Articles

  1. The design of digital instrument connected to android based smartphone to measure radiation Download Article

    Arif Budiman, Gunawan Santoso, Faisal Amri, Suharyo Hadisaputro, M. Choiroel Anwar, Rini Indrati
    • Article Type: Research Article
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    • Pages (01-05)
    • No of Download = 173

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    Background Indonesian Government Regulation of 2007 on Safety and Health of Ionizing Radiation Utilization states that it is necessary to measure radiation exposure of X-ray machine for radiation protection for officers, patients and the public. At present there are very few devices that can measure the dose of radiation due to the limitation of radiation dose measurement device in health care institutions in Indonesia. Limitation of radiation dose measurement device is a quite alarming problem, so it becomes an obstacle in the implementation of radiation workers protection. Objective(s) The designing of a radiation measurement device using Geiger Muller detector, microcontroller and smartphone to display the result of radiation measurement. Methods Applied study, true experiment study design, type of design was post test group only. The study consisted of 1 intervention group and 1 control group. The intervention group used a design of radiation measurement device while the control group used a standard radiation measurement device. Stability test was performed. Results The stability test obtained Chi Square Test value (x2) of 2.6899, the measurement result was accepted because it was still in the range of 2.088 to 21,166. Conclusion A digital radiation measurement device that could be connected with android-based smartphone via Bluetooth connectivity was designed.

  2. Adverse donor reactions in donors at a tertiary care rural blood bank: a study of 6385 blood donors Download Article

    Drs. Sanjay Verma, Parveen Rana, Anita Rani, Swarn Kaur, Kulwant Singh
    • Article Type: Research Article
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    • Pages (06-08)
    • No of Download = 138

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    Blood transfusion is commonly required for emergency as well as routine surgical procedures and conditions like anaemia, thalassemia, haemophilia, leukemia etc and it is collected from the donors which is quite safe and simple procedure. However, sometimes few adverse reactions can take place like vaso-vagal reactions, fall, haematoma formation at the site of venipuncture etc. This study aims to overview these adverse reactions in the blood donors.

  3. Prospective study of laparoscopic totally extraperitoneal repair (TEP) & open mesh hernioplasty Download Article

    Mohammad Mohsin, Tajamul Rashid
    • Article Type: Research Article
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    • Pages (09-16)
    • No of Download = 129

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    Background Inguinal hernia repair by laparoscopy has gained much importance in the past decade as it has been shown to be associated with lesser incidence of morbidity and a faster postoperative recovery than open repair, however many laparoscopic surgeons are still reluctant to adopt this technique because of long learning curve. Materials and Methods This was a hospital based prospective study comparing the results of TEP & open hernia repair. The study was conducted in the Department of General Surgery, Hamdard Institute of Medical Sciences and Research, New Delhi. Data from all the patients was collected prospectively over a period of 2 years from June 2015 to June 2017. A total of 160 patients were enrolled in the study. Patients were divided into laparoscopic (Group A) and open hernia repair group (Group B) strictly based on patient preference and anaesthetic risks after meeting the inclusion criteria. Patients with uncomplicated, unilateral/bilateral inguinal hernia were included in the study. Polypropylene mesh was used in both procedures. Tacks were used in TEP for the fixation of mesh. Data collected was analysed and expressed as average, mean/median. Results All patients in our study were men in the age group of 20 to 60 years and above, with a mean age of 49 years in group A and 53 years in group B. All patients in our study had unilateral inguinal hernia. Postoperative pain was slightly more in group B (7.5%) than group A patients (2.5%). Postoperative urinary retention was found to be lower in group A (2.5%) compared to group B (7.5%). In our study 02 patients (2.5%) in group A developed postoperative seroma and same complication was found in 06 patients (7.5%) of group B. Our study found a superficial wound infection rate of 1.25% and 5% in groups A and B respectively. The average hospital stay in our study was 2.5 days in group A and 3 days in group B. The recurrence rate in group A and group B was 0% and 2.5% respectively. Laparoscopic repair was found to be slightly costlier than open hernia repair in our study. Conclusion Laparoscopic TEP repair is a safe option in expert hands for the repair of uncomplicated inguinal hernias. Although, slightly costly with marginally higher rate of recurrence, laparoscopic hernia repair has comparable results with open hernia repair with fewer general complications.

  4. A study on serum potassium abnormalities among patients in a teritiary care hospital Download Article

    Balaji Tamilselvan, Mahendra kumar Kalappan, Kannan Rajendran
    • Article Type: Research Article
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    • Pages (17-21)
    • No of Download = 127

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    Background Hypokalemia and hyperkalemia are common electrolyte disorders seen in the medical ward. It is can be due to alteration in potassium intake, potassium excretion or transcellular shift. Potassium disorder can lead to life threatening cardiac conduction disturbances and neuromuscular dysfunction. Aims and objectives This study focuses on assessing the clinical profile of potassium abnormalities among patients admitted in medical wards of Saveetha Medical college Hospital, Chennai. Materials and methods A retrospective study was done among patients admitted in Saveetha medical college hospital during a period of 6 months from May 2016 to Oct 2016. A semi-structured questionnaire containing the socio-demographic variables was prepared. Bio chemical variable like serum potassium were taken into account and the data was analyzed using SPSS 11.5 version. Results The major causes of hypokalemia in our hospital are as follows: acute gastroenteritis 32%, diuretics 24%, alcohol dependence syndrome 20 %, diabetic ketoacidosis 12%, hypokalemic periodic paralysis 8% , infection 4% . Hyperkalemia causes in our medical ward are as follows: chronic kidney disease 56% , acute kidney injury 20%, angiotensin converting enzyme 12% , angiotensin receptor blocker 8% , potassium sparing diuretics 4% . Conclusion This study emphasizes the common causes of potassium abnormalities among the patient admitted in medical wards. The most common cause of hyperkalemia and hypokalemia in our hospital is chronic kidney disease and acute gastroenteritis respectively. Hyperkalemia and hypokalemia is one of factors to cause cardiac arrhythmia, thus routine measurement of serum potassium is warranted in all the patients admitted in ward for early detection of any possible derangements.

