Articles

  1. Attitude towards pulmonary hygiene and socio-demographic factors affecting it among health workers in two government hospitals East Amhara, Ethiopia Download Article

    Prema Kumara, Yemiamrew Getachew, Wondwossen Yimam
    • Article Type: Research Article
    • View Abstract
    • Pages (823-828)
    • No of Download = 235

    Abstract

    close

    ABSTRACT Introduction Pulmonary hygiene is formerly referred to as pulmonary toilet which is a set of methods used to clear mucus and secretions from the airways and it is depends on consistent clearance of airway secretions. Pulmonary hygiene is a technique designed to help clear mucus and secretions from your lungs. It can be used for people who have chronic obstructive pulmonary disease (COPD), pneumonia, cystic fibrosis, or bronchiectasis and others. Objective To determine level of attitude towards pulmonary hygiene and socio-demographic factors affecting it among health workers in two government hospitals East Amhara, Ethiopia Methodology Institution based cross sectional study design was employed among one hundred twelve health professionals using systematic random sampling technique. The collected data were analyzed using descriptive and inferential statistics. Results A total of 112 participants were included in this study. Out of total participants, 69 (61.6%) were females and their mean age was 26.10 (±3.47SD) years. Of 51.8% of respondents were aged greater than 25 years old. The majority of the respondents were Orthodox 53 (47.3%) followed by Muslims 47 (42%). Fifty- five (49.1%) of the participants were single. In this study the majority of participants 91(81.3%) had work experience less than five years. Majority of the respondents (52%) had no recent training on pulmonary hygiene. Around sixty- three percent of participants were nurses. Attitude was computed using 10 questions related to pulmonary hygiene. The mean attitude score of the total sample was 6.53 (+ 3.47 SD). Subjects who scored above the mean value were categorized as having good level of attitude. Forty- five (45%) study participants had poor attitude about pulmonary hygiene. Conclusion & Recommendation The present study concluded that only 55% participants had good attitude towards pulmonary hygiene which is much less than the expected value. Further study have to be conducted with large sample size and addressing more factors affecting pulmonary hygiene to design intervention strategies to enhance health professionals attitude towards pulmonary hygiene.

  2. Hands on practice schooling and allied factors on basic life support among civil patrol in Dakshina Kannada, India Download Article

    Prema Kumara, Dayanand Vithal Belagavi, Yemiamrew Getachew
    • Article Type: Research Article
    • View Abstract
    • Pages (829-834)
    • No of Download = 148

    Abstract

    close

    Introduction Cardiac arrest is characterized by abrupt loss of consciousness caused by lack of adequate cerebral blood flow. It is an event that uniformly leads to death in the absence of an active intervention, although spontaneous reversions occur rarely. The most important factor in an emergency is the amount of time lost before a patient reaches the hospital. Cardiopulmonary resuscitation is designed to support and maintain breathing and circulation until emergency medical personnel arrive and take over. Objective To evaluate the effectiveness of hands on practice schooling and allied factors regarding Basic Life Support among civil patrols. Methodology One group quasi experimental design was used among fifty civil patrols by selected by cluster random sampling technique. The collected data were collected by structured skill questionnaire and performance checklist. Collected data were analyzed using descriptive and inferential statistics. Results The mean pre-test skill score was 5.10 with SD ±0.73 and the mean of post- test skill score was 16.58 with SD ±1.60. The paired’ test showed the difference in overall skill (47.604, p< 0.05) respectively. Age (2 =8.320, p=0.05), educational status (2 =33.040, p=0.05) and previous awareness on CPR (2 =18.000, p=0.05) were statistically significant associated with pre-test knowledge level of civil patrols. Thus suggests the effectiveness of skill training in terms of gain in skill score among civil patrols. Conclusion & Recommendation The present study concluded that the civil patrols lack in hands on techniques regarding Basic Life Support (BLS) and recommended that further study can be conducted with large similar groups, first responders like fire fighters, life guards, teachers, high school students, and other lay person as well.

