IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

February - 2015 Volume 14 - Issue 2

Version 1 Version 2 Version 3 Version 4 Version 5 Version 6 Version 7 Version 8

Paper Type : Research Paper
Title : Recurrent Fibrosaroma of the Thigh: A Rare Clinical Presentation
Country : India
Authors : Mahakshit Bhat || Karan R. Rawat || Jitendra Kumar Mangtani || Abhishek Gupta || Tanmay Jain || K.K. Dangayach

Abstract: Soft tissue sarcomas are rare mesenchymal tumours usually occur in the extremities or the retroperitoneum. Fibrosarcoma is diagnosed in about 10% of the cases of soft tissue sarcomas. These are usually managed with extensive local resection and post-operativeradiotherapy. Retroperitoneal sarcomas are prone to local recurrences while distant metastases are more common in extremity lesions. Our case presented to us with recurrent masses in the left leg and pain in the masses. The patient was operated thrice in a period of 6 years and local resection was done. The patient was given radiotherapy after the third surgery. The case was a rare third local recurrence within a short period of 6 years without any distant metastasis. Post –operative radiotherapy after the local excision is a must to prevent recurrences.

[1]. Emerging therapeutic targets for soft tissue sarcoma. Smith JL, Riedel RF; CurrOncol Rep. 2011 Aug;13(4):350-8. doi: 10.1007/s11912-011-0175-y

[2]. Bones, joints and soft tissue tumors, Robbins Basic Pathology 9th edition 793-4, Andrew E. Rosberg. [3]. Soft Tissue Sarcomas. Dr. Janice N. Cormier MD, MPH and Dr. Raphael E. Pollock MD, PhD. CA: A Cancer Journal for Clinicians, Volume 54, Issue 2, 94–109, March/April 2004

[4]. GreeneFL, PageDL, FlemingFD, et al. (eds). American Joint Committee on Cancer: Cancer Staging Manual. 6th ed. New York, NY: Springer; 2002: 221–226. [

5]. Whooley BP, Mooney MM, Gibbs JF, Kraybill WG. Effective follow-up strategies in soft tissue sarcoma. SeminSurgOncol 1999; 17:83–87.

[6]. Potter DA, Glenn J, Kinsella T, et al. Patterns of recurrence in patients with high-grade soft-tissue sarcomas. J ClinOncol 1985; 3:353–366.

Paper Type : Research Paper
Title : Fracture Fixation of Distal Part of the Radius – A Comparative Study of Different Methods
Country : India
Authors : Dr. william isapure

Abstract:Background: A variety of treatment modalities are available for fracture of distal radius. However, there is a lack of consensus on the preferred treatment in these cases. Aims: To compare the different methods for the treatment fracture of distal part of the radius based on the outcome at the end of treatment. Methods: Analysis of cases with fracture of distal radius treated at our centre over a period of seven years. A total of 301 patients were included in the study and end of treatment outcome was compared based on clinical appearance of the wrist at discharge, restoration of normal movements of the wrist joint and resumption of normal activities.

[1]. Leung F, Tu YK, Chew WY, Chow SP. Comparison of external and percutaneous pin fixation with plate fixation for intra-articular distal radial fractures. A randomized study. J Bone Joint Surg Am 2008;90(1):16-22.
[2]. Moroni A, Vannini F, Faldini C, Pegreffi F, Giannini S. Cast vs external fixation: a comparative study in elderly osteoporotic distal radial fracture patients. Scand J Surg. 2004;93(1):64-7.
[3]. Lozano-Calderón SA, Doornberg JN, Ring D. Retrospective Comparison of Percutaneous Fixation and Volar Internal Fixation of Distal Radius Fractures. Hand 2008;3:102–110.
[4]. Handoll HH, Madhok R. Surgical interventions for treating distal radial fractures in adults. Cochrane Database Syst Rev 2003;(3):CD003209.

