Abstract Malignant central airway obstruction refers to the obstruction of the trachea, and right or left main bronchus due to neoplastic growth. The airway is generally compromised by ∼50% at presentation when the patient develops symptoms. Diagnosis is done by flexible bronchoscopy and imaging. However, treatment is challenging due to recurrence, and increased vascularity of tumors, owing to dreaded complications of bleeding and airway compromise. Tracheoesophageal fistula is an abnormal communication of the trachea with the esophagus. It occurs in advanced stages of esophageal and lung malignancy. Bronchoscopy and airway stenting is the palliative treatment option due to the advanced stage of the disease. We present three different case scenarios of thoracic malignancies who underwent airway stenting.
{"title":"Our Experience of Placement of Airway Sems in Three Different Scenarios of Lung and Esophageal Malignancy","authors":"Sarath Chandra Kadur Srikanta Rao, Nandakishore Baikunje, Chandramouli Mandya Thimmaiah, Rajesh Venkataram, Giridhar Belur Hosmane","doi":"10.1055/s-0042-1758037","DOIUrl":"https://doi.org/10.1055/s-0042-1758037","url":null,"abstract":"Abstract Malignant central airway obstruction refers to the obstruction of the trachea, and right or left main bronchus due to neoplastic growth. The airway is generally compromised by ∼50% at presentation when the patient develops symptoms. Diagnosis is done by flexible bronchoscopy and imaging. However, treatment is challenging due to recurrence, and increased vascularity of tumors, owing to dreaded complications of bleeding and airway compromise. Tracheoesophageal fistula is an abnormal communication of the trachea with the esophagus. It occurs in advanced stages of esophageal and lung malignancy. Bronchoscopy and airway stenting is the palliative treatment option due to the advanced stage of the disease. We present three different case scenarios of thoracic malignancies who underwent airway stenting.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"3 14","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135391422","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}
Asiya Banu, Aswathi U. K., Athul K., Athulya Mathew, Shycil Mathew, Gireesh GR
Abstract Background Menstrual cycle irregularities and anovulation have been found to occur with increased frequency in women who deviate considerably from normal weight. Ovulation abnormalities may also be caused by fluctuations in weight, such as being overweight, obese, or underweight, which are hypothesized to disrupt the energy balance. Objectives: The aim of this study was to find out the association between menstrual patterns and body mass index (BMI) among students of selected health science university. Materials and Methods A descriptive research study was conducted among 222 university students at a selected health science university in Mangalore. The samples were selected by using simple random sampling techniques. A demographic proforma, self-reported menstrual pattern questionnaire, and anthropometric measurements like height and weight were measured. BMI was calculated by using the standardized formula, BMI= (weight [kg]/height [m2]) by the World Health Organization for the Asian population based on the revised consensus guidelines for India. Students who are aged between 17 and 25 years, unmarried female students who are studying under Yenepoya (deemed to be university), attained menarche, and who are willing to participate in the study were included in the study. Results From this study, it can be considered that the mean age of menarche was 12.49 ± 0.51years. Most 68.5% students reported dysmenorrhea. It is the most common menstrual disorder among our study subjects. Of the total subjects, 38.3% cases had oligomenorrhea, which was the next most common menstrual disorder. The majority of the subjects has a normal BMI, with a mean of 21.02 kg/m2. There is a significant association between dysmenorrhea, oligomenorrhea, and polymenorrhagia with BMI status of university students at 0.05 level significance. Conclusion Lifestyle modification and nutritional counselling for female students could alleviate menstrual problems. It will not only improve the girls' current health, sense of well-being, and overall quality of life but may also lower her risks for future disease and ill health after proper advice about diet and exercise. Menstrual irregularities are mostly neglected by the society due to unawareness regarding the irregular menstrual pattern and their problems.
