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Background: The increasing burden of Non communicable diseases calls for added role on the part of health professionals. The female Health workers being the closest to population play an important role in alleviating the problem to great extent. Objective of this study was to assess the Knowledge, and skills of female health workers (FHWs) regarding selected non communicable diseases risk reduction and the client satisfaction with NCD skill services performed by FHWs.Methods: This study was undertaken at selected health centres of Jodhpur. FHWs working at these centres and women receiving health services from FHWs were recruited for the study. Data were collected using predesigned NCD knowledge questionnaire, skill checklist and client satisfaction scale. Method of data collection were paper pencil questionnaire, observation and interview. Descriptive and inferential statistics were calculated to summarize demographics and key variables.Results: Nearly 24% and 35% of FHWs had average knowledge regarding HTN/ diabetes, breast and cervical cancer respectively. 47% of subjects had good level of knowledge regarding mental health. Most of FHWs (77%) had adequate BP measurement and RBS testing skills. Majority had inadequate breast examination and waist circumference measurement skills. Level of knowledge related to hypertension and diabetes were found to be significantly associated with NCD training of health workers in past (p level=0.03). Nearly 67% of the women were satisfied with the NCD health services provided by FHWs.Conclusions: Overall FHWs had average level of awareness regarding different NCDs’ prevention and control. Routine skills pertaining to NCDs screening methods such as BP and blood glucose measurement were adequate among FHWs. Overall women were satisfied with the NCD related health services provided by FHWs. Being an important concern there is need to plan refresher training programs for these health workers so that their services can be effectively utilized for prevention and control of NCDs.
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Background: Tobacco comprises of one of the most common addiction in the society. All the forms of the tobacco are harmful, causing alterations in the cellular parameters of the oral mucosal cells. A number of techniques and methods are available along with chair side examination for supplementing the diagnosis of tobacco induced premalignant lesions. Exfoliative cytology is one such technique, which is non-invasive and can be used for mass screening. Therefore, we evaluated the cytological and cytomorphometric changes in the oral squames using brush biopsy from buccal mucosa of tobacco users. Methods: A total of 300 patients with age group of 25 to 60 years were included in the study. Detailed history of the patients were taken to known the method (smoking, smokeless or both) and frequency of tobacco intake. Scrapings from the buccal mucosal scrape were obtained, smeared on slides and were subsequently stained with Hematoxylin and Eosin staining. Observation and analyses of the smears was done under microscope followed by analysis in the computer using software Dewinter Biowizard version 3.0. various cellular parameters were assessed and compared in between different groups. Patients were divided into two major groups- Habituers and Nonhabituers. The habituers were again divided into: Tobacco smokers, Tobacco chewers and patients having combined habit. Independent-Samples T Test and One-Way ANOVA were used to assess the level of significance. Results: Significant results were obtained while comparing nuclear parameter, cellular area, cellular perimeter, cell contour and nucleo-cytoplasmic ratio in between lesional group and tobacco smoking group. While comparing between tobacco smoking group and Non habituers group, significant results were obtained in all the parameters except for cell contour and N/C ratio. Significant results were obtained while comparing between lesions and combined habit groups. While comparing between habituers and non- habituers group, except for cell contour significant results were obtained in all other cellular parameters. Conclusion: Early changes detection in clinically normal oral mucosa of tobacco users is possible by using non-invasive, painless procedures like oral brush biopsy and cytomorphometry. Further studies recommended.
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Auxiliary Nurse Midwives (ANMs) are the back bone of primary health care services in India. The horizontal integration of various national health programmes has increased their responsibility and workload. So a need was felt to conduct a study to assess the workload and performance of ANMs. The objective of the study was to explore the workload and performance of ANMs in selected health care settings in North India. An exploratory cross-sectional study was conducted in two selected health care settings of North India. The study was conducted on all the 7 ANMs working in the selected health care settings. Data was collected by observing the activities of ANMs using time activity record sheet. The nursing care procedures performed were observed and scored by using performance check list. T-test was used to compare actual time against standard time for performing procedures. ANMs spent 2/3rd of their time in indirect care activities. Direct care and personal activities accounted for 19 % of their time. Their performance was rated as good. Majority of the time spent by ANMs was utilized in performing indirect care activities. This study recommends that more time is needed to be devoted to direct care by ANMs.
