National Journal of Integrated Research in Medicine

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https://imsear.searo.who.int/handle/123456789/149641

Editors in Chief : Dr.Seema Baxi / Dr. Chinmay Shah,

ISSN: 2230 - 9969 (Print)

Frequency: 4 issues a year

Language: English

Indexed in National Library of Medicine Catalogue

Open Access Peer-reviewed journal

Web site: https://njirm.pbworks.com/w/page/245499/Home /

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Utility Of Homoeopathic Management In Root Canal Treatment With Relation Of Homoeopathic Posology
(Association of Health Professionals and Health Educators, 2024-01) Darji, D; Patel, G.
Background: Root canal treatment saves teeth that would otherwise need to be extracted. It involves removing the damaged or dead nerve tissues and pus in the root canals of teeth that have become infected. The infected or dead tissue is cleaned away and the residual canal space is also cleaned and disinfected, and the root canal is prepared so that it can be sealed with a filling. The tooth can then be restored and can remain in function for many years provided there is sufficient sound tooth structure to support a new filling or crown. Material And Methods: Homoeopathic management in root canal treatment with relation of Homoeopathic posology through case study after defining, analysing then further testing data for accuracy. Selection of medicine was depending on the concept of the individualization. Selection of potency and repetition was based on Homoeopathic posology which describe in Organon of medicine. Result: In study mostly in chronic cases low or medium potency gives good result and In acute cases higher potency with single dose. Conclusion: Our study has concluded that Homoeopathic management has shown utility in root canal treatment.
Impact On The Quality Of Life Among Acne Patients Attending A Tertiary Care Hospital In The Southwestern Part (Saurashtra Region) Of Gujarat
(Association of Health Professionals and Health Educators, 2024-01) Purohit, M; Bhabhor, BB; M, Sumana; Bhuptani, NV.
Background:Acne vulgaris is a common, chronic disorder resulting from the inflammation of pilosebaceous unit, present with clinically various forms. It is usually prevalent in adolescent may persist in adulthood. This study was conducted to evaluate the quality of life (QoL) in patients suffering from the acne vulgaris.Material And Methods:Hospital based cross sectional study was conducted in 100 patients attending outpatient department of dermatology at a tertiary care hospital in south western part (Saurashtra region) of Gujrat. Dermatology life quality index (DLQI) questionnaire was used to observe the effect of acne among patients.ResultAnd Conclusion:Total numbers of patients enrolled were 100(71 females.29 males). Maximum patients were of the age group 21-30 years with the 52(52%) individuals, followed by 25 (25%) in the age group older than 31 years, and 23 (23%) in the age group younger than 20 years. In general, grade 2 acne was the most common kind of acne. The vast majority had a “very large effect’’ on QoL.
Idiopathic Intracranial Hypertension In Background Of Empty Sella Syndrome
(Association of Health Professionals and Health Educators, 2024-01) Vaghela, N; Patel, P; Kamdar, P; Chauhan, S.
Background:Empty sella syndrome is a rare disorder characterized by enlargement or malformation of a structure in the skull known as the sella turcica. Most individuals with empty sella syndrome do not have any associated symptoms, but the finding raises concerns about hormone deficiencies. Empty sella syndrome may occur as a primary disorder (idiopathic) or as a secondary disorder in which it occurs due to an underlying condition or disorder such as a treated pituitary tumor, head trauma, or a condition known as idiopathic intracranial hypertension (also called pseudotumor cerebri) during which elevated intracranial pressure causes empty sella syndrome. Here we present a case of 25 year married female having symptoms and signs of raised ICP and decreased secondary sexual characters with blood investigations showing hypothyroidism. Her MRI Brain showed features of raised intracranial pressure (ICP) suggestive of Idiopathic Intracranial Hypertension with partially empty sella. Patient was diagnosed as Idiopathic Intracranial Hypertension with partial empty Sella with hypothyroidism and hypogonadotrophic normogonadism secondary to raised ICP. Patient was treated with IV Mannitol, thyroxine was started according to weight and other supportive treatment. Patient consciousness improved and got better. Patient was discharged with follow up on oral acetazolamide, thyroxine and hormone replacement therapy.
