Articles

  1. Immediate effect of vestibular exercise on blood pressure in healthy females Download Article

    CharishmaSaroj N, Kumar Sai Sailesh, Ravikanth Manyam
    • Article Type: Research Article
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    • Pages (773-776)
    • No of Download = 189

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    Background Both animal and human studies reported that stimulation of vestibular system alleviates stress and regulates blood pressure. Vestibular stimulation was reported to modulate the blood pressure and respiration through brainstem inhibitory mechanisms. Objective The present study was undertaken to observe the immediate effect of vestibular exercises on blood pressure in healthy females. Methodology A total of thirty apparently healthy female participants were included in the study after obtaining the written informed consent. Those with serious complications, following any treatment or therapy and unwilling participants were excluded from the study. Blood pressure and heart rate was recorded using JSB fully automatic upper arm style Blood Pressure Monitor (Model: DBP05 digital arm BP monitor).After recording the baseline blood pressure, the participants were asked to performsix minutes of vestibular exercises according to the Cawthrone and Cooksey’s protocol which includes, walking in a straight line while looking sideways, throwing ball from one hand to the other by fixing gaze on the ball, walking straight and throwing ball from hand to hand by fixing gaze on the ball. Duration ofeach exercise was fixed for two minutes by trial and error method. Immediately after the exercise, blood pressure was recorded and compared. Results There was a decrease in systolic blood pressure followed by vestibular exercise. However, it was not statistically significant. There was a significant decrease (P<0.05) in diastolic blood pressure followed by vestibular exercise. Conclusions Significant decrease in the diastolic pressure but not systolic blood pressure was observed followed byvestibular exercise. We recommend further detailed studies in this area to understand the effect of vestibular exercises on blood pressure, which helps to recommend adoption of vestibular exercises in the management of hypertension.

  2. Audiovisual model as an effort to form a tooth brushing habit of elementary school students Download Article

    Wahyu Jati Dyah Utami, Diyah Fatmasari, Rasipin, Bedjo Santoso, Supriyana
    • Article Type: Research Article
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    • Pages (777-783)
    • No of Download = 179

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    Background Tooth brushing programs that have been carried out in schools have not been able to change the brushing behavior of elementary school students, shown by OHI-S value = 1.3; DMF-T=1.09, def-t=1.78. Program improvement in behavioral aspects needs to be done to improve the dental health level of elementary school students. Behavioral changes are influenced by information. Information will be stored as much as 20% if delivered through visuals, 50% of the cost is delivered through audiovisual media and 70% if implemented in real practice. Research Objectives Analyze the effectiveness of the audiovisual media model on tooth brushing habits of schoolchildren Method Quasy experiment with pretest and posttest with control group design. The sample was divided into 2 groups, the audiovisual model in the intervention group, and the brushing program in the control group. The treatment was carried out for 21 days, the measurements were carried out pre-experiment, 25th and 35th days. Data were tested using the test freedman post hoc Wilcoxon, Man Whitney repeated, and Kruskal Results On the 25th-day measurement of significant changes in variable ways, long brushing teeth p<0.05. At the 35th day measurement, there was a significant change in the method variable, morning brushing teeth p<0.05. This model is effective against the formation of the habit of brushing teeth indicated by p<0.001. Conclusion The audiovisual model has the potential as an alternative to brush your teeth together in school so that it can be applied in the School Dental Health Business.

  3. Verrucous carcinoma – a case report Download Article

    Kriti Sareen, Anshuman Jamdade, Satyapal Yadav
    • Article Type: Case Report
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    • Pages (784-789)
    • No of Download = 159

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    Verrucous carcinoma is a rare warty variant of squamous cell carcinoma characterised by a predominantly exophytic growth.It commonly affect oral cavity with buccal mucosa being the commonest site affected .This form of cancer is often seen in those who chew tabacco or use snuff orally. It is mostly misdiagnosed by other benign lesions like verrucous leukoplakia , papilloma, verrucous hyperplasias of oral cavity .it is usually associated with premalignant lesions like leukoplakia,oral submucous fibrosis indicate “field cancerization” which can lead to multiple recurrences. henceforth early diagnosis and surgical excision with wide margins and appropriate reconstruction is necessary to optimaze the disease and final outcome. Here we are presenting a case of oral verrucous carcinoma associated with oral submucous fibrosis which was misdiagnosed earlier.

  4. Modification of problem-based learning and role play models to skills early detection of dental caries Download Article

    Karsum Udin, Lanny Sunarjo, Ari Suwondo, Bedjo Santoso, Diyah Fatmasari
    • Article Type: Research Article
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    • Pages (790-794)
    • No of Download = 185

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    Background The UKGS program has been running since 1951 but the results have not been satisfactory, the results of the Basic Health Research show that the caries experience index in the 12 year age group (DMF-T) has increased from 0.91 in 2007 to 1.4 in 2013. early prevention of dental caries involves the participation of parents through training with modification of Problem Based Learning (PBL) and Role Play models Material and Methods Quasi-experiment with pretest-posttest with control group design. The independent variable of this study is the modification of PBL and Role Play and the dependent variable is the skill of early detection of dental caries. Data retrieval uses an observation sheet. The number of samples of 25 people as an intervention group received training using PBL and Role Play modification methods, 25 people received training with the lecture method as a control group. The analysis used univariate and bivariate. Results Training with modification of PBL and Role Play increased skill (0.001). This indicates that the value of p <0.05 means that there are significant differences before and after treatment. Conclusion Modification of Problem Based Learning and Role Play models effectively increases skills of early detection of dental caries

