bluuebunny/crossref_metadata_2025 huggingface dataset:
Awareness On Management of Screw Fracture Among Dental Students and Practitioners
Authors: Swetaa. A  , Visalakshi. R.M  , Revathi Duraisamy  , Dhanraj Ganapathy
Published: November 2022

Dental implants have been a life-enhancing modality for partially and completely edentulous patients. Implants can successfully support a cemented or screw-retained single crown. However, this modality is not without complications. Despite the high success rate of implants, it is not free of complications and dental implants occasionally fail due to biological factors or technical complications.The technical problems of implant-based restoration components including abutment screw fracture and peri-implantitis are deeply related to dental implant system failure, and an increase in related complications are also being reported.A set of 12 questions was formulated and distributed among the study. The participants were asked to fill the questionnaire. The survey was conducted in an online forum. A total of 100 validated entries were collected. Data was entered into Microsoft Excel and analysed in SPSSV20. Associations between categorical variables were determined using Chi-square. P<0.05 was considered statistically significant.69.6% of the participants believe that screw loosening is the most common complication in single tooth implant.57% of the participants responded screw loosening might lead to screw fracture.50% of the participants responded screw fracture occurs at a rate of 1-5%.31 of the participants believe management of screw fracture can occur through implant removal and retreatment, fabrication of cemented cast cast and pore,screw fragment retrieval.82% of the participants are aware about the screw removal kit. Thus awareness on management of screw fracture among dental students and practitioners was established.
Awareness On Management of Transitional Implants
Authors: Preety Rajesh  , Visalakshi Ramanathan  , Revathi Duraisamy  , Dhanraj Ganapathy
Published: November 2022

Introduction: Dental implant treatment has evolved a lot over the years for replacing missing teeth. There are clinical situations wherein the patient would have to go through a waiting period after a surgical procedure. During such a waiting period, the patient needs to function on a fixed temporary restoration till the final restoration can be placed. This has been made possible by the advent of transitional implants which have been designed and placed along with the conventional implants for the replacement of the patient's missing dentition and enabling the patient to experience the benefits of implantology immediately. Aim:The purpose of this study was to evaluate the awareness about transitional implants among dental students.Materials And Method: The present study was a questionnaire based survey study. A total of 100 dental students from Chennai population took part in the study. Self-structured standard questionnaires were given to the students through an online portal and the survey was administered to the students belonging to first year, second year, third year, final year, interns and PG. The survey was conducted among them to analyse their awareness of management of transitional implants. Survey consisted of a set of 10 questions. Random sampling was done. Data was collected and put into pie charts to display the statistical results.Results: Students belonging to PG were most aware about transitional implants and its indications. 58.4% were aware of the osteotomy, 60% were aware that both edentualous and partially edentulous patients can undergo transitional implant placement and 60% were aware of its role during overdentures. According to the chi Square test, (p<0.05). Thus data was statistically significant.Conclusion: Within the limits of the study, it is observed that the students had awareness about transitional implants. However, furtherawareness can be created among a larger number of participants.
Awareness On Mastoid Implants Among Dental Students
Authors: Ashwin Shravan Kumar  , Dhanraj Ganapathy  , Revathi Duraisamy
Published: November 2022

Introduction: The goal of modern dentistry is to provide patients with good oral health in a predictable fashion. The edentulous patient may hoot have good masticatory function or aesthetics. When wearing a removable denture the efficiency is reduced to one sixth than natural dentition.An ideal prosthesis can bring back normal muscle activity thereby improving mastication. Implant Prosthetic options just do not rely on alveolar bone. There are many other options too. One such option is the mastoid implants.Our aim is to evaluate the awareness on mastoid implants among dental students.Materials and methods: A set of 10 questions were formulated and distributed among the undergraduate students to determine their awareness on mastoid implants All data were collected and analysis was done. The data were entered in an Excel sheet and were imported to SPSS software by IBM. Results: 80% of the participants were undergraduate students. Also 35% have ideas regarding mastoid implants and very few participants were trained in mastoid implants, only 3%. Almost 60 % of study participants agree that mastoid implants may be highly valued in the future.Conclusion: Within the limitations of the study it can be said that there is very little awareness about mastoid implants among the student population and conducting more educational programs and providing more hands-on training will motivate the upcoming dental professionals to be well aware of future prospects of maxillofacial prosthetic treatment.
Awareness On Zygomatic Implants Among Dental Students
Authors: Baala Vignesh.A  , Visalakshi Ramanathan  , Revathi Duraisamy  , Dhanraj M. Ganapathy
Published: November 2022

