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Right of patient to know with an approach to Health System Development Plan 病人知情权与卫生系统发展计划的方法
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I3.201
H. Babaei, Fardin Hosseinpanahi
Right to know is a right defined and considered in human rights, regarded by human rights communities more than ever in all topics of human rights. This topic has actually penetrated into medical system as a continuous objective for Ministry of Health in our country. In patient rights charter of Ministry of Health, right of patient to know is mentioned which is adopted from this right. Health authorities believe that patients must know about all diagnostic and treatment methods, power and weak points of each method and potential complications, disease diagnosis, prognosis and its consequences as well as all information affecting decision making. Finally with complete information they communicate their consent to medical system and physicians for treatment. Based on research findings, right of patient to know has been considered in the framework of patient rights charter in Health System Development Plan and it has been attempted to consider patient rights charter more than ever.
知情权是一项人权规定和考虑的权利,人权界在所有人权议题中比以往任何时候都更加重视这一权利。这一课题实际上已经深入到医疗系统中,成为我国卫生部的一个持续目标。卫生部《病人权利宪章》中提到了病人知情权,这是在病人知情权的基础上制定的。卫生当局认为,患者必须了解所有诊断和治疗方法、每种方法的优缺点和潜在并发症、疾病诊断、预后及其后果以及影响决策的所有信息。最后,有了完整的信息,他们向医疗系统和医生传达了他们对治疗的同意。根据研究结果,在《卫生系统发展规划》中将患者知情权纳入患者权利宪章框架,并尝试将患者权利宪章纳入考虑范围。
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引用次数: 1
Evaluating the effect of low energy laser irradiation on the rate of mandibular molar protraction in orthodontic patients 评价低能量激光照射对正畸患者下颌磨牙前伸率的影响
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I3.211
Sepideh Gavareshki, P. Salehi, S. Torkan
Background: Low level laser is a type of laser with various bio stimulatory effects; Potential effects of laser in accelerating bone regeneration and consequently facilitating tooth movement have been considered widely in orthodontics. Aims & Objectives: Aim of this study was to assess the effects of Low level laser on the velocity of mandibular first molar protraction in orthodontic patients. Materials and Methods: Total 28 young adult patients (14 females and 14 males; age range 16-25) requiring extraction of mandibular second premolars were selected and molar protraction was carried out with T-loop on a rectangular Stainless Steel wire. In each patient one side was selected by random to irradiate with low level laser and other side with placebo. Laser regimen was applied at 0, 1 and 2 days and at the end of first, second and third months. Tooth movement was measured on prepared models at the end of first, second and third month. Results: We found 1.3 fold increases in rate of tooth movement in the irradiated group (p=0.000) than non-irradiated group. Conclusion: Based on our findings, Low level laser accelerates tooth movement and consequently reduces treatment time. Key word: Low level laser; Tooth movement; First molar, Irradiation; Protraction
背景:低能级激光是一类具有多种生物刺激作用的激光;激光在加速骨再生从而促进牙齿运动方面的潜在作用在正畸学中被广泛考虑。目的:探讨低水平激光对正畸患者下颌第一磨牙拔除速度的影响。材料与方法:青年成人患者28例(男14女14;年龄16-25岁),选择需要拔除下颌第二前磨牙的患者,用矩形不锈钢丝上的t型环进行磨牙拔除。随机选择患者一侧进行低水平激光照射,另一侧进行安慰剂治疗。分别于第0、1、2天及第1、2、3个月末进行激光治疗。分别于第1、2、3个月末对制备好的模型进行牙齿运动测量。结果:放疗组的牙齿移动率比未放疗组提高1.3倍(p=0.000)。结论:根据我们的研究结果,低水平激光加速了牙齿的运动,从而缩短了治疗时间。关键词:低能级激光;齿运动;第一磨牙,辐照;制图
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引用次数: 1
A Systematic Review of Studies on General Medicine Comprehensive Exams in Iran 伊朗普通医学综合考试研究的系统回顾
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I4.232
T. Changiz, F. Asgari, N. Yamani
