iosr-JDMS   Volume-22 ~ Issue-10 ~ October 2023

Abstract: Introduction: Atrial Septal defect are the third common type of congenital heart disease. The risk of development of pulmonary vascular disease, a potentially lethal complication, is higher in female patients and in older adults with untreated defects. ASD with severe pulmonary hypertension pregnancy is contraindicated because morbidity and mortality is more and sometimes fetal complication is more, even intrauterine fetal death occurs.......

Keywords- Atrial septal defect (ASD), pulmonary hypertension, pregnancy outcome, interatrial septum

[1]. Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol 2002: 39: 1890 900.
[2]. Botto LD Correa A, Ericson JD. Racial and temporal variations in the prevalence of heart defects. Pediatrics 2001; 107:E32.
[3]. Strauss RM, Ferguson AD, Rittey CD, Cork MJ. Microcephaly lymphedema chorioretinal dysplasia syndrome associated with
atrial septal defect. Pediatr Dermatol 2005; 22:373 74.
[4]. Yoshihara K. Ozawa T, Sakuragawa H. et.al. (Noonan syndrome associated with atrial septal defect, pulmonary stenosis and
completely unroofed coronary sinus without LSVC: a case report). Kyobu Geka 1999; 52: 134 37.
[5]. Cuningham ET Jr , Eliot D. Miller NR, Maumenee IH, Green WR. Familiar Axenfeld Rieger anomaly, atrial septal defect, and
sensorineural hearing loss: a possible new genetic syndrome. Arch Ophthalmol 1998; 116:78 82.

Abstract: Laurence Moon Bardet Beidl Syndrome (LMBBS) is a rare autosomal recessive disorder which involves multiple organs in the body. It is common in children born out of consanguineous marriages and both sexes are equally affected. The main features of this syndrome include progressive cone rod dystrophy, nystagmus, obesity , polydactyly, mental retardation, learning disabilities, speech disorders, developmental delay, renal abnormalities, polyuria/polydypsia, hypogenitalism, hypospadias, ataxia and poor motor coordination. Here we present a case report of a 32 year old male with complaints of marked diminution of vision in both eyes since more than 20 years and other features suggestive of LMBBS..

Keywords:Retinitis Pigmentosa, Mental ret ardation, Obesity, Polydactyly, Hypospadias
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[1]. Khan PA , Nishaat J , Noor S , Fatima N . Laurence Moon Bardet Biedl Syndrome : A Rare Case Repor t In A Tertiary Care Teaching
Hospital, Hyderabad , Telangana , India . Int J Med Public Health . 2017 Jan 1;7(1):68 71.
[2]. Katsanis N , Lupski JR , Beales PL . Exploring The Molecular Basis Of Bardet Biedl Syndrome. Human Molecular Genetics. 2001
Oct 1;10(20):2293 9.
[3]. Forsythe E , Beales PL . Bardet Biedl Syndrome. European Journal Of Human Genetics. 2013 Jan ;21(1):8 13.
[4]. Hooda AK , Karan SC , Bishnoi JS , Nandwani A , Sinha T . Renal Transplant In A Child With Bardet Biedl Syndro me: A Rare Cause
Of End Stage Renal Disease. Indian Journal Of Nephrology . 2009 Jul ;19(3):
[5]. Tariq Q , Ayub ARN , Mehmooda A . Laurence Moon Bardet ) Biedl Syndrome , JK Practioner 2003;10(3):217 218, Vol . 10 No . 3,
July Sept 2003..

Abstract: OBJECTIVE: To investigate the patterns of fractures involving the vertical parts of mandible and assess strategies employed in the treatment to improve clinical outc omes. MATERIALS AND METHODS: Ninety consecutive patients involving fracture in the vertical part of mandible were managed as per a devised protocol. The etiological factors, anatomical location, fracture patterns, associated injuries and management, includ.........

Key words: Management Protocol, Ramus Fractures, Verticle Mandi bular Fractures, Retromandibula Incision.

