Medical Symbols: Part 5.

When a patient presents with wheezing, pulmonary embolism is not usually considered as a possible cause. However bronchoconstriction can be caused by the embolism which produces wheezing that may be so obvious to make a diagnosis of bronchial asthma. Here we present a case of sub-massive pulmonary embolism presenting predominantly with wheezing without any previous history of cardio pulmonary diseases.

Prevalence of Traumatic Injuries to Anterior Teeth in 9-14 Year School-going Children in Mumbai, India.

Aim: The aim of this study is to assess the prevalence and causes of traumatic dental injury (TDI) in 9-14 year school-going children in Mumbai, Maharashtra, India.

Materials And Methods: A cross-sectional study consisting of 2,055 primary and secondary school-going children aged between 9 and 14 years, from 20 municipal corporation schools of Mumbai city, was selected through a stratified random sampling technique. Children were examined clinically for any signs of TDI in the permanent anterior teeth in their respective schools by two examiners trained in using WHO criteria for oral and dental examination.

DREEM Study: Students Perceptions of Learning Environment in a Medical College in Mumbai, India.

Purpose: This study was carried out to assess medical education environment (MEE) at our institution and to determine if there is an association between the assessment scores and factors such as gender, residence, family educational background and medium of instruction during school years.

Methods: Students appearing for the final qualifying examination were enrolled in the cross-sectional survey after obtaining written informed consent. Demographic data and personal information such as place of residence, parental education and medium of instruction was collected.

Hermansky-Pudlak syndrome with interstitial lung disease: A holistically worked up couplet.

Hermansky-Pudlak syndrome (HPS) is an extremely subtile autosomal recessive disorder characterized by tyrosinase-positive oculocutaneous albinism (Ty-pos OCA), bleeding tendencies, and systemic complications associated to lysosomal dysfunction. The most grave complication of disease is interstitial lung disease (ILD) leading to irrevocable pulmonary fibrosis. Patients with HPS-1, HPS-2, and HPS-4 variants have a penchant to develop pulmonary fibrosis.

The clinico-radiological profile of obliterative bronchiolitis in a tertiary care center.

Background: Obliterative bronchiolitis (OB) forms a major proportion of chronic airway diseases (CADs). OB is often misdiagnosed and included under the umbrella term 'chronic obstructive pulmonary disease'. We set out to identify the proportion of OB cases among the CADs and study the clinical profile of OB.

Inflammatory myofibroblastic tumor of the oral cavity: A case report and literature review.

Inflammatory myofibroblastic tumor (IMT) is a rare tumor of unknown etiology and pathogenesis. The lesion has been recognized to occur at various sites but rarely affects the head and neck region. A 29-year-old male presented with a 13 months' history of a slow growing, painless growth in maxillary left posterior gingiva.

Metastatic squamous cell carcinoma of penis in an HIV-infected man presenting with cutaneous manifestations.

The incidence of penile squamous cell carcinoma (SCC) varies widely in different parts of the world. It is rare in Western countries but common in developing countries like India. The glans and foreskin are the most commonly affected sites.

A Study of Assessment of Knowledge of Childhood Autism among Medical Students in Mumbai.

Aims: This study is to study the knowledge and awareness on autism among medical students and the factors which impact their knowledge on autism.

Settings And Design: For the study, a multicenter cross-sectional research has been carried out among medical students in seven medical colleges in Mumbai.

Subjects And Methods: A total of 201 final-year medical students from seven medical colleges in Mumbai completed the knowledge on childhood autism among healthcare workers (KCAHW) survey and a semi-structured pro forma.

Influence of apical preparation size and irrigation technique on root canal debridement: a histological analysis of round and oval root canals.

Aim: To examine the debridement of round and oval root canals prepared to two apical sizes with and without ultrasonically activated irrigation.

Methodology: Mandibular premolars with round (n = 48) and oval (n = 48) root canals were pair-matched after microCT scanning and randomly divided into two experimental groups (n = 20): group 1, rotary NiTi to size 20, .04 taper; group 2, rotary NiTi to size 40, .

Evaluation of lymph node ratio and morphologic patterns of nodal reactive hyperplasia in primary organ malignancy.

Background: Lymph node ratio (LNR) in cancer staging is the ratio of nodal metastases (LNM) to total nodes harvested (LNH). Reactive nodal hyperplasia can exhibit morphological patterns I to VI.