Paper Type : Research Paper
Title : Autotransplantation: The Best Implant for A Missing Tooth Is A Natural Tooth
Country : India
Authors : Dr. Reshma Chawla || Dr. Ushaina Fanibunda || Dr. Vibha Hegde

Abstract: Autogenous tooth transplantation, or autotransplantation, is the surgical movement of a tooth from one location to another in the same individual. Although, once thought to be experimental, autotransplantation has achieved high success rates and is an excellent option for tooth replacement. Although the indications for tooth autotransplantation are narrow, careful patient selection coupled with an appropriate technique can lead to exceptionally well esthetic and functional results. This procedure is advantageous since the placement of an implant-supported prosthesis or any other form of prosthetic tooth replacement is not needed. This case report is one such example of a successful tooth autotransplantation. A review of the surgical technique as well as success rates is also discussed. Keywords: autogenous tooth transplantation; complete root formation; success rates.

[1]. FarheenUstad, FareediMukram Ali. Zaheer Kota, Abdelbagi Mustafa and MohdInayatullah Khan.Autotransplantation of teeth: A ReviewAm. J. Med.Dent.Sci.,2013,1(1):25-30.
[2]. Nathália Martins Pacini1 Dirceu Tavares Formiga Nery1 Daniel Rey de Carvalho1 Normeu Lima Junior1 Alexandre Franco Miranda1 SérgioBruzadelli Macedo2. Dental autotransplant: case report. RSBO. 2012 Jan-Mar;9(1):108-13.
[3]. Bae JH, Choi YH, Cho BH, Kim YK, Kim SG. Autotransplantation of teeth with complete root formation: a case series. J Endod 2010;36:1422-1426.
[4]. Akiyama Y, Fukuda H, Hashimoto K. A clinical and radiographic study of 25 autotransplanted third molars. J Oral Rehabil 1998;25:640-644.
[5]. Yan Q, Li B, Long X. Immediate autotransplantationof mandibularthird molar in China. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 2010;110:436-440.
[6]. Tsurumachi T, Kuno T. Autotransplantation of a maxillary first premolar to replace an ankylosed maxillary incisor: 7-year follow-up. IntEndod J 2011;44:863-875.

Paper Type : Research Paper
Title : Gosssypiboma
Country : India
Authors : Dr. B.V Amruthavalli

Abstract: Gossypiboma is a term used to describe a retained surgical swab in the body after a surgical procedure.It is rare surgical complication but can cause significant morbility and mortality. It may be a diagnostic dilemma with associated medico legal implications and is usually discovered during the first few days after surgery; however it may remain undetected for many years.

Keywords: Gossypiboma, foreign body, retained surgical sponge, peritoneal cavity,mesenteric cyst

[1]. Kim Hs, Chung, Suh Sh, kim SY (april 2007) MR Imaging finding of paravertebral granuloma AJNR Am J Neuro radiol 28(4): 709-13 PM ID 17416826.
[2]. Hindawi publishing corporation case reports in surgery volume 2012(2012) Article ID 263841, 3 Pages. [3]. Wan W, Le T, Riskin L, Macario A. Improving safety in the operating room: A systematic [4]. literature review of retained surgical sponges. Curr Opin Anaesthesiol. 2009;22:207–14.
[5]. Int J Crit Illn Inj Sci. 2011 Jul-Dec; 1(2): 157–160 Int J Crit Illn Inj Sci. 2011 Jul-Dec; 1(2): 157–160

Paper Type : Research Paper
Title : Palatally Impacted Canines – Factors Affecting Treatment Duration
Country : Hungary
Authors : MUDr. Ivana Dubovská || Doc. MUDr. Miloš Špidlen Phd .|| MUDr. Přemysl Krejčí Phd. || MUDr. Pèter Borbèly || MDDr. Iva Voborná || MUDr. Ľuboš Harvan Phd. || MUDr. Martin Kotas Phd.

