Neurofibromatosis (NF) is a group of disorders that is caused by a genetic mutation which is dominantly inherited neurogenetic disorder. They are of three types: NF1, NF2, and schwannomatosis. Out of these three, NF1 is the most common. NF1 mainly affects the skin, peripheral and central nervous system, bones, cardiovascular, and endocrine systems. Tuberculosis is a bacterial infection of the lung that is caused by Mycobacterium tuberculosis. It spreads by speaking, sneezing, and coughing in the air. Active pulmonary infections can spread to other people. Here, we represent a case of a 45-year-old male diagnosed with pulmonary tuberculosis (PTB) presenting with breathlessness, fever, loss of appetite, runny nose, nervousness, and dry cough. The patient had multiple swellings over the body with papules and nodules seen on different parts of the body. Cafe-au-lait macules were also present. After the all-over examination, the patient was diagnosed with smear-positive PTB with NF1.
{"title":"A case report on smear-Positive pulmonary tuberculosis with neurofibromatosis type-1","authors":"Khushboo Chavda, S. Mistry, C. Sajan","doi":"10.4103/jss.jss_191_22","DOIUrl":"https://doi.org/10.4103/jss.jss_191_22","url":null,"abstract":"Neurofibromatosis (NF) is a group of disorders that is caused by a genetic mutation which is dominantly inherited neurogenetic disorder. They are of three types: NF1, NF2, and schwannomatosis. Out of these three, NF1 is the most common. NF1 mainly affects the skin, peripheral and central nervous system, bones, cardiovascular, and endocrine systems. Tuberculosis is a bacterial infection of the lung that is caused by Mycobacterium tuberculosis. It spreads by speaking, sneezing, and coughing in the air. Active pulmonary infections can spread to other people. Here, we represent a case of a 45-year-old male diagnosed with pulmonary tuberculosis (PTB) presenting with breathlessness, fever, loss of appetite, runny nose, nervousness, and dry cough. The patient had multiple swellings over the body with papules and nodules seen on different parts of the body. Cafe-au-lait macules were also present. After the all-over examination, the patient was diagnosed with smear-positive PTB with NF1.","PeriodicalId":55681,"journal":{"name":"Journal of the Scientific Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47598041","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}
F. Aliakbarpour, Robabeh Alijanpour, R. Ghorbani, Saba Bisheh, Arezoo Kashfi, Shabnam Sohanian
Introduction: Hypertrophic variant of cutaneous lichen planus (CLP) is a chronic variant with controversial malignant association. Since aldehyde dehydrogenase isoform 1 (ALDH1) is considered as a prognostic marker in various cancers and its expression was significantly associated with malignant transformation in the oral type of lichen planus. So we decided to assess the ALDH1 expression in CLP in order to know the role of this biomarker in the CLP. Materials and Methods: Thirty blocks of CLP from the archive of Dermatology Department of Babol University of Medical Sciences and 30 blocks of normal skin as the control group were selected. Immunohistochemical staining for ALDH1 marker was performed. In terms of evaluation of the ALDH1 expression, the percentage of stained cells as well as the intensity of cytoplasmic staining was considered. Results: In this study, the percentage of stained cells, the intensity of staining the epidermal cells, and the final score of the ALDH-1 expression were significantly different between two groups (P < 0.001). There was no significant relationship between ALDH-1 expressions and sex (P = 0.0202), and also, lesion location and final score (P = 0.345). No correlation was found between age and ALDH-1 expression (P = 0.217, r = 0.232). Conclusion: To sum up, ALDH1 was significantly expressed in CLP; furthermore, the expression may be correlated with malignant transformation. Consequently, ALDH1 might be an independent prognostic indicator in CLP. However, further studies with larger patient samples are required to verify the findings of the current study.
