Pub Date : 2023-04-01DOI: 10.4103/jdmimsu.jdmimsu_55_23
K. Harshith Gowda, G. Mishra, P. Parihar, R. Dhande, Anurag Luharia
Background: Elastography, recent progress in the field of imaging, is an innovative approach which provides information pertaining to tissue elasticity. Charting the stiffness can be performed either by assessing the same, using the evaluation of the strain i n the mass of cells in the presence of stress or assessment of shear waves, the propagation of which is dependent on the tissue stiffness, using imaging tools. This study was done to investigate the validity of strain elastography in the diagnosis of superficial soft-tissue lesions in contrast to histopathological examination (HPE) due to the dearth of studies comparing strain elastography and HPE, particularly in the Indian context. Materials and Methods: The present longitudinal study was conducted by the Department of Radiology at AVBRH, Sawangi, Wardha, from the year 2020 to 2022. Ninety-six subjects who were diagnosed or clinically suspected superficial soft-tissue lesions irrespective of age and gender were included. All patients underwent ultrasound, elastography, and final diagnosis was confirmed with HPE. Institutional Ethical Clearance (No: DMIMS [DU]/IEC/2022/340) and before the initiation of the investigation and the recruitment of patients into the study, informed consent was obtained. Chi-square test, Mann–Whitney U-test, and Kruskal–Wallis test were the tests of significance. Results: The subjects' average age was 40.38 ± 18.95 years, and 57.3% of them were women. On HPE, 21 lesions (21.8%) were categorized as malignant and 75 lesions (77.2%) as benign. The mean strain ratio (SR) was 11.7 ± 4.8 for malignant lesions and 2.5 ± 4.6 for benign lesions. Malignant and benign lesions had a noticeable change in SR. To distinguish between malignant and benign soft-tissue lesions, an SR of >3 had a sensitivity of 95.24%, specificity of 91.89%, positive predictive value of 87.0%, and negative predictive value of 97.1%. Conclusion: SR of malignant lesions was higher than that of benign soft-tissue lesions. SRs performed better as a diagnostic tool than elasticity scores hence, SRs can be utilized as a marker to foretell a soft-tissue tumor's propensity for malignancy.
{"title":"Role of strain elastography in the diagnosis of superficial soft-tissue lesions","authors":"K. Harshith Gowda, G. Mishra, P. Parihar, R. Dhande, Anurag Luharia","doi":"10.4103/jdmimsu.jdmimsu_55_23","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_55_23","url":null,"abstract":"Background: Elastography, recent progress in the field of imaging, is an innovative approach which provides information pertaining to tissue elasticity. Charting the stiffness can be performed either by assessing the same, using the evaluation of the strain i n the mass of cells in the presence of stress or assessment of shear waves, the propagation of which is dependent on the tissue stiffness, using imaging tools. This study was done to investigate the validity of strain elastography in the diagnosis of superficial soft-tissue lesions in contrast to histopathological examination (HPE) due to the dearth of studies comparing strain elastography and HPE, particularly in the Indian context. Materials and Methods: The present longitudinal study was conducted by the Department of Radiology at AVBRH, Sawangi, Wardha, from the year 2020 to 2022. Ninety-six subjects who were diagnosed or clinically suspected superficial soft-tissue lesions irrespective of age and gender were included. All patients underwent ultrasound, elastography, and final diagnosis was confirmed with HPE. Institutional Ethical Clearance (No: DMIMS [DU]/IEC/2022/340) and before the initiation of the investigation and the recruitment of patients into the study, informed consent was obtained. Chi-square test, Mann–Whitney U-test, and Kruskal–Wallis test were the tests of significance. Results: The subjects' average age was 40.38 ± 18.95 years, and 57.3% of them were women. On HPE, 21 lesions (21.8%) were categorized as malignant and 75 lesions (77.2%) as benign. The mean strain ratio (SR) was 11.7 ± 4.8 for malignant lesions and 2.5 ± 4.6 for benign lesions. Malignant and benign lesions had a noticeable change in SR. To distinguish between malignant and benign soft-tissue lesions, an SR of >3 had a sensitivity of 95.24%, specificity of 91.89%, positive predictive value of 87.0%, and negative predictive value of 97.1%. Conclusion: SR of malignant lesions was higher than that of benign soft-tissue lesions. SRs performed better as a diagnostic tool than elasticity scores hence, SRs can be utilized as a marker to foretell a soft-tissue tumor's propensity for malignancy.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49220390","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 : 2023-04-01DOI: 10.4103/jdmimsu.jdmimsu_116_23
Chandani Bhatia, M. Chandak, Rahul Adwani, Abhilasha Dass, P. Nikhade, S. Shrivastav, Dhruba Harichandi, N. Adwani