Abstract: A relationship between the duration of orthodontic treatment and the exact position of palatally impacted canines before treatment was studied in panoramic radiographs (OPG). Material and Method: Sixty-seven palatally impacted canines were measured in 54 OPGs prior to treatment. The measured parameters were: vertical distance of the canine crown tip to the occlusal plane, inclination of palatally impacted canines to the vertical reference line and horizontal zones. The treatment time was measured from the open eruption technique of the canine till alignment of the canine. Conclusions: A middle correlation was found between the inclination of impacted maxillary permanent canine to the vertical reference line in OPG and the treatment duration. The greater the inclination, the longer the treatment. The relationship between the distance of the canine cusp from the occlusal plane in OPG and the treatment duration was not proved. Horizontal position of the canine in OPG is a factor that significantly affected the treatment duration. Keywords: canine inclination, duration of orthodontic treatment, horizontal zone, impacted canine, OPG

[1]. J. Kurol, S. Ericson, J. O. Andreasen, The impacted maxillary canine, in: J. O. Andreasen, J. Kolsen – Petersen, D. M. Laskin (Eds.). Textbook and color atlas of tooth impactions, (København: Munksgaard, 1997), 125-175
[2]. Abron, R. L. Mendro, S. Kaplan, Impacted permanent maxillary canines: diagnosis and treatment, New York State Dental Journal, 70(9), 2004, 24-29
[3]. R. Patel, F. Mehta, V. Vaghela, Interdisciplinary Approach: Role of Orthodontist in Management of Impaction; an Evidence Based Study, IOSR Journal of Dental and Medical Sciences, 8(5), 2013, 90-105
[4]. S. Pitt, A. Hamdan, P. Rock, A treatment difficulty index for unerupted maxillary canines, European Journal of Orthodontics, 28(2) 2006, 141-144
[5]. M. Kamínek at al., Ortodoncie (Praha: Galén, 2014)
[6]. S. Ericson, J. Kurol, Radiographic examination of ectopically erupting maxillary canines, American Journal of Orthodontics Dentofacial Orthopedics, 91(6), 1987, 483-492

Paper Type : Research Paper
Title : Effect of the Tranexamic Acid in Reducing the Blood Loss in the Orthopaedic Surgery
Country : India
Authors : Dr. shiva || Dr.Dinakar rai || Dr.shyam sundar

Abstract: Background: we investigated the effect of a single preoperative bolus dose of tranexamic acid (15 mg/kg) on perioperative blood losses and packed cell transfusion requirements in patients scheduled for hemiarthroplasty surgery for fracture neck of femur. Patients and methods: Total of 36 patients taken in study . In 17 pts –(Tranexamic acid group)a single bolus dose of 15 mg/kg tranexamic acid was given preoperatively 15 min before the surgery. Data are collected from previously operated patients(19 pts-control group) where tranexamic acid was not given . We recorded per- and postoperative blood losses and transfusion requirements postoperatively.

[1]. do K, Neo M, Asada Y, Kondo K, Morita T, Sakamoto T, Hayashi R. Reduction of blood loss using tranexamic acid in total knee and hip arthroplasties.Arch Orthop Trauma Surg. 2000; 120(9):518-520.
[2]. Good L., Peterson E., Lisander B. Tranexamic acid decreases external blood loss but not hidden blood loss in total knee replacement. Br J Anaesth. 2003 May;90(5):596-599.
[3]. Benoni G, Fredin H, Knebel R, Nilsson P. Blood conservation with tranexamic acid in total hip arthroplasty: a randomized, double-blind study in 40 primary operations.. Acta Orthop Scand. 2001 Oct;72(5):442-448.
[4]. Tanaka N, Sakahashi H, Sato E, Hirose K, Ishima T,Ishii S. Timing of the administration of tranexamic acid for maximum reduction in blood loss in arthroplasty of the knee. J Bone Joint Surg Br. 2001 Jul; 83(5):702-705.
[5]. Johansson T, Pettersson LG, Lisander B. Tranexamic acid in total hip arthroplasty saves blood and money: a randomized,double-blind study in 100 patients. Acta Orthop 2005;76:314–9.

