iosr-JDMS   Volume-21 ~ Issue-10 ~ Oct. 2022

Abstract: Pseudocyesis is a condition which is more commonly reported in a developing country. The patient with such a condition is commonly seen by obstetricians they report to them frequently with or without the clinical features of pregnancy but the doctor will not be able to have any confirmation of the presence of a foetus. The literature on delusions of pregnancy in schizophrenia is however scanty. We hereby present a case of delusion of pregnancy. The case highlights the possibility of delusion of pregnancy if a patient presents with features suggestive of pseudocyesis.

Key words: Pseudocyesis, Delusion of pregnancy, Schizophrenia, Phantom pregnancy.

[1]. Balhara YS, Yadav T, Kataria D. Pseudocyesis Versus Delusion of Pregnancy: Differential Diagnoses to be Kept in Mind. Indian Journal of Psychological Medicine. 2012;34(1):82.
[2]. Espiridion E D, Fleckenstein C, Boyle P, et al. (September 10, 2020) A Rare Case of Pseudocyesis in a Patient with Bipolar Disorder. Cureus
[3]. 12(9): e10352. DOI 10.7759/cureus.10352
[4]. Bera SC, Sarkar S. Delusion of Pregnancy: A Systematic Review of 84 Cases in the Literature. Indian Journal of Psychological Medicine. 2015 Apr;37(2):131–7.
[5]. Chatterjee SS, Nath N, Dasgupta G, Bhattacharyya K. Delusion of pregnancy and other pregnancy imicking conditions: Dissecting through differential diagnosis. Med J D Y Patil Univ2014; 7:369-72

Abstract: Introduction: Esophageal cancer (EC) is the eighth most common cancer worldwide and the sixth leading cause of death from cancer.The Radiation Therapy Oncology Group (RTOG) trial 85-01 established the superiority of concurrentchemoradiationtherapy(CCRT) compared with radiotherapy (RT) alone in esophageal cancer patients.Capecitabine is an example of a rationally designed 5-FU pro-drug intended to mimic the continuous infusion of 5-FU while avoiding the complications and inconvenience associated with IV drug administration.Unfortunately so far, no standard treatment modality has been established for inoperable EC in elderly patients.......

Key Word: Esophageal cancer, concurrent chemoradiation, elderly, oral capecitabine.

[1]. Komaki R, Cox JD. The Esophagus. In: Cox JD, AngKK,editors. Radiation oncology: rational technique, result. 8th edition. Philadelpia: Mosby; 2003.p.429-43.
[2]. Rice TW, Blackstone EH, Rusch VW. 7th edition AJCC Cancer Staging Manual: esophagus and gastro-esophagogastric junction. Ann SurgOncol 2010;17(7):1721-24.
[3]. Posner MC, Minsky BD, Ilson DH. Cancer of esophagus. In: Devita VT, Lawrence TS, Rosenberg SA, editors. Devita, Hellman and Rosenberg`s cancer: Principals and Practice of Oncology. 8thedition. Philadelpia, PA: Lippincott; 2008.p.994-1043.
[4]. Despande RK, Patil P, Sharma V, Mohanti BK. Cancer of the esophagus. In: Rath GK, Mohanti BK, editors.Text book of Radiation oncology Principle and practice. 1st edition. New Delhi: Reed; 2007.p.305-06.
[5]. Zhang Y. Epidemiology of esophageal cancer. World J Gastroenterol 2013; 19(34):5598-5606

Abstract: Leiomyoma is the most common of all uterine and pelvic tumors. The incidence of leiomyoma is 20% in the reproductive age group, and only 1-2% are found in the cervix [1].They can change the shape of the cer-vix or may lengthen it. A central cervical fibroid is usually either interstitial or sub mucous in origin and usually arises from supravaginal portion of the cervix so that it expands the cervix equally in all directions and can dis-place uterine vessels & ureters. On laparotomy it can be recognized at once, as it fills pelvis, with uterus on top of tumour like "The Lantern on the top of St. Pauls dome".

