ABSTRACT
Background: COVID-19 is a global pandemic started from Wuhan China in December 2019 and involved whole world including India. India has reported 3.48 crores cases and 4.81 lakhs death till December 31, 2021. Madhya Pradesh is among the top ten case load states in India affected by COVID. Initially, there was involvement of urban area of large cities followed by small rural area of Madhya Pradesh. Aims and Objectives: The aim of the study was to describe the epidemiological determinants of the COVID-19 in Sironj block of Vidisha district of Madhya Pradesh. Materials and Methods: This was a community-based cross-sectional study which included all laboratory positive COVID-19 cases from first reported case from April 3, 2020 to August 3, 2020 (first wave). The information was collected through predesigned proforma with the help of health workers in health services. MS Excel software used for data analysis. Results: Out of 132 positive cases, the majority of cases were between 15 and 35 years of age group with 2/3 cases of male predominance. More than 58% patients were asymptomatic at the time of diagnosis. There were on average 57.39 cases/Lakh population found during the study period while sample positivity rate was 13.73%. Cases were scattered around 41 major areas of Sironj block. Peak cases were observed around past 2 weeks of July 2020 during first wave of COVID-19. Conclusion: The focus must be placed around the ward/village where the number of active cases of COVID-19 is concentrated. It must be reconsidered on time to time basis.
ABSTRACT
Obstructive sleep apnea (OSA) is one of the most common forms of sleep‑disordered breathing. Various treatment modalities include behavior modification therapy, nasal continuous positive airway pressure (CPAP), oral appliance therapy, and various surgical modalities. Oral appliances are noninvasive and recommended treatment modality for snoring, mild to moderate OSA cases and severe OSA cases when patient is not compliant to CPAP therapy and unwilling for surgery. Acoustic reflection technique (ART) is a relatively new modality for three‑dimensional assessment of airway caliber in various clinical situations. The accuracy and reproducibility of acoustic rhinometry and acoustic pharyngometry assessment are comparable to computerized tomography and magnetic resonance imaging. This case report highlights the therapeutic efficacy of an innovative customized acrylic hybrid mandibular advancement device in the management of polysomnography diagnosed OSA cases, and the treatment results were assessed by ART.