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A comparision of 3-dimensional and standard miniplates fixation in the management of mandibular fractures 三维与标准微型钢板内固定治疗下颌骨骨折的比较
Pub Date : 2017-05-28 DOI: 10.24327/IJRSR.2017.0805.0227
B. Ch, M. Shaik, Vamsi Krishna Reddy.D
Purpose: To compare and evaluate 3-dimensional (3D) and conventional 4-hole miniplates fixation in the management of mandibular fractures. Materials and Methods: In 20 randomly selected patients who sustained mandibular fractures were selected for this study. Of the 20 cases, in 10 cases fractured fragments were stabilized using 2.0mm 3-Dimensional miniplates and in remaining 10 cases the fractured fragments were fixed with conventional 2.0mm miniplates. Post operatively cases were assessed clinically and radiographically at immediate post op, 1month and 3months. Results: This study suggests that fixation of mandibular fracture with 3D Plates provide three dimensional stability and carries low morbidity and infection rates. The only probable limitation of these plates may be excessive implant material due to the extra vertical bars incorporated for countering the torque forces and in cases where the fracture line passing through the mental foramina region. Conclusion: The 3D plate was found to be standard in Profile, strong yet malleable, facilitating reduction and stabilization at both the Superior and inferior borders giving three dimensional stability at fracture site. They seem to be an easy to use alternative to conventional miniplates. But the small sample size and limited follow up could be considered as the limitations of our study.
目的:比较和评价三维(3D)与常规四孔微型钢板固定治疗下颌骨骨折的疗效。材料与方法:随机选取20例持续性下颌骨骨折患者作为研究对象。20例中,10例骨折块采用2.0mm三维微型钢板固定,其余10例骨折块采用常规2.0mm微型钢板固定。术后病例分别于术后即刻、1个月和3个月进行临床和影像学评估。结果:本研究提示三维钢板内固定下颌骨折具有三维稳定性,发病率和感染率低。这些钢板唯一可能的限制可能是由于额外的垂直杆用于对抗扭力和骨折线穿过精神孔区而导致植入物过多。结论:该三维钢板轮廓标准,坚固且具有延展性,有利于上下边界的复位和稳定,使骨折部位三维稳定。他们似乎是一个容易使用的替代传统的迷你板。但样本量小,随访时间短是本研究的局限性。
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引用次数: 1
A rare case of broad ligament ectopic pregnancy 宽韧带异位妊娠1例
Pub Date : 2017-05-28 DOI: 10.24327/IJRSR.2017.0805.0283
S. Ganta, S. S.K
Ectopic pregnancy continues to be an obstetric challenge despite the advancement of technology. Abdominal pregnancy is rare (1in 10,000 births) and extremely serious form of extra uterine pregnancy. It can pose a major diagnostic hurdle with many being diagnosed only intra-operatively. We report a case of a 26 year old nullipara who presented with 6 weeks of amenorrhea with abdominal pain since 5 hours and one episode of syncope. She was hemodynamically unstable, routine ultrasound revealed an empty uterus with free fluid in the abdomen. It was diagnosed as a ruptured ectopic pregnancy and taken up for an emergency laparotomy. She had a right broad ligament ectopic pregnancy which had ruptured. Both the tubes, ovaries and uterus was found intact. Excision of the ruptured ectopic mass on the right side of the broad ligament was done. The specimen was sent for histopathological examination and confirmed. Postoperative course was uneventful and serum HCG was undetectable at the fourth week after surgery. Awareness about this rare form of ectopic pregnancy is observational and mainly comes from reported cases. A high index of suspicion is needed for early diagnosis and intervention.
尽管技术进步,异位妊娠仍然是一个产科挑战。腹式妊娠非常罕见(万分之一),而且是非常严重的子宫外妊娠。它可能构成一个主要的诊断障碍,许多只在术中被诊断出来。我们报告了一个26岁的产妇谁提出了6周闭经与腹痛自5小时和一次发作晕厥。她血流动力学不稳定,常规超声显示子宫空,腹部有游离液体。诊断为宫外孕破裂并接受紧急剖腹手术。她的右阔韧带异位妊娠已破裂。输卵管、卵巢和子宫都完好无损。切除右侧阔韧带破裂的异位肿块。标本送组织病理检查并确认。术后过程平稳,术后第四周血清HCG未检出。对这种罕见的异位妊娠的认识是观察性的,主要来自报告的病例。早期诊断和干预需要高度的怀疑指数。
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引用次数: 1
Applications of various forms of chlorhexidine in dentistry – a review 各种形式氯己定在牙科中的应用综述
Pub Date : 2017-05-28 DOI: 10.24327/ijrsr.2017.0805.0257
Jaiganesh Ramamurthy, A. Venkatesh
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引用次数: 0
Questioning the concept of affordable housing - affordable to who in tanzania? 质疑经济适用房的概念——在坦桑尼亚谁负担得起?