Introduction: Evaluation is one of the most important stages of education system. Student exams may be used both for student assessment and program evaluation. Given the significance of general medicine exams, the present study systematically reviews studies conducted on these exams in Iran in 2016.Methods : Available documents weresystematically reviewed and their information was collected. Using documents available in scientific databases suchas IranMedex, SID, Magiran, Medlib, PubMed, Google Scholar, ERIC by appropriate keywords (doctor, generalpractitioner, student, graduate, trainee, intern, exam, general sciences, pre-internship, skill and medical), 59 studies conducted on general medicine exams until March 2015 were extracted; of these studies, 10 studies which wereavailable in full text and met the least research quality were selected for the review. Results: Out of 10 studiesreviewed, 7 studies evaluated the effective factors on results of general medicine exams and 3 studies analyzed theresults of these exams. Meanwhile, results of those 7 studies showed that low GPA, delay in passing the basicsciences and age at the time of admission to the university are effective factors on results of exams. Results of threestudies analyzing exams showed that genetics and radiology gained the highest and parasitology, orthopedics andphysiology gained the lowest average percentage of scaled relative ratings. In analysis of 40 exams during a 20-yearperiod, 65.8% students were passed the exams in the first trial. However, 99.6% of participants continued their education after few trials. Conclusion: The factors such as length of stay in medical school and grand point averageof students are predicating comprehensive exam results in all the reviewed studies. Therefore, these factors can beconsidered as effective factors on results of general medicine exams. Also the results may support the importance ofnational comprehensive exams as a reliable tool in fostering quality in education. Keywords: exam, basic sciences, pre-internship, general medicine
评价是教育体系中最重要的阶段之一。学生考试可用于学生评估和项目评估。鉴于全科医学考试的重要性,本研究系统地回顾了2016年在伊朗进行的关于这些考试的研究。方法:系统查阅现有文献资料,收集资料。利用IranMedex、SID、Magiran、Medlib、PubMed、谷歌Scholar、ERIC等科学数据库中的相关文献,按关键词(doctor、generalpractitioner、student、graduate、trainee、intern、exam、general sciences、pre-internship、skill和medical)提取2015年3月之前进行的59项全科医学考试研究;在这些研究中,选择了10项全文可用且符合最低研究质量的研究进行综述。结果:在回顾的10项研究中,7项研究评估了普通医学考试结果的影响因素,3项研究分析了这些考试结果。同时,这7项研究的结果表明,低GPA,延迟通过基础科学和入学时的年龄是影响考试结果的有效因素。三个研究分析考试的结果表明,遗传学和放射学获得了最高的相对评分,而寄生虫学、骨科和生理学获得了最低的相对评分。在对20年间40次考试的分析中,65.8%的学生在第一次试验中通过了考试。然而,99.6%的参与者在几次试验后继续接受教育。结论:在所回顾的研究中,学生的在校时间和平均分等因素对综合考试成绩有预测作用。因此,这些因素可以被认为是影响全科医学考试结果的有效因素。此外,研究结果可能支持国家综合考试作为提高教育质量的可靠工具的重要性。关键词:考试,基础科学,实习前,全科医学
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引用次数: 0
A study on hypertension and comparability between one reading and average of three readings of blood pressure by mercury sphygmomanometer among adults in a slum of Kolkata 加尔各答贫民窟成人汞柱血压计一次读数与平均三次读数血压的可比性研究
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I4.233
N. Karmakar, Saugat Banerjee, Amiya Das, A. Dasgupta, Mahul Mukhopadhyay
Background: Hypertension, a major chronic lifestyle disease is most prevalent non communicable disease inIndia. Blood pressure (BP) measurements in the community are generally performed with a mercurysphygmomanometer. However, it is the common teaching that average of at least three readings of bloodpressure measurement is considered to be the gold-standard method. How far this is true has been determinedin this study with the Aim: To find out the prevalence of hypertension and compare the one reading of bloodpressure taken by mercury sphygmomanometer with average of three such readings. Materials andMethods:This cross-sectional study was conducted from January-March 2015 among 160 adults of Chetla slum, Kolkatachosen through a two stage sample design. ubjects included -Male: 39.4%; Female: 60.6%. Data was collectedby interview and blood pressure measurements. Comparison was made between the first reading and theaverage of three readings of BP taken by mercury sphygmomanometer. Result: The overall prevalence ofhypertension was found to be 30 % (48). Strength of agreement between first reading of Blood Pressure with thatof average reading was excellent, with kappa=0.940. Conclusion: Though the average of three blood pressurereadings according to Standard operation Procedure is considered ideal for accurate Blood Pressuremeasurement it may not always be feasible to undertake such a practice especially at community level. Thisstudy observes that single reading can safely be considered for Blood Pressure measurement instead of averageof three readings. Key words: Blood Pressure measurement, One reading, Average of three readings, Mercury sphygmomanometer, Slum.