  5. The use of rule-based web information systems to increase knowledge about anemia in pregnant women Download Article

    Septika Yani Veronica, Melyana Nurul Widyawati, and Ari Suondo
    • Article Type: Research Article
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    • Pages (795-798)
    • No of Download = 228

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    Anemia in pregnant women does not have a bad impact, good for the health of the mother and baby. The level of knowledge of pregnant women about anemia will greatly affect the condition of the mother in maintaining self-health in order to be free from anemia because knowledge will affect the health of the brain so that it does not contain anemia. The higher the level of knowledge of pregnant women about anemia, the less likely that pregnant women do not maintain their health conditions. Therefore, this paper uses an information system to increase knowledge in pregnant women. The use of this information system can be an effort to increase insight into the problem of anemia in pregnant women. The quasi-experimental method with pre-post-post with a control group. The number of samples was 20 respondents, then pretest was done in the second group and given freedom in the experimental group, the groups were then given using information systems, the control group used leaflets. Interventions were given for 14 days, on the 15th-day posttest was carried out in both groups. The results of this study indicate a significant speed between groups and controls at the level of knowledge (P-value = 0,000)

  6. Evaluation of anticancer potential of leaves of Ananas comosus Download Article

    Balasubramanian.S, Abinaya.M, Alagu Vadivambal.K, Anitha.D, Anitha.T, Sundar.C
    • Article Type: Research Article
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    • Pages (799-803)
    • No of Download = 200

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    Leaves of Ananas comosus was evaluated earlier for number of activities except for its anticancer potential on HT29 cell line. The flavonoid enriched fraction [FEF] of hydro alcohol extract of leaves was evaluated for cytotoxicity by MTT assay method in HT 29 cell line. It was found to have remarkable cytotoxic effect which was proportionately increasing with increase in concentration.

  7. An uncommon case of stroke – Wallenberg syndrome Download Article

    NivedhaKumari, Mahendra Kumar K, Jagadeesan M, Nithyananthan P, Prasanna Karthik S, Kannan R
    • Article Type: Case Report
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    • Pages (804-806)
    • No of Download = 200

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    Wallenberg syndrome is also known as lateral medullary syndrome though a unusual cause of stroke, more common posterior circulation stroke. We report a 75 year old female diabetic and hypertensive who presented with giddiness and dysphagia. On examination she had numbness over the left half of face, loss of temperature sensation over the right side of the body with absent gag reflex with deviation of uvula to right. Initial work up of computed tomography of brain was normal, on detailed evaluation by MRI brain with MR angiogram showed an infarct in the left side of the medulla suggestive of Wallenberg’s syndrome. This case is to highlight the importance of detailed neurological examination and detailed evaluation by MRI, when posterior circulatory stroke is suspected.

  8. Factors Influencing Smoking Habits among the Students at College of Applied Medical Sciences, Al-Quwayiyah, Shaqra University, Saudi Arabia Download Article

    Farhan R. Khan; Bader S. Alotaibi, Jafar E. Jameela, Kadher Nivas Rafeek, Mamdouh H. Abdel-Ghaffar
    • Article Type: Research Article
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    • Pages (807-814)
    • No of Download = 120

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    Smoking is one of the major health problems and its disease complications are increasing day by day. Smoking associated diseases claims life of one in 10 adults globally. By 2030, if this scenario will continue, smoking will kill one in six people. Tobacco smoking is a global epidemic. The World Health Organization has evaluated that tobacco and its concern products kill over 3.5 million people every year. The objective of this research study is to collect a base line data on the tobacco smoking habits of students at College of Applied Medical Sciences, Al-Quwayiyah, Shaqra University, Saudi Arabia. The age range of participating students was 18 to 28 years. An experimental design with common questionnaire, and simple random selection was carried out to 200 students. Out of 200 participants, 51(25.5%) were current smokers. The 18-28 years old age group showed the highest prevalence of smoking. Among the group of the participants most of were cigarette smokers having light smoking habits less than 10 cigarettes per day. They also smoke Moassel and Shisha casually per day. Survey shows that 71% of the current smokers are well aware and had knowledge about disease & hazards of smoking and 74% of them are willing to cease smoking due to its hazards. The conclusion of the research study was that the prevalence of smoking is one quarter among the students of Applied Medical College Sciences, Al-Quwayiyah, Shaqra University. Smoking habits were significantly higher among males (P<0.05) especially those over 19 years of age and whose fathers are smokers.

