Journal of International Medicine and Dentistry
Permanent URI for this collection
Editor-in-Chief: Dr. Prashanth H. V.
ISSN: 2350-045X
Frequency: Quarterly
Language: English
Open Access Peer-reviewed journal
Web site: https://www.jimd.in/
Browse
Browsing Journal of International Medicine and Dentistry by Title
Now showing 1 - 20 of 46
Results Per Page
Sort Options
Item Advances in phototherapy for psoriasis.(2014-12) Nagaraju, UmashankarUltraviolet light has a wide spectrum of effects on human skin depending on the wavelength. Ultraviolet light often used for therapy of psoriasis comprises of electromagnetic spectrum ranging from 200nm – 400nm. Phototherapy of psoriasis is frequently used in combination regimens to achieve higher clearance rates, longer disease-free intervals, and to reduce the patient`s cumulative radiation dose thereby lowering the carcinogenic risk. Phototherapy may be combined with topical or systemic agents. Topical agents most commonly used are anthralin, tar, vitamin D analogues and tazarotene. Among systemic agents, retinoids are the most widely used. Ultraviolet B wavelengths in the range of 300-313nm is more efficacious than conventional broad-band UV-B [Philips TL 40W/12 lamp] and causes greater remission of psoriatic lesions. 311nm narrow-band UV-B (TL-01) phototherapy is more effective and probably has no greater risk than conventional UV-B (TL-12) phototherapy in the treatment of psoriasis.Item Agenesis of Isthmus of thyroid gland with presence of pyramidal lobe and levator glandulae thyroideae.(2014-12) Kavyashree, A N; Asha, K R; Bindurani, M K; Subhash, Lakshmi PrabhaA wide range of morphological and developmental variations of thyroid gland like hypoplasia, ectopic thyroid tissue, hemiagenesis or agenesis of thyroid gland has been reported. Out of these agenesis of the thyroid isthmus is a very rare congenital anomaly. Thyroid isthmus agenesis does not manifest clinical symptoms, and it can be confused with other thyroid pathologies. Also the presence of levator glandulae thyroideae and its anatomical variations gain importance in the pathologies which are related to thyroid gland and their treatment modalities. We hereby, report the absence of isthmus and presence of levator glandulae thyroideae and pyramidal lobe in a middle aged male cadaver. The present case report is an attempt to highlight the implications of variation of thyroid gland from diagnostic, phylogenetic and functional perspectives.Item Antibiotic Resistance in Non-humans and its Impact on Human Health.(2014-12) Prakash, R; Krishnamurthy, Veena; Allavarapu, A RamyasreeAntimicrobial drugs are magic bullets which are used in humans, animals and plants to treat and prevent bacterial infections. The inevitable side effects of the use of antibiotics are the emergence and dissemination of resistant bacteria. Their level of resistance is considered to be a good indicator for selection pressure by antibiotic use and for resistance problems to be expected in pathogens. At least twelve classes of antimicrobials namely arsenicals, polypeptides, glycolipids, tetracyclines, elfamycins, macrolides, lincosamides, polyethers, beta-lactams, quinoxalines, streptogramins, and sulfonamides have been used in veterinary practice. The effect of this selection pressure has been the appearance of numerous resistant strains of Escherichia coli , Salmonella species , Staphylococcus aureus , Pasteurella hemolytica, Pseudomonas aeruginosa, Klebsiella pneumoniae, Clostridium perfringens and many other bacterial species. Bacteria also acquire genes conferring resistance by a variety of mechanisms including acquisition of extrachromosomal plasmids that replicate apart from the chromosomal DNA. Damage caused by antibiotic resistant bacteria is a kind of pollution. The precise effect of agricultural antibiotic use on resistance levels in the general population is not known, but the evidence points to a link. Considerable attention has been focussed on a very small minority of bacteria that cause disease but a vast sea of commensal and environmental bacteria continuously and promiscuously exchange genes totally unnoticed. Immediate action has to be taken to prevent the antibiotic resistance in bacteria by judicious and rational use of antibiotics, effective hospital infection control programs and research for the development of new antibiotics or by combination therapy.Item Anticandidal effect of extract of Bridelia stipularis.