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Evaluation of Response and Toxicity in Patients with Locally Advanced Rectal Cancer Treated with Neoadjuvant Chemoradiation 局部晚期直肠癌新辅助放化疗的疗效和毒性评价
Pub Date : 2022-05-18 DOI: 10.32553/ijmsdr.v6i5.936
Dr. B. K. Shewalkar, Dr. Arpit A. Gite, Dr. Jitendra Patel, Dr. Punita Pant
Aims and Objective: To study response after giving neoadjuvant chemoradiation in patients with locally advanced rectal cancer with Cap capecitabine 825 mg/m2 daily PO Bid with radiation in dose of 45Gy/20#/4 weeks and to study to the clinical profile of different patients with locally advanced rectal cancer and to assess the toxicity of patients treated with neoadjuvant chemoradiation Materials and Methods: A prospective observational study was conducted in 60 patients from October 2018 to April 2020 with locally advanced Rectal carcinoma which were proven histopathologically. Neoadjuvant chemoradiation was planned with Capecitabine 825mg/m2 PO Bid with radiation to a dose of 45 Gy/20#/4 weeks. Radiological response assessed after 6 weeks of completion of treatment and then surgery was planned according to response. Results: Thirty-seven patients received definitive surgery. Pathological complete response was observed in 1 patient, near complete response in 7, partial response in 27 and poor or no response was seen in 2 patients. Among 37 patients who have undergone surgery ,30% of patients received sphincter preserving surgery. Radiation induced acute skin and acute lower gastrointestinal were seen. Capecitabine induced diarrhea, hematological toxicities and few patients of hand foot syndrome were seen. Conclusion: In locally advanced rectal cancer, preoperative radio chemotherapy with Capecitabine improves local control and reduces the risks of acute and late toxicity as compared to postoperative radio chemotherapy . Thus, preoperative radio chemotherapy with Capecitabine is safe and well-tolerated in locally advanced rectal cancer, especially in tumors of the lower and middle rectum. Keywords: Rectal Cancer, Capecitabine, Neoadjuvant Chemoradiation 
目的与目的:研究局部晚期直肠癌患者应用卡培他滨825 mg/m2 / PO Bid, 45Gy/20#/4周新辅助放化疗后的疗效,研究不同局部晚期直肠癌患者的临床特点,评价新辅助放化疗患者的毒性。对2018年10月至2020年4月60例经组织病理学证实的局部晚期直肠癌患者进行前瞻性观察研究。计划使用卡培他滨825mg/m2 PO Bid进行新辅助放化疗,放疗剂量为45 Gy/20#/4周。治疗结束6周后评估放射学反应,然后根据反应计划手术。结果:37例患者接受了最终手术。病理完全缓解1例,接近完全缓解7例,部分缓解27例,不良或无缓解2例。在37例接受手术的患者中,30%的患者接受了保留括约肌手术。可见放射引起的急性皮肤和急性下胃肠道。卡培他滨引起腹泻、血液学毒性和少数手足综合征。结论:与术后放化疗相比,局部晚期直肠癌术前加卡培他滨放化疗可改善局部控制,降低急性和晚期毒性风险。因此,术前加卡培他滨放化疗对局部进展期直肠癌,尤其是直肠中下部肿瘤是安全且耐受性良好的。关键词:直肠癌,卡培他滨,新辅助放化疗
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引用次数: 0
Micro-Leakage of Fissure Sealant Following Thermo-Cycling Test: In Vitro 热循环试验对裂隙密封胶微泄漏的影响
Pub Date : 2022-04-25 DOI: 10.14445/23939117/ijms-v9i2p104
Tauhid F, Roy Ak, Rahman Ma, Kabir H, Saha Ak, Mueed Aa, Hossain M
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引用次数: 0
RDW at Admission as a Prognostic Factor in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease 入院时RDW作为慢性阻塞性肺疾病急性加重患者的预后因素
Pub Date : 2022-04-25 DOI: 10.14445/23939117/ijms-v9i2p102
Wael Obaidtaha, M. Hejazie, Firas Hussein
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引用次数: 0