  9. Effectiveness of planned teaching programme on knowledge regarding suicidal behavior and its management among PUC students of selected PUC colleges at Vijayapur Download Article

    Amitkumar Biradar, Prashant Kulkarni, Ravikumar Metri, Shreekant Savakar
    • Article Type: Research Article
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    • Pages (815-822)
    • No of Download = 193

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    Background Knowledge of suicidal behaviour and its management among PUC students is believed to be an important determinant of health seeking behaviour as well as adherence to preventive measures. Aims and objectives The study aims at assessing the effectiveness of planned teaching programme on suicidal behavior and its management among PUC students at selected PUC colleges at Vijayapur Materials and Methods A pre experimental one group pre test post-test research design was used for the study. The knowledge of the subjects were determined using a structured knowledge questionnaire. The Planned teaching programme was administered on the same day. The conceptual frame work is based on General system theory. A post test was conducted to determine the knowledge of the subjects on the seventh day by using the same questionnaire which was conducted in selected College of Vijayapur. 80 PUC students were selected using a convenient sampling technique. Results In this study out of 80 samples 34 (42.50%) of them were the age group of 17 years, 40 (50%) of the respondents were male and remaining 40 (50%) of the respondents were female, 38(47.5%) of students are stressful with After school activity, 64 (80%) of students are not having any family history of suicide. The study revealed that 80 (100%) of students never thought and have not attempted suicide. The analysis of mean of the knowledge scores in pre test and post test revealed that the mean pre test knowledge score was 13.07 where as post test knowledge score was 25.91. The mean difference was (12.84) and it shows there is significant difference between pre test and post test after giving planned teaching programme. Conclusion The findings of the study support that Planned teaching programme was effective in increasing the knowledge regarding suicidal behavior and its management among students.

  10. Oral health related quality of life: a review Download Article

    Dr Jagdishchandra Vathar, Dr Harshal Bafna, Dr Minal Kshirsagar, Dr Suryakant Powar, Dr Sandhya Naik
    • Article Type: Review Article
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    • Pages (823-826)
    • No of Download = 213

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    The concept of oral health related quality of life is a relatively new field of research, which examines the functional, social and economic consequences of oral conditions on daily life and well-being. It is now considered as an essential component of assessing oral health of individuals and populations and also outcomes of health care. Several dental researchers have developed measures to assess the effects of oral disorders on the functional, social and psychological well-being. The significant lack of and need for social indicators and a comprehensive approach to measuring the social and psychologic impacts of dental disease has been highlighted in several recent reports.

  11. Antibacterial analysis of Ocimum sanctum mediated silver and copper nanoparticles Download Article

    Pramila M, Prabhusaran N, Meenakshisundaram M, Prabhakar YK, Lalithambigai J, Karthik P
    • Article Type: Research Article
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    • Pages (827-837)
    • No of Download = 168

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    Background and Aim Synthesis and development of newer antimicrobials are necessary to overcome the emerging and re-emerging infectious diseases. To evaluate the in vitro antibacterial activity of the Ocimum sanctum mediated silver and copper nanoparticles. Methods and Results The aqueous solution of the silver and copper, and crude extract of O. sanctum was evaluated. The color change, uv spectra, scanning electron imaging, atomic force microscopic and x-ray diffraction determinations, pH, nitrate and sulphate reductase assay were assessed for O. sanctum mediated silver (Ag-O.s) and copper (Cu-O.s) nanoparticles and finally in vitro anti-bacterial activity was performed. Copper is very effective than silver with maximum inhibition of 20mm against Staphylococcus aureus, Klebsiella pneumoniae and Pseudomonas aeruginosa. Further, the characterization of Ag-O.s and Cu-O.s nanoparticles revealed that the color change to dark brown and bluish tinge; pH upto 5 and 6 respectively. The SEI revealed of Ag-O.s and Cu-O.s as 15nm and 26nm; XRD as crystalline cubic lattice with 41.6nm and polycrystalline wurtzite with 69.2nm respectively. The AFM detected with 71 clusters with 12mm size of each and 48nm distance between two clusters, 177 particles were counted in one cluster whose size is 63nm with the peak height of 130nm for Cu-O.s. Bactericidal nature of Cu-O.s and Ag-O.s showed better results against Pseudomonas aeruginosa, E. coli etc. Conclusion The herbal mediated silver and copper materials were proved as nanoparticles and have effective bactericidal nature compared to the crude activity of herbs and metals.

  12. Measurement of Malondialdehyde (MDA) as a good Indicator of Lipid Peroxidation Download Article

    Rahayu Yekti, Agussalim Bukhari, Nurhaedar Jafar, Abdul Razak Thaha
    • Article Type: Research Article
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    • Pages (838-840)
    • No of Download = 170

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    Redox homeostasis distruptions play a role in pathological conditions. Many compounds such as hydrogen peroxide are mediators and stimulate oxidative stress. Lipids as the main component of the cellular membrane play a role in maintaining cell structure integrity. The main target lipids of ROS attacks such as oxygen free radicals and lipid oxidation are associated with various pathological conditions. Malondialdehyde (MDA) is the result of lipid peroxidation, which is produced from damage to polyunsaturated fatty acids. MDA is a good indicator of lipid peroxidation.

