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Comparative Evaluation Of Postoperative Pain After Single Visit Endodontic Treatment Using Protaper Universal And Protaper Next Rotary File Systems A Randomized Clinical Trial, Neha Arora, Sonal Bakul Joshi

Indian Journal of Health Sciences and Biomedical Research KLEU

Introduction:

Root canal preparation may cause inadvertent apical extrusion of debris causing postoperative pain. This debris varies with the instrumentation technique and design characteristics. One of the major revolutions in the design of the instruments is the introduction of files with an offset center of mass or/and rotation, which causes asymmetric rotary motion in the canal. An example is the ProTaper Next (PTN) rotary file system.

In vitro

studies have shown that this system extrudes lesser debris than more commonly used ProTaper Universal (PTU). However, in clinical circumstances, periapical tissues may act as a natural barrier and host immune response …

Correlation Of Computed Tomography And Nasal Endoscopic Findings In Chronic Rhinosinusitis A Hospital-Based Study, Dharmistha Rajesh Kaku, Anilkumar Suryadev Harugop

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

Computed tomography (CT) scan is a diagnostic tool for chronic rhinosinusitis (CRS). This study was attempted to correlate preoperative CT scan and endoscopic findings in patients with CRS.

Aims:

This study aimed to correlate CT scan and nasal endoscopic findings in the assessment of patients with CRS.

Study Design:

This is a hospital-based study.

Subjects and Methods:

One-year observational study was conducted in the Department of Otorhinolaryngology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum. Thirty patients meeting 2007 revised criteria for CRS underwent CT scan of paranasal sinus, diagnostic nasal endoscopy, and functional endoscopic sinus surgery. …

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. …

Risk Of Depression In Patients With Chronic Obstructive Pulmonary Disease And Its Determinants, Sujeer Khan, Bhagyashri B. Patil

Indian Journal of Health Sciences and Biomedical Research KLEU

Background and Objectives:

Depression is an important comorbid condition of chronic obstructive pulmonary disease (COPD). There is a risk of undertreatment for depression in patients with COPD as depressive symptoms, including suicidal tendencies, can erroneously be conceptualized as an understandable reaction to COPD and not as signs of an independent depressive disorder. The exact prevalence of depression in COPD patients among the Indian population is unknown.

Aim:

This study aims to know the prevalence of depression in COPD patients attending tertiary care hospital.

Materials and Methods:

A total of 120 COPD patients were enrolled in the study according to Global …

Publication Explosion And Ethics A Cause Of Concern, Subarna Roy

Indian Journal of Health Sciences and Biomedical Research KLEU

No abstract provided.

Chromobacterium Violaceum Causing Community‑Acquired Urinary Tract Infection, D. Paul Vincent, C. G. Meghana, Vanditha Mohan, K. M. Resmi

Indian Journal of Health Sciences and Biomedical Research KLEU

Chromobacterium violaceum

is an opportunistic pathogen in humans. Nearly 150 cases have been reported worldwide. The usual presentation is with an initial localized skin lesion and progression to multiple liver and lung abscesses and finally fatal septicemia. Progression is usually seen in immunocompromised individuals or when appropriate antimicrobial therapy was delayed. Mortality ranges up to 60% if not promptly treated. A 73-year-old male presented with febrile urinary tract infection (UTI). His urine culture grew

C. violaceum

. Neither was he immunocompromised nor was he having any risk factor for this infection. He was not admitted in any hospital in the …

Twin Reversed Arterial Perfusion Sequence/Syndrome - An Insight Into The Ultrasonographic Features For Prenatal Diagnosis And Review Of Literature With Obstetric Importance Case Series Of Two Reports, Mohd Ilyas, Arshad Bhat

Indian Journal of Health Sciences and Biomedical Research KLEU

We present two case reports of twin reversed arterial perfusion sequence - a rare type of twin-twin transfusion syndrome, wherein there maldevelopment of one twin and is supplied by the normal twin. Then, we discuss the importance of this entity and various measures required if such a situation is encountered.

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.

Comparison Of The Glottic View During Intubation Using Airtraq And Macintosh Laryngoscopes In Adult Patients Undergoing Surgeries Under General Anesthesia With A Simulated Cervical Spine Immobilization A 1-Year Hospital-Based Randomized Controlled Trial, Avinash Rayavarapu, M. G. Dhorigol

Indian Journal of Health Sciences and Biomedical Research KLEU

Background and Objectives:

The present study was undertaken to compare the glottic view during intubation using Airtraq and Macintosh laryngoscopes in adult patients undergoing surgeries under general anesthesia with a simulated cervical spine immobilization.

