Journal of Datta Meghe Institute of Medical Sciences University最新文献

{"title":"Comparative evaluation of setting time and sealing ability of two root end filling materials: An In vitro Study","authors":"Vidhi Kharabe, N. Thosar, P. Fulzele, Sphurti P Bane, Suruchi Gupta","doi":"10.4103/jdmimsu.jdmimsu_104_21","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_104_21","url":null,"abstract":"Purpose: Incomplete root formation caused due to trauma can lead to problems in future. Treating such open apices teeth pose a challenge. Apexification is one of the treatment options for such teeth with open apex. Thus, this in vitro study intended to assess and compare two commercially available root-end filling materials mineral trioxide aggregate (MTA)-Angelus and Biodentine™ for their setting time and sealing ability. Materials and Methods: This in vitro study assessed the setting time and sealing ability of the two materials; MTA-Angelus and Biodentine™. For setting time evaluation, 30 rings were made and divided into two groups. The evaluation was done using Vicat apparatus. For sealing ability, sixty single rooted teeth were used and were divided into four groups (two experimental and two control). The assessment was done using the linear dye penetration method. Results: Mean setting time of Biodentine and MTA was 29.2 ± 3.84 min and 15.2 ± 2.11 min, respectively. The mean linear dye penetration in MTA group was found to be 0.808 ± 1.094 mm, 3.76 ± 1.05 mm in Biodentine group, 5.28 ± 1.73 mm and 0.05 mm in positive control group. Conclusion: MTA-Angelus demonstrated a faster setting time when compared to biodentine, while biodentine showed to have a superior sealing ability.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"468 - 474"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44346869","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":"Association of uric acid in oral health, periodontal disease, and systemic disorders: A systematic review","authors":"R. B. Uppin, S. Varghese","doi":"10.4103/jdmimsu.jdmimsu_89_23","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_89_23","url":null,"abstract":"Background: The relationship between periodontitis or periodontal disease (PD) with uric acid (UA) is controversial. Furthermore, a rise in UA levels in common systemic disorders documented to be liked to PD must be understood. Objectives: The objective is to determine the association of UA levels with periodontal health and disease states by a systematic review of evidence from observational studies. Furthermore, we aimed to group secondary research papers which showed systemic diseases linked to periodontitis (SDLP) for the changes in UA levels in serum and discuss the consequences. Materials and Methods: A systematic review was conducted following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. The literature search was followed by qualitative assessment using the Newcastle–Ottawa scale when evaluating PD with UA associations. A similar strategic search system was used for identifying secondary studies (systematic reviews with meta-analyses or [SRMA]) for identifying UA levels in common SDLP. Results: Out of 212 selected studies, 40 underwent full-text analysis; 6 were eligible for systematic review. The current review summarizes that overall PD cases have significantly more UA levels than healthy individuals or controls from data from three observational studies. In the case of SDLP, around 8 SRMA (conducted on = 164 observational studies) revealed a significant association (P < 0.05 in all instances) with serum hyperuricemia; cancer incidence and progression were more in women with raised UA than in men. Conclusion: The review showed that UA levels were significantly altered in PD compared to healthy individuals. However, the available evidence is inadequate to establish whether UA is diminished or elevated in periodontal disease. The SDLP all showed a significant association with raised serum UA levels with cancers affecting more women than men with high UA levels.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"524 - 530"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48165411","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 case report of anesthetic management of a patient with Hallervorden–Spatz disease posted for incision and drainage of rectus sheath hematoma","authors":"Tilka Vivek Ghate, S. Bhargava, Gaurav Atul Deshmukh, A. Bhure","doi":"10.4103/jdmimsu.jdmimsu_384_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_384_22","url":null,"abstract":"Pantothenate kinase-associated neurodegeneration (PKAN), also known as Hallervorden–Spatz disease, is a neurodegenerative disorder presenting with dystonia, cognitive impairment, rigidity, and mental deterioration. It has an autosomal recessive mode of inheritance, which usually presents in late childhood or early adolescence. Rigidity poses a challenge to an anesthesiologist in airway management. In this case report, we present the case of a 23-year-old male patient, a diagnosed case of Hallervorden–Spatz disease scheduled for incision and drainage of rectus sheath hematoma which occurred due to blunt trauma to the abdomen. Patients with PKAN who require general anesthesia may present with symptoms that influence perioperative anesthetic management as well as postoperative care.