Introduction: Functional and aesthetic rehabilitation of maxilla or posterior maxillary defects is challenging and zygomatic implants have been an effective option in the management of atrophic edentulous maxilla and maxillectomy defects. Zygomatic implants were introduced by Branemark. Bone grafting and augmentation procedures involve two step procedures and lead to economic and financial loss for the patient, thus zygomatic implants have proved to be a good non-grafting option for the rehabilitation procedures for treating posterior maxillary and atrophic maxillary cases. Aim: This study aims to assess the awareness of zygomatic implants among undergraduate students.Materials And Method: A online questionnaire based survey was circulated among the students of Saveetha Dental college and the answers were compiled in excel sheet and tabulated and analysed using the statistical software IBM SPSS version 20.0 and the results of the survey were represented using tabulations and graphical illustrations. Results: Totally 100 participants took part in the the survey and out of which 90% of them were aware of zygomatic implants. 80% of the participants who took part in the survey were aware of the indications of zygomatic implants. 80% of the participants were aware of the most common complication being sinusitis. And the rest of the participants were aware of the other complications that can occur due to zygomatic implants. Conclusion: This survey was done to create an awareness on zygomatic implants. From the study most of them were aware of zygomatic implants, their indication, surgical procedure, contraindication and treatment protocol.
Design And Digital Fabrication Technique of a Hybrid Framework - A Literature Review
Authors: Vatika Agarwal  , Deepak Nallaswamy  , Suresh Vengopalan  , Dhanraj Ganapathy  , Subhabrata Maiti  , Sanjog Agarwal
Published: November 2022

Hybrid dentures consist of one of the most popular options in the fixed restoration of the edentulous arch. For a successful and durable prosthesis it is of utmost importance to pay good attention to the design and fabrication of such implant frameworks. Conventionally the framework was fabricated using traditional metal casting. However, with the advent of digital dentistry CAD CAM frameworks have become popular and their fabrication much easier and efficient.With a focus on design of implant frameworks and the digital fabrication process of hybrid dentures, the goal of this study was to summarise the pertinent literature in this area.In conclusion, hybrid dentures seem like a viable treatment option when designed correctly and CAD CAM technique seems like a popular and efficient technique to do so.
Digital Occlusal Analysis an Alternative Occlusal Indicator-A Review
Authors: Gowtham Neppala  , Suresh Venugopalan  , Dhanraj Ganapathy  , Sai Teja Reddy
Published: November 2022

Background: All disciplines of dentistry require that clinicians assess the articulation of the teeth/prosthesis with respect to simultaneous contacts, bite force and timing.Aim: This article intends to describe the advantages and limitations of the data acquired when using a digital occlusal analysis as a dynamic occlusal indicator.Methodology: A search of the literature was completed (Medline, PubMed) using the keywords occlusion, occlusal registration, computerized occlusal analysis and T-Scan for dental.Results: According to the evidence available, the digital occlusal analysis system is the only occlusal indicator that demonstrates the ability to provide quantifiable force and time variance in a real-time window from the initial tooth contact into maximum intercuspation.Conclusion: The reported advantages to accurately indicate occlusal contacts make the digital occlusal analysis system a better occlusal indicator when compared with other non-digital convention indicator materials available.
Evaluation Of Abutment According to Acp Classification for Patients Undergoing Tooth Supported Full Mouth Rehabilitation - A Study in University Setting
Authors: Harini Sri  , Subhabrata Maiti  , Vinay Sivaswamy  , Dhanraj Ganapathy
Published: November 2022

The tooth supported full mouth reconstruction, regards one of the complex procedures for most dentists. It needs efficient diagnosis and elaborate treatment planning to establish optimum esthetics and function. The clinicians should do a proper evaluation of the abutment teeth. The objective of this study was to evaluate the abutments according to ACP classification for patients undergoing tooth supported full mouth rehabilitation.The data was collected from June 2019 to March 2020 at a private dental institution in Chennai and a total of 51 case records of patients requiring full mouth rehabilitation procedure was obtained. Chi-square test was applied to see associations of age, gender and abutment condition and there was statistical significance between age, gender and abutment condition with p value < 0.05 . The results showed that 42% (n=21) of the patients were categorized as ACP Class- I; 34% (n=17) as Class-II; 8% (n=4) as Class-III; and 16% (n=8) as Class IV. The study reported the high occurrence of Class I abutment condition in both male and female population with 38.5% (n=10) and 45.8% (n=11) respectively.The age wise distribution of abutment condition revealed that in group 1, there was equal distribution between Class I, Class II and Class IV with 28.6% (n=2). In group 2, most of the abutments were Class II with 50% (n=3). In group 3 and 4, most of the abutments were Class 1 with 66.7% (n=6) and 50% (n=6) respectively and Class II was common in group 5. In this study, it can be concluded most of the abutments were ideal or minimally compromised followed by moderately compromised abutments in all age groups and both the gender. Full mouth rehabilitation procedures were carried out more in females than in male population.
Osteogenic Effectiveness Of 3d Printed Polycaprolactone Scaffold Implanted with Metallic Bone Regenerative Compounds - A Systematic Review
Authors: Harini Sri  , Dhanraj Ganapathy  , Vinay Sivaswamy  , Deepak Nallaswamy Veeraiyan  , Suresh Venugopalan
Published: November 2022

The design and fabrication of synthetic scaffolds to stimulate bone repair have been extensively researched and have experienced a remarkable increase in interest over the last decade. The aim of the current review is to systematically analyse the scientific evidence on osteogenic effectiveness of 3D printed polycaprolactone scaffold implanted with metallic bone regenerative compounds. To achieve the goal, this study conducted a systematic review of the global research published on 3D printed polycaprolactone scaffolds and a total of 338 were analysed by evaluating title, author and year, study design, sample size, groups, types of statistical methods used, outcome measures and inference. After excluding articles based on inclusion and exclusion criteria, a total of 5 articles were reviewed. The future trend is proposed by the systematic review and is discussed in the directions of biocompatibility, cell adhesion and proliferation, mechanical properties, gene expression, osteoblastic bone formation and graft degeneration. This study contributes by providing knowledge for practitioners and researchers to understand the state of the art of scaffold manufacturing with polycaprolactone with regenerative compounds and expose its research needs, which can serve both academia and industry.
Effect on the mechanical properties of different types of surface treatment on sulfonated Peek - An In Vitro Study
Authors: M.Sai Teja Reddy  , Ashok Velayudhan  , Vaishnavi Rajaraman  , Dhanraj Ganapathy  , Gowtham Neppala
Published: November 2022

