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Norms for cerebellum in Sudanese –A morphometric MRI based study 苏丹人小脑的形态特征——基于MRI的研究
Pub Date : 2017-07-01 DOI: 10.9790/0853-1606132431
Hiba Ahmed, H. Hassan, C. Ayad
The cerebellum is one of the most important structures in the posterior cranial fossa. The objectives of this study were to characterize the cerebellum and cerebrum by measuring the cerebellum height , vermians AP width in the mid-sagittal plane , the maximum cerebellar hemispheric width in axial plane and the cerebrum length and width, using MRI ,as well as to determine the impact of age and gender on the measurements in healthy Sudanese adults. The data were obtained from MR multi planes images done for 100 healthy Sudanese subjects, their mean age was 42.36±17.87 years old (Min=14.00, Max=80.00 years). Norms for Sudanese cerebellum and cerebrum measurements were established. The cereberum length was affected by age significantly at p=0.004; however no age related differences were noticed in the cerebellum measurements. The degree of the reduction in the cerebellar measurements is mild and unlikely to be significant. Smaller measurements of cerebellum and cerebrum were noticed in females than males, where the cerebellum hemisphere maximum width and cerebrum length were affected significantly by gender, while the cerebellum height and AP vermian width were not significantly correlated with gender. The results of this study provide a valuable addition to the normative database of the cerebellar and cerebrum anatomy for Sudanese .These data are an attempt to support the norms of the cerebellum data measured in axial and saggital images. It should be taken into account in functional imaging studies of aging, when the cerebellum is considered as an appropriate structure for reference and normalization for Sudanese.
小脑是颅后窝最重要的结构之一。本研究的目的是通过使用MRI测量小脑高度、中矢状面线虫AP宽度、轴向面小脑半球最大宽度和大脑长度和宽度来表征小脑和大脑,并确定年龄和性别对健康苏丹成年人测量的影响。数据来自100名健康苏丹人的磁共振多平面图像,平均年龄42.36±17.87岁(Min=14.00, Max=80.00)。建立了苏丹小脑和大脑测量标准。年龄对小脑长度的影响显著(p=0.004);然而,在小脑测量中没有发现年龄相关的差异。小脑测量的减少程度是轻微的,不太可能是显著的。女性小脑和大脑的测量值比男性小,其中小脑半球最大宽度和大脑长度受性别影响显著,而小脑高度和AP蠕虫宽度与性别不显著相关。本研究的结果为苏丹人的小脑和大脑解剖学的规范数据库提供了有价值的补充。这些数据试图支持小脑轴向和矢状像数据的规范。在老化的功能成像研究中应该考虑到这一点,因为小脑被认为是苏丹人参考和正常化的适当结构。
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引用次数: 2
Periodontal Disease And Its Impact on Health, From Cardiovascular Diseases to Metabolic Syndrome 牙周病及其对健康的影响,从心血管疾病到代谢综合征
Pub Date : 2017-07-01 DOI: 10.9790/0853-1607019198
Cécile Deschamps, C. S. González, J. A. Durán, Daniel Concepcion, C. Carreras-Presas, V. Paredes-Rodríguez, L. A. D. L. Fuente
As the life expectancy of the population increases, we are increasingly confronted with chronic diseases. Periodontal disease and chronic inflammatory diseases have in common the development of an inflammatory response. Recently, studies have shown that there is an increasingly clear link between the inflammatory mechanisms of periodontal disease and those of chronic inflammatory diseases such as diabetes, atherosclerosis, cardiovascular problems, and so on. The aim of this work is to present the results of the most recent studies on the bi-directional relationship between periodontitis and some chronic systemic diseases: cardiovascular risk, coronaropathy, atherosclerosis, obesity, diabetes and metabolic syndrome. To do so, we carried out a bibliographic review based on 29 articles, 2 books and a web page. The articles were searched on the PUBMED database, and 23 of them were published after 2012. Periodontal disease, through complex chain reaction mechanisms, has an impact not only on oral health, but also on the overall health of the host. It is an important cardiovascular and inflammatory risk factor. A periodontitis, if diagnosed and treated in time, may not involve so much morbidity. Studies of periodontal disease are increasing in number and tend to show increasing links with other diseases, such as respiratory diseases, renal diseases and pregnancy accidents.
