Estimation of Elder Abuse and its Associated factors in a Rural Area of Gujarat:A community based cross sectional study

Introduction: The Indian population experiencing rapid ageing. By 2050, elderly would be 19.5% of the total population. The increasing elderly in society brings with new social problems having tremendous health impact. Elder abuse is a serious but neglected social problem that has adverse consequence on health. Objective: To measure the prevalence of elder abuse and to determine associated factors of elder abuse. Method: A community based cross sectional study was conducted among elderly population aged 60 years and above in the Piparia village of Vadodara district. A sample of 126 study participants were interviewed to collect data on prevalence of abuse and associated factors leading to abuse. Descriptive and inferential statistics were applied to draw conclusion from collected data. Prevalence of elder abuse was foundResults: to be 28.57%. Emotional abuse was the commonest type of abuse reported. Socio economic status, family type, Tobacco use (Smoke and smokeless) were found to be significantly associated with elder abuse. Conclusion: Elder abuse is prevalent in rural Gujarat. Further evidence is needed to assess the magnitude of the problem and the type of intervention necessary to resolve it.

Inr In Pediatric Patients With Acute Dental Infections : A Plot Study.

Patients with congenital or acquired coagulopathies are common in the general population. Dentists should have access to the patients’ appropriate and current laboratory values to prevent bleeding complications during and after invasive dental procedures. A laboratory test called an INR(International Normalized Ratio) measures the time it takes for blood to clot and compares it to an average. Many drugs can change the INR such as aspirin, ibuprofen and Antibiotics the most common drugs used for treating acute dental infections. Aims: To determine whether there is any change in bleeding tendencies of pediatric patients with acute dental infections also to evaluate the utility of testing INR in patients who have to receive invasive dental treatments especially those with acute dental infections. Method: 10 patients, 7 boys and 3 girls, with acute dental infections were randomly selected from the patients arriving at Department of Pedodontics. Blood sample was collected through venepuncture and was immediately sent for prothrombin time tests. Using these values INR was calculated. Results: The mean INR value for the study was 1.194. The Mean INR among boys was 1.164 and Mean INR among girls was 1.29. The Mean Prothrombin Time was 14.39 sec. The Mean Prothrombin time among the boys was found to be 13.98 secs. The Mean Prothrombin time among the girls was found to be 15.33 sec. Conclusion: There was no significant change in INR in patients with acute dental infections.

Single Sitting Interim Fixed Prosthesis Using Natural Teeth Subsequent to Avulsion In 13 Year Old Child.

Facial trauma resulting in tooth avulsion results in problems of physical and emotional nature for the patient, parent and a challenge for the dentist. Avulsion accounts for 0.5–16% of traumatic injuries in the permanent dentition which can occur at any age and is most common in the young permanent dentition and in the maxillary anterior region. Re-implantation of the avulsed tooth is the preferred emergency treatment depending on the extra-alveolar period and the storage medium used. The biggest advantage of immediate re-implantation is the psychological boost to the child of retaining his/her own natural teeth. A case report of 13 year old female patient with a history of trauma to the anterior region of maxilla and avulsion of 3 anterior teeth is discussed. An interim fixed partial denture was delivered using patient’s avulsed natural teeth in a single appointment.

Electrocardiographic changes following exercise in the congenitally deaf school children: relationship with Jervell Lange Neilsen syndrome (the Long QT syndrome).

The present study was conducted to test the effects of exercise stress on the ECG of the congenitally deaf children from school for deaf, in view of the occurrence of the Jervell-Lange Neilsen (Surdo Cardiac) variant of the Long QT Syndrome (LQTS) in them. An ECG Lead II was recorded at rest and after two minutes of static jogging. For comparison, the same protocol was repeated in normal healthy children from another school. ECG were analysed for the calculation of corrected QT interval (QTc) by Bazett's equation QTc = QT/square root of R-R and also for the evidence for other abnormalities. Both in the normal and deaf children, exercise did not produce significant (P > 0.05) change in QTc from their resting values. However, when pre and post exercise QTc values of deaf children were compared with normal children, the female deaf had significantly longer QTc (P < 0.01) both at rest and after exercise than normal female children. Normal children did not show significant ECG abnormality either at rest or on exercise. On the contrary many of their counter part (deaf) exhibited occasional ECG abnormality at rest but plethora of abnormalities after exercise viz., sinus arrhythmias, sinus pauses, ST depression, T-inversion, biphasic-T, notched-T, T-alternans, nodal ectopics and junctional rhythm. These results lend credence to the hypothesis of sympathetic imbalance and repolarisation defects in deaf children's heart, which in more severe form could pass into frank Jervell-Lange Neilsen variant of the Long: QT Syndrome.