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
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    • Pages (823-828)
    • No of Download = 42

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    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
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    • Pages (829-834)
    • No of Download = 38

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    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
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    • Pages (835-838)
    • No of Download = 35

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    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
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    • Pages (839-861)
    • No of Download = 34

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    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
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    • Pages (862-863)
    • No of Download = 24

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    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
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    • Pages (864-869)
    • No of Download = 28

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    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
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    • Pages (870-875)
    • No of Download = 20

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    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
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    • Pages (876-882)
    • No of Download = 12

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    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
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    • Pages (883-886)
    • No of Download = 11

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    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
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    • Pages (887-891)
    • No of Download = 10

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    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.

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