Pub Date : 2016-05-01DOI: 10.4103/2394-2010.184227
L. Demiriz, M. Koçak, B. Sağlam, S. Kocak
Background: Electronic apex locators (EALs) have become popular to measure the working length in permanent teeth in recent years, and they have helped for estimation of the working length more accurate. Objective: The purpose of this study is to evaluate the accuracy of ProPex II, Raypex 6 and iPex II EALs in primary molar teeth. Materials and Methods: Fifteen mandibular primary second molar teeth with 48 root canals were measured by all EALs. The direct length (DL) of the root canals was measured visually. The differences between DL and electronic working length (EWL) measurements of each device were calculated. Statistically analysis was performed using Student′s t-test, and the significance level was at 5%. Results: For the measurements of ProPex II, the reliability of ±0.5 mm was determined in 77% of all root canals. For Raypex 6, the same result (77%) was observed when the accuracy was also accepted as ±0.5 mm. On the other hand, the result was found as 79% in the measurements of iPex II when the same accuracy limit (±0.5 mm) was considered. When the accuracy limit was ±1 mm, the determined values were 96% for ProPex II and Raypex 6 and 94% for iPex II. There was no significant difference between each EAL group (P > 0.05). Conclusion: The ProPex II, Raypex 6, and iPex II EALs showed similar results and all tested EALs were able to determine the working length in primary molar teeth accurately.
{"title":"In vitro evaluation of the accuracy of ProPex II, Raypex 6 and iPex II electronic apex locators in primary molar teeth","authors":"L. Demiriz, M. Koçak, B. Sağlam, S. Kocak","doi":"10.4103/2394-2010.184227","DOIUrl":"https://doi.org/10.4103/2394-2010.184227","url":null,"abstract":"Background: Electronic apex locators (EALs) have become popular to measure the working length in permanent teeth in recent years, and they have helped for estimation of the working length more accurate. Objective: The purpose of this study is to evaluate the accuracy of ProPex II, Raypex 6 and iPex II EALs in primary molar teeth. Materials and Methods: Fifteen mandibular primary second molar teeth with 48 root canals were measured by all EALs. The direct length (DL) of the root canals was measured visually. The differences between DL and electronic working length (EWL) measurements of each device were calculated. Statistically analysis was performed using Student′s t-test, and the significance level was at 5%. Results: For the measurements of ProPex II, the reliability of ±0.5 mm was determined in 77% of all root canals. For Raypex 6, the same result (77%) was observed when the accuracy was also accepted as ±0.5 mm. On the other hand, the result was found as 79% in the measurements of iPex II when the same accuracy limit (±0.5 mm) was considered. When the accuracy limit was ±1 mm, the determined values were 96% for ProPex II and Raypex 6 and 94% for iPex II. There was no significant difference between each EAL group (P > 0.05). Conclusion: The ProPex II, Raypex 6, and iPex II EALs showed similar results and all tested EALs were able to determine the working length in primary molar teeth accurately.","PeriodicalId":16068,"journal":{"name":"Journal of Health Research and Reviews","volume":"157 1","pages":"37 - 40"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79946526","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 : 2016-05-01DOI: 10.4103/2394-2010.184231
M. Akpochafor, A. Omojola, K. Soyebi, S. Adeneye, M. Aweda, Helen Bolanle Ajayi
Background: Most X-ray centers recruited for this study admitted that there have been no maintenance checks on the energy output accuracy of their X-ray machines. Most centers complained of recurrent machine breakdown due to poor power supply, while others pointed out that X-ray machine age could be a contributory factor to poor image quality. Aim and Objectives: To determine peak kilovoltage (kVp) accuracy of individual X-ray unit and to compare their values with recommended standards and to further establish if machine age has a significant effect on mean kVp accuracy. Materials and Methods: One dedicated conventional X-ray unit in each of the ten diagnostic centers was used for this study denoted as D 1−D 10 . kVp was measured using a noninvasive Unfors ThinX RAD kVp meter. The kVp accuracy test was carried out by positioning the Unfors ThinX RAD kVp meter at the center of the beam axis of the patient′s couch at a focus to image distance of 100 cm. The X-ray machine technical factors were varied by selecting tube potential within the range of 50−120 kVp at a fixed tube current of 20 mA. Data analysis value was done using GraphPad Prism version 5.0 statistics software (GraphPad Software, Inc., San Diego, California, USA). Results: The kVp accuracy test for X-ray units D 1 , D 2 , D 5 , D 6 , D 7 , and D 8 were within an acceptable limit of ±5% at all selected tube potential from 50 to 120 kVp, X-ray units D 2 and D 6 showed accurate compliance at much lower kVp accuracy values. X-ray units D 3 and D 10 were above ±5% accuracy limit at all selected kVp tube potential. No statistically significant differences exist between machine age and mean kVp accuracy (P = 0.770). Conclusion: One-fourth of the total kVp accuracy results were above ±5% limit. Old X-ray machine had higher chances of failed kVp accuracy. Traces of failed test were also noticed in X-ray machines below 5 years.