  3. To study the clinical and histopathological correlation of skin lesion - an original research article Download Article

    Dr. Usha Kataria, Dr. Yashdeep Malik, Dr. Dinesh Chhillar , Dr. Dipti Aggrawal
    • Article Type: Research Article
    • View Abstract
    • Pages (835-838)
    • No of Download = 141

    Abstract

    close

    Background Dermatological disorders are very common in all parts of the country but the spectrum may vary from region to region.[1] The skin diseases are more common in developing countries, which could benefit from public health care centres. Material and Methods A total of 120 cases with various skin lesions, presenting to our dermatological outpatient department during April 2013 to April 2014 were included in the study. The study was carried out in rural back ground tertiary care centre of Northern India. Histopathological analysis of the skin biopsy samples was carried out and slides were stained with routine (Hematoxylin and eosin) and special stains used whenever required (Ziehl-Neelsen Staining, periodic acidic-Schiff etc.). Results Out of 120 cases, 35 cases were of granulomatous lesions, 25 cases were of non-specific dermatitis, 20 cases of psoriasiform dermatitis, 8 cases of spongiotic dermatitis, 6 cases of tumour and cyst in epidermis, 5 cases of vesicobullous diseases, 2 cases of pigmentary disorder and 2 cases of connective tissue disorder. 17 cases were observed with interface dermatitis. Conclusion The incidence of skin lesions was observed more frequently in adult males. Leprosy is still the most common granulomatous dermatitis.

  4. A comparative radiographic evaluation of condylar position in wax check bite record; gothic arch tracing and post insertion of complete denture Download Article

    Dr.Babita Yeshwante, Dr.R.D.Parkhedkar
    • Article Type: Research Article
    • View Abstract
    • Pages (839-861)
    • No of Download = 135

    Abstract

    close

    Aim To determine the position of condyle radiographically in the wax check bite stage, the Gothic arch tracing and post insertion of denture to decide the clinically comfortable position of condyle at the dentulous and edentulous state can be determined by radiographic means. Method 10 male patients from age group 45 to 65 years were selected. In order to standardize the intracranial radiograph of either side a modified radiographic head positioner was fabricated. For infracranial radiography, the patient was seated in the chair in the same position as that when the jaw relation was recorded. the relative position of condyle by radiographic means in different clinical stages i.e. in wax check bite record, Gothic arch tracing and post insertion of complete denture was recorded. Tracing of radiograph were obtained. And based on it study was concluded. Result It showed that the position of condyles is posterior most in gothic arch tracing, anterior most in the wax check bite record the position of condyle was anterior to gothic arch tracing and posterior to tentative jaw relation after denture insertion. Conclusion Findings showed that there existed unequal joint space between the head of condyle and the glenoid fossa at various stages of denture.

  5. An unusual presentation of IVC thrombosis- Low backache Download Article

    Asif.G.Ahmed, Chitrambalam P, Ramasamy S, Prasanna Karthik S
    • Article Type: Research Article
    • View Abstract
    • Pages (862-863)
    • No of Download = 108

    Abstract

    close

    Inferior vena cava thrombosis (IVCT) is less common than deep venous thrombosis of the lower extremities, particularly in the absence of an obvious congenital abnormality. IVCT is an uncommon and under recognized condition with a variety of clinical presentations [1, 2]. It is associated with a higher risk of complications than other forms of DVT. In the acute setting, PE is a concern, as are renal and hepatic vein thrombosis. Long term patients can suffer from recurrent lower extremity venous thrombosis, continued edema and postphlebitic syndrome. The mortality rate of IVCT is twice as high as that of DVT confined to the lower extremities. Patients having IVCT usually present with swelling of lower limbs, breathlessness in case of PE, distended abdominal veins [3]. Low back ache (LBA) is not an usual clinical presentation for IVCT. In this case report we present a case of IVCT with LBA as an initial presentation.

  6. A study on analysis of dry eye with schirmers test Download Article

    Keerthana.K, C. Xavier Jayaseelan
    • Article Type: Research Article
    • View Abstract
    • Pages (864-869)
    • No of Download = 127

    Abstract

    close

    Aim To evaluate the prevalence of Dry eye and the factors associated majorly, among patients attending ophthalmology outpatient department. Materials and methods This is a cross sectional study with 100 patients attending the ophthalmology OP department for whom Dry eye was evaluated by using Schirmers test paper which is a non invasive test and factors causing dry eye was evaluated by using questionnaire method. Results After conducting the Schirmers test, the prevalence was 48% in general of which mild, moderate, severe Dry eye were considered and prevalence among males and females, were 37% and 55% respectively. Factors majorly associated with Dry eye among patients attending ophthalmology outpatient department is discussed. Conclusion Among the patients who have been evaluated for Dry eye by using Schirmers test strips the major factors associated among them is Diabetes around 77% and the next major cause being use of anti hypertensive medications followed by ocular surgery which is 39% and 18% respectively. Followed by other factors. Prevalence being 48% and among males being 37% and females being 55%

  7. A multidisciplinary approach to treat subgingivally fractured canine: endodontics, forced orthodontic extrusion, periodontal and prosthetic rehabilitation Download Article

    Dr. Dayanand G. Chole, Dr. Pratik A. Burad, Dr. Sayyed Mohammed Qadri, Dr. Chetana D. Mankar, Dr. K. Shashank
    • Article Type: Research Article
    • View Abstract
    • Pages (870-875)
    • No of Download = 125

    Abstract

    close

    Management of traumatized anterior teeth with subgingival crown or root fracture pose a great challenge to the clinician. The aim is to make the subgingival fracture line supragingival which will ultimately facilitate its treatment with ease. One such modality of treatment is described in this case report which involves a multidisciplinary approach for the management of infrabony root fractures.

