Pub Date : 2021-08-31DOI: 10.5005/jp-journals-10057-0147
Neha Bagri, R. Misra
Aim and objective: We report a rare case of the canal of Nuck hernia containing part of the uterus and both ovaries as its contents. The aim is to build up the awareness of this condition by reviewing the ultrasound and MRI imaging findings and identification of prolapsed ovary with correct knowledge of the entity and focused analysis. Background: The patent canal of Nuck is one of the rare developmental entities in females. Hernia of the canal of Nuck is an extension of the peritoneal fold through the inguinal canal up to the labia majora. Defective obliteration of this peritoneal fold leads to herniation of abdominal content into the inguinal canal. Case description: An exceptionally rare case of a 5-month-old female child who presented to us with a palpable, non-tender, left labial mass. Ultrasound and MRI were performed showing the contents of herniating sac as uterine fundus and bilateral ovaries along with minimal free fluid. The infant was managed conservatively and kept under follow-up. Conclusion: Incidence of both ovary and uterus as contents of hernia is very rare. Furthermore, early and correct identification of the herniated ovary prevents an uncalled-for surgery. Clinical significance: It is very important to be familiar with this entity, especially in cases of ovarian hernia due to the risk of associated complications like incarceration and torsion.
{"title":"A Rare Case Report of Out of the Ordinary Canal of Nuck Hernia Encompassing Pelvic Structures, Showing up as a Labial Mass","authors":"Neha Bagri, R. Misra","doi":"10.5005/jp-journals-10057-0147","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0147","url":null,"abstract":"Aim and objective: We report a rare case of the canal of Nuck hernia containing part of the uterus and both ovaries as its contents. The aim is to build up the awareness of this condition by reviewing the ultrasound and MRI imaging findings and identification of prolapsed ovary with correct knowledge of the entity and focused analysis. Background: The patent canal of Nuck is one of the rare developmental entities in females. Hernia of the canal of Nuck is an extension of the peritoneal fold through the inguinal canal up to the labia majora. Defective obliteration of this peritoneal fold leads to herniation of abdominal content into the inguinal canal. Case description: An exceptionally rare case of a 5-month-old female child who presented to us with a palpable, non-tender, left labial mass. Ultrasound and MRI were performed showing the contents of herniating sac as uterine fundus and bilateral ovaries along with minimal free fluid. The infant was managed conservatively and kept under follow-up. Conclusion: Incidence of both ovary and uterus as contents of hernia is very rare. Furthermore, early and correct identification of the herniated ovary prevents an uncalled-for surgery. Clinical significance: It is very important to be familiar with this entity, especially in cases of ovarian hernia due to the risk of associated complications like incarceration and torsion.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83784658","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}
Pub Date : 2021-08-31DOI: 10.5005/jp-journals-10057-0143
J. Sharma, Tapan Kapoor, Guman Singh, A. Loyal, D. Singh
Ab s t r Ac t Aims/Objectives: The study aims to evaluate and correlate the relationship between hormone receptor status—estrogen, progesterone receptor (ER and PR), and Herceptin receptor (Her-2/neu) with tumor characteristics in breast cancer patients. Materials and methods: The current study included 101 breast cancer patients of various age-groups from the period 2016–2020. The tumors were evaluated for hormone expression, size, histologic grade, lymphovascular invasion, and axillary node status. The excised breast tissue specimen was evaluated for hormone status by immunohistochemistry (IHC) testing on paraffin blocks and was further analyzed using the fluorescence in situ hybridization (FISH) technique as per requirement. Stratification based on hormone receptor status was done in four categories—ER+PR+Her-2neu−, ER−PR−Her-2neu+, ER+PR+Her-2neu+, and ER−PR−Her-2neu−. Results: In this study, 37.6% of tumors were ER+PR+Her-2neu−, 13.8% ER−PR−Her-2neu+, 13.8% ER+PR+Her-2neu+, and 34.6% ER−PR−Her2neu−. Among high-grade tumors, more than half (52%) patients were hormone receptor-negative, whereas among low-grade tumors 55% of patients were hormone receptor-positive. Sixteen percent of patients presented with a younger age-group (<35 years) and in these patients, nearly 38% were Her-2/neu positive and most of the Her-2/neu receptor-positive patients (80%) had lymphovascular space invasion. Primary tumor size at time of presentation was <2 cm (T1) in only 11% of cases and 2–5 cm (T2) in 72% of cases. Lymph node positivity did not correlate with hormone receptor status. Conclusion: The incidence of Her2-neu positive breast cancer patients was higher in the Indian population as compared to the Western world. The current study depicts the distinct shift in terms of tumor stage and biology, higher rate of Her-2/neu-positivity, younger age at diagnosis, larger tumor size, advanced tumor grade, and more positive lymph node involvement in contrast to the Western population.