The literature on conventional irrigants used as root canal disinfectants in endodontic is extensive. For smear layer removal, a number of chelating compounds comprising citric acid and ethylenediaminetetraacetic acid have been utilized. Both work by lowering the dentin complex's calcium ion content, which changes its permeability. Although synthetic antibiotics have proven unsuccessful against a number of pathogenic species due to rising drug resistance, attention to antimicrobials derived from plants has been evident in the recent literature. As literature is boosting about the various time-tested herbs, there are still other heritage herbs that remain away from the limelight. Hence, this review focuses on various studies that highlighted the use of herbal irrigants in place of synthetic irrigants. Search methodology involved searching PubMed and Google Scholar databases for articles that were published between 2018 and 2022, following which 13 articles were recruited for the current review. After evaluation of the various studies, the review concluded that herbal irrigants are useful root canal irrigants that can replace synthetic irrigants for smear layer removal and antimicrobial efficiency against various microorganisms.
{"title":"Comparative evaluation of antimicrobial efficacy of new herbal preparation with and without 17% ethylenediamine tetraacetic acid as a root canal irrigant in human root dentin: A systematic review","authors":"Chandani Bhatia, M. Chandak, Rahul Adwani, Abhilasha Dass, P. Nikhade, S. Shrivastav, Dhruba Harichandi, N. Adwani","doi":"10.4103/jdmimsu.jdmimsu_116_23","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_116_23","url":null,"abstract":"The literature on conventional irrigants used as root canal disinfectants in endodontic is extensive. For smear layer removal, a number of chelating compounds comprising citric acid and ethylenediaminetetraacetic acid have been utilized. Both work by lowering the dentin complex's calcium ion content, which changes its permeability. Although synthetic antibiotics have proven unsuccessful against a number of pathogenic species due to rising drug resistance, attention to antimicrobials derived from plants has been evident in the recent literature. As literature is boosting about the various time-tested herbs, there are still other heritage herbs that remain away from the limelight. Hence, this review focuses on various studies that highlighted the use of herbal irrigants in place of synthetic irrigants. Search methodology involved searching PubMed and Google Scholar databases for articles that were published between 2018 and 2022, following which 13 articles were recruited for the current review. After evaluation of the various studies, the review concluded that herbal irrigants are useful root canal irrigants that can replace synthetic irrigants for smear layer removal and antimicrobial efficiency against various microorganisms.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43223855","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 : 2023-04-01DOI: 10.4103/jdmimsu.jdmimsu_671_22
Waqar M. Naqvi, Arti Sahu, Sakshi P. Arora
High-quality patient-centered health care involves incorporating patient choice in the treatment plan. Patient engagement corresponds with the quality of life (QoL) and satisfaction, which can be achieved by including patient-reported outcome measures (PROMs) in physiotherapy practice. PROMs are instruments to evaluate health outcomes from the perspective of the patient and to determine whether the management plan enhances their QoL. PROMs in regular practice offer a structured way for clinicians to track patient symptoms, determine clinical outcomes, and facilitate collaborative decision-making. During the patient assessment, it aids in establishing a consistent framework, confirming the clinical results, and ascertaining the validity of the evaluation to the desired treatment. PROM data can be collected in several ways, including in-person interviews, questionnaires, and diaries. The use of PROMs in research increases both the research process as well as the validity of its findings. Integrating PROMs into physiotherapy management is an opportunity to rightly understand the patient's QoL trajectory and broaden the range of PROMs estimated in shared decision-making. Although PROM administration by clinicians helps for tracking patients, for guiding treatment considerations, and for providing a more central viewpoint for patients, its usage remains unclear by including patients in shared decision-making. However, establishing a patient-centered, comprehensive prototype of treatment requires the regular application of authorized PROMs. Incorporation of PROMs in physiotherapy practice can facilitate a multidimensional and patient-centered evaluation of the disease, identify unfulfilled needs, direct physiotherapist attention to these needs, and better inform policymakers in the light of identifying patient goals.