{"title":"Aldehyde dehydrogenase isoform 1 as an indicator in the malignant potential of cutaneous lichen planus","authors":"F. Aliakbarpour, Robabeh Alijanpour, R. Ghorbani, Saba Bisheh, Arezoo Kashfi, Shabnam Sohanian","doi":"10.4103/jss.jss_62_22","DOIUrl":"https://doi.org/10.4103/jss.jss_62_22","url":null,"abstract":"Introduction: Hypertrophic variant of cutaneous lichen planus (CLP) is a chronic variant with controversial malignant association. Since aldehyde dehydrogenase isoform 1 (ALDH1) is considered as a prognostic marker in various cancers and its expression was significantly associated with malignant transformation in the oral type of lichen planus. So we decided to assess the ALDH1 expression in CLP in order to know the role of this biomarker in the CLP. Materials and Methods: Thirty blocks of CLP from the archive of Dermatology Department of Babol University of Medical Sciences and 30 blocks of normal skin as the control group were selected. Immunohistochemical staining for ALDH1 marker was performed. In terms of evaluation of the ALDH1 expression, the percentage of stained cells as well as the intensity of cytoplasmic staining was considered. Results: In this study, the percentage of stained cells, the intensity of staining the epidermal cells, and the final score of the ALDH-1 expression were significantly different between two groups (P < 0.001). There was no significant relationship between ALDH-1 expressions and sex (P = 0.0202), and also, lesion location and final score (P = 0.345). No correlation was found between age and ALDH-1 expression (P = 0.217, r = 0.232). Conclusion: To sum up, ALDH1 was significantly expressed in CLP; furthermore, the expression may be correlated with malignant transformation. Consequently, ALDH1 might be an independent prognostic indicator in CLP. However, further studies with larger patient samples are required to verify the findings of the current study.","PeriodicalId":55681,"journal":{"name":"Journal of the Scientific Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47227627","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}
M. Rathinasamy, M. Mithuna, S. Ramasamy, Jane Antony, V. Jaishree, M. Alexander
Snake bites are an important cause of illness and deaths in the rural population in tropical, subtropical and southeast Asian countries. There are more than 3000 species of snakes found all over the world of which around 300 species are found in India. In India, most of snake bite deaths occur due to delayed arrival to treatment centers. The purpose of the present review article is to explore the various species of snakes, their toxicology, clinical manifestations, and management. In addition, various ways to avoid snake bites and early approaches to government centers rather than private centers for the availability of Anti-snake venom have been discussed in this article. Rapid diagnostic test for the identification of species is available in selective centers only and treatment mainly depends on the administration of anti-snake venom. In addition, proper community education and strong health-care policy will reduce the morbidity and mortality due to snake bites.
{"title":"Identification and management of Snake Bite in Asia: A narrative review","authors":"M. Rathinasamy, M. Mithuna, S. Ramasamy, Jane Antony, V. Jaishree, M. Alexander","doi":"10.4103/jss.jss_92_22","DOIUrl":"https://doi.org/10.4103/jss.jss_92_22","url":null,"abstract":"Snake bites are an important cause of illness and deaths in the rural population in tropical, subtropical and southeast Asian countries. There are more than 3000 species of snakes found all over the world of which around 300 species are found in India. In India, most of snake bite deaths occur due to delayed arrival to treatment centers. The purpose of the present review article is to explore the various species of snakes, their toxicology, clinical manifestations, and management. In addition, various ways to avoid snake bites and early approaches to government centers rather than private centers for the availability of Anti-snake venom have been discussed in this article. Rapid diagnostic test for the identification of species is available in selective centers only and treatment mainly depends on the administration of anti-snake venom. In addition, proper community education and strong health-care policy will reduce the morbidity and mortality due to snake bites.","PeriodicalId":55681,"journal":{"name":"Journal of the Scientific Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47664096","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}
{"title":"Post-Coronavirus disease 2019 condition","authors":"R. Nerli, S. Rangrez","doi":"10.4103/jss.jss_237_23","DOIUrl":"https://doi.org/10.4103/jss.jss_237_23","url":null,"abstract":"","PeriodicalId":55681,"journal":{"name":"Journal of the Scientific Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41864822","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}
Time and again it has been envisaged that health-care services imparted should be inclusive and should be equitably distributed regardless of any sociodemographic determinants. The purpose of the current review is to identify the problems encountered by transgender people and the role of medical education in preparing medical professionals who are competent enough to address their special needs. An extensive search of all materials related to the topic was carried out on the PubMed and Google Scholar search engines, and a total of 49 articles were selected based on their suitability with the current review objectives. Keywords used in the search include transgender and medical education in the title alone only. A number of studies and review articles have concluded that there is an urgent need to augment the knowledge, skills, and attitude of medical students to improve the clinical care of transgender people. Medical educators have to acknowledge the need and take concerted efforts to ensure the delivery of holistic, transgender-specific health-care education to all medical students. To conclude, transgender people have been subjected to a wide range of challenging circumstances that have significantly impacted their chances to avail of health care. One of the potential reasons for this is the lack of sensitization of medical doctors about transgender health in the current era. There is an immense need to bridge the existing gap, and it has to begin with bringing about curricular reforms and preparing the current crop of medical students about issues pertaining to transgender health during their training period.