背景:本研究招募的大多数x射线中心承认,他们的x射线机没有对能量输出精度进行维护检查。大多数中心抱怨说,由于供电不足,机器经常发生故障,而另一些中心则指出,x光机的年龄可能是导致图像质量差的一个因素。目的和目的:确定单个x射线单元的峰值千伏电压(kVp)精度,并将其值与推荐标准进行比较,并进一步确定机器年龄是否对平均千伏电压精度有显着影响。材料和方法:本研究使用十个诊断中心各一台专用的常规x射线设备,编号d1 - d10。kVp采用无创Unfors ThinX RAD kVp仪测量。kVp精度测试通过将Unfors ThinX RAD kVp计定位在患者沙发光束轴的中心,聚焦成像距离为100 cm进行。在固定管电流为20 mA的条件下,选择50 ~ 120 kVp范围内的管电位来改变x射线机的技术因素。数据分析值采用GraphPad Prism 5.0版统计软件(GraphPad software, Inc., San Diego, California, USA)。结果:x射线单元d1、d2、d2、d2、d2、d2、d6、d7和d8的kVp准确度测试在所有选定的管电位从50到120 kVp范围内均在±5%的可接受范围内,x射线单元d2和d6在更低的kVp准确度值下显示准确的依从性。在所有选择的kVp管电位下,x射线单元d3和d10的准确度都在±5%以上。机器年龄与平均kVp准确率无统计学差异(P = 0.770)。结论:四分之一的kVp准确度在±5%以上。旧的x光机有更高的机会失败的kVp精度。5年以下的x光机也发现检测不合格的痕迹。
{"title":"Assessment of peak kilovoltage accuracy in ten selected X-ray centers in Lagos metropolis, South-Western Nigeria: A quality control test to determine energy output accuracy of an X-ray generator","authors":"M. Akpochafor, A. Omojola, K. Soyebi, S. Adeneye, M. Aweda, Helen Bolanle Ajayi","doi":"10.4103/2394-2010.184231","DOIUrl":"https://doi.org/10.4103/2394-2010.184231","url":null,"abstract":"Background: Most X-ray centers recruited for this study admitted that there have been no maintenance checks on the energy output accuracy of their X-ray machines. Most centers complained of recurrent machine breakdown due to poor power supply, while others pointed out that X-ray machine age could be a contributory factor to poor image quality. Aim and Objectives: To determine peak kilovoltage (kVp) accuracy of individual X-ray unit and to compare their values with recommended standards and to further establish if machine age has a significant effect on mean kVp accuracy. Materials and Methods: One dedicated conventional X-ray unit in each of the ten diagnostic centers was used for this study denoted as D 1−D 10 . kVp was measured using a noninvasive Unfors ThinX RAD kVp meter. The kVp accuracy test was carried out by positioning the Unfors ThinX RAD kVp meter at the center of the beam axis of the patient′s couch at a focus to image distance of 100 cm. The X-ray machine technical factors were varied by selecting tube potential within the range of 50−120 kVp at a fixed tube current of 20 mA. Data analysis value was done using GraphPad Prism version 5.0 statistics software (GraphPad Software, Inc., San Diego, California, USA). Results: The kVp accuracy test for X-ray units D 1 , D 2 , D 5 , D 6 , D 7 , and D 8 were within an acceptable limit of ±5% at all selected tube potential from 50 to 120 kVp, X-ray units D 2 and D 6 showed accurate compliance at much lower kVp accuracy values. X-ray units D 3 and D 10 were above ±5% accuracy limit at all selected kVp tube potential. No statistically significant differences exist between machine age and mean kVp accuracy (P = 0.770). Conclusion: One-fourth of the total kVp accuracy results were above ±5% limit. Old X-ray machine had higher chances of failed kVp accuracy. Traces of failed test were also noticed in X-ray machines below 5 years.","PeriodicalId":16068,"journal":{"name":"Journal of Health Research and Reviews","volume":"68 1","pages":"60 - 65"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80721469","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 : 2016-05-01DOI: 10.4103/2394-2010.184242
E. Vigneshwaran, M. Sadiq, V. Prathima
Introduction: A prescription is a written order put into practice by a health-care practitioner such as physician, dentist, hakim, vaidya, veterinarian in the form of instructions that govern the plan of care/treatment for every individual patient. Prescription errors account for elevated number of medication errors that could potentially result in unwanted effects. These are considered as most preventable and on the other hand common cause of iatrogenic injuries and increased health care cost. Thus, it is essential to know the fact on completeness and legibility of prescriptions. Objectives: This study was intended to assess the legibility and completeness of prescriptions which are received at pharmacist attended community pharmacies settings of rural India. Materials and Methods: It is a prospective, cross-sectional research work performed among community pharmacies sited in Anantapur, Andhra Pradesh, India. Put together, 285 prescriptions were acknowledged during the study episode, from different hospitals and clinics with different specialty physicians. The completeness of prescriptions was analyzed by means of a checklist of vital dimensions in parallel to the World Health Organization guidelines for medication order writing. The legibility was assessed based on the scoring system on quality of prescription. Results: This study results show that all the prescriptions were hand written. The legibility was lacking in almost half of the prescriptions analyzed. We also found that prescriptions are less concentrated on patients′ information and medication information than physicians′ information. Conclusion: It is necessary to critically address and evaluate the completeness and legibility of the prescriptions in a continuous and frequent manner. Further, this is the time to change it into the computerized electronic prescribing from handwritten prescription to reduce the medication errors.