Methods:

This 1-year randomized clinical study was conducted between January 2015 and December 2015 on 60 American Society of Anesthesiologists Grade I and II patients of either gender, aged between 18 and 60 years. The study population was randomly divided into two groups. Group A (

n

= 30): intubation performed using Airtraq laryngoscope. Group L (

n

= 30): intubation performed using Macintosh laryngoscope.

Results: …

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 Clinical Trial To Evaluate The Effect Of, K. Suprabha, K. V. Mamatha

Indian Journal of Health Sciences and Biomedical Research KLEU

Context:

Health of the child depends directly on the environment and state of the fetus in intrauterine life. Supplementing

Rasayana

(rejuvenating and immunomodulatory) drugs in a

Garbhini

(pregnant women) provides positive maternal environment which helps the fetus to avoid or overcome diseases. Integrating

Rasayana

therapy in

Garbhini

Paricharya

(antenatal care) not only benefits the pregnant lady but also the growing fetus in her womb.

Aim:

The aim of this study was to evaluate the efficacy of

Rasayana

Avaleha

(RA) (

Rasayana

electuary) on fetal growth and development and its influence on fetal immune system.

Setting and Design:

Pregnant women fulfilling …

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 …

Effect Of Storage And Temperature On Two Biochemical Analytes (Creatinine And Urea) In Pooled Serum Samples Stored At -20°C, Nilesha Vilas Vernekar, Vanishree Basavraj Jabannavar

Indian Journal of Health Sciences and Biomedical Research KLEU

Introduction:

Creatinine and urea are nonprotein nitrogenous compounds which are eliminated from the body. Creatinine is a word obtained from a Greek term "Kreas" meaning flesh. An anhydrous form of creatine is creatinine. Around 0.5% of total muscle weight constitutes creatine. Muscle, brain, blood, etc., are the tissues, in which creatinine is present as high-energy compound, phosphocreatine, and creatine as free compound. Optimal storage of serum specimens in biobanks for long time for multicenter reference interval studies remains to be determined. Hence, in this context, the present study was undertaken to determine the effect of storage time and temperature on …

Comparative Prevalence Of, Olatunji Matthew Kolawole, Olugbenga A. Mokuolu, Yetunde A. Olukosi, Tolulope O. Oloyede

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

In Okelele, Ilorin, Kwara State, Nigeria, malaria remains an important public health concern with a little information about its prevalence.

Objective:

To determine the prevalence of malaria infection at Okelele Health Centre, Okelele, Ilorin.

Methodology:

A cross-sectional descriptive study in which patients were diagnosed clinically with severe or uncomplicated malaria at the study site was conducted. Rapid diagnostic testing (RDT) for malaria and microscopy using Giemsa staining by thick and thin blood smears were done for study patients.

Results:

In this study, 200 malaria patients attending Okelele Health Centre, Okelele, Ilorin, were tested for malaria infection, with females having …

Formulation And Evaluation Of Gastroretentive-Floating Multiparticulate System Of Lisinopril, Manasa Moganti, H. N. Shivakumar

Indian Journal of Health Sciences and Biomedical Research KLEU

Aim and Objective:

The main objective of this research was to formulate and evaluate gastroretentive-floating multiparticulate system of lisinopril to prolong the gastric residence time.

Materials and Methods:

Gastroretentive system of lisinopril was developed by ionotropic-gelation technique using isabgol (

Plantago ovata

F.) husk mucilage (IHM) as a floating agent, sodium alginate as a mucoadhesive polymer, and sodium bicarbonate as a gas-generating agent.

Results:

The beads were evaluated for entrapment efficiency (EE),

in vitro

drug release, and

ex vivo

mucoadhesion. The beads of batch F-2 exhibited high-EE (96.04 ± 0.74%), complete drug release (95.27 ± 0.12%), and good mucoadhesion (50% …

Clinical Effectiveness Of Anticholinergic Tiotropium Bromide As An Add-On Therapy In Patients With Severe Bronchial Asthma A Randomized Controlled Trial, V. G. Santhosh, Gajanan S. Gaude, Jyothi Hattiholi

Indian Journal of Health Sciences and Biomedical Research KLEU

Background and Objectives:

Severe asthma seen in substantial proportion of patients has been a poorly controlled disease, with recurring symptoms and exacerbations despite the use of inhaled glucocorticoids (ICS), long-acting beta-agonists (LABAs-2), leukotriene receptor antagonist (LTRA), and theophyllines. A potential alternative approach is addition of a second bronchodilator with an alternative mode of action, the anticholinergic tiotropium bromide. Hence, the present study was undertaken to evaluate clinical effectiveness of tiotropium bromide 18 mcg as add-on therapy in severe asthma patients.