Introduction - Thermoplastic polymers have many potential uses in medicine and dentistry as an alternative to the commonly used titanium. Since the 1980s, polyaryletherketones (PAEKs) have been increasingly employed as biomaterials for trauma, orthopedic, and spinal implants. Due to several advantages of these materials, metal-free restorations are performing an important role in current medical therapies. PEEK is biologically inert and various surface modifications are given to increase its osseointegration potential of PEEK, Acid etching is the most simple and cost effective method of treatment. The aim of this study is to evaluate the surface roughness and wettability of 2 different acid etching techniques of PEEK samples - Magnetic stirring and ultrasonic. Material and methods - PEEK samples thicknesses of 2 mm and diameters of 15 mm was used in the study and the sulfonation procedure was done magnetically and ultrasonically for 6 mins and samples were rinsed with acetone for 10 mins, washed with deionized water for 10 mins and finally dried at 37°C. The results of the study were subjected to statistical analysis in SPSS software version 23.0. Independent t test was performed for the parameters. Results - when comparing 2 groups magnetic stirred sulfonated PEEK (MSPEEK) and Ultrasonic PEEK (USPEEK) results showed statistically significant difference present. (P < 0.05) in surface roughness and in wettability no significant difference is seen (P > 0.05). Conclusion - The literature suggests that PEEK offers an alternative to titanium, especially in cases of orthopedics and trauma. Its properties make it an interesting material in Dental implantology to be performed with CAD-CAM. Further studies are required to obtain sufficient scientific evidence to enable its uses as a permanent material.
The Ideal Hybrid Framework Material? - A Literature Review
Authors: Vatika Agarwal  , Deepak Nallaswamy  , Suresh Vengopalan  , Dhanraj Ganapathy  , Subhabrata Maiti  , Sanjog Agarwal
Published: November 2022

Hybrid denture prosthesis have been used popularly in prosthodontics as a tooth replacement option. with some controversy. Hybrid dentures consist of one of the most novel options in the restoration of the edentulous arches. The implants are only placed only in the anterior region and the prosthesis is provided in the posterior region with the assistance of a cantilevered bar or framework. Conventionally the framework for such a prosthesis is fabricated using titanium or cobalt-chromium metal. Traditionally the frameworks were fabricated using metal casting. However, with the advent of digital dentistry CAD CAM frameworks have become very popular which have allowed the use of an array of materials such as zirconia,peek amongst other traditionally used metals.With a focus on materials used in the fabrication process of hybrid dentures, the goal of this study was to summarise the pertinent literature in this area.In conclusion, hybrid dentures seem like a viable treatment option which can be fabricated using multiple materials such as PEEK,zirconia,titanium,cast base metals, noble metals etc.
Effectiveness Of Cad Cam Milled Vs Dmls Titanium Framework for Hybrid Denture Prosthesis - A Systematic Review
Authors: Vatika Agarwal  , Deepak Nallaswamy  , Suresh V  , Dhanraj Ganapathy  , Vinay Sivasamy  , Sanjog Agarwal
Published: November 2022

Objectives: The main objective of this study is to critically review articles that have used printed and milled CAD CAM designed metal as a framework for hybrid denture and evaluate its clinical effectiveness.Search Strategy: An electronic search was performed in PubMed, Google scholar and Cochrane Library until December 2021. The assessment of the articles was done using selection criteria.Selection Criteria : All prospective/retrospective studies on conventional, milled and printed metal frameworks for implant supported hybrid dentures were included in this systematic review.Case series, case reports, conference paper, animal studies were excluded from this review.Data Collection: We used standard methodological procedures to select studies and collect the data. The risk of bias was evaluated and findings were synthesised.Results: Out of the 22 articles selected 5 were excluded based on title and abstract. Out of the remaining 17 studies, 10 were excluded based on inclusion and exclusion criteria, and finally 7 were selected on the basis of core data. Based on the observation from these 7 studies we were able to substantiate the difference between the conventional, milled and printed metal frameworks for hybrid denture prosthesis.Conclusion: DMLS as well as CNC milling are viable and better alternatives for production of titanium bar for implant supported hybriddenture frameworks, when compared to the conventional production methods. DMLS and CNC milling both have a few pros and cons over each other. While the accuracy of CNC milling is greater, its fabrications costs make it difficult to bring into daily practice. DMLS is cheaper, faster and although less accurate, clinically acceptable. Thus further research in this topic is imperative to best understand its potential.
Health Care Internet of Things (IOT) During Pandemic –A Review
Authors: Manvitha gali  , Aditya Mahamkali
Published: November 2022