Analysis of Plaque index and Bleeding on Probing around the Single Tooth Implant with Cement and screw-Retained Implant Prosthesis 骨水泥+螺钉保留种植体单牙种植体周围探查牙菌斑指数及出血分析
Pub Date : 2022-04-25 DOI: 10.14445/23939117/ijms-v9i2p103
M. A. Rahman, S. Zaman, C. Das, M. Hossain, F. Tauhid, A. Saha, Mozammal Hossain
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引用次数: 0
MRI and Its Implications in Dentistry 核磁共振成像及其在牙科中的应用
Pub Date : 2022-04-18 DOI: 10.32553/ijmsdr.v6i4.933
Deepak Kalia, U. Kalia, P. Batham
Magnetic Resonance imaging (MRI) has become one of the most powerful diagnostic tools in radiology and diagnostic sciences. It is non-invasive and non-ionizing and the images are highly sensitive and specific with excellent soft tissue contrast. It gives excellent images of anatomic structures differing in proton density and other tissue characteristics. It can be used to assess intracranial and extracranial lesions particularly those involving the soft tissues. MRI has the shortcoming of being prone to magnetic susceptibility difference artefacts, caused by the presence of metallic materials such as dental restorative materials, implants and orthodontic appliances. All substances when placed in a magnetic field are magnetized to a degree which varies according to their magnetic susceptibility. Non precious dental alloys have the potential of causing image deformation or image voids. Dentists are not the only professionals implanting metal devices. Heart pacemakers and defibrillators, aneurysm clips, cochlear implants, insulin pumps, vascular stents and artificial joints are widely used in various branches of medicine. In some cases, it is not possible to carry out MRI due to extensive dental hardware with a high ferromagnetic content. Severe image distortion or an inability to perform the MRI scan due to dental restorations is a rare problem, but cannot be completely eliminated. This article has been written to educate the dentists on the implications of metallic dental restorations on MRI scans. Keywords: Magnetic resonance imaging, MRI, Dentistry, Dental materials, artefact, artifacts.
磁共振成像(MRI)已成为放射学和诊断科学中最强大的诊断工具之一。它是非侵入性和非电离性的,图像高度敏感和特异性,具有良好的软组织对比。它给出了质子密度和其他组织特征不同的解剖结构的优秀图像。它可以用来评估颅内和颅外病变,特别是那些涉及软组织。MRI的缺点是由于金属材料如牙体修复材料、种植体和正畸矫治器的存在而容易产生磁化率差异伪影。所有物质在磁场中都被磁化,磁化程度随其磁化率的不同而不同。非贵重牙科合金有可能造成图像变形或图像空洞。牙医并不是唯一植入金属装置的专业人士。心脏起搏器和除颤器、动脉瘤夹、人工耳蜗、胰岛素泵、血管支架和人工关节广泛应用于医学的各个分支。在某些情况下,由于大量具有高铁磁含量的牙科硬件,不可能进行MRI。严重的图像失真或无法进行MRI扫描,由于牙齿修复是一个罕见的问题,但不能完全消除。这篇文章是为了教育牙医在核磁共振扫描金属牙齿修复的含义。关键词:磁共振成像,核磁共振成像,牙科,牙科材料,人工制品,人工制品。
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引用次数: 0
To Start Comprehensive Health Care System with Combination of Traditional, Herbal, Allopathy, Complementary Medicine and Integrative Medicines in Primary Health Care. 在初级卫生保健中启动传统、草药、对抗疗法、补充医学和结合医学相结合的综合卫生保健体系。
Pub Date : 2022-04-08 DOI: 10.32553/ijmsdr.v6i2.930
K. Padma
We are reporting an unusual case of a 26-year-old immunocompetent patient of miliary tuberculosis of cerebellum with meningitis and lung involvement, presenting with ataxia without any evidence of systemic inflammation. Since, prognosis depends on correct diagnosis and timely treatment, recognition and prompt diagnosis are important for overall outcome.