{"title":"Are Menstrual Patterns Associated with the Body Mass Index of University Students? A Descriptive Study in Mangalore, Karnataka, India","authors":"Asiya Banu, Aswathi U. K., Athul K., Athulya Mathew, Shycil Mathew, Gireesh GR","doi":"10.1055/s-0043-1775969","DOIUrl":"https://doi.org/10.1055/s-0043-1775969","url":null,"abstract":"Abstract Background Menstrual cycle irregularities and anovulation have been found to occur with increased frequency in women who deviate considerably from normal weight. Ovulation abnormalities may also be caused by fluctuations in weight, such as being overweight, obese, or underweight, which are hypothesized to disrupt the energy balance. Objectives: The aim of this study was to find out the association between menstrual patterns and body mass index (BMI) among students of selected health science university. Materials and Methods A descriptive research study was conducted among 222 university students at a selected health science university in Mangalore. The samples were selected by using simple random sampling techniques. A demographic proforma, self-reported menstrual pattern questionnaire, and anthropometric measurements like height and weight were measured. BMI was calculated by using the standardized formula, BMI= (weight [kg]/height [m2]) by the World Health Organization for the Asian population based on the revised consensus guidelines for India. Students who are aged between 17 and 25 years, unmarried female students who are studying under Yenepoya (deemed to be university), attained menarche, and who are willing to participate in the study were included in the study. Results From this study, it can be considered that the mean age of menarche was 12.49 ± 0.51years. Most 68.5% students reported dysmenorrhea. It is the most common menstrual disorder among our study subjects. Of the total subjects, 38.3% cases had oligomenorrhea, which was the next most common menstrual disorder. The majority of the subjects has a normal BMI, with a mean of 21.02 kg/m2. There is a significant association between dysmenorrhea, oligomenorrhea, and polymenorrhagia with BMI status of university students at 0.05 level significance. Conclusion Lifestyle modification and nutritional counselling for female students could alleviate menstrual problems. It will not only improve the girls' current health, sense of well-being, and overall quality of life but may also lower her risks for future disease and ill health after proper advice about diet and exercise. Menstrual irregularities are mostly neglected by the society due to unawareness regarding the irregular menstrual pattern and their problems.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"3 13","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135391423","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}
Abstract Background Simulation is an educational method that utilizes scenarios and simulators that aide to replicate real clinical situations. This research was undertaken to evaluate the effectiveness of simulation and satisfaction following the use of high-fidelity simulation among nursing students studying at undergraduate level. Materials and Methods This is a quasi-experimental research study which was conducted in the simulation laboratory of Mangaluru, Karnataka. This study involves simulation-based learning to improve clinical competency among 100 B.Sc. nursing students. The presimulation self-efficacy was assessed by giving a questionnaire to the students. After the pretest, the researchers gave a brief introduction to the simulation scenario and explained the facilities available in the simulation laboratory. Learning objectives were explained and the samples were divided into small groups. The simulation was given using clinical scenarios and computer-assisted Human Patient Simulator for 45 minutes in the simulation laboratory. Postassessment of self-efficacy as well as student satisfaction assessment were performed using a questionnaire. Results The findings showed that the simulation is a productive learning strategy and builds confidence. After the simulation, 79% of students strongly agreed that their self-efficacy improved in the management of patients with respiratory emergencies. The results showed positive correlation between the variables which indicates higher level of self-efficacy improves satisfaction among learners. The present study results also revealed that 98% of students had good satisfaction and found debriefing very useful. Conclusion The high-fidelity simulation had a great influence on improving self-efficacy and satisfaction. Hence, simulation needs to be incorporated into the curriculum to enrich skills.
