Journal of Evolution of Medical and Dental Sciences-JEMDS最新文献

{"title":"Evaluation and Comparison of the Efficacy of Chemo-Mechanical, Mechanical Methods of Caries Removal under Self-Illuminated Light Microscope and Stereomicroscope – An In Vitro Study","authors":"None Rohith Shinde, None Naresh Krishna Reddy, None Sri Mouna Govardhani Kottapalli, None Sahithi Nammaniwar, None Sanganand Gavle, None Pranitha Shinde","doi":"10.14260/jemds.v12i9.488","DOIUrl":"https://doi.org/10.14260/jemds.v12i9.488","url":null,"abstract":"BACKGROUND
 There are different caries removal methods including conventional rotary caries removal, atraumatic restorative therapy, air abrasion, lasers, and chemo-mechanical caries removal (CMCR). Chemo-mechanical caries removal is an alternative treatment for active caries, that involves the caries removal of only infected dental tissue and acts by the dissolution of carious lesions with natural or synthetic agents.
 Aim
 Comparison of chemo-mechanical material (CariSolv) and the mechanical method (Smart bur & Carbide bur) of caries removal under a self-illuminated microscope and stereomicroscope in terms of efficacy and time duration.
 METHODS
 Tooth was sectioned in 4 parts and grouped into 4 as group 1, group 2, group 3, and group 4. Each group was treated with different caries removal methods of carbide bur, smart bur, CariSolv and control group. Examined under self-illuminated and stereomicroscope at 10 different points from middle to periphery.
 RESULTS
 Carbide bur specimens have a negligible amount of affected dentin and there is a destruction of dentinal tubules when compared to the smart bur group & CariSolv group. Showing affected dentin thickness in 4 groups at 10 different positions from the middle part of the lesion to the periphery (i.e., towards CEJ & cusp tip) by using a stereomicroscope.
 CONCLUSIONS
 The CariSolv group demonstrated the presence of affected dentine higher and took twice the time to remove caries but was easy to induce and conserved the healthy tooth structure when compared to carbide and smart bur groups. Less amount of affected dentine was seen in the carbide bur group but there was a destruction of sound dentine.
","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135695581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Schatzki’s Ring in Asian Group of Patients","authors":"None Vithal D. Udagatti, None Dinesh Rajendran Kumar, None Gautam S., None Nagaraj T.M., None Girish F. Hongal","doi":"10.14260/jemds.v12i9.494","DOIUrl":"https://doi.org/10.14260/jemds.v12i9.494","url":null,"abstract":"Schatzki's lower esophageal rings appear as thin membranous structures which do not contain any muscularis propria; resulting in a constricting ring at the esophagogastric junction, they are mostly asymptomatic. However, patients present with symptoms of dysphagia to solids and liquids and a sense of impaction of food. Diagnosis can be easily overlooked and can be confirmed by endoscopic inspection of the esophagogastric junction. 3 cases of Schatzki ring diagnosed on oesophagal endoscopy and its management are presented.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135696593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Façade of Fungi Uncovered by Pathologists - A Case Report","authors":"None Kumaran Chinnappa, None Sangeetha N.","doi":"10.14260/jemds.v12i9.490","DOIUrl":"https://doi.org/10.14260/jemds.v12i9.490","url":null,"abstract":"A 47-year-old female presented with progressive recurrent swelling in the left leg for the past 4 years which is cystic in consistency and painless on palpation measuring 3 x 3 cm, adherent to deep planes. Patient had undergone incision and drainage for the same before 1 year. She is a known case of Type 2 Diabetes mellitus for 7 years and is on regular medication. No H/o trauma, fever, lymphadenopathy and any other adjacent skin lesions.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":"502 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135696606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Haemangioma in ENT & Head and Neck-Region – Case Reports","authors":"None Vithal D. Udagatti, None Dinesh Rajendran Kumar, None Alka Balraj, None Sindhuja Dudala, None Saritha K,, None Nagaraj T. M.","doi":"10.14260/jemds.v12i9.491","DOIUrl":"https://doi.org/10.14260/jemds.v12i9.491","url":null,"abstract":"Haemangioma is one of the most common benign tumours in the ENT & Head and Neck region accounting for about 60% of haemangiomas arising from the head and neck region, either in children or adults & can arise from the larynx, nose, tongue, external auditory canal & face, which can be of capillary, cavernous and mixed subtypes.