  5. Comparative evaluation of GTR membranes to assess their bacterial activity in vitro Download Article

    Dr Pallavi Giridhar Sonawane, Dr Amar Shrirang Kokane
    • Article Type: Research Article
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    • Pages (22-26)
    • No of Download = 99

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    Background Periodontal regeneration is a reproduction or construction of a lost or injured part in such a way that the architecture and function of the lost or injured tissues are completely restored. Guided tissue regeneration has been used to regain lost periodontal attachment around teeth. Microorganism can adhere to and colonize exposed membranes leading to the development of nidus of infection. Aim of this study is to evaluate adherence of bacteria Porphyromonas gingivalis over Amnion, Chorion and Collagen GTR membrane. Methodology The membranes were placed in tubes containing broth cultures and identical concentrations (1×10 8) of these bacteria at 37ᵒC. At 4, 6,12 and 24 hrs. The bacterial cultures were decanted and the membranes in the tubes were agitated gently, in reduced transfer fluid for 4 times to remove non adherent bacteria. Each tube was sonicated for 30 sec in 10 ml RTF to detach adherent bacteria. The detached adherent bacteria were counted using a Petroff-Hausser chamber. Result P. gingivalis can adhere to Chorion, Amnion and Collagen membranes at interval of 2hrs, 4 hrs and 24 hrs. Conclusion P.gingivalis has higher affinity of adherence towards Chorion as compared to Amnion and Collagen membranes.

  6. Effect of calcium hydroxide and mineral trioxide aggregate on human PDL fibroblast: an in vitro study Download Article

    Dr Pallavi Giridhar Sonawane, Dr Amar Shrirang Kokane
    • Article Type: Research Article
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    • Pages (27-31)
    • No of Download = 116

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    Background and Aim The aim of this in vitro study was to investigate the effect of Calcium hydroxide and MTA (Mineral Trioxide Aggregate) on human periodontal ligament fibroblast (PDL). Method The cements were divided into three groups Group 1: Calcium hydroxide, Group 2: MTA and Group 3: Calcium hydroxide + MTA. PDL fibroblasts were cultured in above groups. The proliferations of cells were recorded under microscope. Results Group 2 showed no lysis of PDL fibroblasts, whereas Group 1 and Group 3 were found slight toxic in nature as they inhibited the PDL cell proliferation. Conclusion MTA provided a more favourable environment for PDL fibroblasts adhesion and proliferation.

  7. Occurrence of chronic low back pain in individuals with flat feet- A cross sectional study Download Article

    Susan Dsouza, Dhanesh Kumar, Ajay Thakur
    • Article Type: Research Article
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    • Pages (32-39)
    • No of Download = 74

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    Background Low back pain (LBP) is a widespread, expensive, and debilitating problem.1 Though LBP can be caused by acute injuries, biomechanical discrepancies have also been indicated. Approximately 80% of the general population has alterations in the feet; these kinematic changes affect the lower extremity kinetic chain and may lead to pathologies of the lower back later in life. The true prevalence of flatfoot is unknown, primarily because there is no consensus on the strict clinical or radiographic criteria for defining a flatfoot. Objective To identify the occurrence of flat feet in chronic low back subjects, determine the factors associated with occurrence of flat feet and to state the relationship between flat feet and chronic low back pain. Methodology Study proceeded after ethical clearance from the institutional ethical committee of Nitte University was granted. 71subjects satisfying the inclusion criteria from the period between April 2016 to februray 2017 were included. Assessment of all patients included study specific designed tool, NDT, FPI, VAS and Oswestry Low Back Pain Disability Questionnaire. Results The occurrence of flat feet according to the designed tool was 45.07 % in the right foot and 49.29% in the left foot. Severity of pain was not related to the plantar arch. Conclusion Presence of flat foot is a common phenomenon among the population with chronic LBP and hence, there exists a need for treatment of LBP to be directed towards the biomechanical corrections of the lower extremity kinetic chain. Future scope of Studies involving assessment of dynamic foot function as well as radiographs of lower extremity and larger sample size can be conducted.