{"title":"Self-Efficacy and Learner Satisfaction in the Management of Respiratory Emergency among Undergraduate Students: A Simulation-Based Study","authors":"Sharvan Muhammad, Hezil Reema Barboza, Shashikumar Jawadagi","doi":"10.1055/s-0043-1775717","DOIUrl":"https://doi.org/10.1055/s-0043-1775717","url":null,"abstract":"Abstract Background Simulation is an educational method that utilizes scenarios and simulators that aide to replicate real clinical situations. This research was undertaken to evaluate the effectiveness of simulation and satisfaction following the use of high-fidelity simulation among nursing students studying at undergraduate level. Materials and Methods This is a quasi-experimental research study which was conducted in the simulation laboratory of Mangaluru, Karnataka. This study involves simulation-based learning to improve clinical competency among 100 B.Sc. nursing students. The presimulation self-efficacy was assessed by giving a questionnaire to the students. After the pretest, the researchers gave a brief introduction to the simulation scenario and explained the facilities available in the simulation laboratory. Learning objectives were explained and the samples were divided into small groups. The simulation was given using clinical scenarios and computer-assisted Human Patient Simulator for 45 minutes in the simulation laboratory. Postassessment of self-efficacy as well as student satisfaction assessment were performed using a questionnaire. Results The findings showed that the simulation is a productive learning strategy and builds confidence. After the simulation, 79% of students strongly agreed that their self-efficacy improved in the management of patients with respiratory emergencies. The results showed positive correlation between the variables which indicates higher level of self-efficacy improves satisfaction among learners. The present study results also revealed that 98% of students had good satisfaction and found debriefing very useful. Conclusion The high-fidelity simulation had a great influence on improving self-efficacy and satisfaction. Hence, simulation needs to be incorporated into the curriculum to enrich skills.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"4 20","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135391510","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}
Abdul Safwan, Suresh G., Bipin Shaji, Srinitha Sridhar, Reshma Kolar, Juno Jerold Joel
Abstract Dyslipidemia can increase the risk of cardiovascular disease in individuals with metabolic diseases. Patients may have to take multiple medications simultaneously, leading to polypharmacy. A retrospective study was conducted to evaluate drug utilization and dose intensity patterns in dyslipidemic patients with type 2 diabetes mellitus over an 8-month period at a tertiary care hospital. The study included the case sheets of patients diagnosed with dyslipidemia and type 2 diabetes. The required data for the study were collected from the patient's case sheets from the Medical Records Department (from June 2015 to May 2020). The data were documented using MS Excel 2013 and analyzed descriptively using SPSS software version 20. Among the 384 study population, 53% were males and 47% were females, with an age group of 45 to 59 years. Metformin and glimepiride were the most commonly prescribed oral hypoglycemic agents, while glibenclamide was the least prescribed. Atorvastatin was the most prescribed hypolipidemic agent. The combination of atorvastatin and fenofibrate was the most preferred combination therapy. The most frequently prescribed hypoglycemic and hypolipidemic agents were metformin and atorvastatin, respectively. Dyslipidemic patients with diabetes mellitus require the administration of multiple medications. It is crucial to monitor medication adherence and medication-related problems among these populations.
{"title":"Evaluation of Drug Utilization and Dose Intensity Pattern in Dyslipidemic Patients with Type 2 Diabetes Mellitus","authors":"Abdul Safwan, Suresh G., Bipin Shaji, Srinitha Sridhar, Reshma Kolar, Juno Jerold Joel","doi":"10.1055/s-0043-1775844","DOIUrl":"https://doi.org/10.1055/s-0043-1775844","url":null,"abstract":"Abstract Dyslipidemia can increase the risk of cardiovascular disease in individuals with metabolic diseases. Patients may have to take multiple medications simultaneously, leading to polypharmacy. A retrospective study was conducted to evaluate drug utilization and dose intensity patterns in dyslipidemic patients with type 2 diabetes mellitus over an 8-month period at a tertiary care hospital. The study included the case sheets of patients diagnosed with dyslipidemia and type 2 diabetes. The required data for the study were collected from the patient's case sheets from the Medical Records Department (from June 2015 to May 2020). The data were documented using MS Excel 2013 and analyzed descriptively using SPSS software version 20. Among the 384 study population, 53% were males and 47% were females, with an age group of 45 to 59 years. Metformin and glimepiride were the most commonly prescribed oral hypoglycemic agents, while glibenclamide was the least prescribed. Atorvastatin was the most prescribed hypolipidemic agent. The combination of atorvastatin and fenofibrate was the most preferred combination therapy. The most frequently prescribed hypoglycemic and hypolipidemic agents were metformin and atorvastatin, respectively. Dyslipidemic patients with diabetes mellitus require the administration of multiple medications. It is crucial to monitor medication adherence and medication-related problems among these populations.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"9 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135392123","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}
Abstract This study was conducted with the aim of identifying the prevalence of recurring esthetic dental (RED) proportion and golden percentage among young individuals in Dakshina Kannada district. The study was conducted by analyzing digital photographs of 100 subjects on Adobe. The measurements were made using a digital ruler. After the measurements were completed, the data collected were statistically analyzed to determine the prevalence of either of the proportions. The result suggested the prevalence of RED proportion being significantly more (72.2%) than golden percentage (27.8%) among the young individuals of Dakshina Kannada population. Based on gender-wise distribution, golden percentage was more prevalent among females, whereas RED proportion was more prevalent among males. Within the scope and limitations of this study, it is suggested to use of RED proportion to design a harmonious smile.
