Chettinad Health City Medical Journal最新文献

{"title":"The Gummy Smile and its Concern among Dental Students - A Survey","authors":"Jessica Yolanda","doi":"10.24321/2278.2044.202229","DOIUrl":"https://doi.org/10.24321/2278.2044.202229","url":null,"abstract":"Context: A smile can be displeasing when there is eexcessive gingival show. Currently, correction of a gummy smile is becoming a prime demand by the patients. An exposure of 3 mm of gingival tissue is diagnosed as a gummy smile. Many reasons contribute to a gummy smile and the availability of treatment options falls under a wide range. Aims: The aim was to assess knowledge among dental students on the gummy smile and its treatment plans. Methods and Material: The questions were given as Google forms to the participants of the study. Students pursuing bachelors in dentistry were chosen for the study. A set of 20 questions were framed in a questionnaire form with multiple choice questions and students were asked to pick out a single option from provided questions. Questions asked were on the etiology of the gummy smile, lip repositioning procedures, use of botox and gum contouring procedures. Results: The results depict a correlation between the different treatment modalities of the gummy smile but the choice of treatment is governed by various factors such as patient’s expectation, expenditure, and aesthetic sense and the skill set of the clinician. This study reveals good knowledge among the participants regarding the factors related to a gummy smile. Conclusion: In a nutshell, this study indicates that the dental undergraduates have a good knowledge about the gummy smile and its treatment options available. They have an insight about the available treatment modalities but are not equipped with adequate knowledge regarding the diagnostic criteria.","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126122035","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 Strength and Conditioning Knowledge Essential for a Physiotherapist?","authors":"Alagappan Thiyagarajan","doi":"10.24321/2278.2044.202230","DOIUrl":"https://doi.org/10.24321/2278.2044.202230","url":null,"abstract":"","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114580889","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 Compliance, Pattern of Treatment Interruption and Adverse Events Reported by Anaemic Pregnant Women Receiving the Parenteral Iron Sucrose Therapy","authors":"Ashutosh Kumar Singh","doi":"10.24321/2278.2044.202228","DOIUrl":"https://doi.org/10.24321/2278.2044.202228","url":null,"abstract":"Background: In spite of many efforts by the government since independence anaemia in pregnant women has shown resistance to improvement. Aim: The main aim was to study the compliance of parenteral iron sucrose therapy in pregnant woman along with an additional objective which was to study the pattern of treatment interruption and adverse events observed by them. Methods: This study was conducted by the Department of Community Medicine in the rural and urban field practice area of district Nuh. A list of three hundred and eighty four anaemic pregnant females put on IVIS therapy, fetched from the health centre and relevant details were documented. Result: Out of total of 384 study participants, 291 (75.8%) were compliant with IVIS therapy i.e., they received all four doses. Out of total 93 either non-compliant or partially compliant subjects, most of them (51.6%, n=48) missed 3 doses whereas 22 participants (23.7%) missed 2 doses of the IVIS therapy. Ten study participants (10.7%) showed non-compliance to the therapy. Multigravida subjects were either non or partial compliant compared to primigravida. The three most common adverse events recorded at the time of infusion of 1st dose of IVIS therapy were swelling at injection site, pruritus, and muscle pain or joint pain experienced by 32 (8.3%), 17 (4.4%) and 16 (4.2%) study participants respectively. Conclusion: IVIS therapy is relatively safe therapy and well tolerated by anaemic pregnant females when given as slow infusion. Multigravida subjects were either non or partial compliant compared to primigravida females for IVIS therapy.","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"444 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115611268","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":"Resilience in Mothers having Children with Disabilities","authors":"Kishan Kumar Singh","doi":"10.24321/2278.2044.202225","DOIUrl":"https://doi.org/10.24321/2278.2044.202225","url":null,"abstract":"In a developing society and community with limited rehabilitation and care services there are major challenges for mothers with disabled children and the responsibility of a child’s growth falls solely on the shoulders of the mother or caregivers. Understanding the resilience in mothers (caregivers) is becoming more important as a process in the area of disabilities, for quality development and caring of children with disabilities. The question tthat comes to mind is, what factors make some families do well in adverse conditions while others fight to keep their family life functional, when they are subjected to similar stresses? The aim of this research is to explore the role of resilience factors in mothers having children with disabilities. This study was conducted to assess the resilience of mothers who have children with disabilities. In this scientific study all 300 mothers (100 mothers with intellectual disability, 100 mothers with locomotor disability, and 100 mothers of normal children) were selected from northern India. The resilience scales were administered to assess the resilience variable; the scale has the 4-factor solution, which had 31 items: the alpha reliability coefficient was 0.95. The result of the study shows that the F-value for resilience in mothers of intellectually disabled children, children with locomotor disabilities and of normal children the F value for resilience is 198.379 which is significant at 0.001 levels of significance. This shows that there is difference within the group of mothers of intellectually disabled children, children with locomotor disabilities and normal children. Findings reveal that the level of resilience is different in mothers of intellectually disabled children, children with locomotor disablilities and normal children. The dentification of factors that promote resilience in