Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/65307.18168
Kunal Setia, Sunita Sharma, Rahul Kumar
Inherent abnormalities with the spine, the intervertebral disks, or the surrounding soft tissues are the source of mechanical Low Back Pain (LBP). The present case report presented two cases of mechanical LBP in a 27-year-old and a 26-year-old female, as they complained of LBP that typically began due to prolonged sitting and has lasted for atleast two months. The Numerical Pain Rating Scale (NPRS) indicated a pain intensity of seven out of 10 for LBP for both the patients and Modified Oswestry Disability Questionnaire (MODQ) indicated that disability was 54%; consequently. The 27-year-old female patient was provided with a twoweek supervised static cupping therapy protocol and 26-year-old female patient was provided with a Myofascial Release (MFR) protocol. After treatment, the NPRS revealed a remarkable reduction in pain intensity to two out of 10 for LBP for cupping therapy intervention and for MFR intervention reduction in pain intensity was marked four out of 10 for LBP. Disability was reduced to 14% for cupping therapy intervention and for MFR intervention disability was reduced to 22%. As static cupping therapy is used to target the deeper musculature of the lower back and MFR treatment used for overall release of fascia, the purpose of this case report was to illustrate the comparison in the effects of cupping therapy and MFR on mechanical LBP in reducing pain intensity and disability.
{"title":"Cupping Therapy versus Myofascial Release for Mechanical Low Back Pain: A Report of Two Cases","authors":"Kunal Setia, Sunita Sharma, Rahul Kumar","doi":"10.7860/jcdr/2023/65307.18168","DOIUrl":"https://doi.org/10.7860/jcdr/2023/65307.18168","url":null,"abstract":"Inherent abnormalities with the spine, the intervertebral disks, or the surrounding soft tissues are the source of mechanical Low Back Pain (LBP). The present case report presented two cases of mechanical LBP in a 27-year-old and a 26-year-old female, as they complained of LBP that typically began due to prolonged sitting and has lasted for atleast two months. The Numerical Pain Rating Scale (NPRS) indicated a pain intensity of seven out of 10 for LBP for both the patients and Modified Oswestry Disability Questionnaire (MODQ) indicated that disability was 54%; consequently. The 27-year-old female patient was provided with a twoweek supervised static cupping therapy protocol and 26-year-old female patient was provided with a Myofascial Release (MFR) protocol. After treatment, the NPRS revealed a remarkable reduction in pain intensity to two out of 10 for LBP for cupping therapy intervention and for MFR intervention reduction in pain intensity was marked four out of 10 for LBP. Disability was reduced to 14% for cupping therapy intervention and for MFR intervention disability was reduced to 22%. As static cupping therapy is used to target the deeper musculature of the lower back and MFR treatment used for overall release of fascia, the purpose of this case report was to illustrate the comparison in the effects of cupping therapy and MFR on mechanical LBP in reducing pain intensity and disability.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"21 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82114543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/62121.17932
M. Vinoth, Abhijit S. Joshi
Abdominoperineal Resection (APR) is the long established therapeutic surgical procedure for cancers of the lower rectum. With the advent of minimal access surgery, APR too has come under its ambit. The large pelvic peritoneal defect and raw area left behind, after dissection are unique to APRs. This report describes the case of a 75-year-old male patient diagnosed with low rectal cancer, who underwent a laparoscopic APR and developed an early post-operative adhesive acute small bowel obstruction. Having failed a trial of conservative management, the same was successfully managed by a re-look laparoscopy. The risk of postoperative adhesions decreases significantly with laparoscopy. APR (whether open or laparoscopic), is a unique operation that causes the formation of a large pelvic raw area, which is very prone to attracting small bowel adhesion/s. The advent of various anti-adhesion barriers (liquid and films) has helped in decreasing the incidence of adhesions. However, in spite of the availability of a wide array of options, there is no consensus among surgeons as to the most optimum agent. Ideally, a tension free closure of the pelvic peritoneal defect formed during APR should be attempted. Failing this, covering of the wide pelvic raw area by a dual mesh or an anti-adhesion barrier agent (fluid or film) or omentopexy have been reported as adhesion preventing manoeuvres. Interceed® promises to be a useful long term adhesion preventing barrier option.