Methodology:

A single-blinded randomized study was carried in patients with severe asthma. The patients were randomized into two groups. The …

Assessment Of Plasma Homocysteine As A Marker Of Acute Renal Injury In Patients Undergoing Extracorporeal Shock Wave Lithotripsy For Renal Stone Disease - 1-Year Cross-Sectional Study, Shruti G. Raikar, Siddalingeshwar I. Neeli, Veerendra M. Uppin, Shashi M. Uppin

Indian Journal of Health Sciences and Biomedical Research KLEU

Context:

Extracorporeal shock wave lithotripsy (ESWL) commonly used procedure for treating upper urinary tract stones may result in acute kidney injury (AKI) with release of biomarkers. Association of plasma total homocysteine (tHCy), serum high-sensitivity C-reactive protein (hs-CRP), and serum creatinine with renal dysfunction and their role as acute renal injury markers is to be assessed.

Aim:

The study aims to assess plasma tHCy as a marker of AKI in patients undergoing ESWL for renal stone disease and compare the same with other markers, i.e., serum creatinine and serum hs-CRP.

Setting and Design:

One-year cross-sectional study at a tertiary care teaching …

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 …

Correlation Of Serum Albumin With Ischemia Modified Albumin In Acute Stroke Patients With Or Without Diabetes Mellitus, Jayaraj G. Gudi, Anil Malleshappa, Karkal Ravishankar Naik

Indian Journal of Health Sciences and Biomedical Research KLEU

Introduction:

Stroke is the leading cause of mortality and morbidity worldwide. Diabetes mellitus (DM) is most commonly associated with the acute stroke. Abnormalities in serum albumin are known to occur in acute stroke patients. Ischemia-modified albumin (IMA) is a novel marker of acute stroke and hence, it is important to know the factors affecting IMA estimation. The objective of this study was to find out the correlation between serum albumin and IMA in acute stroke with or without DM.

Subjects and Methods:

This cross-sectional study comprised sixty acute stroke patients (thirty with DM, thirty without DM) and thirty healthy controls. …

Prevalence Of Substance Use Among Adolescents In Urban Slums Of Belagavi, Ravikiran Padmakar Kamate, Girija S. Ashtagi, M. D. Mallapur

Indian Journal of Health Sciences and Biomedical Research KLEU

Introduction:

The recent years have witnessed a substance abuse epidemic with serious health, social, economic, and political repercussions. Initially, a problem of the developed countries, but now has assumed alarming dimensions even in developing countries. India too has been caught in this vicious circle of substance abuse.

Materials and Methods:

Six hundred adolescents of age group between 10 and 19 years in the area of UHC Ram Nagar and Rukmini Nagar were interviewed with the help of predesigned and pretested questionnaire. Data were analyzed using SPSS version 20.

Results:

Out of 600 participants, 505 were males and 95 were females. …

Clinical Significance Of Microalbuminuria And Hypoxemia In Patients With Chronic Obstructive Pulmonary Disease, J. Sujay, Gaude S. Gajanan

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

Cardiovascular disease is a major cause of mortality in chronic obstructive pulmonary disease (COPD), particularly in patients with mild to moderate severity. Microalbuminuria (MAB) has a strong association with cardiovascular events and death, and it reflects generalized endothelial dysfunction. There is evidence of vascular dysfunction in patients with COPD.

Objectives:

(a) To study the prevalence of MAB in stable COPD patients. (b) To determine the relationship of MAB with clinical and physiological descriptors of COPD severity and cardiovascular risk factors.

Materials and Methods:

A cross-sectional study in 150 COPD patients over a period of 1 year. Lung function, 6-min …

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 …

Contraceptive Practice Among Married Women In Urban Areas Catered By A Medical College In Belagavi, Karnataka, K. Kruthika, Chandra S. Metgud, M. D. Mallapur

Indian Journal of Health Sciences and Biomedical Research KLEU

Introduction:

Population explosion is one of the most hazards to the development of India. The most effective way to control this is by reducing birth rate using contraception.

Objective:

To know the prevalence of contraceptive use among married women.

Methodology:

Community-based cross-sectional study was conducted among married women aged 15-44 years residing in three urban areas of Belagavi using predesigned and pretested questionnaire after obtaining informed consent.