 A retrospective review of 3 patients who underwent evaluation and treatment at a tertiary referral hospital from 2020 to 2023 are presented, which were confirmed to be haemangiomas on histopathological examination. All 3 patients presented on an outpatient basis, were evaluated based on history, an endoscopic and radiological investigation followed by surgical intervention & histopathological examination which confirmed the diagnosis of haemangioma (Laryngeal Haemangioma arising from laryngeal ventricle -sclerotic haemangioma, Nasal Haemangioma 1 case of nasal septum vestibule capillary haemangioma and 1 case of external auditory canal lobular capillary haemangioma). The patient was followed up for over one year and had no recurrence.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135696399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NABL Accreditation - Advantages and Disadvantages and Its Process in India","authors":"Ravi Ranjan Singh, Kumari Pallavi","doi":"10.14260/jemds.v12i8.469","DOIUrl":"https://doi.org/10.14260/jemds.v12i8.469","url":null,"abstract":"BACKGROUND Accreditation is a means of self-regulation and peer review adopted by an institution or an organization. It is a voluntary process of being certified as meeting minimum requirements designated by an accrediting agency. ISO 15189 standard is an international standard that specifies requirements for quality management in medical laboratories. It is intended to promote the quality and competence of medical laboratories and to provide a framework for continual improvement. The National Accreditation Board for Testing and Calibration Laboratories (NABL) operates as an autonomous organization functioning under the governance of the Department of Science and Technology, Government of India. The primary objective of this initiative is to offer an independent evaluation of the proficiency and excellence in testing and calibration laboratories affiliated with governmental authorities, industry associations, and the private sector. The NABL provides laboratory accreditation services adhering to the ISO 15189 guidelines. Although there exist certain limitations to the accreditation process such as financial expenses, time constraints, stringent regulations, and an emphasis on adherence rather than enhancement, the advantages of accreditation generally outbalance these challenges. Accreditation serves as a means of providing guarantee with respect to the dependability and precision of laboratory outcomes, a fundamental imperative for a multitude of crucial purposes which include but are not limited to the realm of healthcare, environmental evaluation, and product safety assessment.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42708780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Disseminated Cysticercosis with Cardiac Involvement","authors":"Devi Sasi Ram, Vamsi Krishna Kotagiri, Sujana Gogineni","doi":"10.14260/jemds.v12i8.471","DOIUrl":"https://doi.org/10.14260/jemds.v12i8.471","url":null,"abstract":"Cardiac involvement in disseminated cysticercosis is a rare presentation. Here we report a case of 32-year-old male who presented with a seizure disorder and was found to have disseminated cysticercosis involving central nervous system, cardiac, intraocular and skeletal muscles. \u0000Disseminated cysticercosis (DCC) is defined as multiple cystic/enhancing cysticercal lesions (>3) in the brain, along with evidence of involvement in another body part, such as the skin, subcutaneous tissues, skeletal muscles, eyes, or other visceral organs.[1] Cysticercosis is a parasitic infection that results from the ingestion of pork tapeworm ova, Taenia solium. The ingested worm ova then hatch in the gastrointestinal tract, penetrate the small intestine, and spread hematogenously to essentially any organ.[2]","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44877811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optic Nerve Sheath Diameter as a Predictor of Raised Intracranial Pressure Findings on Orbital Ultrasound","authors":"Polasa Aditya, Lokesh Kumar T., Armel Arputha Sivarajan, Yadav K.R.","doi":"10.14260/jemds.v12i8.465","DOIUrl":"https://doi.org/10.14260/jemds.v12i8.465","url":null,"abstract":"BACKGROUND \u0000Several studies have found an association between raised intracranial pressure (ICP) and optic nerve sheath diameter (ONSD) in conditions with severe head injury and intracranial bleeding. Idiopathic intracranial hypertension is also a cause of elevated ICP. Because the meninges and subarachnoid space around the optic nerve are continuous, a rise in ICP can be detected with an increase in ONSD. The objectives of this study were to correlate Optic Nerve Sheath Diameter (ONSD) with features suggestive of raised intracranial pressure on CT / MRI of the Brain and describe the features suggestive of raised intracranial pressure on CT/MRI Brain in clinically suspected patients. \u0000METHODS \u0000This was a case control study carried out in the Department of Radio-diagnosis at MGMCRI for suspected raised intracranial pressure evaluation. All these patients were subjected to ultrasound examination of the eye and the optic sheath diameter was measured while the patients were in supine posture. ONSD was measured on Mind ray DC8, and/or GE S7 Expert using High frequency linear probe on the closed upper eyelid with adequate aqueous gel as a coupling agent. ONSD was also measured in Philips 1.5T MRI and Ge optima 128 slice CT. Patients were followed up on whether they were treated surgically or medically and if they developed clinical signs of raised ICP such as headache, vomiting, raised blood pressure, double vision, confusion or loss of consciousness. \u0000RESULTS \u0000The raised ICP was observed in 30.67 % of study patients and the optic nerve sheath distension was observed in 37.33% of patients. The diagnostic accuracy of determining the optic nerve sheath diameter was equal such as area under curve, sensitivity and specificity as 0.833, 66.67% and 100 % respectively in both methods. \u0000CONCLUSIONS \u0000ONSD has emerged as an interesting option for measuring intracranial hypertension in brain-injured states, owing to its simplicity, non-invasive nature, and accessibility.