我们报告一个不寻常的病例,一个26岁的免疫功能正常的小脑军性结核合并脑膜炎和肺部受累的病人,表现为共济失调,没有任何全身炎症的证据。由于预后取决于正确的诊断和及时的治疗,识别和及时诊断对总体结果很重要。
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引用次数: 0
A Study of Uric Acid Level as a Marker of Severity in Malaria 尿酸水平作为疟疾严重程度标志的研究
Pub Date : 2022-03-23 DOI: 10.32553/ijmsdr.v6i3.922
Debarup Das, Samudra Guha, A. Talukdar, T. Sau, Rishav Sanghai, Niharika Pant, Anek Jena
Context: Malaria is an inflammatory condition triggered by the infection of parasite Plasmodium on erythrocytes. It is characterised by periodic fever with chills due to rupture of erythrocytes to release the progeny parasites. It is marked by release of variety of cytokines like IL-6, IL-12, IFN-Ɣ, TNF—α etc. Uric acid is one of the emerging inflammatory markers in malaria that demands attention. One of the proposed mechanisms is that there is accumulation of uric acid and its precursor, hypoxanthine in the infected erythrocytes. These are released into the blood on rupture of the schizont.  Aim: To find association of serum uric acid level with severity of malaria.Settings and Design: This was a hospital based longitudinal study conducted at a tertiary care centre in Kolkata, India. Materials and Methods: We measured the plasma levels of uric acid and various inflammatory markers {Ferritin, C-reactive protein(CRP), LDH, C3, C4} in eighty eight  patients admitted with microscopically proven malaria (severe or non-severe type). The levels of uric acid were compared with the disease severity and the inflammatory markers stated above. Statistical Analysis used: The data was analyzed using MedCalc software and Microsoft Excel 2010 and further graphically plotted. Results: The serum uric acid levels were raised in 18.51% of patients with severe malaria compared to only 4.91% with non-severe variety (p= 0.04). The uric acid levels demonstrated a positive correlation with CRP (r=0.3334, p=0.0015); procalcitonin & ferritn (r=0.3701, p<0.0005). However, it was negatively correlated with C3 (r= -0.3780, p= 0.0003) and C4 (r=0.3180, p<0.005). A univariate regression analysis supported our results to establish the correlation. However, multiple logistic regression analysis demonstrated significant association between serum uric acid levels on day 1 and C3 decrement as a marker of disease severity.  Conclusion:  Thus, it can be concluded that there is a definite association between the severity of malaria and plasma uric acid levels. Although, this study does not establish the causation, it acts as a cornerstone for further research into this field.
背景:疟疾是一种由疟原虫感染红细胞引起的炎症。它的特征是由于红细胞破裂释放后代寄生虫引起的周期性发烧和发冷。以释放多种细胞因子如IL-6、IL-12、IFN-Ɣ、TNF -α等为标志。尿酸是疟疾新出现的炎症标志物之一,需要引起重视。其中一种被提出的机制是尿酸及其前体次黄嘌呤在被感染的红细胞中积累。这些物质在分裂体破裂时被释放到血液中。目的:探讨血清尿酸水平与疟疾严重程度的关系。环境和设计:这是一项在印度加尔各答三级保健中心进行的基于医院的纵向研究。材料和方法:我们测量了88例显微镜下确诊的疟疾(重症和非重症)患者血浆尿酸和各种炎症标志物(铁蛋白、c反应蛋白(CRP)、LDH、C3、C4)的水平。将尿酸水平与疾病严重程度和上述炎症标志物进行比较。统计分析方法:使用MedCalc软件和Microsoft Excel 2010对数据进行分析,并绘制图表。结果:18.51%的重症疟疾患者血清尿酸升高,而非重症疟疾患者血清尿酸升高仅为4.91% (p= 0.04)。尿酸水平与CRP呈正相关(r=0.3334, p=0.0015);原降钙素和铁蛋白(r=0.3701, p<0.0005)。而与C3 (r= -0.3780, p= 0.0003)、C4 (r=0.3180, p<0.005)呈负相关。单变量回归分析支持我们的结果,以建立相关性。然而,多元逻辑回归分析显示,第1天血清尿酸水平与C3下降作为疾病严重程度的标志之间存在显著关联。结论:疟疾的严重程度与血浆尿酸水平之间存在一定的相关性。虽然本研究没有建立因果关系,但它为该领域的进一步研究奠定了基础。
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引用次数: 1
Ameloglyphics – A New Thought to Forensic Odontology, A Review 釉形文字——法医牙科学的新思路,综述
Pub Date : 2022-03-14 DOI: 10.32553/ijmsdr.v6i3.924
Subhajit Jana, A. Banerjee, Abhinandan, Ipsita Bhakta, Chatterjee Abhishek
Soft tissues are unable to provide reliable information of human identification in mass disasters, it is largely feasible with skeletal remains especially teeth. There is a crucial need for new and dependable methods for recognition and confirmation of victims in mass disasters. Forensic Odontology employs various methods like rugoscopy, dental labelling, DNA analysis from dental pulp, bite marks analysis, etc. Currently it embraces the study of enamel rods end patterns. Ameloglyphics is an analysis of the end patterns of the enamel rod. These patterns have been found to be unique to the individual teeth of the same individual, as well as to different individuals. A potential association between the type of enamel rod end pattern and the incidence of dental caries can help to predict the individual's susceptibility to caries and to implement preventive measures. Individual identification is becoming more important than ever in today's world. Numerous techniques have been used for victim recognition in forensic dentistry, including rugoscopy, cheiloscopy, bite marks, dental impressions (ameloglyphics), radiographs, photographic samples, and biochemical approaches .The use of enamel rod end patterns may be used to identify the susceptibility of an individual to common dental conditions that are acquired during one's lifetime. Keywords: Biometric analyses; Forensic science; Acid etching, Peel technique ;Automated biometric technique.