Biofilm Production And Antifungal Resistance Among Candida Species In Patients With Vulvovaginitis: A Cross Sectional Study
(Association of Health Professionals and Health Educators, 2024-01) Garg, A; Kaur, N.
Background:Vulvovaginal candidiasis (VVC), one of the commonest fungal infections in women of reproductive age group, can become recurrent if not managed appropriately. Recently, production of biofilm, which reduces the susceptibility to anti-fungal agents, has also been implicated in its pathogenesis. Hence, thestudy was planned to determine the prevalence of VVC in cases of vulvovaginitis, identify the pre-dominant candida species,and find out their antifungal susceptibility pattern and to detect biofilm production in the candida isolates. Material And Methods:In this cross-sectional study, all isolates were identified and confirmed by various basic microbiological methods followed by the VITEK-2 system.Biofilm formation was detected by Congo red agar method and Tube method. Descriptive statistical methods were used to evaluate the data collected. Result:Out of total 25 patients, 7 were positive with VVC out of which 2 cases were caused by C.albicans and 5 by Candida Non Albicans (3 by C.glabrata and 2 by C.tropicalis). As compared to NAC, C. albicans is still partially sensitive to fluconazole. Fortunately, both C. albicans and C. tropicalis are still 100% sensitive to voriconazole although resistance has developed partially in C. glabrata. Biofilm production was observed in 3 cases. Conclusion:Majority of cases of VVC were due to NAC predominantly C. glabrata which has grave therapeutic implications as they show decreased susceptibility to all antifungals. Voriconazole is still effective but needs to be used rationally to avoid developing resistance to it also. The evidence of biofilm production could be an important contributor towards increased incidence ofantifungal drug resistance.
A Clinico-Etiopathological Study Of Leg Ulcers At Tertiary Care Center
(Association of Health Professionals and Health Educators, 2024-01) Kyada, N; Modha, J; Patel, B; Bhuptani, N.
Background:A leg ulcer is a disruption in the epithelial integrity of the skin, typically located between the knee and malleoli, characterized by partial or complete loss of the epidermis and dermis, occasionally extending into the subcutaneous adipose tissue. The incidence of leg ulceration is increasing, due to risk factors such as advancing age and increasing prevalence of risk factors like smoking, obesity, hypertension, and diabetes mellitus. Without timely intervention, these ulcers may recur and precipitate severe complications, imposing substantial economic burdens on patients. Material And Methods:In this observational study, 32 patients with leg ulcer attending the dermatology OPD at P.D.U. medical college, Rajkot,Gujarat were enrolled after obtaining their consent. Detailed history of eachpatient was recorded. Routine investigations and biopsy were done to detect associated risk factors and histopathological correlation. Result:Among the 32 patients,21 (65.62%) were male and 11 (34.38%) were female, predominantly in theage group of >50 years , trophic ulcers(31.25%)was predominant followed byby pyoderma gangrenosum (25%), venous ulcers (18.75%), vasculitic ulcers (15.62%), diabetic ulcers (6.25%), and malignancy-related ulcers (3.12%).History of sensoryneuropathy due to leprosy (33.33%), obesity (21.88%), hypertension (18.75%), diabetes (18.75%), and malignancy (3.12%) were the common risk factors in leg ulcer patients. Conclusion:Due to the complex nature of these ulcers, a thorough diagnostic approach and adherence to treatment plans are essential for successful management.
Assessment Of Knowledge, Attitude And Practice Regarding Interocclusal Record Materials And Techniques Among Dental Practitioners With Different Training Levels: A Survey Based Study
(Association of Health Professionals and Health Educators, 2024-01) Shah, R; Mehta, S; Rajput, C; Patel, P; Patel, S; Vania, C.
