Dentistry and Medical Research最新文献

{"title":"A comparative study of upper limb and lower limb blood pressure measured by auscultatory and oscillometric method with intra-arterial blood pressure in hemodynamically unstable patients","authors":"S. Mathew, M. Archana, R. Sharma","doi":"10.4103/dmr.dmr_7_23","DOIUrl":"https://doi.org/10.4103/dmr.dmr_7_23","url":null,"abstract":"Introduction: Blood pressure (BP) measurement frequently guides management in critical care. Direct readings from a major artery is considered the gold standard. However, intra-arterial cannulation is associated with many risks. Hence, alternative noninvasive BP (NIBP) measurements are used for prolonged monitoring of BP among critically ill patients. Discrepancies between intra-arterial BP (IABP) and NIBP measurement can adversely affect therapeutic decisions and may have a negative impact of outcomes. Objectives: To compare upper limb and lower limb BP measured by auscultatory and oscillometric methods with IABP (by arterial cannulation) in hemodynamically unstable patients. Materials and Methods: Patients in the medical intensive care unit of Pushpagiri Institute of Medical Science and Research Centre were included over 24 months (50 patients admitted) in the clinical cross-sectional study. All patients who had a systolic BP (SBP) below 100 mmHg with an intra-arterial line were included under the study after obtaining an informed consent from the patient/patient's bystander. The study design was approved by the Ethics Committee at Pushpagiri Institute of Medical Science and Research Centre. Choice of cuff size was made based on the limb circumference (midarm and midcalf) and manufacturer guidelines. BP was measured in arm using a welch allyn aneroid manometer. Oscillometric NIBP was relied on an MP20 model (Philips Medical Systems) connected to the nondisposable, reusable cuff. The intra-arterial catheter was connected through a pressure transducer to the monitor (Philips). With the patient supine, the pressure transducer was zeroed at the level of the mid-axillary line and the correct shape of the arterial pressure waveform was ascertained. Measurements: BP was measured at 0 h, 3 h and once the patient becomes hemodynamically stable using auscultatory, oscillometric, and IABP at arm and calf, respectively. Quantitative variables were expressed as mean standard deviation, whereas categorical variables were expressed as frequency (%). Karl Pearson's Correlation Coefficient was used to find our relationship of BP measured by two different methods with BP measured using arterial cannulation. P < 0.05 was considered the threshold for statistical significance. Statistical analyses was performed using a Statistical Software Package SPSS version 20. Results: Out of 50 patients admitted in a hemodynamically unstable state, 68% were male and 32% were female. Male-to-female ratio was 2.125. The mean age of patients was 65.9 ± 12.2. Majority of the patients belonged to the age group 61–70 years (30%) and the least number of patients in age group <50 years (8%). Arm SBP and diastolic BP (DBP) measured by auscultatory and oscillometric method at the arm showed a positive correlation to intra-arterial SBP (IASBP) and intra-arterial DBP (IADBP) at 0 h, 3 h and once stable, which were statistically significant. Similarly, Arm SBP and DBP measured by auscultat","PeriodicalId":413497,"journal":{"name":"Dentistry and Medical Research","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116961896","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":"Dermoid cyst in the floor of the mouth extending to the submental region: A case report and a review","authors":"M. Bala, R. Braimah, A. Bello, Abdurrazaq Taiwo, U. Mohammed","doi":"10.4103/dmr.dmr_6_23","DOIUrl":"https://doi.org/10.4103/dmr.dmr_6_23","url":null,"abstract":"Dermoid cysts in the floor of the mouth or submental region are developmental cysts that occur due to the entrapment of the ectoderm between the second and third branchial arch during embryogenesis around 3rd–5th week of intrauterine life. This report aimed to report the case of a 21-year-old Nigerian woman who presented with a chief complaint of swelling in the floor of the mouth extending to the submental region. There was associated recent history of pain and difficulty in chewing, speaking, and breathing. Clinical, ultrasonography, and histological evaluations were done to establish a diagnosis of an infected dermoid cyst. The infection was treated with antibiotics, after which surgical excision was done under general anesthesia through nasotracheal intubation. The