IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Ectodermal dysplasia prosthodontic managament/endodontic coursesIndian dental academy
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Ectodermal dysplasia prosthodontic managament/endodontic coursesIndian dental academy
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Orthopedic Clinical Manifestations of Ectodermal Dysplasia. Case Presentationkomalicarol
Ectodermal dysplasias represent a heterogeneous group of alterations, characterized by the abnormal development of embryological derivatives of the ectoderm.We present a patient who, upon
examination of the osteomyoarticular system, presents intense
rotation of the lower limbs with the toes backwards, which the
patient performed without difficulty, in an unforced, voluntary and
painless way. Orthopedic clinical manifestations are infrequent in
skeletal dysplasias, lower limb disorders even rarer, which is why
we present these striking alterations, a fundamental objective of
the study
A case of Alport syndrome presented with bilateral anterior lenticonusBIJCROO
Purpose: The aim of this study was to report a rare case of Alport syndrome presented with bilateral anterior
lenticonus in a 16-year-old boy.
Case report: A 16-year-old boy presented with decreased vision, a hearing defect, anemia, and proteinuria. His
best corrected visual acuity was 6/18 in both eyes. Slit lamp biomicroscope showed anterior lenticonus in both
eyes. He was managed by correction of refractive error and urgent referral to a nephrologist.
Conclusion: It is easy to diagnose Alport syndrome clinically, and close communication among ophthalmologists,
otorhinolaryngologists, and nephrologists is crucial for effective management of this syndrome.
SÍNDROME DE ROBINOW: CONSIDERAÇÕES MÉDICAS E ODONTOLÓGICAS PARA GESTÃO ABRANG...Cristhiane Amaral
SÍNDROME DE ROBINOW: CONSIDERAÇÕES MÉDICAS E ODONTOLÓGICAS PARA
GESTÃO ABRANGENTE DO PACIENTE
Cristhiane Olivia Ferreira do Amaral*1, Davi de Alencar Gonçalves2, Luís Augusto Rossi Nery2,
Vinicius Carvalho Rodrigues2, Mariana Olívia Ferreira do Amaral3, Eliane Cristina Gava Pizi4
and Fabiana Gouveia Straioto4
Objetivo: A Síndrome de West (WS) é caracterizada pela tríade de espasmos infantis,
hipsarritmia e prejuízo cognitivo. A etiologia está ligada a distúrbios cerebrais orgânicos
cujas origens podem ser pré-natais, pós-natais ou perinatais. O objetivo deste estudo é ajudar
identificar alterações sistêmicas, considerações médicas, aspectos estomatológicos e, adicionalmente, relatar
dois casos de pacientes com síndrome de West. Relato de Caso: Os aspectos estomatológicos encontrados em
ambos os pacientes eram o desgaste geral dos dentes, devido ao apertamento dentário e bruxismo, gengival
crescimento, sequência e cronologia das erupções dentárias alteradas, palato profundo e atresia, apresentados
falta de fechamento labial, lábios superiores e inferiores, bochechas e língua com tônus muscular flácido e
má oclusão. Em um paciente, múltiplas lesões de cárie também foram observadas, possivelmente associadas a
o comportamento da família, a alimentação, a higiene bucal e o uso contínuo de medicamentos, com a
presença de biofilme espesso, lesões de cárie estacionárias mostrando uso cariostático, o que impediu
abordagem odontológica colaborativa. Conclusão: A abordagem para atendimento e tratamento odontológico são
discutido. Pacientes com Síndrome de West têm uma grande diversidade de aspectos físicos gerais e orais
características, dificuldade na higiene oral devido ao atraso no desenvolvimento neuropsicomotor. Isto é
importante prestar cuidados precoces, para que não necessitem de tratamentos complexos e invasivos devido a
comprometimento sistêmico e cognitivo. A abordagem abrangente e o tratamento devem ser realizados
por uma equipe multidisciplinar.