  8. Effect of Butler’s sciatic nerve mobilisatision in low back pain patients with sciatica Download Article

    Dr. Nikita Bhatia, Dr. Bindu Sarfare, Dr Snehal Ghodey
    • Article Type: Research Article
    • View Abstract
    • Pages (876-882)
    • No of Download = 117

    Abstract

    close

    Lumbar-spine disorders rank fifth among disease categories and the health care. Intervention in patients with a disease requires that the intervention has to be more beneficial, safer, and cost-effective. This dilemma is particularly important in patients with low back dysfunction (LBD) with radiculopathy. [1] Methodology 30 patients as diagnosed cases of low back pain radiating to posterior or lateral aspect of the lower limb with positive Straight Leg Raise Test (SLRT). Subjects were randomly allocated to the Experimental and the Control group. Both the groups (n=30) were treated with conventional physiotherapy treatment and Butler’s sciatic nerve mobilisation, given to the experimental group only. All the subjects were assessed at pre-treatment & post-treatment sessions using ROM of hip with SLRT, numerical rating scale (NRS) and Rolland Morris questionnaire. Data analysis Pre & post data was analysed using paired T test. Result Rolland Morris scores at the end of the treatment session showed an 85.46% improvement and t value of hip ROM showed 3.207, hence neural mobilisation was found to be more effective in the treatment of sciatica.

  9. An interesting case of inguinal hernia Download Article

    Dr. Shubhangi Kachore, Dr. Anne Wilkinson, Dr. Sadhana Mahore, Dr. Vidula Gowardhan
    • Article Type: Case Report
    • View Abstract
    • Pages (883-886)
    • No of Download = 125

    Abstract

    close

    Persistent Mullerian duct syndrome is a rare form of male pseudo-hermaphroditism characterized by the presence of Mullerian duct structures in a 46XY phenotypic male. We report a case of a 40 year old male patient clinically presenting with left sided inguinal hernia. During herniorraphy, the hernial sac was found to contain uterus and fallopian tube.

  10. Studies on antimicrobial effects of chromolaena odorata on pathogenic bacteria isolates Download Article

    Mbata C. A, Nyenke C. U, Obi-Thomas J. N, Isoma C. J, Adewoye M. O
    • Article Type: Research Article
    • View Abstract
    • Pages (887-891)
    • No of Download = 111

    Abstract

    close

    The study was conducted to investigate the antimicrobial effects of Chromolaena odorata leaf on some pathogenic bacteria isolates that infect humans. The bacteria isolates include: Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa and Proteus species. The disc diffusion method was employed to determine the inhibitory effects of the leaf extract on the tests organisms. Aqueous and ethanol extract of the leaf were used at concentration of 80g/250ml and also diluted at concentration of 1:10, 1:100, 1:1000 and 1:10000. They were impregnated into a sterile filter paper disc. Ethanol alone was also impregnated into the sterile filter paper disc and used as control. The zones of inhibition for ethanol extract (80g/250ml) of the leaf on the selected clinical isolates showed zones of inhibition of 15mm for Staphylococcus aureus, 12mm for Escherichia coli, 15mm for Pseudomonas aeruginosa and 15mm for Proteus Specie. The Zone of inhibition obtained for diluted ethanol extract (80g/250ml) of the leaf at 1:10 showed Staphylococcus aureus 12mm, Escherichia coli 11mm Pseudomonas aeruginosa 12mm and Proteus Spp. 8mm. With Ethanol alone the inhibition rate varied form 0.4mm – 0.8mm, and an out rightly resistant at 1:1000 and 1:10000 with only 1:100 showing inhibition of 0.5mm for Proteus alone. There was outright resistant by all organisms with the aqueous extract of the leaf. From the investigation carried out it can be seen that Chromolaena odorata leaf is a potential antimicrobial agent and effective only when used in organic solvent at a higher concentration. Ethanol alone has shown insignificant sensitivity for the organisms under investigation.

