{"title":"COVID-19 pandemic: A three-step protocol for ED triage","authors":"Suhrith Bhattaram, V. Shinde","doi":"10.4103/jdrntruhs.jdrntruhs_125_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_125_21","url":null,"abstract":"","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"6 1","pages":"101 - 102"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88893508","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}
Akshita Bhandari, P. Rao, A. Tyagi, D. Routh, S. Rehsi
{"title":"Clinical outcomes after modified radical mastectomy in a tertiary care hospital: An observational study","authors":"Akshita Bhandari, P. Rao, A. Tyagi, D. Routh, S. Rehsi","doi":"10.4103/jdrntruhs.jdrntruhs_46_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_46_21","url":null,"abstract":"Background: Despite advances in medical sciences, modified radical mastectomy (MRM) remains the mainstay of treatment in breast cancer management in India. However, a wide range (0.8%–26%) of postoperative complications occur following MRM. Lacunae exist in the existing extensive medical literature regarding any correlation between preoperative staging and demographic profile of such patients with the incidence of these complications, which might aid in adapting a preventive approach accordingly. Aim: The aim of this work was to study the association of preoperative tumor size, nodal status, and clinical profile (age, diabetes mellitus, hypertension) of breast cancer patients with the postoperative complications (seroma formation, surgical site infection, wound dehiscence, flap necrosis, paresthesia, and lymphedema). Methods: All patients diagnosed with carcinoma breast and undergoing MRM. a. Settings and Design: This was a prospective observational study at a tertiary care hospital. b. Duration: Two years. c. Statistical Analysis Used: Data were recorded in an Excel datasheet and statistically analyzed by using the SPSS version 22.0. Results: A significant positive association was established between seroma formation, wound dehiscence with increasing age (P = 0.006), tumor staging (P = 0.003), and nodal staging (P = 0.022). However, no significant correlation could be established between the other parameters that were studied. Conclusion: Meticulous surgical techniques and postoperative care should be used to reduce Seroma formation and wound dehiscence in patients with advanced age, higher tumor, and nodal staging.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"235 1","pages":"11 - 16"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73177147","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":"Designing and implementing e-anubandh: A mentorship program during the COVID pandemic for medical undergraduate students","authors":"Madhur Gupta, S. Chari, A. Kasulkar","doi":"10.4103/jdrntruhs.jdrntruhs_113_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_113_21","url":null,"abstract":"Background: There is a feeling of uncertainty in the COVID era and the graduate students are facing the challenge of being disconnected from the college. Mentorship has been shown to be essential for the attainment of skills as well as psychological development. The mentor-mentee relationship is a continuous process to dissolve the boundaries, and hence, e-mentoring could be one of the ways in which both the students and teachers connect. Material and Methods: A mentorship program called e-anubandh was designed and implemented. Six hundred medical undergraduate students were grouped with 47 faculty and 94 senior students. An online session was conducted in groups. At the end of the mentorship program, the feedback and perception of the mentors and mentees were taken using both open-ended as well as closed-ended validated questionnaires. Results: A total of 308 (out of 438 who participated) students, 94 senior mentors and 47 faculty mentors, completed the feedback questionnaire. The majority considered the initiative taken by the institute worth appreciating. The mentees and mentors found the program useful in building student–teacher relationships. They opined that such programs should be undertaken more frequently and for longer durations. Conclusion: The e-anubandh mentorship program helped in bridging the gap between the students and teachers created in the COVID era. Both the mentors and mentees were extremely satisfied with this program and such intervention appears to be a promising strategy in the COVID period.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"32 1","pages":"74 - 80"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77930493","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}
Manasi Dutt, Sourav Kumar, Dipti D. Nayak, Musaab Khan, Shashanka P. Kumar, Neha Nayak
{"title":"Evaluation of the efficacy of collagen membrane for mucousal defect in oral sub mucous fibrosis","authors":"Manasi Dutt, Sourav Kumar, Dipti D. Nayak, Musaab Khan, Shashanka P. Kumar, Neha Nayak","doi":"10.4103/jdrntruhs.jdrntruhs_49_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_49_21","url":null,"abstract":"Background: Oral submucous fibrosis is well diagnosed as a premalignant condition. Through this article, an attempt was tried to improve the knowledge regarding surgical management which improves the existence expectancy of patients suffering from OSMF. Materials and Methods: The study included 15 patients in the age group of 15 to 60 years with stage II, III and IVa of oral submucous fibrosis all of which underwent operation under general anesthesia to facilitate an increase in their mouth opening by excision of fibrous bands and placement of collagen membrane by the same operator. After surgery, all were given similar prescriptions for analgesics, antibiotics, and postoperative instructions. All patients were reviewed at 1st week, 2nd week, 3rd week till 6th months postoperatively. Results: In this study, the mean age of occurrence of OSMF was 2nd to 3rd decade of life with males (86.6%) more commonly affected. The preoperative mouth opening was a mean value of 16.4 mm in all patients. At the first week postoperatively, a mean mouth opening of 24.96 mm was achieved which gradually increased to a mean mouth opening of 28.16 mm at the 2nd month with the help of rigorous physiotherapy. There was a slight gradual increase of mean mouth opening at consecutive months at 29.1 mm at the follow-up period of 6th months. Conclusion: In our study, we noticed that surgical excision of fibrous bands and placement of collagen membrane provided us with satisfactory results, there was a significant increase in the mouth opening of the patients till the last follow-up month as compared to the preoperative mouth opening. However, to prove a more significant result, we need a larger sample size, as well as a longer follow-up for the establishment of the same.