Paper Type : Research Paper
Title : A Comparative Study of Local Anesthetic Effects of Lignocaine Vs Tramadol in Minor Surgeries
Country : India
Authors : Dr. G.V.Hemanth || Dr. K.C.Radhikarani || Dr. K.V.Sivaprasad || Dr. B.Vasundara Devi

Abstract: Background: Postoperative pain is one of the primary targets to relieve as it also affects the clinical outcomes Aim: To evaluate and compare the efficacy of Tramadol & Lignocaine during post operative period in terms of analgesia and adverse effect profile in minor Surgeries. Materials and methods: we conducted a prospective, randomized, single blind, parallel group clinical study to compare the local anesthetic effects of Tramadol to Lignocaine in patients who had undergone minor surgeries. The patients were randomly divided into 2 groups (L and T groups) in ASA physical status. Both the groups were administered by subcutaneous route for swellings less than 5cms in size. Swellings selected were Lipoma, sebaceous cyst and dermoid cyst. L group (n=30) patients were administered 1mg/kg Lignocaine and T-group (n=30) patients were administered 2mg/kg Tramadol. The intensity of post operative pain was assessed by using Visual analog scale at 15min, 30min, 1hour, 2hours, 4hours and 6hours. The results were compared and analyzed statistically.

[1]. Serbülent Gökhan Beyaz*, Fikret Bayar and Ali Fuat Erdem Associate Professor, Acute Postoperative Pain Sakarya University Medical School, Anesthesiology, Sakarya, Republic of Turkey
[2]. Mads U. Werner, M.D., D.M.Sc.,* Helena N. Mjo¨ bo, M.D.,† Per R. Nielsen, M.D.,* Åsa Rudin, M.D., Ph.D.‡Prediction of Postoperative Pain A Systematic Review of Predictive Experimental Pain Studies
[3]. Mandy Layzell Cuirent interventions and approaches to postoperative pain management
[4]. Christopher L Wu, Srinivasa N Raja Treatment of acute postoperative pain
[5]. Narinder Rawal, MD, PhD, Jose De Andrés, MD, PhD Postoperative Pain Management – Good Clinical Practice general recommendations and principles for successful pain management.

Paper Type : Research Paper
Title : Comorbidity of Chronic Pain & Depression and Its Treatment Outcome: A Review
Country : India
Authors : Dr.Th. Bihari Singh || Dr. Ashutosh Dash || Dr. Prakash Haldar

Abstract: Depression, according to WHO predicted to be ranked second only after ischemic heart disease by the year 2020. To make an accurate diagnosis of major depression in the setting of chronic pain is very difficult. Physical symptoms are common in depression, and, in fact, vague aches and pain are often the presenting symptoms of depression. These symptoms include chronic joint pain, limb pain, back pain, gastrointestinal problems, tiredness, sleep disturbances, psychomotor activity changes, and appetite changes. A high percentage of patients with depression who seek treatment in a primary care setting report only physical symptoms, which can make depression very difficult to diagnose. Neurotransmitters level also shows deep connection between pain and depression; as both are mediated by serotonin and norepinephrine, the monoamines. Remission largely depends upon recovery from all the pain symptoms otherwise it may be a cause of relapse.

Keywords: Depression, chronic pain, Neurotransmitters, serotonin, norepinephrine, Remission.

[1]. Merskey H, Bogduk N, editors; International Association for the Study of Pain. Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. 2nd ed. Seattle, Wash: IASP, 1994.
[2]. Blyth FM, March LM, Brnabic AJ. Chronic pain in Australia: a prevalence study. Pain 2001;89:127-34.
[3]. Levenson J editor. Textbook of psychosomatic medicine. Washington, DC: American Psychiatric Publishing, 2005.
[4]. Millan MJ. The induction of pain: an integrative review. ProgNeurobiol 1999;57:1-164.
[5]. Sadock BJ, Sadock VA. Kaplan &Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry 10th Edition, United States: Lippincott Williams & Wilkins 2009. p. 907.
[6]. Caltabiano M, Byrne D, Sarafino EP. Health psychology: biopsychosocial interactions. 2nd ed. Brisbane: John Wiley and Sons, 2008.