Aims: To measure LNR and evaluate it with tumor stage, tumor grade, LN reactive patterns, and LN size.

Assessment of Inhibition of Mineral Loss from Human Tooth Enamel by Carbon Dioxide Laser and 1.23% Acidulated Phosphate Fluoride.

Aims And Objectives: The efficacy of carbon dioxide (CO) laser irradiation combined with fluoride in inhibiting enamel demineralization has been demonstrated by several laboratory investigations. However, there are very few reports about the or caries preventive effect of CO laser combined with topical fluoride on dental enamel. Hence, an study was designed and carried out to assess inhibition of mineral loss from human tooth enamel by CO laser and 1.

Preintensive care: Thrombolytic (streptokinase or tenecteplase) in ST elevated acute myocardial infarction at peripheral hospital.

Background: Coronary artery disease is a major cause of death in India. Sudden death preceded by chest pain is due to acute myocardial infarction. Villagers are aware and afraid of chest pain.

Attitude and awareness of general population towards radiation hazards and safety: An institutional study.

Context: Radiological investigations play a pivotal role in the diagnosis and treatment of a wide range of procedures.

Aim: To assess the knowledge regarding adverse consequences of radiological examination and encourage awareness regarding radiation protection amongst general public.

Settings And Design: A questionnaire-based cross-sectional study conducted amongst patients visiting the dental outpatient department.

Efficacy, tolerability and safety of darbepoetin alfa injection for the treatment of anemia associated with chronic kidney disease (CKD) undergoing dialysis: a randomized, phase-III trial.

Background: Darbepoetin alfa (DA-α) is a long-acting erythropoiesis-stimulating glycoprotein which has half-life three-fold longer than that of Erythropoietin alfa (EPO). The objective of this study was to compare the efficacy and safety of DA-α injection versus EPO for treating renal anemia amongst Indian patients with end-stage renal disease (ESRD) undergoing dialysis.

Methods: Patients of either gender (aged 18-65 years) with ESRD undergoing dialysis who had hemoglobin (Hb) levels < 10 g/dL after receiving EPO were switched to DA-α (0.

Fabrication of custom overdenture attachments using indigenously made parallelometer: A technique.

Various types of attachments have been used during overdenture fabrication; however, no single attachment is perfect for every case. Irrespective of the attachment used, it is important to maintain parallelism between the attachments for ease of insertion and removal, functional efficiency, and durability of the prosthesis. It is challenging to obtain parallelism between attachments when the abutments are divergent, or multiple abutments are engaged.

Low frequency of BRAF V600E immunoexpression in mandibular ameloblastomas: An institutional study.

Background: Ameloblastoma is an uncommon, benign neoplasm of odontogenic epithelium commonly affecting the posterior mandible (almost 80%) particularly in the molar/ramus region, with occasional tumors involving the maxilla. Recently, there has been much interest generated after the reports of BRAF V600E mutations in ameloblastomas with a frequency of 46%-80% using both molecular as well as immunohistochemical (IHC) techniques. We sought to assess the presence of BRAF V600E expression in ameloblastomas in Indian patients and correlate the same with clinical behavior and histological variants by performing IHC analysis with anti-BRAF V600E antibody.

Oral Health and Feto-maternal Outcomes in the Context of Sustainable Development Goals.

The linkages of oral health with the holistic health of an individual are now well-established. Nevertheless, marginalizing oral health continues to pose a challenge in the public health scenario globally and especially in developing countries. Maternal and fetal health have been regarded as pivotal yardsticks of development in all civil societies.

Respiratory Pathogens in Infants Diagnosed with Acute Lower Respiratory Tract Infection in a Tertiary Care Hospital of Western India Using Multiplex Real Time PCR.

Objective: To determine the frequency of respiratory pathogens in infants diagnosed with acute lower respiratory tract infections.

Methods: A prospective cross-sectional observational study was conducted in infants hospitalized with a diagnosis of acute lower respiratory tract infection (ALRTI), in a tertiary care hospital in a metropolitan city of Western India. Nasopharyngeal swabs were analyzed by multiplex real time polymerase chain reaction, for 18 viruses and 3 bacteria (H.

Diagonal ear lobe crease: A premonitory diagnostic sign of impeding ischemic heart disease.

Introduction: In India, significant number of individuals suffers from ischemic heart disease (IHD). Majority of chest pain victim initially report to his family physician. At times, sudden death is the first and last manifestation of IHD.