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

Abstract: Breast cancer a devastating illness for tens of thousands of women around the world. Most common non-skin cancer in women worldwide with an estimated 1.68 million new cases, breast cancer make it a leading cause of death in women aged 35 to 55 years. Accounts for 23% of all cancers in women and responsible for 20% of cancer related death in women. In India, it is the most common cancer reported from urban cancer registries, for about 30% of all cancers in females. Triple-negative breast cancer (TNBC) is defined by the lack of expression of estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor 2 (Her2neu) expression and associated with aggressive clinical course and poor prognosis.Patients with TNBC derive no benefit from molecularly targeted treatments such as endocrine therapy or trastuzumab, because they lack the appropriate targets for these....

[1]. Clive peedell concise clinical oncology-Ist edition, page No. 144
[2]. Guinee VF: epidemiology of breast cancer in Blind KI, Copeland EM, (III edition) the breast: Comprehensive management of Benign and Malignant disease. Philadelphia WB Saunder 1998 P 339
[3]. Jemal A, Murray et al Cancer statistics 2003, CA Cancer Journal Clin. 53:5, 2003
[4]. Cancer Incidences in Rural Delhi - 2004-05. Asian Pacific Journal of Cancer Prevention. 2010;11(1):73–8.
[5]. Chopra R. The Indian Scene. J ClinOncol. 2001 Sep 15;19(suppl_1):106s–111..

Abstract: Keywords: Shear bond strength, Bioactive restorative material, Occlusal dentin, Thermocycling. Purpose: to evaluate theshear bond strength of differentbioactive restorations (Fuji IX GPglass-ionomer, Beautifill II Giomer and ACTIVA TMBIOACTIVE ) to occlusal sound dentin . Materials&Methods: sixty freshly extracted sound human molars were selected from diabetic patients aged 45-55 years. The occlusal enamel is removed to expose the occlusaldentin,The prepared specimens were randomly divided into three groups according to the type of applied restorative bioactive material (n=20 each):Each group received a cylinder....

[1]. Dubey A, Avinash A, Bhat SS, Baliga MS: Twinkling stars: literature review on dental whitening inchildren.IndianJ Dent Res Rev. 2012;8:683–693
[2]. Inoue G, Nikaido T, Foxton RM, Tagami J . The acid-base resistant zone in three dentin bonding systems. Dent Mater 2009;28:717–21.
[3]. Dionysopoulos D, Papadopoulos C, Koliniotou- Koumpia E. The evaluation of various restoration techniques on internal adaptation of composites in class V cavities. Int J Biomater .2014; 14:148-157.
[4]. Chen L, Shen H, Suh BI. "Bioactive dental restorative materials: a review". Am J Dent. 2013 ; 26:219-27.
[5]. Asmussen E, Peutzfeldt A. Long-term fluoride release from a glass ionomer cement, a compomer, and from experimental resin composites. ActaOdontal Scand. 2002;60:93-97.

Abstract: Background: Hemothorax is defined as a bleeding into the pleural cavity. Most of the hemothorax result from chest trauma. About 60% of polytraumas are associated with thoracic trauma and hemothorax is one of the most common pathologies encountered. There has been advances in critical care and trauma management, still chest trauma continues to be a major source of morbidity, mortality and hospitalization. Aims and Objective: To determine proportion of hemothorax according to age, gender and mechanism of trauma and to assess the outcome....

Key words: hemothorax, blunt thoracic trauma, tube thoracostomy

[1]. Narayanan R, Kumar S, Gupta A, Bansal VK, Sagar S, Singhal M, et al. An Analysis of Presentation, Pattern and Outcome of Chest Trauma Patients at an Urban Level 1 Trauma Center. Indian J Surg. 2018;80(1):36–41.
[2]. Sharma P, Jhanwar A, Sharma D, Sharma S. Blunt trauma chest: our experience at rural tertiary care centre. Int Surg J. 2016;3(1):261–5.
[3]. Saaiq M, Shah SA. Thoracic trauma: Presentation and management outcome. J Coll Physicians Surg Pakistan. 2008;18(4):230–3.
[4]. Ahmed Z, Mohyuddin Z. Management of flail chest injury: Internal fixation versus endotracheal intubation and ventilation. J Thorac Cardiovasc Surg. 1995;110(6):1676–80.
[5]. Chad GB, Jason, Lord, Kevin BL, Scott G. Chest tube complications: how well are we training our residents? Can J Surg. 2007;50(6):450–8.

Abstract: Uterine arteriovenous malformation (AVM) or enhanced myometrial vascularity is a rare, life threatening cause of abnormal uterine bleeding.It can be congenital or acquired. Uterine AVM typically presents with abnormal uterine bleeding. An AVM is suspected when an abnormal uterine bleeding is followed by post cesarean section, miscarriage, dilatation and curettage. Diagnosis is made by imaging studies such as transvaginal sonography(TVS) with doppler or Magnetic resonance imaging (MRI) pelvis with or without angiography or digital subtraction angiography(DSA). Treatment modality can be conservative or uterine artery embolization or hysterectomy. Here we report a case series of 8 cases,most of them presented with abnormal uterine bleeding and their various treatment modalities.

Keywords: uterine arteriovenous malformation, transvaginal sonography, conservative,uterine artery embolization.

[1]. Thangamma Katimada Annaiah ,Sreejith Kodakkattil Sreenivasan, uterine arteriovenous malformation clinical implication 2015;17:243-50.
[2]. Divya Sidhar and Robert.L-Diagnosis and treatment of uterine and pelvic arteriovenous malformation, volume 17 North January 2018.
[3]. Syed Amir Gilani, Raham Bacha, Iqra Manzoor -Sonographic presentation of uterine arteriovenous malformation journal of noninvasive vascular investigation March 3,2020..