{"title":"Assessment of completeness and legibility of prescriptions received at community pharmacies","authors":"E. Vigneshwaran, M. Sadiq, V. Prathima","doi":"10.4103/2394-2010.184242","DOIUrl":"https://doi.org/10.4103/2394-2010.184242","url":null,"abstract":"Introduction: A prescription is a written order put into practice by a health-care practitioner such as physician, dentist, hakim, vaidya, veterinarian in the form of instructions that govern the plan of care/treatment for every individual patient. Prescription errors account for elevated number of medication errors that could potentially result in unwanted effects. These are considered as most preventable and on the other hand common cause of iatrogenic injuries and increased health care cost. Thus, it is essential to know the fact on completeness and legibility of prescriptions. Objectives: This study was intended to assess the legibility and completeness of prescriptions which are received at pharmacist attended community pharmacies settings of rural India. Materials and Methods: It is a prospective, cross-sectional research work performed among community pharmacies sited in Anantapur, Andhra Pradesh, India. Put together, 285 prescriptions were acknowledged during the study episode, from different hospitals and clinics with different specialty physicians. The completeness of prescriptions was analyzed by means of a checklist of vital dimensions in parallel to the World Health Organization guidelines for medication order writing. The legibility was assessed based on the scoring system on quality of prescription. Results: This study results show that all the prescriptions were hand written. The legibility was lacking in almost half of the prescriptions analyzed. We also found that prescriptions are less concentrated on patients′ information and medication information than physicians′ information. Conclusion: It is necessary to critically address and evaluate the completeness and legibility of the prescriptions in a continuous and frequent manner. Further, this is the time to change it into the computerized electronic prescribing from handwritten prescription to reduce the medication errors.","PeriodicalId":16068,"journal":{"name":"Journal of Health Research and Reviews","volume":"99 1","pages":"72 - 76"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85379244","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 : 2016-05-01DOI: 10.4103/2394-2010.184232
F. Vuvor, M. Steiner-Asiedu, K. Saalia, W. Owusu
Aims and Objective: Unhealthy lifestyles influence the incidence of diet-related noncommunicable diseases such as hypertension. This study examined the effects of some lifestyles and their effects on blood pressure (BP) and cholesterol of men. Materials and Methods: The WHO stepwise questionnaires were used to collect data on 207 men aged ≥18 years living in a periurban community in Ghana. Dietary, anthropometric, clinical, and biochemical data were collected. Results and Analyses: About 24.6% of the subjects were overweight with body mass index ≥25 kg/m 2 , 26.1% were hypertensive with systolic BP >140 mmHg, 8.7% were diagnosed with hypercholesterolemia with total cholesterol >5.18 mmol/L, and 34.8% of the participants had dyslipidemic with blood "low-density lipoprotein" >2.29 mmol/L. Binary logistic regression revealed that tobacco smokers and overweight men were about 4 times (odds ratio [OR]: 3.68, P < 0.01) and more than twice (OR: 2.46, P < 0.01) likely to suffer from hypertension, respectively. Men with fat intake ≥60% of nutrient adequacy ratio were about 3 times more likely to suffer from hypercholesterolemia (OR: 2.72, P < 0.05). Tobacco users and overweight men were both about 3 times (OR: 2.65, P = 0.02) more likely to be dyslipidemic. Conclusion: These results suggest that tobacco use, overweight, and high intake of dietary fat were associated with high risk of cardiovascular events among men in the study group.
