ABSTRACT
Introduction: Interdental papilla reconstruction,in estheticareas is proven to be one of the most challenging tasks inperiodontology. Hyaluronic acid is a glycosaminoglycanmolecule with anti inflammatory, anti-edematous propertieson periodontal tissues invaded by submicrobial flora.Case report: A 35 years old male patient reported todepartment of periodontics and oral implantology, Jaipurdental college with the chief complaint of loss of gum(inter dental papilla),i.e. black triangle, in the upper frontteeth(anterior maxillary teeth). Patient was estheticallyconcerned about this. Treatment planning was to reconstructthe lost interdental papilla by injecting 0.2% hyaluronic acidvia nonsurgical approach.The procedure was performed aftera standardized working protocol of injecting dermal fillers inpapillae, digital photographing and measuring the outcomesfor observation periods between 2 weeks to 3 months.Conclusion: Injecting dermal fillers in gingiva resulted in avolume raise of papillae height.The use of dermal fillers is a minimally invasive way tooptimize gingival contours. It is a non-invasive approachwhich reduces patient's postoperative discomfort with markedvariations in the volume of interdental papilla before and afterthe procedure.
ABSTRACT
Background: The first isolation of a swine influenza virus from a human occurred in 1974. There are no unique clinical features that distinguish swine influenza in humans from typical influenza. Thus, clinical course and management were recorded as per a planned pro forma and analysed. This type of study has not been done previously in Himalayan region.Methods: Retrospective observational study done in a group of patients diagnosed with swine flu admitted in department of pulmonary medicine at the tertiary care hospital from November 2016 to July 2017.Results: Out of 30 patients, 53.3% were male, mean age was 48.8±17.7, history of travel or contact to infected person was only 13.3%. Most common symptom recorded was fever (83.3%), followed by dyspnoea, cough, throat pain. Most common co-morbidity was diabetes and presence were significantly associated with admission in an ICU (P<0.05). Bilateral lung infiltrate seen in 53.3% on chest X-ray. Organ involved other than respiratory were renal followed by liver involvement. 40% of patients received corticosteroid for an average of 6days, mostly given in patients with sepsis, septic shock, multi organ involvement. Out of 40%, 16.6% patient expired, 6.6% left against medical advice and 16.6% were discharged, corticosteroid doesn’t help in reducing mortality.Conclusions: A multivariate model to identify independent predictors associated with mortality in swine flu were the use of vasopressor, respiratory failure, requirement of mechanical ventilation and number of organ failure. Use of corticosteroid is controversial.
ABSTRACT
This study aimed to demonstrate the diagnosis of profound mixed hearing loss which is inappropriate to be studied vigorously to prove that at the level of profound degree of severity there is a little contribution of conductive pathology. Two groups of 15 subjects each in the age range of 18-25 years with mean age of 21 years were included. Group I consisted of pure sensorineural hearing loss of profound degree and Group II was made up of pure sensorineural hearing loss of profound degree who later reported with middle ear disorder. Pure tone measurements were conducted on all the subjects following standard procedures. Conductive hearing loss was induced with insertion of the insert ear plugs/ear moulds without sound bore for subjects in Group I and pure tone threshold measurements were repeated. Air-conduction and bone-conduction thresholds were compared for subjects in Group II prior and later to check for any middle ear pathology. Results showed that when Group I was induced with conductive hearing loss, the pure tone average did not change and for Group II, there was no change in air-conduction thresholds by later developed outer ear/middle ear pathologies. Diagnosis of profound sensorineural hearing loss with the overlay of middle ear pathology will bring insights into physiology of hearing and highlight the important issues of management of middle ear pathology, not for the purpose of improvement of absolute hearing thresholds but for the case of wearing of amplification device restricting the further growth of pathology, etc.