  11. An uncommon complication of liver abscess Download Article

    Ajay Rathoon I, Mohamed Azeem S, Mervin K Soman, A Gowrishankar, Monishaw T Waron
    • Article Type: Research Article
    • View Abstract
    • Pages (892-895)
    • No of Download = 114

    Abstract

    close

    Liver abscess secondary to E.histolytica and other infections is commonly encountered in developing countries and travellers to endemic regions. There have been several studies discussing the uncommon formation of inferior vena caval/hepatic vein thrombosis caused by the extension of liver abscess. This case study highlights the rare occurrence of deep vein thrombosis involving bilateral iliac, common femoral, superficial femoral, popliteal and great saphenous veins along with multiple liver abscess in the absence of risk factors for deep vein thrombosis.

  12. Selective serotonin reuptake inhibitors induced serotonin syndrome – A case report Download Article

    Ananth kashyap
    • Article Type: Case Report
    • View Abstract
    • Pages (896-898)
    • No of Download = 149

    Abstract

    close

    Serotonin syndrome also known as serotonin toxicity is a potentially life threatening syndrome that is precipitated due to excess serotonin within CNS. It results in variety of mental, autonomic and neuromuscular changes which ranges in severity from mild to fatal. It is nearly always caused by drug interaction involving two or more serotonergic drugs atleast one which is SSRIs. This is a case of 35- year- old female patient, admitted to hospital with 2 episodes of seizures, fever, headache, depression and was put on sodium valproate, clonazepam+escitalopram, paracetamol, sertraline. The patient medical history reveals that she is a known case of major depression and syncopal attack and was on escitalopram oxolate from 1 year. After two days of therapy patient developed tremors, restlessness, muscle rigidity, shivering and was clonus. On examination, variation in vitals was noticed and diagnosed as serotonin syndrome by review of medication chart sertraline was stopped and lorazepam was administered and patient showed good response and felt better. Proper education and awarness about drugs, drug-drug interaction causing SS its accuracy of diagnosis that prevents morbitiy and mortality in patients prescribed with SSRIs is of utmost importance.

  13. Studying the correlation between the history of fertility and menopause with bone density reduction and osteoporosis among postmenopausal women. A cross-sectional study Download Article

    Farahi Farzaneh, Ahmadinezhad Fatemeh, Rahimi Azar, Jokar Azam, Mohemmihosn Hasti
    • Article Type: Research Article
    • View Abstract
    • Pages (899-904)
    • No of Download = 112

    Abstract

    close

    Background and Objective Bone density reduction and osteoporosis are the silent epidemic of present epoch. The world Health Organization (WHO) has announced it as forth enemy of human being after Cancer, Myocardial Infarction (MI) and Stroke. The present study has been carried out with the aim to determine the correlation between the history of fertility and menopause with bone density among postmenopausal women. Method This is a cross-sectional study in which 150 postmenopausal women diagnosed for bone density reduction or osteoporosis who went under the bone density test were selected by convenient sampling method. Thereafter, the investigation was done from the view point of the relationship between the bone density reduction with some of the midwifery and menopause variables. Collected data were analyzed using statistic tests and SPSS16 software and significant level of 5.0% was considered. Results The mean age of participants were 57.6±7.9 and mean density index of Lumbar Vertebra and head of the femur was 0.8±11.0 and 0.63±0.08 respectively. The mean bone density score was obtained as 5.63±5.08. A weak correlation but significant and reverse was observed between the midwifery and menopause history with the bone density of lumbar vertebra (r=-295 and 0P<0.001), head of the femur(r=-0.226 and 00P=0.006) and age while studying (P<0.005). Conclusion Increasing the quality of care programs of pregnancy and menopause period, creating awareness, screening and early diagnosing of bone density reduction are necessary.

  14. Evaluation of the influence of Orem’s self-care model application on quality of life (QOL) of patients with hypothyroid goiter referred to health and therapeutic clinics in Yasouj city 2010 Download Article

    Azar Rahimi, Raziyeh Elonkashkoli, Farzaneh Farahi, Marzieh Azadian
    • Article Type: Research Article
    • View Abstract
    • Pages (905-913)
    • No of Download = 111

    Abstract

    close

    Purpose This study was conducted to evaluate the influence of Orem’s self-care Model application on Quality of Life (QoL) of patients with hypothyroid goiter. Materials and methods In this case-control clinical trial, 70 patients including 9 males and 61 females with hypothyroid goiter referred to health and therapeutic clinics in Yasouj city were randomly divided into two groups: 35 patients in experimental group and 35 patients in control group. Data collection tools were demographic questionnaire, Orem cognition questionnaire, Short Form 36 questionnaire (SF-36) and self-care checklist. Experimental group received a self-care program consisted of eight 45 minutes training sessions according to self-care requirements. Patients’ life quality was assessed at baseline and three months following the intervention by using QoL measure (SF-36). The QoL was compared between two groups. Data were analyzed by using SPSS 18. Results At baseline, QoL was comparable between experimental group (43.28±17.26) and control (47.19±14.26). QoL in experimental group, generally and eight domains, significantly improved following intervention (P=0.001). However, control group showed no considerable difference in QoL along study time; (P=0.73). After intervention, QoL in experimental group (79.64±11.86) was significantly higher than that in control group (46.29±17.56); (P=0.001). Conclusion Applying self-care according to Orem’s Model could improve health-related QoL in patients with hypothyroid goiter.