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"490 - 492"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42649920","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":"Nonconventional menstrual hygiene products and its usage among reproductive age group women in India – A cross-sectional study","authors":"D. R. Britto, N. George, Abdul Shagirunisha Rizvana, Josephin Shalini Ratchagar, Tamilarasan Muniyapillai, K. Kulothungan","doi":"10.4103/jdmimsu.jdmimsu_388_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_388_22","url":null,"abstract":"Background: Menstrual hygiene is influenced by various factors including the products used by women during the cycle. The up-to-date and recent products like menstrual cups and tampons make women more comfortable during the day. The study aimed to assess the perception of usage and awareness of women in the reproductive age group regarding nonconventional menstrual hygiene products such as tampons and cups. Methodology: This was a cross-sectional study done among 525 subjects belonging to reproductive age group. The data was collected through questionnaires circulated in the form of Google forms. The questionnaire contained general socio-demographic details, menstrual history details, and the details regarding the usage of sanitary pads its difficulties and the use of menstrual cups or tampons and its advantages. The data were analyzed using various appropriate statistical tests. Results: Among the study subjects, 445 (84.8%) are aware that menstrual cups or tampons are present as an alternative to sanitary pads. In this study, 489 (93.1%) have never tried tampons or menstrual cups during menstrual cycles. The most common reason for not trying menstrual cups or tampons among these subjects is as follows: afraid to insert foreign body 190 (38.9%). The study showed that 489 (93.15%), 13 (2.5%), and 23 (4.4%) subjects were currently using sanitary pads, tampons, and menstrual cups respectively. Conclusion: The study showed that the use of nonconventional sanitary products like menstrual cups or tampons was less among the study group even with high awareness. The need of right path about the appropriate and fitting menstrual hygiene product for the generation is portrayed.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"357 - 363"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49480018","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":"Direct observation of procedural skills: A formative assessment tool for postgraduate training in obstetrics and gynecology","authors":"N. Vijay, A. Rawekar, Anuja Bhalerao, S. Somalwar, Amrita Singh","doi":"10.4103/jdmimsu.jdmimsu_363_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_363_22","url":null,"abstract":"Background: Direct observation of procedural skills (DOPS), a method of workplace-based assessment helps the students to shape their learning. DOPS requires direct observation and assessment of students while performing in a real-life setting using a structured checklist with constructive feedback for improvement. Most of the medical institutes in India still assess the students on the basis of traditional methods, where theoretical knowledge is mainly assessed as a summative assessment. This study was conducted to bridge this gap by introducing DOPS as a formative assessment tool for PG students in obstetrics and gynecology and to explore the perspectives of faculty and students for DOPS as a formative assessment tool. Materials and Methods: In the department of obstetrics and gynecology at a tertiary care teaching institute in Central India, this prospective interventional research was conducted for a period of 1 year. Eighteen 2nd year and final year postgraduate students and nine faculty from the obstetrics and gynecology specialty were identified for inclusion in this study using convenient sampling. IEC approval (NKPSIMS and RC and LMH/IEC/09/2021) and informed consent were taken. Postgraduate students were assessed for 5 procedures using a validated structured checklist: (1) per speculum and per vaginal examination, (2) Pap's smear collection, (3) conduction of artificial rupture of membrane, (4) introduction of intrauterine contraceptive device, and (5) episiotomy repair. Feedback after assessment was given by the faculty. There were 3 DOPS assessment sessions for each procedure. Perception of students and faculty was collected using a prevalidated questionnaire using 3-point Linkert's scale. Descriptive statistics of response was considered to calculate percentages. Using thematic analysis, the responses of open-ended questions were