bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE TLINICAL EFFICACY OF AUTOLOGOUS CONCENTRATED PLATELETS IN TREATMENT OF TMJ DISORDERS - A PILOT STUDY
Authors: Sharma S.M. , Thakar Dhruvit 
Published: April 2020

AbstractPlatelet rich plasma is a natural concentrate of autologous blood growth factor which is obtained by sequestering and concentrating platelets by gradient density centrifugation experimented in different fields of medicine in order to test its potential to enhance tissue regeneration. These platelets when activated undergo degranulation to release growth factors with healing properties. It also contains plasma, cytokines, thrombin, and other growth factors that are implicated in wound healing and have inherent biological and adhesive properties. The aim of the study is to explore a novel approach to treat degenerative lesion of the articular cartilage of temporomandibular joint. Patients with chronic degenerative conditions of the joint, were treated with intra articular PRP injections. The procedure involved collection of 10 ml of venous blood and twice centrifuged to obtain 2 ml of PRP which was used for injection after activation by calcium chloride. The patients were clinically prospectively evaluated before and at the end of the treatment, and at 2, 4, and 6 months of follow up. Inter incisical mouth opening, clicking of temporomandibular joint and VAS for pain were used for clinical evaluation. The results showed significant improvement of all clinical scores from basal evaluation to the end of the therapy and on follow up at 2-6 months. The preliminary results indicate that the treatment with PRP injections are safe and has the potential to reduce pain and improvement joint function with low degree of articular degeneration.
AN INVITRO COMPARATIVE EVALUATION OF FRACTURE RESISTANCE OF ENDODONTICALLY TREATED TEETH OBTURATED WITH RESILON AND GUTTA-PERCHA
Authors: Halkai Kiran , Halkai Rahul , Hegde Mithra N. , Kumar Vijay ,   Arpita
Published: April 2020

Abstract
Aim: To compare and evaluate in-vitro the fracture resistance of endodontically treated teeth obturated with resilon & epiphany sealer and guttapercha using different sealers. Epoxy resin based sealer AH-plus and zinc oxide eugenol based sealer-TubliSeal (EWT).
Methodology: sixty four human single rooted maxillary anterior teeth, cleaned stored in 0.9% saline. All the teeth were decoronated to root length 14mm and bucco-lingual diameter of 5-7mm, After access openings teeth were instrumented using K3.06 up to final apical size 30/.06 and randomly allocated into 4 experimental groups (n=16 per group). Group 1(Control group): teeth were instrumented but not obturated, Group 2: Resilon cones and epiphany SE-sealer. Group 3: guttapercha cones and epoxy based sealer AH plus. Group 4: guttapercha and Tubli seal EWT. Coronal seal was done using IRM cement. Each of the specimens were tested for fracture resistance by instron universal testing machine.
Results: Higher fracture resistance values were observed for group 2 (Resilon & Epiphany SE sealer) followed by group 3(Guttapercha & AH Plus sealer) and group 4(Guttapercha & TubliSeal EWT) when compared to group1 (control-instrumented but not obturated).
Conclusion: filling the root canals with contemporary polymer based root canal obturating system- Resilon increased the in vitro fracture resistance of endodontically treated teeth.
CLINICAL EVALUATION OF CHEMO-BECHANICAL CARIES REMOVAL USING CARIE-CARE SYSTEM AMONG SCHOOL CHILDREN
Authors: Hegde Amitha M. , C. Preethi V. , Shetty Amarshree , Shetty Shreema 
Published: April 2020

AbstractDental caries is considered as one of the most serious dental diseases that results in localized dissolution and destruction of the calcified tooth tissues. As possible alternatives to conventional techniques of caries removal, chemo mechanical caries removal systems have emerged. AIM: To clinically observe the advantages of Chemo-mechanical method of caries removal over Conventional technique. MATERIALS AND METHODS: A total of 64 teeth of 32children with class 1 open carious lesions were selected for the study from the school dental clinic after taking written consent. They were divided into two equal groups according to method of caries removal (32 chemomechanical and 32 conventional from both primary and permanent teeth respectively). In Group I, caries was removed using the carie-care system and in Group II, with the conventional drill and were restored equally with amalgam and ketac molar respectively. The restored teeth were followed up after 1 week, 1 month, 6 months and 1 year respectively for its clinical success. RESULTS: The results were subjected to statistical analysis using students paired t-test and chi-square tests. It showed that though Chemomechanical technique took a marginal increase in time compared to the conventional technique, it was found to be more comfortable for all the children. Amalgam restorations showed better retention compared to ketac molar restorations in both the techniques. CONCLUSION: Chemomechanical technique though time consuming is definitely superior compared to conventional technique in pediatric dentistry, provided we use a less technique sensitive restorative material which retains in the oral cavity for longer period of time. It is definitely a better treatment protocol in school based dental treatment compared to conventional technique
CORRELATION OF ANTIOXIDANT LEVELS IN SYNOVIAL FLUID TO INTENSITY OF PAIN IN OSTEOARTHRITIS OF KNEE
Authors: Esmayil Hiba , Shetty Siddharth M. 
Published: April 2020

