{"title":"VISTA technique combined with collagen membrane for treatment of multiple gingival recession: A case report","authors":"D. Mittal, M. Panda, Gautam Khatak","doi":"10.4103/jdrntruhs.jdrntruhs_162_20","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_162_20","url":null,"abstract":"Gingival recession is an exposure of root surface due to the apical migration of the marginal periodontal tissues apical to cementoenamel junction. Many therapeutic options are available for the treatment of gingival recession, among these techniques, Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique in combination with collagen membrane (BIO-GIDE) was used in the present study for the treatment of multiple gingival recession defects in the maxillary anterior region. In the VISTA technique, a single vestibular incision provides broader access to the entire surgical area which reduces the possibility of traumatizing the gingiva, with little or no scar formation. And the use of collagen membrane offers several advantages over other techniques as it is biocompatible, there is no need for donor site or secondary surgical procedure there by reducing post-harvesting morbidity and patient discomfort. In this case report VISTA technique in combination with collagen membrane was found to be a reliable treatment method for multiple gingival recession defects.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"21 1","pages":"251 - 254"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78586354","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":"The perception of attractiveness of the facial profile among people of Telangana ethnicity","authors":"A. Thakur, P. Chitra","doi":"10.4103/jdrntruhs.jdrntruhs_19_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_19_21","url":null,"abstract":"Background: The success of orthodontic treatment to a significant extent is largely dependent on the patient's and lay peoples' perception. Treatment can influence the soft tissue profile of the face, which is why, it is important for orthodontists to perceive what is considered attractive and unattractive amongst locals, and further, incorporate this knowledge in their diagnosis and treatment planning for population-specific groups. Aim: To evaluate differences in perception of attractiveness of the human face (in profile view) among ethnic Telangana subjects when compared to ideal Caucasian facial profile attractiveness standards. Methods: Profile silhouettes of ethnic Telangana subjects with straight, convex and concave facial profiles were rated by 10 adult laypersons (ethnic Telangana origin) and scored from least to most attractive. Fifteen relevant soft-tissue parameters from the Ricketts, Legan-Burstone, Steiner's and Z-Merrifield analysis were then evaluated on lateral cephalometric radiographs of the highest scoring subjects (considered most attractive) and sample t test statistical analysis was done in order to investigate differences between obtained values of the 'attractive' group as compared to standard values given in these analyses. Results: Of 15 parameters compared, significant differences from standard cephalometric values were evident for- vertical lip-chin ratio, lower lip protrusion, mento-labial sulcus and Z- angle. These measurements were smaller in the evaluated population group as compared to orthodontic norms. Conclusion: People of ethnic Telangana origin considered a shorter and less prominent lower lip and chin and a shallower mento-labial sulcus to be more attractive, as compared to standard orthodontic cephalometric norms of Caucasian populations.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"9 1","pages":"193 - 199"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86747692","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}
Kumar Misra, Kali Pattanaik, A. Tarai, Bhakti Pradhan
{"title":"Knowledge, Attitude, Practice (KAP) study regarding antimicrobial use guidelines of ICMR among doctors working in primary, secondary, tertiary healthcare facilities in a tribal area of North Odisha","authors":"Kumar Misra, Kali Pattanaik, A. Tarai, Bhakti Pradhan","doi":"10.4103/jdrntruhs.jdrntruhs_153_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_153_21","url":null,"abstract":"Background: Antimicrobial resistance occurs with irrational use of antimicrobials, self-medication, and misuse of drug. Using data from ICMR's AMR surveillance, ICMR has developed evidence-based treatment guidelines for the treatment of 10 syndrome and infection. Aims and Objective: To assess the knowledge, attitude, and practice regarding the use of antimicrobials according to ICMR guidelines among doctors working in a tribal area of North Odisha. Methods: A self-administered 18-question KAP survey tool was provided to total 53 doctors