{"title":"A Study to Evaluate the Prevalence of Golden Percentage and Recurring Esthetic Dental Proportion among Young Individuals in Dakshina Kannada","authors":"Ayush Verma, Krishna Prasad D","doi":"10.1055/s-0043-1776035","DOIUrl":"https://doi.org/10.1055/s-0043-1776035","url":null,"abstract":"Abstract This study was conducted with the aim of identifying the prevalence of recurring esthetic dental (RED) proportion and golden percentage among young individuals in Dakshina Kannada district. The study was conducted by analyzing digital photographs of 100 subjects on Adobe. The measurements were made using a digital ruler. After the measurements were completed, the data collected were statistically analyzed to determine the prevalence of either of the proportions. The result suggested the prevalence of RED proportion being significantly more (72.2%) than golden percentage (27.8%) among the young individuals of Dakshina Kannada population. Based on gender-wise distribution, golden percentage was more prevalent among females, whereas RED proportion was more prevalent among males. Within the scope and limitations of this study, it is suggested to use of RED proportion to design a harmonious smile.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135855275","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}
Abstract Background Metal-free ceramic veneers exhibit many desirable properties. However, low fracture strength is a major disadvantage. The success of the veneers depends on optimal tooth preparation and intaglio surface preparation techniques for bonding porcelain substrates to the tooth to ensure clinical success. This study was conducted to evaluate the influence of acid etching technique on surface roughness and fracture strength of veneers. Methods The in vitro study was conducted on maxillary central incisors that were prepared to receive the veneers; the specimens were divided into two groups—group A and group B. The intaglio surface of veneer in both groups was etched with 4.6 % of the hydrofluoric acid solution for 30 seconds, in group B specimens were further treated with 33% sodium hypochlorite solution treatment following which the surface roughness was measured and calculated with scanning electron microscope at a magnification of 3000X and profilometer, respectively. The fracture strength of the specimens in both groups was determined by subjecting the tooth with veneer to a universal testing machine; the force was applied until the fracture occurred. Results There was a significant difference observed in the surface roughness, fracture strength, and bond strength of the heat-pressed lithium-disilicate veneers treated solely with hydrofluoric acid and samples treated with hydrofluoric acid and phosphoric acid. Conclusion Optimizing porcelain surfaces before treatment with various adhesives and luting resins requires an understanding of the involved substrates and materials, as well as a logical and systematic methodology in their manipulation. The intaglio surface of the veneers treated with hydrofluoric acid followed with phosphoric acid has no significant difference observed in the properties of the veneers but has better bonding with the tooth structure.