IRF6-related syndrome is a group of cleft lip and palate disorders including Van der Wood Syndrome (VWS) and Popliteal Pterygium Syndrome (PPS). People with VWS are at the lowest end of the spectrum. They can have cleft lip or palate or cleft palate or a combination of these abnormalities. People with PPS usually have cleft lip, cleft lip, or cleft palate, with additional skin and limb abnormalities, including dark skin on the back of both feet (papillary) and between the legs (between the veins), deformity, or abnormalities of the device. Mutations in the interferon-6 regulatory factor (IRF6) gene, located on the long arm of chromosome 1 at 1q32.2, have been linked to IRF6 syndrome
Dystonia is the manifestation of involuntary lasting severe muscle contractions, which lead to rhythmic and atypical movements in different parts of the body. Dystonia is the most common movement disorder next to Parkinson’s disease (PD) and essential tremor (ET). Oro Mandibular Dystonia (OMD) is considered as a focal dystonia involving mouth, jaw, and tongue, manifested by involuntary muscle contractions producing repetitive, patterned movements of the involved structures. The diagnosis of OMD is purely clinical and is to be differentiated thoroughly from the conditions mimicking the signs. Since it presents in various forms and severities it further renders the management a multidisciplinary approach with variable treatment outcomes. The following is a clinical diagnostic case report of oromandibualar dystonia with presenting signs and symptoms, history and examination characteristic of the condition.
Dystonia is the manifestation of involuntary lasting severe muscle contractions, which lead to rhythmic and atypical movements in different parts of the body. Dystonia is the most common movement disorder next to Parkinson’s disease (PD) and essential tremor (ET). Oro Mandibular Dystonia (OMD) is considered as a focal dystonia involving mouth, jaw, and tongue, manifested by involuntary muscle contractions producing repetitive, patterned movements of the involved structures. The diagnosis of OMD is purely clinical and is to be differentiated thoroughly from the conditions mimicking the signs. Since it presents in various forms and severities it further renders the management a multidisciplinary approach with variable treatment outcomes. The following is a clinical diagnostic case report of oromandibualar dystonia with presenting signs and symptoms, history and examination characteristic of the condition
Nonsyndromic Oligodontia in Permanent Dentition: Three Rare CasesAbu-Hussein Muhamad
Oligodontia is the congenital absence of six or more than six teeth in either permanent or primary dentition. Because of the missing teeth in these patients esthetic, functional and psychological problems may arise. This article reports a three rare cases of non-syndromic oligodontia. Key words: oligodontia, hypodontia, severe partial anodontia
Nonsyndromic Oligodontia in Permanent Dentition: Three Rare Casesiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
An Examination of Effectuation Dimension as Financing Practice of Small and M...iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Does Goods and Services Tax (GST) Leads to Indian Economic Development?iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
More Related Content
Similar to Ellis–Van Creveld Syndrome With Unusal Expression Of Multiple Supernumerary Teeth : A Case Report
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Orthopedic Clinical Manifestations of Ectodermal Dysplasia. Case Presentationkomalicarol
Ectodermal dysplasias represent a heterogeneous group of alterations, characterized by the abnormal development of embryological derivatives of the ectoderm.We present a patient who, upon
examination of the osteomyoarticular system, presents intense
rotation of the lower limbs with the toes backwards, which the
patient performed without difficulty, in an unforced, voluntary and
painless way. Orthopedic clinical manifestations are infrequent in
skeletal dysplasias, lower limb disorders even rarer, which is why
we present these striking alterations, a fundamental objective of
the study
A case of Alport syndrome presented with bilateral anterior lenticonusBIJCROO
Purpose: The aim of this study was to report a rare case of Alport syndrome presented with bilateral anterior
lenticonus in a 16-year-old boy.
Case report: A 16-year-old boy presented with decreased vision, a hearing defect, anemia, and proteinuria. His
best corrected visual acuity was 6/18 in both eyes. Slit lamp biomicroscope showed anterior lenticonus in both
eyes. He was managed by correction of refractive error and urgent referral to a nephrologist.
Conclusion: It is easy to diagnose Alport syndrome clinically, and close communication among ophthalmologists,
otorhinolaryngologists, and nephrologists is crucial for effective management of this syndrome.