[1]. Turvey TA. Midfacial fractures: a retrospective analysis of 593 cases. J Oral Surg. 1977;35:887-91.
[2]. Fridrich KL, Pena-Velasco G, Olson RA. Changing trends with mandibular fractures: a review of 1,067 cases. J Oral Maxillofac Surg. 1992;50:586-9.
[3]. Cienfuegos R, Cornelius CP, Ellis, Kushner G. CMF Mandible – Diagnosis - AO Surgery reference. 3rd ed. AO Foundation.
[4]. Moon H. Mechanical appliances for treatment of fracture of the jaws. Br J Dent Sci. 1874;17:303.
[5]. Widmark G. Facial symmetry after closed and open treatment of fractures of the mandibular condylar process. J Oral Maxillofac Surg. 2000;58:729.

Abstract: Papilledema refers to swelling of the optic discs secondary to increased intracranial pressure, and occurs when axonal transport is interrupted at the optic disc head.1 Papilledema evaluation in a child is a common, but often stressful endeavor for the patient, parents, and ophthalmologist alike, although it is rare in pediatric population.2 Papilledema is not very common in pediatric age group and if at all it is detected, it should be managed energetically to prevent vision threatening complications like optic atrophy. Papilledema, or optic disc swelling due to elevated intracranial pressure (ICP), can represent a harbinger of life-threatening etiologies such as intracranial mass.....

[1]. Kovarik JJ, Doshi PN, Collinge JE, Plager DA. Outcome Of Pediatric Patients Referred For Papilledema. J AAPOS. 2015;19:344–8.
[2]. Brodsky MC, Baker RS, Hamed LM. The Swollen Optic Disc In Childhood In: Pediatric Neuro-Ophthalmology. New York; 1996:76–124.
[3]. A K Agarwal Et Al : Papilloedema : Journal, Indian Academy Of Clinical Medicine, Vol. 1, No 3; Octoberdecember 2000
[4]. Dessardo NS, Dessardo S, Sasso A, Sarunic AV, Dezulovic MS. Pediatric Idiopathic Intracranial Hypertension: Clinical And Demographic Features. Coll Antropol. 2010 Apr. 34 Suppl 2:217-21.
[5]. Jindal M, Hiam L, Raman A, Rejali D. Idiopathic Intracranial Hypertension In Otolaryngology. Eur Arch Otorhinolaryngol. 2009 Jun. 266(6):803-6..

Abstract: Objectives The aim of this survey is to understand perceptions of Covid-19 vaccination by patients suffering from Inflammatory rheumatic diseases, and to determine the factors influencing the intention to vaccinate against Covid-19. Methods This cross-sectional study is based on a phone survey with anonymous data collection. It included consecutively adult Moroccan patients (aged more than 18 years) suffering from Inflammatory rheumatic diseases (IRD): Rheumatoid Arthritis (RA), spondyloarthropathy and undifferentiated IRD....

Key words: Covid-19, vaccination, perceptions, Inflammatory Rheumatic Disease

[1]. Cucinotta D, Vanelli M. WHO Declares COVID-19 A Pandemic. Acta Biomed. 2020;91(1):157‐160.
[2]. Romer, D.; Jamieson, K.H. Conspiracy Theories As Barriers To Controlling The Spread Of COVID-19 In The US. Soc. Sci. Med. 2020, 263, 113356.
[3]. Ball, P.; Maxmen, A. The Epic Battle Against Coronavirus Misinformation And Conspiracy Theories. Nature 2020, 581, 371–374.
[4]. Bertin, P., Nera, K., & Delouvée, S. (2020). Conspiracy Beliefs, Rejection Of Vaccination, And Support For Hydroxychloroquine: A Conceptual Replication-Extension In The COVID-19 Pandemic Context. Frontiers In Psychology, 11.
[5]. Malik AA, Mcfadden SM, Elharake J, Omer SB. Determinants Of COVID-19 Vaccine Acceptance In The US. Eclinicalmedicine. 2020;26:100495.

Abstract: Removing kidney stones via percutaneous access is a less invasive and more effective procedure than traditional open stone surgery. The advantages of percutaneous nephrolithotomy (PCNL) over open urinary stone surgery include lower morbidity and mortality rates, faster recovery, easier secondary procedures, and greater cost effectiveness.[1] However in recent years there has been a modification in which drainage is provided by DJ stent instead pf nephrostomy tube Called as "Tubeless PCNL". . Wickham reported the first tubeless PCNL in 1984 but it did not gain acceptance until 1987 with the studies by Bellman[2] The objective of our study is to compare the safety and effectiveness of tubeless PCNL.