[1]. Bhatla N. Tumours of the corpus uteri. In: Jeffcoates Principles of Gynaecology. 5th ed. London: Arnold Publisher; 2001. pp. 470.
[2]. Suneja A, Taneja A, Guleria K, Yadav P, Agarwal N. Incarcerated procidentia due to cervical fibroid: An unusual presentation. Aust N Z J ObstetGynaecol. 2003;43:252-253.
[3]. Dutta DC. Benign lesions of the uterus. In: Textbook of Gynaecology including Contraception. 3rd ed. India: New Central Book Agency (p) Ltd; 2004. pp. 264.
[4]. Buttram VC Jr., Reiter RC. Uterine leiomyomata: etiology, symptomatology, and management. FertilSteril 1981;36:433 .
[5]. Basnet N, Banerjee B, Badani U, Tiwari A, Raina A, Pokharel H, Yadav P, Agrawal A, Chhetri S. An unusual presentation of huge cervical fibroid.Koirala Institute of Health sciences, Kathmandu University Medical Journal (2005) Vol. 3, No. 2, Issue 10, 173-174.

Abstract: Transverse deficiency is most common skeletal change on maxilla which may lead to serious health issues. This article aims to overview the palatal expansion modifications and describes the efforts to encourage the growth of the maxilla in transversal direction with different methods. Discussed are factors to be considered prior to expansion, as well as effects on maxillary complex, maxillary teeth, palatal vaults, nasal volume, pharyngeal airways and extraoral features. SARPE and MARPE as treatment modalities are well established, promoted important occlusal benefits, showed good success rate and has been considered as an alternative for adult patients.

Key Words: crossbite, rapid palatal expansion, SARPE, MARPE

[1]. Harrison JE, Ashby D. Orthodontic treatment for posterior crossbites. Cochrane Database Syst Rev 2001 (1): CD000979; PMID 11279699
[2]. Proffit WR, Fields HW, Larson B. Contemporary Orthodontics 6th Ed, Mosby, 2018
[3]. McNamara Jr, Lione R, Franchi L, Angelieri F, Cevidanes L, Darendeliler M. The role of rapid maxillary expansion in the promotion of oral and general health. Prognostic Orthodontic; 2015, 16(1)
[4]. Cenzato N, Nobili A, Maspero C. Prevalence of Dental Malocclusions in Different Geographical Areas: Scoping Review. Dent J (Basel). 2021 Oct; 9(10): 117. doi: 10.3390/ dj9100117
[5]. Chaconas SJ, Caputo AA. Observation of orthopedic force distribution produced by maxillary orthodontic appliances. Am J Orthod. 1982 ; 82: 492-501

Abstract: Background:The aim of the study was to compare the efficacy (duration and area of analgesia) in intraosseous anesthesia after infiltration of three different anesthetic solutions. Material and Methods: The object of the study were 36 clinically healthy patients with carious lesions on vital mandibular first or second molars, divided into 3 groups: 1st group-intraosseous infiltration of 0.9 mL 3% Mepivacaine (n = 12); 2nd group-0.9 mL 4% Articaine with 1: 200,000 Epinephrine (n = 12); 3rd group- 0.9 mL of 4% Articaine with 1: 100,000 Epinephrine (n = 12). All patients were anesthetized using the Quicksleeper system by following the manifacturer's protocol for performing mandibular intraosseous anesthesia. Pulp anesthesia of first and second molars, premolars and canines were evaluated with the Logipex 5 at 5 min intervals after.....

Key words: intraosseous anesthesia, Quicksleeper, duration of anesthesia

[1]. Jain SD, Carrico CK, Bermanis I, Rehil S. Intraosseous Anesthesia using Dynamic Navigation Technology. J Endod.2020 Dec; 46(12):1894-1900.
[2]. Sixou J, Marie-Cousin A, Huet A, Hingant B, Robert JC. Pain assessment by children and adolescents during intraosseous anaesthesia using a computerized system (QuickSleeper™). Int J Paediatr Dent. 2009 Sep; 19(5): 360-6.
[3]. Angelo Z, Polyvios C. Alternative practices of achieving anaesthesia for dental procedures: a review. J Dent Anesth Pain Med. 2018 Apr; 18(2):79-88.
[4]. Özer S, Yaltirik M, Kirli I, Yargic I. A comparative evaluation of pain and anxiety levels in 2 different anesthesia techniques: locoregional anesthesia using conventional syringe versus intraosseous anesthesia using a computer-controlled system (Quicksleeper). Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Nov; 114(5 Suppl): S132-9.
[5]. Sixou JL, Marie-Cousin A. Intraosseous anaesthesia in children with 4% articaine and epinephrine 1:400,000 using computer-assisted systems. Eur Arch Paediatr Dent. 2015 Dec; 16(6):477-81.

