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

{"title":"Cystic fibrosis: An updated comprehensive review of literature with pediatric dentistry perspectives","authors":"Mohammad Khan","doi":"10.4103/jdmimsu.jdmimsu_301_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_301_22","url":null,"abstract":"Cystic fibrosis (CF) is a genetic disorder, inherited in an autosomal recessive manner. It affects the multiple organs or organ systems of human body including mainly respiratory, digestive, and renal systems. CF patients may have various orodental problems either directly by the primary disease of CF or indirectly by comorbidities, its complications and by side effects of pharmacotherapies. The optimization of oral health by meticulous dental care is essential aspect and hence must be an integral part of the multidisciplinary management in such patients with CF. Thus, general and pediatric dentist need to remain updated with the pathophysiology of the disease, its medical treatment, and its adverse effects on oral health in order to manage such CF-affected individuals with best scientific evidence-based approach of dentistry. Therefore, the current article has comprehensively reviewed the existing current literature regarding CF to describe its pathophysiology (etiology), clinical features, screening/diagnostic modalities, and management strategies along with its detailed orodental implications of CF and dental management aspects. Moreover, an overview/outline of dental care of CF patients in age-wise manner has been illustrated in this article. The relevant and recent scientific literature for the comprehensive review has been searched using the suitable keywords or its combinations/Boolean operators in different electronic databases (PubMed-Medline, Web of Science, Scopus, and Google Scholar) and, thus, included the topic-related articles published in English literature till 2022. Furthermore, the articles related to orodental implications and the dental management of the CF with the perspectives of pediatric dentistry was also searched and included for review.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"304 - 310"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41590369","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 closed and open endotracheal suction on prevention of ventilator-associated pneumonia on patients admitted to critical care unit at tertiary care hospital","authors":"Ruksar Mulla, V. Mohite","doi":"10.4103/jdmimsu.jdmimsu_618_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_618_22","url":null,"abstract":"Background: Endotracheal suctioning is a method commonly used to clean airway secretions in patients under mechanical ventilation. This study aimed to compare the effects of open and closed suction methods on the occurrence of ventilator-associated pneumonia (VAP). In the open endotracheal suction, the approach necessitates the participation of two nurses and may result in a momentary interruption of ventilation and oxygen supply due to the patient's disconnection from the ventilation device during suctioning. In the closed endotracheal suction, the approach can be performed through connections in a closed suction set while the patient is ventilated without separating the patient from the ventilator. Objective: (1). To compare the close endotracheal suction with open endotracheal suction for the prevention of VAP. (2) To assess the incidence of VAP among intubated patients. Materials and Methods: The study was conducted among 60 patients who are on mechanical ventilator in the critical care unit in tertiary care hospital. For the study, simple random sampling technique is used for the selection of sample. Using a lottery method of sampling, one in the experimental group and one in the control group on the basis of inclusion criteria. Results: The study was done on patients who are on mechanical ventilators in the critical care unit in tertiary care hospitals. The data analysis was done using descriptive and inferential statistics. The study finding revealed that in VAP scoring of the patient's 1st and 2nd day in open endotracheal suction, there are no significant changes in open endotracheal suction then null hypothesis was accepted (t = 0.9, P = 0.37). VAP scoring of the patient's 2nd and 3rd day and 3rd and 1st day in open endotracheal suction, there are significant changes in open endotracheal suction method in null hypothesis was rejected (P < 0.05). VAP scoring of the patient's 1st and 2nd day and 2nd and 3rd day and 3rd and 1st day in closed endotracheal suction, there are significant changes in closed endotracheal suction then null hypothesis was rejected (P < 0.05). Conclusion: The study assessed the efficacy of open endotracheal suction versus closed endotracheal suction on age, sex, duration of hospital stays, return of mechanical ventilation, and mode of ventilation are not significant but the duration of mechanical ventilation is significant. The nurses play a vital role in assessing the cardiac monitor while doing suctioning to prevent cardiorespiratory complications.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"192 - 198"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41954520","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 efficacy of intermittent subglottic irrigation with 3% NaCl on prevention of ventilator-associated pneumonia","authors":"P. Jadhav, V. Mohite","doi":"10.4103/jdmimsu.jdmimsu_616_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_616_22","url":null,"abstract":"Background: ventilator-associated pneumonia (VAP) is the leading cause of death associated with healthcare-associated infections, an important cause of morbidity and mortality despite advances in antimicrobial therapy and advanced supportive measures. The accumulation of subglottic secretions above the endotracheal tube (ETT) cuff, as these secretions may leak around the cuff of the ETT resulting in aspiration and an increased risk for infection of VAP. Objective: (1) To assess the efficacy of intermittent subglottic irrigation with 