{"title":"Laparoscopic Abdomino-perineal Resection Followed by Early Postoperative Acute Small Bowel Obstruction- A Case Report with Review of Literature","authors":"M. Vinoth, Abhijit S. Joshi","doi":"10.7860/jcdr/2023/62121.17932","DOIUrl":"https://doi.org/10.7860/jcdr/2023/62121.17932","url":null,"abstract":"Abdominoperineal Resection (APR) is the long established therapeutic surgical procedure for cancers of the lower rectum. With the advent of minimal access surgery, APR too has come under its ambit. The large pelvic peritoneal defect and raw area left behind, after dissection are unique to APRs. This report describes the case of a 75-year-old male patient diagnosed with low rectal cancer, who underwent a laparoscopic APR and developed an early post-operative adhesive acute small bowel obstruction. Having failed a trial of conservative management, the same was successfully managed by a re-look laparoscopy. The risk of postoperative adhesions decreases significantly with laparoscopy. APR (whether open or laparoscopic), is a unique operation that causes the formation of a large pelvic raw area, which is very prone to attracting small bowel adhesion/s. The advent of various anti-adhesion barriers (liquid and films) has helped in decreasing the incidence of adhesions. However, in spite of the availability of a wide array of options, there is no consensus among surgeons as to the most optimum agent. Ideally, a tension free closure of the pelvic peritoneal defect formed during APR should be attempted. Failing this, covering of the wide pelvic raw area by a dual mesh or an anti-adhesion barrier agent (fluid or film) or omentopexy have been reported as adhesion preventing manoeuvres. Interceed® promises to be a useful long term adhesion preventing barrier option.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82414179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/64038.18034
N. Mahajan, R. Angral, Anshuman Mahesh Chander, Rajneendra Sharma
Introduction: Postoperative shivering is a very common and unpleasant complication of laparoscopic surgery under General Anaesthesia (GA). Postoperative shivering is uncomfortable for the patient, and it might increase the postoperative complications especially in high-risk patients. Aim: To compare the therapeutic effects of Nalbuphine and Nefopam in treating postoperative shivering in patients undergoing Laparoscopic Cholecystectomy (LC) under GA. Materials and Methods: The present study was a randomised, double-blinded, study conducted at Government Medical College and Hospital, Kathua, Jammu and Kashmir, India, on 60 patients aged between 25 to 60 years, American Society of Anaesthesiologists (ASA) I and II scheduled for elective LC under GA, who had postoperative shivering during recovery period. Study duration was of one year (October 2021 to October 2022). Patients were randomly allocated into Group A (n=30, received nalbuphine) and Group B (n=30, received nefopam). Data was collected and compiled using Statistical Package for the Social Sciences (SPSS) 23.0 version. Student’s t-test and Chi-square test was used to analyse the data. The p-value <0.05 was considered as statistically significant. Results: Time for cessation of shivering was 4.11±1.12 minutes in nalbuphine group as compared to 3.03±0.68 minutes in nefopam group which was statistically significant (p=0.001). Response rate was 73.33% in nalbuphine group as compared to 90% in nefopam group, and the difference was statistically significant (p=0.043). Similar incidence of bradycardia and vomiting was noted in both the groups. Nausea (6.67% vs 3.33%), pain on injection (3.33% vs nil) and pruritis (6.67% vs nil) were more in nalbuphine group as compared to nefopam group which was statistically significant. Sedation was more in nalbuphine group as compared to nefopam group (10% vs 6.67%) which was not significant statistically. Conclusion: Nefopam as compared to nalbuphine had earlier cessation of shivering, better response rate and had less sideeffects.
术后颤抖是腹腔镜手术在全身麻醉(GA)下非常常见和令人不快的并发症。术后寒战使患者感到不适，并可能增加术后并发症，特别是高危患者。目的:比较纳布啡与奈福泮治疗GA下腹腔镜胆囊切除术后寒战的疗效。材料和方法:本研究是一项随机、双盲的研究，在印度查谟和克什米尔Kathua的政府医学院和医院进行，研究对象是60名年龄在25至60岁之间的患者，美国麻醉师协会(ASA) I和II计划在GA下进行选择性LC，术后恢复期出现颤抖。研究时间为一年(2021年10月至2022年10月)。将患者随机分为A组(n=30，服用纳布啡)和B组(n=30，服用奈福泮)。数据的收集和整理使用社会科学统计软件包(SPSS) 23.0版本。采用t检验和卡方检验对数据进行分析。p值<0.05认为有统计学意义。结果:震颤停止时间纳布啡组为4.11±1.12 min，奈非泮组为3.03±0.68 min，差异有统计学意义(p=0.001)。纳布啡组有效率为73.33%，奈福泮组有效率为90%，差异有统计学意义(p=0.043)。两组的心动过缓和呕吐发生率相似。纳布啡组恶心(6.67% vs 3.33%)、注射后疼痛(3.33% vs零)、瘙痒(6.67% vs零)发生率高于尼福泮组，差异有统计学意义。纳布啡组镇静程度高于尼福泮组(10% vs 6.67%)，差异无统计学意义。结论:与纳布啡相比，奈福泮止寒战早，反应率高，副作用少。
