Digital Commons Network^™

Effect Of Scapular Proprioceptive Neuromuscular Facilitation On Shoulder Pain, Range Of Motion, And Upper Extremity Function In Hemiplegic Patients A Randomized Controlled Trial, Deepak Joshi, Jeba Chitra

Indian Journal of Health Sciences and Biomedical Research KLEU

Background and Purpose:

Poststroke shoulder pain is one of the most prevalent impairments (34%–86%) and it hinders the performance of daily activities and also interferes with stroke rehabilitation. The purpose of this study was to examine the effect of scapular proprioceptive neuromuscular facilitation (PNF) on shoulder pain, range of motion (ROM), and upper extremity (UE) function in hemiplegic patients.

Methods:

Thirty hemiplegic patients were recruited and randomly allocated to Group A (

n

= 15) and Group B (

n

= 15). Experimental group received conventional treatment plus scapular PNF-hold relax technique while control group received only conventional treatment comprised …

Knowledge Of Anganwadi Workers Regarding Different Components Provided By Integrated Child Development Scheme A Cross-Sectional Study, Prithutam Bhattarai, Padmaja R. Walvekar, Ashwini Narasannavar

Indian Journal of Health Sciences and Biomedical Research KLEU

Introduction:

Integrated child development service (ICDS) program was launched on October 02, 1975 and is the world's largest and unique program for early childhood care and development. It is working in urban and rural areas through Anganwadi centers. The beneficiaries that come under ICDS are 0–6 year's children, pregnant and lactating women, and adolescent girls. There are six core services provided by ICDS through Anganwadis. It is very essential to assess the knowledge of Anganwadi workers (AWWs) about different components of ICDS.

Objective:

The objective of the study was to assess the knowledge status of AWW regarding different ICDS components …

Characteristics And Anesthetic Management Of Patients Presenting For Cleft Surgery, Babatunde B. Osinaike, Stella A. Ogunmuyiwa, Olalere O. Gbolahan, A. A. Odewabi

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

Anesthetic management during surgery for cleft repair can be challenging due to abnormal airway anatomy and preoperative medical conditions. We sought to determine the characteristics, type, and incidence of associated medical problems, airway and other intraoperative complications in patients who presented to our facility for cleft lip and palate repair.

Methodology:

Fifty-six consecutive patients aged 16 years and below who had surgical repair of cleft lip or palate under general anesthesia during the study period were involved in this prospective, observational study. Routine preoperative review and anesthetic management were not altered. Preoperative medical and airway problems, associated congenital anomalies, …

Assessment Of Static And Dynamic Balance In Overweight And Obese Children With And Without Flatfoot A Cross-Sectional Study, Pallavi Sharma, Deepa Metgud

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

Childhood obesity and overweight have been referred by health organization as serious epidemic and global problems that are on the rise. The consequence of being overweight in children is the greater impairment of mobility which may result in several orthopedic conditions. The foot dimensions of overweight children and obese children will be larger than those of normal weight children. Balance is defined as an ability to maintain the center of mass over base of support. Balance as a sensorimotor ability helps in maintaining static and dynamic equilibrium. The presence of abnormalities in the foot structures may affect the displacement …

The Visual Outcome After Cataract Surgery With Multifocal Intraocular Lenses And Monofocal Intraocular Lenses At Tertiary Care Hospital A Prospective Observational Study, Anjal M. Shah, Umesh U. Harakuni

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

The crystalline lens is part of the optical system of the eye that focuses rays of light on the retina. Apart from contributing to the optical power of the eye as a whole, the crystalline lens can dynamically change the optical power of the system by the process of accommodation for younger eyes. During life the ability of the crystalline lens to change in shape decreases, leading to presbyopia. For optimal visual performance, crystalline lens should be transparent. Cataract describes the pathological opacification of the crystalline lens. Removal of the crystalline lens followed by implantation of an artificial intraocular …

Effect Of Denture Adhesive And Its Forms On Microbial Colonization In Diabetic And Nondiabetic Complete Denture Wearers An, Ruta Jadhav, Sounyala Rayannavar, Raghunath Patil, Vinuta Hiremath, Sumati A. Hogade

Indian Journal of Health Sciences and Biomedical Research KLEU

Problem:

Denture adhesives are known to enhance the retention and stability in denture wearers, especially in patients with resorbed ridges. However, dentists hesitate to prescribe them fearing denture adhesive-induced oral microbial infections or hyperplasia in the oral cavity.

Aim:

The aim of this was to evaluate and compare the effect of denture adhesives and its forms on the microbial colonization of diabetic and nondiabetic edentulous patients using complete dentures.