Paper Type : Research Paper
Title : Association of Depression with Cerebrovascular Accidents (CVA)
Country : India
Authors : Dr. Nagaraju.S || Dr. V. Padma

Abstract: Cerebral stroke after heart disease and cancer is the third commonest cause of death . The term cerebro vascular disease designates any abnormality of the brain resulting from a pathologic process of the blood vessels(1) . The disability resulting from cerebral strokes is frequently an admixture of physical & mental problems . The latter may be attributed directly to the brain damage sustained and individual‟s reaction to the handicaps imposed on him .The present attempt is to evaluate some of the psychological aspects associated with cerebral strokes

[1]. Adams D. Raymond Victor Maurice [2009] – Principles of Neurology; 9th edition Ms.Crrow Hill.
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[3]. AgrellBerit and DehitinOve [1989] – Comparaiosn of Six Depression Rating Scales in Creriatric Stroke patients.
[4]. Burvill PW , Johnson GA, Chakera TMH,, Steward – Wynne EG, Anderson CS &Jamrozik KD (1996) The place and site of lesion in the aetiology of post – stroke depression.

Paper Type : Research Paper
Title : Jejunal Diverticular Disease Presenting As Perforation Peritonitis:A Rare Case Report
Country : India
Authors : Dr. Abha Gune || Dr. Ankur V. Tiwari || Dr. Vadiraj Hunnur

Abstract: Jejunal diverticular disease is a rare disease and gets complicated even more rarely. Perforation being the least commonly reported complication.We report a case of a 60 year female presenting with crampy abdominal pain since two days and five episodes of vomiting. Abdominal scout x-ray revealed gas under diaphragm and few air-fluid levels. On laparotomy multiple jejunal diverticulae with a diverticular perforation and fecal contamination was present. Peritoneal lavage and resection of diseased segment followed by primary anastomosis was done. Post operative period being uneventful, patient recovered and discharged. Jejunal diverticulosis in the elderly can lead to significant morbidity and mortality and so prompt diagnosis and treatment necessary.

Keywords: Diverticular perforation, Diverticulitis, Jejunal perforation, Perforation peritonitis.

[1]. Zager JS, Garbus JE, Shaw JP, Cohen MG, Garber SM: Jejunal diverticulosis: a rare entity with multiple presentations, a series of cases.Dig Surg 2000, 17:643-645.
[2]. Joseph S Butler*, Christopher G Collins and Gerard P McEntee: Perforated jejunal diverticula: a case report: Journal of Medical Case Reports 2010, 4:172 doi:10.1186/1752-1947-4-172

[3]. Makris K, Tsiotos GG, Stafyla V, Sakorafas GH. Small intestinal nonmeckelian diverticulosis: clinical review. J ClinGastroenterol. 2009;43:201–7.

[4]. de Bree E, Grammatikakis J, Christodoulakis M, Tsiftsis D. The clinical significance of acquired jejunoileal diverticula. Am J Gastroenterol. 1998;93:2523–8.

[5]. Tsiotos GG, Farnell MB, IIstrup DM. Nonmeckelianjejunal or ileal diverticulosis: An analysis of 112 cases.Surgery. 1994;116:726–32.

Paper Type : Research Paper
Title : Post Neonatal Under Five Mortality – A Hospital Based Study
Country : India
Authors : Dr. Suprabha Shukla || Dr. Dillip Kumar Das || Dr. Jnanindra Nath Behera

Abstract: Background: Under five mortality data from a hospital is the reflection of what is obtainable in a community at large. Therefore, data obtained from such study is usually beneficial in re-evaluating the leading cause of death, existing services and in improving facilities and patient care. Objective- The aim of this study was to evaluate the mortality pattern of post neonatal under five children admitted in the pediatric ward of a tertiary care hospital in the eastern part of India during November 2009 to September 2011.

[1]. WHO. Global Health Situations and projections, Estimates. Division of epidemiological survilance and Health Situation and Trend Assessment. 2009.
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[3]. Arora NK. The INCLEN Trust, New Delhi, India (Unpublished data, 2010).
[4]. Nandan D, Mishra SK, Jain M, et al. Social audit for community actions: a tool to initiate community action for reducing child mortality. Indian J Community Med. 2005;30:78–80.
[5]. Chaturvedi p, aynger j ,chaturvedi D, "mortality trends of hospital admission in a rural medical college and hospital with special emphasis on infant mortality": Indian journal of community medicine December 2004:4;183-185

Paper Type : Research Paper
Title : A Clinico – Pathological Study of Metastatic Hepatic Lesions with Special Reference to Metastasis from Unusual Primary Sites
Country : India
Authors : Dr. Surupa Chowdhury || Dr. Ruplekha Mitra Mustaphi || Dr. Seema Mondal || Dr. Koushik Bose || Dr. Tusar Kanti Saha || Dr. Debasish Guha