Abstract
Introduction: Osteoarthritis (OA) refers to progressive degeneration of articular cartilage with gradual painful disorganisation of the joint. Lipid peroxidation mediated by free radicals is the major mechanism of cell membrane destruction and cell damage. It is a known that there is an increased oxidative stress in OA and very little is known about the relation between the pain and decreased antioxidant levels. This study aimed at understanding the relation between the level of superoxide dismutase (SOD) and total antioxidant capacity (TAC) of synovial fluid in OA knee with the intensity of pain.
Materials and Methods: 30 patients with clinicoradiologically evidence of knee OA were included in the study and pain was scored using Visual Analog Scale. 1ml synovial fluid was aspirated from the knee and superoxide dismutase (SOD) and total antioxidant capacity (TAC) was estimated. Statistical analysis between the pain score and the SOD and the TAC was done independently by Spearman's rank correlation method and correlation coefficient was obtained.
Results: It was found that SOD and the TAC values were reduced in our subjects with mean value of 0.06477 ± 0.044814 and 122.51000 ± 50.764829 respectively. The mean value of pain was 6.70 ± 1.317. A significant correlation between SOD level and pain score (p<0.05) was obtained. However, the correlation between TAC level and pain score was not significant (p>0.05).
Conclusion: The study concluded that there is a positive correlation between the intensity of pain and SOD levels in the synovial fluid in OA of knee which is due to the increased free radicals produced.
SPECTRAL ANALYSIS OF RESONANT SOUNDS OF CHEST PERCUSSION
Authors: Kumar E. Ashwini , Marla Bharat Vyas , Kumar C. Jairaj , Chitkara Garvit , Mishra Nilesh , Kumar Arunachalam 
Published: April 2020

AbstractGeneral clinical examination, in the consulting room or in the out-patient department determines not only a provisional diagnosis but also provides the clinician information whether the patient needs hospitalisation and further investigation. Inspection, auscultation, palpation and percussion forms the basis of clinical examination.Whilst much has been described and discussed on the first three procedures, inspection, auscultation and palpation, far less attention has been focused on the correct method and diagnostic significance of percussion.In this brief communication we discuss the results obtained through a computerized spectral analysis of percussion sounds. It is suggested that, noting the high accuracy and reliability of spectral percussion sound read-out analysis, medical equipment designers manufacturers could well bring out a simple hand-held device which could analyse the percussion sounds to yield the most prominent of amplitude and frequency; such ready and reliable information that could be of much diagnostic and prognostic significance.
PARTIALY FUSED SPLENIC LOBULE- A CASE REPORT
Authors: Nallathamby Rani , Avadhani Ramakrishna , Bhat Shivarama , Jacob Meera , Soman Meril Ann 
Published: April 2020

AbstractSpleen is the largest lymphatic organ in humans. It is situated in the left hypochondrium and partly in the epigastrium, between the fundus of the stomach and the diaphragm. It consists of large encapsulated mass of lymphoid and vascular tissues (1). We encountered a case of partially fused splenic lobule in the anterior end with attachment to the main splenic mass through a stalk of splenic tissue. As such, the variation of this kind is rare and had various important clinical implications in the field of surgery, radio diagnosis and gastroenterology.
CAVERNOUS HAEMANGIOMA IN THE GASTROCNEMIUS MUSCLE: A RARE PRESENTATION IN THE GERIATRIC AGE GROUP
Authors: Rai H. Ravindranath , Ballal Arjun , Mohan Keerti , R. Rajsankar N. 
Published: April 2020

