Journal of Dr. NTR University of Health Sciences最新文献

{"title":"Mandibular permanent first molar with six conduits – A case report","authors":"V. Krishna Murthy, Soumya Pusuluri, K. Vellore, M. Banu","doi":"10.4103/jdrntruhs.jdrntruhs_74_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_74_21","url":null,"abstract":"Success in the non-vital pulpal therapy in permanent teeth can be achieved after a complete and thorough cleaning and shaping of all the canals and achieving hermetic seal through restoration of those prepared canals. This clinical case describes the unusual morphological configuration of the root canals in the mandibular permanent first molar. This case report adds to the available literature on various anatomical variations in the root canal system of mandibular first molars and emphasizes the importance of dealing with rare morphological variations while performing pulpal therapies to have a successful outcome in them.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"63 1","pages":"85 - 88"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81076551","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":"Are medical residents research work being at stake?","authors":"Sinthu Sarathamani, Lalithambigai Chellamuthu, A. Boratne","doi":"10.4103/jdrntruhs.jdrntruhs_58_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_58_21","url":null,"abstract":"","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"25 1","pages":"99 - 100"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81780695","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":"Knowledge and awareness of breast cancer in Muslim population of Belagavi city: A population survey","authors":"Saira Elaine Anwer Khan, Renu B Pattanshetty, Varsha Huddar","doi":"10.4103/jdrntruhs.jdrntruhs_60_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_60_21","url":null,"abstract":"Introduction: Breast cancer is a common cancer seen in women. The awareness of breast cancer plays an important role in the early detection and prevention of the disease, but due to lack of awareness regarding breast cancer screening, most of the cases are detected at later stages, which leads to lower rates of recovery. The presently aimed to evaluate the knowledge and awareness of breast cancer among the Muslim female population in Belagavi city, Karnataka. Materials and Methods: A cross-sectional survey was conducted on 97 Muslim Women, and a direct semi-structured questionnaire was administered to collect data. Results: Our results indicated a low knowledge about breast cancer, breast self-examination, mammogram, and clinical breast examination. In total, 29% of women had knowledge regarding breast self-examination, but due to lack of practice, they never performed self-examination. The most common barrier for screening methods of breast cancer was that women were unaware of half of the screening methods and other barriers were related to their religious beliefs. Social media was found to be the main source of information among the female. Conclusions: In conclusion, the majority of women showed poor knowledge about breast cancer and screening methods. Additional effort should be put forth through women to increase the awareness of breast cancer screening, indicating the need to continue emphasizing the importance of early detection of breast cancer in the early stages.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"153 1","pages":"52 - 56"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85739913","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":"Initial oxygen saturation at presentation as a predictor of mortality in COVID-19-positive cases in a tertiary care center in South India","authors":"Praveen Janipalli","doi":"10.4103/jdrntruhs.jdrntruhs_101_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_101_21","url":null,"abstract":"Background: The rapid emergence of novel coronavirus 2019 (COVID-19) infections has resulted in infection to millions of people and hundreds of deaths around the world. India is ranking second in terms of the number of COVID-19 cases. Although there is no specific treatment for COVID, early recognition and supportive treatment can help in reducing mortality. Aims: The aim of this study is to describe the association between the initial oxygen saturation when the patient presented to the hospital and the risk of mortality. Methods: This is a retrospective study of all laboratory-confirmed cases of COVID-19 patients admitted in Government Hospital for Chest and Communicable Diseases (GHCCD), tertiary hospital in Visakhapatnam from April to June month of 2021. Demographic, clinical history, initial oxygen saturation, comorbidities, and outcome data were collected from GHCCD and were entered in MS Excel. The data were analyzed using univariate binomial logistic regression and generalized linear model with Poisson distribution. Results: By using multiple Cox regression, oxygen saturation values of less than 90% on admission correlated with mortality, presenting 1.67 (95% confidence interval [CI] 1.02–3.36), 2.23 (95% CI 1.89–5.63), 4.89 (95% CI 3.02–8.09), 6.97 (95% CI 4.63–11.07), and 9.87 (95% CI 5.23–13.53) times greater risk of death for SPO2 of 89–80, 79–70, 69–60, 59–50, and 49–40, respectively, when compared to patients with SPO2 >90%. We included 306 COVID-19-positive patients with a median age of 46 years. Of these, 64.05% were males and 36.94% were females. Risk associated with worse outcome included males, old age, comorbidities like hypertension (47.38%), diabetes (37.58%), cardiac disease (4.9%), hypothyroidism (3.26%), Chronic kidney disease (CKD) (3.26%), and malignancies (1.63%). Conclusions: SPO2 below 90% on admission is a strong predictor of mortality in patients with COVID-19. Risk factors for poor outcomes among COVID-19 cases include old age, males, diabetic patients, hypertensive patients, cardiac patients, and chronic kidney disease patients.