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AIM: Assessing the efficacy of drug in controlling pain intensity after surgical removal of impacted mandibular third molar teeth and to compare the effects. MATERIAL AND METHODS: A double-blind, randomized, controlled clinical trial was conducted. 40 patients were randomly selected and divided into two equal groups. Group A received 50 mg of tramadol orally and Group B received 10 mg of ketorolac orally. In both groups dose was repeated for next 24 hrs. Visual analogue scale was used for the collection of pain intensity from the patients. RESULTS: The results revealed, in Group A, the analgesia started within 1 hour and reached the maximum analgesic effect in 4 hours, pain intensity was 1.8 out of 10, on visual analog scale. In Group B, analgesia started within 1hour and showed it's maximum analgesic effect. The pain intensity was 2.5 on visual analog scale. The analgesic effect of 50 mg tramadol lasted up to 6 hours and that of ketorolac lasted for 5 hour. CONCLUSION: The study shows that 50mg tramadol is a suitable and safe analgesic for the relief of post-extraction pain and is more effective than 10mg ketorolac with prolonged analgesia and minimal side effects, we recommend studies with randomized clinical trials with larger sample size are needed it in clinical practice.
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Background: Stress and anxiety being the major contributors of morbidity, leads to many chronic diseases and is known to invariably decrease the quality of life and even life span. Autonomic Nervous System (ANS), a part of the peripheral nervous system that controls the visceral system, functioning largely under the level of consciousness, capable of being influenced by the psychological factors and influences the physiological processes happening in the body. Non-pharmacological therapies play a major role to relieve stress and anxiety of which yoga takes first place compared to pharmacological treatment. Present study adopts a systematic approach in comparing the effects of practicing yoga for one year with novices on autonomic and respiratory variables. Methods: We recruited sixty subjects from the Sri Dharmasthala Manjunatheshwara College of Naturopathy & Yogic Sciences, Ujire and their mean age group is 18.8 ± 2.3 fulfilling the selection criteria, after they gave written consent to participate. They were divided into 2 groups based on their experience of practicing yoga. Each group consisted of 30 subjects. Group 1 includes participants with no experience in yoga (Novices group) and Group 2 (Yoga group) includes individuals with one year experience of practicing yoga. Each group consists of 17 males and 13 females respectively. The study was approved by the ethical review committee. Informed written consent was obtained from all subjects. All students were subjected to Onetime Assessment for autonomic variables and respiration at base line and during deep breathing. Results: In our study we observed that there was a significant decrease in heart rate (P = 0.004***) following intervention in yoga group compared to novice group. There was a significant difference in Respiration rate (P = 0.003***) and Mean RR (P = 0.002***) which indicate increase parasympathetic activity in yoga group compared to novice group. There is also a significant difference in time domain parameter PNN50 (P = 0.030*) which is an indicator of parasympathetic activity. There was no significant difference in other time domain and frequency domain parameter. Conclusion: Practicing yoga regularly for one year can reduce the physiological arousal and develops the ability to adapt to a demanding situation.
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Tuberculosis infection remains an important cause of mortality. The clinical and radiological manifestations can be non-specific and resemble many other conditions, including malignancies. This could lead to diagnostic delay. We report the case of a 48-year-old woman with tuberculosis presenting with a right upper lobe mass manifesting as metastatic lung cancer. She also had liver cirrhosis secondary to chronic hepatitis B infection. She developed hepatitis two weeks into her tuberculosis treatment. Our case highlights the importance of considering tuberculosis in patients suspected to have underlying malignancy and to be aware of the potential adverse effects of treatment.