AbstractIntramuscular haemangiomas are believed to be hamartomatous and are a distinctive type of haemangioma occurring within skeletal muscle. They account for less than 1% of all haemangiomas. They occur more often in trunk and extremity muscles.A sixty five year old lady presented with swelling and pain from the back of the left knee for two years.On clinical examination, a mass of about 10X10 cms in size was noted in the left popliteal fossa. The swelling was tender with well defined borders but fixed to the muscle. She had a flexion deformity of knee of ten degrees.MRI revealed a large encapsulated cystic lesion in the posterior aspect of the muscular compartment of the knee.She underwent excision of the mass, intraoperatively the mass was noted to be arising from the gastrocnemius. Histopathology revealed large cavernous filled spaces filled with blood which indicated a cavernous haemangioma.Most of the literature suggest the occurance of capillary haemangioma to be a commoner one. Occurance of a cavernous haemangioma is usually before the third decade and is congenital in most times. Most of the authors emphasize that radiological methods are generally insufficient for the correct diagnosis of intramuscular hemangiomas, and surgery is the treatment of choice to exclude malignancy and for adequate treatment of these lesions.Hence, the present case which we are reporting here is a rare occurance of a cavernous haemangioma of the gastrocnemius in a 65 year old lady, which was managed by surgical methods.
ABSENCE OF SUPERFICIAL PALMAR ARCH WITH PERSISTENT MEDIAN ARTERY - A CASE REPORT
Authors: K. Kavitha , D'Souza Prima , Kumar Vishal ,   Sushma
Published: April 2020

AbstractThe anatomical variations in the arterial supply of the palm are frequently reported. One such variation reported during routine dissection for undergraduate medical students in our college is the absence of superficial palmar arch and presence of persistent median artery. The arterial supply to the palm is in the form of superficial and deep palmar arches. In the present case the median artery and ulnar artery supplies the palm without forming an arch on the left extremity. Awareness of variations in the vascular pattern of the palm is clinically important in case of angiographic procedures and surgical emergencies.
CORTICOTOMY-PERIODONTALLY ACCELERATED OSTEOGENIC ORTHODONTICS - A SURGICAL TECHNIQUE AND CASE REPORT
Authors: Dsouza Sheehan R. , Ramesh Amitha , S. Sharath K. , Thomas Biju 
Published: April 2020

AbstractCorticotomy-assisted orthodontic treatment involves selective alveolar decortication in the form of decortication lines and dots performed around the teeth that are to be moved. It is done to induce a state of increased tissue turnover and a transient osteopenia, which is followed by a faster rate of orthodontic tooth movement.This technique has several advantages, including faster tooth movement, shorter treatment time, safer expansion of constricted arches, enhanced post-orthodontic treatment stability and extended envelope of tooth movement.This case report describes a surgical technique and case report involving periodontally accelerated osteogenic orthodontics.
UNILATERAL HIGH DIVISION OF BRACHIAL ARTERY: A CASE REPORT AND LITERATURE REVIEW
Authors: Kumar Vishal , Rathnakar Pretty 
Published: April 2020

AbstractThere are many articles reporting anomalies of various blood vessels of upper extremity. In the present article, we are reporting a case of high division of brachial artery into medial and lateral branches, 9.5 cm distal to the lower border of teres major muscle. It was also observed that the two branches are crossing over near the lower part of front of arm and the lateral branch continued into the cubital fossa and trifurcated at the proximal border of pronator teres muscle. We have discussed the anatomy, embryological basis, and clinical implications of these variations along with relevant literature review. The importance of knowledge about these variations in therapeutic and diagnostic interventions is discussed.
ANOMALOUS COMMUNICATION BETWEEN RIGHT INTERNAL ILIAC VEIN AND LEFT COMMON ILIAC VEIN - A CASE REPORT
Authors: R. Huban Thomas , B. Prakashbabu , P. Radhakrishnan 
Published: April 2020

AbstractInferior vena cava (IVC) is formed by the union of the common iliac veins anterior to the body of the fifth lumbar vertebra, a little to its right side. It conveys blood to the right atrium from all the structures below the diaphragm. During routine educational dissection for medical undergraduates, we have come across a case of an anomalous communication between right internal iliac vein and left common iliac vein and a variation in the formation of inferior vena cava in a 55-year-old male cadaver. Due to its complex embryogenesis and relationship with other abdominal and thoracic structures, IVC may develop abnormally. These anatomical variations are often clinically silent and discovered incidentally. Knowledge of these variations may be helpful to clinicians and anatomists during surgical exploration, atypical clinical presentations and cadaveric findings.
DEVELOPMENTAL DELAY IN CHILDHOOD CATARACT: A CAVEAT MARINESCO-SJÖGREN SYNDROME
Authors: Shenoy Rathika D. , V. Deepthi R. , Kamath Nutan , Kamath Sumana J. 
Published: April 2020