mothers of children with intellectual disabilities is likely to advance clinical practice by providing new emphasis in clinical areas in family- centered care. Evidence supports the theory that resilience is linked to the availability and accessibility of culturally relevant resources. The results are especially important for building a group of resilient mothers who will be involved in their children’s recovery.","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"23 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129623069","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":"Musculoskeletal Pain among Work from Home Population during the COVID-19 Pandemic - A Cross Sectional Study","authors":"M. S","doi":"10.24321/2278.2044.202224","DOIUrl":"https://doi.org/10.24321/2278.2044.202224","url":null,"abstract":"Background: The COVID-19 pandemic and the subsequent lockdowns had brought many changes in the working patterns of the people. Work from home, which has been becoming the new normal is suspected to increase the prevalence of musculoskeletal disorders and stress. Aim: To assess the prevalence of musculoskeletal pain among the work from home population and hence bring the required changes to ergonomics. Methods and Materials: This is a cross-sectional study, conducted among the urban population (IT employees) of Chengalpattu district. A total of 180 participants were included in the study. Standardized Nordic Musculoskeletal Questionnaire, adapted to fit the current study was used as a self-administered online questionnaire to collect data from the participants. Results: Prevalence of musculoskeletal disorders among work from home population was found to be 84% with low backache being the most common musculoskeletal pain. Around 50% of the participants either had an increase in pain (18.9%) or reported that the pain started only during the lockdown (30.6%). Majority of the participants (55.6%) had more than 8 hours of work per day, which may be attributed to the increase in musculoskeletal pain. Perceived stress levels were found to be increased during the work from home period. Conclusion: The absence of ergonomic office furniture may lead to increased faulty posture increasing the musculoskeletal pain, hence awareness on factors like right posture, using the right furniture should be ensured among home working population. By bringing out the required changes in ergonomics for the home working population, the prevalence of musculoskeletal disorders and stress can be reduced.","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126061702","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":"Social Support and Mental Health among Obese and Non-obese","authors":"Mohamed Yousuf Adam","doi":"10.24321/2278.2044.202227","DOIUrl":"https://doi.org/10.24321/2278.2044.202227","url":null,"abstract":"Context: Due to modernization, overeating becomes as trending topic due to its disturbance on our energy balance system and body weight. Behavioural issues such as overeating and sedentary lifestyle have impact on health through an increase in body mass index due to excessive deposition of body fat. Thus, it impacts on our body weight through positive energy balance in which there is an increase energy intake and decrease energy expenditure. On the other hand, it can be controlled through appropriate social support and optimum mental health. Aims: The objective of this study was to reveal predictor role of social support on mental health among obese and non-obese using regression analysis, to know mean difference in social support and mental health using Mann-Whitney test, and to identify the level of social support and mental health among obese and non-obese individuals. Methods and Material: The study design was non-experimental, quantitative study with descriptive in nature. The participants were 250 obese and 250 non-obese people and were collected from in Cuddalore district of Tamil Nadu, India. Both obese and non-obese participants were asked them to fill questionnaires with psychological tools namely the mental health inventory-38 (MHI-38) and multidimensional perceived social support scale (MDPSS). Results: The data distribution were in non-normal pattern and the statistical test used were non-parametric test. The results stated that the predictor variable social support has shown significant positive impact on mental health. The effect of social support over mental health was high among non-obese (R = .406, R2 = .168, adjusted R2=.164, co-efficient B = .667 and p = .000) than obese (R = .522, R2 = .272, adjusted R2 = .270, co-efficient B = .729 and p = .000). Social support and mental health have significant mean BMI difference among obese and non-obese in which obese people have higher social support and low mental health than non-obese people.","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115421858","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":"Bio Psychosocial Factors and Central Sensitization in Patients with Chronic Musculoskeletal Pain","authors":"T. Alagappan","doi":"10.24321/2278.2044.202222","DOIUrl":"https://doi.org/10.24321/2278.2044.202222","url":null,"abstract":"Introduction: Central sensitization (CS) is a neurological sensitivity phenomenon that causes patients to perceive more pain and broader discomfort. However, the bio psychosocial factors associated with the phenomenon of perception continue to explore and further the current knowledge on CS in patients with chronic musculoskeletal pain. The main purpose of this study was to determine the extent of associative relationship between central nervous system sensitization and bio psychosocial measures in patients with chronic musculoskeletal pain. Settings and Design: An observational cross-sectional study was carried out in a tertiary care hospital’s outpatient unit. Methods and Materials: Two hundred patients with chronic musculoskeletal pain were included in the present cross-sectional study. They completed questionnaires such as Central sensitisation inventory (CSI), Tampa Scale of Kinesiophobia (TSK), Pain Catastrophizing index (PCI), Insomnia Severity Index (ISI), Widespread Pain Index (WPI), Symptom Severity Score (SS), Kessler Psychological Distress Scale (K10 SCORE) and Fatigue Severity Scale (FSS). Results: The bio psychosocial factors showed mild to moderate correlation with CSI score ,FSS (r=0.432); TSK (r=0.432); K10 score (r=0.450);PCI score (r=0.465); Total (WPI+SS) score (r=0.467) and ISI score(r=0.249).These bio psychosocial factors in a statistically significant hierarchical regression model showed 37.9 % variance on CSI score (F- 31.39;P< 0.001) where kinesiophobia and Insomnia did not satisfy the model fit. Conclusion: Even the CS showed a significant association with bio psychosocial factors, it kept kinesiophobia and Insomnia out in its variance contribution.","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114526725","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 Unani Combination Therapy in the Management of Acne Vulgaris: A Randomised Standard Controlled Study","authors":"Y. Shamsi","doi":"10.24321/2278.2044.202223","DOIUrl":"https://doi.org/10.24321/2278.2044.202223","url":null,"abstract":"Acne vulgaris is one of the common chronic inflammatory diseases of the pilosebaceous unit with multiple pathophysiologies affecting adolescents mainly. Aims: To evaluate the efficacy of Shahtra (Fumaria indica) orally along with the topical use of Zimad Muhasain and the management of moderate to severe category of acne vulgaris on the Global Acne Grading System (GAGS) scale. Material & Methods: This was a randomized standard control clinical study. The test group patients were given Shahtra ( 500 mg), 2 capsules twice daily with a local application of Zimad Muhasa paste once daily; the control group patients were given tablet Azithromycin 500 mg thrice weekly with a local application of Benzoyl peroxide 5% gel once daily for 8 weeks. Result: In the test group, there was a 77.3% reduction in the GAGS score at the final follow-up with p<0.0001; in the control group, there was a 69.8% reduction in GAGS score with p<0.0001, showing extremely significant improvement in both groups. The results indicate the superiority of the test group regimen over the control group by at least 7%. Furthermore, adverse effects like burning sensation, dryness, and itching due to Benzoyl peroxide and diarrhoea due to Azithromycin were only reported in the control group whereas the Unani formulations were found to be free of such adverse effects. Conclusion: The test formulations comprising a dried aqueous extract of Shahtra and Zimad Muhasa were found to be more effective and safe in the management of acne vulgaris in moderate to severe acne, compared to the control combination of Azithromycin and Benzoyl peroxide gel.","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122135193","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 Evaluation of the Public Healthcare Services and COVID-19 in the North-Eastern States of India: A Quantitative Study","authors":"M. S. Rymbai","doi":"10.24321/2278.2044.202212","DOIUrl":"https://doi.org/10.24321/2278.2044.202212","url":null,"abstract":"Introduction: COVID-19 has caused an impending disaster with combined social and economic effects. The socio-economic effects of the pandemic are devastating whereby millions of the population drove towards poverty; with nearly 690 million population left undernourished. COVID-19 has demanded efficient healthcare to combat the disease, however, the millions of reported deaths indicate insufficient and unprepared public healthcare. Objective: To analyse the relationship between public healthcare services and COVID deaths. Methodology: The study used basic descriptive methods: averages, percentages, and correlation. To analyse the effects of healthcare infrastructure and healthcare services on COVID deaths, a multivariate linear regression model was used. Results: A high positive correlation was found between COVID deaths and healthcare infrastructure and services. Sub-centres and district hospitals have a negative yet insignificant effect on COVID deaths with parameter estimates of -1.07108 and -166.458 respectively. Community Health Centre and Primary Health Centre have positive and insignificant effects on COVID deaths with parameter estimates of 10.28023 and 11.60391 respectively. Nurses and pharmacists (PHC andCHC) have a negative and insignificant effect with parameter estimates of -1.4027 and -3.38527 respectively. Doctors (PHC) and laboratory technicians (PHC and CHC) have a positive and insignificant effect with parameter estimates of 6.124071 and 5.347605 respectively. F-statistic value was found to be significant in both models. Conclusion: Healthcare infrastructure and services have been insignificant at reducing the recovered COVID cases and COVID deaths.","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122895918","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":"Blood Flow Restriction (BFR) Therapy to Rehabilitate Muscle Injuries in Post-operative Knee Patient","authors":"Minakshi Jatav","doi":"10.24321/2278.2044.202216","DOIUrl":"https://doi.org/10.24321/2278.2044.202216","url":null,"abstract":"KAATSU is a blood flow restriction training that was developed in Japan in the 1960s as a low-intensity strengthening exercise. It involves the wrapping of a tourniquet or pneumatic cuff over the muscle at a quick repetition rate during low-intensity muscle contractions. It is a muscle-strengthening technique used in physical therapy clinics to help patients regain muscle function following an injury or surgery. This is performed by temporarily cutting off blood flow to the muscles during the exercise. There were no linguistic or regional limitations in the literature searches for this article. This review contains a total of 25 records. Other resources were used to define additional elements. 4 records were duplicated and removed from the database. A total of 21 documents were found, with two being ruled out based on the title and abstract. Only 19 full-text items were authorised, and among these, 7 were eliminated because they were urgent research, case studies, and in a few studies, physical characteristics were not examined. This review article finally contained a total of 12 papers. Low-intensity exercise is used in blood flow restriction strengthening to achieve strength improvements similar to those seen in high-intensity training. BFR is a novel approach to physical therapy (PT). According to a preliminary study, this can result in adequate strength improvements during low-intensity exercise.","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117154108","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}