[1]. Alken P, Hutschenreiter G, Günther R: Percutaneous Kidney Stone Removal. Eur Urol 1982;8:304-311. Doi: 10.1159/000473540
[2]. Bellman GC, Davidoff R, Candela Et Al. Tubeless Percutaneous Renal Surgery. J Urol 1997; 157:1578-82
[3]. Xun, Y., Wang, Q., Hu, H. Et Al. Tubeless Versus Standard Percutaneous Nephrolithotomy: An Update Meta-Analysis. BMC Urol 17, 102 (2017)
[4]. Wang, J., Zhao, C., Zhang, C., Fan, X., Lin, Y. And Jiang, Q. (2012), Tubeless Vs Standard Percutaneous Nephrolithotomy: A Meta-Analysis. BJU International, 109: 918-924
[5]. Pande Made Wisnu Tirtayasa, Prahara Yuri, Ponco Birowo, Nur Rasyid, Safety Of Tubeless Or Totally Tubeless Drainage And Nephrostomy Tube As A Drainage Following Percutaneous Nephrolithotomy: A Comprehensive Review,Asian Journal Of Surgery.

Abstract: Background: Neonatal septicemia is a major cause of mortality and morbidity, worldwide. It may manifest as early or late onset septicemia, occurring in less than 72 hours of birth or after 72 hours respectively. Risk factors predisposing to neonatal septicemia are multifactorial and include maternal, foetal and environmental factors. Isolation of bacterial agent from blood by cultural techniques serves as the "Gold Standard" for diagnosis. However, as culture results are obtained after 48 hours, many adjunctive tests, which are available, are in use and include haematological.....

Keyword: Neonatal septicemia, CRP, blood culture

[1]. Gomaa HHA, Udo EEE, Rajaram U. Neonatal Septicemia In Al-Jahra Hospital, Kuwait: Etiological Agents And Antibiotic Sensitivity Patterns. Med Princ Pract. 2001; 10:145-50.
[2]. Stoll BJ, Hansen NI, Adams-Chapman I. Neuro Development And Growth Impairment Among Extremely Low Birth Weight Infants With Neonatal Infection. JAMA. 2004; 292(19):2357-2364.
[3]. Eichenwald EC, Stark AR. Manual Of Neonatal Care, 6th Ed. Philadelphia: Lippincott William And Wilkins; 2008. P274-300.
[4]. Jain A, Awasthi AK, Kumar M. Etiological And Antimicrobial Susceptibility Profile Of Nosocomial Blood Stream Infections In A Neonatal Intensive Care Unit. Ind J Med Microbiol. 2007; 25:299-300.
[5]. Rohsiswatmo R, Kontrovorsi. Diagnosis Sepsis Neonatorum: Hegar B, Trihono PP, Ifran EB, Editor. Update In Neonatal Infection. Jakarta: Departmen Ilmu Kesehetan Anak FKUIRSLM. 2005; 32-43..

Abstract: Background: Preeclampsia is a complex pregnancy complication with an unclear pathophysiology. Predicting and managing it is crucial. Uric acid, a potential biomarker, has been investigated in this context. This study explores the relationship between uric acid levels and preeclampsia, focusing on individuals initially diagnosed with gestational hypertension (GHTN). Materials and Methods: A prospective cohort study involving 152 pregnant women with GHTN was conducted at a tertiary hospital in Bangladesh. Patients were monitored throughout pregnancy. Uric acid levels, clinical data, and outcomes were collected and analyzed using statistical methods. Results: Among the participants....

Key Word: GHTN, Preeclampsia, Eclampsia, Uric acid.

