes parotides, une paralysie du nerf facial, une uvéite antérieure, et la fièvre dans la forme complète. Lediagnosticest clinique,toutefois des granulomes épithélioïdes gigantocellulaires sans nécrose caséeuseavec un déficit lymphocytaire périphérique sont retrouvés dans l'anatomo-pathologiedes organes affectés. Ce syndrome est normalement auto-limitatif, avec une guérison obtenue entre 12 et 36 mois, mais certains cas prolongés ont été signalés. Le traitement dépend du degré d'atteinte systémique. Les corticostéroïdes oraux constituent le traitement de première ligne. Nous rapportons un cas de syndrome de Heerfordt-Waldenström dans sa forme complète, avec revu de la littérature.

[1]. C. Heerfordt, "Uber eine "Febrisuveoparotideasubchronica‟an der Glandulaparotis der Uvea des Auges lokalisiertundhaufigmit Paresencerebrospinaler Nerver kompliziert," Archives ofOphthalmology, vol. 70, pp. 254–273, 1909.
[2]. Denny MC, Fotino AD. The Heerfordt-Waldenström syndrome as an initial presentation of sarcoidosis. Proc (Bayl Univ Med Cent). 2013; 26:390-2.
[3]. P. Darlington, L. Tallstedt, L. Padyukov et al., "HLA-DRB1∗alleles and symptoms associated with Heerfordt‟s syndrome insarcoidosis," European Respiratory Journal, vol. 38, no. 5, pp.1151–1157, 2011.
[4]. Darlington P, Tallstedt L, Padyukov L, Kockum I, Cederlund K, Eklund A, et al. HLA-DRB1 alleles and symptoms associated with Heerfordt‟s syndrome in sarcoidosis. Eur Respir J. 2011; 38:1151-7.
[5]. Glocker FX, Seifert C, Lücking CH. Facial palsy in Heerfordt‟s syndrome: electrophysiological localization of the lesion. Muscle Nerve. 1999; 22:1279-82

Abstract: Objectives: To teach and assess communication skills to MD(PED) Post graduates and interns for counseling parents of critically ill children. Background: In this era of consumerism and single child norm, parental anxiety is very high whenever a child gets admitted to intensive care setting. It becomes mandatory to have effective communication skills amongst MD Postgraduate students and Interns. Our study aimed to teach and assess such skills. Methodology: This was a descriptive study done in August 2019 in the Pediatric Intensive Care Unit of Coimbatore Medical College Hospital, Coimbatore after obtaining consent from the Institutional Review Board. 10 MD (PED.....

Key-words: Counseling, communication skills, Kalamazoo Consensus Statement

[1]. Reliability of a modified Kalamazoo Consensus Statement Checklist for assessing the communication skills of multi-disciplinary clinicians in a simulated environment, Eleanor B et al, Patient education and counseling, Vol 96 (3), September, 2014.
[2]. Essential elements of communication in medical encounters: The Kalamazoo Consensus Statement, G. Makoul et al, Academic Medicine 2001, Vol 76(4)
[3]. A model for communication skills assessment across the undergraduate curriculum, E.A. Rider et al, Medical teacher, 2000

Abstract: Background: Medical education is continuously changing aiming to produce physicians who will be ethical and professional in their practice. However, we do not know about our future physicians, the recent medical graduates, what extent they are practicing medical ethics and professionalism in their daily life. The current study was conducted to assess the practice of medical ethics and professionalism of recent medical graduates in Internal Medicine Wards in Bangladesh. The findings of the study will help to enhance medical ethics and professionalism practice. Materials and Methods: In this qualitative research study, 31 recent medical graduates were included from Internal Medicine ward to observe practice......

Key-words: Medical education, Recent medical graduates, Medical ethics and professionalism

[1]. Bangladesh Medical and Dental Council. Curriculum for undergraduate medical education in Bangladesh—updated 2012. 2012. Available at: https://www.bmdc.org.bd/curriculum-2012.
[2]. Majumder MAA. Medical education in Bangladesh: Past successes, future challenges. Bangladesh Medical Journal. 2003. 32:37-39. Available at: https://www.academia.edu/205999/Medical_Education_in_Bangladesh_Past_Successes_Future_Challenges
[3]. Arshad S, Shirazi B, Masood Z, Muzaffar L. Daily follow up notes' accuracy according to SOAP (subjective, objective, assessment, plan) format. Khyber Med Univ J 2015; 7(2): 68-71. Available at: www.kmuj.kmu.edu.pk › article › download › pdf_55.
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