{"title":"Patient-Reported outcome measures in physiotherapy: An overview","authors":"Waqar M. Naqvi, Arti Sahu, Sakshi P. Arora","doi":"10.4103/jdmimsu.jdmimsu_671_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_671_22","url":null,"abstract":"High-quality patient-centered health care involves incorporating patient choice in the treatment plan. Patient engagement corresponds with the quality of life (QoL) and satisfaction, which can be achieved by including patient-reported outcome measures (PROMs) in physiotherapy practice. PROMs are instruments to evaluate health outcomes from the perspective of the patient and to determine whether the management plan enhances their QoL. PROMs in regular practice offer a structured way for clinicians to track patient symptoms, determine clinical outcomes, and facilitate collaborative decision-making. During the patient assessment, it aids in establishing a consistent framework, confirming the clinical results, and ascertaining the validity of the evaluation to the desired treatment. PROM data can be collected in several ways, including in-person interviews, questionnaires, and diaries. The use of PROMs in research increases both the research process as well as the validity of its findings. Integrating PROMs into physiotherapy management is an opportunity to rightly understand the patient's QoL trajectory and broaden the range of PROMs estimated in shared decision-making. Although PROM administration by clinicians helps for tracking patients, for guiding treatment considerations, and for providing a more central viewpoint for patients, its usage remains unclear by including patients in shared decision-making. However, establishing a patient-centered, comprehensive prototype of treatment requires the regular application of authorized PROMs. Incorporation of PROMs in physiotherapy practice can facilitate a multidimensional and patient-centered evaluation of the disease, identify unfulfilled needs, direct physiotherapist attention to these needs, and better inform policymakers in the light of identifying patient goals.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43875736","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 : 2023-04-01DOI: 10.4103/jdmimsu.jdmimsu_591_22
M. Yadav, Varsha Kose, N. Vijay, K. Dwidmuthe
The most prevalent endocrine issue affecting women is thyroid dysfunction. Thyroid hormone has a significant effect on women's life. Its dysfunction is widespread, particularly among women over 50. Understanding how thyroid disease's clinical symptoms change with ageing is crucial when treating peri- and post-menopausal women. Considering that 30% of India's population is female, the thyroid disease epidemic appears to affect Indian women more than any other ailment. Detection of frequency of thyroid disorder in pre- and post-menopausal women and its association with menopausal symptoms. This scoping review was done using Preferred Reporting Items for Systematic reviews and Meta-Analyses-extension for Scoping Reviews guidelines. Database searches in Pub Med, Web of Science, and Scopus were done. The research question was clarified and modified using keywords. After database searches 10 relevant articles were obtained and were included in this study. A meta-analysis method and extra analytical research carried out in tertiary care center were used to synthesize the findings. Compilation of data extracted from different previous studies done which showed frequency of thyroid hormone changes in women in pre- and post-menopausal age groups from which the conclusion of the present study made. This scoping review highlighted that thyroid hormone dysfunction needs to be correlated to menopausal symptoms. As thyroid hormone dysfunction is common in peri- and post-menopausal age groups, which was seen in many articles that we have reviewed, its correlation to menopausal symptoms is more important. Thyroid disorders can be detected and treated early and improve quality of life. Future research on this correlation is required which was not found in current articles.
