iosr-JDMS   Volume-20 ~ Issue-1 ~ January 2021

Abstract: The main objective of the study was to assess the fetal biophysical profile using ultrasound (U/S) among Pregnant Sudanese Women. A retrospective and descriptive study was conducted at Radiology department in Ad-Damazin Hospital , Ad-Damazin specialized Center– Ad-Damazin and Aldamazin specialized Ultrasound Clinic. Blue Nile state –Sudan, in the period from October 2015 to December 2020. . The study was conducted with 401 pregnant women using abdominal U/S. The study included 401 participants (168 males fetuses represent 41.9% and 233 females fetuses represent 58.1%) with gestational age ranged from 22 and 40 weeks. The study revealed that the 269 fetuses represent 67.1% had score 2 fetal body movement and 132 fetuses represent 32.9% had score 0.for fetal breathing 358 of fetuses represent 89.3% had score 2 and 43 represent 10.7% had score 0,.....

Key Words : Fetal Biophysical Profile, pregnancy, U/S, fetus, Fetal Breathing Movements, fetal tone, placenta grading..

[1]. Trish Chudleigh, Basky Thilaganathan, Obstetric Ultrasound, How, Why and When third edition, London new york oxford Philadelphia St Louis Sydney Toronto 2004 (p182)
[2]. Kuldeep Singh, Narendra Malhotra, Step by Step, Ultrasound in Obstetrics, Jaypee brothers medical publishers (P) LTD, New Delhi, India, First Edition: 2004
[3]. Enid Gilbert-Barness, Diane Debich-Spicer, Embryo, and Fetal Pathology, color atlas with ultrasound correlation, Cambridge University Press, New York, 2004 p .84
[4]. Asim Kurjak, Frank A Chervenak, Donald School Textbook of Ultrasound in Obstetrics and Gynecology, Jaypee brothers, medical publishers (P) LTD. New Delhi, First Edition 2003
[5]. Randy E. Moore A primer of Basic Obstetrics Images/ at http://www.ultrasonix.com/application/musculoskeletal.

Abstract: Background:Renal parenchymal disease is one of the most common pathologies that affect 12 to 14 percent of the general population annually, that makes studies that aids effective diagnosis a necessity; as the analysis of texture parameters is a useful way of increasing the information obtainable from medical images, hence it has been chosen by the researcher to study renal parenchymal diseases baring in mind there is only few previous studies considered the method . Materials and Methods: In this retrospective case series study, 400 computed tomography renal images of normal renal parenchyma individuals, cyst affected group and follow up renal cell carcinoma patients; the data afterwords processed using Interactive......

Keywords- texture analysis; renal cell carcinoma; renal cyst; computed tomography; CT

[1]. M. Riccabona, c. J. Mache, a. Dell'acqua, Renal Parenchymal Disease Berlin Heidelberg, e. Ring (2001). Springer-Verlag, P (1)
[2]. G. Castellano*, L. Bonilha, L.M. Li, F.. Texture analysis of medical images, State University of Campinas Cendes (2004) ; (UNICAMP), 13081-970 Campinas SP Elsevier Ltd.
[3]. Centers for Disease Control and Prevention. Age-adjusted prevalence of CK Stages 1-4 by Race/Ethnicity 1999-2012. Chronic Kidney Disease (CKD) Surveillance Project website. https://nccd.cdc.gov
[4]. Schieda et al. Diagnosis of Sarcomatoid Renal Cell Carcinoma With CT: Evaluation by Qualitative Imaging Features and Texture Analysis. AJR 2015; 204:1013–1023
[5]. Y. Deng et. Al. usefulness of CT texture analysis in differentiating benign and malignant renal tumours. Science direct. 2020; 2: 108-115.

Abstract: Introduction: Rectourethral fistula (RUF) is a rare and debilitating condition. Spontaneous closure is rarely effective, and appropriate management regarding the timing of repair and surgical approach remains debateable. This paper presents a case of a 14 year old mentally challenged male patient suffering over 6 months from RUF and advised surgery, but reluctant to undergo. Material & Methods: This is case study method. Considering the patient's morbid condition, as an alternative the author who is a senior YPV healer started healing treatment using advanced YPV protocols to improve and cure his RUF condition......