  8. A study of thyroid lesions using fine needle aspiration cytology technique Download Article

    Dr.K.Sridhar Reddy, Dr.A.Arjun Kumar, Dr.P.venkata Ramana, S.Susmitha, SK.Reshma, S.M.D. Yaseen
    • Article Type: Research Article
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    • Pages (40-52)
    • No of Download = 66

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    Background Thyroid swellings are very common and can occur in various clinical settings and in various age groups. The modalities of treatment differ in different conditions. Some require therapeutic management and some others surgery. FNAC was proved to be the single most sensitive investigation in differentiating neoplastic from non- neoplastic conditions, and benign from malignant conditions. At present this procedure is utilized extensively in diagnosing the condition and planning for surgery in necessary cases thus decreasing the unnecessary surgeries Objective(s) To prove the importance of FNAC as the first line diagnostic procedure for the evaluation of goiter. To study the scope of FNAC in differentiating neoplastic from non neoplastic lesion and its role as a diagnostic tool in picking up unsuspected malignancies and metastatic malignancies. Methods This study was conducted in the department of Pathology, on patients with thyroid swellings who attended the Medical, Surgical & ENT OPs. FNAC full clinical examination of the patient was done and data like present, past and personal history of the patient along with laboratory investigations including thyroid profile and ultrasound reports were collected. FNAC was done as an outpatient procedure. Results Out of the 330 cases diagnosed, majority were non neoplastic lesions (276) neoplastic were (54). Nodular goiter was found to be the commonest among all the lesions with 106 cases [32%] showing high prevalence between 21-30yrs and a male to female ratio of 1:8.7 Conclusion FNAC has been found to be a most valuable, economized, safe and simple diagnostic procedure in the evaluation of thyroid swellings.

  9. Proportion of Premarital Sexual Practice and Coupled Factors among High School Students in Alamata Town, Tigray, Ethiopia Download Article

    Yemiamrew Getachew, Prema Kumara, Mikiel Yosef, Getahun Aschale, Eyerus Wedajo
    • Article Type: Research Article
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    • Pages (53-59)
    • No of Download = 56

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    Background The world wide trend in sexual activity of adolescents at young age is increase in the world. In many countries the majority of young people are sexually active before formal marriage and it is common among 15-19 years old. Objective To assess the Proportion of pre martial sexual practice and its associated factor among High School Students in Alamata Town, 2017. Methods A cross sectional study design was used and a structured pre-tested questionnaire was the tool to collect the data. Random sampling technique was used to select the high school from all high schools in Alamata town and proportionate stratified sampling technique and simple random sampling was used to select samples from grade 9th and grade 10th. Results The Proportion of pre martial sex among the study participants of this study was 18.9%. The risk factors associated with premarital sex among the study subjects are grade level, sex, alcohol use, khat use, watch sex movies, work to get money. Conclusion From this study it is possible to conclude that high school students engaged in premarital sexual practice (3.54% of females and 15.36 % of males) which is found to be higher than other studies. Most of students to start sexual activity were fall in love, had desire, peer pressure, alcohol drinks.

  10. Diabetes vs silent killer: Magnitude and allied factors of hypertension among diabetic patient at hidar 11 hospital, Akesta, Ethiopia Download Article

    Prema Kumara, Yemiamrew Getachew, Kalkidan Lemessa, Sura Tolasa, Hanna Gashaw
    • Article Type: Research Article
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    • Pages (60-68)
    • No of Download = 63

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    Background Hypertension is a masked silent killer and one of the perilous non-communicable diseases. Hypertension and diabetes generally coexist because they share similar risk factors, including being overweight, following an unhealthy diet, and living an inactive lifestyle. Despite being preventable disease, diabetes and hypertension fall among top 10 leading causes of death globally. Diabetes mellitus has rapidly become a major threat in almost all developed and developing countries. Objective: To determine the prevalence and allied factor of hypertension among diabetic patients attending follow-up at Hidar 11 hospital Akesta, June 2017G.C. Methodology Institutional based cross sectional design was used to assess the prevalence and associated factor of hypertension among DM patients. A total of 388 patients were included using simple random as non probability sampling. The blood pressure measurement was collected using manual BP apparatus, patient’s height and weight was measured to calculate the BMI. Structured questionnaire was used to gather associated socio-demographic data. Results From a total of 388 diabetic patients 175(45.1%) of them have hypertension. significantly association with type of DM medication, stress, hyperglycemic control, and alcohol consumption. Conclusion: The prevalence of hypertension among DM patients was in higher end. The prevalence of hypertension among diabetic patients was 45.1% is much higher, and duration of DM and anti-diabetic medication consumers had an association in causing hypertension.

  11. A classical skeleton of nursing theories Download Article

    Prema Kumara, Yemiamrew Getachew, Wondwossen Yimam
    • Article Type: Research Article
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    • Pages (69-75)
    • No of Download = 61

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    The theory framework of nursing science is built in a dynamic process that arises from practice and is reproduced through research, mainly by analysis and development of concepts and theories. Science consists of movement from common sense to critical evaluation, which is often poorly defined or inadequately performed. There are many and different theories with regards to the care, practice, education, Research and administration. Metaparadigm is a set of theories or ideas that provide structure for how a discipline should function. For a nursing discipline, these theories consist of four basic concepts that address the patient as a whole, the patient’s health and well-being, the patient’s environment and the nursing responsibilities.