3% NaCl for the prevention of VAP. (2) To assess the association between VAP in the experimental and control group with demographic variables. Materials and Methods: A quantitative research approach and an experimental research design were used for the present study. Simple random sampling technique using a lottery method was used for the selection of the sample. Results: The study revealed that on comparison of VAP for the experimental and control group on days 2nd and 3rd, there is a significant association found. Second day P = 0.003Significant (S), 3rd day P < 0.0001(S). On 1st day, the experimental group revealed that there is a significant association (P = 0.003) between the duration of the mechanical ventilator and VAP, on the 2nd day, the control group shows the duration of the mechanical ventilator was associated with VAP (P < 0.0001). Conclusion: The conclusion drawn from the present study is intermittent subglottic irrigation with 3% NaCl was effective on the prevention of VAP.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"185 - 191"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43039310","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":"Exploring “Human Skills” through a cinemeducation workshop during a health professions education conference in India","authors":"P. Shankar, Anuradha Joshi, Juhi Kalra, A. Agarwal","doi":"10.4103/jdmimsu.jdmimsu_198_23","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_198_23","url":null,"abstract":"","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"343 - 344"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43840173","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 rare case of cutis aplasia congenita in a newborn","authors":"Ashwini Lakra, H. Bhandekar, Ishani Arora, M. Lakra, A. Taksande","doi":"10.4103/jdmimsu.jdmimsu_664_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_664_22","url":null,"abstract":"","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"299 - 300"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48924768","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":"Comparative study to assess the effect of cartoon watching and distraction card on physiologic parameters and fear level during inhalation therapy in children","authors":"Supriya Jadhav, Harshavardhan Kevade, Harshad Kadam, Prakash Naregal, V. Mohite, Shivaji Pawar","doi":"10.4103/jdmimsu.jdmimsu_614_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_614_22","url":null,"abstract":"Background: Children are the world's most valuable resource and its best hope for the future. Distraction is a very common way to distract a child's attention from a potentially unpleasant procedure, lessen their fear, and help them relax. Objective: The objective of this study was to assess the effectiveness of cartoon-watching and distraction cards on physiological parameters and fear levels during inhalation therapy in children. Materials and Methods: A quasi-experimental study design was used in this study to monitor 60 children between the ages of 3 and 6 years selected by a simple random sampling method. Each of the cartoon and distraction groups had 30 children. A self-structured demographic performa and a standard Children Fear Scale were used to collect data from children. An unpaired t-test was used to estimate the effectiveness of the cartoon and distraction group among participants receiving inhalation therapy. Using the Chi-square test, the researcher looked at the association between fear and sociodemographic variables. Results: The difference between the mean after intervention pulse rates and respiratory rate of both groups was evaluated and it was found statistically significant (P < 0.05). The difference between the mean fear score in the cartoon group and the distraction card group was found to be statistically significant after the inhalation therapy (P < 0.0001). Conclusion: It was observed that the cartoon-watching therapy was better than the distraction card therapy in reducing the fear level during inhalation therapy among children. However, cartoon-watching and distraction cards were more significant on physiologic parameters and fear in children during inhalation therapy.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"210 - 216"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44127833","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":"Sputum culture conversion among patients with drug-resistant tuberculosis: A study of various predictors","authors":"S. Khan, S. Choudhary, Gaurang M Aurangabadkar, N. Bankar","doi":"10.4103/jdmimsu.jdmimsu_50_23","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_50_23","url":null,"abstract":"Introduction: Conversion of a positive sputum culture to a negative culture is an important parameter in the management of drug-resistant tuberculosis (TB), as the failure to convert was related to dismal posttreatment outcomes and elevated mortality rates by almost eight times when compared to victims of multidrug-resistant TB (MDR-TB) who did so. In the patients of MDR-TB, it is an important sign of treatment success to have sputum culture converted from positive to negative, and helps in determining the duration of treatment. The goal of this study was to examine and compare the length of time it took to convert an initial sputum culture with predictors of treatment outcomes for patients with MDR-TB, as well as to pinpoint the variables that affected the length of time. Materials and Methods: The mixed method (records review and qualitative approach) was used to understand the patient's perspective for accepting the Programmatic Management of Drug-resistant TB (PMDT) services and the provider's perspective for rendering services in a public-private mix model setup. This study was undertaken as a retrospective analysis and studied the patients drug-resistant TB who were admitted to a tertiary care hospital in central India. This study was carried out on the patients of Rifampicin-Resistant TB (RR-TB) and MDR-TB (Resistant to both INH and Rifampicin) with positive baseline culture, pretreatment evaluation, and appropriate anti-MDR-TB treatment. As per the PMDT guidelines, sputum smear and culture reports were collected and analyzed. Results: In this study, the time and predictors to convert an initial positive sputum culture to negative and factors influencing treatment outcome were evaluated, compared, and identified. A total of 163 patients were evaluated and analyzed. Of these, 111 (68.09%) were rifampicin and INH-resistant (MDR-TB), whereas 52 (31.90%) were rifampicin resistant (RR-TB) only. Overall 68 (41.71%) patients with baseline positive culture were converted within 3 months. Conclusions: It was concluded that malnourishment, human immunodeficiency virus positivity, associated extra pulmonary TB, and bilateral cavitation were found to be significant predictors of longer time of sputum culture conversion and thereby treatment outcome.