(2015-08) Mallya, P Sachidananda; Prabhu, Sudeendra; Jose, Maji; Mallya, P ShrikaraMedicinal and aromatic plants are gift of nature and are being used against various infections and diseases in the world since ages. Species of the genus Bridelia stipularis var scandens is reported to be used traditionally for treating various oral diseases. However, the antimicrobial effect of these plant materials against oral pathogens is not proved. Therefore, we have done the present study. Aim is to find out the anticandidal effect of water extract of Bridelia stipularis against four common oral candidal pathogens. The leaves after identification and authentication by a botanist were collected, air dried, pulverized to fine powder using household blender. The water extract was prepared using cold percolation method. The standard Candida species, Candida albicans, Candida parapsilosis, Candida glabrata and Candida tropicalis obtained from Post Graduate Institute (PGI), Chandigarh was procured. Antifungal activity was determined by Kirby Bauer well diffusion method and Time kill assay. All four species of Candida showed variable results with diameter of zone of inhibition ranging from 12mm to 21mm on Sabouraud’s dextrose agar with both 6 hour and 24 hour peptone water subculture. Time kill assay showed inconsistent results even after 24 hours of exposure with the crude extract of Bridelia stipularis. All four species of Candida causing oral infections are moderately sensitive to crude water extract of dried leaves of Bridelia stipularis.Item AutoBT: A new Paradigm in Periodontal regeneration(VXL Publishers, 2018-07) Indurkar, Maya S; Awad, Manjiree S; Gajiwala, Astrid Lobo; Samant, Urmila; D'Lima, CynthiaBackground: Autogenous bone is an ideal material for the reconstruction of hard tissue defects, because it promotes osteogenesis, osteo-induction and osteo-conduction. The use of AutoBT, a novel bone grafting material produced from autogenous teeth, resulted in excellent bone healing based on an analysis of its inorganic components, surface structure and histologic evidence of the healing process.Materials & Methods: Ten sites were included using the following inclusion criteria. Inclusion criteria: One or more sites showing intra-bony defect with probing pocket depth (PPD) ≥ 5mm, clinical attachment loss of ≥ 3mm, 2 or 3 wall intra-bony defects with radiographic defect of size ≥ 3 mm & in same patient mobile teeth indicated for extraction. In test group, among 5 sites, regenerative treatment was performed using tooth as autograft along with chorion membrane & in control group, 5 sites were treated with demineralized freeze-dried bone allograft (DFDBA) with chorion membrane. Clinical parameters such PPD, CAL were evaluated at baseline, 3 & 6 months & radiographic parameters at baseline & after 6 months of treatment.Results: The patients treated by tooth as autoBT material with chorion membrane showed non- significant results to DFDBA with chorion membrane in intra-bony defects in all the clinical parameters. So AutoBT can be used as a useful alternative to DFDBA in periodontal regenerative therapy for intra-bony defects.Item Awareness and knowledge of the general public at southern region of Saudi Arabia regarding dental implants(VXL Publishers, 2018-07) Kinani, Hussain M; Hakami, Zahra H; Al-Amri, Ibrahim A; Maree, Salman A; Nahari, Hussain H; Ghaythi, Ibrahim H; Daghriri, Abdulelah AAims: To assess the awareness, knowledge, and information sources regarding dental implants as anoption of treatment to replace missing teeth among patients in Jazan Province, Saudi Arabia.Materials and methods: The current study consisted of 14 questions used to assess the patients’awareness, expectations and level of knowledge of dental implants. Three categories of questionswere used, with the first one related to the patients’ knowledge and options for replacement of missingteeth, the second about dental implants and their providers, and the third on the techniques, materials,care, and durability of dental implants. The collected data was analyzed using Chi-square tests, and Pvalues less than 0.005 were considered significant. Results: A total of 380 subjects were divided intotwo groups, medical (40.3%) or non-medical (59.7%) related. We found that 85% and 71.0% of themedical and non-medical subjects, respectively know the importance of replacement of missing teeth,while 50% had known the different types of dental implants with no significance (P< .001) betweenthe two groups. Dentists were the sources of the information (43.3% and 34.8% for the medical andnon-medical groups respectively). Around 50% of the medical subjects thought that dental implantscame with a screw compared with 36.6% of non-medical subjects with value of P .025. In total, 60%-70% of respondents from both groups answered that dental implants should be provided by specialistsonly. Around 29% of all patients cited “lifetime” as the survival period of implants. Also, 52%-77%of the respondents related the implant site to the “the jaw bone,” with significant difference of P .000.Conclusions: The awareness and knowledge of the subjects were acceptable with higher percentageamong respondents in the medical group. Dentists followed by friends were the main sources ofinformation for dental implants. Dental implants are considered as the best choice for replacement ofmissing teeth with excellent durability and need of much more special care than natural teethItem Chronopharmacology: Tailoring Therapy to Endogenous Rhythms.