  15. Incidence and comparative analysis of adverse drug reactions in antiretroviral therapy (highly active antiretroviral therapy, HAART) Download Article

    Mr. Suraj Narayan Mali, Miss. Tejaswini Sanjay Morbale
    • Article Type: Research Article
    • View Abstract
    • Pages (914-919)
    • No of Download = 631

    Abstract

    close

    The use of antiretroviral therapy especially use of Highly Active Antiretroviral Therapy (HAART) for HIV/AIDS patients has changed the treatment approach. The use of such therapy causes a reduction in mortality. The purpose of this study was to evaluate the adverse effects of Antiretroviral Therapy (ART) in HIV patients. Methods Previously reported papers related to adverse drug reactions caused by Antiretroviral Therapy during 2003 to 2017 were searched from following referred internet sources. We shortlisted 13 articles from referred sources. The evaluation of all 13 articles had been done accurately and thoroughly. The incidence of each type of adverse drug reaction (ADR) from entire reported ADRs was analyzed. Result A large number of ADRs (3930) were found in 2495 patients (41.52%). The large cases of ADRs (892)were related to Miscellaneous typed which include fever, change in taste, lipodystrophy, weight loss, lactic acidosis, hepatotoxicity, blurred vision and adverse effects associated with metabolic changes. The ADRs reported for Gastrointestinal System were found to be 804.Other includes ADRs related to nervous system 686, skin and subcutaneous tissues 831, and musculoskeletal system 269. Conclusion Various types of adverse drug reactions were observed in the current study. Adverse drug reactions are quite predictable and common but their management must be individualized. Reduction in ADRs is possible by educating the patients regarding drug toxicity and efficient Pharmacovigilance strategy.

  16. Assessment of intraoperative fluid administration practices in various surgical specialties: A population based study Download Article

    Dr. Venkatesh, Dr. M.Ramakrishna, Dr. D.M.Ravichand
    • Article Type: Research Article
    • View Abstract
    • Pages (920-927)
    • No of Download = 128

    Abstract

    close

    Objective The main objective of the study is to assess the variation in different hospitals towards the intraoperative fluid management and their association during postoperative complications. Background: Intraoperative fluid management (IOFM) A substantial body of evidence is existing to support the use of intraoperative fluid management, which has resulted in the process forming one of the core components of Enhanced Recovery Programs. IOFM using a SV optimization (SVO) Algorithm is best method. Studies using the esophageal Doppler (ODM) for IOFM demonstrated a reduction in the incidence of postoperative complications (OR: 0.882; P<0.001). The Lacunae is due to the lack of institution-level studies of resuscitation practices and increasing interest in goal-directed, restricted-volume fluid administration for major surgery. Methods We have developed a computed intraoperative fluid balance accounting for patient morphometric, crystalloid, colloid, blood products, urine, blood loss, duration, compared patterns across disciplines and their associations with risk-adjusted postoperative length of stay (pLOS), and approach. Among 50 hospitals in the entire selected state-wide surgical collaborative, we profiled fluid administration practices during 6043 intestinal resections, 18,123 hysterectomies, and 951 abdominopelvic endovascular procedures. Results In our study we find that there is a lot of variation in fluid balance between hospitals (P < 0.001, all procedures), but significant within-hospital correlation across operations. • Highest fluid balance hospitals had significantly longer adjusted pLOS than lowest balance hospitals for intestinal resection (5.4 vs 4.4 d, P < 0.001) and • Hysterectomy (1.6 vs 1.3 d, P < 0.001), but not endovascular (1.8 vs 2.0 d, P = 0.78). Risk-adjusted complication rates were not associated with fluid balance rankings. Conclusion • The highest fluid balance hospitals have 11% to 13% longer risk-adjusted pLOS for visceral abdominal surgery • Independent of patient complexity and complications. The findings were consistent with evidence that isovolemic resuscitation in enhanced recovery protocols accelerates recovery of bowel function. • intraoperative fluid administration practice patterns are pervasive across disparate procedures