随着人口预期寿命的增加,我们越来越多地面临慢性疾病。牙周病和慢性炎症性疾病有共同的炎症反应的发展。近年来的研究表明,牙周病的炎症机制与慢性炎症性疾病如糖尿病、动脉粥样硬化、心血管疾病等的炎症机制之间的联系越来越清楚。本文就牙周炎与心血管疾病、冠状动脉病变、动脉粥样硬化、肥胖、糖尿病和代谢综合征等慢性全身性疾病之间的双向关系进行综述。为此,我们对29篇文章、2本书和一个网页进行了书目审查。在PUBMED数据库中检索了这些文章,其中23篇发表于2012年之后。牙周病通过复杂的连锁反应机制,不仅影响口腔健康,而且影响宿主的整体健康。它是一个重要的心血管和炎症危险因素。牙周炎,如果诊断和治疗及时,可能不会涉及这么多的发病率。对牙周病的研究越来越多,而且往往显示出与其他疾病,如呼吸系统疾病、肾脏疾病和妊娠意外事故的联系越来越密切。
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引用次数: 0
Ectrodactyly or Lobster Claw Syndrome 指外畸形或龙虾爪综合征
Pub Date : 2017-07-01 DOI: 10.9790/0853-1607024649
Dama Aneesha, G. Lakshmi, K. Saraswathi
Split-hand/split-foot malformation is a rare limb malformation with median clefts of the hands and feet and aplasia/hypoplasia of the phalanges, metacarpals and metatarsals. When present as an isolated anomaly, it is usually inherited as an autosomal dominant form We report a case of autosomal dominant inheritance and discuss the antenatal diagnosis, genetic counseling and treatment for the malformation. keywords: autosomal dominant,split hand/split foot malformation,syndactyly
手足裂畸形是一种罕见的肢体畸形,伴有手足正中裂,指骨、掌骨和跖骨发育不全/发育不全。我们报告一例常染色体显性遗传,并讨论了该畸形的产前诊断、遗传咨询和治疗。关键词:常染色体显性,裂手/裂脚畸形,并指畸形
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引用次数: 0
Misplaced Iucd in Bladder with Calcification 膀胱内输尿管错位伴钙化
Pub Date : 2017-07-01 DOI: 10.9790/0853-1606123435
Dr. B. Saranya, Dr.S. Neeraja
Cu IUCD is the second most popular temporary contraceptive method in India.28yrs old female presented to outpatient department with lower abdominal pain ,dysuria,and hematuria for 4 months ,IUCD inserted 6 months after delivery.On Speculum and Vaginal examination Cu T thread was not seen.usg was done for misplaced IUCD .USG done showed IUCD surrounded by calculus noted in pelvis.Misplaced IUCD and calculus was removed successfully by the Urogynaecologist using a Cystoscope and Hysteroscope.
宫内节育器是印度第二大流行的临时避孕方法。28岁女性,因下腹疼痛、排尿困难、血尿4个月就诊门诊,分娩后6个月植入宫内节育器。镜检及阴道检查未见铜螺纹。超声检查显示宫内节育器被骨盆结石包围。泌尿妇科医生使用膀胱镜和宫腔镜成功地取出放置错位的宫内节育器和结石。
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引用次数: 0
Prevalence Of Primary Open Angle Glaucoma in Diabetic Patients 糖尿病患者原发性开角型青光眼的患病率
Pub Date : 2017-07-01 DOI: 10.9790/0853-160603147151
Mahesh Reddy M, Malleswari M, Sai Rani K
Background: Primary open angle glaucoma is the commonest form of glaucoma accounting for atleast half of all the glaucomas. It is also known as chronic open angle glaucoma and chronic simple glaucoma. It is typically asymptomatic until significant visual field loss has occurred. Patients usually present with significant visual field loss in one eye and advanced disease in the other. Diabetes Mellitus is one of the risk factors for POAG. Objectives: • To study the hospital based prevalence of POAG among the diabetic patients attending Tertiary Eye Hospital camp. • To screen all diabetics for glaucoma. Methods: Four hundred diabetic patients, both insulin dependent and non insulin dependent, above forty years of age, attending Tertiary Eye Hospital, who came to Department of Ophthalmology through camp, between September 2016 and May2017, were screened for the detection of Primary Open Angle Glaucoma. Results: The results of the study show a clear evidence of an excess of POAG in diabetic population, which was 7.53 % .The prevalence among males was slightly more (4.41 %) as compared to females (3.12%). At present study, the mean age of POAG among males was 54.5 yrs and 50.0 yrs among females. This study show that the prevalence of POAG and the duration of DM was proportional and that the mean blood glucose level was higher in diabetics with POAG.