Keywords: Urinary Fistula, Rectourethrorectal fistula, Pneumaturia, Faecaluria, Pelvic collection, Urinary infection

[1]. Constantinos Nastos, Ira Sotirova, Athanasios Papatsoris, Andreas Skolarikos, Ioannis Papaconstantinou, and Athanasios Dellis, Unusual Case of Urethrorectal Fistula in Adolescence in a Patient with a History of Congenital Anorectal Malformation. Journal of Endourology, Case Reports. 2016; 2(1): 24–26.
[2]. Hechenbleikner EM, Buckley JC, Wick EC. Acquired Rectourethral fistulas in adults: a systematic review of surgical repair techniques and outcomes. Dis Colon Rectum. 2013 Mar; 56(3):374-83. doi: 10.1097/DCR.0b013e318274dc87. PMID: 23392154.
[3]. Inama M, Moretto G (2017) Treatment of Recto – Urethral Fistula: State of the Art in Brief. Urol Nephrol Open Access .2017; 5(2): 00165. DOI: 10.15406/unoaj.2017.05.00165.
[4]. Ji Hye Choi, Byeong Geon Jeon, Sang-Gi Choi, Eon Chul Han, Heon-Kyun Ha, Heung-Kwon Oh, Eun Kyung Choe, Sang Hui Moon, Seung-Bum Ryoo, Kyu Joo Park. Rectourethral Fistula: Systemic Review of and Experiences with Various Surgical Treatment Methods. Ann Coloproctol 2014; 30(1):35-41.
[5]. Krishnan Venkatesan Evangelos Zacharakis Daniela E .AndrichAnthony R.Mundy Conservative Management of Urorectal Fistulae. https://doi.org/10.1016/j.urology.2012.10.040...

Abstract: Success of fixed prosthesis depends on accuracy of the impression. Marginal integrity plays a key role in prognosis of restoration. For this adequate exposure of the finish line is a must. The goal of gingival retraction is to atraumatically displace gingival tissues to allow access for the impression material to record the finish line and provide sufficient thickness of gingival sulcus so that the impression does not tear off during removal. This article describes some recent advances in the field of gingival retraction.

Key Word: gingival rétraction, Expasyl, Stay put, G cuff.

[1]. Fero KJ, Morgano SM, Driscoll CF. the Glossary of Prosthodontic Terms: GPT-9. J Prosthet Dent. 2017;117(5 Suppl):e1-105.
[2]. D'Costa VF, Bangera MK. Advancements in Gingival Retraction Techniques in Restorative Dentistry.
[3]. Lesage P. Expasyl: protocol for use with fixed prosthodontics. Clinic. 2002;23:97-103.
[4]. Singh AA, Rao BK, Gujjari AK. Evaluation of gingival displacement using foam cord and retraction cord: An in vivo study. Journal of International Oral Health. 2019 Jan 1;11(1):8.
[5]. Online article https://ap.coltene.com/pim/DOC/BRO/docbro9185-uk-11-11-magicfoamcordsenaindv1.pdf

Abstract: Aim: The aim of the study was to analysis the following factors.
1.To study the epidemiological aspects of Helicobacter pylori infection patients
undergoing upper gastrointestinal endoscopy.
2.To study the epidemiological aspects of Helicobacter pylori infection.
3.It's association with specific symptomatology.
4.It's association with various gastro duodenal disorders.
Methods: The study was conducted on 100 consecutive......

Keywords: Gastroduodenitis, Oesophagitis, Helicobacter pylori ,Rapid urease test

[1]. Befrits R. et al. H. pylori in 205 consecutive endoscopy patients Scand-J-Infect-Dis. 1993 ; 25(2) ; 185-91
[2]. Banatvala N., Feldman R., The epidemiology of H. pylori : missing pieces in a jigsaw. Commun Dis Rep Rev. 1993 Mar 26 ; 3(4) ;
[3]. Brown KE., Peura DA., Diagnosis of H.pylori infection. Gastroenterol Clin North Am 1993 Mar ; 22 (1) ; 105-15
[4]. Blaser MJ., H.Pylori : microbiology of a 'slow' bacterial infection Trends Microbiol. 1993 Oct ; 1 (7) ; 255-60
[5]. Bell GD ; Reinfection or recrudescence after apparently successful eradication of H.pylori infection ; implications for treatment of patients with duodenal ulcer disease Q-J-Med 1993 Jun ; 86(6) ; 375-82