{"title":"Effects of Nalbuphine and Nefopam in the Management of Postoperative Shivering after Laparoscopic Cholecystectomy under General Anaesthesia: A Randomised Double-blind Study","authors":"N. Mahajan, R. Angral, Anshuman Mahesh Chander, Rajneendra Sharma","doi":"10.7860/jcdr/2023/64038.18034","DOIUrl":"https://doi.org/10.7860/jcdr/2023/64038.18034","url":null,"abstract":"Introduction: Postoperative shivering is a very common and unpleasant complication of laparoscopic surgery under General Anaesthesia (GA). Postoperative shivering is uncomfortable for the patient, and it might increase the postoperative complications especially in high-risk patients. Aim: To compare the therapeutic effects of Nalbuphine and Nefopam in treating postoperative shivering in patients undergoing Laparoscopic Cholecystectomy (LC) under GA. Materials and Methods: The present study was a randomised, double-blinded, study conducted at Government Medical College and Hospital, Kathua, Jammu and Kashmir, India, on 60 patients aged between 25 to 60 years, American Society of Anaesthesiologists (ASA) I and II scheduled for elective LC under GA, who had postoperative shivering during recovery period. Study duration was of one year (October 2021 to October 2022). Patients were randomly allocated into Group A (n=30, received nalbuphine) and Group B (n=30, received nefopam). Data was collected and compiled using Statistical Package for the Social Sciences (SPSS) 23.0 version. Student’s t-test and Chi-square test was used to analyse the data. The p-value <0.05 was considered as statistically significant. Results: Time for cessation of shivering was 4.11±1.12 minutes in nalbuphine group as compared to 3.03±0.68 minutes in nefopam group which was statistically significant (p=0.001). Response rate was 73.33% in nalbuphine group as compared to 90% in nefopam group, and the difference was statistically significant (p=0.043). Similar incidence of bradycardia and vomiting was noted in both the groups. Nausea (6.67% vs 3.33%), pain on injection (3.33% vs nil) and pruritis (6.67% vs nil) were more in nalbuphine group as compared to nefopam group which was statistically significant. Sedation was more in nalbuphine group as compared to nefopam group (10% vs 6.67%) which was not significant statistically. Conclusion: Nefopam as compared to nalbuphine had earlier cessation of shivering, better response rate and had less sideeffects.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"58 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82893250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/62169.17775
Tripti Verma, Alka S. Gupta
Introduction: Interventions that try to alter behaviour in order to promote health and disease management are typically time and resource-consuming. At the moment, boosting maternal and child nutrition is the main focus of nutrition programs in India. This paper discusses the most effective methods to change eating habits, hygiene, and sanitisation particularly the significance of contemporary Information Technology (IT) in health education. Aim: To determine the pre education knowledge level and create awareness regarding maternal nutrition, hygiene and sanitation through the developed education video on personal hygiene and sanitation among maternal-aged group women. Materials and Methods: The community-based prospective interventional study was conducted from October 2019 to April 2021 by using the prospective intervention study design. Based on the Socio-demographic profile, anthropometric measurement, and clinical assessment, specific questions regarding dietary knowledge and personal hygiene were recorded by using the questionnaire. By using the recorded data through a questionnaire, 100 respondents were selected through stratified random sampling and divided into the control group (n=50) and experimental group (n=50) involved in the intervention study. The experimental group which consisted of 50 respondents was grouped into two groups E1 (n=25) and E2 (n=25) and educated separately (due to COVID-19 restriction on mass gatherings) three times a month at 15 days intervals. The nutrition education intervention was given through an educational video in the Hindi language. The effects of the intervention were studied among the participants of the experimental group. The control group did not receive any nutritional awareness sessions. Knowledge level before and after the education intervention was recorded by using the self-structured questionnaire consisting of 15 multiple questions. The data was analysed by using Analysis of variance (ANOVA) technique. Results: Analysis was done for the complete data collected from 100 participants (15-35 years of age, 50 in each control and experimental group) included in the present study. The mean age of maternal age group women was 22 years. No significant difference was found between the knowledge of the control and experimental group at baseline (p-value >0.05). However, the post-intervention, there was significant gain in knowledge in the experimental group (p-value <0.001). Conclusion: It was found that providing the nutrition education through the developed information and communication technology proved effective by increasing knowledge level among the maternal aged group women.