With so many health problems prevalent in today's world, maintaining personal health should be of great importance. While the number of patients is large, the number of doctors is relatively small. As a result, diagnosis is delayed and some patients are neglected. This increases the patient's confidence in the doctor for regular checkups. With all these issues in mind, healthcare systems are starting to connect to the IoT to maintain a digital identity for each patient. Many health problems are undiagnosed in the healthcare sector due to a shortage of doctors/caregivers and lack of access to healthcare. On the other hand, these IoT-based medical systems allow patients and doctors to continuously monitor and easily analyze patient data. This article provides an overview of the role of the Internet of Things in healthcare related to pandemic disease COVID-19.
Analysis of the Effect of Modification of Blood Sugar Control Models in Diabetis Mellitus Patients on KGD at Puskesmas Muliorejo, Sunggal District, 2021
Authors: Megawati  , Soep
Published: November 2022

Background: Diabetes mellitus is a serious and chronic disease in which the pancreas does not produce insulin in sufficient quantities to regulate blood sugar in the body. (WHO, 2016).Problem : How is the effect of modification of the model of controlling blood sugar levels in patients with diabetes mellitus on KGD when.Objective: To analyze the effect of modifying the blood sugar level control model in patients with diabetes mellitus on blood sugar levels at any timeMethod: Quantitative research with quasi-experimental method pre post test control group design.Population: The population is the entire research subject. With type II DM who experienced and who did not DM as many as 638 people.Sample: The number of samples is 30 people in the intervention group and 30 people in the control group. So the total sample for both groups is 60 peopleResult: There is a significant relationship between age, history of DM, behavior, smoking, obesity and hypercholesterolemia on KGD seen from p-value <0.05.Conclusion: There is a difference between age, history of DM, behavior, smoking, obesity and hypercholesterolemia on KGD before and after the intervention.Suggestion: To respondents aged > 50 years to carry out sports activities, jogging, jogging, exercise, healthy lifestyle and diligently drinking water, control blood sugar levels and for people with diabetes do not forget to take medication regularly and control regularly.
Investigation of the Relationship between the Use of Statins with the Mortality Rate and Duration of Hospitalization Due to Covid-19
Authors: Navid Imani Khoshkhoo  , Sajjad Rahimi  , Atousa Najmaldin
Published: November 2022

Introduction: Statins are a group of lipid-lowering medications that have anti-inflammatory and immune system-modulating effects. Considering the existence of severe inflammatory reactions in patients with covid-19, this study aimed to investigate the effects of statins on the mortality rate of covid-19 patients.Materials and Methods: The present research is a descriptive-analytical case-control study that was carried out in the first half of 2021 at Kowsar Hospital in Semnan, Iran. The study was conducted on 191 patients taking statins as the case group and 191 patients with no history of taking statins. Demographic and clinical information of the patients who met the inclusion criteria of the research were extracted from the files and collected in the researcher's questionnaire. Finally, the results were statistically analyzed using SPSS software version 26.Results: In this study, a case group of 191 people, who had a history of taking statins, and a control group of 191 people, who did not use statins, were investigated. The average age of people was 64.7 years. Among the studied patients, 51.7% were men and 48.3% were women. Most of the patients were hospitalized for 4 days. Also, 351 patients were discharged and 32 people died. After analyzing the data, no significant relationship was observed between the use of statin and mortality due to Covid-19.Discussion and Conclusion: According to the results of this study, no relationship was observed between the use of statins and the reduction of mortality caused by covid-19.
Fatal Systemic Toxicity with Topical Lidocaine Spray
Authors: Maedeh Asna Ashari Amiri  , Fatemeh Mohammadi  , Seyed Amir Tabibzadeh Dezfooli  , Mahya Naderkhani
Published: November 2022

Introduction: Lidocaine is a class of Ib antiarrhythmic agent which is available in various intravenous (IV) and topical forms. Systemic toxicity of lidocaine has been reported following its IV injection or local infiltration for anesthesia, mostly. However, toxicity following the application of its topical gel and oral spray is also possible. Manifestations of lidocaine induced systemic toxicity include neurologic and cardiac symptoms. Reported cases of systemic toxicity after ingestion of topical lidocaine are rare. In this case study, we present a patient who developed symptoms of severe systemic toxicity following oral ingestion of topical lidocaine spray.Case Presentation: A young woman was referred to the emergency department with agitation following ingestion of lidocaine spray solution to commit suicide. At the time of arrival, vital signs were stable. Blood tests and electrocardiogram were also normal. She underwent supportive care. Gradually, the symptoms of neuro and cardiac toxicity appeared. Standrad management include intralipid and bicarbonate administration was unsuccesfull and the patient experienced cardiac arrest.Conclusion: Lidocaine systemic toxicity with topical form could be severe and fetal, since the prompt diagnosis of systemic toxicity is the key factor to preventing death, physicians should be familiar with the symptoms of lidocaine systemic toxicity.
PARANOID SCHIZOPHRENIA SECONDARY TO PHYSICAL AND EMOTIONAL ABUSE BY SPOUSE: A CASE REPORT
Authors: Abhilash , Ruchira Ankar , Jaya Gawai , Roshan Umate
Published: November 2022