Methodology:

Forty subjects were included in the study (Group A: 20 diabetics and Group B: 20 nondiabetics). After 2 weeks of complete denture insertion, samples were collected from the hard palate …

Utilization Of Janani Suraksha Yojana By Eligible Pregnant Women In Rural South India A Qualitative Study, Biswamitra Sahu, Anita Nath, R. Anil Kumar

Indian Journal of Health Sciences and Biomedical Research KLEU

Context:

In India, the Janani Suraksha Yojana (JSY) scheme, translated as “safe motherhood scheme,” has been implemented to tackle this financial insecurity by giving cash incentives to women who give birth in public health facilities and accredited private health facilities. Although there is a reported increase in the number of institutional deliveries, there has not been much improvement in maternal or neonatal mortality rates.

Objective:

To explore the utilization of and barriers toward the use of JSY scheme by eligible rural pregnant women.

Design:

Qualitative research method in the form of in-depth interview was used for data collection and analysis. …

Palatal Ulceration A Local Anesthetic Complication, Urvashi Sharma

Indian Journal of Health Sciences and Biomedical Research KLEU

The hard palate is one of the common sites of local complications following administration of local anesthetics. The hard, unyielding palatal tissues coupled with either forceful or excessive administration of solution, induction of trauma, use of contaminated solutions, or reactivation of latent viruses may present or aggravate local complications in the palatal area. Ulceration and necrosis is unusual and a rare complication of local anesthesia. Presented is such an uncommon case in a 16-year-old girl.

Accuracy Of Measurements Of Foramen Magnum And Occipital Condyle As An Indicator For Sex Determination Using Computed Tomography, Harshita Rai, Vaishali Keluskar, Santosh Patil, Anjana Bagewadi

Indian Journal of Health Sciences and Biomedical Research KLEU

Background and Objectives:

The determination of sex in forensic investigation is an important and crucial step. Unidentifiable crania are very common due to warfare, mass disasters, intentional attempt to obscure facial identity in criminal attacks, or physical injury caused by weapons, explosives, or fire. In such a situation, the determination of sex becomes extremely complicated and challenging.

Aim:

The present study was undertaken to provide data on foramen magnum and occipital condyle (OC) for the purpose of sex determination for establishing the identity in cases of unknown fragmentary skulls.

Settings and Design:

Retrospective.

Subjects and Methods:

The study group included …

A Comparison Of Standard And Rotational Techniques For Ease Of Insertion Of Proseal Laryngeal Mask Airway In Adult Patients A 1-Year Hospital-Based Randomized Clinical Trial, Sachinkumar H. Shet, K. S. Kedareshvara, R. Mane, M. G. Dhorigol

Indian Journal of Health Sciences and Biomedical Research KLEU

Title:

A prospective randomised clinical trial for comparison of two techniques of insertion of proseal laryngeal mask airway in adults - index finger insertion technique versus 90 degree rotational technique.

Introduction:

ProSeal laryngeal mask airway is not easy to be inserted due to its larger cuff especially in Indian population. The 90 degrees rotation technique for inserting the PLMA is reported to be better than the standard index finger insertion technique to improve the insertion success rate. The objective of this study was to evaluate and compare the ease of insertion through the rotational and standard insertion technique in terms …

Awareness Of Demand Generation Schemes Among Pregnant Women In Rural Area Of Belagavi, Nilesh Narayan Jadhav, M. S. Shivaswamy, M. D. Mallapur

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

Mothers and children are one of the most vulnerable or special risk groups, and the risk for this group is associated with pregnancy, childbirth, and also in postnatal period. A number of demand generation schemes have been launched by the Government of India for the welfare of the pregnant women, but still a significant reduction in maternal mortality and morbidity has not been achieved yet.

Objective:

To assess the awareness of various demand generation schemes among pregnant women.

Methodology:

A community-based cross-sectional study was done among 540 pregnant women in Primary Health Centre area of Handiganur, Belagavi.

Results:

Among …

Visual And Instrumental Evaluation Of Reliability Of Clinical Ceramic Restoration With Dental Shade Guide By Two Distinct Observer Population An Observational Study, Dolly Gupta, Mahantesh Bembalagi, Raghunath Patil

Indian Journal of Health Sciences and Biomedical Research KLEU

Context:

Dental ceramics are the most natural appearing replacement material for missing tooth substance available in a range of shades and translucencies to achieve a life-like result. Ceramic restorations are fabricated with porcelain layers of different opacity, shade, and thickness to provide a natural appearance. Since the ceramic layer thickness is important for shade development, utmost precision and control are required for a predictable and reproducible result. Shade guides provided by various companies are of 2.5 mm thickness, but clinically all-ceramic crown restoration requires a maximum thickness of 1.5 mm.