(2015-04) Satyanarayana, V; Krishnan, PavithraChronopharmacology aims at the use of biological rhythms in the clinical treatment so as to enhance both effectiveness and tolerance and minimize the side effects of a drug by determining the best biological time for its administration. Chronopharmacology is useful to solve problems of drug optimization. In the human organs, the metabolic fate of a pharmacologic agent as well is not constant as a function of time. Thus, the chronobiological approach of drug administration involves a lesser risk of errors than the conventional homeostatic approach. Chronopharmacology is now used as a routine to treat various disorders like hypertension, angina, cancer and various psychotic disorders. The newer drug delivery systems that are designed with the chronopharmacological approach hold great scope for delivering better patient care in terms of efficacy, tolerance and safety parameters of the drug. This review aims at introducing chronopharmacology, the role of the regulatory system of biological clock in pharmacotherapy and the benefits it has conferred in various clinical conditions.Item Clinico-microbiological study of Citrobacter isolates from various clinical specimens and detection of β-lactamase production.(2015-04) Greeshma, Hareendranath; Saldanha, Dominic R M; Vishwas, SaralayaCitrobacter species have been reported to cause a wide spectrum of infections in humans and invasive infections are associated with a high mortality rate, with 33 to 48% of patients succumbing to Citrobacter bacteraemia. The high mortality rate associated with Citrobacter infections may be due in part to ineffective empirical antibiotic therapy. Citrobacter has been found to produce SHV and TEM derived Extended spectrum beta lactamases in addition to chromosomal inducible AmpC beta - lactamases which could be contributing to increasing drug resistance. The aims of the study were to detect the prevalence of Citrobacter infections with its associated risk factors, antibiotic susceptibility patterns and determination of beta-lactamase activity- both extended spectrum beta - lactamase and AmpC beta-lactamase activity among Citrobacter isolates. The isolates were identified by standard microbiological procedures. ESBL detection was by double disc diffusion method and AmpC beta-lactamase detection was done using Cefotaxime and Cefoxitin discs. C. braakii (33.3%) was the commonest genomospecies identified followed by C. freundii (21.3%) and C. amalonaticus (16.66 %) among 150 Citrobacter isolates. Diabetes mellitus was the major risk factor. Imipenem (100%)was most effective whereas 98% showed resistance to Ampicillin; carbapenems and fourth generation Cefipime showed better sensitivity than third generation cephalosporins. The study highlights the need for informed antibiotic treatment guided by routine antimicrobial susceptibility and knowledge of the ESBL status of the isolate, the outcome of which undoubtedly will be better patient care.Item Clinico-microbiological study of infections in the intensive care unit and study of antimicrobial resistance in bacterial isolates.(2014-07) Vijaya, ,; Saldanha, Dominic R M; Shenoy, ShaliniInfectious disease specialists have long recognized that the risk of ICU patients acquiring nosocomial infections is 5-10 times greater than those in general wards. Several factors such as severe underlying disease, multiple illnesses, malnutrition, extremes of age, immunosuppression, use of invasive medical devices, ICU crowding and animate reservoirs increase the risk of acquiring infections in the ICU. Out of 113 isolates obtained in our study, 32.7% were from ventilator-associated pneumonia patients and 17.7% from urinary tract infection patients. The major isolates were Staphylococcus aureus (21.2%) and Klebsiella spp. (20.4%). Methicillin resistant Staphylococcus aureus (MRSA) and ESBL producing Klebsiella and E. coli were the major drug resistant bacteria isolated and associated with significant mortality. Control of these infections poses a major problem in treating the patients because of the rising trend of drug resistance among these bacteria.Item Clinico-microbiological study of neonatal sepsis.(2015-04) Agarwal, Avinika; Bhat, SevithaNeonatal sepsis, a systemic infection manifesting in the first month of life is a leading cause of mortality in the newborn .Blood culture is the main stay in the diagnosis of neonatal sepsis. The present study focuses on the bacterial agents, the antibiogram and the clinical risk factors associated with neonatal sepsis. One hundred and ten neonates with clinical suspicion of neonatal sepsis were included in this study. Bacterial pathogens isolated in positive blood cultures were identified and the antibiotic susceptibility testing was performed. The risk factors were noted from the case records & statistical analysis was done using the Chi square test. Thirty six (32.72%) cultures were positive among 110 suspected cases of neonatal sepsis. 