iosr-JDMS   Volume-7 ~ Issue-4

Abstract: Aims & Objective: To evaluate if the implants can be osseointegrated in regenerated bone of patients who had large bony defects following odontogenic cyst enucleation. Material & Methods: A total of five patients were chosen for the study, implants were placed one year after surgical cyst enucleation The patients were assessed clinically and radiologically periodically i.e. every month , till 6 months after placement of implant . The success criteria included absence of any sign of periimplant inflammation , clinical mobility of the implant and abutment and finally absence of any peri implant radiolucency when seen on the radiograph. Results: A total of 15 implants were placed in five patients having regenerated bone with 93.3 % osseointegration . One patient showed failure i.e. implant mobility fifteen days after placement. The failure was attributed to poor quality of regenerated bone. Conclusion: By the findings of this study, we can safely conclude that implants can be successfully osseointegrated in regenerated bone , however poor quality of regenerated bone is the main cause of failure. However studies with larger sample size and concurrent HBO therapy to accelerate bone healing can be done in future..

Keywords: Odontogenic cyst, Regenerated bone, Dental implants

[1]. Martins WD, Ávila LFC. Partial Spontaneous Bone Regeneration Subsequent to Mandibulectomy. J Contemp Dent Pract 2004 August;(5)3:108-120. [2]. PA Fugazzotto. Success and failure rates of osseointegrated implants in function in regenerated bone for 72 to 133 months.Int J Oral Maxillofac Implants, January 1, 2005; 20(1): 77-83.
[3]. Kova´cs AF. Clinical analysis of implant losses in oral tumor and defect patients. Clin Oral Impl Res 2000: 11: 494–504.
[4]. Kim BO, Hong KS, Kim SG. Finite element analysis of cylinder type implant placed into regenerated bone with type IV bone quality. J Korean Assoc Oral Maxillofac Surg. 2004 Aug;30(4):331-338.
[5]. Matteo Chiapasco ,Alessandro Rossi,Jason Jones Motta ,Michele Crescentini. Spontaneous Bone Regeneration After Enucleation of Large Mandibular Cysts:A Radiographic Computed Analysis of 27 Consecutive Cases. J Oral Maxillofac Surg .2000 ;58:942-948.
[6]. Dr. Philip J. The restoration of resected mandibles in children without the use of bone grafts. ,Head & Neck Surgery 6,( 2) ,626 – 631
[7]. Ahmed M. A. Hyperbaric oxygen results in an increase in rabbit calvarial critical sized defects Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:144-9
[8]. Hammerle CHF ,Jung RE , Feloutzis A :A Systematic review of the survival of implants in bone sites augmented with barrier membranes(guided bone regeneration ) in partially edentulous patients.J Clin Periodontol 2002 : 29(3) : 226-231. [9]. PA Fugazzotto Success and failure rates of osseointegrated implants in function in regenerated bone for 6 to 51 months: a preliminary report. Int J Oral Maxillofac Implants, January 1, 1997; 12(1): 17-24.
[10]. M.E.Fritz ,M.K Jeffcoat,M.Reddy,D.Koth,L.D Braswell J.Malmquist,J.Lemons. Implants in regenerated bone in a primate model. J.Periodontol. 2001 ; 72 : 703-708.

Abstract: Infant feeding practices comprising of both the breastfeeding as well as complementary feeding have major role in determining the nutritional status of the child. Worldwide, it is estimated that only 34.8% of infants are exclusively breastfed for the first 6 months of life, the majority receiving some other food or fluid in the early months.The first two year of life provide a critical window of opportunity for ensuring children's appropriate growth and development through optimal feeding. Optimal breast feeding could prevent 13% of deaths occurring in children less than 5 year of age globally, while appropriate complementary feeding practice would results in an additional 6% reduction in under-five mortality. Objective-To study infant and young child feeding practices with special reference to breast feeding in children between 6- 36 month of age. Materials And Methods- This cross sectional study was carried out in an urban population of Meerut city, in children between 6 to 36 months of age. Assuming the prevalence of breast feeding to be 50% the sample size was taken as 400 children. Information regarding child rearing practices was collected by interviewing mother by house to house visit on predesigned and pretested Performa. Data was analysed and statistically evaluated. Results-The study showed that 15.0% mothers started breastfeeding within 1 hr of birth, 29.8% started complementary feeding at 6 month, while 5.3% exclusively breastfed for six month duration . 79.6% were given food from four or more group. Minimum meal frequency was adequate in 43.4% while minimum acceptable diet was 37.7%. Conclusion- Present study revealed very poor infant and young child feeding practices in urban area of Meerut.