  13. Gender and factors associated for crime among prison inmates at a central jail in north India Download Article

    Navpreet, Paramjeet Kaur, Gurmeet Singh, Anupama Dhiman
    • Article Type: Research Article
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    • Pages (841-848)
    • No of Download = 193

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    Background and Aims There is an increase in number of prison population over past few years. The nature of crime relates to social and economic conditions of society. To study socio-demographic factors associated with crime of prison inmates at a Central Jail in north India according to gender. Methods and Results The cross-sectional point prevalence study was conducted at Central Jail, Patiala, Punjab (India) from August 2007 to July 2008. Two hundred male inmates from different categories of crime after stratification and all sixty-five female inmates were included. The inmates were interviewed by using a pre-designed pre-tested questionnaire regarding factors associated with crime. Descriptive analysis was done, and Chi-square test was used as test of significance. There was significant difference found between educational status (p=0.00), occupational status (p=0.00), marital status (p=0.00), history of any untoward happening during childhood (p=0.00), history of conflict between family members (p=0.02) and history of alcohol/substance intake (p=0.00) of female inmates vis-à-vis male inmates. Rest of the factors were not found to be significantly different among female and male inmates. Conclusion: Factors for crime among female inmates were not much different from male inmates except for their level of education, level of occupation, marital status and family-related factors which makes female more vulnerable towards crime.

  14. Investigation of hand, foot, and mouth diseases (HFMD) outbreak in Jatitujuh Majalengka District in 2015 Download Article

    Rudi Hendro Putranto, Galih Ajeng Kencana Ayu, Syamsuar
    • Article Type: Research Article
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    • Pages (849-853)
    • No of Download = 173

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    Background The District Epidemiology Surveillance Team (TGC) received a report from the Epidemiology Surveillance (SE) officer at the Health Center on September 3, 2015 at 2:00 p.m. that the doctor reported that a child was diagnosed with a Singapore flu suspect. Objective Extracting information about outbreaks of disease: etiology, characteristics and risk factors for the spread of the disease, so that mitigation and prevention measures can be taken and Confirmation of Extraordinary Events. Methods Research agency of District Health Office of Majalengka and Puskesmas conducted investigations, sampling and interviewing cases suspected of HFMD. The samples obtained were taken to the Health Research and Development Agency for inspection. Results Based on the results of table 1 above, the percentage of cases is more prevalent in the child age group 5.5 to 10 years, while the specimens taken only from the age group <5 years are 2 people (Table 2) then the results of the Positive HFMD Laboratory are 1 Specimens (50%), so that for this area the incidence of HFMD has been confirmed and it is necessary to increase early awareness of similar events in the future, namely by continuously improving the Clean and Healthy Lifestyle (PHBS).

  15. Plasma cell mucositis: a review Download Article

    Dr. Amrita Aggarwal, Dr. Anshuman Jamdade, Dr. Satyapal Yadav, Dr. Neeraj Yadav
    • Article Type: Review Article
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    • Pages (854-859)
    • No of Download = 206

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    Plasma cell mucositis (PCM) is an infrequent disease arising from internal dysfunctions of unspecified rationale. In this disease, plasma cells increase rapidly into connective tissue enormously. This condition influences upper aerodigestive tract and one or more body orifices. The motive of this review is to focus on assorted treatment modalities, differential diagnosis and etiology of PCM with emphasis on comprehensive history taking. Inspite of the fact that it is an uncommon condition, it necessitates immense evaluation and should be considered as “diagnosis of evaluation”. The literature was searched using “Pub Med” and electronic databases from 1981 to 2017. A total of 98 articles were retrieved from 1952-2017. Among the retrieved articles, most of them were case reports related to medical treatment procedures, 7 were short studies and 5 articles reviewed the differential diagnosis of PCM. In latest documentation, emphasis made on comprehensive history picklings to explore the probable cause and allergen, evaluation and performing particular investigations to reach at conclusion. Substantial researches are essential to approach at ultimate result for specific treatment modality for management of PCM.

  16. V- Lingual Jig Download Article

    Parul Agrawal, Vikas Jharwal, Kamal Bajaj
    • Article Type: Research Article
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    • Pages (860-863)
    • No of Download = 161

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    Esthetics has always been one of the primary concern for the patients opting for orthodontic treatment. Lingual orthodontics is gaining popularity these days. Lingual brackets need customization, as torque can not be incorporated into lingual bracket bases due to anatomy of lingual surface of teeth. V-lingual jig is one of the ways to do lingual bracket customization.

  17. Nerveforte-EC tablets: a multiple nutrient super antioxidant with antiaging benefits Download Article

    Govind Shukla, Sangeeta Kumari, Jaspreet Singh, Ms.Anu Rawat, Amitpal Singh, Sandeep, Gopal Sharma
    • Article Type: Research Article
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    • Pages (864-874)
    • No of Download = 156