AbstractWe report on a child with Marinesco-Sjögren Syndrome, a rare autosomal recessive disorder characterised by early onset cataract, psychomotor delay, cerebellar hypoplasia and myopathy. The presentation, neuro-imaging and muscle biopsy features are discussed.
DAPSONE HYPERSENSITIVITY SYNDROME - A CASE REPORT
Authors: Varghese Aneseya P. , V. Deepthi R. , Shenoy Vijaya , Pavaman Seema 
Published: April 2020

AbstractDapsone is widely used for a variety of infectious, immune and hypersensitivity disorders. However, the use of dapsone may be associated with a plethora of adverse effects.We are reporting a 6 year old who was treated with dapsone for one month. He presented to us with low grade fever and skin lesions all over body with normal systemic examination. He was evaluated and was diagnosed as having Dapsone Hypersensitivity Syndrome (DHS) and treated with steroids.The incidence of DHS ranges from 0.5% to3%. DHS can present as early as 7–10 days after administration of the drug uptil 6 months into. therapy DHS must be promptly identified, asUntreated the disorder could be fatal. This syndrome is best approached with the immediate discontinuation of the offending drug and prompt administration of oral or intravenous glucocorticoids.Since dapsone is used for various indications, the salient features about the syndrome and its management should be familiarized.
OUR EXPERINCE OF A CASE OF TERRIBLE TRIAD OF ELBOW
Authors: Shetty Siddharth M. , Shetty Vikram , Ballal Arjun , Hegde Anoop 
Published: April 2020

AbstractDislocation of the elbow joint in association with fracture of radial head and fracture of coronoid process, is referred to as “terrible triad” of the elbow, the treatment of which provides a challenge to treating surgeon due to its complicated outcomes. The understanding of the elbow kinematics, the usage of various implants and surgical techniques in the recent years has led to the development of standard treatment protocols. The 'terrible triad' of the elbow is a severe injury that is difficult to treat and has a poor prognosis in the medium-tolong term. It is characterised most often by instability of the elbow, development of arthrosis and joint stiffness.A 43 year old lady presented to us after a fall on outstretched dominant hand with severe pain and swelling around elbow. She had sustained a fracture of the radial neck and coronoid process with posterolateral dislocation of elbow. Immediate Closed reduction of the dislocation was performed under GA and elbow was immobilised in a plaster of paris slab for 3 weeks. She underwent operative procedure of open reduction and internal fixation of the radial head with a titanium plate and the coronoid process with a 4mm screw and washer after 10 days.After 3 weeks elbow rehabilitation was begun and at one year post surgery there was signs of fracture healing with full range of motion of the elbow.
PHYTOCHEMICAL AND ANTIMICROBIAL ACTIVITY OF THE LEAVES OF LANNEA KERSTINGII ENGL & K. KRAUSE (ANACADIACEAE)
Authors: NS Njinga , MI Sule , UU Pateh , HS Hassan , MM Ahmad , ST Abdullahi , BA Danja , Bawa B 
Published: April 2020

AbstractThe phytochemical and antimicrobial activity of the petroleum ether and crude methanol extracts, chloroform and ethyl acetate fractions of the leaves of Lannea kerstingii were investigated. Phytochemical screening revealed the presence of steroids and triterpenes in the petroleum ether extract, steroid, triterpene, flavonoids and tannins in both crude methanol extract and chloroform fraction while the ethyl acetate fraction contained only flavonoids and tannins. The extracts exhibited antimicrobial activities with zones of inhibition ranging from 17.00 to 21.03, 20.10 to 25.24, 25.32 to 34.02 and 22.28 to 27.20 mm for petroleum ether extract, methanol extract, chloroform and ethyl acetate fractions respectively. The minimum inhibitory concentration was between 5 and 10mg/ml, 5mg/ml for the petroleum ether and methanol extract respectively, and between 2.5 and 5 mg/ml, 5mg/ml for the acetate fractions. The minimum bactericidal concentration for all the extracts was 40mg/ml respectively except for chloroform fraction which ranged from 20 to 40mg/ml. The minimum fungicidal concentration for all the extracts was found to be 40mg/ml respectively. This result indicates the broad spectrum antimicrobial potential of L. Kerstingii and justifies the use of this plant in traditional medicine.
LOCOMOTOR TREADMILL TRAINING PROGRAM USING DRIVEN GAIT ORTHOSIS VERSUS MANUAL TREADMILL THERAPY ON MOTOR OUTPUT IN SPASTIC DIPLEGIC CEREBRAL PALSY CHILDREN
Authors: Sarhan Reda S.M. , Chevidikunnan Mohamed Faisal , Gaowgzeh Riziq Allah Mustafa 
Published: April 2020