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Coccinia indica an annual creeper is available all over India and well known for its antidiabetic property. In the present investigation, aqueous extract, and ethanolic extract of the fruits were made using hot extraction procedure using soxhlet apparatus, decoction and maceration. The qualitative phyto-chemical screening procedure was performed on each extract. Phyto-chemical study reveals that carbohydrates, tannins, phenols, alkaloids, saponins was present in both the extracts. An attempt has been made to highlight this folk herbal medicine through present study which will assist in the identification of fresh as well as dried crude samples of fruits anatomically and physiochemically. TLC finger printing and fluorescence analysis of powdered fruits has been conducted and reported .The antidiabetic activity is conducted by enzyme inhibition (α-glycosidase) in invitro method on each extract and ethanolic extract showed significant inhibition.
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This study had a purpose of taking various measurements and calculating sacral index in the population of western Rajasthan. A total of 74 sacra were taken for the study and they were divided into two groups as 42 male sacra and 32 female sacra. Parameters like maximum sacral length and maximum sacral breadth were measured on the sacra and sacral index calculated. Data obtained were statistically analyzed .The results were further compared with similar studies of sacral index in other races.
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Our knowledge about thyroid function during pregnancy has made rapid strides in the recent past. However, there are not much published reports in anesthesia literature regarding these newer developments. Even though an anesthesiologist is not the primary care physician, he/she may occasionally encounter pregnant patients with thyroid dysfunction in routine practice of anesthesia. This article aims to update anesthesiologists about recent developments in understanding of thyroid physiology during pregnancy, effects of thyroid dysfunction on mother and fetus, interpretation of thyroid function tests as well as treatment and anesthetic considerations
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The edentulous state represents a compromise in the integrity of the masticatory system . The common treatment option for rehabilitation of edentulous state is the conventional complete denture. Occlusal paths and Cuspal paths generated on the mechanical articulator often differ from those that are actually generated in the mouth . Functionally generated path technique is one such approach which aids in the automatic determination of the geometric harmonious relation between the functional occlusal path and condylar paths at chosen vertical dimension . This technique permits the registration of the cusp movements as determined by the functional mandibular movements and thus helps in development of harmonious occlusion. This article describes a case report in which a step by step approach was used to develop functionally generated occlusal path in fabricating a complete denture.
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The facial index is length of the face from root of nose to the bottom of the chin, expressed as a percentage of the greatest breadth across the cheek bones. Racial differences are much more marked in relation to face than elsewhere, so it is very useful anthropologically. For this 100 males from Sindhi community between the age group of eighteen to thirty-five years were taken and their facial index was calculated. The result indicated that average facial index in Sindhi individuals was 92.89 Mostly they were Leptoprosopic and Hyperleptoprosopic. The average facial index of Sindhi individuals was not comparable to any other Indian groups studied so far. But it was very close to North European and less than Nigerian population.
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The main objective of the present study was to develop matrix-moderated transdermal systems of Indomethacin using various proportions of Ficus carica fruit mucilage. Physical evaluation was performed such as moisture content, moisture uptake, tensile strength, flatness and folding endurance. In-vitro permeation studies were performed in a Keshary-Chien diffusion cell. The matrix-type transdermal systems were prepared using Indomethacin with Ficus carica fruit mucilage by the solvent evaporation technique. The interactions between Indomethacin and Ficus carica fruit mucilage were performed. The transdermal patches were subjected to various physicochemical parameters viz., mechanical properties, permeation studies and skin irritation studies. The prepared patches possessed satisfactory pre-formulary and formulary characteristics. In vitro permeation studies were performed using a Keshary-Chien diffusion cell across hairless Albino rat skin. The non-ionic surfactants Span 80, Glycerin, Propylene glycol in the formulation played a role as permeability enhancer. The patches were seemingly free of potentially hazardous skin irritation. The experimental results shows that the release of drug from the patch delayed in controlled manner as the proportion of Ficus carica increased. It was concluded that Indomethacin can be developed as a transdermal patches with Ficus carica fruit mucilage.
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The need for dental treatment in paediatric dental patients is immense. The present study was carried out in fifty children in the age group of five to ten years of age with recurrent episodes of dentoalveolar infection. Advanced pulpal infections led to torsion in 54 percent, premature eruption in 46 percent, crater like bone loss in 36 percent, sequestration and dilaceration in 10 percent and 6 percent respectively. Most of the developmental disturbances could have been avoided with timely antibiotics and endodontic intervention.