Objective: This study was designed to evaluate the knowledge, attitude and practice regarding interocclusal record materials and techniques among dental practitioners with different training levels like undergraduate and postgraduate and those undergoing post graduation training. Material And Methods: In this survey based study total 152 dentist participated via Google forms. Survey questions were framed aiming to collect general information and knowledge, attitude and practice towards interocclusal record materials. The results obtained from the survey Google forms were analysed. Result: The results show that majority of the participants in the study were PG students (53.3%) followed by BDS (34.2%) and MDS (12.5%). Most of the participants (94.7%) possessed knowledge about interocclusal record materials and 96.7% participants believed that it is necessary for fabrication of prosthesis. Among all participants 75.7% used interocclusal record materials routinely in their practice and having the knowledge of various materials available in market. Conclusion: Within the limitations of the study, it was concluded that most of the practitioners(94.7%) having knowledge about interocclusal record material but not having a knowledge about recently available material like polyether / polyvinylsiloxane and digital intraoral scanner / T scan. Most of the practitioners used wax in their clinical practice routinely. This survey shows that MDS and PG student have greater overall understanding regarding interocclusal record material than BDS. Hence, providing more extensive training related to this topic during undergraduate curriculum will be beneficial.
The Assessment Of Pharyngeal Airways In Skeletal Class I And Class Ii Malocclusion With Different Growth Patterns In Bhavnagar Population
(Association of Health Professionals and Health Educators, 2024-01) Seth, Prinsi; Gandhi, Pratik; Javapara, Mamatha; Reddy, Mora Sathi Rami; Vaghela, Jishna; Bapure, Sunil
Background:Aim:To evaluate the width of the pharyngeal airways and to ascertain any correlations in skeletal Class I and Class II malocclusion with different growth patterns. Materials and Methods:The sample size 90, divided into 6 groups based on class I and II skeletal relationship with Normal, Horizontal and Vertical growth patterns. Result:Tukey test revealed that the mean upper airway width of hyper divergent group was significantly differentto hypo divergent and norm divergent group (P < 0.05), whereas for lower airway width of hyperdivergent group was significantly lower as compared to hypo divergent group (P < 0.05). Conclusion:Upper airway is influenced by only growth pattern and not malocclusion type. Lower airway is not influenced by growth pattern or malocclusion type.
Descriptive Prospective Epidemiological Study In Thyroid Eye Disease In Tertiary Eye Care Hospital
(Association of Health Professionals and Health Educators, 2024-01) Damor, M; Dangi, R; Kumari, AD; Jain, D; Taviyad, P.
Background:Thyroid eye disease can have a social and psychological well being, epidemiological evidence of thyroid eye disease is lacking in Gujarat.Material And Methods:The epidemiologicalprospective epidemiological study in 32 thyroid patients in Tertiary care hospital from year 2011 to 2013.Result:In our study female are more affected with diplopia and inferior rectus muscle restrictionConclusion:The prevalenceof Thyroid eye disease now a say increasing in state of Gujarat so the robust result of this study add valuable evidence on Thyroid eye disease in City.
Development And Validation Of ‘Awareness About Physiotherapy In Stroke’ (APIS) Scale
(Association of Health Professionals and Health Educators, 2024-01) Ganvir, S; Harischandre, M; Bhagat, P.
Background: Aim: To develop and validate a scale for assessing awareness about role of Physiotherapy in Stroke, among general public. Material And Methods: A 2 step approach with test construction and validation of the scale was adopted. The 32 item scale was developed using the specific literature and validated through expert review. It was administered on 50 voluntary Stroke Survivors, divided in 2 groups receiving general Physiotherapy information and Physiotherapy in Stroke information. The effect of education was measured to determine sensitivity and test retest reliability of the scale. Result: Items of the scale revealed good content coverage, positive expert review ratings, and acceptable item properties. It had good test retest reliability and internal consistency. Construct validity was strong specially after providing exposure of Physiotherapy in Stroke information among the sample participants. Conclusion: APIS is a robust tool with preliminary strong psychometric properties which can be used to measure awareness about Physiotherapy in Stroke among general public which can be used as an outcome measure in observational and experimental studies.