Aim:

The purpose of this study was to evaluate the …

Erratum Formulation And Evaluation Of Liposomal Transdermal Patch For Targeted Drug Delivery Of Tamoxifen Citrate For Breast Cancer, Erratum Erratum

Indian Journal of Health Sciences and Biomedical Research KLEU

No abstract provided.

Morphological Variation Of Human Lung Fissures And Lobes An Anatomical Cadaveric Study In North Karnataka, India, Paras Thapa, Suresh P. Desai

Indian Journal of Health Sciences and Biomedical Research KLEU

Introduction:

The lungs are a pair of vital organs of respiration which are divided into lobes by fissures. The fissures facilitate the movements of lobes and help in uniform expansion of the whole lungs. The fissure may be complete, incomplete, or absent. The knowledge of position and completeness of fissures and lobes is necessary for an appreciation of lobar anatomy and thus locating bronchopulmonary segments.

Objectives:

The objective of this study was to analyze the morphology of fissures and lobes of lungs.

Materials and Methods:

Twenty pairs of lungs were taken for the study, obtained from twenty formalin-fixed cadavers. The …

Prevalence Of Adult Attention Deficit Hyperactivity Disorder In Patients With Bipolar Affective Disorder A 1-Year Hospital-Based Cross-Sectional Study, Nitin Pattanshetti, Nanasaheb M. Patil, Bhimsain V. Tekkalaki

Indian Journal of Health Sciences and Biomedical Research KLEU

Context:

Attention deficit hyperactivity disorder (ADHD) commonly occurs in patients with bipolar affective disorder (BPAD). However, there is a paucity of data concerning the prevalence of adult ADHD in BPAD from India.

Aims:

Attention deficit hyperactivity disorder (ADHD) commonly occurs in patients with bipolar affective disorder (BPAD). However, there is a paucity of data concerning the prevalence of adult ADHD in BPAD from India. Hence, this study aimed to find out the prevalence of adult ADHD in bipolar disorder for better diagnosis and management and tried to find association with clinical and sociodemographic features.

Settings and Design:

The present 1 …

Iodine Nutrition Of School Children Residing In Area Of Local Noniodized Salt Production, Kenechukwu C. Onyekwelu, Ikechukwu E. Ezeagu, Sylverter O. Igbedioh

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

In 1993, Nigeria enacted a law making it mandatory for all salt both for human and animal consumption to be fortified with iodine in a bid to eliminate iodine deficiency disorders (IDDs). IDD is a silent threat to the growth and development of the child and also to national development. The aim of this study was to assess the status of iodine nutrition in schoolchildren in areas known for the production of local uniodized salt.

Materials and Methods:

A cross-sectional study was performed in two Local Government Areas of Ebonyi State, Nigeria. Urinary iodine concentration (UIC) was measured in …

Are Extravasation Injuries “Negligence”?, Neeraj Nagpal, Nimisha Nagpal

Indian Journal of Health Sciences and Biomedical Research KLEU

Recent High Court and Supreme Court judgments have awarded large compensations for complications arising out of intravenous treatment. Extravasation of fluids and drugs is the most common complication of any medical procedure worldwide. Extravasation injury leading to gangrene occurs rarely and is due to factors related to patient characteristics, underlying disease, and the type of drug which is being injected. Human error rarely may be contributory to development of the extravasations and injury resultant thereof, but to label all of these complications as negligence by the application of “res ipsa loquitur” has serious consequences. High compensation risk for a complication …

Preoperative Airway Predictive Tests How Far Are We From The Books?, Babatunde B. Osinaike

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

Many preoperative airway assessment tests to predict a difficult intubation (DI) have been developed and documented, but we have no published data on how frequently these tests are used or how useful they are perceived by anesthetists in Nigeria. This survey was done among physician anesthetists in Nigeria to document practices related to the use of bedside airway predictive tests in adults.