working in primary, secondary, tertiary healthcare facilities. The study systematically was done at the primary health center (in Rangamatia) and then upgraded primary health center (in Kisantandi), then community health center (in Bangiriposi) and finally medical college (PRM Medical College, Baripada) from June to August. Data were collected regarding how they are practicing use of antimicrobials in Prophylaxis and treatment of surgical site infections. Use of antimicrobials for upper respiratory tract infection For management of antibiotic-associated diarrhea. Results: We discovered that most of the doctor's, i.e., 77% are unaware about the ICMR guideline while 13% know very well. In case of attitude of doctors toward ICMR guideline of antimicrobial use, it is found that majority of them, i.e., 90%, have very good attitude. So while 5% of doctors have no attitude toward the guideline. But when it comes to practice according to ICMR guidelines, a majority of doctors i.e., 58% fared well. Conclusions: Our findings indicate dissonance between knowledge and practices among doctors. So there needs to be much more widened awareness program so that the treatment guideline can be reached near the doctors working in tribal areas.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"67 1","pages":"186 - 192"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76323669","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":"Styrene gas poisoning: A histopathological study of autopsy cases in a tertiary care center","authors":"V. Peddireddi, Bhagyalakshmi Atla, Chandra Vadde, Satyasri Karri, Venkata Kartheek Botta","doi":"10.4103/jdrntruhs.jdrntruhs_164_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_164_21","url":null,"abstract":"Background: Styrene is an organic compound used to make plastics and rubber. Exposure to toxic levels of styrene is a rare phenomenon. Hence, there is a paucity of knowledge of its effect on various organs. The objective of the present study is to study the histopathological features of the organs affected in the deceased persons in a population who have been accidentally exposed to high concentrations of styrene. Methods: The present study is an observational study conducted in the Department of Pathology, Andhra Medical College, Visakhapatnam. Organs from 11 deceased cases were received following autopsy. All the organs were grossly examined and microscopically studied, following staining by Hematoxylin and Eosin stains. Results: In the present study, the lung is the most common organ affected (100%) characterized by acute lung injury. Other organs showing significant histopathological findings were the brain, liver, kidney, and spleen. Brain showing edema and congestion in 90% cases, liver revealed cholestasis, hydropic change, and congestion. In the kidney, cloudy swelling was the most common histopathological finding (70%), and in the spleen, congested sinusoids were seen in 100% of cases. Conclusion: Lungs, brain, liver, kidneys, and spleen showed histopathological changes in the deceased cases following styrene exposure. The lung is the most commonly affected organ leading to acute lung injury.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"19 1","pages":"237 - 242"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89423315","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}
A. Vangara, V. Rao, K. Ranganath, J. Reddy, D. Vinod
{"title":"Head and neck cancers – Prevalence and risk factors in Andhra Pradesh state, India: A preliminary analysis","authors":"A. Vangara, V. Rao, K. Ranganath, J. Reddy, D. Vinod","doi":"10.4103/jdrntruhs.jdrntruhs_178_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_178_21","url":null,"abstract":"Aim: The aim of this article is to study the prevalence of Head and Neck Cancers (HNC), risk factors, stage at diagnosis, site, and histopathology status in Andhra Pradesh from a hospital-based data and compared with the data available in other areas in the state. Materials and Methods: A retrospective analysis is carried out from the hospital data collected from the records and clinical files from the years 2010 to 2018. Patient's geographical area, risk factors, staging, etc., are analysed. Staging is done based on T- tumour size, N – Lymph nodal status, M – metastases status (TNM) classification and group stage. The cancer site is classified based on International Classification of Disease (ICD) for oncology (ICD-02). Results: 2544 patients of HNC are found in this study. A significant male predominance is noticed. Majority of the patients belong to the 40–60 age group (P < 0.001). The risk factors or habits are smoking, alcohol, chewing or combination of these in both males and females (P < 0.001). In both the sexes all the risk factors are seen mainly in tongue, hypo pharynx, and buccal mucosa. And, buccal mucosa patients are associated mainly with chewing tobacco habit, with male predominance. Most of the early stage disease (Stages 1 and 2) are noticed in females, whereas late stages (Stages 3 and 4) are noticed in males. (p-value < 0.001). Conclusion: Smoking, alcohol, and chewing are the common risk factors found among the patients. There is male predominance in the present study. Tongue and hypo pharynx cancers are associated with smoking and alcohol whereas chewing is found in buccal mucosa cancers.