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    An antioxidant is a molecule capable of inhibiting the oxidation of other molecules. Oxidation is a chemical reaction that transfers electrons from a substance to anoxidizing agent Oxidation reactions can produce free radicals. In turn, these radicals can start chain reactions Antioxidants terminate the chain reactions by removing free radical intermediates, and inhibit other oxidation reactions. They do this by being oxidized themselves, so antioxidants are often called as reducing agents such as thiols, ascorbic acid or polyphenols. Antioxidants are widely used as ingredients in dietary supplements and have been investigated for the prevention of diseases such as cancer, coronary heart disease and even altitude sickness. Antioxidants are our first line of defense against free radical damage, and are critical for maintaining optimum health and wellbeing. The need for antioxidants becomes even more critical with increased exposure to free radicals. Pollution, cigarette smoke, drugs, illness, stress, and even exercise can increase free radical exposure. Because so many factors can contribute to oxidative stress, individual assessment of susceptibility becomes important. Many experts believe that the Recommended Dietary Allowance (RDA) for specific antioxidants may be inadequate and, in some instances, the need may be several times the RDA. As part of a healthy lifestyle and a well-balanced, wholesome diet, antioxidant supplementation is now being recognized as an important means of improving free radical protection. Damage to cells caused by free radicals is believed to play a central role in the aging process and in disease progression. The present paper Reviews the Role of NERVEFORTE-EC TABLETS in maintaining optimum health and wellbeing.

  18. Dental health education media in the form of android-based monopoly game Download Article

    Muliadi, Bedjo Santoso, M. Choiroel Anwar, Masrifan Djamil, Diyah Fatmasari
    • Article Type: Research Article
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    • Pages (875-881)
    • No of Download = 165

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    Introduction Oral and dental health problems can be prevented through dental health education in which methods and media play an important role. Media that is often used in schools is still conventional. So that it needs research on game-based media use. Aims To analyze the effectiveness of monopoly game as an android-based dental health education media. Methods Non-randomized control group Quasi-experimental pre-test and post-test design. Samples totaling 120 students (4 elementary schools) were taken using total sampling technique. The research instrument used was a questionnaire to evaluate the feasibility of the media and questionnaires to obtain the value of dental health knowledge and attitudes analyzed through Wilcoxon and Mann-Whitney tests. Results The p-value value of the comparative test of 2 groups in pairs on the knowledge and attitude of dental health in the intervention and control groups was 0.001. The p-value of the comparative test of 2 unpaired groups on dental health knowledge and attitudes between the intervention and control groups was 0.001. Conclusion The application of monopoly game is more effective than leaflets in improving knowledge, dental health attitudes and need further research to test the effectiveness with more sample sizes.

  19. Effect of Yoga V/S Pilates mat exercises on pain, disability and core stability on working young women with non specific low back pain: a randomized control trial Download Article

    Shilpa Khatri, Ujwal Yeole, Purva Raut
    • Article Type: Research Article
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    • Pages (882-886)
    • No of Download = 159

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    Background Low back pain (LBP) is one of the most common complaints and is the main reason for discomfort experienced by adults younger than 45 years of age. Weak co-ordination and stabilization of the trunk muscles is one of the main causes of LBP. Objectives To study the effects of Yoga and Pilates mat exercises on pain, disability and core stability using Modified Oswestry Disability Index, Unilateral Hip Bridge Endurance test and Trunk Stability Test. Material and Methodology Total number of 60 female participants between the age 18-35 years with non specific Low back pain for more than 3 months were selected by simple random sampling. Modified Oswestry Disability Index, Unilateral Hip Bridge Endurance Test and Trunk Stability Test were used to assess pain, disability and core stability pre and post intervention. Participants were divided in 3 groups , Group A was given Yoga Mat exercises, Group B was given Pilates mat exercises and Group C was given conventional exercises for Low back Pain. Results After comparing pre and post intervention data using paired and unpaired t test results showed, there was significant improvement in pain, disability (p<0.0001) and core stability (p < 0.0001) in both group A and B but no significant change in Group C. Conclusion Both Yoga and Pilates mat exercises have equal effects on pain, disability and core stability in young working women with non specific Low back pain.

  20. Effect of Oropharyngeal Exercise on Obstructive Sleep Apnea Download Article

    Dr.Nilesh Andhare (PT), Dr.Ujwal Yeole (PT), Ms.Swapnita Deshpande
    • Article Type: Research Article
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    • Pages (887-893)
    • No of Download = 199

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    Background Obstructive Sleep apnea is increasing health problem seen in developed as well as developing countries. CPAP is a gold standard treatment protocol used in all over the countries. Because of its cost effectiveness and device related discomfort it is necessary to find alternative treatment regimen. Oropharyngeal exercises are the treatment which involves the correct use of the physiological structures and functions by means of functional exercises and muscular exercises with the aim of increasing the tonus and mobility of oral structures in upper airway obstruction. The purpose of the study was to evaluate the effect of Oropharyngeal exercises as a simple method for treatment of patients with obstructive sleep apnea syndrome. Objectives To study the effect of Oropharyngeal exercises on obstructive sleep apnea syndrome. Subjects and methods 50 diagnosed patients with OSAS were subjected thorough calculation of PSQI index and STOP-BANG sleep apnea questioner. PEFR values and SpO2% were noted. Informed consent was taken. 3 month supervised exercise programme was given with 5 days/week, twice daily. Pre & post outcomes were noted. Results There was significant decrease in severity of apnea on STOP-BANG sleep apnea questionnaire, after Oropharyngeal exercises (p<0.0001). Also there were significant increase in oxygen saturation and PEFR values after Oropharyngeal exercises (p<0.0001 and p<0.0044). Conclusion It is concluded that Oropharyngeal exercise can achieve improvement in Obstructive sleep apnea syndrome.