  12. Prevalence of suicidal ideation and allied factors among patients with depressive disorder visiting psychiatry outpatient unit of dessie referral hospital, South Wollo, Ethiopia Download Article

    Abeba Beyen, Yemiamrew Getachew, Prema Kumara, Mengesha Birkie
    • Article Type: Research Article
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    • Pages (76-82)
    • No of Download = 62

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    Background Suicide is the act of intentionally causing one's own death. It is a psychiatric emergency. Depressive disorder continues to be associated with an under-recognized risk for suicidal ideation. Suicidality in depressive disorder is not only a predictor of future attempted suicide and completed suicide; it is also associated with reducing the quality of life and people who die by suicide are frequently undiagnosed and untreated peoples with depressive disorder. Objective The aim of this study was to assess the prevalence and allied factors of suicidal ideation patients with depressive disorder at outpatient unit of Dessie Referral Hospital, South Wollo, Ethiopia. Methods An Institution based cross -sectional study was conducted. A systemic random sampling technique was used to get 423 patients from April to May 2015. Composite international diagnostic interview was used to collect data. Data entered in to EPI-INFO version 7 and transferred to SPSS version 20 for further analysis. Logistic regression was carried out and odds ratio with 95% confidence intervals was computed. Results The prevalence of suicidal ideation was found to be to 26.6%. Female sex [AOR=2, 95%CI: 1.04-2.88], Those who live alone [AOR=3.64, 95%CI:2.11-6.96], Family history of suicidal attempt [AOR=4.05, 95%CI: 2.49-6.58], and those who ever use substance [AOR=1.77, 95%CI: 1.07-2.91] were associated with suicidal ideation. Conclusion and recommendations Prevalence of suicidal ideation high among people with depressive disorders patients. In this study Sex, living alone, ever substance use and family history of suicidal attempt, were significantly associated with suicidal ideation. Effective strategies like; proper treatment of depressive disorder, strengthening social ties and prevention of psychoactive substance use have to be designed to prevent completed suicide among patients with depressive disorder.

  13. A clinical study on the management of hyperkalemia in a secondary care hospital, Palakkad, Kerala Download Article

    Aiswarya.A.T, Haritha.H.Kumar, Muhammad Alirabeeh, Susmitha Subramanyan, Sangeetha.R, Shamna C
    • Article Type: Research Article
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    • Pages (83-100)
    • No of Download = 63

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    Background To study the management of hyperkalemia association between potassium monitoring and serious hyperkalemia associated adverse outcomes among the patients with diabetes mellitus, CKD, IHD, hypothyroidism and anemia. Materials and methods The study was designed as a hospital based prospective study. A total of 264 patient case data entry form were collected from the medical records department and they are included in the study. Results The hyperkalemic events, 32.95% more occurred in patients were in age group of 61 to 70 years. The rate of hyperkalemia was higher in patients with diabetes mellitus among individual treated with 33.33% of insulin. Patients who experienced hyperkalemia were more likely to be male and 85.95% patients’ showed severity at mild level. 81.43% therapies recommended elimination of potassium from the body by the use of diuretics. Conclusion Hyperkalemia is a significant problem among the patients with diabetes mellitus, hypertension, CKD, IHD and hypothyroid. Various therapeutic options exit for the immediate treatment of the condition including insulin, diuretics, calcium carbonate, calcium gluconate, sodium bicarbonate, salbutamol and calcium polystyrene sulfonate. Prevention currently rests largely upon compliance with diet and a thoughtful use of medication regimen.

  14. A study to assess the sensory adaptation after A 2 – week stretching regimen of rectus femoris muscle in recreational football players Download Article

    S. Ben Selvan, K. C Gayathri
    • Article Type: Research Article
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    • Pages (101-106)
    • No of Download = 57

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    Football is a challenging, demanding and high performance sports. The Football game is played from the school level, college level to professional level. The main aspect of stretching is the sensory adaption which can be achieved only when the muscle is stretched for atleast 2 – weeks. The cause for sensory adapation is the sensitization of mechanoreceptors. The stretching of rectus femoris muscle by the method of evjenth and hamberg is widely used, which is the advanced for sensory adapation to take place. In the study, the investigator used EVJENTH and Hamberg Stretching procedure in football player to know the amount of sensory Adaptation taking place in the muscle after a 2 week stretching regimen. Stretching Regimen applied to rectus femoris muscle by Evjenth and Hamburg method is the most significant and advanced method to make the Muscle to be sensory adapted. The period of 2 week is an optimal duration in which the sensory Adaptation takes place. The football players have an advantage to exhibit their skill more easily by the enhanced effect of sensory adaptation. Employing this method in their collegiate and advanced level the players Can lead to increase performance.

  15. Added effects of myofascial release on pain and disability in chronic mechanical low back pain Download Article

    Sharayu Baviskar, Dr. Sumitra Sakhwalkar (PT), Dr. Ravinder Kaur (PT), Dr. Snehal Ghodey (PT)
    • Article Type: Research Article
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    • Pages (107-113)
    • No of Download = 67

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    Objectives To study to find the added effects of myofascial release on pain and disability in Chronic Mechanical Low Back Pain. Methods The sample 40 was screened, of which 30 meeting the inclusion criteria were selected. Demographic data and pre examination was done using Oswestry disability index and modified modified schobers test. . Each subject received 9 sessions of treatment thrice a week for three weeks. Post examination was done after completion of 9 sessions. The results obtained from the statistical analysis of the this study supported the hypothesis which stated that myofascial realease is effective On Pain And Disability in chronic mechanical low back pain to reduce pain disability and improve lumbar mobility. Results Demographic statistical analysis of Oswestry Disability Index score and modified modified schobers test shows extremely significant improvement in pain related disability and also in Lumbar Flexion and Extension. (P < 0.0001) Conclusion From the Results of the present study we conclude that MFR can be included as an integral part of specific manual techniques in the management of chronic mechanical low back pain. MFR is effective in reducing pain and functional disability and improving lumbar spine mobility with chronic mechanical low back pain.