Methods:

The following tests were compiled into a questionnaire and administered to physician anesthetists in training. Effective mandibular length, inter-incisor gap (IIG), Mallampati classification (MC), sternomental distance, thyromental distance, hyomental distance (HMD), range of neck motion (ROM), …

Effect Of Dexmedetomidine To Attenuate The Sympathetic Response Of Laryngoscopy And Intubation And Perioperative Hemodynamic Stability In Patients Undergoing Neurosurgery, Nilesh Maganbhai Solanki, Rekha Nilesh Solanki, Ritesh J. Patel, Ankur Garg

Indian Journal of Health Sciences and Biomedical Research KLEU

Background and Aims:

Dexmedetomidine is a selective α

2

agonist used as an adjuvant to attenuate sympathetic response to laryngoscopy and tracheal intubation in general anesthesia. Recent studies have shown that dexmedetomidine decreases brain flow and cerebrospinal fluid pressure without cerebral ischemia. Hence, it is beneficial in neurosurgical procedures. This study was undertaken to analyze the efficacy of dexmedetomidine in neurosurgery for good perioperative hemodynamic stability with blunt sympathetic response to laryngoscopy and intubation.

Materials and Methods:

Sixty, American Society of Anesthesiologists grades II-IV patients between 18 and 50 years of age undergoing craniotomy under general anesthesia were divided randomly …

A Longitudinal Study To Evaluate Effect Of Surgically Induced Astigmatism After Phacoemulsification Clear Corneal Incision Placed In The Steepest Meridian On Eyes With Preexisting Astigmatism, Umesh Harakuni, Anju Meena, Amishi Khanna, Abhinav Biala

Indian Journal of Health Sciences and Biomedical Research KLEU

Context:

Surgically induced astigmatism (SIA) is the cause of poor postoperative vision even after uneventful cataract surgery.

Aims:

(1) To evaluate the effect of SIA after phacoemulsification clear corneal incision in the steepest meridian on the magnitude of preexisting astigmatism (PEA). (2) To map the magnitude of SIA by incisions in superior (S) and temporal (T) positions.

Settings and Design:

KLES Dr. Prabhakar Kore Hospital and Medical Research Centre (MRC), Belagavi, Karnataka. Longitudinal study.

Subjects and Methods:

The present 1-year study was conducted in the Department of Ophthalmology, KLES Dr. Prabhakar Kore Hospital and MRC, Belagavi, on patients undergoing cataract …

Prevalence Of Ocular Trauma In Kles Hospital A 1-Year Cross-Sectional Study, Shivanand B. Patil, Abhinav Biala, Amishi Khanna, Anju Meena

Indian Journal of Health Sciences and Biomedical Research KLEU

Context:

People affected by eye injury often have to face loss of career opportunities, major lifestyle changes, and occasionally permanent disfigurement.

Aims:

(1) To find the prevalence of ocular trauma in patients attending our hospital. (2) To find the clinical profile of ocular trauma patients and the cause of trauma in them.

Settings and Design:

This was a cross-sectional study conducted at KLE Hospital, Belagavi, Karnataka.

Subjects and Methods:

The present 1-year study was conducted in the Department of Ophthalmology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, on 2308 trauma patients presenting to the ophthalmology outpatient department …

Need To Study Biostatistics In Medical Curriculum, Rajendra B. Nerli, Shridhar C. Ghagane

Indian Journal of Health Sciences and Biomedical Research KLEU

No abstract provided.

Evidence-Based Medicine A Non-Starter In India?, Ravindra Bhaskar Ghooi, Shailesh Deshpande

Indian Journal of Health Sciences and Biomedical Research KLEU

Introduction:

All patients have a right to the best treatment for the ailment that they suffer from, and the best treatment usually would be evidence based medicine (EBM).

Practice of EBM:

This is formulated considering the physician's personal experience, that of the peers and the patients' expectations. In our country EBM is conspicuous in its absence due to poor maintenance of patients' records, poor access to journals and non-involvement of patients in therapeutic decisions. Physicians in private practice are generally not trained to evaluate external experience, whatever is available. Badly designed diagnostic approach and poor quality of information on which …

Hypoglycemic Effect Of A Case Study, Rajkala S. Ramteke, Anup B. Thakar, Karishma Singh

Indian Journal of Health Sciences and Biomedical Research KLEU

Diabetes mellitus (DM) refers to a group of common metabolic disorders that share the phenotype of hyperglycemia. Diabetes is mounting at an alarming rate, all over the world. The International Diabetes Federation predicts that the number of people living with diabetes will to rise from 366 million in 2011 to 552 million by 2030. In spite of all the advances in therapeutics, diabetes still remains a major cause of morbidity and mortality in the world. In such scenario, there is need of establish an alternative and effective therapy to control DM and prevent the complications. DM can be equated with …

A Seven-Step Approach To Master The Practical Skills In Microbiology Among 2 A Randomized Control Trial, Sheetal U. Harakuni, Vijaya Dandannvar, Maheshwar D. Mallapur

Indian Journal of Health Sciences and Biomedical Research KLEU

Context:

Undergraduate students are taught, basic procedures of microbiology such as Gram's-staining, Ziehl–Neelsen staining, and focusing of the stained slide using light microscope. It is found that students mostly fail to perform right staining procedures and report a given slide.