Key Words: IYCF, Breast feeding

[1]. Govt. of India (2006); National guidelines on Infant and Young Child Feeding (Ministry of Human Resource development, New Delhi; Department of Women and Child development); 9-10.
[2]. WHO (2009): Session-1; Infant and young child feeding model chapter for text books.
[3]. WHO (2003); Implementing the global strategy for infant & young child feeding. Geneva, 3-5 Feb.
[4]. Sinhababu A, Mukhopadhyay D K, Panja T K, Saren A B, Mandal N K and Biswas A B: Infant-and Young Child-feeding Practices in Bankura District, West Bengal, Ind. Jour Health Pop. Nut. 28(3), 2010:294–299.
[5]. IIPS (2007):NFHS-3 (2005-2006); Vol. 1 Chapter 10 nutrition and anaemia Govt. of India.

[6]. Concurrent assessment of health and family welfare programs and technical support to districts of Uttar Pradesh, Meerut, table 4B.4,2006-2007;117,187,189,138,144.

[7]. Dongre A R, Deshmukh P R, Rawool A P and Garg B S; where and how breastfeeding promotion initiatives should focus its attention? A study from rural Wardha; Ind. Jour Comm. Med. 35(2), 2010:226-229.

[8]. Gupta P, Srivastava V K, Kumar V, Jain S, Masood J, Ahmad N and Srivastava J P; Newborn care practices in urban slums of Lucknow city, UP; Ind. Jour Comm. Med. 35(1),2010:82-85. (http://www.ijcm.org.in/ article.asp?issn=09700218;year=2010;volume=35;issue=1;spage=82;epage=85;aulast=Gupta) Accessed on 05/07/2012

[9]. Ravall D, Jankar D V and Singh M P: A study of breast feeding practices among infants living in slums of Bhavnagar city, Gujarat, India; health line, 2 (2), 2011:78-83.

[10]. Kumar D, Agarwal N and Swami H M; Socio-demographic correlates of Breast-feeding in urban slums of Chandigarh; Ind. Jour Med. Sci. 60, 2006:461-6.

Abstract: Introduction: To report a case of torsion of gravid uterus by 7200 at 28 weeks: Case Report: A 20 years primigravida presented with complaints of pain in abdomen, vomiting and loss of fetal movement after a fall 3 days back. USG revealed intrauterine fetus and intestinal obstruction but didn't explain the cause of high up and left deviation of cervix which failed to dilate on induction with prostaglandin so MRI was done which revealed a concentric mural thickening of Cervix representing stenosis/ mass. On laparotomy it was diagnosed that there was a uterine torsion of 7200 with dead fetus. Uterus was uniconuate with rudimentary right horn and adnexa. As uterus was devitalized and could not be salvaged so subtotal hysterectomy done. Conclusion:Uterine torsion is a rare complication of pregnancy and obstetricians should have this complication in differential diagnosis.

Keywords: pregnancy, intestinal obstruction, subtotal hysterectomy, uterine anomaly, uterine torsion.

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[3]. Barber HRK, Graber EA. Uterine Torsion during pregnancy. In: Surgical disease in pregnancy. Philadelphia: WB Saunders Co Ltd, 1974: 387-388.
[4]. BAROZZI J: Manuel de Gynecology Pratique. Paris, 1907
[5]. ROBINSON AL, DUVALL HM: Torsion of the pregnant uterus. J ObstetGynaecol Br Commonw 38: 55, 1931
[6]. SIEGLER SL, SILVERSTEIN KM: Torsion of a pregnant uterus with rupture. Am J ObstetGynecol 55: 1053, 1948
[7]. Nicholson WK, Coulson CC, McCoy CM, Semelka RC. Pelvic magnetic resonance imaging in the evaluation of uterine torsion.Obstet& Gynecol. 1995; 85: 888-890
[8]. Nesbitt REL, Corner GW.Torsion of the human pregnant uterus.ObstetGynecolSurv. 1956; 11: 311-332.
[9]. RABBINER B: Torsion of the pregnant uterus in patients with kyphotic pelvis. Am J ObstetGynecol 30: 136, 1935
[10]. WRUBEL NN, GREENBERG MV, BEILLY JS: Interstitial pregnancy with torsion of pregnant uterus and spontaneous amputation of adnexa and round ligament. NY State J Med 51: 2533, 1951.

Abstract: In the last decade, knowledge of α-adrenoceptors has expanded enormously. It is the purpose of this review to present the current status of our knowledge of alpha adrenergic receptor subtypes. The goal is to provide a brief perspective as a context for our current understanding and to highlight the gaps in our current understanding. From a pharmacological perspective, it should permit the development of very selective drugs with relatively few side effects.

Key Words: α-adrenergic receptors, subtypes, locations, functions, agonists, antagonists.

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