Abstract: Ekbom's syndrome is infestation of insects but here a delusion is seen where the patient believes that he has sand in his mouth which is not seen, but felt. Delusional parasitosis is characterised by a belief that the person is infested with insects in his body. Sometimes the patient may believe that his surroundings are infested with insects. Repeated treatments will not satisfy the patient. A 78 year old male, with no history of any underlying medical or neurological cause presented with complaints of having mud in his mouth which resulted in frequent visits to the orthodontist due to the same complaint and drastic measures to arrest the same. Atypical presentation of the disorder best suiting the diagnostic criteria of delusional disorder. Inter-disciplinary management approach for the same.

Key Word: Delusional Parasitosis, Delusion of infestation, Ekbom's Syndrome

[1]. Brownstone N, Howard J, Koo J. Management of delusions of parasitosis: an interview with experts in psychodermatology. Int J Womens Dermatol. 2022 Jul 8;8(3):e035. doi: 10.1097/JW9.0000000000000035. PMID: 35822193; PMCID: PMC9270601.
[2]. Reich A, Kwiatkowska D, Pacan P. Delusions of Parasitosis: An Update. Dermatol Ther (Heidelb). 2019 Dec;9(4):631-638. doi: 10.1007/s13555-019-00324-3. Epub 2019 Sep 13. PMID: 31520344; PMCID: PMC6828902.
[3]. Freudenmann, R.W. and Lepping, P., 2009. Delusional infestation. Clinical microbiology reviews, 22(4), pp.690-732
[4]. Lepping, P., Huber, M. and Freudenmann, R.W., 2015. How to approach delusional infestation. bmj, 350.
[5]. Hinkle NC. Ekbom syndrome: the challenge of "invisible bug" infestations. Annu Rev Entomol. 2010;55:77-94. doi: 10.1146/annurev.ento.54.110807.090514. PMID: 19961324.
[6]. Boggild, A.K., Nicks, B.A., Yen, L., Van Voorhis, W., McMullen, R., Buckner, F.S. and Liles, W.C., 2010. Delusional parasitosis: six-year experience with 23 consecutive cases at an academic medical center. International Journal of Infectious Diseases, 14(4), pp.e317-e321..

Abstract: Neonatal sepsis is the single most important cause for neonatal deaths in developing countries specially in preterm and Very low birth babies.If diagnosed early and treated it is possible to save most of the neonates but neonatal sepsis remains a diagnostic and therapeutic challenge for neonatal care giver.Sepsis is defined as SIRS(systemic inflammatory response syndrome) resulting from a suspected or proven infectious etiology.The clinical spectrum of sepsis begins when a systemic(eg.bacteremia.......

[1]. Kliegman.Nelson Textbook of Pediatrics,Part-8,Shock,21th edn.,Elsevier Publ:2020.vol(1):p-576.
[2]. Stoll BJ, Gordon T, Korones SB, et al. Late-onset sepsis in very low birth weight neonates: a report from the National Institute of Child Health and Human Development Neonatal Research Network. J Pediatr. 1996; 129:63–71.
[3]. Jaswal RS, Kaushal RK, Asha Goel, Kushla Pathania. Role of C-Reactive Protein in Deciding Duration of Antibiotic Therapy in Neonatal Septicemia. Indian Pediatrics 2003 Sept; 40: 880-3.
[4]. Hisamuddin E, Hisam A, Wahid S, Raza G. Validity of C-reactive protein (CRP) for diagnosis of neonatal sepsis. Pak J Med Sci 2015;31(3):527-531.
[5]. Niza Monga,Vyas N,Sharma B.Correlation of C-Reactive Protein and Blood Culture in Neonatal Sepsis.Indian Journal of Neonatal Medicine and Research. 2018 Jul, vol-6(3): PO05-PO08.

Abstract: Background: Root canal shaping is a crucial procedure in endodontic treatment that influences the subsequent steps of root canal disinfection and obturation. Each clinical situation is different and unique, but the final goal remains identical, which is to preserve the natural tooth functional, asymptomatic and achieve proper canal disinfection. Materials and Methods: Forty human permanent mandibular first molars were selected with mature apices having angles of curvature of the mesiobuccal canals ranging between 20° to 40° degrees from the buccal view. Samples were randomly and equally distributed......

Keywords: ONE CURVE, HyFlexEDM.

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