Pub Date : 2017-05-28 DOI: 10.24327/IJRSR.2017.0805.0233
L. Mosha
Vast majority of African people cannot afford adequate housing. UNCHS define adequate housing as the one with acceptable level of privacy, space, physical accessibility, security, security of tenure, structural stability, durability, lighting, heating, ventilation and basic social infrastructural services. About 50% of African population is currently urban dwellers out of which 75% cannot afford formal housing. The concept of affordable housing was conceived with an aim of saving the low income earners and the poor to access formal housing especially in poor countries. Tanzania is one of the poor countries with Gross Domestic Product per capita income record of 842.37 US$ in 2015 and defines affordable housing as the one which can adequately shelter all people below and above the poverty line. Literature review was carried out to understand country’s economies and individual’s affordability levels in housing. Field surveys assisted to learn various housing scenarios in rural and urban areas; as well as planned and unplanned urban housing in Tanzania. This study has found out that 7.2% and 21.5% of Tanzanian households were below the food poverty line and basic needs poverty line respectively and they cannot afford adequate housing. The low income earners who are not necessarily in these percentages can hardly afford adequate formal housing because they cannot easily access financial institutions. Consequently formal housing units produced by National Housing Corporation and other commercial housing developers are bought by high income earners. The affordable housing concept is practically unaffordable housing concept to the targeted people. Policy makers, Spatial Planners and Architects should redefine affordable housing and propose pragmatic decent housing approaches to realistically assist the low income earners in poor countries.
绝大多数非洲人买不起足够的住房。人类住区中心将适当住房定义为具有可接受程度的隐私、空间、实际可达性、安全、租住保障、结构稳定性、耐久性、照明、供暖、通风和基本社会基础设施服务的住房。目前约有50%的非洲人口是城市居民,其中75%的人买不起正式住房。提出负担得起的住房概念的目的是使低收入者和穷人能够获得正式住房,特别是在贫穷国家。坦桑尼亚是贫穷国家之一,2015年人均国内生产总值(gdp)为842.37美元,并将经济适用房定义为能够充分容纳所有贫困线以下和以上人口的住房。进行文献综述,以了解国家的经济和个人的住房负担能力水平。实地调查有助于了解农村和城市地区的各种住房情况;以及坦桑尼亚已规划和未规划的城市住房。本研究发现,坦桑尼亚有7.2%和21.5%的家庭分别处于食物贫困线和基本需求贫困线以下,他们无法负担足够的住房。不一定属于这些百分比的低收入者很难负担足够的正式住房,因为他们不容易进入金融机构。因此,由国家住房公司和其他商业住房开发商生产的正式住房单元被高收入者购买。对于目标人群来说,经济适用房概念实际上是不可负担的住房概念。政策制定者、空间规划师和建筑师应该重新定义经济适用房,并提出实用的体面住房方法,切实帮助贫穷国家的低收入者。
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引用次数: 3
Extragingival pyogenic granuloma: a misnomer in an anomalous site with an unusual presentation 牙龈外化脓性肉芽肿:异常部位的用词不当,表现不寻常
Pub Date : 2017-05-28 DOI: 10.24327/ijrsr.2017.0805.0298
B. Gnr, N. Praveen, S. Prakash, N. Walavalkar
Pyogenic granuloma (PG) is thought to represent an exuberant tissue response to a constant local irritation or trauma and it might be related to hormonal changes. Clinically, oral pyogenic granuloma is a smooth or lobulated exophytic growth, pedunculated or sessile, which usually bleeds on provocation. Pyogenic granuloma of the oral cavity is known to involve the gingiva more commonly (75% of all the cases). On rare occasion, it can be found extragingivally on lips, tongue, buccal mucosa, and palate which may mimic more serious pathological conditions such as malignancies. The purpose of this case report is to describe a rare case of extragingival pyogenic granuloma with an unusual proliferative appearance on the right buccal mucosa in a 65 years old female patient and its management using 810 nm diode laser.