22(61.11%) cases presented with early onset sepsis and 14(38.89%) presented as late onset sepsis. The common bacteria isolated were Klebsiella spp., Escherichia coli & Staphylococcus aureus. Antibiotics effective against gram negative bacilli were cefaperazone/sulbactam and piperacillin/tazobactam. The rate of Methicillin resistant Staphylococcus aureus isolation was 57%. Gram negative bacilli predominate as agents of neonatal sepsis & antibiotic resistance among bacteria is on rise. Thus there is a need for continuous screening and surveillance for antibiotic resistance in NICU.Item Comparison of Bone grafts for Alveolar ridge dimensional preservation(VXL Publishers, 2018-01) Papeckys, Valdas; Rusilas, Henrikas; Pranskunas, MindaugasIntroduction: The aim of this study was to assess the prevalence of suicidal ideation, suicidal attempts, andloneliness among dental and medical students in the western region of Saudi Arabia. Materials and Methods:This cross-sectional study investigated 607 dental and medical students and interns in private colleges in SaudiArabia. A self-administrated questionnaire was based on the Revised UCLA Loneliness Scale. Suicidal ideationand attempts were measured by a questionnaire adopted from previous research. The data was collected at theend of the year at examination time. Results: The loneliness mean was M= 45.14 (SD 8.66). Among theparticipants, 37.7% had experienced suicidal ideation throughout their lives, 33.4% had experienced suicidalideation during the previous 12 months, and 23.2% had attempted suicide. Loneliness was significantly relatedwith suicidal ideation during the previous 12 months (p <0.001) and with suicidal attempts (p = 0.005). Theresults showed that the following subgroups had higher risk for suicidal ideation and suicidal attempts: female,low family income, married, and dental students. Conclusion: The high levels of suicidal ideation and attemptsamong dental and medical students in the western region of Saudi Arabia call for the implementation ofprofessional counselling and health promotion programs.Item Determinants of feto-placental ratio.(2015-08) Balihallimath, Rupa L; Bhusaraddi, P S; Singh, Ishwar; Tyagi, NareshkumarThe dimension of delivered placentae mirrors the cumulative growth of the placenta from conception to parturition. Placental weight is the gross summary of fetal growth under the influence of many extrinsic and intrinsic factors. Hence, the present study evaluated the influence of gestation, sex of the newborn, and parity on feto-placental ratio. The study was conducted on 391 placentae of singleton newborn from a teaching hospital of North Karnataka, India. Data was collected from August 2012 to January 2013 by using standard operating procedures. The Mean and standard deviations of placental morphometry, weight and birth weight are 440 ± 100gm and 2700±500 gm respectively. In gestational age 28 to 32 weeks, the feto-placental ratio was 5.61:1; this increased consistently up to 6.19:1 with increasing gestation group 37 weeks and above. Feto-placental ratio increased with increasing groups of gestational age. Feto-placental ratio in <37 weeks of gestation was in favor of primipara (6.0:1) whereas, the similar figures in term babies was more in multipara (6.3:1). The paritywise feto-placental ratio direction changed from preterm to term babies, but the differences were not statistically significant. However, irrespective of gestation, multipara had higher feto-placental ratio (6.2:1) as compared to primipara (6.1:1). However, irrespective of gestation, males had higher feto-placental ratio (6.2:1) as compared to females (6.1:1). Feto-placental ratio is influenced by variates of pregnancy like gestation, sex of the newborn and parity. Hence, variations in any of these factors lead to adverse pregnancy outcome by deviation of feto-placental ratio.Item Ebola virus disease: Getting to know a new emerging foe.(2014-12) Baliga, Shrikala; Shalini, M; Mithra, P Prasanna; Unnikrishnan, B; Rekha, TViral hemorrhagic fevers have been at the top of the severity scale in terms of morbidity and mortality among human beings. Many of the viruses have their reservoirs in animal kingdom and from time to time they get introduced to humans and cause sporadic outbreaks and epidemics. Thousands of people from the Western African region have already succumbed to the complications due to Ebola virus infection.The South East Asian region including India has been affected by several outbreaks of communicable diseases like SARS, bird flu, swine flu etc. The current outbreak has been a global concern due to its spread beyond the African continent. WHO has declared EVD as an international health emergency and worldwide efforts have been enhanced to escalate research to find a vaccine or cure for the disease.