目的和目的:不健康的生活方式影响高血压等与饮食有关的非传染性疾病的发病率。这项研究调查了一些生活方式的影响,以及它们对男性血压和胆固醇的影响。材料与方法:采用世界卫生组织(WHO)的分步调查问卷对居住在加纳城郊社区的207名年龄≥18岁的男性进行数据收集。收集饮食、人体测量、临床和生化数据。结果与分析:24.6%的受试者体重指数≥25 kg/ m2, 26.1%的受试者为高血压,收缩压>140 mmHg, 8.7%的受试者为高胆固醇血症,总胆固醇>5.18 mmol/L, 34.8%的受试者为血脂异常,血液“低密度脂蛋白”>2.29 mmol/L。二元logistic回归分析显示,吸烟男性和超重男性患高血压的可能性分别为4倍(比值比[OR]: 3.68, P < 0.01)和2倍以上(比值比[OR]: 2.46, P < 0.01)。脂肪摄入量≥营养充足比60%的男性发生高胆固醇血症的可能性约为3倍(OR: 2.72, P < 0.05)。吸烟者和超重男性患血脂异常的可能性都是前者的3倍(OR: 2.65, P = 0.02)。结论:这些结果表明,吸烟、超重和高膳食脂肪摄入与研究组男性心血管事件的高风险相关。
{"title":"Predictors of hypertension, hypercholesterolemia, and dyslipidemia of men living in a periurban community in Ghana","authors":"F. Vuvor, M. Steiner-Asiedu, K. Saalia, W. Owusu","doi":"10.4103/2394-2010.184232","DOIUrl":"https://doi.org/10.4103/2394-2010.184232","url":null,"abstract":"Aims and Objective: Unhealthy lifestyles influence the incidence of diet-related noncommunicable diseases such as hypertension. This study examined the effects of some lifestyles and their effects on blood pressure (BP) and cholesterol of men. Materials and Methods: The WHO stepwise questionnaires were used to collect data on 207 men aged ≥18 years living in a periurban community in Ghana. Dietary, anthropometric, clinical, and biochemical data were collected. Results and Analyses: About 24.6% of the subjects were overweight with body mass index ≥25 kg/m 2 , 26.1% were hypertensive with systolic BP >140 mmHg, 8.7% were diagnosed with hypercholesterolemia with total cholesterol >5.18 mmol/L, and 34.8% of the participants had dyslipidemic with blood \"low-density lipoprotein\" >2.29 mmol/L. Binary logistic regression revealed that tobacco smokers and overweight men were about 4 times (odds ratio [OR]: 3.68, P < 0.01) and more than twice (OR: 2.46, P < 0.01) likely to suffer from hypertension, respectively. Men with fat intake ≥60% of nutrient adequacy ratio were about 3 times more likely to suffer from hypercholesterolemia (OR: 2.72, P < 0.05). Tobacco users and overweight men were both about 3 times (OR: 2.65, P = 0.02) more likely to be dyslipidemic. Conclusion: These results suggest that tobacco use, overweight, and high intake of dietary fat were associated with high risk of cardiovascular events among men in the study group.","PeriodicalId":16068,"journal":{"name":"Journal of Health Research and Reviews","volume":"60 1","pages":"66 - 71"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88482311","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 : 2016-05-01DOI: 10.4103/2394-2010.184229
Sukanya Raghunath, N. Raghuram, Sandhya Ravi, N. Ram, A. Ram
Introduction: Mastalgia is a common problem and disturbs women′s reproductive lives. There is no known organic etiology for mastalgia and also no definitive treatment. Considering the impact of mastalgia on the quality of life (QoL), it appears that mind-body interventions such as yoga would play an important role. Yoga has shown a beneficial effect in reducing pain, anxiety, and depression, thereby improving the QoL. Objective: To compare the benefits of yoga with the physical activity in improving the QoL in nursing students with mastalgia. Materials and Methods: An institutional ethical committee approved this randomized active control trial (RCT) with a follow-up of 6 months on premenopausal women above 18 years with breast pain (pain score >2) of more than 3 months duration. Women already practicing yoga, on hormonal treatment, or diagnosed with malignancy were excluded. Eighty consenting nursing students were randomized into the yoga therapy or control (brisk walk) arm (for 12 weeks). QoL and Beck Depression Inventory (BDI) questionnaires were administered prior to the intervention and 3 months and 6 months after the intervention. Results: RM-ANOVA group effect was significant in BDI, F (1, 67) = 2632.72, P (<0.001) and in overall QoL, F (1, 67) =6881.41, (P < 0.001). Post hoc test (paired sample t-test) showed better improvement in the yoga group (0-3 months, 0-6 months) in both QoL (P < 0.001) (in all the four domains) and depression scores (P < 0.001) compared to the control group. Conclusion: QoL and depression scores improved with yoga in nursing students with mastalgia.
