bluuebunny/crossref_metadata_2025_split huggingface dataset:
Multifocal intraparenchymal hemorrhages after ventriculoperitoneal shunt surgery in infants
Authors: Choi Jung Won , Kim Seung-Ki , Wang Kyu-Chang , Lee Ji Yeoun , Cheon Jung-Eun , Phi Ji Hoon 
Published: July 2014

Object
Ventriculoperitoneal (VP) shunt surgery is the most common treatment for hydrocephalus. In certain situations, uncommon complications can occur after shunting procedures. The authors undertook this study to analyze the clinical characteristics of pediatric patients who developed multifocal intraparenchymal hemorrhages (MIPHs) as a complication of shunt surgery. The authors also analyzed the risk factors for MIPH in a large cohort of patients with hydrocephalus.

Methods
This study included all pediatric patients (age < 18 years) who underwent VP shunt surgery at the authors' institution between January 2001 and December 2012. During this period, 507 VP shunt operations were performed in 330 patients. Four of these patients were subsequently diagnosed as having MIPH. The authors analyzed the clinical characteristics of these patients in comparison with those of the entire group of shunt-treated patients.

Results
The incidence of MIPH was 1.2% (4 of 330 cases) for all pediatric patients who underwent VP shunt placement but 2.9% (4 of 140 cases) for infants less than 1 year old. When the analysis was limited to patients whose corrected age was less than 3 months, the incidence was 5.3% (4 of 76 cases). Of the 4 patients with MIPH, 2 were male and 2 were female. Their median age at surgery was 54 days (range 25–127 days), and in all 4 cases, the patients' corrected age was less than 1 month. Three patients were preterm infants, whereas one patient was full-term. None of these patients had a prior history of intracranial surgery (including CSF diversion procedures). All showed severe hydrocephalus during the preoperative period. Their clinical courses as patients with MIPH were comparatively favorable, despite the radiological findings.

Conclusions
MIPH is a rare but not negligible complication of VP shunt surgery. This complication might be a unique phenomenon in infants, especially young, preterm infants with severe hydrocephalus. Moreover, the absence of previous intracranial procedures might be one of the risk factors for this complication. The rapid alteration of brain conditions in the setting of immaturity might cause MIPH. To prevent this complication, the authors recommend that pressure settings of programmable valves should be gradually adapted to the target pressure.
Superior Oblique Tucking for Treatment of Superior Oblique Palsy
Authors: Li Yueping , Zhao Kanxing 
Published: July 2014

Purpose:
To investigate the efficacy and safety of isolated superior oblique tucking in the treatment of congenital superior oblique palsy.

Methods:
Twenty-one patients with unilateral congenital superior oblique palsy and lax superior oblique tendon underwent isolated superior oblique tucking and retrospective analysis of the amount of tucking procedure, preoperative and postoperative vertical deviation in the primary position and reading position, abnormal head posture, ocular motility, and corrected objective torsion. Patients were evaluated before and 6 to 12 months after surgery.

Results:

The average vertical deviation in the primary position was 10.9 ± 3.3 prism diopters (PD) before surgery and 1.5 ± 2.6 PD after surgery (n = 21,
P
< .05). The average vertical deviation in the reading position was 15.6 ± 3.6 PD before surgery and 2.6 ± 3.1 PD after surgery (
P
< .05). The average corrected vertical deviation was 9.9 ± 3.2 PD in the primary position and 13.0 ± 3.4 PD in the reading position (
P
< .05). The amount of tucking ranged from 5 to 12 mm (mean: 8.3 ± 2.3 mm), which was not related to the corrected vertical deviation in the primary and reading positions, the preoperative vertical deviation in the reading position, or the corrected objective torsion. After surgery, all patients had head posture that was normal or less than 5°. Unremarkable superior oblique underaction and negative head tilt test were found in all patients after surgery. All patients had mild Brown syndrome after surgery, but none were symptomatic.

Conclusions:
Isolated superior oblique tucking is an efficient and safe procedure for treatment of superior oblique palsy with hyperdeviation less than 15 PD in the primary position and remarkable superior oblique underaction. The superior oblique forced duction test was the most important criterion for planning surgery.