Abstract: Objective: Liver is a potential site for blood borne metastasis for many malignancies of human body, besides giving rise to a primary tumor itself. Often, hepatic metastasis can be the only mode of presentation in certain tumors that prompt us to search for the primary sites. Our study aims at proving that other than gastrointestinal malignancies, specially adenocarcinoma of pancreas, stomach, large gut, gall bladder etc, which are generally known to be notorious for hepatic metastasis, liver can also be a site of metastasis for malignancies from a spectrum of very unusual primary sites. Also through our study we can establish FNAC as a simple, safe, quick and cost effective tool in diagnosing metastatic hepatic lesions.

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Paper Type : Research Paper
Title : Anaemia in the Elderly - An Emerging Health Problem (A Neglectedproblem)
Country : India
Authors : M.Rama Devi || C Jaya Bhaskar || M.S.Sridhar || Shankar Reddy Dudala

Abstract: Anaemia in the elderly is an extremely common problem associated with increased mortality and poor health related quality of life. It is easy to overlook in elderly because symptoms and signs of anaemia may be attributed to the ageing process itself.

Keywords: Anaemia; Elderly

[1]. Bhasin A, Rao MY. Characteristics of Anemiain Elderly: A hospital based study inSouth India. Indian Journal of Haematology
and Blood Transfusion 2011; 27(1): 26-32.
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Paper Type : Research Paper
Title : Airway Injuries Associated With the Use of Airtraq: A Case Report
Country : India
Authors : Yogesh Rathod || R.D. Patel || Nirav Kotak || Rajendra Pandhare || Suyog Bagade

Abstract: Airtraq is a novel optical laryngoscope which provides glottis display without any deviation in the normal position of the oral, pharyngeal or the tracheal axes. Glottis and the surrounding structures are visualised with the help of the display lens, and under direct view, tracheal tube is introduced between the vocal cords. In patients having restricted neck movements or limited mouth opening (provided that it is greater than 3 cm) Airtraq offers the advantage of a better display. We had a 43 year old male, ASA-I patient with restricted mouth opening of approximately 3.1 cm (21/2 fingers), who was posted for elective open cholecystectomy. We considered the case as an anticipated difficult intubation and decided to use Airtraq (size 3 Regular blue)for intubation. Unfortunately not only the intubation was unsuccessful with Airtraq but also patient had soft palate tear, which required suturing. An attempt with Airtraq was failed due to which a bougie guided intubation was done using laryngoscope.

Keywords: airtraq, intubation, tracheal, difficult, optical laryngoscope, soft palatal tear.

[1]. Magdalena Łasińska-Kowara, Zbigniew Karwacki, Mariusz Łapiński Complications after using the Airtraq laryngoscope for a predicted difficult intubation, Anaesthesiology Intensive Therapy 2013, vol. 45, no 1, 35–37
[2]. Holst B, Hodzovic I, Francis V: Airway trauma caused by the Aitraq laryngoscope, Anaesthesia 2008, 63: 889–890.
[3]. Gloria A: Awake intubation with Airtraq laryngoscope in patients with anticipated difficult airway. Eur J Anaesthesiol 2008; 25 (Suppl 44).
[4]. Amathieu R, Combes X, Abdi W, et al.: An algorithm for difficult airway management, modified for modern optical devices (Airtraq laryngo- scope; LMA CTrach™): a 2-year prospective validation in patients for elective abdominal, gynecologic, and thyroid surgery. Anesthesiology 2011; 114: 25–33.
[5]. Mendis D, Oates J. The Application of Airtraq (fibreoptic intubation device) to Otolaryngology. Online J Health Allied Scs. 2011;10(2):16.