{"title":"Effect of yoga therapy on quality of life and depression in premenopausal nursing students with mastalgia: A randomized controlled trial with 6-month follow-up","authors":"Sukanya Raghunath, N. Raghuram, Sandhya Ravi, N. Ram, A. Ram","doi":"10.4103/2394-2010.184229","DOIUrl":"https://doi.org/10.4103/2394-2010.184229","url":null,"abstract":"Introduction: Mastalgia is a common problem and disturbs women′s reproductive lives. There is no known organic etiology for mastalgia and also no definitive treatment. Considering the impact of mastalgia on the quality of life (QoL), it appears that mind-body interventions such as yoga would play an important role. Yoga has shown a beneficial effect in reducing pain, anxiety, and depression, thereby improving the QoL. Objective: To compare the benefits of yoga with the physical activity in improving the QoL in nursing students with mastalgia. Materials and Methods: An institutional ethical committee approved this randomized active control trial (RCT) with a follow-up of 6 months on premenopausal women above 18 years with breast pain (pain score >2) of more than 3 months duration. Women already practicing yoga, on hormonal treatment, or diagnosed with malignancy were excluded. Eighty consenting nursing students were randomized into the yoga therapy or control (brisk walk) arm (for 12 weeks). QoL and Beck Depression Inventory (BDI) questionnaires were administered prior to the intervention and 3 months and 6 months after the intervention. Results: RM-ANOVA group effect was significant in BDI, F (1, 67) = 2632.72, P (<0.001) and in overall QoL, F (1, 67) =6881.41, (P < 0.001). Post hoc test (paired sample t-test) showed better improvement in the yoga group (0-3 months, 0-6 months) in both QoL (P < 0.001) (in all the four domains) and depression scores (P < 0.001) compared to the control group. Conclusion: QoL and depression scores improved with yoga in nursing students with mastalgia.","PeriodicalId":16068,"journal":{"name":"Journal of Health Research and Reviews","volume":"11 1","pages":"48 - 54"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81119611","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 : 2016-05-01DOI: 10.4103/2394-2010.184228
A. Bhattacharya, S. Santra, S. Mahapatra, P. Sahu, D. Agrawal, S. Kumar
Objectives: Anxiety is a serious condition, leading to depression. The statistics of anxiety is alarming and needs an effective, low-cost remedy. Drumstick tree is known as Moringa oleifera belonging to the Moringaceae family. In previous studies, drumstick leaves revealed a storehouse of active ingredients possessing anxiolytic property. In this study, the anxiolytic effect of drumstick leaves was studied using elevated plus maze (EPM) and staircase models at four doses 50, 100, 200, and 400 mg/kg. Materials and Methods: It is a randomized control study. Albino mice were used in this study, a total of 72, divided into six groups, each group consisting of 6 mice. Group I: Control (normal saline orally at 2 ml/kg body weight); Group II: Standard (diazepam 10 mg/kg orally); Group III, IV, V, and VI (ethanolic extract of Moringa oleifera [EMO] 50, 100, 200, and 400 mg/kg, respectively). EMO leaves were administered at 50, 100, 200, and 400 mg/kg doses orally 1 h before the experiments and their effects observed. Results: In the EPM method, the time spent in open arm and closed arm before and after drug administration was analyzed by one-way ANOVA followed by Bonferroni′s test. In the staircase test, the comparison of steps climbed and rears before and after drug administration were done by nonparametric tests, Kruskal-Wallis test followed by Mann-Whitney′s test. In both models, the extract showed a significant response at 200 and 400 mg/kg. Conclusion: Thus, EMO leaves exhibited anxiolytic activity in both models at higher doses.