{"title":"Evaluation of the Influence of Acid Etching Technique on Surface Roughness and Fracture Strength of Heat-Pressed Lithium-disilicate Veneers","authors":"Diya Shetty, Ganaraj Shetty, Natasha Shetty","doi":"10.1055/s-0043-1775968","DOIUrl":"https://doi.org/10.1055/s-0043-1775968","url":null,"abstract":"Abstract Background Metal-free ceramic veneers exhibit many desirable properties. However, low fracture strength is a major disadvantage. The success of the veneers depends on optimal tooth preparation and intaglio surface preparation techniques for bonding porcelain substrates to the tooth to ensure clinical success. This study was conducted to evaluate the influence of acid etching technique on surface roughness and fracture strength of veneers. Methods The in vitro study was conducted on maxillary central incisors that were prepared to receive the veneers; the specimens were divided into two groups—group A and group B. The intaglio surface of veneer in both groups was etched with 4.6 % of the hydrofluoric acid solution for 30 seconds, in group B specimens were further treated with 33% sodium hypochlorite solution treatment following which the surface roughness was measured and calculated with scanning electron microscope at a magnification of 3000X and profilometer, respectively. The fracture strength of the specimens in both groups was determined by subjecting the tooth with veneer to a universal testing machine; the force was applied until the fracture occurred. Results There was a significant difference observed in the surface roughness, fracture strength, and bond strength of the heat-pressed lithium-disilicate veneers treated solely with hydrofluoric acid and samples treated with hydrofluoric acid and phosphoric acid. Conclusion Optimizing porcelain surfaces before treatment with various adhesives and luting resins requires an understanding of the involved substrates and materials, as well as a logical and systematic methodology in their manipulation. The intaglio surface of the veneers treated with hydrofluoric acid followed with phosphoric acid has no significant difference observed in the properties of the veneers but has better bonding with the tooth structure.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135853753","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}
Abstract Introduction Community health workers are crucial in improving health and bridging gaps between communities and health care services. They are integral to various national health initiatives to prevent diseases and enhance well-being. Providing health care services to adolescents is a pivotal responsibility for auxiliary nurse midwives (ANMs) and Accredited Social Health Activist (ASHA) workers. Objectives This study aims to evaluate the community health workers' comprehension, implementation practices, and viewpoints regarding the implementation of the Rashtriya Kishor Swasthya Karyakram (RKSK) program. Methodology The research was conducted across primary health centers in Hagaribommanahalli and Huvina Hadagali taluks. A two-stage sampling technique was utilized to gather data from 404 participants, who were administered a semi-structured questionnaire. Data analysis was performed using SPSS version 20 software. Results Out of the total community health workers, 336 (83.2%) were ASHA workers, while 68 (16.8%) were ANMs. The mean age of the community health workers was 38 ± 6 years, and 79% had received training in the RKSK program. Of the respondents, 60.9% demonstrated adequate knowledge, and 79.5% correctly executed the RKSK activities. In addition, 80.5% of the participants strongly concurred with statements reflecting their perception of the RKSK program. Conclusion The study findings indicate that community health workers possess a commendable understanding of the RKSK program. Furthermore, their effective implementation practices and positive perceptions regarding the RKSK program and its activities suggest a genuine commitment to supporting the RKSK program and other health-related endeavors targeting adolescents.