SÍNDROME DE ROBINOW: CONSIDERAÇÕES MÉDICAS E ODONTOLÓGICAS PARA GESTÃO ABRANG...Cristhiane Amaral
SÍNDROME DE ROBINOW: CONSIDERAÇÕES MÉDICAS E ODONTOLÓGICAS PARA
GESTÃO ABRANGENTE DO PACIENTE
Cristhiane Olivia Ferreira do Amaral*1, Davi de Alencar Gonçalves2, Luís Augusto Rossi Nery2,
Vinicius Carvalho Rodrigues2, Mariana Olívia Ferreira do Amaral3, Eliane Cristina Gava Pizi4
and Fabiana Gouveia Straioto4
Objetivo: A Síndrome de West (WS) é caracterizada pela tríade de espasmos infantis,
hipsarritmia e prejuízo cognitivo. A etiologia está ligada a distúrbios cerebrais orgânicos
cujas origens podem ser pré-natais, pós-natais ou perinatais. O objetivo deste estudo é ajudar
identificar alterações sistêmicas, considerações médicas, aspectos estomatológicos e, adicionalmente, relatar
dois casos de pacientes com síndrome de West. Relato de Caso: Os aspectos estomatológicos encontrados em
ambos os pacientes eram o desgaste geral dos dentes, devido ao apertamento dentário e bruxismo, gengival
crescimento, sequência e cronologia das erupções dentárias alteradas, palato profundo e atresia, apresentados
falta de fechamento labial, lábios superiores e inferiores, bochechas e língua com tônus muscular flácido e
má oclusão. Em um paciente, múltiplas lesões de cárie também foram observadas, possivelmente associadas a
o comportamento da família, a alimentação, a higiene bucal e o uso contínuo de medicamentos, com a
presença de biofilme espesso, lesões de cárie estacionárias mostrando uso cariostático, o que impediu
abordagem odontológica colaborativa. Conclusão: A abordagem para atendimento e tratamento odontológico são
discutido. Pacientes com Síndrome de West têm uma grande diversidade de aspectos físicos gerais e orais
características, dificuldade na higiene oral devido ao atraso no desenvolvimento neuropsicomotor. Isto é
importante prestar cuidados precoces, para que não necessitem de tratamentos complexos e invasivos devido a
comprometimento sistêmico e cognitivo. A abordagem abrangente e o tratamento devem ser realizados
por uma equipe multidisciplinar.
IRF6-related syndrome is a group of cleft lip and palate disorders including Van der Wood Syndrome (VWS) and Popliteal Pterygium Syndrome (PPS). People with VWS are at the lowest end of the spectrum. They can have cleft lip or palate or cleft palate or a combination of these abnormalities. People with PPS usually have cleft lip, cleft lip, or cleft palate, with additional skin and limb abnormalities, including dark skin on the back of both feet (papillary) and between the legs (between the veins), deformity, or abnormalities of the device. Mutations in the interferon-6 regulatory factor (IRF6) gene, located on the long arm of chromosome 1 at 1q32.2, have been linked to IRF6 syndrome
Dystonia is the manifestation of involuntary lasting severe muscle contractions, which lead to rhythmic and atypical movements in different parts of the body. Dystonia is the most common movement disorder next to Parkinson’s disease (PD) and essential tremor (ET). Oro Mandibular Dystonia (OMD) is considered as a focal dystonia involving mouth, jaw, and tongue, manifested by involuntary muscle contractions producing repetitive, patterned movements of the involved structures. The diagnosis of OMD is purely clinical and is to be differentiated thoroughly from the conditions mimicking the signs. Since it presents in various forms and severities it further renders the management a multidisciplinary approach with variable treatment outcomes. The following is a clinical diagnostic case report of oromandibualar dystonia with presenting signs and symptoms, history and examination characteristic of the condition.