Results:

The prevalence of contraceptive use in the present study was 353 (58.8%), among them 96 (16.0%) were condom user, 113 (18.9%) were using intrauterine device, 26 (4.3%) were practicing rhythm method, 20 …

Journey Of Dengue In Rajasthan In The Last 15 Years (2001-2015) With Special Reference To 2015, Monika Rathore, Amita Kashyap, Priyanka Kapoor

Indian Journal of Health Sciences and Biomedical Research KLEU

Introduction:

Dengue is an underestimated and under-reported disease. We have analyzed the last 15 years data of dengue reported in Rajasthan with special reference to the year 2015 to assess the trends.

Materials and Methods:

This observational, descriptive study was conducted during January 2016-August 2016. Secondary data were collected from Integrated Disease Surveillance Programme (IDSP) Cell, Directorate, Medical and Health, Jaipur, the website of National Vector Borne Disease Control Programme, Census 2011. Reports of P form and L form and line listing of dengue cases of 2015 were collected.

Results:

Rajasthan had 1452 laboratory-confirmed cases in 2001 and 1850 in …

No Compromise To Ethical Research And Publications, Kusal K. Das

Indian Journal of Health Sciences and Biomedical Research KLEU

No abstract provided.

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.

Organophosphorus Poisoning A Rare Case Of Upper Extremity Deep Vein Thrombosis, Muzafar Naik, Tariq Bhat, Mohammed Farooq Mir, Ummer Jalaali, Arif Bhat, Waiz Gowhar, Mubarik Naqash

Indian Journal of Health Sciences and Biomedical Research KLEU

A 32-year-old female was admitted with Organophosphorus (OP) poisoning and was managed with gastric lavage, intravenous pralidoxime, and atropine. On the 3

rd

day, she developed swelling and pain in the right upper extremity. Color Doppler confirmed upper extremity deep venous thrombosis (DVT). In addition to the neurologic manifestations patients of OP poisoning patients should also be monitored carefully for the development of DVT as these agents can lead to persistent inflammatory response which increases the risk of DVT. Upper limb DVT is rare and generally secondary to cancer, strenuous exercise, and insertion of central venous catheters. We hereby report …

49, Xxxxy Syndrome An Infant Presenting With Ambiguous Genitalia, Rajendra B. Nerli, Prasad V. Magdum, Amit M. Mungarwadi, Shridhar C. Ghagane, Murigendra B. Hiremath

Indian Journal of Health Sciences and Biomedical Research KLEU

Presences of normal genes on the Y chromosome are essential for normal sex determination and sex differentiation of male genitalia. Several genes on the X chromosome and other autosomes have been shown to be anti-testes and have a detrimental effect on the development process of normal male genital system. The addition of X chromosomes to the 46, XY karyotype results in seminiferous tubules dysgenesis, hypogonadism, and malformed genitalia. We report an infant male with 49, XXXXY syndrome presenting with ambiguous genitalia and multiple extra-gonadal anomalies.

Clinical Profile Of Nasal Polyp In A Pediatric Patient An Ayurvedic Approach, Aziz Ahmed Arbar, Sweta Verma

Indian Journal of Health Sciences and Biomedical Research KLEU

Nasal polyp is a chronic inflammatory disease affecting the nasal cavity and the paranasal sinuses. It is a relatively common disease occurring in 1%–4% of the general population, but it is also seen in the pediatric population. Children present with nasal polyps are also known to have other underlying systemic diseases, mainly cystic fibrosis and bronchial asthma. Nasal polyp is common in the pediatric population especially in teenage, and is found usually bilateral. It is also commonly associated with bronchial asthma and many other systemic diseases. Beginning in preschool age, up to 50% of patients experience obstructing nasal polyp. In …

Hashimoto's Encephalopathy Misdiagnosed As Pyogenic Meningoencephalitis, Naveed Mohsin, Javvid Muzamil Dandroo, Nawaz Ahmad Sheikh, Atif Rasool Kawoosa, Ravouf Asimi

Indian Journal of Health Sciences and Biomedical Research KLEU

Hashimoto's encephalopathy is a controversial and underrecognized condition, associated with autoimmune thyroiditis. Presentation may be an insidious development of cognitive impairment or recurrent acute episodes of focal neurological deficit with confusion. Here, we present a case of middle-aged female that presented with headache, vomiting with alteration of sensorium, and left side weakness and responded well to steroids. A negative microbiological screen of the cerebrospinal fluid (CSF) and serum along with raised CSF protein, elevated serum antithyroid antibodies, and characteristic electroencephalogram and neuroimaging findings yielded the diagnosis.