背景:高血压是一种主要的慢性生活方式疾病,是印度最常见的非传染性疾病。在社区测量血压(BP)通常用水银血压计进行。然而,通常的教导是,至少三次血压测量的平均值被认为是金标准方法。这项研究的目的是:找出高血压的患病率,并将水银血压计测得的一次血压读数与三次平均读数进行比较。材料与方法:本横断面研究于2015年1月至3月在加尔各答乔克市切特拉贫民窟的160名成年人中进行,采用两阶段样本设计。纳入对象-男性:39.4%;女:60.6%。通过访谈和血压测量收集数据。将第一次读数与汞柱血压计三次读数的平均值进行比较。结果:高血压总患病率为30%(48)。血压首次读数与平均读数的一致性非常好,kappa=0.940。结论:虽然按照标准操作程序平均三次血压读数被认为是准确测量血压的理想方法,但这种做法并不总是可行的,特别是在社区一级。本研究观察到,单次读数可以安全地用于血压测量,而不是平均三次读数。关键词:血压测量,一次读数,三次读数平均值,水银血压计,贫民窟
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引用次数: 0
Miniscrew implants. An effective means of absolute anchorage 作为植入物。绝对锚固的有效方法
Pub Date : 2016-01-01 DOI: 10.5455/jrmds.20164220
Akhilesh Belchandan, Eshan Awasthi, Ankur Jain, Shruti Hatewar
Bimaxillary dentoalveolar protrusion is the condition characterized by procumbency of lips due to increased protrusion of maxillary and mandibular incisors. This condition can be due to tooth size arch length discrepancy, weak lip musculature unable to withstand strong tongue pressure. This results in severe labial tipping of incisors, which causes upper and lower lip protrusion. This case report describes the treatment of a 21-year old girl with bimaxillary protrusion and convex profile with incompetent lip seal. The treatment of choice for the patient was extraction of four first premolars and utilization of extraction space to reduce the facial convexity by retraction of anterior teeth. The anchorage requirement was maximum for complete correction of facial profile. Mini implants were used to retract the anterior teeth and improve facial aesthetic. Treatment was completed in 20 months. Patient`s facial profile improved significantly with reduced dental protrusion and lip eversion.