{"title":"Transgender health and medical education: the existing gaps and the need for curricular reforms – A systematic review","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/jss.jss_56_22","DOIUrl":"https://doi.org/10.4103/jss.jss_56_22","url":null,"abstract":"Time and again it has been envisaged that health-care services imparted should be inclusive and should be equitably distributed regardless of any sociodemographic determinants. The purpose of the current review is to identify the problems encountered by transgender people and the role of medical education in preparing medical professionals who are competent enough to address their special needs. An extensive search of all materials related to the topic was carried out on the PubMed and Google Scholar search engines, and a total of 49 articles were selected based on their suitability with the current review objectives. Keywords used in the search include transgender and medical education in the title alone only. A number of studies and review articles have concluded that there is an urgent need to augment the knowledge, skills, and attitude of medical students to improve the clinical care of transgender people. Medical educators have to acknowledge the need and take concerted efforts to ensure the delivery of holistic, transgender-specific health-care education to all medical students. To conclude, transgender people have been subjected to a wide range of challenging circumstances that have significantly impacted their chances to avail of health care. One of the potential reasons for this is the lack of sensitization of medical doctors about transgender health in the current era. There is an immense need to bridge the existing gap, and it has to begin with bringing about curricular reforms and preparing the current crop of medical students about issues pertaining to transgender health during their training period.","PeriodicalId":55681,"journal":{"name":"Journal of the Scientific Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47292000","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}
Context: Due to the COVID-19 pandemic, to avoid community spread of the disease, various academic institutions were closed to prevent infecting the students. Hence their relocation from the institution resulted in online academic learning. Reports indicated that the students undergoing online academic learning experienced distress in the form of anxiety, anger and insomnia. Aims: The aim of this study was to assess the changes in mental attitude, behavioral pattern, and anxiety level along with the impact of online education on academics so as to receive suggestions regarding digital education from undergraduate dental students. Settings and Design: An observational, cross-sectional study was conducted formulating online semi-structured, open-ended questionnaires, to obtain inputs regarding digital education using Google Forms and the snowball sampling method. Subjects and Methods: The data collection was initiated on August 6 at 4 PM IST and closed on August 13, 2020, at 4 PM IST. We received the response from 488 students from five dental institutions of Karnataka, Maharashtra, and Andhra Pradesh. Statistical analysis was performed using Microsoft Excel for obtaining an overall percentage of mental attitude, anxiety, behavior changes, and academics. IBM SPSS Statistics 20 software was used to evaluate correlation among all parameters with the analysis of variance test. Results: A statistically significant association was seen between digital education with anxiety (P = 0.015), behavior changes (P = 0.000), and academics (P = 0.000). Students contributed positive inputs to enhance the learning outcome in academics on the digital platform. Conclusions: Online academic sessions have eased the learning process to a certain extent, but this mode of education needs more refinement in the form of clinical demonstration videos, sharing of study material, well-planned and spaced definite timetable, and postsession evaluation. These suggestions were put forth by the students as feedback to make the experience entirely stress-free and aid their learning process.