[J Pediatr Ophthalmol Strabismus 2014;51(4):249–254.]
Hand-held Spectral-Domain Optical Coherence Tomography of Small Macular Retinoblastoma in Infants Before and After Chemotherapy
Authors: Cao Christopher , Markovitz Michele , Ferenczy Sandor , Shields Carol L. 
Published: July 2014

Purpose:
To demonstrate the utility of hand-held spectral-domain optical coherence tomography (SD-OCT) in assessing retinal structure in cases of macular retinoblastoma.

Methods:
In this retrospective, observational case series, three young children with macular retinoblastoma were treated at a tertiary care hospital. At examination under anesthesia, each patient was evaluated with SD-OCT for analysis of retinal tumor and macula. The main outcomes were retinal morphology before and after chemotherapy.

Results:
The mean patient age was 16 months (median: 9 months; range: 7 to 33 months). All patients had small exophytic macular retinoblastoma with subretinal fluid in the foveola. At presentation, the mean tumor thickness was 4.8 mm (range: 4.0 to 6.0 mm) and mean tumor base was 10.3 mm (range: 8.0 to 12.0 mm). SD-OCT documented tumor surface as smooth (n = 2) or irregular (n = 1), involvement of full-thickness retina (n = 3), and optical density as low (n = 3). The surrounding retina showed abrupt transition to tumor (n = 3), without intraretinal edema (n = 3), and with underlying subretinal fluid (n = 3). Following chemotherapy, all tumors showed regression with mean thickness of 2.6 mm (range: 2.2 to 3.0 mm). SD-OCT documented tumor surface as smooth (n = 1) or irregular (n = 2), and optical density as medium (n = 1) or high (n = 2). At the tumor site, the retina showed full-thickness disorganization but with abrupt transition to normal retina (n = 3). The foveola was anatomically intact (n = 1) or with outer retinal thinning (n = 2). Subretinal fluid was resolved in each case (n = 3).

Conclusions:
SD-OCT can provide precise anatomic monitoring of the macular region in infants and young children with small macular retinoblastoma. This may serve as a guide for visual potential in the preverbal child.

[J Pediatr Ophthalmol Strabismus 2014;51(4):230–234.]
Partial Mole with a Coexistent Viable Fetus—A Clinical Dilemma: A Case Report with Review of Literature
Authors: Rathod Archana D , Pajai SP , Gaddikeri A 
Published: July 2014

ABSTRACT
Gestational trophoblastic disease encompasses a diverse group of lesions. If molar changes in the placenta are known along with an alive fetus, then situation is difficult for both obstetrician and parents. On one hand, there may be a normal pregnancy whereas on the other hand the mother may be threatened by numerous complications caused by the hydatid mole, if the pregnancy is continued.
We present successfully managed case of partial molar pregnancy with an alive fetus at 1st stage of preterm labor with premature rupture of membranes with anemia with a live diploid female fetus with good neonatal out come. Follow-up till 1 year showed no progression to malignant gestational trophoblastic diseases.

How to cite this article
Rathod AD, Pajai SP, Gaddikeri A. Partial Mole with a Coexistent Viable Fetus—A Clinical Dilemma: A Case Report with Review of Literature. J South Asian Feder Obst Gynae 2014;6(1):51-55.
Nonpuerperal Uterine Inversion
Authors: Kaur Arvinder , Kaur Parneet , Kaur Khushpreet , Singh Beant , Mohi K Manjit 
Published: July 2014

ABSTRACT
Inversion of uterus may be classified as puerperal or obstetric and nonpuerperal or gynecological. Nonpuerperal uterine inversion has been described as a rare occurrence and is usually precipitated by tumors sited at the fundus of the uterus which exert traction force to cause the inversion. We present a case of 50 years old P3L3 who presented as emergency in the Department of Obstetrics and Gynecology with C/C of mass protruding out from vulva and bleeding per vaginum since 6 hours and was finally diagnosed as a case of chronic inversion uterus with prolapsed fundal submucosal fibroid. Myomectomy was done followed by hysterectomy and she had uneventful postoperative period.

How to cite this article
Kaur P, Kaur K, Kaur A, Singh B, Mohi KM. Nonpuerperal Uterine Inversion. J South Asian Feder Obst Gynae 2014;6(1):56-58.
Stroke with Ruptured Ectopic Pregnancy
Authors: Patil Alka Bhaurao , Yadav Pramila 
Published: July 2014

ABSTRACT
Pregnancy-related stroke is, fortunately, a rare event. Pregnancy is a prothrombotic state during pregnancy and for approximately 6 weeks after birth, all women are at increased risk of thromboembolic disease.1
A 20 year old primigravida with ectopic pregnancy and stroke was admitted at ACPM, Medical College, Dhule. Emergency Exploratory laparotomy was done. Stroke was successfully managed and patient recovered.

