The present work is dedicated to the study the effect of the applied loads on the behavior of top-set angle with double web angle bolted metal beam-to-column (TSA-DWA) connection. A numerical study of finite elements for the characterization of the nonlinear behavior of metal connections types carbon steel ASTM A36 mild steel with screw fasteners. The numerical analysis is based on a three-dimensional model with 3D solid brick element, each element consists of eight nodes using the software of finite elements ABAQUS. The model takes into account material and geometric nonlinearities (contact, plasticity, large displacements). This model has calibrated on the basis of experimental results two connections with different geometric configurations. In addition, to validate the model developed.

Aim: This is a retrospective study which was carried out for a period of six months in orthopedic inpatient department at Aster prime hospital, Hyderabad. Objective: The objectives of the study are to decrease the irrational use of drugs to the patients, decrease unnecessary drugs, usage of proper dosage and administration of the drugs and prevent adverse drug reactions in order to improve the quality of life of patients. Methodology: A total of 104 prescriptions of the patient treated with analgesics and antibiotics for post-operative pain management were collected and analyzed in the inpatient orthopedic department. The prescriptions were analyzed and categorized into varieties based on antibiotics and analgesics prescribed, demographic parameters, comorbid conditions, type of orthopedic diseases diagnosed, polypharmacy etc. Conclusion: The study presented the prescription trends of antibiotics and analgesics in orthopaedic department. This kind of study will help as a guideline to use drugs for policymaking decision in the health care system. Prescribing medicines by generic names would help in less expensive treatment. Polypharmacy and combination of drugs has to be discouraged to minimize adverse drug reactions and drug interactions

Shape and grading of aggregates can influence concrete workability. The volumes of water for well graded and poorly graded vary along with cementations materials are commonly increased to adjust. The basic purpose of this paper is to show that by properly selection of aggregates and changing mixture proportions, the proportion of cementations materials provided for workability can be minimized while achieving suitable workability and strength properties. In this research study of strength properties of high Performance concrete is achieved by using diverse characteristics of aggregate and the results obtained from laboratory testing of concrete having varying aggregate characteristics. By the purpose of this work, two types of coarse aggregates have been used. The fine aggregate is normal sand obtained from a locally available (BHOLARI /JAMSHORO AREA Latitude: 25.317. Longitude: 68.217 AND 25.416868, longitude is 68.274307. Jamshoro, Pakistan) initial laboratory investigation was conducted to obtain the suitability of using the aggregates for construction work. The various tests conducted include sieve analysis, bulk density, and specific gravity. ASTM mix design was adopted for this work and mix compositions were calculated by absolute volume method. For each and every type of coarse aggregate 25 numbers cubes (150x150x150mm) were cast to allow the compressive strength to be monitored at. 56 days. Test result reveals that concrete made from a type aggregate has higher compressive strength.

Background: Urticaria or hives is a common skin condition usually resolves within a few hours and always by 24 hours. It is mediated by aberrant release of histamine and other inflammatory mediators from mast cells and basophils1. The therapeutic approach should be based on elimination or avoidance of the cause or trigger/stimulus, symptomatic drug treatment by reducing mast cell mediator release and inducing tolerance. Oral Bepotastine besilate is non-sedative, selective H1-R antagonist. Aim: To study the efficacy and tolerance of oral Bepotastine besilate in respect of wheal, pruritus, sedation and effectiveness in chronic urticaria patients. Methodology: All adult Patients attended out-patient department of our dermatology department, who had a history of wheals, erythema more than 6 weeks with pruritis were included. Pregnant and lactating women were excluded. After clinical diagnosis Oral bepotastine 10 mg twice daily was started and response ( pruritus, wheals, drug effectiveness and sleepiness ) was assessed by urticaria activity score (UAS), Medication effective score (MAS), Sedation scale in a predesigned performa on day 0,14 and 28. Results: The majority of patients showed significant improvement in pruritus and wheal scores as compared to baseline, starting from end of the second week visit. Among 45 patients; 38 had no sedation and 7 had mild drowsiness. Nine patients achieved complete relief. Conclusion: Bepotastine 10 mg twice daily is well tolerated, effective and non-sedative antihistamine drug for the treatment of chronic urticaria