  16. Immediate effect of abdominal binder on peak expiratory flow rate (PEFR) in chronic obstructive pulmonary disease (COPD) patients Download Article

    Sheral Thomas Kachpile, Dr. Varoon Jaiswal (PT), Dr. Sneha Ghuman (PT), Dr. Snehal Ghodey (PT)
    • Article Type: Research Article
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    • Pages (114-117)
    • No of Download = 72

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    The purpose of the study is to determine the immediate effect of abdominal binder on peak expiratory flow Rate (PEFR) in chronic obstructive pulmonary disease (COPD) patients. 30 subjects were selected as COPD as a diagnosis. All 30 subjects were checked for their peak expiratory flow rate (PEFR) by wright peak flow meter in sitting position.3 readings were taken and average of them was recorded. All 30 patients were then applied an abdominal binder in sitting position and checked for peak expiratory flow rate (PEFR).3 readings were taken and Average of them was recorded. The mean PEFR value after the application of abdominal binder and prior to application of abdominal binder was analysed and mean PEFR value showed significant increase after the application of abdominal binder. Thus this study says immediate effect of abdominal binder on peak expiratory flow rate in COPD patients is increase in peak expiratory flow rate (PEFR).

  17. Added effect of yoga-based exercise program on balance and fear of fall in chronic post-stroke hemiparetics Download Article

    Sailee Wakade, Dr. Sanjivini Dhote (PT), Dr. Snehal Ghodey (PT)
    • Article Type: Research Article
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    • Pages (118-127)
    • No of Download = 72

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    Background and aims The purpose of the study was to find out the added effect of Yoga-based exercise program alongwith conventional balance exercises on balance and fear of fall in chronic post-stroke hemiparetics. Balance in stroke patients is affected due to decrease in muscle strength, myotonus changes, sensory defect, abnormal posture reaction, and cognitive problems, and lack of central integration of somtosensory, vestibular and visual sensory inputs. Yoga has been known to improve strength in voluntary muscles and has an effect of somatosensory system. Methods An experimental study was carried out On 10 stroke patients picked through purposive random sampling in Talegoan Dabhade, 5 in the control group were given conventional balance exercises and 5 were given added Yoga exercises including asanas and pranayama(breathing exercises) for 4 weeks, 4 sessions per week. Pre and post outcome measures: POMA for balance and FES for fear of fall were taken. Results There was more improvement in POMA scores with a p-value of 0.01039 and FES scores with p-value 0.01739 in the experimental group which is statistically significant and hence favours the study.

  18. Pharmacist educational intervention in intravenous patient controlled analgesia in associated with decreased postoperative pain Download Article

    Dr. Uma Maheshwar Rao1, Sindhu, R. Rama Devi, R. Niranjan Das, S. Prashanth, Sameena Khatoon, R. Manasa Reddy, Sana Fathima
    • Article Type: Research Article
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    • Pages (128-137)
    • No of Download = 47

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    Education may be provided by any healthcare professional who has undertaken appropriate training education, education on patient communication and education is usually included in the healthcare professional's training. One of the most obvious problems a person has to deal with after surgery is pain. There are many reasons why it is important to treat pain after surgery adequately and promptly. This study was conducted to compare the clinical efficacy and adverse effects of multimodal analgesic regimen of morphine and Ibuprofen combined with ketorolac using IV PCA, and to study the effect of structured preoperative educational program on analgesic efficacy, incidence of adverse effects, and patients` satisfaction. Categorical data and proportions were analyzed using the χ2 test or the Fisher’s exact test as required. Student’s t test was used to compare the Physician-Pharmacist Co management of Postoperative means of the 2 groups with normal distributions, and the Mann-Whitney U test was used to compare variables with non-normal distributions. All tests were 2-tailed, P value < 0.05 was considered statistically significant. Morphine provides more effective postoperative analgesia than Ibuprofen when coadministered with ketorolac. The combination of ketorolac allowed more pronounced synergistic effect with morphine than that with Ibuprofen. Preoperative patient and nurse education improved analgesia and overall patient satisfaction with their pain treatment protocol; the patient can treat pain more in a more timely and individualized manner, thus, increasing pain-management satisfaction.

  19. Comparision of Paraffin Wax Therapy Versus Low Level Laser Therapy in Patients with Trigger Point in Tennis Elbow-A Pilot Study Download Article

    Chinmayi Kavatkar, Dr. Bindu Sarfare (PT), Dr. Snehal Ghodey (PT)
    • Article Type: Research Article
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    • Pages (138-149)
    • No of Download = 52

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    Background Lateral Epicondylitis also known as tennis elbow affects the wrist extensor muscles .Pain occurs due to repetitive microtrauma between 30 and 55 years. It affects 1%-3% of the population and mostly involves the dominant hand with no gender predisposition. Aim The purpose of the study is to compare Paraffin Wax Therapy (PWT) and Low Level Laser Therapy (LLLT) on pain and grip strength in patients with trigger point in tennis elbow. Method 20 subjects randomly recruited into 2 groups,Group1 given PWT and group 2 given LLLT and both groups also received supervised exercise protocol for 5 days .Pre - Post assessment was carried .Pain and grip strength were assessed using NRS and Hand held Dynamometer . Results Wicoxon test was used to find pre- post treatment values of NRS. NRS at rest for both the groups p=0.0078 and NRS on activity for group1 was p=0.0039, group 2 p=0.0078 showing significant results .Paired t test assessed pre- post treatment values of grip strength with p=0.2668 of group1 showing no significant results and 0.0009 of group2 suggesting significant results .Mann-Whitney U test compared NRS between the groups with p=0.4401NRS at rest p=0.3236NRS on activity with no significant results .Unpaired t test compared grip strength between the groups with p=0.0432 giving significant results .Conclusion-PWT and LLLT both are equally effective in reducing pain and LLLT alone is effective in improving grip strength in patients with trigger point in tennis elbow.