{"title":"Study of anxiolytic effect of ethanolic extract of drumstick tree leaves on albino mice in a basic neuropharmacology laboratory of a postgraduate teaching institute","authors":"A. Bhattacharya, S. Santra, S. Mahapatra, P. Sahu, D. Agrawal, S. Kumar","doi":"10.4103/2394-2010.184228","DOIUrl":"https://doi.org/10.4103/2394-2010.184228","url":null,"abstract":"Objectives: Anxiety is a serious condition, leading to depression. The statistics of anxiety is alarming and needs an effective, low-cost remedy. Drumstick tree is known as Moringa oleifera belonging to the Moringaceae family. In previous studies, drumstick leaves revealed a storehouse of active ingredients possessing anxiolytic property. In this study, the anxiolytic effect of drumstick leaves was studied using elevated plus maze (EPM) and staircase models at four doses 50, 100, 200, and 400 mg/kg. Materials and Methods: It is a randomized control study. Albino mice were used in this study, a total of 72, divided into six groups, each group consisting of 6 mice. Group I: Control (normal saline orally at 2 ml/kg body weight); Group II: Standard (diazepam 10 mg/kg orally); Group III, IV, V, and VI (ethanolic extract of Moringa oleifera [EMO] 50, 100, 200, and 400 mg/kg, respectively). EMO leaves were administered at 50, 100, 200, and 400 mg/kg doses orally 1 h before the experiments and their effects observed. Results: In the EPM method, the time spent in open arm and closed arm before and after drug administration was analyzed by one-way ANOVA followed by Bonferroni′s test. In the staircase test, the comparison of steps climbed and rears before and after drug administration were done by nonparametric tests, Kruskal-Wallis test followed by Mann-Whitney′s test. In both models, the extract showed a significant response at 200 and 400 mg/kg. Conclusion: Thus, EMO leaves exhibited anxiolytic activity in both models at higher doses.","PeriodicalId":16068,"journal":{"name":"Journal of Health Research and Reviews","volume":"18 1","pages":"41 - 47"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81804796","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 : 2016-01-01DOI: 10.4103/2394-2010.177494
Kamal Kachhawa, M. Varma, Poonam Kachhawa, D. Agrawal, M. Shaikh, Sanjay Kumar
Introduction: The prevalence of hyperlipidemia is a most common problem in developed and developing society. Abnormal increase level of total cholesterol, triglyceride (TG), very low-density lipoprotein (VLDL), and LDL caused cardiovascular disease (CVD) in chronic kidney disease (CKD). Dyslipidemia is a known marker for CVD in the common population. Significant abnormal total cholesterol, LDL, TG, VLDL, and high-density lipoprotein (HDL) are present in CKD patients. Materials and Methods: In this study, we tried to find out the levels of lipid profile and antioxidant levels in CKD patients and its correlation with CVD. This study included 159 human subjects of age group between 40 and 65 years, out of which 78 patients were CKD and rest 81 patients are matched healthy subjects (control group). Results and Discussion: Our study showed a significant increase in Blood Pressure compared to control subjects. Lipid profile (total cholesterol, VLDL, TG, and LDL) was found significantly deranged (P < 0.001) and there was a decrease in the levels of HDL-cholesterol compared to control subjects. Conclusion: Enzyme level (superoxide dismutase) was significantly decreased, and malondialdehyde level was significantly increased compared to control subjects which show the effect of dyslipidemia and oxidative stress associated with the chronic kidney disorder.
{"title":"Study of dyslipidemia and antioxidant status in chronic kidney disease patients at a hospital in South East Asia","authors":"Kamal Kachhawa, M. Varma, Poonam Kachhawa, D. Agrawal, M. Shaikh, Sanjay Kumar","doi":"10.4103/2394-2010.177494","DOIUrl":"https://doi.org/10.4103/2394-2010.177494","url":null,"abstract":"Introduction: The prevalence of hyperlipidemia is a most common problem in developed and developing society. Abnormal increase level of total cholesterol, triglyceride (TG), very low-density lipoprotein (VLDL), and LDL caused cardiovascular disease (CVD) in chronic kidney disease (CKD). Dyslipidemia is a known marker for CVD in the common population. Significant abnormal total cholesterol, LDL, TG, VLDL, and high-density lipoprotein (HDL) are present in CKD patients. Materials and Methods: In this study, we tried to find out the levels of lipid profile and antioxidant levels in CKD patients and its correlation with CVD. This study included 159 human subjects of age group between 40 and 65 years, out of which 78 patients were CKD and rest 81 patients are matched healthy subjects (control group). Results and Discussion: Our study showed a significant increase in Blood Pressure compared to control subjects. Lipid profile (total cholesterol, VLDL, TG, and LDL) was found significantly deranged (P < 0.001) and there was a decrease in the levels of HDL-cholesterol compared to control subjects. Conclusion: Enzyme level (superoxide dismutase) was significantly decreased, and malondialdehyde level was significantly increased compared to control subjects which show the effect of dyslipidemia and oxidative stress associated with the chronic kidney disorder.","PeriodicalId":16068,"journal":{"name":"Journal of Health Research and Reviews","volume":"7 1","pages":"28 - 30"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89383540","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 : 2016-01-01DOI: 10.4103/2394-2010.177493
Mallikarjuna Rao, A. Ramesh, Swathi Adapa, Biju Thomas, J. Shetty
Background: Head and neck squamous cell carcinoma (HNSCC) is an aggressive epithelial malignancy and is the most common neoplasm arising in the upper aerodigestive tract. Earlier studies have shown that salivary levels of interleukin (IL)-6 were significantly higher in patients with oral squamous cell carcinoma (OSCC) when compared to healthy individuals. They were considered as useful biomarkers for early OSCC development. Albumin levels in the saliva were shown to be elevated in medically compromised patients with poor general condition and performance status. Aim: The purpose of this preliminary research is to investigate the role of IL-6 and albumin levels in the saliva as a marker for the early diagnosis and progression of OSCC. Materials and Methods: This cross-sectional study was conducted from December 2014 to May 2015. Sixty individuals were included and two groups (with 30 individuals each) were formed – Group 1: Healthy individuals and Group 2: Patients with OSCC. IL-6 and albumin levels in the saliva were measured using commercially available kits and were compared between the two groups using Mann–Whitney U test. P value of less than 0.05 was regarded to be statistically significant. Results: Mean value of IL-6 in Group 1 (healthy) was 15.06 [standard deviation (SD) is 4.42] and in Group 2 (OSCC) was 192.15 (SD is 82.76). On comparing the two mean values, it was seen that there was a significant rise in the salivary IL-6 levels in the OSCC group when compared to the healthy group. The mean value of albumin in Group 1 (healthy) was 0.28 (SD is 0.19) and in Group 2 (OSCC) was 0.82 (SD is 0.41). On comparing the two mean values, it was seen that there was a significant rise in the salivary levels of albumin in OSCC patients when compared to the healthy group. Conclusion: This study shows that IL-6 and albumin levels in the saliva can be used as useful biomarkers for OSCC.