{"title":"Assessment of anxiety and behavior changes on digital education in undergraduate dental students during COVID-19 pandemic","authors":"Shaila V Kothiwale, Vishakha Padhye","doi":"10.4103/jss.jss_16_22","DOIUrl":"https://doi.org/10.4103/jss.jss_16_22","url":null,"abstract":"Context: Due to the COVID-19 pandemic, to avoid community spread of the disease, various academic institutions were closed to prevent infecting the students. Hence their relocation from the institution resulted in online academic learning. Reports indicated that the students undergoing online academic learning experienced distress in the form of anxiety, anger and insomnia. Aims: The aim of this study was to assess the changes in mental attitude, behavioral pattern, and anxiety level along with the impact of online education on academics so as to receive suggestions regarding digital education from undergraduate dental students. Settings and Design: An observational, cross-sectional study was conducted formulating online semi-structured, open-ended questionnaires, to obtain inputs regarding digital education using Google Forms and the snowball sampling method. Subjects and Methods: The data collection was initiated on August 6 at 4 PM IST and closed on August 13, 2020, at 4 PM IST. We received the response from 488 students from five dental institutions of Karnataka, Maharashtra, and Andhra Pradesh. Statistical analysis was performed using Microsoft Excel for obtaining an overall percentage of mental attitude, anxiety, behavior changes, and academics. IBM SPSS Statistics 20 software was used to evaluate correlation among all parameters with the analysis of variance test. Results: A statistically significant association was seen between digital education with anxiety (P = 0.015), behavior changes (P = 0.000), and academics (P = 0.000). Students contributed positive inputs to enhance the learning outcome in academics on the digital platform. Conclusions: Online academic sessions have eased the learning process to a certain extent, but this mode of education needs more refinement in the form of clinical demonstration videos, sharing of study material, well-planned and spaced definite timetable, and postsession evaluation. These suggestions were put forth by the students as feedback to make the experience entirely stress-free and aid their learning process.","PeriodicalId":55681,"journal":{"name":"Journal of the Scientific Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48779647","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}
P. Bardapurkar, Ruchi Randive, Sushama Gurwale, C. Gore, V. Viswanathan
Introduction: Bone marrow examination is a useful technique for the evaluation of both hematological and nonhematological diseases. Perls Prussian blue stain is the “gold standard” to demonstrate the iron content and hemosiderin in the sideroblasts and the bone marrow macrophages. In our study, we assess the grades of iron storage in the bone marrow, as seen in various diseases in pancytopenia patients. Materials and Methods: An evaluation of iron storage in bone marrow aspirate of 140 patients of pancytopenia in a tertiary care center in western India, using Perls' stain and Gales' system of grading. Results: Out of all pancytopenia cases, 60.71% of the cases had low iron stores, 30% had normal, and 9.29% of cases had high iron stores, using Gales' system of iron stores grading. Dimorphic anemia was in the range of 0–3 iron store grade, with 72.4% having low iron stores, 24.6% having normal iron stores, and 2.8% having high iron stores. Megaloblastic anemia showed iron store grade in the range of 0–4, and iron-deficiency anemia showed decreased iron stores, along with multiple myeloma, acute lymphoblastic leukemia, and aplastic anemia. Conclusion: Gale's method of grading is used universally to grade iron stores in bone marrow aspirate as it is highly convenient and result oriented and it helps clinicians to plan necessary treatment accordingly.
