{"title":"Effect of coronavirus disease 2019 outbreak on the specialty of maxillofacial surgery","authors":"Sanjeev Tomar, A. Lall, M. Singhal, A. Mediratta","doi":"10.4103/2455-1732.331795","DOIUrl":"https://doi.org/10.4103/2455-1732.331795","url":null,"abstract":"The outbreak of coronavirus disease 2019 (COVID-19) has specific implications for oral and maxillofacial surgeons due to an accrued risk of exposure to the virus throughout surgical procedures involving the aerodigestive tract. Maxillofacial surgical procedures due to direct contact with oral and nasal mucosa that area unit thought of areas of high risk of infection in virtue of viral charge and great risk of exposure to COVID-19. Maxillofacial surgery represents associate example of a specialty that has had to adapt to the present outbreak, due to the subspecialties of medical specialty and medicine. Considering the numerous sociopolitical things in every country, the oral and maxillofacial surgery model was thought of acceptable to evaluate the safety measures taken by the healthcare establishments.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128618966","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}
N. Jetli, D. Agrawal, A. Kumar, Anupama Singh, A. Gaur, G. Gupta
{"title":"Knowledge and attitude regarding noncommunicable diseases among school-going girls in Ghaziabad: An interventional study","authors":"N. Jetli, D. Agrawal, A. Kumar, Anupama Singh, A. Gaur, G. Gupta","doi":"10.4103/2455-1732.331786","DOIUrl":"https://doi.org/10.4103/2455-1732.331786","url":null,"abstract":"Introduction: Noncommunicable diseases (NCDs) are chronic health conditions that do not spread from person to person. Once considered the epidemic of the affluent, now they are gripping low- and middle-income countries. Disability caused by NCDs has risen from 21% of the total disease burden in 1990 to 34% by 2019. Major causes include poor nutrition, physical inactivity, unregulated usage of tobacco and alcohol, inaccessible healthcare, and unhealthy environment. Therefore, giving the correct information about the long-term effects of adopting unhealthy habits should be emphasized among adolescents. Objectives: The objective is to study the impact of awareness session on knowledge and attitude regarding NCDs among school-going girls in Ghaziabad city. Materials and Methods: A School-based intervention study was conducted in a selected Government School in Ghaziabad city. A predesigned, semi-structured questionnaire was administered to the students to assess their baseline knowledge and attitude. After the awareness session, the same questionnaire was administered again. The data were compiled and analyzed using MS Excel 2016, and appropriate statistical method like McNemar's test was applied. Results: Among the 216 study participants, 75.9% could differentiate between Communicable and NCDs correctly which increased to 89.8% after the session. Regarding the identification of major NCDs pre- and post-session proportions were 59% and 68%, respectively. The attitude of majority of the students (99%) remained positive from the starting. They believed that these diseases are preventable and lifestyle modifications are protective. Conclusion: Considerable improvement was observed in the awareness levels of the school students regarding NCDs after attending the health awareness session. When correct information is imparted, students develop a positive attitude and are encouraged to develop a healthy lifestyle. Hence, it is recommended that regular awareness sessions should be organized in schools to build a healthy nation.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131378463","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":"Tocilizumab for treatment of severe COVID morbidly obese patient with comorbidities","authors":"Ankita Aggarwal, Ishan Yadav, Mahima Lakhanpal","doi":"10.4103/2455-1732.331787","DOIUrl":"https://doi.org/10.4103/2455-1732.331787","url":null,"abstract":"COVID-19, caused by the novel severe acute respiratory coronavirus 2, emerged in Wuhan, China, in 2019 and has resulted in the current pandemic. The disease continues to pose a major therapeutic challenge. Patient mortality is ultimately caused by acute respiratory distress syndrome (ARDS). Because interleukin-6 (IL-6) is known to play a key role in inflammation, IL-6 receptor inhibitors such as tocilizumab may potentially treat COVID-19 by attenuating cytokine release. Tocilizumab is a recombinant humanized monoclonal antibody that serves as an IL-6 receptor inhibitor. Tocilizumab is beneficial for the treatment of inflammatory and autoimmune conditions and rheumatoid arthritis, giant cell arteritis, and systemic juvenile idiopathic arthritis. It is also under used in the treatment of severely ill patients with COVID-19. Patients with moderate-to-severe disease with progressively increasing oxygen requirements, with inadequate response to corticosteroids, and with raised levels of inflammatory markers (MoHFW, June 2020). It is used in dose of 8 mg/kg in 100 ml NS over 60 minutes (maximum dose 800 mg/infusion). It can be repeated once after 12 − 24 hours