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"255 - 262"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46320159","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":"Comparative analysis of eye safety knowledge and practices among private and hospital dental practitioners in national capital region of India: A cross-sectional study","authors":"Simran Uppal, Aman Chowdhry, Priya Kapoor, Dhruv Dar","doi":"10.4103/jdmimsu.jdmimsu_663_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_663_22","url":null,"abstract":"Introduction: Dentists are prone to ocular injuries from chemical, physical, or infectious agents. While most dentists wear masks, gloves, and gowns, eye protection continues to be neglected. Thus, this study was undertaken to identify these gaps in awareness and practices of eye safety among dentists. Aim: This study aims to evaluate and compare the knowledge and practices of hospital and private dental practitioners regarding eye protection in clinical practice. Methodology: A questionnaire designed to assess the eye safety knowledge and practices of dentists was validated and mailed to hospital dental practitioners and private dental practitioners (100 each), from the National Capital Region over 6 months. Data collected were subjected to Chi-square analysis for comparing knowledge and practices of the two groups. Results: Dentists were found to be lacking in their practices with 48.5% using eye protection sometimes and 5.5% never using it, although their knowledge however revealed otherwise. Sixty-eight percent of dentists never or rarely used eye protection for their patients. 40.5% dentists had at least one incident of ocular trauma due to inadequate eye protection while 26% had at least 5 such incidents. Conclusion: The study highlights the gaps in the knowledge and practices of dentists regarding eye protection thus, emphasizing the need for creating more awareness, more so in the coronavirus disease of 2019 era, to prevent further transmission of infections.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"263 - 270"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46601302","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":"International thymic malignancy interest group classification – The future of mediastinal mass evaluation using multidetector computed tomography","authors":"Pratik J Bhansali, G. Mishra, P. Parihar, Bhavik S Unadkat, Ruchi Kabra","doi":"10.4103/jdmimsu.jdmimsu_24_23","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_24_23","url":null,"abstract":"Background: The diagnosis of mediastinal masses is a demanding task as it is like Pandora's box with diverse masses. Multidetector computed tomography (MDCT), along with intravenous contrast, is the diagnostic technique of choice to diagnose mediastinal masses. Hence, the International Thymic Malignancy Interest Group (ITMIG) uses MDCT as a gold standard for defining mediastinal compartments. Aim and Objectives: The purpose of this study was to ascertain characteristics, the accurate extension of mediastinal masses, and its distribution according to classification by ITMIG and to correlate the fine-needle aspiration cytology/biopsy diagnosis to the findings of the computed tomography (CT) scan where ever possible. Materials and Methods: The present study was conducted at the Radiodiagnosis Department of AVBRH, a Teaching Hospital of DMIHER, Sawangi (Meghe) Wardha. It was a prospective cross-sectional study. A purposive convenience sampling method was used with a sample size of 100 participants needed for 2 years. Results: In the study population, the predominant (63%) participants were male, and the remaining 37 (37.00%) participants were female. Fifteen (15.00%) lesions were in prevascular, 55 (55.00%) were in visceral, 15 (15.00%) were in paravertebral, 8 (8.00%) involved Prevascular + Visceral, 7 (7.00%) lesions involved all three compartments, i.e., Prevascular + Visceral + Paravertebral localization. In the present study, in 94.73% of the masses, the same diagnosis was made by both CT and holoprosencephaly. In 5.27% of the masses, the diagnosis was different. The total diagnostic accuracy was 100% (95% confidence interval 93.73%–100%). Conclusion: CT has a cardinal part in the assessment of different masses in the mediastinum in regards to their characterization, distribution, and distinguishing malignant and benign lesions. The novel mediastinal division system introduced by ITMIG is intended to facilitate uniform communication between health-care professionals and radiologists at cross-sectional imaging.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"217 - 222"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46092806","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":"Publication of identifying information and protection of research participants","authors":"Manoj Goyal, M. Bansal","doi":"10.4103/jdmimsu.jdmimsu_290_20","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_290_20","url":null,"abstract":"","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"345 - 346"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44582475","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}