社区卫生工作者在改善健康和弥合社区与卫生保健服务之间的差距方面至关重要。它们是预防疾病和增进福祉的各种国家卫生倡议的组成部分。为青少年提供卫生保健服务是辅助护士助产士(ANMs)和认可的社会卫生活动家(ASHA)工作人员的关键责任。目的本研究旨在评估社区卫生工作者对RKSK (Rashtriya Kishor Swasthya Karyakram)计划实施的理解、实施实践和观点。研究在Hagaribommanahalli和Huvina Hadagali地区的初级保健中心进行。采用两阶段抽样技术收集404名参与者的数据，并对他们进行半结构化问卷调查。数据分析采用SPSS version 20软件。结果社区卫生工作者中，ASHA工作者336人(83.2%)，ann工作者68人(16.8%)。社区卫生工作者的平均年龄为38±6岁，79%的人接受过RKSK计划的培训。在受访者中，60.9%的人表现出足够的知识，79.5%的人正确执行了RKSK活动。此外，80.5%的参与者强烈同意反映他们对RKSK计划看法的陈述。结论研究结果表明，社区卫生工作者对RKSK计划有一定的了解。此外，它们有效的执行做法和对青少年健康风险方案及其活动的积极看法表明，它们真正致力于支持青少年健康风险方案和其他与健康相关的针对青少年的努力。
{"title":"Comprehending Knowledge, Practices, and Perceptions of Community Health Workers Regarding Adolescent Health Program: A Cross-Sectional Inquiry in Bellary District, Karnataka","authors":"Sindhu P.M, Mackwin Kenwood Dmello, Prajwal Jupiter Lobo, Neevan Dsouza","doi":"10.1055/s-0043-1775574","DOIUrl":"https://doi.org/10.1055/s-0043-1775574","url":null,"abstract":"Abstract Introduction Community health workers are crucial in improving health and bridging gaps between communities and health care services. They are integral to various national health initiatives to prevent diseases and enhance well-being. Providing health care services to adolescents is a pivotal responsibility for auxiliary nurse midwives (ANMs) and Accredited Social Health Activist (ASHA) workers. Objectives This study aims to evaluate the community health workers' comprehension, implementation practices, and viewpoints regarding the implementation of the Rashtriya Kishor Swasthya Karyakram (RKSK) program. Methodology The research was conducted across primary health centers in Hagaribommanahalli and Huvina Hadagali taluks. A two-stage sampling technique was utilized to gather data from 404 participants, who were administered a semi-structured questionnaire. Data analysis was performed using SPSS version 20 software. Results Out of the total community health workers, 336 (83.2%) were ASHA workers, while 68 (16.8%) were ANMs. The mean age of the community health workers was 38 ± 6 years, and 79% had received training in the RKSK program. Of the respondents, 60.9% demonstrated adequate knowledge, and 79.5% correctly executed the RKSK activities. In addition, 80.5% of the participants strongly concurred with statements reflecting their perception of the RKSK program. Conclusion The study findings indicate that community health workers possess a commendable understanding of the RKSK program. Furthermore, their effective implementation practices and positive perceptions regarding the RKSK program and its activities suggest a genuine commitment to supporting the RKSK program and other health-related endeavors targeting adolescents.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136294492","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}
S. Monika, Kruthika M. R., Gowrav M. P., Balamuralidhara V.
An Emergency use authorization (EUA) is a permission granted by the Food and Drug Administration (FDA) under sections of the Federal Food, Drug, and Cosmetic Act as revised and upgraded by numerous Federal legislations, which includes the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013, accumulated by 21 U.S.C. 360bbb-3, to enable the utilization of medicines before approving. Ensuing regulative specialists expanded the scope of testing to which the medication or treatment has been submitted, as well as the class of drugs qualified for thought. The scope and relevance of EUAs are further governed by actual pioneer, which may change the significance of situations classified as general prosperity crises and within which the FDA might release EUAs Considering the COVID-19 flare-up, the HHS (Health and Human Services) Secretary articulated a general prosperity emergency on February 4, 2020, for the brand-new SARS-CoV-2 disorder these consequences in illness COVID-19. In response to the COVID-19 epidemic, the FDA granted EUAs in 2020 for remdesivir, enhanced blood, Fresenius Propoven 2 percent emulsion (propofol), and bamlanivimab. The FDA cancelled the Emergency use authorization (EUA) that drew in the exploratory monoclonal adjusting proficient medicine Bamlanivimab for use without assistance in the treatment of difficult-to-organize COVID-19 in grown-ups and positive pediatric victims on April 16, 2021.