{"title":"Effect of Educational Video on Maternal Nutrition, Hygiene and Sanitation Among Maternal Age Group Women: A Prospective Interventional Study from Prayagraj, Uttar Pradesh, India","authors":"Tripti Verma, Alka S. Gupta","doi":"10.7860/jcdr/2023/62169.17775","DOIUrl":"https://doi.org/10.7860/jcdr/2023/62169.17775","url":null,"abstract":"Introduction: Interventions that try to alter behaviour in order to promote health and disease management are typically time and resource-consuming. At the moment, boosting maternal and child nutrition is the main focus of nutrition programs in India. This paper discusses the most effective methods to change eating habits, hygiene, and sanitisation particularly the significance of contemporary Information Technology (IT) in health education. Aim: To determine the pre education knowledge level and create awareness regarding maternal nutrition, hygiene and sanitation through the developed education video on personal hygiene and sanitation among maternal-aged group women. Materials and Methods: The community-based prospective interventional study was conducted from October 2019 to April 2021 by using the prospective intervention study design. Based on the Socio-demographic profile, anthropometric measurement, and clinical assessment, specific questions regarding dietary knowledge and personal hygiene were recorded by using the questionnaire. By using the recorded data through a questionnaire, 100 respondents were selected through stratified random sampling and divided into the control group (n=50) and experimental group (n=50) involved in the intervention study. The experimental group which consisted of 50 respondents was grouped into two groups E1 (n=25) and E2 (n=25) and educated separately (due to COVID-19 restriction on mass gatherings) three times a month at 15 days intervals. The nutrition education intervention was given through an educational video in the Hindi language. The effects of the intervention were studied among the participants of the experimental group. The control group did not receive any nutritional awareness sessions. Knowledge level before and after the education intervention was recorded by using the self-structured questionnaire consisting of 15 multiple questions. The data was analysed by using Analysis of variance (ANOVA) technique. Results: Analysis was done for the complete data collected from 100 participants (15-35 years of age, 50 in each control and experimental group) included in the present study. The mean age of maternal age group women was 22 years. No significant difference was found between the knowledge of the control and experimental group at baseline (p-value >0.05). However, the post-intervention, there was significant gain in knowledge in the experimental group (p-value <0.001). Conclusion: It was found that providing the nutrition education through the developed information and communication technology proved effective by increasing knowledge level among the maternal aged group women.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"34 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79752438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/64380.18150
Sujata Raychaudhuri, N. Kahlon, Dipti Sidam, Mita Singh, M. Pujani, Kanika Singh, Varsha Chauhan, Asim Das
Introduction: The introduction of Competency Based Medical Education (CBME) curriculum in 2019 in India has endorsed many new concepts like Early Clinical Exposure (ECE), Self-Directed Learning (SDL) etc. SDL is an active learning approach in which case-based scenarios are provided and learners are guided by questions, leading them to answers using recommended learning resources. Aim: To evaluate the outcome of introducing case study-based panel discussion as SDL and analyse student and faculty perception. Materials and Methods: This was a cross-sectional study conducted in Department of Pathology of ESIC Medical College, Faridabad, Haryana, India from May 2021 to October 2021 on 100 Bachelor of Medicine and Bachelor of Surgery (MBBS) phase 2 students. First, Didactic Lecture (DL) was taken on Diabetes Mellitus (DM). Then case study-based panel discussions were done during the practical classes assigned for SDL. Students were divided into five cohorts of 20 students each. Two faculty members were assigned for each cohort of 20 students. The assigned faculties observed and gave their inputs to their respective cohorts. Data from pre and post-test questionnaires having 15 Multiple Choice Questions (MCQ's) both theory (n-7) and problem based learning questions (n-8) was analysed statistically. Feedback from students and teachers was collected using a questionnaire in the five-point Likert scale format. Results: The pre (8.43±1.79) and post-test (12.53±1.46) scores comparison revealed statistically significant (p<0.001) improvement in the post-test scores. An 89% of students opined that CBL improved their clinical, logical, analytical and communication skills and 92% students found the whole experience of CBL enjoyable. A 100% of the faculty felt the whole experience was motivating (25% strongly agree and 75% agree) and 33.34% of faculty strongly agreed that CBL helped in bridging the gap and 41.67% strongly agreed that it improved student involvement. However, all faculty found it to be time consuming (25% strongly agree and 75% agree) and 83.34% felt it was an extra burden for them. Conclusion: Students reported an improvement in their learning, interaction, communication and analytical skills through the introduction of this innovative method of teaching Pathology using case study-based panel discussion as a means of SDL.