Teeth are very important for the appearance of an individual. The colour of the teeth is also equally important as it as a harmony with surrounding environment such as skin, hair, eye colour. The purpose of this study was to assess the association between tooth shade and skin colour among dental college students. The present cross sectional study was carried on 140 undergraduate and post graduate Dental students. After recruiting study subjects based on study criterias, The shades of middle third of labial surface of permanent maxillary left or right central incisor were taken by using the Vita pan classic shade guide. Next, skin color/tone was matched by using the Ideal Balance Quick Stick makeup shades as a guide. Results were analyzed using chi square test and spearman’s correlation. There was a negative correlation between age and skin colour which was statistically significant (p = 0.023). Conversely, there was a positive correlation between age and tooth colour which was statistically significant (p = 0.017). There was a negative correlation between gender and skin colour (p=0.430). Similarly a negative correlation was observed between gender and tooth colour which was statistically non significant (p= 0.846). There was a negative correlation between skin colour and tooth colour which was statistically significant (p < 0.000). The results of this observational study suggest that there is a significant relationship between tooth shade and skin color. Based on the relationships skin color may be a useful guide for the selection of tooth shade.

This before-and-after type of educational interventional study using convenience sampling was conducted among rural adolescent males to find the prevalence of usage of various forms of tobacco and to determine the outcome of educational intervention on tobacco use among the participants. Using a pre-tested questionnaire, the participants were separately interviewed for about 20-30 minutes. The mean age of participants (n=180) was 17.80 ± 1.19 years. 34.4% had a positive family history of tobacco use. Tobacco consumption by family members significantly increased tobacco use among the adolescents (p=0.005). The major factors that influenced tobacco intake were social customs, peer pressure, perception of tobacco use as a “status symbol”. The number of smoked tobacco users in pre-intervention phase was significantly higher (p=0.0145), as compared to that in the post-intervention phase. In the pre-intervention phase, bidi, followed by cigarette were the commonly used smoked tobacco products while in the post-intervention phase, the commonly used tobacco products were cigarette, followed by bidi. Educational intervention resulted in reduction in frequency of tobacco use from 17.2% to 11.1%. Systematic long-term focussed programmes would be necessary for sustaining the beneficial effects of the educational intervention

The successful treatment of periapical inflammatory lesion depends on the reduction and removal of the offending organism. Periapical surgery is one of the alternative treatment, includes the curettage of all periapical soft tissues and sometimes application of different biomaterials to improve the new bone formation in the defect site. This case report present the management of the periapical inflammatory lesion using platelet-rich fibrin (PRF) which acts as a source of growth factors at the healing site. PRF is now becoming grippingly popular regenerative procedure either used alone or in addition with other regenerative materials. Besides being rich in platelet concentration, it is also a reservoir of many growth factors that promotes successful hard and soft tissue healing.

Type AB thymoma is a thymic epithelial neoplasm composed of component spindle cell (type A) and lymphocyte-rich (type B) component. An exceptional atypical type A thymoma variant with uncertain prognosis was added to the WHO classification of thymomas in 2015. We report a case of a 62 years old man presented with clinical myasthenia. The radiological examination revealed a well-circumscribed anterior mediastinal mass. The patient underwent complete thymectomy. Pathological and immunohistochemical analysis revealed an AB thymoma with atypical component of type A. At the first year post surgery follow-up appointment, the patient was alive with no evidence of recurrence or complication. The presence of atypical component of type A thymoma may increase the risk of progression or metastasis, so extended follow-up for patients is required

Toothbrushing is an important tool for oral hygiene maintenance. Toothbrushes should be used judiciously else there are high chances for trauma both, to the soft tissues as well as hard tissues. This review deals with effects of improper toothbrushing on oral structures. It also provides an insight into the recommended brushing force and brushing duration for effective oral hygiene maintenance.