{"title":"Study of bone marrow iron storage in patients presented with pancytopenia","authors":"P. Bardapurkar, Ruchi Randive, Sushama Gurwale, C. Gore, V. Viswanathan","doi":"10.4103/jss.jss_188_22","DOIUrl":"https://doi.org/10.4103/jss.jss_188_22","url":null,"abstract":"Introduction: Bone marrow examination is a useful technique for the evaluation of both hematological and nonhematological diseases. Perls Prussian blue stain is the “gold standard” to demonstrate the iron content and hemosiderin in the sideroblasts and the bone marrow macrophages. In our study, we assess the grades of iron storage in the bone marrow, as seen in various diseases in pancytopenia patients. Materials and Methods: An evaluation of iron storage in bone marrow aspirate of 140 patients of pancytopenia in a tertiary care center in western India, using Perls' stain and Gales' system of grading. Results: Out of all pancytopenia cases, 60.71% of the cases had low iron stores, 30% had normal, and 9.29% of cases had high iron stores, using Gales' system of iron stores grading. Dimorphic anemia was in the range of 0–3 iron store grade, with 72.4% having low iron stores, 24.6% having normal iron stores, and 2.8% having high iron stores. Megaloblastic anemia showed iron store grade in the range of 0–4, and iron-deficiency anemia showed decreased iron stores, along with multiple myeloma, acute lymphoblastic leukemia, and aplastic anemia. Conclusion: Gale's method of grading is used universally to grade iron stores in bone marrow aspirate as it is highly convenient and result oriented and it helps clinicians to plan necessary treatment accordingly.","PeriodicalId":55681,"journal":{"name":"Journal of the Scientific Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42728860","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}
Tooth wear (erosion, attrition, or abrasion) has been reported with variable prevalence in children. These clinical entities present a wide range of dental problems and difficulty in dental management in growing children. If tooth wear and its causative/risk factors in primary dentition are not timely addressed, it may negatively affect the permanent teeth later. The current article presents the pediatric case report of successful and effective dental management of a 7-year-old healthy child having dental erosion and attrition with the past history of gastroesophageal reflux disease and Bruxism concurrently in addition to dietary factors (acidic fruits juices and soft-drink). This case presentation has been thoroughly described in a step-wise systematic manner to demonstrate the evidence-based clinical approach for managing such tooth wear problems (combined lesions of erosion and abrasion) in the young pediatric patient by preventive and conservative dental treatment modalities along with appropriate behavior management techniques. Moreover, a review of relevant dental literature about tooth wear and its different clinical aspects has been discussed in this article.
{"title":"Unusual combined dental attrition and erosion of primary teeth with its multiple risk factors: A rare pediatric case report with literature review","authors":"Mohammad Khan","doi":"10.4103/jss.jss_200_22","DOIUrl":"https://doi.org/10.4103/jss.jss_200_22","url":null,"abstract":"Tooth wear (erosion, attrition, or abrasion) has been reported with variable prevalence in children. These clinical entities present a wide range of dental problems and difficulty in dental management in growing children. If tooth wear and its causative/risk factors in primary dentition are not timely addressed, it may negatively affect the permanent teeth later. The current article presents the pediatric case report of successful and effective dental management of a 7-year-old healthy child having dental erosion and attrition with the past history of gastroesophageal reflux disease and Bruxism concurrently in addition to dietary factors (acidic fruits juices and soft-drink). This case presentation has been thoroughly described in a step-wise systematic manner to demonstrate the evidence-based clinical approach for managing such tooth wear problems (combined lesions of erosion and abrasion) in the young pediatric patient by preventive and conservative dental treatment modalities along with appropriate behavior management techniques. Moreover, a review of relevant dental literature about tooth wear and its different clinical aspects has been discussed in this article.","PeriodicalId":55681,"journal":{"name":"Journal of the Scientific Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42814745","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}
Background: Coronary artery bypass graft (CABG) is extensively used to treat patients with heart problems. As it is a major surgery involving the thoracic cavity, lung function may be compromised postoperatively. Pulmonary dysfunction following CABG is inevitable. Chest physiotherapy (CPT) is a treatment to prevent postoperative pulmonary complications. Flutter is a form of positive expiratory pressure device in combination with high-frequency oscillation; it gives independence to patients and is easy to use for airway clearance. Aim: To study the effect of flutter along with conventional CPT on peak expiratory flow rate (PEFR) among CABG patients. Methodology: Twenty-seven CABG patients were selected through simple random sampling and assigned into two groups. Group 1 consisting of 13 patients was treated with conventional CPT, whereas Group 2 consisting of 14 patients was treated with flutter along conventional CPT. Pre- and post-physiotherapy PEFR was noted. Results: The data were analyzed using a paired and unpaired t-test, and there was significant improvement seen in Group 2 as compared to Group 1 (P < 0.001). Conclusion: Flutter device should be amalgamated as a routine practice along with other CPT techniques in CABG patients which can have positive results in airway clearance and thereby improving PEFR.