背景:原发性开角型青光眼是最常见的青光眼,占青光眼的一半以上。又称慢性开角型青光眼和慢性单纯性青光眼。它通常是无症状的,直到发生明显的视野丧失。患者通常表现为一只眼睛明显的视野丧失,另一只眼睛病情进展。糖尿病是POAG的危险因素之一。目的:•研究三级眼科医院营内糖尿病患者POAG的医院患病率。•筛查所有糖尿病患者是否患有青光眼。方法:选取2016年9月至2017年5月在三级眼科医院通过夏令营就诊的40岁以上糖尿病患者400例进行原发性开角型青光眼的筛查。结果:糖尿病人群中POAG含量明显偏高,为7.53%,男性患病率(4.41%)略高于女性(3.12%)。目前研究中,男性POAG的平均年龄为54.5岁,女性为50.0岁。本研究表明,POAG的患病率与糖尿病病程成正比,伴有POAG的糖尿病患者的平均血糖水平较高。
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引用次数: 7
Thyroid Associated Orbitopathy (TAO): Effects of Medical And Surgical Treatments 甲状腺相关性眼病(TAO):内科和外科治疗的效果
Pub Date : 2017-07-01 DOI: 10.9790/0853-1607013338
D. Kumar, Dr.Naveen Sirohi, D. Tiwari
Purpose: To assess the effects of treating hyperthyroidism with antithyroid drugs, iodine-131 and surgery on development or aggravation of Graves’ ophthalmopathy (TAO) . Methods: A prospective analysis of 52 patients diagnosed with hyperthyroidism caused by Graves’ disease in Department of Surgery and Ophthalmology, Maharani Laxmi Bai Medical College, Jhansi from November 2014 to May 2017 was performed. The patients were stratified in two study groups: group1(age 20 to 55 years) received treatment with methimazole or iodine-131 and group 2(20 to 55 years) cases underwent subtotal thyroidectomy. The main outcome measures included clinical findings of ophthalmopathy, radiological features (NCCT head with orbits) and treatment options. Results: 12 patients(23%) presented with infiltrative ophthalmopathy at randomization while 22 cases (42.3%) had palpable thyroid mass. The mean age (years) was 44.8 ± 4.68 (range 20-55) and 46.6 ± 5.53 (range 2055) in group 1 and 2 respectively . During follow-up period of 12 months, ophthalmopathy developed in 14 cases(27%) amd worsened in 10 cases(19.2%). Conclusion: In our study both groups showed development or exacerbation of orbitopathy after medical and surgical treatments, however iodine-131 treatment showed more number of cases for the same as compared to methimazole and surgery.