How to cite this article
Patil AB, Yadav P. Stroke with Ruptured Ectopic Pregnancy. J South Asian Feder Obst Gynae 2014;6(1):59-61.
An Untold Story of Indian Fetal Middle Cerebral Artery Peak Systolic Velocities
Authors: Gandage Sidappa G , Pawar Hemant J , Kachewar Sushil 
Published: July 2014

ABSTRACTAlthough noninvasive diagnosis of anemia in fetus by measuring the middle cerebral artery peak systolic velocity (MCA-PSV) is practised and extensively researched in the developed world, such studies from the developing world are rare. India is the home for many hemoglobinopathies and cases of Rh alloimmunization are also reported here. Hence, it is expected that fetal anemias will be quite common. So in addition to an awareness about the correct method of measuring MCA-PSV and knowledge about changes that occur in the waveforms with advancing gestational age, it is important to know the normal values at various gestational ages in an Indian setting. Demonstrating these normal values was the primary goal of the current study.ContextFetal anemia can be adequately tackled only if it is diagnosed on time. Fetal MCA-PSV has the potential to reliably predict fetal anemia. Scientific studies across the globe are a testimony to this fact. As such studies from rural setups are lacking, this study was initiated.AimsTo demonstrate the normal values of fetal MCA-PSV at various gestational ages in an Indian setting by using the standard internationally accepted protocol.Settings and designThe ultrasound wing of radiodiagnosis department of a rural medical college was the site of this study. Permission from institutional research cell and ethical committee was obtained for study on fetal MCA-PSV. Written informed consent from every pregnant mother who participated in the study was also obtained. A cross-sectional and prospective observational study was conducted over the last 9 months.Materials and methodsA total of 60 measurements of fetal MCA-PSV were conducted in normal 20 pregnant women referred for routine obstetric scan at 12, 24, and 36 weeks of gestation respectively, by a single radiologist on color Doppler ultrasound machine. In each fetus the proximal MCA, soon after its origin, was evaluated.Statistical analysisThe observations were entered in Microsoft Excel sheet and statistical analysis was done by using SPSS statistical software version 12. The relation between fetal MCAPSV and gestational age was studied using the Karl Pearson's correlation coefficient. The significance of difference was studied using the t-test.ResultsMCA-PSV increased with increasing gestational age, suggesting positive correlation between the two. Better waveforms and increasing PSV were visualized with advancing gestational age.ConclusionFetal anemia can be accurately predicted only if the MCA-PSV is scientifically measured and compared with normal values in a given setting. This study demonstrates the normal values at various gestational ages in an Indian setting.How to cite this articleKachewar S, Gandage SG, Pawar HJ. An Untold Story of Indian Fetal Middle Cerebral Artery Peak Systolic Velocities. Int J Infertil Fetal Med 2014;5(1):8-11.
Do Fetal Monitoring Tests predict Adverse Perinatal Outcomes in Pregnant Women with Absent End Diastolic Flow? A Retrospective Study
Authors: Kallur Sailaja Devi , Aziz Nuzhat 
Published: July 2014

AbstractAimTo determine the ability of fetal monitoring tests to predict adverse perinatal outcomes in absent end diastolic flow (AEDF) babies.Materials and methodsA retrospective cohort study of pregnant women with AEDF during the period 2001 to 2009. Fetal monitoring tests of interest included amniotic fluid index (AFI), nonstress tests (NST), and Doppler flow studies. Adverse perinatal outcomes included perinatal/neonatal mortality, necrotizing enterocolitis, respiratory distress syndrome, and grades III/IV intraventricular hemorrhage. Sensitivity, specificity, likelihood ratios, adjusted odds ratios, area under the receiver operator characteristic curves (AUROC) and the 95% confidence intervals were determined.Study included 142 women with AEDF who delivered before 34 weeks. Indications for delivery included abnormal AFI in 6 (4.23%), worsening Doppler in 31 (21.83%), and abnormal NST in 48 (33.80%). An adverse fetal event was noted in 107 [75.35%, 95% confidence interial (CI) 68.18%, 82.53%]. Birth weight adjusted odds for an adverse perinatal outcome decreased (Odds ratio: 0.79, 95% CI: 0.56, 1.10, p = 0.16) with an increase in each week of gestation. Fetal monitoring tests did not have clinically meaningful positive/negative likelihood ratio or significant AUROC.ConclusionCurrent fetal monitoring tests are more useful to identify noncompromised fetuses than to identify fetal distress. Delaying delivery till 34 weeks might improve outcomes.How to cite this articleKallur SD, Aziz N. Do Fetal Monitoring Tests predict Adverse Perinatal Outcomes in Pregnant Women with Absent End Diastolic Flow? A Retrospective Study. Int J Infertil Fetal Med 2014;5(1):22-26.
Odontogenic Myxoma: A Study based on Biopsy Material over a 40-Year Period
Authors: Etemad-Moghadam Shahroo , Chookhachizadeh Somayeh , Baghaii Fereshteh , Alaeddini Mojgan 
Published: July 2014