{"title":"Effect of Flutter Along with Conventional Chest Physiotherapy on Peak Expiratory Flow Rate among Coronary Artery Bypass Graft Patients","authors":"Sabnam Kapadia, T. Chokshi, M. Patel","doi":"10.4103/jss.jss_213_22","DOIUrl":"https://doi.org/10.4103/jss.jss_213_22","url":null,"abstract":"Background: Coronary artery bypass graft (CABG) is extensively used to treat patients with heart problems. As it is a major surgery involving the thoracic cavity, lung function may be compromised postoperatively. Pulmonary dysfunction following CABG is inevitable. Chest physiotherapy (CPT) is a treatment to prevent postoperative pulmonary complications. Flutter is a form of positive expiratory pressure device in combination with high-frequency oscillation; it gives independence to patients and is easy to use for airway clearance. Aim: To study the effect of flutter along with conventional CPT on peak expiratory flow rate (PEFR) among CABG patients. Methodology: Twenty-seven CABG patients were selected through simple random sampling and assigned into two groups. Group 1 consisting of 13 patients was treated with conventional CPT, whereas Group 2 consisting of 14 patients was treated with flutter along conventional CPT. Pre- and post-physiotherapy PEFR was noted. Results: The data were analyzed using a paired and unpaired t-test, and there was significant improvement seen in Group 2 as compared to Group 1 (P < 0.001). Conclusion: Flutter device should be amalgamated as a routine practice along with other CPT techniques in CABG patients which can have positive results in airway clearance and thereby improving PEFR.","PeriodicalId":55681,"journal":{"name":"Journal of the Scientific Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46209874","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}
Background: Hemiplegia, which means paralysis of one side of the body, is one of the most common and debilitating effects of a stroke. Stroke is a leading cause of permanent disability in adults. It is estimated that there will be 23 million new cases of strokes and 8 million stroke deaths in 2030. Mirror therapy (MT), in addition to a traditional rehabilitation program, was found to be useful in terms of motor recovery and upper limb function. Materials and Methods: The current study aimed at assessing the effect of audiovisual education on MT exercises among the hospitalized stroke patients. A quasi-experimental design was adopted in this study, where the audiovisual education was given to the experimental group, whereas routine treatment was given to the control group. Results: The result shows that in the experimental group, the majority (40%; n = 6) of the patients belonged to the age group of 61–70 years, whereas in the control group, majority (33.3%; n = 5) of the patients belonged to the age group of 51–60 years and 61–70 years. Majority (60%) of the patients in this study were male. Conclusion: MT exercises were found to be an effective, low-cost, and nonpharmacological method of lowering pain in stroke patients in the hospital.
{"title":"A study to assess the effectiveness of audiovisual education on mirror therapy exercises among hospitalized stroke patients at a tertiary care hospital of south indian town","authors":"D. Ramaswamy, S. Parimala","doi":"10.4103/jss.jss_168_22","DOIUrl":"https://doi.org/10.4103/jss.jss_168_22","url":null,"abstract":"Background: Hemiplegia, which means paralysis of one side of the body, is one of the most common and debilitating effects of a stroke. Stroke is a leading cause of permanent disability in adults. It is estimated that there will be 23 million new cases of strokes and 8 million stroke deaths in 2030. Mirror therapy (MT), in addition to a traditional rehabilitation program, was found to be useful in terms of motor recovery and upper limb function. Materials and Methods: The current study aimed at assessing the effect of audiovisual education on MT exercises among the hospitalized stroke patients. A quasi-experimental design was adopted in this study, where the audiovisual education was given to the experimental group, whereas routine treatment was given to the control group. Results: The result shows that in the experimental group, the majority (40%; n = 6) of the patients belonged to the age group of 61–70 years, whereas in the control group, majority (33.3%; n = 5) of the patients belonged to the age group of 51–60 years and 61–70 years. Majority (60%) of the patients in this study were male. Conclusion: MT exercises were found to be an effective, low-cost, and nonpharmacological method of lowering pain in stroke patients in the hospital.","PeriodicalId":55681,"journal":{"name":"Journal of the Scientific Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48818658","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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