Non-Familial Hereditary Hemorrhagic Telangiectasia In A Middle-Aged South Asian Male- A Case Report
(Association of Health Professionals and Health Educators, 2024-01) Bharadwaj, S; Patel, Y; Shah, A; Patel, Y.
Background:Hereditary Hemorrhagic Telangiectasia (HHT) also known as Osler-Weber-Rendu syndrome is an autosomal dominant disease with a prevalence of 1 in 5000 to 10,000. It is characterized by mucocutaneous and visceral telangiectasias with multiorgan involvement-resulting in anemia causing a continuous blood transfusion requirement.Case Description:A 45-year-old diabetic male with a history of recurrent epistaxis since 6 years of age presented with anemic heart failure. Upper GI endoscopy and contrast-enhanced CT abdomen were suggestive of multiple telangiectasias in the oral cavity, oropharynx, and jejunal angiodysplasias with duodenal erosions. The patient was diagnosed with HHT based on three out of four Curacao criteria-Recurrent spontaneous epistaxis, Telangiectasias, and Visceral lesions. The patient was treated with oral Thalidomide and Packed Red Cell transfusions. Epistaxis was conservatively managed with topical medications while the patient underwent Argon Plasma Coagulation for gastrointestinal bleeding. According to hematological opinion, Bevacizumab therapy was planned but due to non-affordability, the family decided to continue with the existing treatment and the patient succumbed a month later. Early diagnosis with a low threshold of suspicion is important to improve the quality of life and life expectancy for this disease.
The Utility Of Boger Boenninghausen’s Characteristics And Repertory In Cases Of Lower Urinary Tract Infection In Women
(Association of Health Professionals and Health Educators, 2022-12) Oza, N.
Background:Urinary tract infections (UTIs) are one of the most frequent clinical bacterial infections in women,accounting for nearly 25%of all infections. Around 50–60% of women will develop UTIs in their lifetimes. Present study shows the efficacy of BBCR in cases of Lower Urinary tract infection in women. Objective: To ascertain the role of BBCR Management of lower urinary tract infections. Material and Methods: Purposive Sampling for research purpose will be done. Selection ofthe medicine will be according to concept of Method of Repertorisation given by Dr Boger. Selection ofthe potency and repetition was based on the laws of homoeopathic Posology described in Organon of medicine Result: This study showed a significant relief to women suffering from lower urinary tractinfections. Many patients who were facing difficulty or uneasiness in their day-to day schedule couldattend it with best ability. Conclusion: This study has concluded the great utility of BBCR repertory infinding similimum for cases of LUTI in women.
To Study The Relationship Of Classification Of Depressive Disorders With The Hahnemannian Concept Of Mental Illness
(Association of Health Professionals and Health Educators, 2022-12) Joshi, H.
Background: Hahnemann (1996) has classified mental illnesses in a rather different way. Heunderstood the mental illness not very different in kind from the physical illness. He classified theillnesses on the principles of cause and effect and the dynamic shift of the illness from the body tomind or vice versa. Aim & Object: To classify patients suffering form Depressive Disorder as per DSM IVcriteria. To determine the relationship of this classification with that enunciated in the 215,216, 221 and225 aphorisms of Organon of Medicine. To evolve the totality of patients on the basis of the aboveevolved Hahnemannian classification of Depressive Disorders. To project a therapeutic plan based onthe finding in 1, 2 and 3 above. Material And Methods: Detailed interview focusing mainly uponsymptomatology for arriving at acomprehensive clinical diagnosis according to DSM IV. Studying theevolutionary pattern of the selected cases to understand them according to the Hahnemannianclassification. Correlating the therapeutic outcome with the principles used and thus discovering anycorrelation between the two approaches. Result and Conclusion: The conclusions range from theconceptual clarity of the applicability of the two systems of classification together to the specificunderstanding of the requirement of appropriate remedy in the appropriate potency and repetitionbased upon a collective understanding of the predisposing and maintaining causes and thesusceptibility. The importance of understanding of the susceptibility came out as the most importantaspect in the combination of the two systems of classification.