{"title":"Breast Cancer Tumor Biology Characteristics and Its Correlation in a Tertiary Care Center","authors":"J. Sharma, Tapan Kapoor, Guman Singh, A. Loyal, D. Singh","doi":"10.5005/jp-journals-10057-0143","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0143","url":null,"abstract":"Ab s t r Ac t Aims/Objectives: The study aims to evaluate and correlate the relationship between hormone receptor status—estrogen, progesterone receptor (ER and PR), and Herceptin receptor (Her-2/neu) with tumor characteristics in breast cancer patients. Materials and methods: The current study included 101 breast cancer patients of various age-groups from the period 2016–2020. The tumors were evaluated for hormone expression, size, histologic grade, lymphovascular invasion, and axillary node status. The excised breast tissue specimen was evaluated for hormone status by immunohistochemistry (IHC) testing on paraffin blocks and was further analyzed using the fluorescence in situ hybridization (FISH) technique as per requirement. Stratification based on hormone receptor status was done in four categories—ER+PR+Her-2neu−, ER−PR−Her-2neu+, ER+PR+Her-2neu+, and ER−PR−Her-2neu−. Results: In this study, 37.6% of tumors were ER+PR+Her-2neu−, 13.8% ER−PR−Her-2neu+, 13.8% ER+PR+Her-2neu+, and 34.6% ER−PR−Her2neu−. Among high-grade tumors, more than half (52%) patients were hormone receptor-negative, whereas among low-grade tumors 55% of patients were hormone receptor-positive. Sixteen percent of patients presented with a younger age-group (<35 years) and in these patients, nearly 38% were Her-2/neu positive and most of the Her-2/neu receptor-positive patients (80%) had lymphovascular space invasion. Primary tumor size at time of presentation was <2 cm (T1) in only 11% of cases and 2–5 cm (T2) in 72% of cases. Lymph node positivity did not correlate with hormone receptor status. Conclusion: The incidence of Her2-neu positive breast cancer patients was higher in the Indian population as compared to the Western world. The current study depicts the distinct shift in terms of tumor stage and biology, higher rate of Her-2/neu-positivity, younger age at diagnosis, larger tumor size, advanced tumor grade, and more positive lymph node involvement in contrast to the Western population.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86354628","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}
Pub Date : 2021-08-31DOI: 10.5005/jp-journals-10057-0158
Ketul R Patel, N. Sadasukhi, T. Sadasukhi, M. Gupta, H. Gupta, Ashish Sharma, Sandeep Malik
A bstrAct Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) is a rare anomaly of the urogenital system. The characteristic triad of this syndrome, which was initially reported in 1950, is didelphys uterus, obstructed hemivagina, and ipsilateral renal agenesis (Embrey 1 ). The prevalence of congenital Müllerian duct anomalies is reported to be 1%. 2 A 24-year-old girl got admission to MGH on 15.3.2019 with lower abdominal pain and difficulty in the passing of urine. Her menarche was established 6 months back with a regular cycle and associated with dysmenorrhea. Magnetic resonance imaging (MRI) established the diagnosis of OHVIRA. She underwent surgery for drainage of the hematocolpos and excision of the vaginal septum and urethral dilatation with cystoscopy followed by an uncomplicated recovery and the patient had normal menstrual cycles after surgery.
{"title":"A Rare Case of OHVIRA Syndrome with Urethral Stenosis","authors":"Ketul R Patel, N. Sadasukhi, T. Sadasukhi, M. Gupta, H. Gupta, Ashish Sharma, Sandeep Malik","doi":"10.5005/jp-journals-10057-0158","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0158","url":null,"abstract":"A bstrAct Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) is a rare anomaly of the urogenital system. The characteristic triad of this syndrome, which was initially reported in 1950, is didelphys uterus, obstructed hemivagina, and ipsilateral renal agenesis (Embrey 1 ). The prevalence of congenital Müllerian duct anomalies is reported to be 1%. 2 A 24-year-old girl got admission to MGH on 15.3.2019 with lower abdominal pain and difficulty in the passing of urine. Her menarche was established 6 months back with a regular cycle and associated with dysmenorrhea. Magnetic resonance imaging (MRI) established the diagnosis of OHVIRA. She underwent surgery for drainage of the hematocolpos and excision of the vaginal septum and urethral dilatation with cystoscopy followed by an uncomplicated recovery and the patient had normal menstrual cycles after surgery.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81072184","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}
Pub Date : 2021-08-31DOI: 10.5005/jp-journals-10057-0150
Shantanu Jain, Renuka P Chinchalkar, Shavan K Yadav, P. Yadav, P. Lekhwani, N. Gupta
Natal teeth are a rare sight in a newborn child’s oral cavity. The presence of teeth natal teeth can cause a series of damage to the child including difficulty in feeding, ulceration on the tongue. A 31-day-old baby reported to the Department of Pediatric and Preventive Dentistry with a chief complaint of ulceration on the tongue and difficulty in breastfeeding. On further examination, a diagnosis of natal teeth was narrowed down. Due to the presence of mobility of the present teeth and ulceration on the tongue, the teeth were extracted.