{"title":"Introducing Case Study-based Panel Discussion as an Effective Means of Self-Directed Learning in Phase 2 MBBS Students: A Cross-sectional Study","authors":"Sujata Raychaudhuri, N. Kahlon, Dipti Sidam, Mita Singh, M. Pujani, Kanika Singh, Varsha Chauhan, Asim Das","doi":"10.7860/jcdr/2023/64380.18150","DOIUrl":"https://doi.org/10.7860/jcdr/2023/64380.18150","url":null,"abstract":"Introduction: The introduction of Competency Based Medical Education (CBME) curriculum in 2019 in India has endorsed many new concepts like Early Clinical Exposure (ECE), Self-Directed Learning (SDL) etc. SDL is an active learning approach in which case-based scenarios are provided and learners are guided by questions, leading them to answers using recommended learning resources. Aim: To evaluate the outcome of introducing case study-based panel discussion as SDL and analyse student and faculty perception. Materials and Methods: This was a cross-sectional study conducted in Department of Pathology of ESIC Medical College, Faridabad, Haryana, India from May 2021 to October 2021 on 100 Bachelor of Medicine and Bachelor of Surgery (MBBS) phase 2 students. First, Didactic Lecture (DL) was taken on Diabetes Mellitus (DM). Then case study-based panel discussions were done during the practical classes assigned for SDL. Students were divided into five cohorts of 20 students each. Two faculty members were assigned for each cohort of 20 students. The assigned faculties observed and gave their inputs to their respective cohorts. Data from pre and post-test questionnaires having 15 Multiple Choice Questions (MCQ's) both theory (n-7) and problem based learning questions (n-8) was analysed statistically. Feedback from students and teachers was collected using a questionnaire in the five-point Likert scale format. Results: The pre (8.43±1.79) and post-test (12.53±1.46) scores comparison revealed statistically significant (p<0.001) improvement in the post-test scores. An 89% of students opined that CBL improved their clinical, logical, analytical and communication skills and 92% students found the whole experience of CBL enjoyable. A 100% of the faculty felt the whole experience was motivating (25% strongly agree and 75% agree) and 33.34% of faculty strongly agreed that CBL helped in bridging the gap and 41.67% strongly agreed that it improved student involvement. However, all faculty found it to be time consuming (25% strongly agree and 75% agree) and 83.34% felt it was an extra burden for them. Conclusion: Students reported an improvement in their learning, interaction, communication and analytical skills through the introduction of this innovative method of teaching Pathology using case study-based panel discussion as a means of SDL.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"7 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80510362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/59983.18073
G. S. Penmetsa, Sravanthi Vundavalli, B. Anusha, M. Raju, N. Sruthima, Sathya Veluri, N. H. Priya, B. Patnaik
Introduction: Dentinal Hypersensitivity (DH) is one of the most prevalent dental issues that is treated by both periodontists and endodontists. Hypersensitive dentin is a sensitive or painful response that is one of the most prevalent and poorly treated chronic dental disorders. Due to the difficulty in treating cervical DH, a great range of approaches and therapeutic procedures for pain relief in have developed. Treatments with desensitising drugs have been combined with laser treatment in recent decades. The most often utilised lasers in the treatment of DH are Diode Lasers (DL). DL act on DH provoking a melting effect with crystallisation of dentine inorganic component and the coagulation of fluids contained into the dentinal tubules. Aim: To compare the effectiveness of DL of two different wavelengths in managing DH. Materials and Methods: This split-mouth randomised clinical trial conducted in the Department of Periodontology at Vishnu Dental College, Bhimavaram, Andhra Pradesh, India. The duration of the study was, from October 2021 to December 2021. A total of 12 patients with DH were selected and assigned to two groups. All the patients were subjected to desensitisation using DL of two different wavelengths 475 nm Bluelase system and 810 nm. Denlase system and parameters were evaluated 15 minutes after treatment, 7 days, 15 days and 30 days after treatment. Data were entered in Microsoft Excel and analysed using Statitical Package for Social Sciences (SPSS) version 10.5 software. Results: The mean age of the study participants was 45±3 years. There was a significant difference (p-value <0.001) in tooth sensitivity values measured at baseline, and at different time intervals in both groups. Among the two groups, Denlase group showed the greatest reduction in Visual Analogue Scale (VAS) scores from baseline to one month recall compared to Bluelase laser group. Highly significant difference was found when mean VAS scores were compared between baseline and all the other time points (p-value <0.001). Conclusion: The present study concluded that, based on the results obtained, DL of 810 nm Denlase system was effective than DL of 475 nm Bluelase system in reducing the DH. Desensitisation treatment with laser irradiation has shown to be effective in the present study.