patient was followed up after the surgery and no complication was recorded.","PeriodicalId":413497,"journal":{"name":"Dentistry and Medical Research","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129874322","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":"Recent advances of stem cells in dentistry","authors":"Janardhanam Dineshshankar, Geetha Yokataa, T. Yoithapprabhunath, N. Ganapathy, Periyasamy Tamilthangam, Manikandan Saranya","doi":"10.4103/dmr.dmr_46_22","DOIUrl":"https://doi.org/10.4103/dmr.dmr_46_22","url":null,"abstract":"Stem cells (SCs) have an ultimate potential of regenerating tissues and organs due to their salient properties. In the contemporary years, emergence of novel tissue bioengineering therapies and gene editing technologies has been a breakthrough in the field of SC research. A combination of these paradigm-shifting technologies with dental SCs definitely has brighter prospects in the upcoming decades. The goal of the current study of literature is to highlight the latest technologies and regenerative applications of SCs in the field of dentistry.","PeriodicalId":413497,"journal":{"name":"Dentistry and Medical Research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128638554","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":"The perceptions of II MBBS students toward flipped classroom as an active method of learning","authors":"Tejeswini Vaddatti, B. Chaitra, I. Renuka, Ramya Potti","doi":"10.4103/dmr.dmr_5_23","DOIUrl":"https://doi.org/10.4103/dmr.dmr_5_23","url":null,"abstract":"Introduction: With the advent of competency-based medical education, self-directed learning and student-centric approach have been emphasized. The flipped classroom (FC) is a learning design which encourages active involvement of students. Hence, this study was conducted to assess the effectiveness and perceptions of FC among II MBBS students. Materials and Methods: This was an interventional study done on II MBBS students. The study material on a topic was provided to all participants 1 week before interaction and assessment sessions. The perception of students was assessed by a standard validated questionnaire with Likert scale and open-ended questions. The knowledge gained was assessed by a total of 10 multiple-choice questions, 5 each from topics covered by FC and traditional method and scores analyses by unpaired t -test among high and low achievers and between two methods. Results: A total of 103 students were included in the study. In this study majority of students felt that flipped classroom was more engaging, motivating and increased communication. This method was also flexible they could go through the course according to their own pace and helped in improving learning. The overall rating of FC was 60.83%. The mean scores in topics delivered by FC (2.05 ± 1.17) were higher than that of traditional didactic lecture (1.46 ± 1.02) and P = 0.0001 was statistically significant and also among high achievers (P = 0.0001). Conclusions: This study concludes that majority of students perceived FC as an effective strategy for learning and test scores of students were higher with FC than with traditional lecture and also in high achievers compared to low achievers.","PeriodicalId":413497,"journal":{"name":"Dentistry and Medical Research","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123004174","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":"Assessment of quality of life for oral cancer patients receiving chemotherapy treatment at a government tertiary care center","authors":"Kopal Sharma, Kanu Neemawat, Amit Sharma","doi":"10.4103/dmr.dmr_42_22","DOIUrl":"https://doi.org/10.4103/dmr.dmr_42_22","url":null,"abstract":"Objectives: Quality of life (QOL) is a valuable prognostic indicator of survival in cancer patients. It further aids the health-care professionals to cater to patient needs. This study aimed to estimate longitudinally the changes in the QOL of oral cancer patients in early and late stages and receiving chemotherapy treatment. Materials and Methods: This was a prospective observational study conducted with 400 oral cancer patients receiving chemotherapy treatment at a government tertiary care cancer hospital in Jaipur city. QOL for each patient was measured before treatment, after 6 months, and 1 year posttreatment using the instrument Functional Assessment of Cancer Therapy-Head and Neck version 4. Statistical analysis was conducted with IBM Statistical Package for the Social Sciences for Windows version 17.0 software (IBM Corp., Armonk, NY, USA). For all the analyses, P < 0.05 was considered