Osteoporosis has become an increasingly recognized complication among patients with chronic liver disease (CLD). The aim of the present study was to assess the prevalence and risk factors of osteoporosis in patients with CLD (primary biliary cholangitis and chronic viral hepatitis B or C patients) in comparison with a group of age- and sex-matched controls. Sixty-four patients with CLD (mean age 51.66 ± 11.54 years), 48 females and 16 males were included. Age- and sex-matched individuals from the general population served as controls. Osteoporosis was evaluated by dual energy X-ray absorptiometry (bone mineral density below -2.5 T score) at the lumbar spine (LS) and total hip (TH). Vertebral fractures were established by densitometric morphometry (vertebral fracture assessment). Bone turnover was assessed by intact parathyroid hormone, osteocalcin and C-telopeptides of type I collagen in the serum. Prevalence of osteoporosis in either the LS or the TH was 45.3%, twice as high as in the controls (19.6%) (RR 2.31, 95% CI 1.42–3.75, P\0.001). Age, menopausal status, cirrhosis and advanced histological stage are not determinant factors for developing osteoporosis in patients with CLD. However, female sex, cholestasis, lower weight and height but not body mass index seem to play predominant role. Three (5.3%) patients had dorsal and LS fractures. It was concluded that osteoporosis is effectively a complication of CLD. Cholestasis in addition to female sex and lower weight and height are risk factors of osteoporosis in CLD

The purpose of this finite element analysis (FEA) is to evaluate and compare the stress distributions at the permanent molars and restorative materials according to the material used. Materials and Methods: Three dimensional Finite Element Analysis was used to compare Stress distribution generated in Class II MOD lesion using different restorative materials. Results: Software performs a series of calculations and mathematical equations and yields the simulation result. The models was restored with three different restorative material which was subjected to a force of 600 N load. Von-Mises Stress were analyzed and compared in different materials. From the results of the study, it can be concluded that Amalgomer CR performed best followed by Zirconomer and GIC (Fuji IX). Conclusion: Restoration of Class II MOD lesions with materials of higher modulus of elasticity will enable better stress distribution.

Teeth are imperative elements in the orofacial region which are pivotal for many critical physiological functions of an individual. Loss of teeth may be inevitable due to several reasons like dental caries, periodontitis, infections, facial trauma and pathologies of the jaw. It may even result due to physiologic reasons like ageing. Inorder to restore certain key physiologic functions like mastication, phonetics, and esthetics replacement of teeth is mandatory. Many treatment options are available in the current world but implants are still considered as a first go option. Here we present a clinical report of a patient who underwent full mouth reconstruction with implant-supported fixed prostheses in partially edentulous arches.

Coeliac artery anatomy has an implication on diseases, thus a grasp of the variations in the branching pattern plays the role in the assessment of the patient. This work is undertaken to study the anatomical features of coeliac trunk like length, branching pattern and it’s anatomical variations in Rayalaseema zone of Andhra Pradesh in view of great medical and surgical importance of it. The study was conducted in the department of Anatomy of Kurnool Medical college and hospital, Kurnool, Andhra Pradesh. Of the 50 specimens, manual dissection was done in 22 dissection hall cadavers and manual dissection was done in the 28 post mortem specimens regarding the origin of the coeliac trunk and its arteries. The various patterns were normal hepatolienogastric trunk in 92%, lienogastric trunk in 2%, hepatolienomesenteric trunk in 2%, coeliaco-colic trunk in 2%. 96% of specimens had complete coeliac trunk and 4% had incomplete coeliac trunk. Tripod was seen in 38% of the specimens. The supernumery branches were observed from coeliac trunk were inferior phrenic artery in 32%, dorsal pancreatic artery in 12%, superior mesenteric artery in 2% and middle colic artery in 2%. Knowledge of such variations in branching pattern of the celiac trunk is essential for liver and pancreas transplantations, pancreaticoduodenectomy, radiological abdominal interventions, laproscopic surgeries, and in trauma of the abdomen.

Impression procedure proves to be a vital initial step in achieving an accurate, passively fitting prosthesis which is an important factor for success in implant-supported prosthesis. This case report highlights a method to modify the conventional pick up technique by splinting Impression copings with dental floss and auto polymerizing acrylic resin in order to improve the accuracy of the impression.

The posterior maxillary segment is frequently devoid of bone volume to support dental implants because of the resorption of the alveolar ridge and pneumatisation of maxillary sinus. Such cases mandate the sinus lifting techniques prior to implant placement. Two main surgical approaches available and considered predictable so far are the lateral window technique and the crestal approach. Availability of various techniques, concepts and armamentarium, made the sinus lifting procedure versatile with high success rate. This article is aimed to describe the evolution of sinus lift techniques and to review the literature related to the technique considering the outcome of existing studies. An effort has been made to bring most of the available procedures under one classification for ease of understanding of the reader.