Dystonia is the manifestation of involuntary lasting severe muscle contractions, which lead to rhythmic and atypical movements in different parts of the body. Dystonia is the most common movement disorder next to Parkinson’s disease (PD) and essential tremor (ET). Oro Mandibular Dystonia (OMD) is considered as a focal dystonia involving mouth, jaw, and tongue, manifested by involuntary muscle contractions producing repetitive, patterned movements of the involved structures. The diagnosis of OMD is purely clinical and is to be differentiated thoroughly from the conditions mimicking the signs. Since it presents in various forms and severities it further renders the management a multidisciplinary approach with variable treatment outcomes. The following is a clinical diagnostic case report of oromandibualar dystonia with presenting signs and symptoms, history and examination characteristic of the condition
Nonsyndromic Oligodontia in Permanent Dentition: Three Rare CasesAbu-Hussein Muhamad
Oligodontia is the congenital absence of six or more than six teeth in either permanent or primary dentition. Because of the missing teeth in these patients esthetic, functional and psychological problems may arise. This article reports a three rare cases of non-syndromic oligodontia. Key words: oligodontia, hypodontia, severe partial anodontia
Nonsyndromic Oligodontia in Permanent Dentition: Three Rare Casesiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Similar to Ellis–Van Creveld Syndrome With Unusal Expression Of Multiple Supernumerary Teeth : A Case Report (20)
An Examination of Effectuation Dimension as Financing Practice of Small and M...iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Does Goods and Services Tax (GST) Leads to Indian Economic Development?iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Childhood Factors that influence success in later lifeiosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Emotional Intelligence and Work Performance Relationship: A Study on Sales Pe...iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Customer’s Acceptance of Internet Banking in Dubaiiosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
A Study of Employee Satisfaction relating to Job Security & Working Hours amo...iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Consumer Perspectives on Brand Preference: A Choice Based Model Approachiosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Student`S Approach towards Social Network Sitesiosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Broadcast Management in Nigeria: The systems approach as an imperativeiosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
A Study on Retailer’s Perception on Soya Products with Special Reference to T...iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
A Study Factors Influence on Organisation Citizenship Behaviour in Corporate ...iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Consumers’ Behaviour on Sony Xperia: A Case Study on Bangladeshiosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Design of a Balanced Scorecard on Nonprofit Organizations (Study on Yayasan P...iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Public Sector Reforms and Outsourcing Services in Nigeria: An Empirical Evalu...iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Media Innovations and its Impact on Brand awareness & Considerationiosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Customer experience in supermarkets and hypermarkets – A comparative studyiosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Social Media and Small Businesses: A Combinational Strategic Approach under t...iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Secretarial Performance and the Gender Question (A Study of Selected Tertiary...iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Implementation of Quality Management principles at Zimbabwe Open University (...iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Organizational Conflicts Management In Selected Organizaions In Lagos State, ...iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
EATING DISORDERS (Psychiatry-7)by dr Shivam sharma.pptxShivam Sharma
For any queries ,contact shvmshrm@outlook.com
---
## Introduction to Eating Disorders
Welcome to this comprehensive presentation on Eating Disorders, a critical and often misunderstood area of mental health. This presentation is designed to provide in-depth knowledge and insights into the various aspects of eating disorders, making it valuable for both postgraduate medical aspirants preparing for the INI-CET and the general public seeking to understand these complex conditions.
### Objectives:
1. **Understanding Eating Disorders**: Gain a clear understanding of what eating disorders are, their types, and their distinguishing characteristics.
2. **Etiology and Risk Factors**: Explore the underlying causes and risk factors that contribute to the development of eating disorders.
3. **Clinical Features and Diagnosis**: Learn about the clinical features, diagnostic criteria, and the importance of early detection.
4. **Management and Treatment**: Review the current approaches to managing and treating eating disorders, including medical, psychological, and nutritional interventions.
5. **Prevention and Awareness**: Discuss strategies for prevention, early intervention, and increasing awareness about eating disorders.
This presentation aims to bridge the gap between academic knowledge and practical understanding, providing you with the tools to recognize, diagnose, and effectively manage eating disorders. Whether you are preparing for a medical exam or seeking to educate yourself or others about these serious conditions, this presentation will equip you with essential information and practical insights.
Let's begin our journey into understanding eating disorders and the significant impact they have on individuals and society.