{"title":"Natal Teeth in Association with Sublingual Ulceration: A Case Report","authors":"Shantanu Jain, Renuka P Chinchalkar, Shavan K Yadav, P. Yadav, P. Lekhwani, N. Gupta","doi":"10.5005/jp-journals-10057-0150","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0150","url":null,"abstract":"Natal teeth are a rare sight in a newborn child’s oral cavity. The presence of teeth natal teeth can cause a series of damage to the child including difficulty in feeding, ulceration on the tongue. A 31-day-old baby reported to the Department of Pediatric and Preventive Dentistry with a chief complaint of ulceration on the tongue and difficulty in breastfeeding. On further examination, a diagnosis of natal teeth was narrowed down. Due to the presence of mobility of the present teeth and ulceration on the tongue, the teeth were extracted.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77909411","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}
Pub Date : 2021-08-31DOI: 10.5005/jp-journals-10057-0154
D. Gupta, G. Saxena, O. Choudhary, Anchin Kalia, R. Jat, Manjeet Lnu
{"title":"To Study the Prevalence of Vitamin B12 Deficiency among Patients with Hypothyroidism","authors":"D. Gupta, G. Saxena, O. Choudhary, Anchin Kalia, R. Jat, Manjeet Lnu","doi":"10.5005/jp-journals-10057-0154","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0154","url":null,"abstract":"","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84060891","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}
Pub Date : 2021-08-31DOI: 10.5005/jp-journals-10057-0156
Mukesh Jain, P. Rijhwani, Kishore Moolrajani, Aviral Gupta, Anchin Kalia, C. Mittal, S. Choudhary, Aakriti Vij
Ab s t r Ac t Background: Coronavirus disease 2019 (COVID-19) is a newly recognized illness that is spreading rapidly around the world, causing many disabilities and deaths. Some diseases, for instance, diabetes, are continuously suggested as a risk factor, which contribute to the severity and mortality of COVID-19. However, to date, there are no comprehensive studies done that are aimed at explaining the exact relationship between diabetes mellitus and COVID-19. Thus, this study aims to evaluate the relationship between diabetes and COVID-19 and its relationship with inflammatory markers. Materials and methods: This single-center retrospective observational study was conducted on 187 patients diagnosed with COVID-19. The data were collected on admission or during hospitalization by the attending physicians and was documented in the form of electronic medical records. The need for informed consent from patients was waived due to the time constraints during the COVID-19 emergency. Results: Of the 187 hospitalized patients with COVID-19, 50 patients had diabetes. The median age was 59 years and 35 (70.00%) were male. Common symptoms among all patients included fever (57.21%) and cough (48.13%). Patients with diabetes had a non-significantly higher LDH, ferritin, CRP, and D-dimer when compared with those without diabetes. Coronavirus disease 2019 patients with diabetes were significantly more likely to develop severe disease or suffer mortality, indicating a poorer prognosis among COVID-19 patients. Conclusion: We concluded that diabetes mellitus is associated with greater disease severity and poor outcome (mortality) in COVID-19, and a higher but statistically non-significant inflammatory burden.