Paper Type : Research Paper
Title : Angiotensin Converting Enzyme (ACE) Gene Polymorphism And
The Risk Of Diabetic Nephropathy In Type 2 Diabetes
Country : Iraq
Authors : Methaq A.M. Hussein || Lamees M.Al-Janabi || Abdul Hussain A. Algenabi

Abstract:One of the major complications of long term type 2 diabetes is nephropathy.An insertion/deletion (I/D) polymorphism of the gene encoding angiotensin-I converting enzyme (ACE) is shown to have association with diabetic nephropathy. The aim of this case control study was to investigate the possible role of ACE gene in the pathogenesis of nephropathy in patients with diabetes mellitus. The study included 196 subjects (145 T2DM and 51 normal control) T2DM were classified into 2 groups: 97 diagnosed with DN, and 48 diabetic without nephropathy as +ve control. randomly selected was conducted to assess the association of SNP ACE gene polymorphism with diabetic nephropathy in Iraqi population. Blood samples from subjects and controls were analyzed to investigate the ACE(I/D) genotypes. The homozygous genotype (DD) was significantly (OR=2.73, CI 95% 1.1- 7.3, P= 0.04) increased the risk of DN two folds with respect to those of the wild type (II) after adjustment for age, sex and BMI. Also significant variation was obtained when the analysis was carried out without adjustment(OR=3.95, CI 95% 1.7- 9.2, P= 0.001). Similarly the ID genotype significantly (OR = 3.68, CI 95%=1.5- 8.7, P= 0.03) raised the risk of DNA by three folds. dominant and recessive models highlighted significant (P= 0.003) association of dominant model with the risk of DN which raised by three folds. the minor allele frequency (D) was significantly higher (P=0.04) in DN when compared with that of the normal control group.
Keywords: DNA, Periodic study, diabetic nephropathy,.

[2]. Phillip MH. Prevention of Progression in Diabetic Nephropathy Diabetes Spectrum. 2006; 19(1): 18-24.
[3]. Forbes J M, Fukami K, Cooper M E. Diabetic Nephropathy: Where Hemodynamics Meets Metabolism. Exp Clin Endocrinol Diabetes 2007; 00:1 – 16.
[4]. Edmund JL Xiulong, X . Abnormal glomerular permeability characteristics in diabetic nephropathy: Implication for the therapeutic use of the low- molecular weight heparin Diabetes Care.2008; 31(2): S202–S207.
[5]. Sikdar M, Purkait P, Raychoudhury P, et al . ACE Gene Insertion/Deletion Polymorphism and Type-2 Diabetic Nephropathy in Eastern Indian Population. Human Biology Review . 2013 ; 2 (1):66-76 .
[6]. Golmohamadi T, Nikzamir A, Nakhjavani M, et al . Association of Angiotensin Converting Enzyme (ACE) Gene Polymorphism and Diabetic Nephropathy. Iranian J Publ Health, 2006; 35( 3): 14-21.

Paper Type : Research Paper
Title : Complete Denture Satisfaction among Population in Bihar – A Study
Country : India
Authors : Ahtasham Anwar || Bimleshwar Kumar || Md. Jawed Akhtar || M. Z. Rahman

Abstract: Being an edentulous is it a kind of disability in which the affected subject is unable to masticate the food properly which leads to a number of problems related to digestion as well as the health is concerned. Edentulous people are unable to enjoy the food as dentate people and with passing of time they were reluctant to take food properly which leads to malnutrition and other health related issues. Edentulous people lack proper esthetics, having difficulty in speech and so on. Complete denture treatment is the most common and most extensively used treatment for replacing missing tooth across the globe. Complete denture includes the maxillary and mandibular denture replacing the entire tooth. Denture satisfaction is very much of concern to the patient as well the treating clinician as not only involves mastication, it concern speech and esthetics as well to the patient and peers. It is important to know why some patients have more difficulty than others in wearing the denture. The fabrication of denture is play vital role but it also includes medical and psychological well being of the patient. The present study gives insight about the patient satisfaction with complete dentures. Keywords: Complete denture, Dentate, Edentulous, Maxilla, Satisfaction.

