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Efficacy of Extra-Oral Maxillary Nerve Block Technique Using Frontozygomatic Approach

BACKGROUND Pain control is an integral part of minor oral surgery and maxillary/mandibular nerve blocks have proved promising in achieving the same. Although intra-oral techniques of maxillary nerve block are common and are widely used, there are certain inherent disadvantages and potential complications. Less commonly described in the literature, the extraoral techniques have a wide spectrum of indications as well as can be more advantageous than the intraoral approach [3]. Hence the aim of present study is to evaluate the feasibility and the efficacy of the extra-oral maxillary nerve block using Frontozygomatic approach. MATERIALS AD METHOD The study was conducted on 30 patients reporting to the Department of Oral and Maxillofacial Surgery, V. S. Dental College and Hospital, Bangalore, Karnataka from September 2015 to July 2016 taking into consideration the exclusion and inclusion criteria extraoral maxillary nerve block using frontozygomatic approach was administered. Intraoperative and postoperative complications which may include hematoma, ecchymosis, visual disturbance, limitation of mouth opening or deviation of the lower jaw and Brain Stem Anesthesia immediately following the injections. The data collected was analyzed statistically by using descriptive statistics and percentage; correlations were computed using the student Chi-Square test for proportions. RESULTS Successful anesthesia was secured in a first attempt in 27 patients while in 1 patient, the procedure had to be repeated using local infiltration due to positive aspiration using the Frontozygomatic approach owing to the difficulty in reaching the target site. In 2 patients the stopper over the spinal needle reached the sphenoid bone at 30mm which is 20mm short of the actual penetration of the needle and the reason suspected to be the anatomical variations. A majority of the patients i.e., 53.3 % scored 0–2 (no pain) on visual analog scale (VAS) while 11 patients experienced mild pain and only 3 patients experienced a moderate degree of pain. Subjective symptoms were reported in 22.73 s (mean value) and 18.3 s (mean value) in the palate and the infraorbital fossa respectively. Peak effect of anesthesia was noted in 62.8, 39 and 31.71 sec (all values expressed as mean) in the palate, infraorbital fossa, and posterior superior alveolar areas respectively. CONCLUSION Although with only dental extraction as the procedure of choice, the present study has favored the frontozygomatic angle approach for the maxillary nerve block as simple, safe, efficacious and associated with the minimum and clinically mild complications.

Published by: Dr. Smriti Ticku, Dr. Prashanth .R

Author: Dr. Smriti Ticku

Paper ID: V3I1-1351

Paper Status: published

Published: February 16, 2017

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Bluetooth Low Energy: Need of the Hour

It appears fantabulous to be a part of fast apprehending complete big tech internet world, which is capable of connecting millions and billions of devices to the internet. But it seems a little bizarre that to interact with each smart device, the user would have to download a separate mobile or tablet application. We are here to deal with the same problem using beacons in this paper.

Published by: Ankita Singh

Author: Ankita Singh

Paper ID: V3I1-1349

Paper Status: published

Published: February 15, 2017

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Research Paper

Cooperative Black Hole Attack Prevention by Particle Swarm Optimization with Multiple Swarms

MANET (Mobile Ad Hoc Network) is a type of ad hoc network that can change locations and configure itself, because of moving to nodes. As MANETs are mobile in nature, they use wireless connections to connect various networks without infrastructure or any centralized administration. Open medium, dynamic topology, distributed cooperation are the characteristics of MANET and hence ad hoc networks are open to different types of security attacks. A Grey hole is a node that selectively drops and forwards data packets after advertises itself as having the shortest path to the destination node in response to a route request message. Our mechanism helps to protect the network by detecting and reacting to malicious activities of any node. The results enable us to minimize the attacks on integrated MANET-Internet communication efficiently. The simulation will be carried out by using network simulator tool so as to address the problem of detection & prevention of gray hole attack in mobile ad-hoc network. In this thesis uses Particle swarm optimization(PSO).Which monitors by changing its values because of ad-hoc nature, converges then it change its value infinite and prevent the node to send packet.

Published by: Suman Brar, Mohit Angurala

Author: Suman Brar

Paper ID: V3I1-1348

Paper Status: published

Published: February 15, 2017

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Design & Performance Analysis of Instrumentation Amplifier at Nanoscale

In this research work, simulation and comparative analysis of Instrumentation Amplifier at different voltages. DC voltage gain is 133.4 dB, the average power is 589 mW, and bandwidth is 3.87 MHz have been computed using HSPICE Software at 0.5V. DC voltage gain is 77.84 dB, the average power is 290mW, and bandwidth is 164MHz have been computed using HSPICE Software at 1.5V. The proposed Instrumentation is efficient in medical applications due to high gain and high bandwidth. Instrumentation Amplifier based on CMOS has been designed and simulated using 32nm CMOS technology. In this design, care has been taken in the selection of the values to maintaining the gain and bandwidth of the Instrumentation Amplifier.

Published by: Dr. M. Nizamddin

Author: Dr. M. Nizamddin

Paper ID: V3I1-1339

Paper Status: published

Published: February 13, 2017

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Simulation Study of Low Power Comparator for A-D Converter

Abstract- Analog-to-Digital Converters (ADCs) translate the analog quantities into digital language, used in information processing, computing, data transmission and control systems. ADCs are key components for the design of power limited systems, in order to keep the power consumption as low as possible. Implantable Medical electronics, such as Pacemakers and cardiac defibrillators are typical examples of devices where ultra-low-power consumption is paramount. This paper presents the design of CMOS comparator based on a preamplifier circuit. The design is intended to be implemented in for Analog-to-Digital Converter (ADC). The design is simulated in 1 μm CMOS Technology with HSPICE. Proposed design exhibits low power consumption. Simulation results are presented and the design has DC Gain of 68dB, the power dissipation of 1.25 mW at 5 V.

Published by: Dr. M. Nizamuddin

Author: Dr. M. Nizamuddin

Paper ID: V3I1-1338

Paper Status: published

Published: February 13, 2017

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Interest Free Banking in India

The role of banking is very important not now but very ancient time. In recent years a new alternative in banking has emerged at the global platform- interest free/ Islamic banking. In India various high committees have observed a voluntary faith based financial exclusion and recommendation interest free banking is a possible solution. The study seeks to inquire into the working of interest free and examine their prospectus in the light of India’s legal and regulatory frame work. The study will seek to find out major steps taken by India for introducing interest free banking.

Published by: Neeru Gupta

Author: Neeru Gupta

Paper ID: V3I1-1336

Paper Status: published

Published: February 13, 2017

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