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Background: COVID 19 has brought daily life to a standstill for almost all population across the world. The pandemic is a source of unexpected stress. The pandemic is causing huge pressures on all people. Resilience can help us to get through and overcome stressful hardship. Methodology: The present qualitative descriptive study conducted among caregivers of patients with mental illness at the inpatient and outpatient department of Amrita Institute of Medical Sciences, Kochi. The main objective of the study was to determine the level of stress resilience among caregivers of patients with mental illness. Secondary objectives were to find association of level of stress resilience among caregivers with various mental illness and to find the association of level of stress resilience and selected demographic characteristics. Tools used for data collection are Demographic data collection tool and Connor Davidson Stress Resilience scale. Totally 132 samples were collected using purposive sampling technique. Results: 4.54% of the respondents scores between 26 -50 points (first intermediate resilience), 53.78% of respondents scores between 51 -75 points (second intermediate resilience) and 41.66 % of respondents scores between 76- 100 points (highest resilience). None of the respondents shows lowest resilience (0-25 points). The study results reveal that most of the respondents shows second intermediate resilience towards stress. Conclusion: The study arouses a need for adopting coping strategies to improve the quality of life of caregivers. For improving the resilience, interventions like stress coping skill training or counseling services can be adopted.
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Background: Tobacco can be consumed as cigarettes and also as smokeless tobacco. Smokeless tobacco is a harmful tobacco product that contains over 3,000 chemicals, 7 including 28 known carcinogens (cancer-causing agents). Various forms of smokeless tobacco (mainly snuff and chewing tobacco) cause an immediate increase in heart rate and blood pressure. However, the relationship between smokeless tobacco uses on blood pressure remains unknown, especially in tertiary level hospitals. Our aim is to find out the smokeless tobacco use influence on cardiovascular parameters, for instance, pulse rate and blood pressure. Methods: This cross-sectional study was carried out to assess cardiovascular changes among adult male smokeless tobacco (ST) users. For this purpose, 50 male respondents were selected. The participants were selected from the medicine outpatient department of Great Eastern Medical School and Hospital, Srikakulam, Andhra Pradesh. Pulse rate and blood pressure were measured and ST uses behavior was assessed using self-reports. Statistical analysis was done by SPSS20. Results: In this study, the mean (±SD) of pulse rate was 83.2±12.3 beats/min. The mean (±SD) of systolic blood pressure was 158.72±24.84 mm of Hg and the mean (±SD) of diastolic blood pressure was 98.78±9.87 mm of Hg in smokeless tobacco users. Conclusion: Mean systolic and diastolic blood pressures were higher in smokeless tobacco users in the tertiary level hospital. However, the mean pulse rate was within the normal range.
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Introduction: Vitamin D deficiency is a common disorder in diabetic patients and may be a risk factor for the progression of diabetic nephropathy. The present study aimed to assess the effects of a large dose of parenteral. Vitamin D on 24 hours albuminuria in T2DM patients. Methods: This prospective single-center study included 80 vitamin D deficient [25(OH) D <50 nmol/l] T2DM patients with an adequate glycemic control (HbA1c< 7.0%). Without any changes in anti-hyperglycemic or antihypertensive drugs, these patients were given a single high dose (600000 IU) of parenteral Vitamin D3. Then the changes in Vitamin D levels and 24 hours albuminuria were seen on follow up at 3 months. Results: Vitamin D3 supplementation improved 24 hours albuminuria. In the present study, Twenty-four-hour urinary albumin excretion decreased from 210.4 ± 101.2 to 204.6 ± 104.5. In males, it changed from 221.8 ± 99.7 to 216.1 ± 100.3 and in females, it changed from 192.3 ± 108.5 to 186.7 ± 113.1. There was a negative association of albuminuria with Vit D levels in the present study. Conclusion: Vitamin D3 supplementation significantly reduces 24-hour urinary albumin excretion in T2DM patients with Vitamin D3 deficiency.
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Clinicians may encounter morphological variations in the form of extra roots and extra root canals. Favorable endodontic treatment requires extensive study of the internal anatomy of teeth. The literature reiterates the incidence of more than three canals in mandibular molar. Radix entomolaris (RE) may complicate the root canal treatment of the tooth if left undiagnosed. The middle mesial canal is more common when compared to the middle distal canal. The combination of RE and three distal canals is a rare occurrence. This case report presents a discussion of root canal therapy in a left mandibular first molar with RE and five root canals.