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Paper Type : Research Paper
Title : Management of Mutilated Right Maxillary Central Incisor and Reinforcement of Weekend Root with Custom Modified Fiber Post - A Case Report
Country : India
Authors : Dr. S. Datta Prasad || Dr. Prem Chand. G || Dr. K. Sashidar Reddy || Dr. C. Sunil Kumar

Abstract: Crown fractures of permanent dentition are the most frequent type of dental injury. Ninety-two percent of traumatic injuries results in fracture of maxillary permanent central incisors because it's protrusive and anterior positioning. The young permanent maxillary central incisor root canal chamber is large and tapered and trauma to these type teeth results in wide variety of malformations. The present case report describes the management of mutilated young maxillary right central incisor with Ellis Class IV fracture by using custom modified fiber post technique.

Keywords: Crown fracture, Dental trauma, Custom modified fiber post, Ellis class IV frature.

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Paper Type : Research Paper
Title : The Comparative Evaluation of the Masticatory Efficiency of Root Supported Attachment Retained Overdenture and Implant Supported Overdenture by EMG: An In Vivo Study
Country : India
Authors : Dr. Priyanka Tiwari || Dr. Vikas Karambelkar || Dr. J.R. Patel || Dr. Rajesh Sethuraman

Abstract: The masticatory efficiency of complete denture, implanted supported, root supported and attachment retained overdenture, was checked by the electromyography, which would help in gaining information about the neurophysiologic mechanisms regulating the complex masticatory action and deciding the best treatment for the patients. The study was divided into two groups. In group one, there were five patients, these patients were first given complete denture and then given two implant supported overdenture. In group two, there were five patients, these patients were first given root supported overdenture and then given root supported attachment retained overdenture. Their masticatory efficiency was evaluated during clenching and mastication of masseter and temporalis muscles.

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Paper Type : Research Paper
Title : The Effect Of GivingGenistein In Various Doses In LevelReceptor A Interleukin 8 (Cxcr1) In Peritoneal Lesions Of Mice-Model Endometriosis
Country : Indonesia
Authors : Rapa Yulianto || Sutrisno || Dwijayasa Pande Made || Wiyasa Arsana || Nurseta Tatit

Abstract: Objective:ToProvethe effect ofgenistein in variousdosesin Interleukin 1 receptor A level (CXCR1) in peritoneal lesion of mice model endometriosis. Method: This study used atrue experimentaldesign(trueexperimental) in vivo atfemale mice(Musmusculus) withexperimentaldesignPost-Test Only With ControlGroup Design. Involveseightgroups :negative control group (healthy micewithoutgivengenistein), positive control group(mice model ofendometriosiswithoutgivengenistein) and thetreatment groupisthe group thatwas givena variety ofdifferent dosesof genistein: 50mg/day, 100mg/day, 200mg/day, 300mg/day, 400mg/dayand500mg/day. This research was conductedat the Laboratory ofPhysiologyof the Faculty ofMedicine, Universityof BrawijayaandReproductivePhysiology LaboratoryEmbryologiFaculty of Veterinary Medicine, Airlangga University Surabayasampleof a studyusingmice(Musmusculus) endo-metriosisfemalemodelsas much as32mice, with2-3 monthsof ageand body weight20-30grams. Homogenicity of peritoneum lesionis done with micro pastle continued with centrifugation and put in tubeto be processedin order tomeasurelevels of CXCR1 by ELISA.

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[3]. Soares, S.R., Martinez-Varea, A., Hidalgo-Mora, J.J. & Pellicer, A., 2012.Pharmacologic therapies in endometriosis: a systematic review. Fertility and Sterilility.98 (3) : 529-555
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Paper Type : Research Paper
Title : Oral Health Education for Improving Oral Health Status of School Children - A Systematic Review
Country : India
Authors : Dr. S. Prabhu || Dr. Joseph John

Abstract: Oral health education is most widely used in prevention of dental diseases. However, there is uncertainty about the value of these interventions. The primary objective of this review was to evaluate the effectiveness of oral health education among school children. Methods: The following databases were selected for identification of studies. The Cochrane central register of controlled trials, PubMed, LILACS / BBO, MEDLINE, SCIENCE DIRECT. Studies of at least 3 months duration with clinical evaluation like plaque index, gingival index and DMFT/DMFS index, studies with pre- to post - test design were included for this review. Standardized mean difference is calculated for difference between intervention and control group in plaque score, gingival index scores and DMFT Index values. The meta-analyses was conducted using a random – effects model.

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