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"43 1","pages":"171 - 175"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79261713","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":"Awareness and knowledge regarding human papilloma virus vaccine among medical students","authors":"M. Priya, A. Mathi, R. Inuganti","doi":"10.4103/jdrntruhs.jdrntruhs_135_22","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_135_22","url":null,"abstract":"Context: Cervical cancer is the commonest type of cancer in females worldwide and can lead to mortality in some of the cases. Most cases of cervical carcinomas are due to infection by Human Papilloma Virus types 16 and 18. Cervical carcinomas can be prevented by vaccination against HPV as HPV is the commonest risk factor that can be prevented. Despite the availability of vaccine, its existence is hardly known and is seldom used due to lack of awareness. Hence this study is being undertaken to assess the awareness amongst medical students. Aim: To analyze the knowledge of medical students about the availability and acceptance of HPV vaccination against cervical cancer Settings and Design: It is an observational descriptive study done after taking the informed consent from all the undergraduate medical students in our institute. Methods and Material: The study was done on all the undergraduate medical students by providing a preformed questionnaire, regarding HPV vaccination. Statistical Analysis: The results were entered into a Microsoft excel sheet. Standard error of difference between proportions is applied to know the significance of difference in results between the variables. Results: The results will help in assessing the need for awareness programs among the medical students Conclusions: As prevention is better can cure, awareness about the HPV vaccine among the medical students, will definitively help to prevent cervical cancer.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"232 1","pages":"220 - 226"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83696437","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}
Banothu Sudhakar, S. Kusuma, Gare Karunakar, Vura Naga Jyothi, V. Kanth, M. Prasad, T. Chandra
{"title":"Role of platelet count and indices in the diagnosis of neonatal sepsis","authors":"Banothu Sudhakar, S. Kusuma, Gare Karunakar, Vura Naga Jyothi, V. Kanth, M. Prasad, T. Chandra","doi":"10.4103/jdrntruhs.jdrntruhs_112_22","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_112_22","url":null,"abstract":"Introduction: Neonatal sepsis (NS) is the leading cause of morbidity and mortality. Studies on the role of platelet indices (PIs) are limited. With this, a study was undertaken to evaluate thrombocytopenia and variations in PI in the diagnosis of NS. Methods: This was a prospective study, conducted in the Department of Pediatrics, Kakatiya Medical College, Warangal. Neonates aged <28 days with signs and symptoms of sepsis were included. Those without clinical or laboratory suspicion were excluded. The detailed history was collected and recorded. Physical examination was also recorded; 3 ml blood was collected for blood culture, C-reactive protein (CRP), and PI. Based on the clinical and laboratory findings, neonates were divided into sepsis proven (SP), probable infection, and non-infected categories. Results: A total of 110 were included; 41.8% were SP. The male–female ratio was 1.3. In the <3 CRP category, 32.3% (11) were SP. The majority (32; 36.36%) were 2–7 days aged; Klebsiella pneumoniae (14; 12.73%) was the leading causative agent. Severe thrombocytopenia was diagnosed in 18.2%, and 65% (13) were blood culture-positive. Increased PIs were observed. Conclusion: There was a rise in PI as well as CRP in NS. Hence, this combination can be used in the early diagnosis of NS.