---
For any queries ,contact shvmshrm@outlook.com
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
US E-cigarette Summit: Taming the nicotine industrial complexClive Bates
I look back to 1997 and simpler time in tobacco control, then look at changes in trade, communications, technology and conclude the market is becoming ungovernable
Why invest into infodemic management in health emergenciesTina Purnat
A lecture discussing the challenge of health misinformation and information ecosystem in public health, how this impacts demand promotion in health, and how this then relates to responding to misinformation and infodemics in health emergencies. Appended with lots of tools, guidance and resources for people who want to do more reading.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
TEST BANK For Williams' Essentials of Nutrition and Diet Therapy, 13th Editio...kevinkariuki227
TEST BANK For Williams' Essentials of Nutrition and Diet Therapy, 13th Edition Schlenker & Gilbert, Verified Chapters 1 - 25, Complete Newest Version.pdf
TEST BANK For Williams' Essentials of Nutrition and Diet Therapy, 13th Edition Schlenker & Gilbert, Verified Chapters 1 - 25, Complete Newest Version.pdf
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
TEST BANK For Timby's Introductory Medical-Surgical Nursing, 13th American Ed...kevinkariuki227
TEST BANK For Timby's Introductory Medical-Surgical Nursing, 13th American Edition by Donnelly-Moreno, Verified Chapters 1 - 72, Complete Newest Version.pdf
TEST BANK For Timby's Introductory Medical-Surgical Nursing, 13th American Edition by Donnelly-Moreno, Verified Chapters 1 - 72, Complete Newest Version.pdf
Ellis–Van Creveld Syndrome With Unusal Expression Of Multiple Supernumerary Teeth : A Case Report
1. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 14, Issue 11 Ver. V (Nov. 2015), PP 67-70
www.iosrjournals.org
DOI: 10.9790/0853-141156770 www.iosrjournals.org 67 | Page
Ellis–Van Creveld Syndrome With Unusal Expression Of
Multiple Supernumerary Teeth : A Case Report
Senthil Balasubramani1
Abhishek Madhavan2
Sudhakar Sankaran3
1, 2
Senior lecturer, Asan memorial dental college and hospital , Chengalpattu
3,
Reader, Asan memorial dental college and hospital , chengalpattu
Abstract: Ellis–van creveld syndrome is a rare autosomal recessive syndrome of the heart, skeleton and most
of the ectodermal derivatives. It is caused due to genetic defects in the chromosome 4p16; it belongs to short
rib-polydactyly group (SRP). It is characterized by short ribs, short limb, polydactyly, ectodermal dysplasia and
congenital heart defects. The oral manifestation is one of the main characteristic diagnostic features and it
includes partial anodontia, microdontia, fusion of upper lip to the gingival margin, multiple frenum, anterior
open bite etc. We the dentist play a major role in diagnosing such patients, managing their dental problem and
help them lead a normal life. We report a case of EVC syndrome expressing all the findings with multiple
supernumerary teeth.
Key words: polydactyly, multiple frenum, genu valgum, multiple supernumerary teeth, partial anodontia.
I. Introduction :
Ellis-van Creveld (EVC) syndrome is a congenital genetic disorder common among the Amish population (1 in
5000 live birth), in general the worldwide prevalence rate is 7/1,000,000 live births.1
No data is available for
prevalence rate in the Indian scenario but Approximately less than 25 cases only have been properly reported in
India till date.2
Baujat G et al. described that about 150 cases were reported between 1940 and 2008.3
In 1940, Richard W. B. Ellis and Simon Von Creveld described Ellis Van Creveld (EVC) syndrome.
EVC is also termed as chondro ectodermal dysplasia or meso-ectodermal dysplasia4
EVC is an autosomal
recessive congenital genetic disorder4
, occuring due to the genetic defect located in chromosome 4p16.4
Mutation of EVC1 and EVC2 genes, located in a head to head configuration on chromosome 4p16 has been
identified as causative focus. They occur due to genetic defect in initiation and morphodifferentiation stage of
tooth development.6
II. Case Report
A 21 year old male patient reported to us with a chief complaint of missing upper front teeth and
malposition of lower right and left back teeth since 10 yrs of age. Patient history revealed that he had a similar
complaint with his deciduous teeth which was neglected by his parents. The past medical history suggested that,
at the age of 4 he was a diagnosed with Atrial septal defect and was treated for the same. Patient also gives
history of noticing stunted growth and deformity in his hands and feet, since his childhood for which he did not
seek any medical opinion. Presently the patient reported to us for reasons of social stigma and esthetic concerns.
Family history suggested that he was born to parents of consanguineous marriage and he was their only son.
There was no history of similar complaints in his family.