Schizophrenia, which is distinguished by psychotic symptoms and frequently leads to social and vocational decline, persists to be a challenge in terms of its aetiology and treatment. Physical and emotional abuse from the partner can lead to paranoid schizophrenia. Paranoid schizophrenia patient shows disturbed thought process due to several causative agents such as chemical and structural dysfunction and environmental influences. Further patient have poor insight, experience disorder of thought and have negative symptoms. A 32 year old female patient was brought to psychiatric department by her mother with the presenting complaints of acute symptoms which include delusion of percussion, delusion of reference, delusion of infidelity, auditory hallucination, suspicious behavior and restlessness. Prior to the current situation patient have taken I week of treatment and visit the psychiatrist for follow up. Clinical features and mental status examination met the criteria for paranoid schizophrenia and administration of antipsychotics to the patient. The client was under the observation for 1 week. The drug therapy was helpful to the client. The course of the disorder in the client was ‘episodic with stable deficit’. The symptoms of the client were reduced and she was stable.
A 5 Years Old Male Child with Inflammatory Demyelinating Diseases: a rare case report
Authors: Aditya Nistane  , Kavita Gomase  , Roshan Umate
Published: November 2022

Background: A neurological condition known as demyelinating illness causes damage to the myelin sheath, which protects nerve fibers, optic nerves, and the spinal cord. The damage weakens the conduction of transmission signals in affected nerves. This reduction cause deficiency in cognition, movement, sensation, or other neurological functions in which the nerves are involved. Here we are presenting a case of a 5-year-old male child who was brought by his parents to the emergency department with the chief complaints of difficulty in swallowing, slurred speech, weakness, stiffness of muscle, fever and cough, pain, and loss of coordination. He has a history of hospitalization for pneumonia at the age of one year. Physical examination shows weakness and dullness along with localized tenderness, muscle spasms, difficulty in movements, and slurring of speech. He has undergone a blood test, Magnetic resonance imaging (MRI). And then started on immunosuppressive therapy.
Case Report on Choroid Plexus Papilloma
Authors: Rajnandini Bawankar  , Ruchira Ankar  , Vaishali Tembhre  , Roshan Umate
Published: November 2022

Choroid Plexus Papillomas (CPPs) is also known as benign but rare central nervous system(CNS) which affect the tufts of villi that make the ventricular system choroid plexus, which is responsible for production of cerebrospinal fluid(CSF). They make up between 0.5-1% in adult and 3-4% of paediatric group.Here we are introducing 11-year-old- female who visited with her parents in paediatric outpatient unit with the complaints of headache in the frontal region and backregion. She had 4-5 episodes of vomiting in previous week, she also developed the double vision since last 2 days. The patient underwent Magnetic Resonance Imaging of the brain and found the evidence of papilla enema in both eyes. Patient went to eye department for Vitreo-retained(VR) surgery. After that client was shifted to ward for the further management where she was administered the appropriate paediatric dose of antiedema and antiepileptic medication and other supportive measures. After treatment, the patient's condition was improved than before. Symptoms such as blurred vision relieved after surgery. These tumours rarely develop in children’s third ventricles, fourth ventricles or CP angle.
Case Report on HELLP Syndrome with Severe Anemia
Authors: Abhishek Deshmukh  , Swapna Tarale  , Vaishali Tembhre  , Aniket Pathade
Published: November 2022

Background: The pregnancy condition known as the HELLP-syndrome (Haemolysis, Elevated Liver enzymes, Low Platelets) is connected to preeclampsia and may result in sub capsular liver hematomas. Estimates of incidence range from 0.5 to 7.6 per 1000 births, and between 8% and 24% of HELLP cases are considered severe .Here we are introducing a 24-year-old patient who visited to gynaecological outpatient department unit with complaint of abdominal and chest pain specially in right upper side, bleeding, changes in vision, heat intolerance specially in night but cold hand, insomnia weight loss, nausea, and vomiting, sweating, dizziness, tremor, increase appetite headache, edema over feet since last one month. The patient underwent through a blood investigation (CBC), D-dimer test, liver enzyme test, and sonography and magnetic resonance image. After all the investigation patient shifted for lower segment caesarean section(LSCS) After that the patient is shifted to ward for further management after that she has administered the right dose of anti- thyroid medication, anti- conversant beta blocker, anti edoema and other suppository medication. After treatment, the patient's condition was improved than before.
A CASE REPORT ON: BASILAR ARTERY ANEURYSM WITH CANCER
Authors: Amit Bobade  , Dipali Ghungrud  , Indu Alwadkar  , Manoj Patil  , Swapna morey
Published: November 2022

Introduction: Basilar artery provide oxygenated blood to the brain. The vertebral basilar system, which supplies blood to the posterior region of the Willis circle and joins with blood provided to the anterior half of the Willis process from the internal carotid arteries, is made up of the two vertebral arteries and the basilar artery. At the medulla oblongata and pons of the abducens nerves, the two vertebral arteries merge to form the basilar artery. The basilar artery's diameter ranges from 1.5 to 6.6 mm. When the midbrain ascends superiorly in the basilar sulcus of the ventral pons and separates into the posterior cerebral arteries, the midbrain and pons come together. Present complaint and investigation: A-53-year-old female was hospitalized in rural hospital Wardha with complaints of breathing difficulty, lower limb swelling, nausea, and vomiting and chest pain, mucus in the throat and lungs, and loss of appetite since 12 days. Investigation: Haemoglobin is decreased by 10.7gm, WBC count 11,000 per microliter, Total R.B.C. count increased by 5.84 million /cell, M.C.H. level Decreased 70fl, MCH is decreased by 22.8 Pico-gm. Therefore CT report should be interpreted in correlation with clinical & pathological findings. Past History: He had been admitted eight days before outside the hospital for the same complaints. The patient had complaints of Intraventricular Haemorrhage on treatment after investigations and the physical examination diagnosed basilar artery aneurysm with cancer. Conclusion: The prognosis of disease severity can be fair by timely treatment and management of cancer and basilar artery aneurysm.
13-year Old Male Child Patient with a known Case of Necrotizing Encephalopathy
Authors: Bhagyashri K Pohane  , Shakib H. Sheikh  , Pratiksha Munjewar  , Roshan Umate
Published: November 2022