双颌牙槽突是一种由于上颌和下颚门牙的突出而导致唇侧倾的疾病。这种情况可能是由于牙齿大小弓长差异,嘴唇肌肉无力,无法承受强大的舌压。这导致严重的唇部倾斜的门牙,这导致上唇和下唇突出。本病例报告描述了一个21岁的女孩,双颌突出和凸轮廓,嘴唇密封不合格的治疗。患者选择拔除4颗第一前磨牙,利用拔除空间通过前牙后缩来降低面部凸度。对于面部轮廓的完全矫正,锚固的要求是最大的。采用微型种植体缩前牙,改善面部美观。治疗在20个月内完成。患者面部轮廓明显改善,牙齿突出和唇外翻减少。
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引用次数: 0
Type A Personality & Coronary Artery Disease: A Case Control Study - A型人格与冠状动脉疾病:病例对照研究
Pub Date : 2016-01-01 DOI: 10.5455/JRMDS.20164111
R. Rohit, C. Rajendrasinh, T. Atul
Background and objective: Cardiovascular diseases are becoming the major cause of morbidity and mortality in most of the developing countries including India. Various studies proposed that type A personality is an independent risk factor for coronary artery disease. Present study was carried out to study the role of type A personality in the occurrence of coronary artery disease. Materials and Methods: Present study was a hospital based paired matched case-control study, carried out at civil hospital, Ahmedabad. 135 newly diagnosed cases of coronary artery disease and 135 controls were studied after taking informed written consent. Data was analysed by using Epi-info version 3.5.1 computer package, Chi -square test, and Odds ratio were calculated. Results: Among the total 135 cases 70.4% were male and 29.6% were female, most of the cases (40%) were belongs to the age group of 51-60 years. In our study significantly higher number of the cases (28.9%) having Type A personality as compared to controls (12.6%), and this difference was statistically significant (X2= 10.90, P < 0.001). Conclusion: findings of our study suggest that type A personality is major etiology behind the occurrence of coronary artery disease. Awareness should be created among the people regarding type A behavior and also promote various stress management techniques like breathing exercises, stretching exercises, yoga, meditation which are quite helpful in reducing the risk of CAD.
背景和目的:心血管疾病正在成为包括印度在内的大多数发展中国家发病率和死亡率的主要原因。各种研究表明,A型人格是冠状动脉疾病的独立危险因素。本研究旨在探讨A型人格在冠心病发生中的作用。材料与方法:本研究是一项以医院为基础的配对病例对照研究,在艾哈迈达巴德的一所民用医院进行,135例新诊断的冠状动脉疾病患者和135例对照组在知情书面同意后进行研究。数据分析采用Epi-info 3.5.1版软件包,卡方检验,计算优势比。结果:135例患者中男性占70.4%,女性占29.6%,年龄在51 ~ 60岁的患者占40%。在我们的研究中,A型人格的病例数(28.9%)明显高于对照组(12.6%),这一差异具有统计学意义(X2= 10.90, P < 0.001)。结论:本研究结果提示A型人格是冠心病发生的主要病因。应该提高人们对A型行为的认识,并推广各种压力管理技术,如呼吸练习、伸展运动、瑜伽、冥想,这些都有助于降低患冠心病的风险。
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引用次数: 2
Hypoplasia of the maxillary, sphenoid and frontal sinus in the patient with nasopharyngeal branchial cyst: Case Repor 鼻咽鳃裂囊肿患者上颌窦、蝶窦、额窦发育不全1例
Pub Date : 2016-01-01 DOI: 10.5455/JRMDS.2016446
Matin Ghazizade, Mahboobe Asadi, Pouyan Darbani
Cystic lesions of the nasopharynx are typically benign and often found incidentally. The authors report a case of nasopharyngeal branchial cyst in a patient with hypoplastic maxillary, sphenoid and frontal sinuses. The patient underwent transnasal endoscopic resection of the cyst.Results showed that in the management of nasopharyngeal branchial cyst it is important to clarify the anatomic details of the paranasal sinuses with Computed tomography (CT) scan respect to correct diagnosis and appropriate surgical planning. Nasopharyngeal branchial cysts and paranasal sinus hypoplasia may have the same developmental cause.
鼻咽部囊性病变通常是良性的,通常是偶然发现的。本文报告一例上颌窦、蝶窦和额窦发育不全的鼻咽鳃裂囊肿。患者接受了经鼻内镜囊肿切除术。结果表明,在鼻咽鳃裂囊肿的治疗中,通过CT扫描明确鼻窦的解剖细节对正确诊断和合理的手术计划至关重要。鼻咽鳃裂囊肿和副鼻窦发育不全可能有相同的发育原因。
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引用次数: 0
Medical emergencies in dental clinic 牙科诊所紧急医疗情况
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I1.166
Rushil Shah, C. Venkatesh, P. Patel, Nikan Makadia
Medical emergencies are the detrimental medical episodes that may be apparent in dental settings. Diligent understanding of the emergencies is absolutely necessary for all dental surgeons and auxiliaries. Appropriate diagnosis and subsequent care play a key role in the management of medical emergencies in dental clinic. The utmost purpose of this article is to shed light on the typical medical emergencies in dental setting and their subsequent management.
