iosr-JDMS   Volume-18 ~ Issue-1 ~ January-2019

Abstract: Selecting the best from various approaches used to expose the orbital skeleton to facilitate open re-duction and internal fixation or other orbital procedures , depends on good accessibility , better aesthetics and fewer complications . This study compares the subciliary, lower eyelid, infra orbital, trans conjunctival ap-proaches and evaluates various parameters like accessibility, peri orbital fat interference, wound dehiscence, scar visibility, scleral show, ectropion, entropion, paresthesia, hematoma, epiphora and restricted ocular mo-vements.. The result shows even though trans conjunctival approach gives good esthetics, lower eyelid approach gives better esthetic, less intra operative and post operative complications. Subciliary approach provides less exposure and post operative problems like ectropion, scarring whereas infra orbital approach provides good exposure with poor esthetics.

Keywords: Orbital Floor, Infra orbital Approach, Sub ciliary approach, Lower eyelid approach ,Transconjunctival approach.

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Abstract: Background: Antiretroviral therapy (ART) is one of the interventions implemented to reduce morbidity and mortality due to HIV/AIDS. The evaluation of implementation process and its fidelity can give insight in to the "black-box" of the program and give on time information for improvement of the program. Objectives of the evaluation: The general objective of the study was to evaluate the quality and level of Adherence to the care and treatment among clients receiving of Antiretroviral Therapy Dessie Referral Hospital, Ethiopia, 2016. Methods: The evaluation was conducted in Dessie Referral Hospital, Dessie. Adherence, quality of delivery, facilitating strategies, participant.......

Keywords: Grading, Quality, Level of Adherence, Antiretroviral Therapy

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Abstract: Enterococci, once regarded as commensal flora are emerging as pathogen for multiple human infections. Their intrinsic resistance and properties of quick acquisition of resistance towards many in use and reserve antimicrobials draws the problem statement for these bacteria. The study eyes to determine the prevalence of Enterococccal infections and their antimicrobial susceptibility pattern to create a database and formulate guidelines for the empirical treatment. A prospective study was done over a period of 12 months in a rural tertiary care hospital enrolling patients having features of infections. Various samples were collected depending on clinical syndromes following criteria of inclusion and exclusion. Culture of samples was done followed by identification of resultant organisms....... .

Keywords: Enterococci, Vancomycin, Prevalence, Resistance

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Abstract: Background :- The Achilles tendon is one of the most frequently ruptured tendons in the human body due to its superficial position. The primary repair of open Achilles tendon injury is important as it is associated with several complications if the treatment is delayed. Objectives :- The purpose of this study is to evaluate the final clinical outcome of open achilles tendon injury when the primary repair is perform within 12 hours of injury. Methods :- 18 patients who presented within 12 hours of open Achilles tendon injury between the age of 5to 60 years were included. All the patient were treated with emergency debridement and primary repair using krackow technique. Results :- Out of 18 patient, 11 patient returned to its normal activity level without any postoperative complications. 2 patients develop.........

Keywords – Achilles tendon, open injuries, primary repair, krackow technique, complications

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Abstract: Background: To Study the surgical outcomes of Endoscopic Endonasal Dacryocystorhinostomy (DCR) technique with and without the use of silicon stent intra operatively. Materials and Methods: This is a combined retrospective and prospective study to evaluate the different causes of recurrence of epiphora in a case of endonasal DCR operation. Results – Out of 40 cases of Endoscopic endonasal DCR 34 (85%) cases were successful and only 6 (15%) cases were failure. Conclusion – Endoscopic Endonasal DCR with stent is a safe and minimally invasive procedure as it is a direct approach to the sac and no other structure is to be dissected..

Keywords: epiphora, dacryocystitis, dacryocystorhinostomy, lacrimal stent.

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