影响妇女的最普遍的内分泌问题是甲状腺功能障碍。甲状腺激素对女性的生活有重要影响。它的功能障碍很普遍，尤其是在50岁以上的女性中。在治疗围绝经期和绝经后妇女时，了解甲状腺疾病的临床症状如何随着年龄的增长而变化至关重要。考虑到印度30%的人口是女性，甲状腺疾病对印度女性的影响似乎比任何其他疾病都大。绝经前和绝经后妇女甲状腺功能紊乱频率的检测及其与更年期症状的关系。该范围界定审查是使用系统审查的首选报告项目和范围界定审查指南的荟萃分析扩展进行的。在Pub Med、Web of Science和Scopus上进行了数据库搜索。研究问题用关键词进行了澄清和修改。经过数据库检索，获得了10篇相关文章，并纳入本研究。使用荟萃分析方法和在三级护理中心进行的额外分析研究来综合这些发现。从以前的不同研究中提取的数据汇编显示了绝经前和绝经后年龄组女性甲状腺激素变化的频率，本研究的结论就是根据这些数据得出的。这篇范围界定综述强调，甲状腺激素功能障碍需要与更年期症状相关。由于甲状腺激素功能障碍在围绝经期和绝经后年龄组中很常见，这在我们综述的许多文章中都有发现，因此它与更年期症状的相关性更为重要。甲状腺疾病可以及早发现和治疗，提高生活质量。未来需要对这种相关性进行研究，这在目前的文章中没有发现。
{"title":"Frequency of thyroid disorder in pre- and post-menopausal women and its association with menopausal symptoms – A scoping review","authors":"M. Yadav, Varsha Kose, N. Vijay, K. Dwidmuthe","doi":"10.4103/jdmimsu.jdmimsu_591_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_591_22","url":null,"abstract":"The most prevalent endocrine issue affecting women is thyroid dysfunction. Thyroid hormone has a significant effect on women's life. Its dysfunction is widespread, particularly among women over 50. Understanding how thyroid disease's clinical symptoms change with ageing is crucial when treating peri- and post-menopausal women. Considering that 30% of India's population is female, the thyroid disease epidemic appears to affect Indian women more than any other ailment. Detection of frequency of thyroid disorder in pre- and post-menopausal women and its association with menopausal symptoms. This scoping review was done using Preferred Reporting Items for Systematic reviews and Meta-Analyses-extension for Scoping Reviews guidelines. Database searches in Pub Med, Web of Science, and Scopus were done. The research question was clarified and modified using keywords. After database searches 10 relevant articles were obtained and were included in this study. A meta-analysis method and extra analytical research carried out in tertiary care center were used to synthesize the findings. Compilation of data extracted from different previous studies done which showed frequency of thyroid hormone changes in women in pre- and post-menopausal age groups from which the conclusion of the present study made. This scoping review highlighted that thyroid hormone dysfunction needs to be correlated to menopausal symptoms. As thyroid hormone dysfunction is common in peri- and post-menopausal age groups, which was seen in many articles that we have reviewed, its correlation to menopausal symptoms is more important. Thyroid disorders can be detected and treated early and improve quality of life. Future research on this correlation is required which was not found in current articles.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49467140","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 : 2023-04-01DOI: 10.4103/jdmimsu.jdmimsu_235_21
Arun S Urala, Hrishikesh Sathyamoorthy, K. Pentapati
Objective: The objective of this study is to evaluate the incidence of orthodontic bracket detachment (OBD) and associated factors among individuals undergoing orthodontic treatment. Materials and Methods: We conducted a cross-sectional study among the individuals undergoing orthodontic treatment at our center. We included participants aged 18 and above who underwent orthodontic treatment for at least 6 months or more and those willing to participate. We excluded participants whose orthodontic treatment started elsewhere and participants with syndromes. A specially designed self-administered questionnaire in English was developed, which included information on age, sex, education, duration of orthodontic treatment, number of orthodontic brackets detached, frequency, and reasons. Personality Inventory for DSM-5 Brief Form (PID-5-BF) for adults was used to evaluate the personality traits of the participant. Results: One hundred and thirty-four individuals completed this study, of which 43.3% were males (mean age: 21.29 ± 3.23). The incidence of OBD was 32.1%. The mean duration of the treatment was significantly higher among those with OBD than those without OBD (P = 0.007). However, there were no significant differences in the mean domain scores and total scores of PID-5-BF between the individuals with or without OBD. It was seen that the duration of orthodontic treatment was significantly associated with OBD (odds ratio = 1.07; 95% confidence interval = 1.02–1.12). Conclusion: Our study showed that the treatment duration was higher among individuals with OBD.