if needed. Careful monitoring for secondary infection and neutropenia should be done. It is contraindicated in people with HIV, active infections, tuberculosis, active hepatitis, ANC is <2000/mm3 and platelet count <100,000/mm3. We present the first case of our institution in which we administered tocilizumab, a 57-year-old female with moderate-to-severe COVID-19, on the verge of meeting intubation requirements, who needed progressive oxygen support for respiratory distress. The patient was treated with tocilizumab to prevent the cytokine storm. We chose early administration of an IL-6 inhibitor because of the gradually increasing levels of inflammatory markers and her deteriorating respiratory status. The treatment was well-tolerated in conjunction with standard drug therapies for COVID-19 (hydroxychloroquine, tazar, and zinc). The patient subsequently experienced marked improvements in his respiratory symptoms and overall clinical status over the following days. We believe that tocilizumab played a substantial role in her ability to overcome clinical decline, particularly the need for mechanical ventilation. Ultimately, the patient was shifted from the intensive care unit (ICU) and discharged within few days. We highlight the potential of IL-6 inhibitors to prevent the progression of respiratory disease to a point requiring ventilator support. This case underscores the potential importance of early serial measurements of IL-6 and cytokine storm-associated inflammatory markers, such as serum ferritin, D-dimer, and C-reactive protein, in guiding clinical decision-making in the management of patients with suspected COVID-19. The early identification of inflammatory markers should be implemented in the treatment of COVID-19 in order to screen for a primary contributor to mortality − the cytokine st","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116749440","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":"Evaluation of factors determining pulmonary function in paediatric scoliosis","authors":"A. Dwivedi, Ashok Kumar","doi":"10.18231/2455-1732.2018.0008","DOIUrl":"https://doi.org/10.18231/2455-1732.2018.0008","url":null,"abstract":"Scoliosis affects approximately 7 million people in the United States. Infantile scoliosis is a rare entity, amounting for less than 1% of population.\u0000Aims and Objectives: To evaluate the factors determining the pulmonary function tests in cases of idiopathic paediatric scoliosis.\u0000Materials and Methods: The proposed study was conducted in the department of Orthopaedic Surgery, King George’s Medical University Lucknow. The open ended study had been conducted on children having scoliosis in Paediateric age group and attending our outpatient department during August 2011 to July 2012. Detailed history and clinic-radiological examination was done. Total 33 patients were included in the study as per inclusion-exclusion criteria.\u0000Results and Discussion: Clinic-radiological factors have an effect on pulmonary function test in scoliosis patients of paediatric age group. There is significant reduction in FVC and other parameters of PFT in Idiopathic scoliosis patients of paediatric age group.\u0000Conclusion: Cardiopulmonary status of the patient is an important and vital parameter in the follow up of natural history of scoliosis, as it may affect the overall performance of the individual affected by this condition. Preoperative pulmonary function tests are essential to assess surgical risk in a patient with scoliosis because of the possibility of further compromising the pulmonary function. \u0000\u0000Keywords: Idiopathicscoliosis, Pulmonary function test, Paediatric age, Cobb’s angle, Cardiopulmonary Status.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128531819","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":"Evaluation of hypolipidemic effect of flaxseeds in experimentally induced dyslipidemia in albino rats","authors":"N. Bhasin, J. Batra, S. Lata, Kavita Dhar","doi":"10.18231/j.sujhs.2020.012","DOIUrl":"https://doi.org/10.18231/j.sujhs.2020.012","url":null,"abstract":"Introduction: The most important risk factor of IHD is hyperlipidaemia. The dietary manipulation with flaxseed powder has reduced the incidence of CVD by decreasing the lipid profile in human beings. So flaxseed powder has been used in the present study to analyse its hypolipidemic action in experimentally induced hyperlipidaemia in male albino rats. Materials and Methods: This is an animal interventional study. It was conducted in 24 male albino rats divided into 4 groups with 6 animals in each. Gr I (control), GrII to see the per se effect of flaxseed powder, Gr III (standard) kept on High cholesterol diet and Gr IV (test) kept on high cholesterol diet with flaxseed powder. The study was conducted for two weeks. Blood samples for estimation of TC, TGc, LDLc, VLDLc and HDLc were collected at the beginning and at the end of the study period from orbital vein. Results: In the intervention group fed on flaxseed powder and HCD significantly reduced the blood lipids but not in the Gr II fed on flaxseed alone. The HCD fed Standard group developed a highly significant rise in lipid levels of the rats. This has revealed that incorporation of flaxseed in diet may protect against the development of IHD. The hypolipidemic effect of flaxseeds may be due to the presence of rich content of omega 3 fatty acids, ALA, Lignans and antioxidant properties and phytoestrogens. Conclusion: So, we conclude that flaxseed powder administration has highly significantly reduced the blood lipid levels in rats. The addition of flaxseed in diet has a beneficial effect on lipids and protects against cardiovascular disorders due to omega 3 fatty acids, ALA and Lignans.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121272183","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}