On general physical examination the patient had a short stature 145 cm and weighed 67kg (Fig 1).
Shortness of the limbs, genu valgum deformity (Fig 3) and polydactyly noted in both the hands (Fig 2). The
hands and feet were wide and markedly deformed, sausage-shaped fingers and dysplastic fingernails were
present. No dryness of skin was noticed and patient sweat was normal, no quantitative change in hair noticed,
however there was focal hypotrichosis of the eyebrows and mild alopecia of the left hair line region was noticed.
Extra oral examination revealed broad nasal bridge, no facial gross asymmetry present, TMJ
movements are with in normal limits, and no abnormality detected in submandibular and parotid region, no
palpable regional lymph nodes was present.
On intra oral examination thick labial frenula in relation to 71,81,14,13 region and multiple accessory
frenulum’s were present in maxillary and mandibular labial sulcus regions. Supernumeries in relation to 15, 25,
32, 34, 35, 42, 43, 44, 45; fused 23, Screw driver shaped 21 with talons cusp on labial surface noted. Patient also
presented with anterior open bite, grade II mobility in relation to 32, 42, 43 and generalized probing pocket
depth of 4 to 5 mm was present (Fig 4). Correlating it with the history and the clinical features, a provisional
diagnosis of Ellis van Creveld syndrome was arrived. Then the patient was subjected to routine blood
investigations, ECG, ECHO and orthopantomograph (OPG).
2. Ellis–Van Creveld Syndrome With Unusal Expression Of Multiple Supernumerary Teeth : A…
DOI: 10.9790/0853-141156770 www.iosrjournals.org 68 | Page
Routine blood investigations suggested that all the blood values were within normal limits. ECG was
normal and ECHO showed normal study. OPG (fig 5)showed prominence of the antigonial notch bilaterally,
decreased anteroposterior width of the mandibular ramus bilaterally missing maxillary and mandibular anteriors,
multiple retained deciduous teeth. Multiple Supernumery teeth present in relation to 14, 15, 24, 25, 26, 34, 35,
36, 44, 45, 46 region (Fig 4).
Considering the nature of the condition, the patient/parents were cautioned about the possible
complications and advised periodic systemic review. With regard to dental rehabilitation the patient was
scheduled for extraction of retained deciduous and supernumery teeth. Followed by frenectomy, orthodontic
correction and prosthodontics replacement of missing teeth.
III. Discussion
EVC syndrome belongs to short rib polydactyly group SRP III - Verma- Naumoff syndrome.4
EVC
syndrome is recently included in new class of human genetic disorders called as ciliopathies, which is due to
defective molecular mechanism of primary cilia.7
EVC syndrome can be diagnosed prenatally from the 18th
week of gestation, by ultrasonography / fetoscopy8
or by clinical examination after birth.3,4,9,
According to Arumugam aashish et Al , child born to EVC patient have a chance of transmitting its
autosomal recessive gene is 25%.10
Ellis–van creveld syndrome is common among Amish population of
Pennsylvania in USA4
. History of parental consanguinity is very common in EVC syndrome patients5,7,
, similar
to our patient. Average Adult height for EVC syndrome patient is 109 to 165 cm1,2
The characteristic features of EVC syndrome is the presence of dysplastic nails and typical deformation
of fingers- polydactyly, short ribs, short limbs, genu valgum deformity1,4
,Congenital heart malformation(60% of
cases), which is commonly a single atrium. Basically the main determinants of longevity in EVC syndrome are
the presence of congenital heart disease and thoracic dysplasia or respiratory distress. 2,4,
According to Kapoor et al,5
the tetrad of cardinal features seen in EVC syndrome is:-
(1) Disproportionate small stature and shortening of the middle and distal phalanges;
(2) Polydactyly affecting hands;
(3) Ectodermal dysplasia mainly affecting nails and teeth;
(4) Congenital heart malformation.
All the above mentioned tetrad of cardinal sign was clearly present in our patient
The oral manifestation is one of the main characteristic diagnostic features, the oral findings includes
natal teeth, conical shaped or missing teeth, premature eruption, and/or exfoliation of teeth and absence of labial
vestibule because of fusion of upper lip to the gingival margin, leading to the notching of upper lip.3,5,
These
features were also present in our case; in addition had a talons cusp in 21. Anterior open bite was also present in
our case. The oral findings could be due to the continuation of the normal serrated condition of the gingiva from
the third to seventh month in the uterine life of the fetus and it affects the esthetic problem, speech, jaw growth
of the child.