在大规模灾害中,软组织无法提供可靠的人类身份识别信息,但骨骼遗骸尤其是牙齿在很大程度上是可行的。迫切需要新的和可靠的方法来识别和确认大规模灾害中的受害者。法医牙医学采用各种方法,如牙镜检查、牙齿标记、牙髓DNA分析、咬痕分析等。目前,它包括对搪瓷杆端纹的研究。釉形学是对釉质棒末端图案的分析。这些图案被发现是独一无二的,对于同一个人的牙齿,以及不同的人。牙釉质棒端型与龋齿发生率之间的潜在关联有助于预测个体对龋齿的易感性并实施预防措施。在当今世界,个人认同变得比以往任何时候都更加重要。法医牙科已经使用了许多技术来识别受害者,包括牙镜检查、舌镜检查、咬痕、牙印(釉形文字)、x光片、照片样本和生化方法。牙釉质棒末端图案的使用可以用来识别个体对一生中获得的常见牙齿疾病的易感性。关键词:生物特征分析;法医科学;酸蚀刻,剥离技术;自动生物识别技术。
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引用次数: 0
Salvage Through Endodontic and Periodontal Management – A Bold ACT. 通过根管和牙周管理进行挽救——大胆的行动。
Pub Date : 2022-02-26 DOI: 10.32553/ijmsdr.v6i2.921
P. Reddy, A. Soujanya, C. C. K. Reddy, K. Yasaswini
Periapical surgery is an important treatment alternative in the presence of a large periapical cyst. To achieve regeneration and optimal healing of the bone different bone substitutes can be used. A 25 year old male patient reported with the chief complaint of mobile teeth in maxillary anterior tooth region  with 21 labially placed. He had a history of trauma 5 years back. The clinical and radiographic diagnosis of infected periapical cyst with 21,22; Endodontic treatment was performed with 21, 22 followed by periapical curettage. Platelet rich fibrin (PRF) was mixed with Metronidazole gel and used as a regenerative biomaterial in the periapical defect. 6 months follow up shows satisfactory healing and regeneration of periapical region.  There is considerable clinical interest in using PRF in combination with Metronidazole Gel. In conclusion, the results of the present study indicate that metronidazole gel  along with PRF has a beneficial effect on healing of periapical defects. Keywords: Growth factor, Platelet rich fibrin, Regeneration. 
根尖周围手术是一个重要的治疗方案,在存在一个大的根尖周围囊肿。为了实现骨的再生和最佳愈合,可以使用不同的骨替代品。患者男,25岁,主诉上颌前牙区活动牙21颗。他五年前有过精神创伤史。21、22型感染尖周囊肿的临床与影像学诊断进行牙髓治疗21、22,然后进行根尖周刮除。将富血小板纤维蛋白(PRF)与甲硝唑凝胶混合,作为根尖周围缺损的再生生物材料。随访6个月,根尖周围区域愈合、再生良好。PRF与甲硝唑凝胶联合使用有相当大的临床兴趣。综上所述,本研究结果表明甲硝唑凝胶联合PRF对根尖周缺损的愈合有良好的作用。关键词:生长因子,富血小板纤维蛋白,再生。
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引用次数: 0
Epidemiological, Clinical and Therapeutic Aspects of Chronic Lymphoid Hemopathies Observed at the National Reference University Hospital Center of N'Djamena 恩贾梅纳国立参考大学医院中心观察到的慢性淋巴血液病的流行病学、临床和治疗方面
Pub Date : 2022-02-25 DOI: 10.14445/23939117/ijms-v9i1p101
Mbanga Djimadoum, Bessimbaye Nadlaou, Lopiagoto Kemteud Blaise
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引用次数: 0
期刊
International Journal of Medical Science And Diagnosis Research
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