化脓性肉芽肿(PG)被认为是组织对持续局部刺激或创伤的旺盛反应,可能与激素变化有关。临床上,口腔化脓性肉芽肿为光滑或分叶状外生生长,有带梗或无梗,通常在刺激时出血。口腔化脓性肉芽肿通常累及牙龈(占所有病例的75%)。在极少数情况下,它可以在嘴唇,舌头,颊粘膜和腭外发现,这可能模仿更严重的病理状况,如恶性肿瘤。本病例报告的目的是描述一个罕见的65岁女性患者右颊粘膜外脓性肉芽肿,其增生外观异常,并使用810 nm二极管激光治疗。
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引用次数: 0
Sustainable oriented innovation in the hotel industry of mazatlán, méxico 可持续导向的酒店行业创新mazatlán, msamxico
Pub Date : 2017-05-28 DOI: 10.24327/IJRSR.2017.0805.0300
Ibarra J.P, M. Velarde, E. Olmos, A. Alvarado
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引用次数: 2
Assessment of biofuel potential in india 印度生物燃料潜力评估
Pub Date : 2017-05-28 DOI: 10.24327/IJRSR.2017.0805.0287
N. Sharma
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引用次数: 4
Knowledge, attitude & practices towards organ donation amongst dental & medical students & professionals in & around melmaruvathur melmaruvathur及周边地区牙科和医学学生及专业人员对器官捐赠的知识,态度和实践
Pub Date : 2017-05-28 DOI: 10.24327/IJRSR.2017.0805.0289
Prithivi Sankar Nanthakumar, Gokkulakrishnan Sadhasivam, Karthikeyan M, Suresh Kumar G, Abishek R Balaji, Srinivasulu P
Transplantation is defined as the transfer (engraftment) of human cells, tissues or organs from a donor to recipient with an aim of restoring function(s) in the body. But in almost every country the number of willing organ donors falls short of the number of people on the waiting list by many thousands. As health care personnel we remain one of the most reliable sources for general population to get information about a relatively safe procedure. This study aims to determine the knowledge, attitude and practices towards organ donation amongst the Students & Staff members of Adhiparasakthi Dental College & Hospital, Melmaruvathur & Melmaruvathur Adhiparasakthi Institute of Medical Sciences & Research, Melmaruvathur and the variation amongst the study population and determination of the factors that cause the variation. The most significant factors which contributed to a positive attitude about organ donation were age, stream of study, father’s occupation, family’s monthly income, mother’s education level.
移植被定义为将人体细胞、组织或器官从供体转移(植入)到受体,目的是恢复身体功能。但几乎在每个国家,愿意捐献器官的人数都比等待捐献的人数少几千人。作为卫生保健人员,我们仍然是一般人群获得相对安全程序信息的最可靠来源之一。本研究旨在确定Adhiparasakthi牙科学院和医院,Melmaruvathur和Melmaruvathur Adhiparasakthi医学科学与研究所,Melmaruvathur的学生和工作人员对器官捐赠的知识,态度和实践,以及研究人群之间的差异,并确定导致差异的因素。年龄、学历、父亲的职业、家庭月收入、母亲的受教育程度是影响器官捐献态度的最显著因素。
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引用次数: 0
A prospective study on assessment of drug induced qt interval prolongationin inpatient department at a tertiary care hospital 某三级医院住院部药物致qt间期延长的前瞻性研究
Pub Date : 2017-05-28 DOI: 10.24327/ijrsr.2017.0805.0237
A. Nejati, H. Singh, A. Naghdi
Objective: The present study is aimed to assess drug induced QT-interval prolongation in hospital inpatients through ECG data, predictors of risk factor for QT-interval prolongation and drug-drug interactions. Methodology: It is a prospective observational study conducted in inpatient setting. The data collected in pre design data collection form for 110 patients, who are assessed for the period of six months. The prescription with at least one QT-interval prolonging drugs were considered for this study. The collected data included demographics, mean change in QT-interval with drugs, ECG data and safety analysis data. Result: The total number of patients screened was 110. Among the study patients most of them 50.91% were older age. Major comorbidities were diabetes mellitus 39(35.45%) and hypertension 36(32.72%). There was a high prevalence (46.45%) of QT-interval prolongation. The mean QTc in prolonged group was 495±34.4ms.Ondansetron (61.18%), Metronidazole (58.18%), Ciprofloxacin (20.9%), Azithromycin (16.36%) and Domperidone (11.81%) were associated with marked QTc-interval prolongation. Female sex, longer hospitalization, electrolyte abnormalities and older age were associated with drug induced QT-interval prolongation.97 (88.18%) prescriptions showed drug interaction involving QT-interval prolongation. The most common drug interaction was found to be between ondansetron and metronidazole in 41 prescription followed by ondansetron and ciprofloxacin in 15 prescription. Of the 97 interventions proposed, the most frequent suggestion was on stop/avoid/dose adjustment (13.40%) followed by ECG monitoring (10.40%). 16.49% of interventions were accepted and therapy was changed. Conclusion: This study demonstrates the high prevalence of a prolonged QTinterval in patients. Cardiac drugs and antibiotics were frequently involved in drug induced QT-interval prolongation. A simple ECG and a calculated QT interval can be used to plan management and caution us on probable electrolyte abnormalities and drug therapies. The current study demonstrated the importance of routine medication review and the need of a pharmacist in a multidisciplinary team.