{"title":"Treatment of Dentinal Hypersensitivity with Diode Laser of Two Different WavelengthsA Randomised Clinical Trial","authors":"G. S. Penmetsa, Sravanthi Vundavalli, B. Anusha, M. Raju, N. Sruthima, Sathya Veluri, N. H. Priya, B. Patnaik","doi":"10.7860/jcdr/2023/59983.18073","DOIUrl":"https://doi.org/10.7860/jcdr/2023/59983.18073","url":null,"abstract":"Introduction: Dentinal Hypersensitivity (DH) is one of the most prevalent dental issues that is treated by both periodontists and endodontists. Hypersensitive dentin is a sensitive or painful response that is one of the most prevalent and poorly treated chronic dental disorders. Due to the difficulty in treating cervical DH, a great range of approaches and therapeutic procedures for pain relief in have developed. Treatments with desensitising drugs have been combined with laser treatment in recent decades. The most often utilised lasers in the treatment of DH are Diode Lasers (DL). DL act on DH provoking a melting effect with crystallisation of dentine inorganic component and the coagulation of fluids contained into the dentinal tubules. Aim: To compare the effectiveness of DL of two different wavelengths in managing DH. Materials and Methods: This split-mouth randomised clinical trial conducted in the Department of Periodontology at Vishnu Dental College, Bhimavaram, Andhra Pradesh, India. The duration of the study was, from October 2021 to December 2021. A total of 12 patients with DH were selected and assigned to two groups. All the patients were subjected to desensitisation using DL of two different wavelengths 475 nm Bluelase system and 810 nm. Denlase system and parameters were evaluated 15 minutes after treatment, 7 days, 15 days and 30 days after treatment. Data were entered in Microsoft Excel and analysed using Statitical Package for Social Sciences (SPSS) version 10.5 software. Results: The mean age of the study participants was 45±3 years. There was a significant difference (p-value <0.001) in tooth sensitivity values measured at baseline, and at different time intervals in both groups. Among the two groups, Denlase group showed the greatest reduction in Visual Analogue Scale (VAS) scores from baseline to one month recall compared to Bluelase laser group. Highly significant difference was found when mean VAS scores were compared between baseline and all the other time points (p-value <0.001). Conclusion: The present study concluded that, based on the results obtained, DL of 810 nm Denlase system was effective than DL of 475 nm Bluelase system in reducing the DH. Desensitisation treatment with laser irradiation has shown to be effective in the present study.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"46 7 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80514217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/61427.17977
Pooja Ladke, K. Mitra, A. Dhok, Ashish N Ambhore, Suruchi Dhawan
{"title":"A Rare Case of Extracranial Meningioma of the Temporal Bone","authors":"Pooja Ladke, K. Mitra, A. Dhok, Ashish N Ambhore, Suruchi Dhawan","doi":"10.7860/jcdr/2023/61427.17977","DOIUrl":"https://doi.org/10.7860/jcdr/2023/61427.17977","url":null,"abstract":"","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"8 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81082187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/58065.17254
A. Nayak, S. Ninave, Dhawal R. Wadaskar, Prasad Panbude, Amol Bele
Tetralogy Of Fallot (TOF), one of the most prevalent cyanotic congenital heart diseases in children. Single step corrective surgery, early on in life, provides a fair expectation of favourable outcome in these individuals. However, complex, and skilled anaesthetic management is required by experienced team of healthcare providers. Preoperative surgical preparation, intraoperative key anaesthesia principles and postoperative care intensive care unit are all perioperative considerations in these patients. This article reports challenges faced in the perioperative anaesthesic management of a 3-year-old child having uncorrected TOF, who underwent Waterston shunt and later Intracardiac Repair (ICR). He presented with postoperative complication like cyanotic spell, gastrointenstinal bleeding, sepsis; but later recovered successfully.
{"title":"Unravelling the Convoluted Story of Perioperative Care in Three-year-old Child with Tetralogy of Fallot Undergoing Repair Surgery","authors":"A. Nayak, S. Ninave, Dhawal R. Wadaskar, Prasad Panbude, Amol Bele","doi":"10.7860/jcdr/2023/58065.17254","DOIUrl":"https://doi.org/10.7860/jcdr/2023/58065.17254","url":null,"abstract":"Tetralogy Of Fallot (TOF), one of the most prevalent cyanotic congenital heart diseases in children. Single step corrective surgery, early on in life, provides a fair expectation of favourable outcome in these individuals. However, complex, and skilled anaesthetic management is required by experienced team of healthcare providers. Preoperative surgical preparation, intraoperative key anaesthesia principles and postoperative care intensive care unit are all perioperative considerations in these patients. This article reports challenges faced in the perioperative anaesthesic management of a 3-year-old child having uncorrected TOF, who underwent Waterston shunt and later Intracardiac Repair (ICR). He presented with postoperative complication like cyanotic spell, gastrointenstinal bleeding, sepsis; but later recovered successfully.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"78 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81113768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/61516.18072