{"title":"Emergency Use Authorization for COVID-19 Vaccines and Practical Considerations for the Future","authors":"S. Monika, Kruthika M. R., Gowrav M. P., Balamuralidhara V.","doi":"10.1055/s-0043-1769904","DOIUrl":"https://doi.org/10.1055/s-0043-1769904","url":null,"abstract":"An Emergency use authorization (EUA) is a permission granted by the Food and Drug Administration (FDA) under sections of the Federal Food, Drug, and Cosmetic Act as revised and upgraded by numerous Federal legislations, which includes the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013, accumulated by 21 U.S.C. 360bbb-3, to enable the utilization of medicines before approving. Ensuing regulative specialists expanded the scope of testing to which the medication or treatment has been submitted, as well as the class of drugs qualified for thought. The scope and relevance of EUAs are further governed by actual pioneer, which may change the significance of situations classified as general prosperity crises and within which the FDA might release EUAs Considering the COVID-19 flare-up, the HHS (Health and Human Services) Secretary articulated a general prosperity emergency on February 4, 2020, for the brand-new SARS-CoV-2 disorder these consequences in illness COVID-19. In response to the COVID-19 epidemic, the FDA granted EUAs in 2020 for remdesivir, enhanced blood, Fresenius Propoven 2 percent emulsion (propofol), and bamlanivimab. The FDA cancelled the Emergency use authorization (EUA) that drew in the exploratory monoclonal adjusting proficient medicine Bamlanivimab for use without assistance in the treatment of difficult-to-organize COVID-19 in grown-ups and positive pediatric victims on April 16, 2021.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"2012 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135484125","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}
Abstract Background Development of malocclusion can be promptly recognized through an understanding of the optimal position of the bone structures in the orofacial system and their relationship to the cranial base and jaw base. The aim of this study was to assess the relationship between the cranial base, mandible, and hyoid bone in different anteroposterior skeletal malocclusions. Materials and Methods This retrospective study evaluated 120 lateral cephalometric radiographs of individuals aged between 15 and 30 years. The subjects were classified using Burstone's analysis into three groups based on the N perpendicular to point A and N perpendicular to point B. The collected lateral cephalograms of the selected individuals were analyzed using Nemoceph v.12 software (Nemotec, Spain). The nasion-sella-articulare (NSAr), hyoidale angle (C3HyD), sella-articulare-hyoid angle (SArHy), and nasion-sella-hyoid (NSHy) angles were measured and compared among all the three groups. Results In the present study, considering the various angles among the three study groups, a statistically significant difference was observed for the SArHy angle (p < 0.05). However, the saddle angle (NSAr) and hyoidale angle (C3HyD) showed no statistically significant difference between the three study groups. Post hoc Bonferroni test was applied to compare the differences between two groups. A statistically significant difference (p < 0.05) was observed between class I and class II and between class II and class III groups. Conclusion Though the findings of the present study concluded that there is no variation in saddle angle among the three groups, the significant association of SArHy angle among class I, class II, and class III skeletal relationships, suggests an adaptation of the hyoid bone position in various skeletal patterns. We also suggest that the posterior positioning of the hyoid bone is related to skeletal class II malocclusion, whereas a forward positioning of the hyoid bone is related to skeletal class III malocclusion.
{"title":"Correlation between Cranial Base, Mandible, and Hyoid Bone Position in Different Anteroposterior Skeletal Malocclusions: A Cephalometric Study","authors":"Jaffer Sadik, Akhil Shetty","doi":"10.1055/s-0043-1775575","DOIUrl":"https://doi.org/10.1055/s-0043-1775575","url":null,"abstract":"Abstract Background Development of malocclusion can be promptly recognized through an understanding of the optimal position of the bone structures in the orofacial system and their relationship to the cranial base and jaw base. The aim of this study was to assess the relationship between the cranial base, mandible, and hyoid bone in different anteroposterior skeletal malocclusions. Materials and Methods This retrospective study evaluated 120 lateral cephalometric radiographs of individuals aged between 15 and 30 years. The subjects were classified using Burstone's analysis into three groups based on the N perpendicular to point A and N perpendicular to point B. The collected lateral cephalograms of the selected individuals were analyzed using Nemoceph v.12 software (Nemotec, Spain). The nasion-sella-articulare (NSAr), hyoidale angle (C3HyD), sella-articulare-hyoid angle (SArHy), and nasion-sella-hyoid (NSHy) angles were measured and compared among all the three groups. Results In the present study, considering the various angles among the three study groups, a statistically significant difference was observed for the SArHy angle (p < 0.05). However, the saddle angle (NSAr) and hyoidale angle (C3HyD) showed no statistically significant difference between the three study groups. Post hoc Bonferroni test was applied to compare the differences between two groups. A statistically significant difference (p < 0.05) was observed between class I and class II and between class II and class III groups. Conclusion Though the findings of the present study concluded that there is no variation in saddle angle among the three groups, the significant association of SArHy angle among class I, class II, and class III skeletal relationships, suggests an adaptation of the hyoid bone position in various skeletal patterns. We also suggest that the posterior positioning of the hyoid bone is related to skeletal class II malocclusion, whereas a forward positioning of the hyoid bone is related to skeletal class III malocclusion.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135483713","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}
Lismeia R. Soares, Jorge Casseb, Luiz Vinicius de Alcantara Sousa, Glaucia Luciano da Veiga, Beatriz da Costa Aguiar Alves, Thaís Gascón, Fernando L.A. Fonseca
Abstract Introduction and Objectives Nutritional assessment in individuals infected with HIV-1 holds significance as it allows for indirect monitoring of physiological and morphological changes, identification of nutritional risks, and effective intervention to maintain or restore nutritional status. This, in turn, contributes to enhancing the quality of life for this population. This study aims to establish a connection between self-image perceptions and body composition, biochemical profiles, and the use of lipid-lowering medications among adults with HIV who are undergoing outpatient follow-up in São Paulo, Brazil. Methods A retrospective cross-sectional study was conducted involving 231 adults, both on and off antiretroviral drugs. The study subjectively assessed two aspects: (1) alterations in the redistribution of body fat (referred to as self-reported lipodystrophy) and (2) self-perceptions of body image. These variables were subsequently correlated with the individuals' self-perceived body image. Results The study included 67% (n = 154) men and 33% (n = 77) women, with 28.5% (n = 66) having been exposed to some form of protease inhibitor. Among the participants, 40% (n = 98) perceived alterations in the redistribution of body fat (lipodystrophy). Notable changes included fat loss in the face, arms, thighs, and buttocks (p = 0.004, 0.006, 0.001, and 0.001, respectively), along with increased waistlines (p = 0.001), prominent veins (p = 0.001), and the presence or increase of lipomas (p = 0.046). Conclusion A positive correlation was observed between the use of lipid-lowering medications and self-perceptions of body image. In this study, anthropometric and biochemical parameters proved more effective in assessing changes in the distribution of body fat among people living with HIV/AIDS compared to the subjective self-reported method.
{"title":"Self-Reported Lipodystrophy and Self-Perception of Body Image in Adults with HIV","authors":"Lismeia R. Soares, Jorge Casseb, Luiz Vinicius de Alcantara Sousa, Glaucia Luciano da Veiga, Beatriz da Costa Aguiar Alves, Thaís Gascón, Fernando L.A. Fonseca","doi":"10.1055/s-0043-1775761","DOIUrl":"https://doi.org/10.1055/s-0043-1775761","url":null,"abstract":"Abstract Introduction and Objectives Nutritional assessment in individuals infected with HIV-1 holds significance as it allows for indirect monitoring of physiological and morphological changes, identification of nutritional risks, and effective intervention to maintain or restore nutritional status. This, in turn, contributes to enhancing the quality of life for this population. This study aims to establish a connection between self-image perceptions and body composition, biochemical profiles, and the use of lipid-lowering medications among adults with HIV who are undergoing outpatient follow-up in São Paulo, Brazil. Methods A retrospective cross-sectional study was conducted involving 231 adults, both on and off antiretroviral drugs. The study subjectively assessed two aspects: (1) alterations in the redistribution of body fat (referred to as self-reported lipodystrophy) and (2) self-perceptions of body image. These variables were subsequently correlated with the individuals' self-perceived body image. Results The study included 67% (n = 154) men and 33% (n = 77) women, with 28.5% (n = 66) having been exposed to some form of protease inhibitor. Among the participants, 40% (n = 98) perceived alterations in the redistribution of body fat (lipodystrophy). Notable changes included fat loss in the face, arms, thighs, and buttocks (p = 0.004, 0.006, 0.001, and 0.001, respectively), along with increased waistlines (p = 0.001), prominent veins (p = 0.001), and the presence or increase of lipomas (p = 0.046). Conclusion A positive correlation was observed between the use of lipid-lowering medications and self-perceptions of body image. In this study, anthropometric and biochemical parameters proved more effective in assessing changes in the distribution of body fat among people living with HIV/AIDS compared to the subjective self-reported method.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135193477","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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