医疗紧急情况是有害的医疗事件,可能是明显的牙科设置。对所有牙科外科医生和辅助医生来说,对紧急情况的认真了解是绝对必要的。适当的诊断和后续护理是处理牙科诊所医疗紧急情况的关键。这篇文章的最大目的是阐明典型的医疗紧急情况在牙科设置和他们的后续管理。
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引用次数: 1
Variegated treatment modalities for trigeminal neuralgia 三叉神经痛的综合治疗方法
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I1.167
Anshul Shah, Aditi Kumbhalwar, P. Ragasree, Sonali Patel, A. Pala, Neetika Thukral
Trigeminal neuralgia is a chronic pain disorder affecting the trigeminal nerve which usually worsens with passage of time. It is an episodic pain syndrome which has been fairly responsive to medical & surgical treatment modalities. It is a pathology characterized by paroxysmal pain so severe and sudden almost like an electric shock, which lasts from a range of very few seconds to a maximum of two minutes. The article is focused on different treatment modalities and their subsequent prognosis. Key words: Trigeminal Neuralgia, Oro-Facial Pain, Treatment
三叉神经痛是一种影响三叉神经的慢性疼痛障碍,通常随着时间的推移而恶化。这是一种发作性疼痛综合征,对医学和外科治疗方式相当敏感。这是一种病理,其特征是剧烈而突然的阵发性疼痛,几乎像电击一样,持续时间从几秒钟到最多两分钟。本文的重点是不同的治疗方式和他们的后续预后。关键词:三叉神经痛,口腔-面部疼痛,治疗
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引用次数: 2
Host modulation therapy- An innovative paradigm in dentistry 宿主调节疗法-牙科的创新范例
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I1.165
G. Latha, A. Suchetha, D. Mundinamane, Apoorva Sm, Divya B. Bhatt, V. Mp
Inflammation comprises a series of events that leads to a host response against trauma and microbial invasion, resulting in liquefaction of surrounding tissues to prevent microbial metastasis, and eventually to healing of injured tissue compartments. Thus, by definition, the host response involves not only the mechanisms of defence but also processes of repair of damage that occurs by the direct effect of invaders or trauma or host systems. Periodontal diseases are inflammatory processes in which microbial etiologic factors induce a series of host responses that mediate an inflammatory cascade of events in an attempt to protect and heal the periodontal tissues. The adjunctive use of host modulation therapy can enhance therapeutic responses, slow the progression of the disease, and allow for more predictable management of patients, particularly in those patients at increased risk caused by factors beyond the reach of conventional therapeutic approaches. Key words: Host modulation, NSAIDs, Bisphosphonates, immune-inflammatory response, MMPs
炎症包括一系列事件,这些事件导致宿主对创伤和微生物入侵做出反应,导致周围组织液化以防止微生物转移,并最终导致受伤组织室的愈合。因此,根据定义,宿主反应不仅包括防御机制,还包括由入侵者或创伤或宿主系统直接影响而发生的损伤修复过程。牙周病是一种炎症过程,在这种炎症过程中,微生物病因诱发一系列宿主反应,介导一系列炎症级联事件,试图保护和治愈牙周组织。辅助使用宿主调节疗法可以增强治疗反应,减缓疾病进展,并允许对患者进行更可预测的管理,特别是对于那些因传统治疗方法无法达到的因素而风险增加的患者。关键词:宿主调节,非甾体抗炎药,双磷酸盐,免疫炎症反应,MMPs
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引用次数: 0
期刊
Journal of Research in Medical and Dental Science
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