To Study The Role Of Justicia Adhatoda In Management Of Allergic Rhinitis In Children
(Association of Health Professionals and Health Educators, 2022-12) Oza, N.
Background:Allergic rhinitis is the most common chronic disease in children. About onein five children has symptoms by the age of 2 or 3 years. Allergy symptoms can have a profound effect on achild’s health, behavior and ability to learn. Left untreated, allergic rhinitis also can lead to a host of otherserious conditions, including asthma, recurrent middle-ear infections, sinusitis, sleep disorders and chronic cough.This studyisa prospective, clinical,interventional study to e valuate the role of an Indian drug Justicia Adhatoda in management of Allergic Rhinitis among children. Material and Methods: Samples hadbeen selected by simple randomized method from Swami Vivekananda homoeopathic medical college andhospital as well as my private OPD at Vrushti Homoeopathic clinic, jail road, Bhavnagar. The cases werefollowed for a period of 6 months. Result: In this study itis observed that the age group of 7-9 yrs. has found more liable to get allergic rhinitis. Males are more prone to get allergies than females. Among othercausative factors dust is found the most important causative factor. As far as miasms are concerned more cases are found to have all the three miasm.(Psora-Sycotic-syphilis).Conclusion: Justicia Adhatoda,although being a rare remedy has found to improved almost 93% of cases by means of reducing intensity,duration and frequency of cases of allergic rhinitis.
Effectiveness Of Bowel Nosode Dysentery Compound In Cases Of Generalized Anxiety Disorders
(Association of Health Professionals and Health Educators, 2022-12) Oza, N.
Background: This study aim Effectiveness of bowel nosode Dysentery compound in 40 cases ofgeneralized anxiety disorder a minimum of 1year, of all the age groups and both gender were included inthe study. Material and Methods: Purposive sampling for research purpose has been done. Selection of medicine was according to concept of methods of Repertorisation. Selection of potency and Repetition wasbasedon law of study Homoeopathic posology which is described in Organon of Medicine. Result: The shows that mostly adults are more affected and acute cases are more present. As far as potencyis concerned mostly higher potency was used as nosodes are usually given in higher potency. Conclusion: Our study has concluded that the role of bowel nosode Dysentery compound is very efficacious.
To Study The Role Of Zingiber In Management Of Acute Summer Diarrhoea In Children
(Association of Health Professionals and Health Educators, 2022-12) Oza, N.
Background:In summer due to heat there may occur shortage of water so people try to get water from anywhere, even purification system is weak due to water shortage causing chance of water getting infected from various bacilli causing water borne diseases like Diarrhoea, Dysentery, Cholera, Typhoid etc. Some other factors like eating ice-creams, ice-gola, out-side unhygienic food, swimming in unclean swimming pool plays important role in development of acute diarrhoea. This study has been done in order to study role of Zingiber in reducing duration, intensity and frequency of summer diarrhoea. So that morbidity due to summer diarrhoea as well as general condition of the patients can be taken care of effectively, gently in a cost-effective manner. Material and Methods:This study is a prospective, clinical, interventional study .Sample of 30 cases had been selected by simple randomized method from Bhavnagar district from Swami Vivekananda homoeopathic medical college and hospital as well as my private OPD at Vrushti Homoeopathic clinic,Jail Road, Bhavnagar. Result:In this study age group of 0-3 and 3-6 are found more liable to get summer diarrhoea .As far as sex distribution is concern male: female is almost same. Cold food, cold drink, ice gola, out-side food, drinking impure water and swimming are found as major causative factors. As far as miasms are concern more cases (almost 60%) are found to have psora in background.Zingiber was used in various potencies in diarrhoea cases and assessment was done on the basis of improvement in terms of reducing intensity, duration and frequency of cases of acute summer diarrhoea. Purposive Sampling for research purpose has been done. Selection of the medicine is according to totality of symptoms. Selection of the potency and repetition was based on laws of Homeopathic Posology which is described in Organon of medicine. Cases were followed for 6 months. Conclusion:There is a better scope in Homoeopathic for the treatment of summer diarrhoea, since the treatment is based on holistic and individualistic approach. A homoeopathic remedy Zingiber not only annihilates the disease but also prevents the complications associated with it.