  21. Parasymphysis fracture treated with three dimensional miniplate – a case report Download Article

    Dr. Seema S Pendharkar, Dr. Deepak K Motwani, Dr. Akansha A Auti
    • Article Type: Case Report
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    • Pages (894-896)
    • No of Download = 186

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    Introduction Maxillofacial trauma is becoming a cause of great concern due to increase in number of road accidents. Other causes includes violence, sports injury etc. There are number of treatment modalities ranging from conservative method to open reduction. In 1992, Farmand M. developed three dimensional plates with quadrangular design, formed by joining two miniplates with interconnecting crossbar. Case Report The aim of this article is to present a case reported to dept. of oral and maxillofacial surgery with chief complaint of pain and swelling in anterior region of lower jaw. After clinical and radiological evaluation right parasymphysis fracture was diagnosed and was treated with open reduction and internal fixation with 3 dimensional plate through intraoral approach. Conclusion The outcome of treatment was positive. Internal fixation with 3 dimensional plates are appropriate treatment plan for parasymphysis fracture.

  22. EFFECT OF SLOPE WALKING ON BALANCE AND GAIT IN PARKINSON’S PATIENTS – RANDOMIZED CONTROL TRIAL Download Article

    Dr. Tushar Dhawale, Dr. Ujwal. L. Yeole, Pragati V. Randhir
    • Article Type: Research Article
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    • Pages (897-901)
    • No of Download = 238

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    Balance and Gait disturbances is common feature in Parkinson’s disease (PD). An abnormal stooped posture contributes to development of festinating gait pattern, Characterized by a progressive increase in speed with a shorting of stride. Gait disorders, balance impairment, falls, and fall related injuries are present in PD patients. Walking on slope increases the activity levels in some of the lower extremity muscles and may be an excellent way to improve muscle strength and increase endurance. Objectives To study effect of slope and ground level walking on balance and gait in Parkinson’s patients. Method and methodology Total number of 30 patients between the age 50-80 years with diagnosed Parkinson’s disease since 1 year were selected by simple random sampling. Berg balance scale, timed up and go and dynamic gait index were used to assess balance and gait pre and post intervention. Participants were divided in 2 groups, Group A was given Slope walking training, Group B was given ground level walking. Results After comparing pre and post intervention data using paired and unpaired t test results showed, there was significant improvement on balance(p<0.0001) and gait(p<0.0013) in Parkinson’s patients. Conclusion There is significant effect of slope walking than ground level walking on balance and gait in Parkinson’s patients.

  23. Comparison of the effectiveness of inhaled short-acting β2 agonist and anti-cholinergic with and without inhaled corticosteroid in improving the pulmonary function in COPD patients Download Article

    Dr. Mathew George, Dr. Lincy Joseph, Dr. K. Sattanadhan, Anila Lal, Anitha Mathew, Chinju Antony
    • Article Type: Review Article
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    • Pages (902-913)
    • No of Download = 134

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    [1] Chronic Obstructive Pulmonary Disease (COPD) is defined as a disease characterized by progressive airflow limitation, that is, not fully reversible. The aim of this study is to compare the effectiveness of inhaled short acting β2 agonist and anti-cholinergic with and without inhaled corticosteroid in improving the pulmonary function in COPD patients. In this 6 month study, a total of 80 COPD patients were enrolled in which 40 were administering Duolin MDI and the rest were taking Duolin MDI and Budecort MDI. Patient’s data collection form was used for recording the demographic details of the patients. Before and after 6 months of study period, the patients were evaluated for improvement in symptoms by using SGRQ and by assessing the 6 Minute Walk Test (6MWT); the improvement in the pulmonary function was evaluated by observing the changes in the FEV1 values in Pulmonary Function Test (PFT). Medication adherence and Quality of Life were analyzed by distribution of questionnaires namely, MMAS-8 and EQ-5D Descriptive System, JSQ respectively. The majority of the patients belong to the 71-75 categories. Out of total patients, each age category has a high medication adherence level. Influences of COPD are more in patients who have a history of cigarette smoking for past several years. Males (86%) are dominated over the female population (14%). There is improvement in the pulmonary function of COPD patients who were taking inhaled corticosteroid with SAMA and SABA than those taking SAMA and SABA alone based on their FEV1 % predicted. The SGRQ score reduction and 6-MWT results evidences shown that inhaled corticosteroid is having greater effect on reducing the symptoms of COPD. Those administering ICS+SAMA+SABA have shown significant improvement in the quality of life and improvement in sleep problems. The results concluded that taking inhaled corticosteroid with inhaled short acting bronchodilators in COPD patients who are initially diagnosed with COPD may reduce fall in FEV1 level, prevent exacerbation of COPD, reduce the number of exacerbations and hospital stay in COPD patients, thus provide better patient care.