ABSTRACT

Aim
Odontogenic tumors, including odontogenic myxomas (OMs) are regarded as rare neoplasms in the human body. Nevertheless, they may be problematic for diagnosis and treatment planning due to possible variations between different races and countries. The aim of the current study was to present the clinicopathologic features of OM in an Iranian population over a 40-year period and compare them with those reported elsewhere.

Materials and methods
Clinical/demographic data and histologic slides of OMs and all lesions that could be considered in their differential diagnosis, reported from 1967-2008 were analyzed. Statistical analysis was performed using X2 and t-test and p < 0.05 was regarded significant.

Results
Forty OMs were identified, of which 42.5% occurred in men (mean age, 27.4 years) and 57.5% in women (mean age, 28.2 years). Most tumors were observed in the posterior mandible. All cases possessed the classic World Health Organization histologic features; while 3, 15 and 6 cases showed epithelial rests, residual bone and conspicuous collagen bundles, respectively. Five patients were followed and none of their tumors recurred.

Conclusion
The clinicopathologic characteristics of the current Iranian population are similar to most other reports with a predilection for the posterior mandible, 3rd decade and female subjects; however, there were variations in microscopic features of the studied cases.

Clinical significance
Clinical and histologic information on OM in different populations may be useful in clinical settings and treatment planning. Reporting more detailed histologic data can help clarify the biology of this tumor and aid in its histopathologic diagnosis.

How to cite this article
Etemad-Moghadam S, Chookhachizadeh S, Baghaii F, Alaeddini M. Odontogenic Myxoma: A Study based on Biopsy Material Over a 40-Year Period. J Contemp Dent Pract 2014;15(2):137-141.
A Comparative Antimicrobial Analysis of Various Root Canal Irrigating Solutions on Endodontic Pathogens: An in vitro Study
Authors: Misuriya Abhinav , Bhardwaj Archana , Aggrawal Sanjay , Kumar PS Pawan , Gajjarepu Satyanarayana 
Published: July 2014