M. Tyagi, Sanya Sohal, Swati Singh, S. Mitra, P. Gulati
{"title":"Fine needle aspiration cytology in assessment of lymph node lesions","authors":"M. Tyagi, Sanya Sohal, Swati Singh, S. Mitra, P. Gulati","doi":"10.18231/j.sujhs.2020.005","DOIUrl":"https://doi.org/10.18231/j.sujhs.2020.005","url":null,"abstract":"Introduction: Fine needle aspiration cytology (FNAC) is widely accepted as the accurate, sensitive, specific and cost-effective procedure in the diagnosis of lymphadenopathy. Tubercular lymphadenitis is one of the most common causes of lymphadenopathy in developing countries like India. Materials and Methods: An observational study was carried out at the pathology department of teaching hospital in Delhi NCR from March 2013 to April 2017. A total of 3392 patients presented in the FNAC OPD of the hospital, out of which 1730 had lymphadenopathies. Smears were stained with Giemsa and categorised into the cytological pattern. Zheil Neelson (ZN) stain was done in all clinically suspicious cases to tuberculosis. Data regarding brief history, site, age, sex, the gross appearance of aspirate and cytomorphologic features were collected and analysed. Results: Out of the 1730 cases of consecutive lymph node aspirations, 17 were excluded from the study due to inadequate material, 979 cases (57.15%) showed features of Tubercular Lymphadenitis followed by Reactive Lymphadenitis, 524 cases (30.58%). Out of the 20 cases which showed HIV positivity 18 showed the presentation of tubercular lymphadenitis. TB was prevalent in all age groups, with the majority of cases affecting people more than 50 years of age. Conclusion: FNAC of lymphadenopathy is of particular importance in view of the high prevalence of tuberculosis in our country, atypical presentation of tuberculosis and because AFB are seen mostly in purulent aspirate smears which do not show granulomas, necrosis or epithelioid cells and which in the absence of Ziehl-Neelsen staining can be dismissed as acute suppurative lymphadenitis. FNAC is a simple, reliable, quick and economical diagnostic tool for peripheral lymph node lesions especially in the quick and simple diagnosis of Tubercular Lymphadenitis.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134065989","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}
N. Saini, D. Orthopaedics, R. Ahluwalia, H. Garg, Ankit
{"title":"Diagnosis of obstructive sleep apnoea-A review","authors":"N. Saini, D. Orthopaedics, R. Ahluwalia, H. Garg, Ankit","doi":"10.18231/j.sujhs.2020.003","DOIUrl":"https://doi.org/10.18231/j.sujhs.2020.003","url":null,"abstract":"Obstructive sleep apnoea (OSA) is a breathing disorder that takes place during sleep and it involves a\u0000decreased or complete cessation in airflow despite the effort to breathe. The diagnosis of obstructive sleep\u0000apnoea syndrome (OSAS) requires the combined assessment of clinical features and the assessment of\u0000abnormal breathing during sleep. Current evidence indicates that attempts to base the diagnosis of the\u0000clinical syndrome on either aspect alone are unreliable. In this review article, we will discuss various\u0000modalities to make diagnosis of obstructive sleep apnoea by various ways.\u0000\u0000Keywords: Sleep Apnoea, Diagnosis, Hypopnoea, OSA, OSAS.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131755714","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}
Sanjeev Tomar, Oral, A. Mediratta, Upma Toma, S. Bhandari
{"title":"Chondrosarcoma of the Maxilla: A case report","authors":"Sanjeev Tomar, Oral, A. Mediratta, Upma Toma, S. Bhandari","doi":"10.18231/j.sujhs.2020.016","DOIUrl":"https://doi.org/10.18231/j.sujhs.2020.016","url":null,"abstract":"Chondrosarcoma is a malignant tumour of mesenchymal origin, after osteosarcoma. It is the second most common bone tumour. It is relatively a slow-growing tumour and is mostly detected in the base of the skull and the anterior maxilla. Here, we report a very distinct case of chondrosarcoma in maxillary sinus. A 65- year-old man reported with a tumour on the right maxillary sinus region. CT imaging showed an abnormal mass destructing surrounding tissues. Our case shows that radiography combined with histopathology is necessary to make the final diagnosis. The presented case revealed that chondrosarcoma can be a heterogeneous tumour.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124293250","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}