Aims:

This study aims to evaluate the effectiveness of modified Peyton's seven step method to learn basic procedures of microbiology, in comparison to 'see one, do one' method, by a randomized control trial following McGaghie's Mastery learning model.

Subjects and Methods:

The study group of 45 students was taught by adopting Peyton's seven step method, the control group of 41 …

Rasa Assessment Of 10, Sushama B. Bhuvad, Nishteswar Karra

Indian Journal of Health Sciences and Biomedical Research KLEU

Context:

The knowledge of basic fundamentals of Dravyaguna such as

Rasa, Guna, Veerya, Vipaka

, and

Prabhava

helps in the proper selection of the drugs for the treatment of the diseases. Acharyas had given simple characteristics to identify the

Rasas

. These characters can be useful to determine the

Rasa

of the unknown drugs by designing a special proforma.

Aim:

To revalidate individual characteristics of

Rasa

mentioned in the classical text with known, classical drugs mentioned in the

Madhuraskandha

, using structured proforma in healthy volunteers.

Settings and Design:

The study was planned with single-blind method in 200 healthy volunteers …

Design, Formulation And Evaluation Of Carboxy Methyl Tamarind Based, Fatima S. Dasankoppa, Seema Kujur, Hasan Pasha Nazeer Ahmed Sholapur, Vilas G. Jamakandi

Indian Journal of Health Sciences and Biomedical Research KLEU

Introduction:

A major problem in ocular therapeutics is the attainment of optimum drug concentration at the site of action, which is compromised mainly due to precorneal loss resulting in only a small fraction of the drugs being absorbed. The effective dose administered may be altered by increasing the retention time of medication into the eye by using in situ gel forming polymeric systems.

Materials and Methods:

In the present investigation, an attempt has been made to design, formulate, and evaluate in situ gelling-based ophthalmic drug delivery system dorzolamide hydrochloride to enhance the precorneal retention and to improve the ocular bioavailability. …

Knowledge And Perception Regarding Childhood Pneumonia Among Mothers Of Under-Five Children In Rural Areas Of Udupi Taluk, Karnataka A Cross-Sectional Study, Susan Mary Pradhan, Arathi P. Rao, Sanjay M. Pattanshetty, A. R. Nilima

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

A large number of children die due to pneumonia making it the single largest infectious cause of death more than AIDS, measles, and malaria combined. In India, acute respiratory infection is a major public health problem, especially for the age group of 0–5 years which contributes to 15–30% of deaths falling under this age group and most of these deaths are preventable.

Objective:

To assess the level of knowledge and perception regarding childhood pneumonia among mothers of under-five children.

Materials and Methods:

A cross-sectional study was conducted among 460 mothers of under-five children. Interviewer-administered structured questionnaire was used for …

Fundamental Tenets Of Epidemiology In Ayurveda And Their Contemporary Relevance, Janmejaya Samal

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

Ayurveda, the science of life, is the most ancient medical doctrine of human civilization. Some of the basic principles described in Ayurveda are still the same as today's medical science. Ayurveda does not have a specific text as epidemiology, but the principles described in piecemeal can be compiled, analyzed, and interpreted in the light of modern theories of epidemiology.

Objective:

An initial systematic literature review by the help of internet-based search engines revealed very negligible work in the field of Ayurveda and epidemiology. Hence, an attempt was made to analyze various principles of Ayurveda relevant to epidemiology and interpret …

Incidental Demonstration Of Filaria Saved A Child From Pyrexia Of Unknown Origin Report Of An Interesting Case, Anindya Adhikari, Palash Kumar Mandal, Krishnendu Haldar, Sanjay Sengupta

Indian Journal of Health Sciences and Biomedical Research KLEU

Filariasis is endemic in tropical countries. Though commonly affects lymphatic system, the majority are asymptomatic and even amicrofilaremic, i.e. may not show microfilariae in blood. Uncommonly, filaria may affect other body tissues. Herein, we report a case where a 10-year-old boy form Orissa presented with pyrexia of unknown origin for 6 months. He had a moderate degree of pallor and lymphadenopathy. Blood examination showed moderate anemia and mild pancytopenia. Other blood tests, fine needle aspiration cytology of lymph node including radiological investigations were inconclusive. Bone marrow examination incidentally demonstrated microfilaria and adult worm was detected in lymph node biopsy. The …