ABSTRACTBackground and objectivesEvolution in understanding the poly-microbial environment of both endodontic infections and that of failed root canal treatments has been debatable over the years. The present study was designed to compare and analyze the effect of various root canal irrigation solutions on certain endodontic pathogens in vitro.Materials and methodsTo analyze in vitro the zone of inhibition of the micro-organisms the following irrigating solutions were employed:a. Sodium hypochlorite (NaOCl) 5%b. Sodium hypochlorite (NaOCl) 3%c. Chlorhexidine 2%d. Chlorhexidine (CHX) 0.12%e. Doxycycline 0.01%f. Doxycycline 0.005%g. MTAD.An agar culture plate inoculated with four endodontic pathogens was used namely1. Enterococcus faecalis (MTCC-439)2. Candida albicans (MTCC-183)3. Fusobacterium nucleatum (ATCC-25586)4. Peptostreptococcus anaerobius (ATCC-27337)The inoculums were streaked out on the trypticase soy agar plate for discrete colonies with a wire loop using standard method. The inoculated plates carrying the antibiotic disks were incubated in an anaerobic jar in the following way–Anaerobic incubation–the following procedure was used to provide anaerobiosis with an increased concentration of carbon dioxide.By this method the zone of inhibition obtained by different irrigating solutions against different pathogens could be compared.ResultsMTAD showed maximum antibacterial activity. In case of C. albicans MTAD was less effective than 5% NaOCl, 3% NaOCl and 2% CHX, 0.12% CHX. However, it was more effective against E. faecalis, F. nuleatum and P. anaerobicus. In any case, antimicrobial activity is not the only prerequisite for an endodontic irrigant. E. faecalis strain used in this study showed resistance to doxycycline; also doxycycline was ineffective against C. albicans at 0.01% and 0.005% concentrations.ConclusionIt was found that MTAD was more antimicrobial than 5% NaOCl for some of the test micro-organisms; however the ability of MTAD to dissolve pulp tissue is not comparable to 5% NaOCl. In addition, 5 and 3% NaOCl showed significant antimicrobial activity against all test micro-organisms. The best option for a primary endodontic irrigant therefore is 5% NaOCl.How to cite this articleMisuriya A, Bhardwaj A, Bhardwaj A, Aggrawal S, Kumar PSP, Gajjarepu S. A Comparative Antimicrobial Analysis of Various Root Canal Irrigating Solutions on Endodontic Pathogens: AnIn VitroStudy. J Contemp Dent Pract 2014;15(2):153-160.
Periotest Values of Implants Placed in Sockets Augmented with Calcium Phosphosilicate Putty Graft: A Comparative Analysis against Implants Placed in Naturally Healed Sockets
Authors: Mahesh Lanka , Narayan TV , Shukla Sagrika , Kostakis Georgios 
Published: July 2014

ABSTRACT

Aim
To measure implant stability using periotest values of implants placed in sockets augmented with calcium phosphosilicate putty (CPS Putty) as compared with implant stability in naturally healed sockets.

Materials and methods
Twenty two sockets were implanted with CPS Putty immediately after extraction. The sockets were re-entered after a healing period at 5 to 6 months (average 5.3 months) for implant placement. Periotest values were recorded during implant insertion to assess primary stability. These were compared with the Periotest values of 26 implants placed in 22 patients, with naturally healed sockets.

Result
Periotest values were significantly lower in the grafted group, indicating better implant stability in sites grafted with CPS putty.

Conclusion
Implant stability seems to be significantly higher in sockets augmented using CPS putty when compared to nongrafted sites. This suggests that socket grafting with CPS putty may enhance the quality of available bone for implantation.

How to cite this article
Mahesh L, Narayan TV, Kostakis G, Shukla S. Periotest Values of Implants Placed in Sockets Augmented with Calcium Phosphosilicate Putty Graft: A Comparative Analysis against Implants Placed in Naturally Healed Sockets. J Contemp Dent Pract 2014;15(2):181-185.
In vitro Evaluation of Topical Fluoride ph and their Effect on Surface Hardness of Composite Resin-based Restorative Materials
Authors: Mansuri Samir , Mujeeb Abdul , Hussain Seema Abid , Ramaswamy Kausar 
Published: July 2014

ABSTRACT

Aim
The aim of the study was to correlate the pH and fluoride ion uptake with surface hardness of composite resin based restorative materials after topical fluoride application.

Methodology
Forty disks of each of test materials Composite (Filtek Z350XT, 3M ESPE, St Paul, MN, USA), Resin modified glass ionomer (Vitremer) and Compomer (Dyract AP) were made and ten disks of each material were placed in different test solutions – 1.23% APF gel, Sodium fluoride mouth rinse, 0.9% neutral fluoride and distilled water (Control group). After 36 hours of immersion, specimens were subjected to microhardness testing machine for evaluation of surface hardness.

Results
The greater hardness deterioration for all materials resulted with 1.23% APF gel when compared to the control group. Composite (Filtek Z350XT, 3M ESPE, St Paul, MN, USA) showed 17.13 VHN (control group 59.11 VHN). Vitremer showed 9.71 VHN (control group 37.71 VHN). Compomer showed 19.22 VHN (control group 36.78 VHN).

Conclusion
1.23% ApF gel significantly decreased hardness of composite, Vitremer and Compomer. Hardness deterioration associated with sodium fluoride mouth rinse and 0.9% neutral fluoride was less compared to 1.23% ApF gel.

How to cite this article
Mujeeb A, Mansuri S. Hussain SA, Ramaswamy K. In vitro Evaluation of Topical Fluoride pH and their Effect on Surface Hardness of Composite Resin-based Restorative Materials. J Contemp Dent Pract 2014;15(2): 190-194.