  24. Effect of elastic band treadmill walking on gait and balance in osteoarthritis knee patients- randomized control trial Download Article

    Tushar Dhawale, Ujwal Yeole, Komal Shinde
    • Article Type: Research Article
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    • Pages (914-917)
    • No of Download = 147

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    Background Osteoarthritis is a non-inflammatory degenerative disorder of the joints characterized by progressive deterioration of the articular cartilage of the bone and new bone formation. Weight bearing joints like the Hip and Knee are the most involved joints. In the osteoarthritic pain and walking difficulty is the main presenting symptom and in occurs usually during or after weight bearing activity. Approximately 10 to 30% of people diagnosed with osteoarthritis have pain sever enough to limit function and cause disability. Objective Effects of elastic band treadmill walking and ground walking in osteoarthritis knee patients. Materials and Methodology Total number of 30 osteoarthritis knee patients between age group of 50 to 70 years of both male and female with stage 1 and 2 were selected by simple random sampling. Dynamic gait index and berg balance scale was used to assess gait and balance pre and post intervention. Intervention is based on static, strengthening exercises and treadmill walking 5 times a week for 6 weeks for 30 minutes. Results After comparing pre and post intervention data using patient paired t test results showed that there was significant improvement in gait and balance (p<0.0001). Conclusion There is significant improvement in elastic band treadmill walking in osteoarthritis knee patients.

  25. Bacteriological profile of postoperative wound infection in orthopaedic surgery from deep and superficial wounds Download Article

    Premchandran, G.Shanthi and S Selvakumar
    • Article Type: Research Article
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    • Pages (918-921)
    • No of Download = 168

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    Postoperative wound infection is a major trouble in the surgical specialties, which leads to increased mortality, morbidity and economic burden. In most post-operative SSIs the causative pathogens originate from the normal flora present in the patient’s skin, mucous membranes or from the hollow viscera. Objectives of the present study were to study the frequency of various types of bacteria. The study was carried out in Raja's dental college andhospital, Thirurajapuram, Kavalkinaru, Tamilnadu. The samples from the 35 post-operative patients were evaluated for the study. Samples were taken from the patients during the period of surgical wound dressing before the wound was cleaned with antiseptic solution. The swab was examined by Gram staining and inoculated onto plates of MacConkey agar and 5% Sheep blood agar by rolling the swab over the agar and streaked. These plates were incubated at 37° C for 24-48 hours. The present microbiological study has determined the predominating bacteria responsible for the post-operative wound infections. There was predominance of commonly isolated bacterial species were S. aureus, P. aeruginosa and E. coli.

  26. Effect of inspiratory muscle training on autonomic symptoms in pateints with type ii diabetes Download Article

    Dr. Pournima A. Pawar, Dr. Ujwal L. Yeole, Nikita S. Nikam, Dr. Rasika Panse
    • Article Type: Research Article
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    • Pages (922-928)
    • No of Download = 26

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    Background Diabetic autonomic neuropathy (DAN) is a serious and common complication of diabetes. Major clinical manifestations of DAN include resting tachycardia, exercise intolerance, orthostatic hypotension, impaired neurovascular functions. Inspiratory muscle training (IMT) demonstrates beneficial outcomes in a number of cardiovascular population, which may potentially extend to patients with type II diabetes mellitus. The aim of this study was to further evaluate the effect of IMT on autonomic symptoms in patients with long standing diabetes mellitus. Method Thirty patients with long standing diabetes were randomly assigned to an four-week IMT program. We assessed autonomic dysfunction in the patients with survey of autonomic symptom (SAS) scale. Score was recorded by the scale before and after the treatment program. Results There was significant decrease in the autonomic symptoms in males compared to females. There was significant decrease in the Q1a symptom score in male population (2.235±0.9034mmHg, 1.824±1.015mmHg, p= 0.0299) There was also reduction in Q1b total impact score in males as well (5.353±2.290mmHg, 4.059±1.191mmHg, p= 0.0001). Significant difference was also seen in orthostatic dysfunction (1.588±1.121mmHg, 1.176±0.8828mmHg, p= 0.0144) in male population. Difference was also seen in females in their Q1b total impact score (5.846±1.819mmHg, 4.769±1.739mmHg, p= 0.0093). Conclusion IMT demonstrates beneficial effects on autonomic symptoms in patients with type II diabetes.

  27. Medico-legal study of strangulation cases in Varanasi district Download Article

    Satish Kumar Khalkho, Manoj Kumar Pathak
    • Article Type: Research Article
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    • Pages (929-939)
    • No of Download = 29

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    Introduction The term asphyxia may be defined as a state in which the body lacks of oxygen, because of some mechanical interference with the process of breathing. Strangulation is a form of violent asphyxial death caused by constricting the neck by means of ligature or by any other means without suspending the body. Materials and methods The study was conducted in Department of Forensic medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Utter Pradesh. It is a prospective study. The study was conducted during October 2016 to March 2018. Results Total 150 out of 2976 medico-legal deaths were identified to be due to violent asphyxia with incidence rate of 5%. Most common age group involved was 21-30 years. Strangulation was the most common method of asphyxial homicidal death constituting 4.67%.cases & smothering 0.67% cases. Fracture of hyoid bone is noted in 2 cases. Conclusion Ligature strangulation is more frequently used method of homicidal asphyxial death. If hyoid bone fracture is detected, it has to be confirmed whether it is ante-mortem fracture or an artefact of post-mortem fracture occurred during autopsy, as it has medico legal importance while giving the opinion regarding the cause of death.