statistically significant. Results: A statistically significant difference in the mean score for physical (P < 0.0001), social (P < 0.0001), and functional (P = 0.001) well-being was recorded for early- and late-stage cancer patients at baseline. Only emotional (0.03) and social (0.04) well-being showed a significant improvement for late-stage cancer patients in contrast to early-stage patients where all QOL subscores improved longitudinally. Conclusion: Early-stage disease is associated with better QOL. Chemotherapy treatment could improve only emotional and social well-being parameters in late-stage disease patients. QOL studies can be fruitful clinical endpoint and should be inculcated in the framework of various tertiary care centers.","PeriodicalId":413497,"journal":{"name":"Dentistry and Medical Research","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131586395","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":"Impact of social media on the knowledge regarding oral health practices and COVID-19 preventive measures among children","authors":"U. Vudata, Narsimha V Vanga, Jayalakshmi Pandranki","doi":"10.4103/dmr.dmr_39_22","DOIUrl":"https://doi.org/10.4103/dmr.dmr_39_22","url":null,"abstract":"Background: There has been a concerning escalation in oral health problems worldwide. More than half of Indian children are affected by dental diseases. Although several oral health education programs are being implemented at national and regional levels, the goal of optimal oral health seems elusive. During the recent COVID-19 outbreak and the ensuing global lockdown, social media played a key role in disseminating crucial information about the novel coronavirus, leading to appropriate protocols being followed by a vast majority of the population, resulting in the containment of the pandemic. Aim: The aim of this study was to evaluate knowledge among children about oral hygiene practices and compare them with knowledge regarding COVID-19 preventive measures in view of the role played by social media. Subjects and Methods: An online questionnaire survey was conducted among children aged 10–15 years. Results: A total of 177 children responded to the questionnaire. The results showed that all the participants (100%) followed the correct method of wearing a mask during the COVID-19 pandemic, as advised by social media. More than half of the children (61%) had knowledge about the handwash protocol. Contrarily, only 33% of children brushed their teeth twice a day, 51% of children brushed for 2–3 min, 68% of children had a snacking habit, and only 7.3% of children were aware of the process to be followed in the event of tooth avulsion due to dentofacial trauma. Conclusion: Children are sensitized to information regarding COVID-19 safety measures and therefore followed them better than oral hygiene practices.","PeriodicalId":413497,"journal":{"name":"Dentistry and Medical Research","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132204837","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":"Gender determination in deciduous pulp tissue using Barr bodies by comparing Feulgen stain, acridine orange, and Papanicolaou stain","authors":"Y. Ragunathan, Aarthi Arumugam, Ganapathy Nalliappan, Dineshshankar Janardhanam, Illayaraja Vadivel, T. Maheswaran","doi":"10.4103/dmr.dmr_48_22","DOIUrl":"https://doi.org/10.4103/dmr.dmr_48_22","url":null,"abstract":"Background: Age, sex, stature, and ethnic background are considered a main attributes of biological identity of the individual, which are also called the “Big Four” in forensic. Human identification is of chief importance, in both legal and humanitarian purpose. Teeth can remain virtually unaffected and survive long after other soft tissue and skeletal tissues were destroyed. Hence, its implication in personal identification was gained popularity and high accuracy. Aim and Objective: The aim and objective of the study were to determine the reliability of gender determination from deciduous dental pulp tissue by comparing Feulgen stain, acridine orange, and Papanicolaou stain. Materials and Methods: This study was carried out on 25 samples, out of which 14 female teeth and 11 male teeth. The pulp was collected from the teeth undergoing pulpectomy. Then, the pulp tissue was transferred to the centrifuge tube containing Carnoy's fixative. After centrifugation, the cells were collected and stained using Feulgen stain, acridine orange, and Papanicolaou stain. Results: The reliability of gender determination is significant, with the female shows 100% positive results and the male shows negative. The