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"60 1","pages":"69 - 73"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89268155","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}
G. Harsha, C. P. Padma Priya, S. Arunachalam, D. Varma, V. Chakravarthy, Anoosha Manda
{"title":"Appraisal of root-crown ratio of maxillary incisors in various skeletal and dental malocclusions","authors":"G. Harsha, C. P. Padma Priya, S. Arunachalam, D. Varma, V. Chakravarthy, Anoosha Manda","doi":"10.4103/jdrntruhs.jdrntruhs_205_20","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_205_20","url":null,"abstract":"Background: Shortening of the dental roots denoted by a decrease in root-crown ratio is a common manifestation of root resorption. Several natural conditions place roots at risk of resorption without any pathology. To date, information regarding root resorption in sagittal malocclusions is deplete in the literature. Aims: To measure and associate the root-crown ratio of maxillary incisors in different malocclusions. Methods: About 85 patients were allocated to three groups, Skeletal and Angle's Class I, Class II and Class III. Panoramic radiographs and periapical radiographs for maxillary incisors (340 teeth) using paralleling technique were taken and traced. Length of the root and crown were assessed and root-crown ratios were calculated. Results: The root-crown ratio was significantly lower in Skeletal and Angle's Class III group (P < 0.05) compared to Classes I and II groups. Gender predilection was found to be absent. Conclusion: Root resorption of maxillary incisors was observed in Skeletal and Angle's Class III patients. Maxillary central incisors were observed to have decreased root-crown ratios compared to maxillary lateral incisors irrespective of malocclusion.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"9 1","pages":"6 - 10"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84311651","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. Verma, Shivika Aggarwal, P. Garg, A. Verma, Mridul Gera, SwaranS Yadav
{"title":"Juvenile onset pleomorphic adenoma presenting as giant tumor of parotid gland in a young female","authors":"S. Verma, Shivika Aggarwal, P. Garg, A. Verma, Mridul Gera, SwaranS Yadav","doi":"10.4103/jdrntruhs.jdrntruhs_91_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_91_21","url":null,"abstract":"Salivary gland tumors are rare and carry diverse histologies. There is a paucity of clinical and biological details about pediatric salivary gland tumors and their clinical behavior in the literature. We present a case of 25-year-old female with giant pleomorphic adenoma of the parotid which started in her childhood at the age of 13 years. Presentation at such an early age is a rare entity. The patient underwent a superficial parotidectomy. Periodic follow-up was done for 1 year and there was no recurrence. For benign salivary gland tumor, surgical excision with preservation of neurovascular structure is the main treatment option.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"14 1","pages":"286 - 288"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74545938","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":"Cancer-related fibrosis: Prevention or treatment? – A descriptive review","authors":"Renu B Pattanshetty, Mounica Y. Rao","doi":"10.4103/jdrntruhs.jdrntruhs_104_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_104_21","url":null,"abstract":"Cancer and its therapies, including surgeries, radiation therapy, and chemotherapy, have a significant influence on the body of the patient. Tissue fibrosis is one of the most significant adverse effects noticed in cancer patients. Fibrosis caused by any tissue damage or various intracellular mechanisms can result in physical and functional impairments such as trismus, neuro-musculoskeletal dysfunction syndromes, fibrosis, speech and swallowing dysfunctions, upper limb and lower limb impairments, and sexual dysfunctions, all of which have a negative impact on patients' quality of life. Using manual therapy and therapeutic modalities, speech and swallowing therapy, and vocational rehabilitation are some of the important approaches to treating postcancer treatment problems. As a result, when to begin rehabilitation to enhance and maintain functional and physical performance becomes critical.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"19 1","pages":"222 - 228"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82529582","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}
Anupama Masapu, K. Ashok, S. Thirumalasetty, Ganni Sri Divya, Abdul Shaik, Banala Aishwarya