  17. Effect of two weeks training of Suryanamaskar on flexibility in college female students Download Article

    Dr. Nigar Shikalgar (P.T.), Dr. Safa Anwar (P.T.), Rochelle Janice Rego (P.T.)
    • Article Type: Research Article
    • View Abstract
    • Pages (928-932)
    • No of Download = 135

    Abstract

    close

    Yoga is a form of mind-body fitness that involves a combination of muscular activity and an internally directed focus on awareness of the self, the breath, and energy. Suryanamaskar (SN) is a part of yoga. Since time is often seen as a limiting factor when exercising, a daily practice of SN can be the perfect solution for time-challenged individuals as it gives more benefits with less expenditure of time. Aim & objectives To study the effectiveness of Suryanamaskar on flexibility in college female students Methodology 60 female students of Physiotherapy College, aged 18-25 years were selected as per inclusion criteria. Outcome measures used where Sit and reach test and Shoulder and wrist elevation test. The subjects were made to do 12 slow Suryanamaskars for 2 weeks (6 days/ week) Result Mean age was 21.45. Sit and reach test improved after SN by (mean difference of 4.56 and P < 0.0001) Shoulder and wrist elevation test improved after SN by (mean difference of 5 and P < 0.0001) Conclusion The study indicates that the two weeks of SN training may be effective to observe improvising flexibility in female students

  18. A review on Gomutra: Benefaction to human beings for healing by nature. Download Article

    Dr.Sandeep Ruplal Jadhao
    • Article Type: Research Article
    • View Abstract
    • Pages (933-935)
    • No of Download = 145

    Abstract

    close

    Gomutra (Sanskrit: gomūtra;."cow urine") refers to the usage of cow urine for therapeutic purposes in traditional Indian medicine also used as an important component of the mixture called Panchagavya. Ayurveda has also emphasized the importance of Gomutra in the management of various disorders in all treatises. In SushrutaSamhita, the description of Gomutra (Cow urine) has been given as effective substance of animal origin with innumerable therapeutic importance.As per Ayurvedic literatures Gomutra is useful in number of diseases particularly in Gulma, Kushta, ascites, Arbud (cancer) and it is also used along with herbs to treat various diseases like fever, anemia, epilepsy, abdominal pain, various worm infestations, constipation.

  19. Prevalence of the transfusion transmissible infections among blood donors in a blood bank at a tertiary care teaching hospital in north India Download Article

    Dr. Parveen Rana Kundu, Dr. Sanjay Verma, Dr. Swarn Kaur, Dr. Ruchi Agarwal, Dr. Kulwant Singh, Dr Dipti Agarwal
    • Article Type: Research Article
    • View Abstract
    • Pages (936-940)
    • No of Download = 110

    Abstract

    close

    Background Transfusion of blood and its components is a life saving measure in various medical and surgical emergencies. Transfusion carries the risk of transmitting the life threatening transfusion transmissible infections (TTIs) agents like Human immunodeficiency virus (HIV), Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), Syphilis and Malaria. Methods The study was conducted at the blood bank of Bhagat Phool Singh Government Medical College for Women, Khanpur Kalan, Sonepat catering the surrounding rural population. The study was carried out for a period of one year i.e. from January 2016 to December 2016 including total 7489 donors with 7301 males and 188 females for screening of the above mentioned infections. Observations A total of 7489 donors were screened between January 2016 and December 2016 including 7301 males and 188 females. There were 7420 (99.08%) voluntary donors and the rest 69 (0.92%) as replacement donors (Table-2). Out of the voluntary donors 7232 were males and 188 females. Conclusion Blood transfusion services not only screen the blood of donor but also give clue about the rate of prevalence of TTI in asymptomatic healthy young adults. These infections are now quite common. But with good screening methods their spread can be prevented to the recipients.

  20. Application of ASIR and Windowing to Image Anatomical Information of CT Scan Stonography Download Article

    Saifudin, Hermina Sukmaningtyas, Djamaluddin Ramlan, Ari Suwondo, M. Choiroel Anwar, Rini Indrati
    • Article Type: Research Article
    • View Abstract
    • Pages (941-946)
    • No of Download = 168

    Abstract

    close

    Background One disadvantage CT Scan Stonography is generated imagery has a high noise level. Adaptive Statistical Iterative Reconstruction (ASIR) is the latest in image reconstruction method to minimize noise and improve anatomical information of CT Scan. CT Scan image display is also influenced by the setting Windowing. Objective Assessing optimization ASIR and Windowing on image of CT Scan Stonography to value optimal anatomical information of CT Scan Stonography. Methods The type of this study was quasi experimental with the post test only design. Samples of study about 10 samples in each treatment group implementation of the application ASIR with Windowing. Assessment anatomical information is conducted independenly by two radiologists, analyzed by using the Kruskal Wallis test and continuing with Mann Whitney test. Results There were difference between image anatomical information (p value < 0,001) after the application of ASIR and windowing. Conclusion The use combination of ASIR 40% with WW350 and WL64 is the most optimal for the image anatomical information on the image of CT Scan Stonography with mean rank 89,75. Recommendation Application of percentage ASIR 40% with WW350;WL64 at the image of CT Scan Stonography can be used to generate the most optimal image quality and anatomical information.