  20. Manja injury: turning festivals into mishaps Download Article

    Dr. Shagufta Ali, Dr. Amit Mahajan, Dr. Anil Luther
    • Article Type: Case Report
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    • Pages (150-153)
    • No of Download = 54

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    Kite flying is a popular traditional sport in India, Bangladesh and Pakistan. The thread or “manja” used for flying kites is made up of glass powder, glue and lethal chemical and metallic substances, which make it very sharp. The severity of the injury depends on these abrasive materials used for making the thread. Presenting a case report of 15-years-old male patient who sustained a clean cut, deep incised wound in zone II, exposing the fat, muscle and actively bleeding artery was managed with wound exploration and ligation of the involved artery.

  21. A profile of total leukocyte count in acute febrile illness Download Article

    Candy Friyola Anselen, Chitrambalam Pavadai, Prasanna Karthik Suthakaran, Asif G Ahmed
    • Article Type: Research Article
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    • Pages (154-157)
    • No of Download = 54

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    Fever is one of the common illness in the adults during the monsoon season with variable cause such as bacterial, viral, protozoal, autoimmune, malignancy, etc. Patients may usually present with fever associated with chills and rigors, cough with expectoration, headache, myalgia, vomiting, loose stool, dehydration, etc. estimation of total leukocyte count on admission helps in prognostication and is useful to proceed in aggressive approach. Aim To study on usefulness on admission total leukocyte count in acute febrile illness and their importance in prognostication. Materials and methods An observational, retrospective study was conducted in tertiary care hospital in Chennai Saveetha Medical College and Hospital during monsoon season August– October 2017. Demographic, clinical and laboratory data were collected and analysed for each patient. Results Total number of patients enrolled were 115 out of which Men 66 (57%) and the age group was between 18 to 30 years comprised the large proportion of the cases with total of 55 (48%). The most common symptoms were fever with myalgia 63(55%), Abdominal pain 21(18%), Headache 11 (10%), Breathlessness 9 (8%), Burning micturition 7(6%), Vomiting 4(3%). The common diagnosis Undifferentiated fever 46(39%), Dengue 24(20%), Fever with thrombocytopenia 12(10%), Malaria 8(7%), UTI 7(6%), Tuberculosis 6(5%), Scrub 4(3%), Leptospirosis 4 (3%), Pneumonia 3(2%), Entric 3(2%), Thyrotoxicosis 1(1%), Dengue with Leptospirosis 1(1%). Conclusion The similarity in clinical presentation and etiological agents demonstrates the complexity of diagnosis and treatment of acute febrile illness. The study of clinic laboratory profile of febrile illness during monsoon was helpful in finding the cause and prompt treatment.

  22. A comparative study between neurodynamic sliders and static stretching on hamstring flexibiliy in normal individuals with hamstring tightness Download Article

    Manasi Lotankar, Dr. Aishwarya Kanhere (PT), Dr. Snehal Ghodey (PT)
    • Article Type: Research Article
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    • Pages (158-164)
    • No of Download = 54

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    Background and Aim Flexibility is considered important for general health and fitness. The Neurodynamic sliders technique has been shown to improve hamstring flexibility. It targets the neural tissue as well as the surrounding connective tissue rather than only the muscle tissue which is targeted mainly in the static stretching. The aim of this study is to compare the effects of NDS (Neurodynamic sliders) and static stretching on hamstring flexibility in order to identify the most effective intervention for hamstring tightness. Methodology An experimental study was carried out wherein 60 individuals selected by random sampling by Active Knee Extension test (AKE) were divided in two groups, (30 each) one received NDS and the other received static stretching. The individual interventions were given 3 times per week for 4 weeks and the AKE was repeated in the 4th week to record results. Result and conclusion The study suggests that there is a statistically significant difference for an increase in hamstring flexibility in participants with static stretching as well as those with NDS which indicates that both static stretching and NDS are effective in increasing the hamstring flexibility individually .The comparison between the two indicates that both of them are equally effective. Keywords: Neuro dynamic sliders, Hamstring, Flexibility

  23. Study on impact of patient related variables on CD4 count and opportunistic infections in HIV seropositives Download Article

    Divya Yedluri, Varoodha Kanneboina, Jyothsna Medarametla, Prathyusha Suddapalli4
    • Article Type: Research Article
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    • Pages (165-174)
    • No of Download = 65