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42240554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of Relationship between Playing the Piano Capability and the Second-to-Fourth Digit (2D:4D) Ratio","authors":"Ayşe Gül Kabakci, Memduha Gülhal Bozkir","doi":"10.14260/jemds.v12i8.466","DOIUrl":"https://doi.org/10.14260/jemds.v12i8.466","url":null,"abstract":"BACKGROUND \u0000In the field of piano playing, the suitability of physical characteristics of individuals, especially at the beginner level, is one of the first criteria considered important for educators. In many studies examining the physical fitness of individuals in sports fields, the importance of the relationship between physical fitness and ability has been revealed. In addition, there are studies examining the physical fitness for playing any instrument in the field of music. However, studies examining the physical characteristics of beginner piano players are very limited. Therefore, the purpose of our study was to investigate the relationship between the physical properties of the hand and the ability to play the piano. In addition, our study is the first to examine the relationship between the second digit and fourth digit ratio and the state of being successful in playing the piano. We also intended to contribute to the literature on this subject. \u0000METHODS \u0000Among the students who participated in the ballet and piano special talent exam held at Cukurova University State Conservatory in the 2013 and 2015 academic years, students who participated in the piano special talent exam were included in the study. In this exam, the suitability of the candidate to play the piano was evaluated in terms of musical and physical competence. In our study, the second digit and fourth digit length parameters, which include the physical characteristics of the hand, were evaluated. Length measurements were made with a digital display caliper. Students between the ages of 8 and 11 who participated in the piano talent exam were divided into two groups as those who were successful and those who were unsuccessful in the talent test. \u0000RESULTS \u0000The number of successful girls was 20 and the average length of the second digit 6.00±0.50 cm, mean fourth digit length; 5.90±0.40 cm, the number of unsuccessful girls was 17, the average of the second length; 5.98±0.48 cm, and the mean fourth digit length was 5.89±0.48 cm. The number of successful men was 15, and the mean length of the second digit; 6.55±0.36 cm, mean fourth digit length; 6.61±0.47 cm, the number of unsuccessful men was 17, the mean length of the second digit; 6.46±0.52 cm, mean fourth digit length; 6.52±0.55 cm were found. \u0000CONCLUSIONS \u0000There was no significant relationship between the piano playing ability and the second digit and fourth digit length ratios. We think that this is due to the evaluation of factors such as the level of development of the sensorimotor and neuromuscular system, the level of auditory proficiency, and coordination, not only with the anatomical suitability factors, in the scoring of the talent exam. Therefore, we can say that being successful in playing the piano does not depend only on digit lengths.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48301897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolated Renal Multifocal Epithelioid Angiomyolipoma Leading to Non-Functioning Kidney in a Case of Tuberous Sclerosis Complex with Piebaldism","authors":"Rohit Sanjay Deshpande, Uttam Kumar Mete","doi":"10.14260/jemds.v12i8.470","DOIUrl":"https://doi.org/10.14260/jemds.v12i8.470","url":null,"abstract":"A 19-year-old gentleman presented to the outpatient department with chief complaint of a right loin mass which had been increasing in size since the past 1 year and had been insidious in onset, causing right loin pain, discomfort, early satiety, along with loss of weight and loss of appetite. Patient was a known case of tuberous sclerosis complex with piebaldism since childhood and had related clinical features like Ash-leaf macules on the trunk, retinal hamartomas along with a recurrent intra-oral disfiguring hamartoma (histopathologically proven acanthosis with hyperkeratosis).","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42252193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Foreign Body Ingestion - Expectations and Outcomes","authors":"Khawaja Bilal Waheed, Muneera Abdulhameed Albassam, Shayma Abdullah Aloumi, Afnan Abdullah Alshehri, Sarah Abdulaziz Almoaibed, Zechariah Jebakumar Arulanantham","doi":"10.14260/jemds.v12i8.468","DOIUrl":"https://doi.org/10.14260/jemds.v12i8.468","url":null,"abstract":"BACKGROUND \u0000Lockdowns, travel restrictions, and homeschooling during the COVID-19 period contributed to an increased number of foreign bodies being swallowed by children. This single-center study was initiated to determine the incidence of foreign body ingestion in the pediatric age group during the 2-year period of COVID-19 and compare it with an earlier 3-year period in Saudi Arabia. \u0000METHODS \u0000Medical records and abdominal radiographs of children under 14 were reviewed for the history of foreign body ingestion. The frequency of foreign body ingestion, size, shape, type, and outcomes during the COVID-19 pandemic was compared with similar events in the 3 years before the COVID-19 pandemic from November 2016 to November 2019. \u0000RESULTS \u0000Of the n = 161 records, n = 86 cases were reported during the COVID-19 pandemic, and n = 75 in the pre-pandemic period. Most of the ingested foreign bodies were less than 2 cm in size (57.8%), with the prevalence of non-metallic objects (87.6%) and the outcome being spontaneous expulsion (83.2%). There was a significant association between spontaneous expulsion cases and the size of the objects (p = 0.001), number of objects (p = 0.0005), and shape (p = 0.01). An analysis of demographic data showed that more boys than girls were registered, with a predominance of children under the age of five. \u0000CONCLUSIONS \u0000Treating children who have swallowed foreign bodies require a multi-professional approach with the participation of physicians, nurses, poison control specialists, radiologic technologists, ambulance personnel, and others to provide continuous, child-friendly care and follow-up. Parents and caregivers should be aware of how to keep children away from small items that can be harmful if swallowed, especially coins, disc batteries, small magnets, and other high-risk items.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46831304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}