  21. Exposure Index and Entrance Surface Dose of ANSI Chest Phantom with Computed Radiography Download Article

    Agung Nugroho Setiawan, Suryono, Suharyo Hadisaputro, A. Gunawan Santoso, Bedjo Santoso, Sugiyanto, Gatot Murti Wibowo
    • Article Type: Research Article
    • View Abstract
    • Pages (947-953)
    • No of Download = 102

    Abstract

    close

    Background Radiographer shall ensure the radiation safety of the patient. Posteroanterior chest projection is a frequent examination in the radiology unit. Each radiographic projection must have a safe dose that justifies the dose reference level. One method for estimating the patient dose is using a patient equivalent phantom as an object of radiation exposure. The American National Standards Institute (ANSI) chest phantom was used to simulate chest radiographic examination. Computed Radiography is used for image receptor and provide the exposure index value. Objective The objective of this study is to describe the correlation between Exposure Index (EI) and Entrance Surface Dose (ESD) of ANSI chest phantom that mimicking the patient condition using Computed Radiography. Method Phantom was irradiated with an X-ray equipment using exposure factors for chest examinations. X-ray equipment, dosimeter, imaging plate and CR programs were well calibrated. EI on the Carestream CR system, as seen on the monitor. ESD measured with calculation method (indirect assessment of incident air kerma). The correlation between EI and ESD is obtained by statistical calculations. Result The result showed a positive, very strong and significant correlation between EI and ESD of ANSI chest phantom radiographic examination (r = 0.819 and p-value <0.01). Under the controlled conditions used in this study, the EI values were stable. Conclusions Entrance Surface Dose can be estimated through Exposure Index value in this Carestream CR. EI can be used as a dose control mechanism on exposure with the same radiation object.

  22. Non hodgkin lymphoma and TB: a together co existence.-Case report Download Article

    Dr Sharanya P Shankar, Dr Stefna Shah, Dr Suresh Raghavan, Dr Priya M
    • Article Type: Case Report
    • View Abstract
    • Pages (954-957)
    • No of Download = 105

    Abstract

    close

    Non hodgkin lymphoma may be preceded by chronic inflammatory disease like tuberculosis. Its rare for a lymphoma to present as acute. Here we present a case of combined infection of non Hodgkin Lymphoma and tuberculosis and unusual presentation of lymphoma. A high index of clinical suspicion led to the correct diagnosis in this atypical presentation.

  23. Efficacy of yoga to improve balance and reduce fall in community dwelling elders who are at risk of fall Download Article

    Dr. Snehal Chincholkar (PT), Dr. Nigar Shikagar (PT), Dr. Anuradha Sutar (PT) and Dr. Snehal Ghodey (PT)
    • Article Type: Research Article
    • View Abstract
    • Pages (958-964)
    • No of Download = 95

    Abstract

    close

    Identification of older adults who are at a risk for falling is a vital medical concern. Falls are common events in the lives of older people and can result in a range of adverse outcomes, from minor bruises to fractures, disability, dependence and death. With age, balance abilities decline and become harder to control, which results in an increased risk of falling, even in the absence of specific neurological or musculoskeletal problems. TUG a simple screening test for measuring the probability for fall among elders and Modified fall efficacy scale for determination of measuring fear of falling. Yoga, with its gentle movements, can address known fall risk factors (poor balance, impaired mobility, reduced strength and flexibility) and focus on increased awareness and proprioception, resulting in decreased fear of fall and improved balance in older adults. Therefore, the purpose of this study is to investigate the effect of yoga to improve balance and reduce fall in community dwelling elders at risk of fall. 100 subject were taken with consent and 6weeks protocol Yoga was given. Yoga Asanas were uttkatasana, tadasana, vrukshasana, trikonasana, virbhadrasana (position 1 & 2). First 3 week Yoga exercises were performed with support of walls and chair.(in the modified form). In the next 3 weeks yoga exercises were progressed by performing without support and increasing the hold time of asanas. Results obtain were that the functional mobility (TUG), and fear of falling (MFES) showed more improvement. Therefore Yoga is effective to improve balance and reduce risk of fall.