A Study Of Efficacy Of Homoeopathic Medicine In Case Of Urticaria
(Association of Health Professionals and Health Educators, 2022-12) Boricha, M; Patel, G.
Background:Urticaria or hives, that occur everywhere on the body. It start with small eruption to large wheals, with acute almost always being an allergic reaction. It is due to unknown reason and always bothers to patients in his/her routine life. Objectives:To study efficacy of Homoeopathic medicine in case of Urticaria.Material And Methods:Study of Urticaria cases with efficacy of Homoeopathic medicines through case study after defining, analyzing then further testing data for accuracy. Selection of medicine was depending on concept of individualization. Selection of potency and repetition was based on Homoeopathic posology which describe in Organon of Medicine.Result:In study mostly adults are more affected and acute cases are more presented. Mostly medium to high potency was used. Conclusion:Our study has concluded that Homoeopathic medicine has shown the efficacy in treatment of Urticaria. Cases were under the supervision of Homoeopathic physician (Dr. Manisha Boricha).
Study Of Pyoderma In Its Acute Dimensions With Respect To Causation, Pathogenesis And Miasmatic Co-Relation In The Paediatric Age Group
(Association of Health Professionals and Health Educators, 2022-12) Joshi, H.
Background:Hahnemann was always at great pains to emphasis the importance of causative factors in the environment-both physical & emotional which could be held responsible for development of illness. According to homoeopathy, mind, body and soul are trinity of life. So along with exciting and maintaining causes, there is need of studying the psycho -somatic correlations. As in many clinical cases, the state of mother during pregnancy leading to skin condition in child is noted. Aim and Objective: To study the various clinical presentations of Pyoderma. To examine time of occurrence & observe whether it is in antecedence with the onset of pyoderma i.e. .to establishes the precipitating factors of pyoderma. To observe the socio-economical scenario of the patient’s life to establish the maintaining causes of pyoderma. To understand the susceptibility and to establish the role of miasms. Material And Methods:Detailed case study to understand patient as a person & the focus will be on the life space of the child, the parents’ mental state before conception, mother’s state during pregnancy, his interactions with people around him both inside & outside family; possible causative events and classifyingthem into precipitating, exciting & maintaining causes.Result:In all the 30 cases no psychological cause has been found. So we can postulate that pyoderma is predominantly a physical disease where the predisposing maintaining and precipitating causes play a vital role.Conclusion:As prescription was based mainly on the symptoms exhibited, recurrence and understanding of susceptibility, the most frequently used potency, were moderate, in frequent repetition (80%).
ISO 15189 Internal Auditor Training- Feedback From Participant To Make It More Effective And Convenient
(Association of Health Professionals and Health Educators, 2022-06) Jethva, D; Papulla, S; Patel, S; Savaliya, N; Karbhari, N.
Background:ISO 15189 will equip traineeswith effective auditing techniques and will increase understandingof audit methodologies. Trying to improve the quality of training that will be given underNABL ISO 15189. Material And Methods:The study was done forimproving the training of internal audit. Participants who have already taken training were asked to fill questionnaire in the google form regarding the cost effectiveness, mode of training, material of reference,No. of days of training, frequency at which training should be conducted and mock audit. For each question we had given certain option which will be chosen by earlier participants. For each question % of the answers are calculated individually to analyses whether the training is up to mark or has to be improved.Result:The results obtained are as follow s, for the cost of training to be 58.1% answered it to be five thousand. For the no of days maximum people gave the answer as 3 days. For mode of training results obtained was 80.23% offline.60.46% of trainees wanted weekdays as the days to be included for training session.60.4% of participants wanted power point presentation as the method for training to be conducted. Once in year was selected by 40.6% of trainees for how frequently the training should be conducted. All the participants have answered for the mock audit to be conducted.Conclusion:Most of them seem satisfactory with the training. Many of them suggested we have small break sessions during training. Live training sessions was also suggested as it could be more interactive.