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"1 1","pages":"64 - 68"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79228061","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":"Actinomyces in vault smear","authors":"R. Patnayak, Sujata Naik, Divya Bulusu, Prabhudatta Dash","doi":"10.4103/jdrntruhs.jdrntruhs_9_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_9_21","url":null,"abstract":"","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"64 1","pages":"97 - 98"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80550824","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":"Study of clinical profile, laboratory parameters and outcomes of COVID-19 Patients in a Tertiary Care Centre in North India","authors":"S. Rahar, S. Misra, Anukrishnaa Kannappan, Vijay Kumar, D. Deepak, Sanjeet Panesar","doi":"10.4103/jdrntruhs.jdrntruhs_116_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_116_21","url":null,"abstract":"Introduction: The coronavirus disease 2019 (COVID-19) pandemic has rapidly spread to many countries around the world and is still spreading due to newer variants. The clinico-hematological characteristics of COVID-19 have been reported from different countries but only a few large-scale studies have been conducted in India. This study aims to describe the clinical-laboratory data and outcome of COVID-19 patients admitted to tertiary care COVID center in North India. Method: This is a cross-sectional observational study. Data were collected from the medical records department regarding the epidemiological parameters, comorbidities, symptoms, laboratory parameters, and outcomes of patients with the COVID-19 disease admitted to our hospital over 4 months. The follow-up of the laboratory parameters (in a subset of patients) was also evaluated. Result: The mean age of the patients was 46.5 years with a male preponderance (male: female ratio: 2:1). The comorbidities were present in 103 (60.6%) patients, of which diabetes mellitus (n = 65; 38.2%) was the most common. A significant proportion of the patients were symptomatic (n = 148; 87.1%); the most common symptom being fever followed by dyspnea in 65 and 60% of the patients. Anemia was present in 36.5% of the patients, leukocytosis in 15.3% of the patients while lymphopenia was noted in 41.2% of the patients; 12.9% of the patients had thrombocytopenia. A majority of the patients were managed with supportive treatment. Seventy-five (46.5%) patients required oxygen supplementation and 29 (17%) patients had severe disease. Mortality occurred in 20 (11.8%) patients. Conclusion: In this single-center study of hospitalized COVID-19 patients, most of the patients were symptomatic having comorbidities. The most common symptoms were fever and shortness of breath. Many patients had lymphopenia and neutrophilia.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"116 1","pages":"29 - 36"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82051918","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 in vitro evaluation of smear layer removal with non-activated self adjusting file, xp-endo finisher and rotary canal brush: A scanning electron microscopic study","authors":"Krishnaveni Marella, N. Sampathi, Leela Pavani, C. Manduru, G. Moosani","doi":"10.4103/jdrntruhs.jdrntruhs_86_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_86_21","url":null,"abstract":"Background: Endodontic success involves removal of necrotic vital tissue and microorganisms from the root canal. Irrigation is an essential part of canal debridement, because it allows cleaning beyond what might be achieved by instrumentation alone. Aim: The aim of this in vitro study is to compare the smear layer removal efficacy of different final irrigation agitation devices. Materials and Methods: A total of 60 extracted single-rooted human premolar tooth were taken and decoronated. All the specimens were cleaned and shaped using ProTaper universal rotary files system and intermittent irrigation was done using 2 ml of 3% NaOCl and randomly divided into four groups, based on irrigant agitation device. Group 1 = conventional needle, Group 2 = Rotary canal brush, Group 3 = Non-activated Self adjusting file, and Group 4 = Xp-endo finisher. Final irrigant used is 17% Ethylene Diamine Tetra Acetic acid (EDTA) smear clear. All the specimens were finally flushed with distilled water and dried with paper points, then they were split longitudinally into halves and examined under scanning electron microscope. Data were analyzed using SPSS version 23, P value of <0.05 was considered statistically significant. Results: Non-activated self adjusting file (SAF) and Xp-endo finisher showed significantly cleaner walls with removal of smear layer followed by canal brush. There was no significant statistical difference (P < 0.05) between non-activated SAF and Xp-endo finisher. Conclusion: Xp-endo finisher shows superior results compared with other agitation methods.