{"title":"Incidence of orthodontic bracket detachment and associated factors among individuals undergoing orthodontic treatment","authors":"Arun S Urala, Hrishikesh Sathyamoorthy, K. Pentapati","doi":"10.4103/jdmimsu.jdmimsu_235_21","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_235_21","url":null,"abstract":"Objective: The objective of this study is to evaluate the incidence of orthodontic bracket detachment (OBD) and associated factors among individuals undergoing orthodontic treatment. Materials and Methods: We conducted a cross-sectional study among the individuals undergoing orthodontic treatment at our center. We included participants aged 18 and above who underwent orthodontic treatment for at least 6 months or more and those willing to participate. We excluded participants whose orthodontic treatment started elsewhere and participants with syndromes. A specially designed self-administered questionnaire in English was developed, which included information on age, sex, education, duration of orthodontic treatment, number of orthodontic brackets detached, frequency, and reasons. Personality Inventory for DSM-5 Brief Form (PID-5-BF) for adults was used to evaluate the personality traits of the participant. Results: One hundred and thirty-four individuals completed this study, of which 43.3% were males (mean age: 21.29 ± 3.23). The incidence of OBD was 32.1%. The mean duration of the treatment was significantly higher among those with OBD than those without OBD (P = 0.007). However, there were no significant differences in the mean domain scores and total scores of PID-5-BF between the individuals with or without OBD. It was seen that the duration of orthodontic treatment was significantly associated with OBD (odds ratio = 1.07; 95% confidence interval = 1.02–1.12). Conclusion: Our study showed that the treatment duration was higher among individuals with OBD.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48544982","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 : 2023-04-01DOI: 10.4103/jdmimsu.jdmimsu_523_22
J. Vagha, M. Lakra, Keta Vagha
{"title":"A very rare case of juvenile dermatomyositis with typical cutaneous clinical signs","authors":"J. Vagha, M. Lakra, Keta Vagha","doi":"10.4103/jdmimsu.jdmimsu_523_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_523_22","url":null,"abstract":"","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46097877","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 : 2023-04-01DOI: 10.4103/jdmimsu.jdmimsu_29_23
A. Kolluru, Amol Anantrao Gautam, S. Garg, A. I. Tamboli
A specialized tissue called synovium lines the body's tendons, bursae, and synovial joints. It is affected by various localized or systemic disorders. These are classified into inflammatory, infectious, degenerative, traumatic, hemorrhagic, and neoplastic. Synovial damage leads to irreversible joint destruction. Imaging plays an important role in the early detection of the disease entity and enables for proper treatment. This article focuses on magnetic resonance imaging of synovial diseases pertaining to knee – (1) infective synovitis; (2) rheumatoid synovitis; (3) pigmented villonodular synovitis; (4) lipoma arborescens; (5) synovial hemangioma; and (6) synovial sarcoma.
{"title":"Magnetic resonance imaging of synovial diseases of knee","authors":"A. Kolluru, Amol Anantrao Gautam, S. Garg, A. I. Tamboli","doi":"10.4103/jdmimsu.jdmimsu_29_23","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_29_23","url":null,"abstract":"A specialized tissue called synovium lines the body's tendons, bursae, and synovial joints. It is affected by various localized or systemic disorders. These are classified into inflammatory, infectious, degenerative, traumatic, hemorrhagic, and neoplastic. Synovial damage leads to irreversible joint destruction. Imaging plays an important role in the early detection of the disease entity and enables for proper treatment. This article focuses on magnetic resonance imaging of synovial diseases pertaining to knee – (1) infective synovitis; (2) rheumatoid synovitis; (3) pigmented villonodular synovitis; (4) lipoma arborescens; (5) synovial hemangioma; and (6) synovial sarcoma.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46383051","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 : 2023-04-01DOI: 10.4103/jdmimsu.jdmimsu_80_23
P. Parihar, G. Mishra, Neha D Shetty, Nikita Bora, Nunna Bhagyasri
Neurovascular compression syndromes are typically brought on by arteries that come into contact with a cranial nerve's (CN) cisternal section. Neurovascular contact does not always present with clinical symptoms. The most susceptible area for symptomatic neurovascular compression syndromes is the transitional zone between the peripheral and central myelin. Individual CN functional abnormalities are the clinical hallmark of neurovascular compression disorders. We present a series of four cases of patients presenting to a tertiary care center in Central India with symptoms and signs of neurovascular compression syndrome.