目的:本研究旨在通过心电图数据、qt间期延长危险因素的预测因素和药物-药物相互作用来评估住院患者药物性qt间期延长。方法:这是一项在住院环境下进行的前瞻性观察性研究。采用设计前数据收集表收集110例患者的数据,对其进行为期6个月的评估。本研究考虑了至少一种延长qt间期药物的处方。收集的数据包括人口统计数据、用药后qt间期的平均变化、心电图数据和安全性分析数据。结果:共筛查患者110例。研究患者中以老年患者居多,占50.91%。主要合并症为糖尿病39例(35.45%),高血压36例(32.72%)。qt间期延长的发生率较高(46.45%)。延长组平均QTc为495±34.4ms。昂丹司琼(61.18%)、甲硝唑(58.18%)、环丙沙星(20.9%)、阿奇霉素(16.36%)和多潘立酮(11.81%)与qtc间期明显延长相关。女性、住院时间较长、电解质异常和年龄较大与药物引起的qt间期延长有关88.18%的处方存在延长qt间期的药物相互作用。最常见的药物相互作用是41份处方中的昂丹西琼与甲硝唑,其次是15份处方中的昂丹西琼与环丙沙星。在提出的97项干预措施中,最常见的建议是停止/避免/剂量调整(13.40%),其次是心电图监测(10.40%)。16.49%的干预措施被接受并改变治疗方法。结论:本研究表明qt间期延长在患者中普遍存在。药物性qt间期延长常与心脏药物和抗生素有关。简单的心电图和计算的QT间期可用于计划管理和提醒我们可能的电解质异常和药物治疗。目前的研究证明了常规药物审查的重要性和药剂师在多学科团队中的必要性。
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引用次数: 0
The influence of some iatrogenic factors on a cytomorphometric analysis of gingival cells and periodontal status among diabetic patients 一些医源性因素对糖尿病患者牙龈细胞形态和牙周状况的影响
Pub Date : 2017-05-28 DOI: 10.24327/ijrsr.2017.0805.0250
Mohammed M Al Abdaly, M. Almalki, K. Saleh
Background: The relation between dental restorations and periodontal health are more important so the healthy periodontal status requires correction of dental restorations that is mandatory for the protection of periodontal tissues. Aims of the study: The present study was designed to evaluate the effect of some iatrogenic factors on a cytomorphometric analysis of gingival cells and periodontal status among diabetic patients. Subjects and Methods: The sample of the present study consisted of three hundred diabetic patients and they were divided into three equal groups 100 patients per group control group, composite fillings group and metal ceramic crown group. They were selected from the clinics of the college of dentistry King Khalid University. Plaque index (PI), gingival index (GI), and clinical attachment loss (CAL) were recorded. The cytomorphometric changes were evaluated by the Cytological investigation (MN Apoptotic and Necrotic Test). The results were collected and analyzed by ANOVA test. Results: In the present study there were significant differences were detected in all clinical parameters in the samples of the study groups where there was an increase in (PI), (GI), and (CAL) of study groups compared to control group. In a cytomorphometric analysis of gingival cells, there was no significant increase of apoptosis and necrosis compared to control group. Conclusions: The results of a current study revealed that there were increased gingival inflammation and attachment loss in both study groups compared to the control group, but there was a significance induction of micronuclei formation in all groups.
背景:口腔修复体与牙周健康之间的关系越来越重要,因此健康的牙周状态需要对口腔修复体进行矫正,这是保护牙周组织的必要条件。研究目的:本研究旨在评估一些医源性因素对糖尿病患者牙龈细胞形态分析和牙周状况的影响。研究对象与方法:将300例糖尿病患者随机分为3组,每组100例,对照组、复合材料充填组和金属陶瓷冠组。他们是从哈立德国王大学牙科学院的诊所中挑选出来的。记录菌斑指数(PI)、牙龈指数(GI)和临床附着损失(CAL)。通过细胞学检查(MN凋亡和坏死试验)评估细胞形态学变化。收集结果并采用方差分析检验进行分析。结果:在本研究中,在研究组样本的所有临床参数中检测到显著差异,研究组的(PI), (GI)和(CAL)与对照组相比有所增加。在牙龈细胞的细胞形态分析中,与对照组相比,凋亡和坏死没有明显增加。结论:目前的一项研究结果显示,与对照组相比,两个研究组的牙龈炎症和附着丧失都有所增加,但在所有组中都有显著的微核诱导形成。
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引用次数: 0
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International journal of recent scientific research
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