Papanicolaou stain shows better nuclear morphology while comparing with Feulgen and acridine orange. Conclusion: Hence, gender determination can be identified using deciduous dental pulp.","PeriodicalId":413497,"journal":{"name":"Dentistry and Medical Research","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127893866","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":"Predatory journals – Putting your hard works in garbage","authors":"F. Pullishery","doi":"10.4103/dmr.dmr_36_22","DOIUrl":"https://doi.org/10.4103/dmr.dmr_36_22","url":null,"abstract":"","PeriodicalId":413497,"journal":{"name":"Dentistry and Medical Research","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121949732","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":"Oral health status of middle school students in Jeddah: A learning experience outside the classroom","authors":"M. Abdelrasoul, Ahmed Hassan, F. Pullishery","doi":"10.4103/dmr.dmr_8_22","DOIUrl":"https://doi.org/10.4103/dmr.dmr_8_22","url":null,"abstract":"Objective: Outreach activities are one of the essential components of dental education that would help the students understand the community's oral health needs. The study aimed to engage dental undergraduate students in measuring their oral health status using four dental indices among middle school students. Subjects and Methods: The study was conducted as a part of an oral health education program in two public schools in Jeddah. Consent was obtained from both school students and parents. Two calibrated examiners measured the dental status using Ramfjord's calculus index, decayed, missing, and filled teeth (DMFT) index, simplified debris index, and modified gingival index. An independent statistician did data analysis using SPSS ver 23. Results: Male students showed statistically significant higher scores for debris index, calculus index, and gingival index compared to female students (P < 0.001). The mean D and M component DMFT indices were significantly higher in female students (P < 0.001). Conclusions: The variations in oral health status between students can be attributed to differences in oral hygiene practices and other sociodemographic factors, including ethnicity and socioeconomic status. This study showed a positive learning experience for dental students in assessing the oral health status of schoolchildren.","PeriodicalId":413497,"journal":{"name":"Dentistry and Medical Research","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121141757","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":"Maintaining guard: A mixed method study on adherence to preventive behavior in the wake of COVID vaccination from Kerala","authors":"Serena Alphi, P. Anjali, S. Sebastian","doi":"10.4103/dmr.dmr_32_22","DOIUrl":"https://doi.org/10.4103/dmr.dmr_32_22","url":null,"abstract":"Background: Since the introduction of COVID vaccine, there has been a palpable decline in the disease morbidity and mortality. In addition to the vaccine, adherence to preventive measures is of prime importance when it comes to the prevention of disease spread. The available evidence reiterates the need to maintain the preventive precautions until the attainment of the target vaccination coverage. There exists a gap regarding the data on adherence to self-care practices after the introduction of the vaccine in the community. Objectives: To assess the adherence to preventive behaviors against COVID-19 among vaccinated adults in central Kerala. Materials and Methods: This cross-sectional study was conducted among adults aged between 25 and 65 years in Pathanamthitta District, Central Kerala. Variables were expressed using the percentages and proportions. The Chi-square test was used for the comparison of proportions across groups. Logistic regression analyses were used to find out the determinants of nonadherence. The qualitative data collected were analyzed using the thematic analysis and classified into themes and subthemes. Results: The study showed that 134 out of 235 (57%) were adherent to COVID preventive behavior. Education of the study participants was found to be significantly associated with nonadherent behavior. The study reconnoitered a gap in practicing the preventive measures for COVID-19. Conclusion: Continuing adherence to preventive measures is necessary to combat the COVID-19 pandemic till or beyond the desired level of vaccination coverage is attained.","PeriodicalId":413497,"journal":{"name":"Dentistry and Medical Research","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124580479","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}