  28. Ocular manifestations in chronic obstructive pulmonary diseases Download Article

    Dr. Deepak V.N, Dr.Bindu Bhaskaran
    • Article Type: Research Article
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    • Pages (940-948)
    • No of Download = 23

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    Objective To study the ocular manifestations such as Cataract, Glaucoma and Age Related Macular Degeneration (ARMD) in Chronic obstructive pulmonary diseases (COPD) patients Materials and Method A Retrospective study was conducted during the period from JAN 2018-SEP 2018 which included 100 patients. In all the cases a thorough history was obtained. A detailed ocular and medical history which included the duration of COPD, visual acuity and Slit lamp examination which included anterior and posterior segment examination and intra ocular pressure were recorded. Result This study included 100 patients with Chronic Obstructive Pulmonary Disorder who presented with various ocular manifestation. The participants were in the age range of 40-70 years majority of cases were in the age group of 60-69 (40%) years followed by 50-59 (36%) years, 40-49 years (17%) and ≥ 70 years (7%). Ocular manifestations which were presented in majority of COPD cases were Cataract (88.63 %), Glaucoma (6.81 %), followed by ARMD (4.54%) Conclusion The result of this study shows that in this case of 100 COPD patients. Males are more commonly affected with majority of age group 60-69 years. And most common ocular manifestation was cataract followed by glaucoma and ARMD with more common in steroid inhalers.

  29. Concept of Dysfunctional Uterine Bleeding in Ayurveda (Asrugdar) Download Article

    Dr. Jyoti Banderwar
    • Article Type: Research Article
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    • Pages (949-952)
    • No of Download = 26

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    Dysfunctional Uterine Bleeding (DUB) is irregular uterine bleeding that occurs in the absence of recognizable pelvic pathology, general medical diseases or pregnancy. It reflects a description in normal cyclic pattern of ovulatory phase hormonal stimulation to the endometrial lining. The bleeding is unpredictable in many ways. It may be excessively heavy or light or prolonged, frequent or random. The concept of Asragdar is most important and fundamental principle in understanding the physiopathology of the disease. In Ayurvedic classics Asrogdar in which affect the women physically and mentally. The sign and symptoms mention in modern text are too much similar to the symptoms and sign mentioned in Ayurvedic text.

  30. Optimization of abdominal MRI images with the application of PROPELLER Download Article

    Fadli Felayani, Suryono Suryono and Suhartono
    • Article Type: Research Article
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    • Pages (953-959)
    • No of Download = 21

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    Background Movement of abdominal organs due to breathing on MRI examination on the abdomen causes motion artifacts that may reduce image quality. Abdominal MRI protocol to reduce respiratory motion artifacts is by using respiratory gating, howeverit results in longer time scan. PROPELLER is a technique for filling data matrices radially with a blade coverage value that is able to reduce artifacts. Objective To study the application of PROPELLER on abdominal MRI to reduce motion artifacts, get optimal anatomical and image quality information with faster time scan. Methods This was an experimental study with one group post test design. The samples in the study were 8 respondents, each of which received 8 treatments. One treatment used respiratory gating as a standard protocol and 7 treatmentsapplied PROPELLER using coverage blade variations of 50%, 75%, 100%, 125%, 150%, 175% and 200%. Assessment included time scan, anatomical information, artifacts, SNR, and CNR. Statistical data analysis usedKruskal Wallis test, Wilcoxon test and Spearman test. Results There were differences in anatomical information, CNR, SNR, artifacts and time scan between the use of abdominal MRI image and respiratory gating compared to PROPELLER on 100% blade coverage. Conclusion The application of PROPELLER with a 100% blade coverage value was able to reduce motion artifact so as to produce optimal anatomical information and image quality with faster time scan.

  31. Cognitive therapy : Self help group to stress levels in breast cancer patients in rsud Dr. moewardi surakarta Download Article

    Khusana Rahma, Sri Endang Pudjiastuti, Choerul Anwar
    • Article Type: Research Article
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    • Pages (960-968)
    • No of Download = 11

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    Background Breast cancer is the second highest incidence of cancer in the world and so far the most common cancer in women. Breast cancer causes physical and psychosocial problems. Breast cancer patients have emotional overload and can trigger stress conditions after diagnosis and treatment. Cognitive therapy is one form of psychotherapy that is right given to cancer clients who experience anxiety and depression. Method The type of research used is research Quasy Experimentalwith a pretest-posttest control group design design. This study compiled two groups, namely the intervention group and the control group. Technique Probability sampling with method simple random sampling is used to get 50 respondents divided into 2 groups. Results The results of thetest Mann Withney show values p value 0.025 so that there are differences in stress levels between the intervention group and the control group. Conclusion The results of the study after being given an intervention that cognitive therapy: self help groups are effective in reducing stress levels in breast cancer patients.

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