目的:探讨抗甲状腺药物、碘-131及手术治疗甲状腺功能亢进对Graves眼病(TAO)发展或加重的影响。方法:对2014年11月至2017年5月在贾西马哈拉尼拉克西米白医学院外科与眼科诊断为Graves病的52例甲状腺功能亢进患者进行前瞻性分析。患者被分为两个研究组:第一组(年龄20 ~ 55岁)接受甲巯咪唑或碘-131治疗,第二组(年龄20 ~ 55岁)接受甲状腺次全切除术。主要结局指标包括眼病的临床表现、影像学特征(NCCT头伴眼眶)和治疗方案。结果:12例(23%)患者表现为浸润性眼病,22例(42.3%)患者表现为可触及的甲状腺肿块。1、2组患者平均年龄分别为44.8±4.68岁(20 ~ 55岁)和46.6±5.53岁(2055岁)。随访12个月,眼病发生14例(27%),恶化10例(19.2%)。结论:在我们的研究中,两组患者在药物和手术治疗后都出现了眼病的发展或加重,但碘-131治疗相比于甲巯咪唑和手术治疗显示出更多的病例。
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引用次数: 0
Inner Thigh Rashes: A Complex And Polyedric Syndrome:A Solution Obtained By the Alternance of Two Natural Emulsions With Promised Remission in Seven Days. 大腿内侧皮疹:一种复杂的聚醚综合征:通过交替使用两种天然乳剂获得的解决方案,承诺在7天内缓解。
Pub Date : 2017-07-01 DOI: 10.9790/0853-1606033777
L. Martini
Inner Thigh Rashes (ITR) is a syndrome represented by mild skin lesions usually characterized as erythematous, slightly inflamed, and with either pruritus or burning sensation.It is typical in sportmen, joggers and bikers and depends on too many factors, as wetting, chafe and rubbing and perpetual contact with allergic fabric and their dyes during training. We have chosen a panel group of 11 bikers who like to ride 60 km/day and after having stated all the grades of the skin erythemas and all symptoms of ITR, we prayed them to apply two emulsions apt to cure all the causes that evoke ITR. To do this, we have prayed the volunteers to respond to questionnaires and we have examinated day after day for a week, noticing the eventual remission, that can be designated in 3-4 days for almost 70% of cases. We have treated a male, very pilous and presenting a pletora of blisters with an intense skin redness. This case was really particular, even if after one week some satisfying result has been reached.
大腿内侧皮疹(ITR)是一种以轻度皮肤病变为特征的综合征,通常表现为红斑、轻度炎症,并伴有瘙痒或烧灼感。这在运动员、慢跑者和骑自行车者中很常见,它取决于很多因素,如潮湿、摩擦和摩擦,以及在训练期间与过敏织物及其染料的长期接触。我们选择了一个11人的小组,他们喜欢每天骑行60公里,在陈述了皮肤红斑的所有等级和ITR的所有症状后,我们祈祷他们涂抹两种乳液,可以治愈引起ITR的所有原因。为了做到这一点,我们祈祷志愿者回答问卷,我们日复一日地检查了一周,注意到最终的缓解,几乎70%的病例可以在3-4天内指定。我们治疗了一名男性,非常多毛,有大量的水疱,皮肤红肿。这种情况确实很特殊,即使一周后已经取得了一些令人满意的结果。
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引用次数: 0
A Study of Platelet Indices in Acute Myocardial Infarction: An Observational Study. 急性心肌梗死血小板指数的观察性研究。
Pub Date : 2017-07-01 DOI: 10.9790/0853-1606121013
S. Akula, Venkata Siva Krishna.K, J. Ramakrishna, B. Srinivas, S. Damera
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引用次数: 1
“Correlation Between Tooth Mineralization Using Cbct And Mp3 As A Diagnostic Tool For Assessment Of Skeletal Maturity - A Radiographic Study” 用Cbct和Mp3作为评估骨骼成熟度诊断工具的牙矿化相关性的x线研究
Pub Date : 2017-07-01 DOI: 10.9790/0853-160702120130
S. Pai, Jaya Singh, V. Pai, E. VishwanathA, Suhas, Anandu
Background And ObjectivesTreatment timing has a significant role in the outcome of all dentofacial orthopedic treatments for dentoskeletal disharmonies in growing patients. Dental maturation has been proposed to be a clinically useful diagnostic aid for the identification of individual skeletal maturation stages. Aims: 1) To correlate dental calcification stages with MP3 stages in skeletal age estimation using CBCT of the left mandibular posterior teeth. 2) To determine whether dental calcification can be used as a first level diagnostic tool for assessment of skeletal maturity with MP3 stages. Materials And Method – Study design included a total sample size of 30 including boys and girls, between the age group of 8 to 18 years visiting Vydehi Institute of Dental Sciences for orthodontic treatment. After analyzing the skeletal maturity through MP3 stages of each individual, it was compared with CBCT images Panoramic view and the respective stages of MP3 were correlated with CBCT Panoramic view for each tooth under investigation. The data was subjected to statistical analysis to determine the degree of correlation between the two maturation indices i.e. dental maturity and skeletal maturity with the help of Spearman Rank correlation coefficient and Sensitivity –Specificity analysis was done to identify the diagnostic ability of tooth mineralization stages to be used as a first level diagnostic tool for identification of skeletal maturity over other methods. Results: 1) Significant correlation was seen between dental mineralization stages and MP3 method of skeletal maturation with 2 nd premolar stages being most reliable for skeletal maturity assessment. 2) The acceptability of the method to be used as first level Diagnostic tool is still not clear, though it can be used as a supplemental method along with principal method for skeletal maturity assessment. ConclusionBased on our study it is clear that second premolar has the highest significance level to rely on mineralization stage of the teeth to assess the skeletal maturity, and DMS method is more accurate in diagnosis of prepubertal individual than post pubertal individual with 2 nd molar having the highest sensitivity.