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"36 1","pages":"233 - 236"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90270816","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":"Role of omega 3 fatty acids in the management of various diseases---A special emphasis on COVID-19","authors":"SahithiK Budharaju, SS Kowshik Chandramahanti","doi":"10.4103/jdrntruhs.jdrntruhs_135_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_135_21","url":null,"abstract":"Omega fatty acids (FA) have been found to have significant anti-inflammatory actions in several inflammatory diseases like inflammatory bowel disease, rheumatoid arthritis psoriasis and asthma. The metabolites of these omega FA are found to have strong anti-inflammatory effects against several allergic and inflammatory diseases. A significant reduction of almost 25% of adverse cardiovascular events has been observed with supplementation of omega FA in many of the studies conducted globally. Neurological function of human brain is invariably dependent on the adequate intake of omega FA's, as the omega-6 and omega-3 FA's promote systemic anti-inflammatory and proinflammatory states. Supplementation of Omega 3 FA can be a promising option as an adjuvant therapy in eczema and psoriasis, retinoid-induced cutaneous side effects, chemotherapy and systemic photoprotection. Omega-3 FA-rich diet or dietary supplementation of omega fatty acids can be considered as one of the therapeutic supplementing options among the home treated and hospitalized patients of COVID-19, because of their immunomodulatory and anti-inflammatory properties.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"18 1","pages":"243 - 245"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78442077","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":"An incidental papillary renal cell carcinoma in a unilocular renal cyst: A case report","authors":"N. Aggarwal, S. Misra, A. Ahuja","doi":"10.4103/jdrntruhs.jdrntruhs_139_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_139_21","url":null,"abstract":"Cystic renal cell carcinoma (RCC) is a malignant epithelial tumor arising in a pre-existing renal cyst. The renal cyst maybe multilocular or unilocular with the latter being an even rarer occurrence. Cystic renal malignancy arising in a unilocular cyst is quite rare with only a few cases reported till date, most of which are clear cell RCCs. Literature available with regard to staging tumor nodule in a benign unilocular cyst is limited. We report a case of a 52-year-old male presenting with a single large unilocular cyst which had a small solid nodule of papillary RCC in its posterior wall which was detected on microsopy. On pathologic examination, all cases of clinically/ radiologically benign renal cysts should be examined with a high index of suspicion as a small tumor focus may be present in the form of a nodule or in the free wall of the cyst which was initially missed.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"62 1","pages":"255 - 258"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73576650","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}
Leela Pavani, Krishnaveni Marella, Srividya Putta, M. Ramya
{"title":"Evaluation of fracture resistance of maxillary premolars with class II mod cavities restored with fiber-reinforced composite and Cention N — An in vitro study","authors":"Leela Pavani, Krishnaveni Marella, Srividya Putta, M. Ramya","doi":"10.4103/jdrntruhs.jdrntruhs_50_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_50_21","url":null,"abstract":"Aim: The purpose of this in vitro study is to assess the influence of fiber-reinforced composite (FRC) and Cention N on the fracture resistance of maxillary premolars with class II mesio-occluso-distal (MOD) cavities. Materials and Methods: Forty-five freshly extracted human maxillary premolar teeth were collected and embedded in an acrylic cylinder up to 2.0 mm below the cementoenamel junction (CEJ) using self-cure acrylic resin. MOD cavities were prepared with continuous water cooling using a high-speed handpiece and a diamond bur. Samples were then divided randomly into three experimental groups with 15 teeth each according to the respective composite: Group A: teeth were left intact; Group B: fiber-reinforced composite (FRC); and Group C: Cention N. All groups were stored in water at 37°C for 24 hours and thermocycled 500 times between 5°C and 55°C. All specimens were subjected to compressive axial loading in a universal testing machine using a steel bar which was placed centrally to the occlusal surface and applied in parallel to the long axis of the tooth until fracture occurred. Statistical Analysis: One-way analysis of variance (ANOVA) and Tukey's post hoc test were used to analyze the results. Results: In the present study, Cention N showed significantly high fracture resistance compared to fiber-reinforced composite. Conclusion: Among the test specimens, Cention N showed significantly high fracture resistance.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"18 1","pages":"176 - 180"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77572557","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}