Abstract
Purpose: This study intended to understand and compare the effect of loco-motor treadmill training program using robot-assisted gait therapy (Driven gait-orthosis DGO) and manual treadmill therapy on motor function in children with spastic diplegic cerebral palsy on their gross motor skills related to walking speed, ambulation and endurance.
Subjects and Methods: Twelve spastic diplegic cerebral palsy children with the age under 5 years were participated in different ambulation training 3 times per week for 30 - 40 minutes sessions consisting of 2 different treadmill walking programs, for 10 weeks, and were tested pre and post intervention. The outcome measures included were; a timed 10-m walk test, ground walking speed, walking distance, and balance which were measured before and after treatment.
Results & Conclusion: The results of this study suggests preliminary findings that children with CP under the age of 5 years can benefit their gross motor function, gait variables after intensive ambulation training using Driven gait orthotis (DGO).
A STUDY TO ASSESS THE LEVEL OF ATTITUDE TOWARDS EUTHANASIA AMONG HEALTH PERSONNEL
Authors: A. Maria Therese , J. Rukumani , Mano Pon Princess , Ponrani Ponrani , Nirmala Nirmala 
Published: April 2020

AbstractMost people would probably want to live to a ripe old age, and then die painlessly in their sleep. Unfortunately, this is not the reality most people face. Some people will die after a long struggle with a painful disease. Euthanasia has become a complex global issue for the 21st century, with different cultures wrestling with variety of ethical, religious and legal factors involved in helping someone to die legally. The role of health personnel in euthanasia would ultimately cause more harm than good. Euthanasia is fundamentally incompatible with the physician's role as healer, would be difficult or impossible to control, and would pose serious societal risks.
Aim: it aims at contributing to the current literature in regard to euthanasia through shedding the light onto the attitude towards euthanasia among health personnel.
Material and Methods: An exploratory descriptive design was used to conduct this study non probability ampling technique was employed, the sample consisted of 70 Health Personnel including Doctor & Nurses who are working in Government and Private health institutions at Puducherry. After obtaining informed consent data was collected using with self structured questionnaire for demographic variables of the samples and the Euthanasia attitude scale (EAS) developed by Holloway, Hay slip, Murdock et al 1995,was utilized to measure the attitude of a person has towards end of life decisions.
Results: The study findings revealed that out of 70 health personnel 42 (60%) had Positive attitude and 28 (40%) had Negative attitude towards euthanasia.
Conclusion: Health personnel had positive attitude towards euthanasia in certain circumstances for terminally ill clients with unbearable pain
PREVALENCE OF UNDER-NUTRITION AND ANEMIA AMONG UNDER FIVE RURAL CHILDREN OF SOUTH KARNATAKA, INDIA
Authors: Nanjunda Nanjunda 
Published: April 2020

AbstractInfant and under five mortality rates are reliable indicators of health status of the children of any country. Despite accelerated growth, the prevalence of hunger, poor health status, under nutrition and mortality in rural part of the country are still persisting in India. While under nutrition among children is pervasive; child mortality is rather high in rural parts of India. The current study conducted in two remote villages of Hassan and Kodagu districts of South Karnataka-India. Study conducted on ( Boys 160, Girls 140) preschool children, selected through stratified sampling design technique. Through this study stunting in 75.0 %, wasting in 81.7% and underweight in 87.6% of both Boys and Girls of pre-school children were found. In case of Anemia, 48% of Girls and 56% of Boys were severely affected; while 47 % of Girls and 41% of the Boys were modestly affected and 10% of the Boys and 28% Girls observed mildly affected. It is also found that clinical sign of Anemia among 62% of the studied children. Next, 21% children found Vitamin A deficiency and 22% children found vitamin B complex deficiency. The Study also found that only 67% children put on breastfeeding within Three hours after the birth in the studied village. It is also noted that income poverty, bad personal habits, changing health seeking behavior, cultural practices regarding delivery, child rearing and breastfeeding also plays a vital role in case of mortality problem where Government and NGO (Non- Gov. Organizations) should focus on these issues immediately.