Analysing The Correlation Of Lipid Profile Pattern In Chronic Rheumatic Heart Disease (RHD) Patients
(Association of Health Professionals and Health Educators, 2022-06) Patel, M; Rana, D; MalhotraS; Patel, T.
Background:The global burden of ARF and RHD is significant, and is predominantly found in populations living in low-resource settings. This study was conducted with a view for analysing the lipid profile variation in patients with chronic Rheumatic Heart Disease (RHD) and correlating the same. The early management of RHD has to be started to prevent further cardiac complications. To date no hypothesis is established on the relation between the Lipid Profile and RHD. This study would be beneficial to Indian cardiologists in defining the optimal treatment by the choice of antibiotic therapy and Lipid lowering agents like Statins.Material And Methods:It was a cross-sectional study carried out on the patients visiting Cardiology Out Patient Department (OPD) at a tertiary care hospital in Ahmedabad and who were diagnosed with Rheumatic Heart Disease (RHD).The blood lipids levels of thepatients were evaluated with current classification schemes and treatment levels for hyperlipidemia based on the National Cholesterol Education Panel’s (NCEP) Adult Treatment Program-3 (ATP-III) guidelines.Result:Total 89 patients were included in the study. 76 patients were associated with dyslipidaemia and 13 patients had normal lipid values. As far as total cholesterol levels were concerned, 23 out of 76 patients (30.26%) had above target levels for total cholesterol. Also 46 patients out of 76(60.52%) had raised triglycerides levels and 47 patients (61.84%) had raised LDL levels. As far as HDL levels were concerned, 38 out of 76 patients (50.00%) had below desirable levels. The frequency of deranged LDL is higher as compared to HDL, triglycerides and total cholesterol levels. If these values are to be co-related to the disease, then LDL as a lipid parameter stands most significant.Conclusion:Morbidity and mortality in RHD is very high in Indian patients and one of the determinants of the cardiovascular morbidity is the increased lipid levels. The frequency of deranged LDL is higher as compared to HDL and total cholesterol levels in these patients. This study was planned to evaluate an entirely novel hypothesis that RHD is an independent risk factor for Atherosclerosis and CAD. The exact reason behind the occurrence is unknown but it can be environmental or genetic. RHD and Dyslipidaemia might engulf younger patients. The study is also aimed at evaluating all lipid parameters with RHD.
Evaluation Of Sealing Ability Of Biodentine, MTA Angelus And Zirconia-Reinforced Glass Ionomer Cement For Repairing Furcation Perforations : An In Vitro Study
(Association of Health Professionals and Health Educators, 2022-06) Sneha; Asrani, H; Rawtiya, M; K, S P; Asrani, K.
Background:Background and objective: One of the unfavourable outcomes of endodontic treatment is furcal perforation. Materials such as MTA-Angelus, Biodentine and Zirconomer have been recommended for the repair of furcal perforations.In this study we compared the sealing ability of MTA-Angelus, Biodentine and Zirconia-reinforced GIC in furcal perforations using dye penetration method. Material And Methods:Access cavities were prepared in extracted mandibular molars (n= 40) using round bur in a high speed hand pieceunder water coolant. Perforations were made in the centre of furcation region using 2mm round bur.The teeth were randomly divided into 4 groups based on the material used to seal the perforation: Group I(n= 12) = MTA –Angelus , Group II (n=12)= Biodentine, Group III(n=12) = Zirconomer , Group IV (n= 4) = left unsealed (negative control group).Leakage at the repaired site was then evaluated using methylene blue dye penetration technique under stereomicroscope and data was statistically analyzed.Result:Minimum dye penetration was observed in biodentine followed by MTA, Zirconomer and control group. The results was not statistically significant (p= .08). Conclusion:According to this study, biodentine showed best of the three materials used for furcation repair.

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