背景与目的治疗时机对生长期患者牙骨不和谐的牙面矫形治疗效果有重要影响。牙齿成熟已被提出是临床有用的诊断援助,以确定个人骨骼成熟阶段。目的:1)利用CBCT对左下颌后牙进行骨龄估计,探讨牙钙化分期与MP3分期的相关性。2)确定牙钙化是否可以作为评价MP3分期骨骼成熟度的一级诊断工具。材料和方法-研究设计包括30个总样本量,包括男孩和女孩,年龄在8至18岁之间,访问Vydehi牙科科学研究所进行正畸治疗。通过每个个体的MP3阶段分析骨骼成熟度,并与CBCT图像进行比较,并将各阶段MP3与CBCT全景视图进行相关性分析。采用Spearman秩相关系数对数据进行统计分析,确定牙体成熟度和骨骼成熟度两项成熟度指标的相关程度,并进行敏感性-特异性分析,确定牙矿化阶段的诊断能力,作为鉴定骨骼成熟度的一级诊断工具,优于其他方法。结果:1)牙矿化阶段与骨骼成熟的MP3方法有显著相关性,第2前磨牙阶段是评估骨骼成熟最可靠的阶段。2)该方法作为一级诊断工具的可接受性尚不明确,但可以作为骨骼成熟度评估的补充方法与主要方法一起使用。结论第二前磨牙根据牙体矿化阶段判断骨骼成熟度的意义最高,DMS法对青春期前个体的诊断准确率高于青春期后个体,其中第二前磨牙的敏感性最高。
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引用次数: 0
A Review on Neck Dissection 颈部解剖综述
Pub Date : 2017-07-01 DOI: 10.9790/0853-16060386101
Dr.Shalini Singh, D. Sahu, Dr.A.V. Hemant, Dr.U. Madhuri, Dr.Purva Sharma, Dr.Vijay K. Thumpala, Dr.Rahul Vc Tiwari
Surgery is the oldest and continues to be the most reliable form of treatment of malignancy. The treatment of the neck in patients with squamous cell carcinoma of the upper aero-digestive tract and other neoplasms of the head and neck region continues to be one of the most controversial issues in head and neck oncology. It is very crucial for an oral and maxillofacial surgeon to have a depth of knowledge in the surgical anatomy of neck, levels of lymph nodes, incisions, flaps, various types of neck dissections its indications, contraindications, advantages, disadvantages and complications. This review on neck dissection is published for providing the information in detail.
手术是最古老的,也是最可靠的恶性肿瘤治疗方式。上消化道鳞状细胞癌及其他头颈部肿瘤患者的颈部治疗一直是头颈部肿瘤学中最具争议的问题之一。对于口腔颌面外科医生来说,深入了解颈部的外科解剖,淋巴结的水平,切口,皮瓣,各种类型的颈部解剖,其适应症,禁忌症,优缺点和并发症是非常重要的。这篇关于颈部解剖的综述是为了提供详细的信息而发表的。
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引用次数: 1
期刊
IOSR Journal of Dental and Medical Sciences
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