According to Kar et al, the most common Differential diagnosis for EVC syndrome includes Jeune
syndrome and Orofaciodigital syndrome. Jeune syndrome is autosomal recessive disease; characterized by
thoracic dystrophy, short limbs, small stature, polydactyly and generalized bony dysplasia. Eye, kidney and
lungs are also affected. The orofaciodigital syndromes result from dominant sex-linked inheritance and are
limited to women. This condition is clinically characterized by multiple gingivolabial frenula, hypoplasia of the
nasal cartilages, moderate mental retardation and fissured tongue. Ankyloglossia is an important feature and it is
found in one third of cases.9
The management of EVC is usually symptomatic and it is accomplished with multidisciplinary
approach. Patients generally need the consultation of Psychologist, pediatrician, pediatric neurologist, clinical
geneticist, Pulmonologist, Cardiologist and Physiotherapist. For rehabiliatation plastic surgeon, stomatologist,
endodontist, general Dentist, oral & maxillofacial surgeon, prosthodontist and orthopaedician play a vital
role.3,4,.
IV. Conclusion
Oral manifestation is one of the characteristics of EVC syndrome. Oral changes can affect esthetics,
speech and jaw growth causing a social stigma, as seen in the present case. Thus dentists should play a lead role
in early diagnosis and establishing treatment protocols that improve the aesthetics, functional efficiency and
quality of life.
3. Ellis–Van Creveld Syndrome With Unusal Expression Of Multiple Supernumerary Teeth : A…
DOI: 10.9790/0853-141156770 www.iosrjournals.org 69 | Page
References
[1]. Rudnik-schöneborn et al. Two adult patients with ellis-van creveld syndrome extending the clinical spectrum mol syndromol
2010;1:301–306
[2]. Girish gopal and gangadhar.b.belavadi,. Case report of a child with ellis–van creveld syndrome int j pharm biomed res 2014, 5(1), 14-
17
[3]. Kamal r, dahiya p, kaur s, bhardwaj r, chaudhary k. Ellis-van creveld syndrome: a rare clinical entity. J oral maxillofac pathol
2013;17:132-5.
[4]. Joshi a, jain a, narayan jp. Ellis–van creveld syndrome with developmental delay. Int j sci stud 2015;3(1):227-230.
[5]. K 14.Kapoor s, mittal k. Ellis-van creveld syndrome – a case report. Annals of dental research 2011; 1 (1): 87-90
[6]. Babaji p, oral abnormalities in ellis-van creveld syndrome . Indian j dent res 2010,21:143-145
[7]. Das, et al.:ellis van creveld syndrome with unusual asscociation of essential infantile esotropia. Oman journal of ophthalmology, 2010;
3(1):23-25
[8]. Naser a. Aminabadi1), akram ebrahimi1) and sina g. Oskouei2) chondroectodermal dysplasia (ellis-van creveld syndrome): a case
report journal of oral science, vol. 52, no. 2, 333-336, 2010
[9]. Kar, a., pradhan, d., pahi, j., patra, m., mohanty, p., rath, g. And behera, s. (2014) autopsy findings in a case of ellis van creveld
syndrome with review of literature. International journal of clinical medicine, 5, 851-854.
[10]. Arumugam aashish et. Al ellis van creveld syndrome with complete av canal defect – late recognition still repairable int j cur res rev,
nov 2013/ vol 05 (21) page 6-12
Fig 1: front and side profile
Fig 2: genu valgum
4. Ellis–Van Creveld Syndrome With Unusal Expression Of Multiple Supernumerary Teeth : A…
DOI: 10.9790/0853-141156770 www.iosrjournals.org 70 | Page
Fig 3: polydactyly – dorsal and ventral surface of palm
Fig 4: intra oral photograph: multiple frenums, thick labial frenum, partial anadontia , multiple supernumerary
teeth
Fig 5: orthopantamograph
Fig 6: post-operative photograph after oral prophylaxis and dental extraction .