  24. Hydralite powder: a comprehensive blend of electrolytes, vitamins, minerals supplement to hydrate the body with typical ratios to support electrolytes lost in sweat during vigorous activity Download Article

    Govind Shukla, Neha S.Giri, C.J. Sampath Kumar
    • Article Type: Research Article
    • View Abstract
    • Pages (965-969)
    • No of Download = 124

    Abstract

    close

    Hydralite is formulated with the typical ratios of sodium found in sweat and a blend of potassium, calcium, and magnesium to support electrolytes lost during activity. Hydralite is an electrolyte replacement formula that helps replenish vitamins and minerals lost through sweat, Hydralite powder is added with zinc, which is lost through sweat but rarely seen in electrolyte products, and D-ribose to help refuel muscles. Hydralite contains no sugar or caffeine. Hydralite powder is designed to optimize hydration. This review summarises the current available scientific literature regarding the effect of Hydralite Powder: A Comprehensive blend of Electrolytes, vitamins, minerals Supplement to hydrate the body with typical ratios to support electrolytes lost in sweat during Vigorous Activity.

  25. Comparative analysis of phytochemical, antibacterial and antioxidant activity of different extracts of azadirachtaindicaleaves Download Article

    MeenakshiBhardwaj, Maninder Singh and G.M. Lone Kamal Dev
    • Article Type: Research Article
    • View Abstract
    • Pages (970-978)
    • No of Download = 106

    Abstract

    close

    Introduction The present study was designed to compare phytochemicals, antimicrobial and antioxidant activity of different extracts of leaves of Azardirachtaindica from Himachal Pradesh. In this study, different extracts of Azadirachtaindica leaves are screened for the occurrence of bioactive compounds. Objectives Analysis of Phytochemicals in various extracts of Azadirachtaindicaleaves. Comparative evaluation of antibacterial and antioxidant activity of various extracts of Azadirachtaindicaleaves againstE.coliandS.aureus.usingDPPH radical scavenging assay. Material & Methods The disc diffusion method was used to detect antibacterial activity of different extracts of Azadirachtaindicaleaves against gram positive and gram negative bacteria such as S. aureus, and E. coli respectively. The methanolic extract showed the more antibacterial and antioxidant activity as compared to that of other extracts. DPPH free radical scavenging assay was performed to check antioxidant potential of A. indiaca. Phytochemical screening of different extracts showed the presence of flavonoids, tannins, phenols, alkaloid, protein/amino acid, carbohydrates and steroids in different extracts of the A. indica leaves. Results The findings suggested that phytochemicals present in A. indica leavesare potentially beneficial as therapeutic and antioxidative agents in pharmaceuticals, medicinal and food industries.

  26. The application of band pass filter technique for metal artifacts reduction on the quality of anatomical image in paranasal sinuses (PNS) MSCT Download Article

    Ike Mayasari, Hermina Sukmaningtyas, Leni Latifah, Jeffry Adriyanto, Choirul Anwar
    • Article Type: Research Article
    • View Abstract
    • Pages (979-985)
    • No of Download = 116

    Abstract

    close

    The current development of the medical world is very rapid especially radiodiagnostics field has begun to change into the era of computerization or digitization of medical images. One use of the most advanced modalities in radiodiagnostics is CT Scan which has been widely used in hospitals. There are some 16 slices CT Scans which do not have software artifact correction, then the application of spatial filter technique on CT Scan image processing can be done by using matlab programming with band pass filter for metal artifacts reduction. Matlab (matrix laboratory) programming is a program for image processing and image analysis using raw data or image results already obtained. Study objective (s) Identify the difference of image results with anatomical image quality analysis on PNS MSCT before and after band pass spatial filter using Matlab. Study design The type of study used here was quasi experiment with Pre Test- Post Test only Group Design. This study aims to determine the changes before and after the treatment (post-test). There was 1 treatment group which used spatial filter technique. Results There was a significant difference in the treatment group before and after spatial filter use to the anatomical assessment with p value of <0.05 or p value of 0.000. This showed the optimal quality of Paranasal Sinuses (PNS) MSCT image and the reduction of metal artifacts which could help to establish anatomical diagnosis. Conclusion There was a reduction of metal artifacts after reduction with the use of spatial filter. Then Band Pass filter could be used to reduce metal artifacts in PNS MSCT examination.

Registered and Approved by National Science Library (NSL),National Institute of Science Communication And Information Resources(NISCAIR),
Council of Scientific and Industrial Research,New Delhi, India"