Talha Faiyazuddin, Anitha Ravella, Javeria Amatul Rahman, N. Yasmeen, A. R. Siddiqui
Introduction: Focused and sustained attention, executive function, working memory and task switching are important cognitive abilities. Efforts to enhance cognitive abilities, have engaged the scientific community since ages. Human beings are exposed to several fragrances and the perception of the sense of smell, plays an important role in the physiological effects of mood, stress, and working capacity. Perception of olfactory stimuli involves complex brain processing, which can be directly associated with cognition and emotion. Several Electroencephalogram (EEG) studies have revealed that, fragrances significantly modulate the activities of different brain waves and are responsible for various states of the brain. Aim: To objectively demonstrate the effect of olfactory stimulation with herbal (rose) perfume on attention and executive functions. Materials and Methods: This sequential cross-sectional study was conducted in the Department of Physiology at Osmania Medical College, Hyderabad, Telangana, India. The duration of the study was one month, from 16th August 2021 to 16th September 2021. Study included 40 healthy participants (15 males and 25 females), aged between 18-30 years to olfactory stimulation by herbal (rose) extract perfume and synthetic (rose) perfume, and the effects are assessed, using the psychophysiological tests viz., Rapid Serial Visual Presentation task (RSVP), Trail Making Tests (TMT) A&B, Ruff Figural Fluency Test (RFT), and compared with the baseline scores, which are then analysed using Paired t-test. The data was analysed by using Statistical Package for Social Sciences (SPSS) version 16.0. Results: Olfactory stimulation with herbal rose perfume enhances the attention and speed of processing, as shown by the nearly significant improvement in the performance of the TMT-A (p-value=0.05433), with decreased time taken to perform the test, whereas, the synthetic rose perfume enhanced the attention, speed, switching between tasks, cognitive fluency, and flexibility. This is evident by the significant improvement in the performance of the TMT-A (p-value=0.00326) and TMT-B (p-value=0.0001693), with decreased time taken to perform the tests. The derived index TMT (B-A), which removes the speed component and is a purer index of executive functions, also showed significant results (p-value=0.002092). Conclusion: The effects of herbal and synthetic rose olfactory stimulation have shown positive influence on the attention and cognitive functions and this finding can be applied to create student friendly learning environments, by providing pleasant stimuli through means of aromatic sprays delivering the odorant in a pulsatile manner at a frequency to overcome the ensuing olfactory adaptation.
集中和持续的注意力、执行功能、工作记忆和任务转换是重要的认知能力。多年来，科学界一直致力于提高认知能力。人类接触到的几种香味和感知的嗅觉，在情绪、压力和工作能力的生理影响中起着重要的作用。嗅觉刺激的感知涉及复杂的大脑处理，它可以直接与认知和情感相关。几项脑电图(EEG)研究表明，香味可以显著调节不同脑电波的活动，并对大脑的各种状态负责。目的:客观论证植物(玫瑰)香嗅觉刺激对注意力和执行功能的影响。材料和方法:这项连续横断面研究是在印度特伦加纳邦海得拉巴Osmania医学院生理学系进行的。研究时间为一个月，从2021年8月16日至2021年9月16日。研究纳入了40名年龄在18-30岁之间的健康参与者(15名男性和25名女性)，对草药(玫瑰)提取物香水和合成(玫瑰)香水进行嗅觉刺激，并使用心理生理测试，即快速连续视觉呈现任务(RSVP)， Trail Making tests (TMT) a和b, Ruff图形流畅性测试(RFT)来评估效果，并与基线分数进行比较，然后使用配对t检验进行分析。采用SPSS (Statistical Package for Social Sciences) 16.0对数据进行分析。结果:植物玫瑰香水嗅觉刺激可以提高TMT-A测试的注意力和处理速度(p值=0.05433)，并且可以缩短测试时间，而合成玫瑰香水可以提高注意力、速度、任务切换、认知流畅性和灵活性。TMT-A (p值=0.00326)和TMT-B (p值=0.0001693)的性能显著提高，执行测试所需的时间减少，这一点很明显。衍生指数TMT (B-A)去掉了速度成分，是执行功能的一个更纯粹的指数，也显示出显著的结果(p值=0.002092)。结论:草药和合成玫瑰的嗅觉刺激对注意力和认知功能有积极的影响，这一发现可以应用于创造学生友好的学习环境，通过芳香喷雾以脉动的方式以频率提供愉快的刺激，以克服随之而来的嗅觉适应。
{"title":"Effect of Herbal Perfumes and Synthetic Perfumes on Attention and Cognitive Functions in Young Adults: A Sequential Cross-sectional Study","authors":"Talha Faiyazuddin, Anitha Ravella, Javeria Amatul Rahman, N. Yasmeen, A. R. Siddiqui","doi":"10.7860/jcdr/2023/61516.18072","DOIUrl":"https://doi.org/10.7860/jcdr/2023/61516.18072","url":null,"abstract":"Introduction: Focused and sustained attention, executive function, working memory and task switching are important cognitive abilities. Efforts to enhance cognitive abilities, have engaged the scientific community since ages. Human beings are exposed to several fragrances and the perception of the sense of smell, plays an important role in the physiological effects of mood, stress, and working capacity. Perception of olfactory stimuli involves complex brain processing, which can be directly associated with cognition and emotion. Several Electroencephalogram (EEG) studies have revealed that, fragrances significantly modulate the activities of different brain waves and are responsible for various states of the brain. Aim: To objectively demonstrate the effect of olfactory stimulation with herbal (rose) perfume on attention and executive functions. Materials and Methods: This sequential cross-sectional study was conducted in the Department of Physiology at Osmania Medical College, Hyderabad, Telangana, India. The duration of the study was one month, from 16th August 2021 to 16th September 2021. Study included 40 healthy participants (15 males and 25 females), aged between 18-30 