analyzed based on the quantitative data form. Results: Perception of students were positive as effective teaching learning tool (94%), skill improvement (100%), constructive feedback (100%), time provided for feedback (100%), confidence gain (100%), assessment in nonthreatening environment (100%), motivation (94%), Faculty responded positively regarding improved attitude toward teaching (100%), in depth assessment of skill (78%), useful teaching learning tool (100%), improves student–teacher relationship (78%), identifies developmental needs of student (100%). Themes identified were DOPS provide more systematic learning, personal attention to each student, better understanding, learn proper steps of procedure, one on one interactive method of learning, improvement of clinical skills, and more confident. Challenges perceived by students were time constraint and person who grades is not the same teacher and by faculty were more time and dedication needed and more paper work is required. Conclusion: DOPS was considered as an effective teaching learning and assessment tool and can be incorporated as a formative a","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"353 - 356"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44575698","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 palliative care communication on knowledge and attitude among caregivers of cancer patients","authors":"M. Phuke, Pratiksha Nivas Thigale, Prakash Naregal, V. Mohite, J. Salunkhe, Ujwala L. Mane","doi":"10.4103/jdmimsu.jdmimsu_397_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_397_22","url":null,"abstract":"Background: Palliative care is provided to improve the quality of life of cancer patients, which does not actually cure the disease but to provide comfort, supportive care, and symptom management long as life remains. It improves patient satisfaction and reduces depression. Hence, the study was conducted to assess the effectiveness of the planned teaching program on knowledge regarding palliative care among caregivers of cancer patients. Materials and Methods: An evaluative study conducted using one group pretest–posttest research design on 60 samples selected by convenience sampling technique. Self-structured questionnaire is used for data collection. Results: Pre- and post-test knowledge scores were compared with the help of paired t-test. Pretest mean was 10.733 with a standard deviation (SD) 3.424 and posttest mean was 15.917 with SD of 1.720. The calculated “t” value 15.842, which is extremely significant P < 0.0001. There was no statistically significant association found with the knowledge level of caregivers with sociodemographic variables. Conclusion: Palliative care communication was effective for improving the knowledge level and practices regarding palliative care among caregivers of cancer patients.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"410 - 414"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41343445","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":"Analysis of genome wide associated variants rs2651899 (PRDM16), rs11172113 (LRP1), and rs10166942 (TRPM8) of migraine in the Indian episodic migraineurs","authors":"A. Manickam, Sivasamy Ramasamy","doi":"10.4103/jdmimsu.jdmimsu_265_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_265_22","url":null,"abstract":"Background: The involvement of genes in migraine pain is identified by several studies. Many genome-wide association studies (GWAS) revealed the presence of particular variants in different migraine populations worldwide. Objective: This study aims in analyzing the presence of 3 GWAS variants (rs2651899 [PRDM16], rs11172113 [LRP1], and rs10166942 Transient Receptor Potential Cation Channel Subfamily M Member 8 [TRPM8]) in the Indian episodic migraineurs. Methodology: Enrolled 200 age- and gender-matched patients and control volunteers; collected blood samples to isolate DNA to check the presence of chosen variants in them. The results obtained were statistically analyzed using SPSS version 26.0. Results: The rs10166942 (TRPM8) variant is observed in 1.5% of control, 15.88% of migraine with aura, and 5.37% of migraine without aura subjects with the highly significant P < 0.0008. The other two variants are absent in the chosen sample group. Conclusion: We reported the presence of rs10166942 in the Indian episodic migraineurs and we recommend pathway analysis for confirming its association with the migraine pain progression.