ANCE (Acute necrotizing encephalopathy of childhood) is a disease that affects children with a high fever, a respiratory or gastrointestinal infection, rapid changes in awareness, and seizures. Almost all Asian newborns and children who were previously in good health are affected by this illness. According to serial magnetic resonance imaging studies, the thalami, cerebellum, brainstem, and white matter all showed symmetric lesions in this disease. The condition has a poor prognosis with high morbidity and mortality rates. Amir Kola Children's Hospital is evaluating an A.N.E.C. in a 22-month-old kid Missense mutations were also detected in the gene that codes for the nuclear pore protein- Ran Binding Protein 2 (RANBP2). Though the clinical course and prognosis of ANE differ, the characteristic of neuro radiology manifestation of ANE is multifocal symmetric brain lesions visible on computed tomography (C.T.) or magnetic resonance imaging (M.R.I.).The treatment of ANCE is still under particular observation. We provide the most up-to-date information on ANCE, emphasizing early detection and successful consultation and treatment of this rare but deadly disease.
A CASE REPORT ON: MANAGEMENT AND OUTCOME OF MALIGNANT NEOPLASM OF EYE AND ADNEXA
Authors: Gayatri Khond  , Dipali Ghungrud  , Indu Alwadkar  , Manoj Patil  , Swapna morey
Published: November 2022

Introduction: Although ocular adnexal cancers are relatively uncommon, their distinct spreading behavior and the functional significance of the eye and periocular tissues necessitate special diagnostic and therapy considerations. Case presentation: In this case, a 50-year-old male admitted to a rural hospital in Wardha. He was admitted with complaints of small growth over the upper eyelid since 1 year hence he visited to a private hospital and took homeopathic treatment but did not get relief. Then it increased in size of swelling hence he visited to rural hospital in Wardha and was investigated. CECT Orbit (10.05.2022) – There is an e/o heterogeneously enhancing soft tissue density lesion with areas of necrosis within it seen in the left periorbital region. The lesion measures 3.6*4.4*3.8 cm. The lesion is causing erosive destruction of the lateral wall of the left orbit and the anterior part of the left zygomatic arch. Anteriorly the fat plane is lost with preseptal and premaxillary soft tissues, medially involving the extra and intraconal compartment, lateral rectus muscle the fat plane with eyeball is lost with its compression, laterally involving the full thickness of adjacent subcutaneous tissue. A similar small lesion is seen in the subcutaneous plane adjacent to the left zygomatic arch. There are enhancing LNs seen in bilateral submental, submandibular, left preauricular region largest of size 18*10 mm with necrosis within in left submandibular region. There is an e/o heterogeneously enhancing lesion seen in the left parotid region with a necrotic area within it. Previous treatment has taken Surgery (06.06.2022) – Left Orbital exenteration with left MRND and left free ALT flap. He had started radiotherapy and completed 30 fractions Patient was admitted under radiation oncology. Conclusion: Careful visual examination should be a part of cancer patients' long-term follow-up strategy. Timely treatment and management of disease complications can be prevented.
Case Report on Choledocholithiasis with ERCP with thrombosis of the portal vein, splenic vein, superior mesenteric vein with systemic
Authors: Jaya Nagarale  , Aparna Kawale  , Dharti Meshram  , Pratiksha Munjewar  , Roshan Umate
Published: November 2022

Background: Cholelithiasis, one of the most common medical conditions leading to surgical intervention, affects approximately 10 % of the adult population in the United States. Choledocholithiasis develops in about 10%-20% of patients with gallbladder stones and the literature suggests that at least 3%-10% of patients undergoing cholecystectomy will have common bile duct (CBD) stones. Case Presentation: A 48-year female was admitted to the tertiary care hospital Wardha in the female medicine ward, with the primary complaint of abdominal pain, back pain, nausea, vomiting, fever, bloating in the abdomen, constipation. No medical history such as diabetes mellitus, No significant history. Physical examination and systemic examination were done. The patient's general appearance is not good, she was undernourished, the patient is not active and very dull nature, not maintained hygiene and personal grooming Conservative. Haemoglobin 10 gm%, WBC Count 5000 cells /mm³, RBC Count 20000- 40000 IgM and IgG cells /mcL test both positive, platelets count 12000 cells / mm³, endoscopic retrograde cholangiopancreatography for confirming the diagnosis Choleodolithiasis with ERCP with thrombosis of the portal vein, splenic vein, superior mesenteric vein with systemic. Computed tomography and Magnetic resonance imaging, urine culture, and complete blood count were done and which were abnormal. The patient was transfused to the surgery ward for surgical management. Patient managed with the surgery of laparoscopic cholecystectomy surgery help to remove gallstones and also managed with medical management given to patient antibiotics, analgesics, antacids, and other supportive measures. Conclusion Due to conservative management and quality of nursing care, the patient's condition was stable and had no active complaints at present hence the patient is being discharged.
A case report on sepsis with HTN with pyelonephritis with DM 2
Authors: Kranti Dehade  , Shabanam N. Sheikh  , Pratiksha Munjewar  , Roshan Umate
Published: November 2022