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    Background Opportunistic infections are the hallmark manifestations of AIDS. To decrease the incidence of OI’s in PLHIV, there is a need to study the impact of all relevant factors which may be a key for the development of OI’s. Aim To study the impact of patient related variables on CD4 count and opportunistic infections in people living with HIV. Methods and methodology A Prospective Observational study was carried out at ART center. HIV patients who met inclusion criteria were informed consented and included in the study and relevant data was collected in a prior designed data collection form. Results A total of 214 patients having OI’s were included among which 55.1% (n=118) were women and 44.9% (n= 96) were men. Most of the OI’s occurred in the age group of 31- 40 yrs. (n=85; 39.17%) and when CD4 count was between 100-350 cells/mm3. TB was the most common OI (n=115; 50%) followed by candidiasis (n= 110; 47.8%). When BMI was correlated with CD4; it revealed that underweight was predominant (n=62; 79.49%) when CD4 count was < 350 cells/mm3. Grade II anemia was most common (n=97; 49.24%) and most of the patients with OI’s belong to upper lower class (n=179; 83.64%) according to KSES. Risk grading using JDPV scale reveals 107 (50%) patients fall under high risk category and 64 (29.3%) , 4 (1.87%) are with moderate and high risk respectively. Conclusion This study reveals that there is a positive relationship between BMI and CD4 count and it also shows that the incidence of OIs is influenced by multiple factors which should be considered to provide appropriate care to the patient.

  24. Advancements in Ayurvedic Researches in the past 20years-A Database Survey Download Article

    Dr Gowri M, Dr Rajmohan V, Dr S Thara Lakshmi
    • Article Type: Research Article
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    • Pages (175-182)
    • No of Download = 51

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    Ayurveda is the personalized medicine practiced in India since 200BC. According to WHO 70 – 80% world population rely on nonconventional medicines mainly of herbal sources in their health care. Undoubtedly Ayurvedic treatment stands at par to the conventional medicines in treating the chronic diseases prevalent in the current scenario. Unfortunately due to lack of scientific validation in various concepts, Ayurveda is confronting various challenges which restrain its emergence in the frontier in world wide health scenario. Therefore evidence based research on the basis of advanced research methodology is in high need for the global recognition of the science. Proper research through appropriate Research methodology is the key for validation of a concept. A database survey was conducted on the ayurvedic researches published in the past 20 years using databases like pubmed and NCBI. Evaluation was done regarding the developments and methodologies which have occured so far in these researches in 20 years. In the survey it was observed that there was a progressive development in numbers as well as application and utilization of various research designs in Ayurvedic Research. A changing trend was observed in these 20 years in the research methodologies from preliminary researches like standardization studies in the late 20th century to meta analysis studies in the 2nd decade of 21st century. It was also observed that out of approximately 2000 articles surveyed in total in the time period from 1996 to 2016,using the key words Ayurveda, Research, Ayurvedic Research ,Ayurveda research, only around 323 of them were found to be published by Ayurvedic professionals . The Journals in which these articles were published was also evaluated in reference to scientific journal ranking list and Impact factor and was found that in this sphere too the advancements achieved in the course of time are praiseworthy. It was inferred that though the extent of advancements being achieved in Ayurvedic research, are progressing in the due course of time the number of articles being published in pubmed indexed journal are not in proportion to the works which are actually been conducted in various Ayurvedic Colleges and Research Institutes in India. Thereby due concern should be extended in regard to this issue for the progress of the Science.

  25. Study of carotid intima media thickness in patients of Non diabetic chronic kidney disease Download Article

    Mohamed Azeem Sherfudeen, Jagadeesan Mohanan, Prasanna Karthik Suthakaran, Chitrambalam Pavadai
    • Article Type: Research Article
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    • Pages (183-186)
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    Background Patients with chronic kidney disease are at high risk for developing cardiovascular complications. Cardiovascular diseases are major cause of morbidity and mortality in patients of chronic kidney disease due to accelerated atherosclerosis. Measuring the CIMT is a useful marker of atherosclerosis in chronic kidney disease patients. Coronary artery atherosclerosis can also be correlated with CIMT thickness. Aims and objectives This study focuses on assessing the carotid intima media thickness in patients of non-diabetic kidney disease among the patients admitted in medical wards of saveetha medical college hospital, Chennai. Materials and methods This was a prospective study of carotid intima media thickness in patients of non-diabetic CKD, done in the Department of Medicine, saveetha Medical College & Hospital, Chennai. A total of 50 patients of non-diabetic CKD were enrolled. Measurement of intima media thickness was done bilaterally in the common carotid arteries and higher value of CIMT of any one carotid artery was recorded using Doppler Ultrasound. Results Out of 50 patients of CKD, 42 were males and 8 were females. 22 patients belonged to Stage 3 CKD, 18 patients belonged to stage 4 and stage 5 CKD was observed in 10 patients. CIMT in CKD patients was between 0.9 to 1.0mm. The mean age was 52.6(35-74) years. Hypertension was observed in 38 patients and Dyslipidaemia in 15 patients. Conclusion CIMT measurement was done in our study population of 50 patients and CIMT was found to be increased in patients of non-diabetic chronic kidney disease irrespective of the stage of CKD. Patients with High mean blood pressure had high CIMT values as compared to patients having low mean blood pressure. Patients with dyslipidaemia were found to have high levels of CIMT. It is concluded in our study that CIMT was higher in patients with chronic kidney disease irrespective of the stage in Non-diabetic patients.