Item Effectiveness of planned teaching programme on preeclampsia for primigravida women in a selected community at Mangalore.(2015-04) D’Souza, Lolita S MA study to assess the effectiveness of planned teaching programme on pre-eclampsia for primigravida women in a selected commmunity at Mangalore was undertaken with 30 samples. The research approach was pre-experimental approach with one group pre-test post-test design. Purposive sampling technique was used to select the samples. The study findings revealed that in the pre-test knowledge assessment the mean percentage of response was (32.23%) and in the post-test the mean percentage was (84.9%). Furthur effectivess of planned teaching programme was tested by inferential statistics using paired “t” test. A very significant (P< 0.001) difference was found between pre-test and post-test knowledge scores of the respondents indicating an increase in knowledge after planned teaching programme. Thus, planned teaching programme was found to be effective in improving the knowledge of primigravida women regarding pre-eclampsia.Item An Epidemiological study on Snakebite in Karwar.(2014-12) Adiga, Usha; Adiga, SachidanandaAccording to the World Health Organization, snakebites cause more death and disability and are more notorious than some tropical diseases. Snakebite is a leading medical emergency in Asia/Pacific. It is one of the major causes of mortality in India. The objective of the study was to gather epidemiological information on snakebite that will help to guide/design a snakebite prevention and treatment intervention in Karwar. A retrospective study was conducted, in which we have collected data of snakebite cases admitted to the district hospital from October 2010 to October 2014. Epidemiological and demographic profiles of three hundred victims were noted. Data was analyzed by using descriptive statistics. Three hundred snakebite cases were admitted to district hospital, Karwar over the period of four years. Incidence was highest in post monsoon (n=97). Victims affected were mainly in third decade. Male preponderance was clearly seen. Farmers or people involved in farming related activities accounted for more than half of the victims (n=196). Eighty seven percent (87%) (n=261) occurred on the lower limb. Snake bite is an important neglected health problem in Karwar and surrounding rural areas . Using this study as a guiding tool, awareness and education programs on prevention of snakebite can be planned. It is important to educate people regarding first aid treatment, dos and don’ts in case of snakebite. Medical personnel should be trained; facility should be improved in Karwar district hospital so as to manage even complicated cases.Item Evaluation of undergraduate dental students in typodont preparation for all-ceramic crowns(VXL Publishers, 2018-07) Mobarki, Yahya M; Bajawi, Abdulrahman M; Arwa O Hakami; Abdulrahman A Mobaraky Omar A Darraj; Halawi, Sultan M; Mubaraki, Manal GBackground: All-ceramic crown (ACC) preparations are widely used in day-to-day dentalclinical practice. Objectives: This study aimed to evaluate all-ceramic crown preparationsperformed by pre-clinical dental students at the College of Dentistry, Jazan University inSaudi Arabia and to compare the quality of the preparations between male and female groups.Materials and Methods: A total of 95 ivory teeth were prepared by fourth-year dentalstudents (44 males, 51 females). The students prepared a maxillary right central incisor forACC after mounting in the Frasaco typodont arches. Two silicone putty indexes for maxillaryanterior were obtained that extended to cover one or two teeth on either side. The facial indexwas used to provide information about the facial reduction mesio-distally. Another index wasprepared by cutting the silicone in half along the faciolingual midline of the prepared tooth,providing us with incisal, buccal, palatal, and axial reductions, in addition to biplanereduction. The data were encoded into a Statistical Package for Social Sciences program andanalyzed accordingly using Chi-square test. Results: The preparations of ACC for maxillaryanterior teeth were acceptable, ranging within 60%-85% in all criteria, which includedstructural durability, retention, and resistance. The male group was more excellent in incisalreduction (41.0%), whereas the female group was more excellent in axial taper preparations(59.1%), resulting in significant differences between genders in this preparation criteria. Allgender groups showed acceptable tooth preparations in shoulder reductions and location offinish lines, ranging within 57%-89%. Conclusion: The preparations for ACC achieved bythese dental students were considered clinically acceptable. The students clearly understoodthe principles of crown preparation. However, they still require more practice in order tomaster the art of crown preparation.Item From the Chief Editor’s Desk.(2014-07) Journal of International Medicine and DentistryItem Heterodera: a spurious passenger or an irritator.(2014-12) Prakash, R; Maulingkar, Saleel; Raghunatha, SItem Hospital based study of malarial species in a tertiary health care center, Hassan, Karnataka.(2015-08) Venkatesha, D T; Gayathree, LItem Impact of Health insurance.(2015-04) Manjunath, G NThe cost of medical care is skyrocketing daily which is unaffordable for the common man.The number of corporate hospitals in the country is increasing; small hospitals and nursing homes which were catering to the middle class people are almost on the verge of vanishing. There is also mushrooming and competition seen among health insurance providers. The common man without insurance coverage finds it very difficult to afford the high cost of healthcare.The doctor’s approach towards the insured patient changes automatically and he quickly responds in a different way.Millions of people fearing such a type of approach by the doctors and the heavy bills of hospitals have ended up taking the insurance coverage. Rising above commercial considerations, doctors should be more cautious and judicious in managing patients irrespective of their insurance coverage. Awareness must be created among the general public about aggressive management.
- «
- 1 (current)
- 2
- 3
- »