Introduction: Modes: Acute arterial hypertension can arise during acute sepsis in everyday practice. The most recent sepsis campaign recommendations did not include any management instructions on this topic. Arterial hypertension that develops during sepsis may go unnoticed, even though it can have serious hemodynamic effects. This report presents a clinical study of acute hypertensive response in sepsis. It demonstrates that during sepsis, At the same time, arterial hypertension, renal salt loss, and glomerular hyperfiltration can all occur. The mechanisms of sepsis-related arterial hypertension and treatment possibilities are also reviewed. Diabetes mellitus is a common cause of pyelonephritis. Acute arterial hypertension can arise during acute sepsis in everyday practice. The most recent sepsis campaign recommendations did not include any management instructions on this topic. Despite its potential for hemodynamic damage, Severe arterial hypertension that develops as a result of sepsis may be an overlooked ailment. This report presents A clinical study of sepsis-induced acute hypertension. It demonstrates that arterial hypertension, renal salt loss, and glomerular hyperfiltration can all lead to kidney failure. all happen at the same time during sepsis. The mechanisms of sepsis-related arterial hypertension and treatment possibilities are also reviewed. Pyelonephritis is frequently caused by diabetes mellitus. Patients with EPN had a lower treatment outcome than those with NEPN. However, EPN and NEPN patients had the same death rate, although EPN patients require more nephrectomy. Shock and an altered sensorium at the time of presentation were both poor prognostic factors in EPN.Patients Information: A 43-year-old woman was admitted To MICU on February 20, 2022 On fever, the patient has had chills for 5 days, vomiting for 1 day, and generalized weakness for 5 days, with a history of hypertension, sepsis, Diabetes Mellitus 2 pyelonephritis, and no history of tuberculosis.clinical findings: By physician's order, the patient had completed all essential investigations. Therapeutic Interventions: medical management was provided to the patient Iv, fluid RL, and NS were used to treat the patient. RT feed 200ml/2 hourly, pan 40 mg OD, Emmet 4 mg sos, pan 40 mg OD Lantus 8 unit HS, She was taking all treatments and the outcomes were good. The patient was taken medication as per a doctor’s order, for example, antipyretic use to treat fever Nursing Management: conclusion: A 43 -year -old woman was admitted with MICU sepsis with HTN with pyelonephritis with DM2, fever With chills for 5 days, vomiting for 1 day, and generalized weakness for 5 days, The medical treatment had a positive impact on the patient's condition. Now, the patient's symptoms have been reduced, and he was in better condition.
Case report on- Management and complication of vesicular calculi with obstructive Hydronephrosis with CKD
Authors: Prajkta Raut  , Seema kolhe  , Pratiksha Munjewar  , Aniket Pathade
Published: November 2022

Hydronephrosis is the swelling of a kidney due to a build-up of urine. It happens when urine cannot drain out from a blockage or obstruction. Hydronephrosis can occur in one or both kidneys. The primary function of the urinary tract is to remove wastes and fluid from the body. In today's urology, multiple giant vesical calculi are a rare occurrence. In the English literature, only a few examples of vesical calculi weighing more than 100 g have been described. Arthur et al. created the world's most extensive vesical calculus, weighing 6294 g. Bladder stones can be asymptomatic and only detected by chance. Rat kidney transplantation is a common experimental model for the creation of general microsurgical or transplantation procedures, immunologic research, and the examination of transplant-related long-term alterations in arterial blood pressure. Main symptoms and Important clinical Findings:- A 45 years old male was admitted to a rural hospital in the medicine ward on date 11-01-2022 with the chief complaint of Vomiting, Nausea, fever and Urinary, Fatigue, high blood pressure, loss of appetite, malaise, or water-electrolyte imbalance Problem 1 week. The primary diagnosis, therapeutic interventions and outcome:-This case were diagnosed after a physical examination and research. Vesicular calculi with obstructive Hydronephrosis with CKD chief complaint pain, vomiting, and blood in the urine for one week. Weakness, severe muscle, severe loss of appetite and two weeks. Nursing perspective:- - NS and RL nebulization are examples of fluid replacement. Vitals are being monitored on an hourly basis.Conclusion:-vesicular calculi with obstructive Hydronephrosis with CKD case was rare. CysC more accurately depicts changes in renal function in patients with hydronephrosis brought on by ureteral calculi, and the CKD-EPI CysC equation has the highest accuracy. Early diagnosis and early treatment are necessary to prevent further complications. He responded to all medication, and her recovery was good.
A CASE REPORT ON: MANAGEMENT AND COMPLICATION OF HANGING
Authors: Pratik Nagarale  , Dipali Ghungrud  , InduAlwadkar  , Manoj Patil
Published: November 2022