  26. Added effect of proximal fibular glide in subjects with knee osteoarthritis Download Article

    Vaishnavi R. Nagpure, Dr. Sukhada Ghodey (PT), Dr. Snehal Ghodey (PT)
    • Article Type: Research Article
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    • Pages (187-196)
    • No of Download = 48

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    Background and Aim Knee osteoarthritis (OA) produces significant changes in health-related quality of life, physical, mental and social components of health. Aim of the study is to find the effectiveness of tibio-fibular glide along with conventional treatment for reducing pain and improving the functional ability in the Subjects with Knee Osteoarthritis. Methods and Results 30 Subjects with Knee Osteoarthritis were selected with purposive sampling method and randomly divided into two groups of 15 subjects in each Group. Group A received tibio-fibular glide along with conventional treatment while Group B received only conventional therapy, pain and functional ability was measured using NRS and WOMAC scale respectively. Results The subjects who received tibio-fibular glide along with conventional therapy both their NRS and WOMAC improved significantly (p<0.0001) as compared to those who received the conventional therapy alone. Conclusion The study demonstrated tibio-fibular glide when combined with conventional physiotherapy, improved pain and functional ability in patients with Knee Osteoarthritis.

  27. A comprehensive Review on Ethanobotanical and Pharmacological uses of Artocarpus hirsutus Lam Download Article

    R.Rajeswari, G.Sumithira, V.Ganesan
    • Article Type: Research Article
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    • Pages (197-202)
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    The association of humans and animals with plants originated with the beginning of the life on the earth when plants supplied much of the shelter, oxygen, food and medicine for higher life. The use of herbs and its extracts for their healing powers have been traced early and writings used to code those plants that can ease disease. India being the treasure house of biodiversity with its diverse ecological conditions rich ethnic diversity and strong traditional knowledge base accounts for 45,000 plant species out of which is used in herbal formulation. The Artocarpus (Moraceae) comprises about 50 species of evergreen and deciduous trees. The genus is economically importance as a source of edible fruit, timber and folk medicines. The aim of the present review is to cover the comprehensive information of the plant Artocarpus hirsutus. The extensive biological evaluation on the components of this species rarely appears in literature which restricts its use as medicinal herb. The fruits and seeds of the plant were edible and many parts of the plants were used in folk medicine meant for external use.

  28. A review of consideration of ethnic factors during drug approval process Download Article

    Sudershan Goud Gokari, Dr. Vijayanarayana, Sujitha Bajjuri, Santosh Kumar Panda
    • Article Type: Review Article
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    • Pages (203-213)
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    Purpose To determine feasibility of drug registration for the selected drugs at USFDA based on the ICH E5 guideline. Methods Methodology involves two steps, they are 1. Determination of ethnic sensitivity of the selected drugs based on factors such as pharmacokinetics (PK), pharmacodynamic (PD), therapeutic range, and metabolism etc., given in appendix D of ICH E5 guidelines. 2. Determination of the need for the bridging studies after determining ethnic sensitivity of the selected drugs based on the ICH E5 guidelines. Results After the extensive analysis of the selected drugs, ethnic factors found to have profound effect across all classes of drugs like Analgesics and Anti-Inflammatory Agents, Central Nervous System Agents, Antihypertensive Drugs, Anticoagulants, Metabolism and Endocrine Agents, Immunomodulators, Anticancer Agents, Gastrointestinal Agents, Antiparasitic Agents and Genitourinary Agents. Conclusion Some drugs may be ethnically insensitive and some other drugs may be ethnically sensitive among the selected drugs based on the ICH E5 guideline. Drugs which are ethnically insensitive may be approved by USFDA (United States Food and Drug Administration) without need of bridging studies where as drugs which are ethnically sensitive and they need bridging studies before they can be approved.

  29. Immediate effect of kinesiotaping to rectus abdominis muscle on peak expiratory flow rate (PEFR) in post abdominal surgery patients Download Article

    Ashwini P. Patole, Dr. Sneha Ghuman (PT), Dr. Varoon Jaiswal (PT), Dr. Snehal Ghodey (PT)
    • Article Type: Research Article
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    • Pages (214-217)
    • No of Download = 39

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    The purpose of this study was to determine the changes in the PEFR values after application of Kinesiotape to rectus abdominis in post abdominal surgery patients. This study was conducted on 30 subjects who underwent abdominal surgery. The study was conducted within 3 days post-surgery. The PEFR levels were recorded before applying kinesiotape using wright peak flow meter.3 readings were taken in sitting position and mean was recorded. Kinesiotape was then applied to the rectus abdominis muscle area over abdomen in the stretch position where the arms were flexed overhead. After application 3 PEFR readings were recorded and mean was calculated. On comparing the pre and post values, there was increase in the PEFR values post application of kinesiotape. Thus this study says that there is immediate effect of Kinesiotaping to rectus abdominis on PEFR in post abdominal surgery subjects.

  30. A clinico-pathological study of pyoderma in rural background tertiary care centre of north India- an original research article Download Article

    Dr. Usha Kataria, Dr. Yashdeep Malik.
    • Article Type: Research Article
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    • Pages (218-222)
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    Background Pyodermas are the commonest of infection observed in dermatological practice. It is defined as any purulent skin disease and represents bacterial infections of skin and hair follicles. Objective To evaluate the epidemiological spectrum of pyodermas and assess the role of predisposing factors and clinical profile. Materials and methods All new cases of pyoderma presenting to the outpatient department of skin –VD and Leprosy from April 2015 to March 2016 were taken up for the study. Results A total of 2560 consecutive cases of pyoderma were included in the study. A total number of 26965 new outdoor patients attended the hospital during this period. So the incidence was about 10% cases of pyoderma. Primary pyodermas were found to be more common as compared to secondary pyoderma.

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