Abstract: La gravité des fractures du cotyle est souvent occultée de par leurs complications chirurgicales car ce type de traumatisme touche une articulation profonde et portante. Les études du diagnostic démontrent que même en se basant sur l'analyse exacte des contrôles radiologiques standardisés de la hanche atteinte, elles sont, la plupart du temps insuffisantes.D'où l'utilité au recours à la tomodensitométrie afin de pouvoir avoir une analyse quintessentielle. Le traitement reste toutefois controversé, que ce soit d'un point de vue orthopédique ou chirurgical. Les indications, quant à elles, reposent sur de nombreux facteurs. Nous tenterons de démontrer, à travers notre étude, l'évolution de la prise en charge chirurgicale des fractures du cotyle, en se basant sur la littérature, tout en la comparant avec notre humble expérience du service de traumatologie orthopédie (B4) du CHU Hassan II de Fès.

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[2]. R.I. Qadir, S.I. BukhariOutcome of operative treatment of acetabular fractures: short term follow-up J Ayub Med Coll Abbottabad, 27 (2) (2015), pp. 287-291
[3]. Judet R, Judet J, Letournel E. Fractures of the acetabulum: Classification and surgical approaches for open reduction. Preliminary report. J Bone Joint Surg Am. 1964;46:1615–46.
[4]. Matta JM, Mehne DK, Roffi R. Fractures of the acetabulum early results of prospective study. Clin Orthop. 1986;205:241–250.
[5]. Mears DC, Velyvis JH, Chang CP. Displaced acetabular fractures managed operatively: indicators of outcome. Clin Orthop Relat Res. 2003;407:173–186.

Abstract: Aims and Objectives To determine the effect on mode of delivery and fetal outcome in meconium stained liquor . Materials and Methods This is a retrospective study conducted from July 2019 to December 2019 on patients admitted to Labour room, VGH. Out of 2340 deliveries 267 patients who met the inclusion criteria were enrolled in our study.The data was collected in a pre-designed proforma. Results Out of 267 cases 80 patients (29.9%) had grade 1 meconium stained liquor, 125patients(46.8%) had grade 2 meconium stained liquor and 62 patients(23%) had....

Keywords Meconium stained amniotic fluid, Meconium aspiration syndrome, APGAR SCORE, Caesarean section rate, Birth asphyxia.

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Abstract: Perforation of gut is one of a common surgical emergency encountered in clinical practice. Patients with gastric / duodenal perforations presents with severe peritonitis and septicemia. Upper GI perforations need immediate repair mostly by Omental patch closure. Following surgical repair of the perforation patients will be observed postoperatively regarding the improvement of vitals and return of normal bowel movements and improvements in biochemical parameters for planning of introduction of oral feeds. Previously it is considered that introduction of oral feeds may prolong the duration of naso gastric aspirations and may interfere with the healing of perforation site and also may lead to prolongation of post operative ileus.....

[1]. Lee HS, Shim H, Jang JY, et al. Early feeding is feasible after emergency gastrointestinal surgery. Yonsei Med J. 2014;55:395–400.
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Abstract: Aim:This is a retrospective study done to evaluate the efficacy of cyclocryotherapy in the management of cases with very high intraocular pressure. Key words: Absolute glaucoma,neovascular glaucoma,ciliary body,intraocular pressure,cyclocryotherapy. Results: It was observed in our study that intraocular tension, pain,redness of eyes and watering were reduced in 90% of cases Conclusion: Cyclocryotherapy is very effective in cases of glaucoma that do not respond to other medical and surgical procedures.

[1]. Stallands eye surgery 6th edition page 349.
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Abstract: Aim: to determine the type and frequency of the cysts and tumors in the oral cavity and to assess their sex, age and site distribution. Materials and Methods: A Retrospective study was conducted in the Department of maxillofacial Surgery , Narayan Medical College and Hospital ,Sasaram,Bihar,India for 1 year. Total 55 patients who have sustained cysts and tumors were included in this study. The categories of age, sex and site with its frequency, which were documented in the department of oral medicine and radiology. Results: The study group consists of total 55 patients which were categorized underage, sex, and site of which 22(40%) patients were females and 33(60%) patients were males. A Radicular cyst which was more common among all the cyst in the study shows more prevalence for males i.e. 15 patients (75%) than females i.e. 5 patients (25%) and the Dentigerous cyst (66.67%), residual cyst (100%) and lateral periodontal cyst (100%) shows more prevalence in males than females whereas nasolabial cyst (100%) and the mucocele (62.5%) which is the pseudocyst shows female predilection.....

Keywords: Cysts, Tumors, Oral cavity, Frequency distribution, Odontogenic, Pseudo-cyst

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[3]. Ramachandra Sujatha., et al. "Prevalence of odontogenic cysts and tumors: A retrospective clinico-pathological study of 204 cases". SRM Journal of Research in Dental Sciences 5.3 (2014): 170-173.
[4]. Aroquiadasse Monika., et al. "A Retrospective Study of Cysts and Tumors of the Oral Cavity". Journal of Indian Academy of Oral Medicine and Radiology 29.1 (2017): 2-6.
[5]. Niranjan KC and Shaik Z. "Clinicopathological correlation of odontogenic cysts and tumours in a South Indian population over a 20-year period". International Journal of Dental Research 2.2 (2014): 32-36..