[1]. Mol BWJ, Roberts CT, Thangaratinam S, Magee LA, de Groot CJM, Hofmeyr GJ. Pre-eclampsia. Lancet. 2016;387:999- 1011. doi: 10.1016/S0140-6736(15)00070-7.
[2]. Abalos E, Cuesta C, Grosso AL, Chou D, Say L. Global and regional estimates of preeclampsia and eclampsia: a systematic review. Eur J Obstet Gynecol Reprod Biol. 2013;170:1-7. doi: 10.1016/j.ejogrb.2013.05.005.
[3]. Burton GJ, Redman CW, Roberts JM, Moffett A. Pre- eclampsia: pathophysiology and clinical implications. BMJ. 2019;366:l2381. doi: 10.1136/bmj.l2381.
[4]. Ryu A, Cho NJ, Kim YS, Lee EY. Predictive value of serum uric acid levels for adverse perinatal outcomes in preeclampsia. Medicine (Baltimore). 2019;98:e15462. doi: 10.1097/ md.0000000000015462.
[5]. Rolnik DL, Wright D, Poon LC, O'Gorman N, Syngelaki A, de Paco Matallana C, et al. Aspirin versus Placebo in Pregnancies at High Risk for Preterm Preeclampsia. N Engl J Med. 2017;377:613-22. doi: 10.1056/NEJMoa1704559..

Abstract: Introduction: Obesity is a growing public health concern worldwide, and it has become a significant risk factor for various non-communicable diseases. Medical students, as future healthcare providers, play a critical role in preventing and managing obesity. However, limited research has been conducted on the prevalence of obesity among medical students in Bangladesh. Understanding the prevalence and associated factors of obesity among medical students can help develop effective interventions to prevent and manage obesity among medical students and the general population. Therefore, this study aims to assess the prevalence of obesity among medical students of Bangladesh Medical College and explore its associated factors.....

Keywords: Obesity, Weight, Overweight, Medical, Junk-Food

[1] Obesity And Overweight [Internet]. Who.Int. [Cited 2023 Feb 14]. Available From: Https://Www.Who.Int/News-Room/Fact-Sheets/Detail/Obesity-And-Overweight
[2] Obesity [Internet]. Who.Int. [Cited 2023 Feb 14]. Available From: Https://Www.Who.Int/Health-Topics/Obesity
[3] Kelly T, Yang W, Chen CS, Reynolds K, He J. Global Burden Of Obesity In 2005 And Projections To 2030. International Journal Of Obesity. 2008 Sep;32(9):1431-7.
[4] Padmasree D, Ujwala UU. Influence Of Certain Factors On Overweight And Obesity Among Undergraduate Medical Students At Vizianagaram. International Journal Of Recent Trends In Science And Technology. 2012;5(1):38-42.
[5] Öner N, Sari A, Ekuklu G, Güzel A, Karasalihoglu S, Boris NW, Vatansever Ü. Prevalence Of Underweight, Overweight And Obesity In Turkish Adolescents. Swiss Medical Weekly. 2004 Sep 4;134(3536):529-33.

Abstract: Background: The connection between premature birth and autism spectrum disorder (ASD) is a significant research and clinical focus. Premature birth, before 37 weeks of gestation, elevates the risk of health problems, notably neurodevelopmental disorders like autism spectrum disorder (ASD). Potential factors contributing to this link include underdeveloped organs, NICU stressors, and genetics. Aim of the study: This study aimed to assess the relationship between premature birth and autism spectrum disorder in Bangladesh. Methods: This hospital-based case-control study was conducted at the Neurology OPD of a tertiary care hospital in Dhaka, Bangladesh from January'2019 toJune'2019. The case group comprised 69 children diagnosed with autism spectrum....

Keywords: Autism spectrum disorder, ASD, Relationship, Premature birth

[1]. El-Fishawy, Paul. "The genetics of autism: key issues, recent findings, and clinical implications." Psychiatric Clinics 33.1 (2010): 83-105.
[2]. Schieve, Laura A., et al. "Population impact of preterm birth and low birth weight on developmental disabilities in US children." Annals of Epidemiology 26.4 (2016): 267-274.
[3]. Alli, R. A. "What Are the Types of Autism Spectrum Disorders." Web MD. Διαθέσιμο στο:
https://www. WebMD. com/brain/autism/autism-spectrum-disorders (2018).
[4]. Fadul, Jose A. Encyclopedia of theory & practice in psychotherapy & counseling. Lulu. com, 2014.
[5]. Wang, Chengzhong, et al. "Prenatal, perinatal, and postnatal factors associated with autism: A meta-analysis." Medicine 96.18 (2017).

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