{"title":"Oral hygiene practices and awareness among first-year students of UG professional courses in Rajahmundry: A comparative cross-sectional study","authors":"Anupama Masapu, K. Ashok, S. Thirumalasetty, Ganni Sri Divya, Abdul Shaik, Banala Aishwarya","doi":"10.4103/jdrntruhs.jdrntruhs_199_20","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_199_20","url":null,"abstract":"Introduction: Young individuals like Engineering students, Dentists and Medical practitioners play a pivotal role in raising awareness of oral health. These professionals should be equipped with a basic knowledge of oral hygiene regimen at an early age for the prevention of oral diseases. Aim: Our study aimed to compare oral hygiene awareness and practices by evaluating the Questionnaire filled by students of first-year dental, first-year engineering, and first-year medical students in Rajahmundry. Subjects and Methods: This prospective cross-sectional study included 50 Students each from dental, medical, and an engineering college in Rajahmundry, Andhra Pradesh. Students were asked to fill a questionnaire pertaining to oral hygiene practice, awareness of oral health. Data was collected, tabulated and subjected to statistical analysis, and results were expressed as numbers and percentages from each group. Results: All the data collected from the participants were analyzed using SPSS software. Inter-group comparison was made for each question using the Chi-square test. Results of this study show statistically significant outcomes in Q2, Q4, Q6, Q7, Q9, Q12, Q13 which are pertaining to frequency of dental check-ups, mechanical plaque control aids and practices. Conclusions: Our study found that oral health awareness of dental students was marginally better than their counterparts during initial phase of graduation regarding oral hygiene knowledge and awareness. Further emphasis should be done on the health education regarding improvement in their knowledge of oral hygiene to every individual irrespective of their field on regular basis by workshops which demonstrates oral hygiene practices.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"19 1","pages":"229 - 232"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79472542","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":"A retrospective study of histopathological features of appendectomy specimens at Amreli district-Gujarat","authors":"P. Kagathara, Abhishek Godhani","doi":"10.4103/jdrntruhs.jdrntruhs_15_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_15_21","url":null,"abstract":"Background and Objective: Acute appendicitis is the most common general surgical emergency. Appendicectomy for acute appendicitis is one of the most commonly performed surgical procedures. A retrospective study was performed to evaluate histological diagnosis, geographical data, and the rate of different appendicitis. Methods: This study was retrospective, conducted at Shantabaa Medical College & General Hospital, Amreli during the period of 7 months from July 2020 to January 2021. All emergency appendectomies and planned appendectomies performed on clinically suspected appendicitis were included. Total 101 cases were included. Patients' age, gender, sign and symptoms, and operative findings were noted. Results: Out of these 101 specimens, 100 (99.0%) cases were appendicitis histologically, and 1 (0.99%) case was normal appendix. There were 44 (43.56%) male and 57 (56.43%) female, with the male:female ratio of 0.77:1. Maximum numbers of female and male both were from 21 to 30 age. Conclusion: The present study showed maximum cases in the second and third decades. The study suggests routine histological examination of all the appendicectomy specimens to avoid missing any clinically important and treatable condition.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"39 1","pages":"249 - 251"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84606608","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. Praveen, Satya Saka, K. Subhashini, G. Venkataramana, Gogineni Sathvika, P. Ramanamurty, Seetharam Anjaneyulu
{"title":"Clinical and mycological features of recurrent dermatophytosis: A hospital-based observational cross-sectional study","authors":"S. Praveen, Satya Saka, K. Subhashini, G. Venkataramana, Gogineni Sathvika, P. Ramanamurty, Seetharam Anjaneyulu","doi":"10.4103/jdrntruhs.jdrntruhs_70_21","DOIUrl":"https://doi.org/10.4103/jdrntruhs.jdrntruhs_70_21","url":null,"abstract":"Background: Dermatophytosis has changed its facets. The prevalence, clinical features, and causative organisms are changing leading to recurrent, recalcitrant, and chronic dermatophytosis. The misuse of potent topical steroids is further aggravating the problem. The risk factors, clinical features, and mycological nature of recurrent dermatophytosis are sparsely documented. Objectives: To know the epidemiological and clinical features, and to identify the organisms causing recurrent dermatophytosis. Materials and Methods: Patients attending to our OPD with dermatophytic infections from December 2017 to June 2019 were scrutinized and those, who had recurrence within 6 weeks after treating with 4 weeks of systemic antifungal treatment were recruited into our study. Demographic data and clinical patterns were documented after informed consent. KOH smears were taken, and the scrapings were cultured in Sabouraud's dextrose agar with 0.05% chloramphenicol and 0.5% cycloheximide. Results: Ninety-six patients were recruited to the study after following the inclusion and exclusion criteria. The most common age group was 21–30 years, and males were slightly more. A total of 66.7% (64/96) had used topical corticosteroids or steroid combinations. KOH positivity was seen in 67.7%, and the culture was positive in 58.3% of cases. The most common organism isolated in culture was the Trichophyton rubrum (27.1%), followed by Trichophyton mentagrophytes (22.9%). Recurrences were early in those who used topical potent corticosteroids like clobetasol. Limitation: Minimum inhibitory concentrations (MIC) levels of the antifungal drugs were not done to know the relation between MIC levels and recurrence. Conclusion: Recurrent dermatophytosis is increasing and presenting with modified clinical patterns. Topical steroid use, mainly with potent clobetasol or its combinations, seems to be the main culprit for recurrences.","PeriodicalId":15571,"journal":{"name":"Journal of Dr. NTR University of Health Sciences","volume":"18 1","pages":"243 - 248"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83274225","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}