Abstract: Background: Vaginal hysterectomy is a challenging surgical technique due to difficulties occurring while operating in the narrow surgical field particularly the ability to access and to ligate pedicles. Surgical hemostasis can be secured by mechanical or electrosurgical method. BiClamp method is hemostatic system based on the combination of pressure and bipolar electrical energy and seals vessels up to 7 mm in diameter. The aim of the study is to compare the operating time, perioperative blood loss, intraoperative and post-operative complications and duration of hospital stay in patients undergoing vaginal hysterectomy by BiClamp versus clamping and suturing technique......

Keywords: vaginal hysterectomy; BiClamp; conventional suture technique; intraoperative blood loss; operating time; hospital stay; postoperative pain

[1]. Flory N, Bissonnette F, Binik YM. Psychosocial effects of hysterectomy: literature review. J Psychosom Res 2005;59:117–29.
[2]. Van den Eeden SK, Glasser M, Mathias SD, Colwell HH, Pasta DJ,Kunz K. Quality of life, health care utilization, and costs among women undergoing hysterectomy in a managed-care setting. Am J Obstet Gynecol 1998;178:91–100.
[3]. AAGL Position Statement: route of hysterectomy to treat benign uterine disease. J Minim Invasive Gynecol. 18 (2011), 1-3.
[4]. Choosing the route of hysterectomy for benign disease. American College of Gynecology. Committee Opinion. 2009; 444. Available online from: http://www.acog.org/-/media/Committee-Opinions/Committee-on Gynecologic Practice/co444.pdf?dmc=1&ts=20150729T1722042560. Last accessed December 2016.
[5]. Kovac SR. Clinical opinion: guidelines for hysterectomy. Am J Obstet Gynecol. 2004; 191(2): 635-40.

Abstract: Background: Supraclavicular block is usually conducted on brachial plexus block to facilitate surgical anesthesia in most of upper limb surgeries. The assessment of success of peripheral nerve blocks is time consuming and subjective in nature like evaluation of motor and sensory functions. There are some objective methods as well but are time and resource consuming. Owing to these facts, the present study has researched on the use of perfusion index (PI) for assessment of ultrasound guided supraclavicular block. Materials and Methods: 52 patients between 18 years and 65 years of age, ASA grade 1 and grade 2 physical status undergoing upper limb orthopaedic surgeries.....

[1]. Karaman T, Karaman S, Aşçı M, Tapar H, Şahin A, Dogru S. Comparison of Ultrasound -Guided Supraclavicular and Interscalene Brachial Plexus Blocks in Postoperative Pain Management After Arthroscopic Shoulder Surgery. Pain Pract. 2019;19(2):196-203. doi:10.1111/papr.12733
[2]. Bendtsen TF, Lopez AM, Vandepitte C. Ultrasound-Guided Supraclavicular Brachial Plexus Block. NYSORA Nerve Blocks APP. https://www.nysora.com/regional-anesthesia-for-specific-surgical-procedures/upper-extremity-regional-anesthesia-for-specific-surgical-procedures/anesthesia-and-analgesia-for-elbow-and-forearm-procedures/ultrasound-guided-supraclavicular-brachial-plexus-bl. Published 2020.
[3]. Franco CD, Vieira ZE. 1,001 subclavian perivascular brachial plexus blocks: success with a nerve stimulator. Reg Anesth Pain Med. 2000;25(1):41-46. doi:10.1016/s1098-7339(00)80009-7
[4]. Ghodki PS, Singh ND. Incidence of hemidiaphragmatic paresis after peripheral nerve stimulator versus ultrasound guided interscalene brachial plexus block. J Anaesthesiol Clin Pharmacol. 2016;32(2):177-181. doi:10.4103/0970-9185.168263
[5]. Koh WU, Kim HJ, Park HS, Choi WJ, Yang HS, Ro YJ. A randomised controlled trial comparing continuous supraclavicular and interscalene brachial plexus blockade for open rotator cuff surgery. Anaesthesia. 2016;71(6):692-699. doi:10.1111/anae.13419.