Background: The process of breathing, or the exchange of air between the atmosphere and the lungs' alveoli, is impaired in cases of hanging by a neck rope, which results in asphyxia and death. Main symptoms and important findings: A 27-year-old male was admitted to a rural hospital with complaints of hanging from a fan at home after a fight with his wife, with unconscious state, and one episode of seizure associated with up rolling off the eyeball, frothing from the mouth, and tonic-clonic movement. There was previous deliberate self-harm. Given low GCS, the patient was immediately intubated with ET TUBE 7.5 and taken on mechanical ventilation on volume control mode with peep 5, RR 16, Spo2 100%, TV 360 ml. rapid antigen test was done which came out to be negative and ECG done and show sign of tachycardia. Chest and spine X-RAY was done. CT brain done and the finding was normal. EEG was done and show the finding was beta activity and no epileptiform changes. An orthopedic physician's opinion was taken and to continue Philadelphia collar for 4 weeks was advised. The main diagnosis, therapeutic interventions, and outcomes: After a physical examination and investigations doctor diagnosed a case of hanging with depression. Medical management was provided with Inj. Ceftriaxone 1 gm intravenous twice a day for 9 days, Inj. Pan 40 mg intravenous once a day, Inj. Emset 4 mg three times a day, Inj. Levipril 500 mg twice a day, Inj. Dexa 6 mg once a day for 5 days, Nebulization With Duolin And Budecort three times a day, intravenous fluids given. Now his outcomes were good. His complications were reduced. Conclusion: Hanging is a complicated case and produces more complications but early diagnosis management can secure the life of a patient and reduce the complication of hanging.
Case Report On Vitamin D Resistant Rickets, With Hypothyroidism And Growth Hormone Deficiency
Authors: Priyanshi Hadke  , Bhawana Dhanvij  , Pratiksha Munjewar  , Aniket Pathade
Published: November 2022

INTRODUCTION: vitamin D deficiency can result in osteoporosis and fractures (broken bones). Other disorders can develop as a result of severe vitamin D deficiency. It may result in rickets in youngsters. The rare condition of rickets makes the bones brittle and prone to breaking. Vitamin D is obtained from food and solar exposure. Vitamin D insufficiency is often not a problem for adults. Some people are more susceptible to the illness than others, particularly people with dark complexion and seniors over 65. Most folks don't exhibit any symptoms. A significant deficiency may result in bones that are thin, brittle, or malformed.Patient History:-Patient 14-year-old male admitted to the hospital, Informant is the mother. The patient was alright 12 and half years back when he had a history of fever followed by weakness in both lower limbs. The patient went to the private hospital where he was managed conservatively and advised surgery due to money issues patient came to the hospital for further management. In 2016 he was diagnosed with a metabolic disorder and deformity at the knee joint was managed conservatively then the patient was again admitted in 2017 and managed with ORIF with osteotomy with plating followed by cast application on 03/04/17. Now patient present with deformity in both knees and unable to walk for the last 3 months. Post operatively patient was walking on his own but for the last 3 months, he was unable to bear weight to walk. The patient can stand with support Presenting Complaints and Investigation: The patient 14-year-old male admitted to the hospital with a complaint of deformity in both knees since 12 and a half yearUnable to walk since 3 months, Hb-12.4, MCHV-33.9, MCV-86.7, MCH-29.4, Total RBC Count-4.22, Total Platelet Count-2.27, HCT- 36.6, Monocytes-03, T3-1.02, T4-9.89, TSH-7.73 Past History: Underwent investigations and was given medications at the private hospital, and in 2017 for deformity at both knee, he was managed with open reduction and internal fixation with osteotomy followed by cast application, Milestone is delayed. The main diagnosis, therapeutic intervention, and outcome: All examination and investigation doctors diagnosed vitamin D-resistant rickets, with hypothyroidism and growth hormone deficiency with treatment inj. growth hormone 2IU od Subcutaneous, tab.levothyroxine 50 mg 0d in morning,tab.limcee od,syp.calcimax-p 5mlbd, KCIT solution bd,syp mvbc 5mlbd, vitamin d3 sachet one's week. Conclusion: Preventive measures targeted at lowering the vitamin D shortfall in pediatric age could be taken in response to these findings.
A CLINICAL CASE REPORT ON XANTHOGRANULOMATOUS PYELONEPHRITIS WITH STAGHORN CALCULUS
Authors: Rohit Thool  , Bhagyashree Ganeshpure  , Indu Alwadkar  , Pratiksha Munjewar  , Ashish Bhagat
Published: November 2022

The uncommon condition known as xanthogranulomatous pyelonephritis (XGP) is characterized by renal parenchymal loss and is replaced by solid sheets of lipid-rich macrophages. Most cases affect women in their mid-twenties. A histopathologic analysis provides a precise diagnosis. The only effective treatment is a whole or partial nephrectomy. Nephrostomy is our suggested procedure because it makes microbiological diagnosis and operation easier (nephrectomy). Here we discussed a case of xanthogranulomatous pyelonephritis with staghorn calculus and its surgical management. The present complaints and investigation: A 38-year-old woman who had been experiencing right flank pain for two to three months and a high-grade fever registered with the urology department. She has a history of anemia. Now she has come here for further treatment. The doctor made the diagnosis of xanthogranulomatous pyelonephritis with staghorn calculus following a physical examination and further testing like blood and urine analysis. Inj. Ceftraxone 1 gm BD, Tab. Pantop 40 Mg OD, Inj. Emset 4 Mg SOS, Inj. Tramadol TDS, Calcium, iron, and folic acid supplements were given.conclusion: Her general condition was good and all treatment was completed.