{"title":"Correlation of salivary levels of interleukin-6 and albumin with oral squamous cell carcinoma","authors":"Mallikarjuna Rao, A. Ramesh, Swathi Adapa, Biju Thomas, J. Shetty","doi":"10.4103/2394-2010.177493","DOIUrl":"https://doi.org/10.4103/2394-2010.177493","url":null,"abstract":"Background: Head and neck squamous cell carcinoma (HNSCC) is an aggressive epithelial malignancy and is the most common neoplasm arising in the upper aerodigestive tract. Earlier studies have shown that salivary levels of interleukin (IL)-6 were significantly higher in patients with oral squamous cell carcinoma (OSCC) when compared to healthy individuals. They were considered as useful biomarkers for early OSCC development. Albumin levels in the saliva were shown to be elevated in medically compromised patients with poor general condition and performance status. Aim: The purpose of this preliminary research is to investigate the role of IL-6 and albumin levels in the saliva as a marker for the early diagnosis and progression of OSCC. Materials and Methods: This cross-sectional study was conducted from December 2014 to May 2015. Sixty individuals were included and two groups (with 30 individuals each) were formed – Group 1: Healthy individuals and Group 2: Patients with OSCC. IL-6 and albumin levels in the saliva were measured using commercially available kits and were compared between the two groups using Mann–Whitney U test. P value of less than 0.05 was regarded to be statistically significant. Results: Mean value of IL-6 in Group 1 (healthy) was 15.06 [standard deviation (SD) is 4.42] and in Group 2 (OSCC) was 192.15 (SD is 82.76). On comparing the two mean values, it was seen that there was a significant rise in the salivary IL-6 levels in the OSCC group when compared to the healthy group. The mean value of albumin in Group 1 (healthy) was 0.28 (SD is 0.19) and in Group 2 (OSCC) was 0.82 (SD is 0.41). On comparing the two mean values, it was seen that there was a significant rise in the salivary levels of albumin in OSCC patients when compared to the healthy group. Conclusion: This study shows that IL-6 and albumin levels in the saliva can be used as useful biomarkers for OSCC.","PeriodicalId":16068,"journal":{"name":"Journal of Health Research and Reviews","volume":"9 1","pages":"11 - 14"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91029920","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 : 2016-01-01DOI: 10.4103/2394-2010.175014
Samal Janmejaya
Background: The maternal health situation in the country always presents challenges before the overall health system in India. Implementation of clinical guidelines can bring uniformity and standards of treatment protocol, leading to better maternal health outcome. Objectives: To understand the attitude, behavior, and challenges faced by health workers with regard to the implementation of clinical guidelines and protocols in the domain of maternal health. Setting and Design: Different cadres of health care providers working at the district and block levels were selected conveniently with the permission of the State health administration. In addition, nursing and medical academicians were also included in the study. Materials and Methods: A pilot qualitative study in two districts of Assam was carried out. Different cadres of health workers such as Medical Officers (MO), Rural Health Practitioners (RHP), and Nurses working at the district and block levels were interviewed in-depth with the help of a semistructured interview schedule, which lasted for 26 days during May-July 2014. Results: The study elicited several pertinent issues related to the implementation of clinical guidelines, which include the introduction of clinical guidelines as a part of academic training, awareness about clinical guidelines, the commonest conditions for which clinical guidelines are used, challenges faced in accessing and implementing guidelines, and specific areas where clinical guidelines should be developed. Poor penetration of clinical guideline implementation was observed in the domain of maternal health care in the study area. Conclusion: Given the situation of maternal morbidity and mortality, the implementation of clinical guidelines appears rational.