years to olfactory stimulation by herbal (rose) extract perfume and synthetic (rose) perfume, and the effects are assessed, using the psychophysiological tests viz., Rapid Serial Visual Presentation task (RSVP), Trail Making Tests (TMT) A&B, Ruff Figural Fluency Test (RFT), and compared with the baseline scores, which are then analysed using Paired t-test. The data was analysed by using Statistical Package for Social Sciences (SPSS) version 16.0. Results: Olfactory stimulation with herbal rose perfume enhances the attention and speed of processing, as shown by the nearly significant improvement in the performance of the TMT-A (p-value=0.05433), with decreased time taken to perform the test, whereas, the synthetic rose perfume enhanced the attention, speed, switching between tasks, cognitive fluency, and flexibility. This is evident by the significant improvement in the performance of the TMT-A (p-value=0.00326) and TMT-B (p-value=0.0001693), with decreased time taken to perform the tests. The derived index TMT (B-A), which removes the speed component and is a purer index of executive functions, also showed significant results (p-value=0.002092). Conclusion: The effects of herbal and synthetic rose olfactory stimulation have shown positive influence on the attention and cognitive functions and this finding can be applied to create student friendly learning environments, by providing pleasant stimuli through means of aromatic sprays delivering the odorant in a pulsatile manner at a frequency to overcome the ensuing olfactory adaptation.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"26 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81147819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.7860/jcdr/2023/62542.18284
Evangeline Ida, V. Ramya, Anitha Balaji, Deepa Subramaniam, Dhivya Darshani
Orthodontic mini-implants or transient anchorage devices can be used to shift difficult teeth. There is substantial evidence showing the effectiveness of Temporary Anchorage Devices (TAD) and their anchorage requirements. However, there are also reports of failures and complications like soft tissue inflammation, tissue overgrowth, peri-implantitis and mini-implant fracture. The present case report of 22 years old female patient, discusses a rare occurrence of tissue overgrowth over the mini-implant on right buccal mucosa in relation to 45, 46 regions. A 1.3×9 mm stainless steel mini-implant was used as an interim anchorage device. The tissue overgrowth was attributed to soft tissue inflammation around the mini-implant. Under adequate anaesthesia, the tissue was removed using a laser, and the mini-implant was retrieved using tissue forceps. After achieving hemostasis, simple interrupted sutures were placed. It is recommended to administer antibiotics, analgesics, and along with postoperative instructions. When used correctly, mini-screws are valuable tools that enhance the effectiveness of orthodontic treatment. However, there is a scarcity of case studies discussing the complications and side-effects of mini-implants. Clinicians should carefully evaluate both general and unique side-effects and complications at the insertion site. This case report demonstrates the successful removal of an orthodontic mini-implant following diode laser ablation of hyperplastic tissue.
{"title":"Surgical Excision of Hypertrophic Tissue and Retrieval of Orthodontic Mini-implant using Diode Laser- A Rare Case Report","authors":"Evangeline Ida, V. Ramya, Anitha Balaji, Deepa Subramaniam, Dhivya Darshani","doi":"10.7860/jcdr/2023/62542.18284","DOIUrl":"https://doi.org/10.7860/jcdr/2023/62542.18284","url":null,"abstract":"Orthodontic mini-implants or transient anchorage devices can be used to shift difficult teeth. There is substantial evidence showing the effectiveness of Temporary Anchorage Devices (TAD) and their anchorage requirements. However, there are also reports of failures and complications like soft tissue inflammation, tissue overgrowth, peri-implantitis and mini-implant fracture. The present case report of 22 years old female patient, discusses a rare occurrence of tissue overgrowth over the mini-implant on right buccal mucosa in relation to 45, 46 regions. A 1.3×9 mm stainless steel mini-implant was used as an interim anchorage device. The tissue overgrowth was attributed to soft tissue inflammation around the mini-implant. Under adequate anaesthesia, the tissue was removed using a laser, and the mini-implant was retrieved using tissue forceps. After achieving hemostasis, simple interrupted sutures were placed. It is recommended to administer antibiotics, analgesics, and along with postoperative instructions. When used correctly, mini-screws are valuable tools that enhance the effectiveness of orthodontic treatment. However, there is a scarcity of case studies discussing the complications and side-effects of mini-implants. Clinicians should carefully evaluate both general and unique side-effects and complications at the insertion site. This case report demonstrates the successful removal of an orthodontic mini-implant following diode laser ablation of hyperplastic tissue.","PeriodicalId":15483,"journal":{"name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","volume":"91 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78075751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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