{"title":"Diabetes Mellitus as a Bad Prognostic Marker in COVID-19 Patients and Its Relationship with Inflammatory Markers (CRP, D-dimer, LDH, and Ferritin)","authors":"Mukesh Jain, P. Rijhwani, Kishore Moolrajani, Aviral Gupta, Anchin Kalia, C. Mittal, S. Choudhary, Aakriti Vij","doi":"10.5005/jp-journals-10057-0156","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0156","url":null,"abstract":"Ab s t r Ac t Background: Coronavirus disease 2019 (COVID-19) is a newly recognized illness that is spreading rapidly around the world, causing many disabilities and deaths. Some diseases, for instance, diabetes, are continuously suggested as a risk factor, which contribute to the severity and mortality of COVID-19. However, to date, there are no comprehensive studies done that are aimed at explaining the exact relationship between diabetes mellitus and COVID-19. Thus, this study aims to evaluate the relationship between diabetes and COVID-19 and its relationship with inflammatory markers. Materials and methods: This single-center retrospective observational study was conducted on 187 patients diagnosed with COVID-19. The data were collected on admission or during hospitalization by the attending physicians and was documented in the form of electronic medical records. The need for informed consent from patients was waived due to the time constraints during the COVID-19 emergency. Results: Of the 187 hospitalized patients with COVID-19, 50 patients had diabetes. The median age was 59 years and 35 (70.00%) were male. Common symptoms among all patients included fever (57.21%) and cough (48.13%). Patients with diabetes had a non-significantly higher LDH, ferritin, CRP, and D-dimer when compared with those without diabetes. Coronavirus disease 2019 patients with diabetes were significantly more likely to develop severe disease or suffer mortality, indicating a poorer prognosis among COVID-19 patients. Conclusion: We concluded that diabetes mellitus is associated with greater disease severity and poor outcome (mortality) in COVID-19, and a higher but statistically non-significant inflammatory burden.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74467370","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}
Pub Date : 2021-08-31DOI: 10.5005/jp-journals-10057-0145
Ashish Jain, P. Rijhwani, S. Jain, Ravi Jain, Anchin Kalia, Pallaavi Goel, Nimish Mathur, Anand B. Jain, Divyansh Gupta
Ab s t r Ac t Introduction: Assessing the clinical severity of coronavirus disease-2019 (COVID-19) and triaging to appropriate levels of care is certainly one of the key elements in the success of managing COVID-19 patients. During the concluded wave of the pandemic, cases were categorized and cared for with set criteria prescribed by authorities. Other triaging criteria were included in contemporary international guidelines, but this hypothesis was never tested if anyone set is ever better than the other. Materials and methods: This is a case series of 165 deceased patients of COVID-19. All patients were categorized as per clinical disease severity and admitted to the designated care area after confirmation of SARS-CoV-2 infection as decided by the admitting doctors. We collected retrospective data from patient medical records and analyzed for medical history, comorbidity profiles, hematology investigations, organ function tests, computed tomography of the thorax, and point-of-care biomarker test (D-dimer, procalcitonin, NT-proBNP, Trop-T). These data were analyzed to compare the differences between the variables of ward and ICU patients by using XLstat software. Results: In this analysis of deceased patients’ case series, we found that there was no significant difference among the patients admitted to ward and ICU for initial demographic and biomarker variables and risk factors. Diabetes was the most commonly found comorbidity. The mortality rate among the ward and ICU (5.89 vs 6.67%, p value: 0.44) was also similar among both the cohorts. Conclusion: In this case series, we could conclude that both the cohorts were comparable at admission on demographic and laboratory parameter profile. Clinical significance: This analysis led us to the conclusion that our existing “triage criteria” for COVID-19 patients will need appropriate modification before the second wave sets in the region.
导言:评估2019冠状病毒病(COVID-19)的临床严重程度并进行适当的护理分级无疑是成功管理COVID-19患者的关键因素之一。在结束的大流行浪潮期间，按照当局规定的既定标准对病例进行了分类和治疗。其他分诊标准也包括在当代国际指南中，但这一假设从未得到检验，是否有哪一套比另一套更好。材料与方法:本研究为165例COVID-19死亡患者的病例系列。所有患者根据临床疾病严重程度进行分类，并在确诊后由入院医生决定进入指定的护理区。我们从患者医疗记录中收集回顾性数据，并分析病史、合并症、血液学调查、器官功能检查、胸部计算机断层扫描和护理点生物标志物检测(d -二聚体、降钙素原、NT-proBNP、Trop-T)。采用XLstat软件对这些数据进行分析，比较病房和ICU患者各变量的差异。结果:在对死亡患者病例系列的分析中，我们发现住院患者和ICU患者在初始人口统计学和生物标志物变量以及危险因素方面没有显著差异。糖尿病是最常见的合并症。病区和ICU的死亡率(5.89 vs 6.67%， p值:0.44)在两个队列中也相似。结论:在这个病例系列中，我们可以得出结论，两个队列在入院时在人口统计学和实验室参数概况方面具有可比性。临床意义:该分析使我们得出结论，在该地区第二波疫情到来之前，我们需要适当修改现有的COVID-19患者“分诊标准”。