{"title":"Behavior of health workers toward the implementation of clinical guidelines","authors":"Samal Janmejaya","doi":"10.4103/2394-2010.175014","DOIUrl":"https://doi.org/10.4103/2394-2010.175014","url":null,"abstract":"Background: The maternal health situation in the country always presents challenges before the overall health system in India. Implementation of clinical guidelines can bring uniformity and standards of treatment protocol, leading to better maternal health outcome. Objectives: To understand the attitude, behavior, and challenges faced by health workers with regard to the implementation of clinical guidelines and protocols in the domain of maternal health. Setting and Design: Different cadres of health care providers working at the district and block levels were selected conveniently with the permission of the State health administration. In addition, nursing and medical academicians were also included in the study. Materials and Methods: A pilot qualitative study in two districts of Assam was carried out. Different cadres of health workers such as Medical Officers (MO), Rural Health Practitioners (RHP), and Nurses working at the district and block levels were interviewed in-depth with the help of a semistructured interview schedule, which lasted for 26 days during May-July 2014. Results: The study elicited several pertinent issues related to the implementation of clinical guidelines, which include the introduction of clinical guidelines as a part of academic training, awareness about clinical guidelines, the commonest conditions for which clinical guidelines are used, challenges faced in accessing and implementing guidelines, and specific areas where clinical guidelines should be developed. Poor penetration of clinical guideline implementation was observed in the domain of maternal health care in the study area. Conclusion: Given the situation of maternal morbidity and mortality, the implementation of clinical guidelines appears rational.","PeriodicalId":16068,"journal":{"name":"Journal of Health Research and Reviews","volume":"3 1","pages":"6 - 10"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83420232","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 : 2016-01-01DOI: 10.4103/2394-2010.177495
K. J. Devi, Kasomhung Soreingam, V. Singh
Context: Celphos poisoning is one of the most common and lethal poison with no antidote available till now. Aims: To evaluate the effectiveness of new treatment regimen and interventions to reduce the mortality from celphos poisoning. Settings and Design: A profile of 30 patients with alleged intake of celphos tablets who got admitted in intensive care unit (ICU) was studied. Materials and Methods: In all the 30 patients with alleged celphos poisoning, extensive gastric lavage was done with a mixture of coconut oil and sodium bicarbonate solution. Strict monitoring, both invasive and noninvasive was done and symptomatic/supportive treatment was carried out on a patient-to-patient basis. Statistical Analysis: At the end of the study, all the data were compiled systematically and statistical analysis was carried out using the nonparametric tests and value of P < 0.05 was considered significant. Results: Majority of the patients were young with a mean age of 20.14 ± 3.62 years and had good educational level. Most of the patients presented clinically with cardiovascular signs and symptoms (60%), followed by respiratory distress (13.33%) and little higher incidence of multiorgan symptomatology (16.67%). The mean stay of the patients in ICU was 5.62 ± 1.24 days and the survival rate was 40%. Conclusions: With the treatment regimen we have formulated, we were able to save 40% of our patients and recommend the use of this regimen by all the intensivists and physicians.
{"title":"Role of coconut oil and soda bicarbonate in gastric lavage in the management of celphos poisoning","authors":"K. J. Devi, Kasomhung Soreingam, V. Singh","doi":"10.4103/2394-2010.177495","DOIUrl":"https://doi.org/10.4103/2394-2010.177495","url":null,"abstract":"Context: Celphos poisoning is one of the most common and lethal poison with no antidote available till now. Aims: To evaluate the effectiveness of new treatment regimen and interventions to reduce the mortality from celphos poisoning. Settings and Design: A profile of 30 patients with alleged intake of celphos tablets who got admitted in intensive care unit (ICU) was studied. Materials and Methods: In all the 30 patients with alleged celphos poisoning, extensive gastric lavage was done with a mixture of coconut oil and sodium bicarbonate solution. Strict monitoring, both invasive and noninvasive was done and symptomatic/supportive treatment was carried out on a patient-to-patient basis. Statistical Analysis: At the end of the study, all the data were compiled systematically and statistical analysis was carried out using the nonparametric tests and value of P < 0.05 was considered significant. Results: Majority of the patients were young with a mean age of 20.14 ± 3.62 years and had good educational level. Most of the patients presented clinically with cardiovascular signs and symptoms (60%), followed by respiratory distress (13.33%) and little higher incidence of multiorgan symptomatology (16.67%). The mean stay of the patients in ICU was 5.62 ± 1.24 days and the survival rate was 40%. Conclusions: With the treatment regimen we have formulated, we were able to save 40% of our patients and recommend the use of this regimen by all the intensivists and physicians.","PeriodicalId":16068,"journal":{"name":"Journal of Health Research and Reviews","volume":"35 1","pages":"31 - 34"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79097292","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}