ABSTRACT
Medical professionals including dentists are one of those high-risk professionals who can easily get affected by COVID-19 due to its highly contagious nature.Evaluating the molecular pathogenesis and the role of immune system in modulating symptoms it can be assumed that susceptibility of COVID-19 to older adults is more.This review aimed to summarize all the information available on electronic databases PubMed, PubMedcentral, Cochranedatabase related to the effect of COVID-19 ingeriatric individuals and guidelines for a prosthodontist during treatment of geriatric individuals in Indian population during this pandemic period.This review will focus on the characteristic symptoms and signs of COVID-19 in geriatric individuals and how the prosthodontists during treatment of geriatric individuals in Indian populations can better equip themselves to prevent the spread of COVID-19 in a clinical setup.
ABSTRACT
Introduction: Anal fissure (AF) is a common disease. It causes considerable discomfort, loss of working days, and reduction in quality of life. Symptoms of AF include anal pain during defecation and bleeding per anus. Acute AF is treated conservatively, but chronic AF (CAF) does not usually respond to conservative treatment. Anal stretch (Lord’s procedure), reintroduced into AF therapy in 1964 with significant success rates, is, however, associated with recurrence rates varying from 2% to 80%, a high risk of incontinence (up to 51%), and is widely criticized despite a reported cure rate of approximately 90%. Materials and Methods: The present prospective study was conducted after due approval of “Scientific and Ethical Committee” in the Department of General Surgery of Mata Chanan Devi Hospital, New Delhi, during the period from October 2013 to May 2015 on patients attending the outpatient department or emergency department of this hospital. Results: In the present study, all 50 patients were selected and randomized into two treatment groups. Results were compared among two groups: Group B: Patients receiving Botulinum toxin-A (BOTOX) injection (n1 = 25) and Study Groups Group1=Group-B ,Group-2=Group-D. Randomisation Will Be As Follows. Group-B (Botox) Vs Group-D(Lords Procedure): Patients who underwent Lord’s procedure (n2 = 25). All results are well tabulated and described in figure format for well understanding in main article. Conclusion: BOTOX is as good as an option, compared to ancient yet routinely practiced LORD’S anal dilatation technique for CAF. BOTOX significantly reduces pain in patients with CAF as compared to Lord’s procedure. BOTOX has definite action in reducing the spasm of internal anal sphincter which is the chief cause of development of CAF. Spasm significantly improves with BOTOX compared to Lord’s procedure.
ABSTRACT
Introduction: In any normal dentition there is stable relationship between the morphology of the occlusal facets and the movement of the condyles. Change in one of these are compensated by reactive adaptation of another. In the present study, the relation between the incisal wear facets and the condylar inclination were evaluated by checking the changes in condylar angle measurements in patients with incisal wear and those without it. The effect of myofunctional therapy on condylar angle and its correlation pre and post treatment was also established. Materials and Methods: The case group included 50 patients with incisal wear (attrited mandibular incisors) and the control group included 50 patients without incisal wear. 44 samples were taken to evaluate the changes in condylar angle pre and post myofunctional therapy. The posterior slope of articular eminence was marked in the lateral cephalogram and the horizontal condylar angle was drawn by tangent method. Results and Conclusion: The steepness of the condylar angle was found, directly proportional to the mandibular incisal wear. There was decrease in the values of condylar angle in patients after treatment with myofunctional therapy when compared with the pre-treatment values.
ABSTRACT
Background: Laparoscopic cholecystectomy is the gold standard for the surgical treatment of symptomatic gall-stones The aim of this prospective randomized study was to compare the surgical outcome of LC performed with the patient under spinal anaesthesia with that of LC performed with the patient under general anaesthesia in the management of symptomatic uncomplicated gallstone disease. Methods: An Observational Descriptive Study was done on total 100 cases. Outcome Measures noted were a) Conversion rate of laparoscopic cholecystectomy under spinal anaesthesia to general anaesthesia, b) Hypotension and c) Bradycardia. Results: Spinal anaesthesia is a feasible, safe and effective alternative to general anaesthesia for laparoscopic cholecystectomy. Intraoperative hypotension, and bradycardia need to be addressed during laparoscopic cholecystectomy under spinal anaesthesia. Provided with good patient selection laparoscopic cholecystectomy under spinal anaesthesia can substitute that under general anaesthesia. Conclusion: Laparoscopic cholecystectomy under spinal anaesthesia is a better option for selected group of patients while anticipating fast track surgery or day care surgery