{"title":"Impact of Triaging for COVID-19 Patients in a Tertiary Care Hospital in West India: A Retrospective Analysis of a Case Series","authors":"Ashish Jain, P. Rijhwani, S. Jain, Ravi Jain, Anchin Kalia, Pallaavi Goel, Nimish Mathur, Anand B. Jain, Divyansh Gupta","doi":"10.5005/jp-journals-10057-0145","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0145","url":null,"abstract":"Ab s t r Ac t Introduction: Assessing the clinical severity of coronavirus disease-2019 (COVID-19) and triaging to appropriate levels of care is certainly one of the key elements in the success of managing COVID-19 patients. During the concluded wave of the pandemic, cases were categorized and cared for with set criteria prescribed by authorities. Other triaging criteria were included in contemporary international guidelines, but this hypothesis was never tested if anyone set is ever better than the other. Materials and methods: This is a case series of 165 deceased patients of COVID-19. All patients were categorized as per clinical disease severity and admitted to the designated care area after confirmation of SARS-CoV-2 infection as decided by the admitting doctors. We collected retrospective data from patient medical records and analyzed for medical history, comorbidity profiles, hematology investigations, organ function tests, computed tomography of the thorax, and point-of-care biomarker test (D-dimer, procalcitonin, NT-proBNP, Trop-T). These data were analyzed to compare the differences between the variables of ward and ICU patients by using XLstat software. Results: In this analysis of deceased patients’ case series, we found that there was no significant difference among the patients admitted to ward and ICU for initial demographic and biomarker variables and risk factors. Diabetes was the most commonly found comorbidity. The mortality rate among the ward and ICU (5.89 vs 6.67%, p value: 0.44) was also similar among both the cohorts. Conclusion: In this case series, we could conclude that both the cohorts were comparable at admission on demographic and laboratory parameter profile. Clinical significance: This analysis led us to the conclusion that our existing “triage criteria” for COVID-19 patients will need appropriate modification before the second wave sets in the region.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84344921","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}
Pub Date : 2021-02-28DOI: 10.5005/jp-journals-10057-0186
Mili R Meghpara, Yashi Sharma, Bharathi Padiyar
{"title":"Knowledge and Awareness of School Teachers of Jaipur in Emergency Management of Traumatic Dental Injuries","authors":"Mili R Meghpara, Yashi Sharma, Bharathi Padiyar","doi":"10.5005/jp-journals-10057-0186","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0186","url":null,"abstract":"","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"111 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78104223","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}
Pub Date : 2021-02-28DOI: 10.5005/jp-journals-10057-0185
Sukhveer Tanwar, Shikha Dhal, S. Goyal
{"title":"Adaptive Radiotherapy in Locally Advanced Head and Neck Cancers: Impact on Target Volume Shrinkage and Organ at Risk and its Clinical Outcome","authors":"Sukhveer Tanwar, Shikha Dhal, S. Goyal","doi":"10.5005/jp-journals-10057-0185","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0185","url":null,"abstract":"","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"69 5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83427910","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}
Pub Date : 2021-02-28DOI: 10.5005/jp-journals-10057-0182
A. Prasad, Deepak Raisingani, D. Khurana, Asha Jetwani
Tooth number 47 the concerned tooth here was ideally indicated for extraction but the patient was keen to save the tooth, so the treatment plan decided was the rehabilitation of the tooth with custom-designed cast post followed by a metal crown. Informed consent was obtained from the patient. Access cavity was prepared and all caries from the pulp floor were excavated in relation to tooth number 47. Working length was determined using 15K ss hand files (Fig. 2A). Thorough cleaning and shaping was done till size F3 ProTaper files with copious irrigation using 2% chlorhexidine, normal saline, 5% sodium hypochlorite, and then final rinse with saline. Intracanal dressing of calcium hydroxide dressing was placed for 7 days. In the next appointment, obturation was done with F3 ProTaper cones using resin-based sealer (Figs 2B and 3A). While excavating caries during access cavity preparation, a very thin layer of dentin remained as caries were almost involving the furcation. So to reinforce the floor, a layer of MTA was placed on pulpal floor (Fig. 3A) (keeping the canals patent) and on the weakened mesial wall as well. It was then covered with moist cotton followed by placement of a temporary restoration. In the next visit, post space preparation was done in the distal canal with the help of Peeso Reamer up to number 3 (1.1 mm diameter) leaving 5 mm gutta-percha apically (Fig. 3B). GIC was IN T R O D U C T I O N
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