{"title":"Neurovascular compression syndromes: A pictorial essay","authors":"P. Parihar, G. Mishra, Neha D Shetty, Nikita Bora, Nunna Bhagyasri","doi":"10.4103/jdmimsu.jdmimsu_80_23","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_80_23","url":null,"abstract":"Neurovascular compression syndromes are typically brought on by arteries that come into contact with a cranial nerve's (CN) cisternal section. Neurovascular contact does not always present with clinical symptoms. The most susceptible area for symptomatic neurovascular compression syndromes is the transitional zone between the peripheral and central myelin. Individual CN functional abnormalities are the clinical hallmark of neurovascular compression disorders. We present a series of four cases of patients presenting to a tertiary care center in Central India with symptoms and signs of neurovascular compression syndrome.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45556151","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 : 2023-04-01DOI: 10.4103/jdmimsu.jdmimsu_543_22
Krishankumar, Anand Agarkar, Jaykumar R. Gade
Background and Objectives: Success of prosthodontic treatment in edentulous patients depends on acceptable function and esthetics of complete dentures. Complete denture occlusion plays a role in providing uniform distribution of masticatory forces, better retention, and stabilization of denture bases. In our study, the consciousness, perspective, and implementation of selective grinding in prosthodontic postgraduates (PGs) in India were assessed. Materials and Methods: A pretested, self-administered, and closed-ended questionnaire comprising different sections formed the survey instrument. A structured questionnaire containing 14 questions was framed. A specially created web-designed survey in Google Forms was circulated among prosthodontic PG students and the responses were recorded. Results: The questionnaire consisted of 11 nondemographic questions. About 67.5% of the responses were correct. The outcome of the study can be considered fair. Conclusion: A good occlusal philosophy combined with esthetics is paramount in the patient acceptance of a complete denture prosthesis. Its knowledge and implementation are paramount toward the success of treatment.
{"title":"Consciousness, Perspective, and Implementation of Selective Grinding in Complete Dentures among Prosthodontic Postgraduates in India","authors":"Krishankumar, Anand Agarkar, Jaykumar R. Gade","doi":"10.4103/jdmimsu.jdmimsu_543_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_543_22","url":null,"abstract":"Background and Objectives: Success of prosthodontic treatment in edentulous patients depends on acceptable function and esthetics of complete dentures. Complete denture occlusion plays a role in providing uniform distribution of masticatory forces, better retention, and stabilization of denture bases. In our study, the consciousness, perspective, and implementation of selective grinding in prosthodontic postgraduates (PGs) in India were assessed. Materials and Methods: A pretested, self-administered, and closed-ended questionnaire comprising different sections formed the survey instrument. A structured questionnaire containing 14 questions was framed. A specially created web-designed survey in Google Forms was circulated among prosthodontic PG students and the responses were recorded. Results: The questionnaire consisted of 11 nondemographic questions. About 67.5% of the responses were correct. The outcome of the study can be considered fair. Conclusion: A good occlusal philosophy combined with esthetics is paramount in the patient acceptance of a complete denture prosthesis. Its knowledge and implementation are paramount toward the success of treatment.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44855686","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 : 2023-04-01DOI: 10.4103/jdmimsu.jdmimsu_31_23
Bhavik S Unadkat, S. Kashikar, G. Mishra, P. Parihar, Neha D Shetty, Pratik J Bhansali, K. Harshith Gowda