Abstract: Background: Parastomal hernia (PSH) is a very frequent complication after creation of a permanent colostomy. A parastomal hernia may be regarded as an incisional hernia related to an abdominal wall stoma. From the recent investigations, it is learnt that the development of hernia is not a single event rather involving multifactorial process linking an evolutionary anatomical weakness, predisposed defects, and increased abdominal pressure. It has been suggested that placing a mesh during the primary operation may reduce the rate of parastomal hernia. The aim of our study was to determine if parastomal herniation is prevented by the prophylactic placement during......

Key word: Parastomal hernia, Mesh, Abdominal wall stoma, Colostomy

[1]. Carne PWRobertson GMFrizelle FA Parastomal hernia. Br J Surg 2003;90: 784- 93.
[2]. Sjodahl RAnderberg BBolin T Parastomal hernia in relation to site of the abdominal stoma. Br J Surg 1988;75: 339- 41.
[3]. Eldrup JWied UBishoff NMoller-Pedersen V Parakolostomihernier: incidens og relation till stomiens placering. Ugeskr Laeger 1982;144: 3742- 43.
[4]. Martin LFoster G Parastomal hernia. Ann R Coll Surg Engl 1996;7881- 84 PubMedGoogle Scholar
[5]. Rubin MSSchoetz DJ JrMatthews JB Parastomal hernia: is stoma relocation superior to fascial repair? Arch Surg 1994;129: 413- 18..

Abstract: Aim: This in-vitro study investigated the effect of surface treatment and preparation design on fracture resistance of zirconia laminate veneers. Materials and methods: Two natural teeth prepared with 2 designs (L, C) and the corresponding two dies were used to fabricate twenty-eight fiber reinforced resin abutment (14 for each design). Twenty-eight laminate veneers milled from KATANA UTML to corresponding abutment. Each main group was subdivided into 2 equal subgroups (n=7) according to type of surface treatment (LS, LF, CS, CF). All veneers were cemented, thermocycled and universal testing machine was used to access fracture resistance. Results: Kruskal Wallis test showed.....

Keywords: Monolithic translucent zirconia, laminate veneers, fracture resistance

[1]. Tirlet G, Crescenzo H, Crescenzo D, Bazos P. Ceramic adhesive restorations and biomimetic dentistry. Int J Esthet Dent. 2014; 9:354-369.
[2]. Fradeani M, Redemagni M, Corrado M. Porcelain laminate veneers: 6 to 12-year clinical evaluation. Int J Periodontics Restorative Dent. 2005; 25:9-17.
[3]. Gold stein M B. No-prep/minimal-prep: the perils of over simplification. Dent today. 2007; 26:36.
[4]. Aboushdib, M.N., Kleverlaan, C.J. and Feilzer, A.J. Micro tensile bond strength of different components of core veneered all ceramic restorations. J Prosthodont. 2008; 17:9-13.
[5]. Sarmento H R,Campos F, Sousa R S, Machado J P B, Bottino M A. Influence of air particle deposition protocols on the surface topography and adhesion of resin cement to zirconia. Acta Odontol Scand. 2013; 72:346-353...

Abstract: Brain metastasis are the most common intracranial malignancy in the adult population. Their incidence has increased dramatically over the last 20 years, as a result of the increasing number of cases stemming from lung and breast cancer together with the higher cancer survival rates due to diagnostic and therapeutic advances. More than 40% of cancer patients develop brain metastases during the course of their disease, they appear in 50% of patients with lung cancer, more than 25% of patients with breast cancer and 20% of patients with melanoma. Diagnosis is made using different imaging approaches, such as computed tomography and magnetic resonance imaging, accompanied by clinical manifestations and a history of malignancy supporting the diagnosis of a brain metastasis. Fortunately, our understanding of the biology and molecular underpinnings of brain metastases has greatly improved, resulting in more sophisticated prognostic models and multiple patient-related and disease-specific treatment paradigms. In addition, the therapeutic has expanded from whole-brain radiotherapy and surgery to include stereotactic......

Keywords: Brain metastases, whole-brain radiation therapy, stereotactic radio surgery, graded prognostic assessment

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