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"382 - 386"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44546340","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":"Efficacy of nesting on physiological parameters among preterm babies admitted at tertiary care hospital Karad","authors":"Priyanka Nikam, Prakash Naregal, V. Mohite, Rajashri B. Karale","doi":"10.4103/jdmimsu.jdmimsu_622_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_622_22","url":null,"abstract":"Background: Preterm babies have immature physical growth and unstable physiology. Inability to cope up to external stress. They frequently have improper muscular tone due to infancy, which puts them at risk of having abnormal posture. Nesting provides physiological, cognitive and postural stability, comfort and helps preterm infants maintain their posture. Objective: To assess physiological parameters among control group and experimental group, to evaluate the effectiveness of nesting on physiological parameters in preterm babies and to find an association between physiological parameters with selected sociodemographic variables. Materials and Methods: An evaluative research approach with a systematic random sampling technique, 60 preterm babies were selected (30 experimental group and 30 control group) from Krishna Hospital and Medical Research Center, Karad. Experimental pretest–posttest control group design was used. Data were collected by using observational checklist. Results: Unpaired t-test results revealed that the calculated t value of physiological parameters in posttest comparing between the experimental and control group shows that 5 days of nesting has stabilized the physiological parameters and was found statistically significant at P < 0.05, i.e., temperature t = 4.917, heart rate t = 2.283, respiration t = 2.676 and SpO2 saturation t = 10.940. In weight, the calculated t = 0.8653 and found no statistically significant at P = 0. 3904. Conclusion: Study concluded that nesting was effectively stabilizing the physiological parameters of preterm babies (temperature, heart rate, respiration rate, SpO2, and weight).","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"181 - 184"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41346542","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":"Massive venous air embolism in a case of hysteroscopy: A rare grave complication in a comparatively simple procedure","authors":"H. Pahuja, S. Bhargava, G. Deshmukh, A. Bhure","doi":"10.4103/jdmimsu.jdmimsu_369_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_369_22","url":null,"abstract":"Hysteroscopic surgery has gained popularity but lethal complication like gas or venous air embolism can occur. It can be recognized by a decrease in oxygen saturation and sudden drop in end-tidal carbon dioxide and may sometimes lead to severe organ failure and death depending on the amount of air embolism. We report the case of a 55-year-old female with no comorbidities posted for evaluation of postmenopausal bleeding by diagnostic hysteroscopy. The procedure was performed under spinal anesthesia using normal saline as distending media. Midway between the procedures, the patient developed severe bradycardia and desaturation. Hence, with the diagnosis of massive pulmonary embolism, the patient was resuscitated but could not be revived. The fatal outcome from a comparatively simple procedure is not uncommon. Complications are to be kept in mind and possible precautionary measures are to be taken at all times. As the eye cannot see what the mind does not know.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"283 - 285"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42665561","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":"Utilization of magnetic resonance imaging and magnetic resonance spectroscopy to evaluate cystic brain lesions","authors":"Asish Pavanan, S. Kashikar, P. Parihar, S. Pandey","doi":"10.4103/jdmimsu.jdmimsu_9_23","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_9_23","url":null,"abstract":"Background: Cystic brain lesions may be exceedingly challenging to diagnose for both the radiologist and the neurologist. A biopsy or surgical approach followed by a histopathology study can pinpoint the exact final diagnosis in uncertain situations. Aims and Objectives: In the current study, magnetic resonance spectroscopy (MRS) and diffusion-weighted imaging (DWI) are being investigated as diagnostic modalities. Materials and Method: Cystic brain lesions from 78 participants were assessed by magnetic resonance imaging (MRI) and MRS. TI-weighted image (T1WI), T2-weighted image (T2WI), DWI, apparent diffusion coefficient (ADC), C+, and MRS imaging sequences are the parameters examined. Results: Pediatric group made up 29.5% of the entire population. The majority of the subjects (47.4%) had arachnoid cysts. About 79.5% of the individuals had hypointense T1WI, 100% had hyperintense T2WI, 82.1% had hypointense DWI, and 82.1% had high ADC. Arachnoid cysts contained lactate in 16.2% of the participants.Lipid was detected only in tumor lesions. Lactate with amino acid was observed in the abscess. Conclusion: Due to their noninvasive nature and low cost, DWI and MRS can be used as an adjunct to MRI, to improve the diagnosis of brain lesions.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"233 - 238"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45550909","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}