Background: Malignancy with respect to the stomach and small and large intestines can present as a mass or focal/diffuse bowel wall thickening, with associated perienteric abnormalities. The role of multidetector computed tomography (MDCT) in gastrointestinal malignancy is pivotal, as it provides high-resolution images for accurate preoperative staging of gastrointestinal tumors and can help in the surgical management of patients. Aim and Objectives: The goal of this study was to evaluate the role of MDCT in the evaluation of gastrointestinal malignancy, to differentiate between benign and malignant gastrointestinal disorders, and to stage a malignant lesion preoperatively. Materials and Methods: This study was conducted at the Radiodiagnosis Department of AVBRH, a teaching hospital of DMIHER, Sawangi (Meghe), Wardha. It was a prospective cross-sectional study. A purposive convenience sampling method with a desired sample size of 50 participants for the study was conducted over a duration of 2 years. Results: Our study included 51 subjects, of which the majority, 32 (62.75%), were male, and the rest, 19 (37.25%), were female. Among the study population, 46 (90.2%) were malignant lesions, and the rest, 5 (9.8%), were benign, according to the MDCT diagnosis. The majority, i.e. 32 (62.75%) individuals, had colorectal cancer. The majority of individuals with malignancy, i.e. 46 (90.2%), had a heterogeneous pattern of gastrointestinal wall enhancement along with asymmetric wall thickening in 44 (86.27%) individuals. Segmental gastrointestinal wall involvement was seen in 35 (68.63%) individuals. Conclusion: MDCT can accurately differentiate benign and malignant diseases based on the pattern of wall thickening and offers information on any accompanying pericolic abnormalities, the existence of nodal or distant metastases, and the invasion of nearby organs. The accurate planning of surgery and patient care is made possible by the preoperative staging of malignant lesions by MDCT.
{"title":"Preoperative T staging of gastrointestinal malignancy by MDCT– An essential tool for surgical management","authors":"Bhavik S Unadkat, S. Kashikar, G. Mishra, P. Parihar, Neha D Shetty, Pratik J Bhansali, K. Harshith Gowda","doi":"10.4103/jdmimsu.jdmimsu_31_23","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_31_23","url":null,"abstract":"Background: Malignancy with respect to the stomach and small and large intestines can present as a mass or focal/diffuse bowel wall thickening, with associated perienteric abnormalities. The role of multidetector computed tomography (MDCT) in gastrointestinal malignancy is pivotal, as it provides high-resolution images for accurate preoperative staging of gastrointestinal tumors and can help in the surgical management of patients. Aim and Objectives: The goal of this study was to evaluate the role of MDCT in the evaluation of gastrointestinal malignancy, to differentiate between benign and malignant gastrointestinal disorders, and to stage a malignant lesion preoperatively. Materials and Methods: This study was conducted at the Radiodiagnosis Department of AVBRH, a teaching hospital of DMIHER, Sawangi (Meghe), Wardha. It was a prospective cross-sectional study. A purposive convenience sampling method with a desired sample size of 50 participants for the study was conducted over a duration of 2 years. Results: Our study included 51 subjects, of which the majority, 32 (62.75%), were male, and the rest, 19 (37.25%), were female. Among the study population, 46 (90.2%) were malignant lesions, and the rest, 5 (9.8%), were benign, according to the MDCT diagnosis. The majority, i.e. 32 (62.75%) individuals, had colorectal cancer. The majority of individuals with malignancy, i.e. 46 (90.2%), had a heterogeneous pattern of gastrointestinal wall enhancement along with asymmetric wall thickening in 44 (86.27%) individuals. Segmental gastrointestinal wall involvement was seen in 35 (68.63%) individuals. Conclusion: MDCT can accurately differentiate benign and malignant diseases based on the pattern of wall thickening and offers information on any accompanying pericolic abnormalities, the existence of nodal or distant metastases, and the invasion of nearby organs. The accurate planning of surgery and patient care is made possible by the preoperative staging of malignant lesions by MDCT.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44475060","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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