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"36 1","pages":"17 - 22"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78303115","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":"Rarest of the rare-male triple negative breast cancer","authors":"Haneesha Polavarapu, Ravi Ambalathandi, R. Reddy, A. Balasubramanian, M. Meenakshisundaram","doi":"10.4103/jdrntruhs.jdrntruhs_17_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_17_21","url":null,"abstract":"Breast cancer in males is rare. Luminal A is the predominant subtype in male breast cancer. Clinical data on triple negative breast cancer in male patients is sparse. This case report will add to the literature on male breast cancers. This is a rare case of a 60-year-old male patient who was diagnosed to have locally advanced breast cancer of triple negative (basal-like) subtype. He received eight cycles of neoadjuvant chemotherapy. He later underwent modified radical mastectomy followed by adjuvant radiotherapy and 6 months of adjuvant capecitabine. He is on regular follow-up for the past 3 years.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"10 1","pages":"81 - 84"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75560436","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":"Effect of surface treatments on the tensile bond strength of heat cure silicone soft liner to an acrylic resin denture base in a simulated oral environment - A comparative SEM study","authors":"Nithisha Brahmandabheri, C. Duggineni, R. Chitturi, Harilal Guguloth, Mahinder Dubasi","doi":"10.4103/jdrntruhs.jdrntruhs_8_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_8_21","url":null,"abstract":"Aim: To assess and compare the effect of surface treatments in a simulated oral environment through thermocycling on tensile bond strength of silicone soft liner with acrylic resin base. Settings and Design: In Vitro Comparative and SEM analytical study. Materials and Methodology: 120 samples of heat cured acrylic resin (DPI) and silicone soft liner (Molloplast B) with desired dimensions were fabricated using customized brass flask. 120 samples were divided into 1 control group (untreated) and 3 test groups (treated) consisting of 30 samples each. 3 test groups were divided based on surface treatments of resin samples to adhere to silicone soft liner to them via acid etching (36% phosphoric acid), air abrasion (50 μm Al2O3) and laser treatment (Er-YAG). All the 4 groups (1 control and 3 test groups) were subdivided into two subgroups based on their subjection to thermocycling i.e., 15 samples of each group were not subjected to thermocycling (before) and remaining 15 samples of each group were subjected to thermocycling (after). Statistical Analysis Used: All the samples were evaluated for tensile bond strength using universal testing machine. Obtained values were statistically analyzed with student paired T test, one way ANOVA and post HOC Tukey B test to compare, identify significant differences and also to arrive at order of groups. The effects of surface treatments and silicone liner on the surface of denture base resin were examined with scanning electron microscopy. Results: The tensile bond strength was significantly different between control and test groups and also among test groups before and after thermocycling (P < 0.05). The specimens of acid group had higher bond strength values followed by laser treated and abraded groups. Thermocycling had decreased bond strength values. SEM observations also revealed that, surface treatments modified the surface of the denture base resin with variability. Conclusions: Surface treatments increased the bond strength values while thermocycling had decreased them. Among all the groups tested, acid etching group of samples exhibited higher bond strength values of all test groups before and after thermocycling followed by laser, abrasion and control groups. Bond strength values of all test groups before and after thermocycling were still higher than 0.45 MPa, which is clinically acceptable bond strength level.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"1 1","pages":"57 - 63"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77088569","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":"Blurry vision unraveling underlying aplastic anemia","authors":"Jasmita Satapathy, Pradeep K Panigrahi, Japesh Thareja","doi":"10.4103/jdrntruhs.jdrntruhs_85_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_85_21","url":null,"abstract":"A 23-year-old male presented with sudden diminution of vision in both eyes due to massive retinal hemorrhages involving the macula. Hematological workup revealed severe anemia with thrombocytopenia and leukopenia. A bone marrow biopsy was advised, and the diagnosis of Aplastic anemia was confirmed. Replacement therapy resulted in dramatic resolution of the fundus picture with improvement in visual acuity to near normal on follow-up visit after three months. A careful examination including dilated fundoscopy, a high index of suspicion, and prompt management can save vision as well as life in such cases.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"20 1","pages":"94 - 96"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81635209","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}