Inflammatory bowel disease (IBD)-disk accurately predicts the daily life burden and parallels disease activity in patients with IBD

The inflammatory bowel disease (IBD)-disk is a validated, visual, 10-item, self-administered questionnaire used to evaluate IBD-related disability. The present study aimed to evaluate IBD-disk in assessment of IBD daily life burden and its relation with disease activity. Methods: A cross-sectional study was conducted between June 2021 and December 2021. Patients with IBD were asked to complete the IBD-disk and a visual analogue scale of IBD daily-life burden (scored from 0–10, score >5 indicative of high burden). The internal consistency of IBD-disk, correlation with IBD daily life burden and disease activity (assessed by partial Mayo score and Harvey Bradshaw Index in patients with ulcerative colitis [UC] and Crohn’s disease [CD], respectively) and diagnostic performance of IBD-disk to detect high burden were analyzed. Results: Out of the 546 patients (mean age 40.33±13.74 years, 282 [51.6%] males) who completed the IBD-disk, 464 (84.98%) had UC and the remaining (n=82, 15.02%) had CD. A total of 311 patients (291 UC and 20 CD; 56.95%) had active disease. The mean IBD-disk total score and IBD daily life burden were 18.39±15.23 and 2.45±2.02, respectively. The IBD-disk total score correlated strongly with the IBD daily life burden (ρ=0.94, P30 predicted high IBD daily-life burden. Conclusions: The IBD-disk accurately predicts the daily life burden and parallels disease activity in patients with IBD and can be applied in clinical practice. (Intest Res, Published online)

Extrapleural Solitary Fibrous Tumor (SFT) at Dorsum Foot - A Rare Case Report.

Solitary fibrous tumor is a benign tumor. But it has tendency for local recurrence as well as metastasis. WHO classifies it under the category of fibroblastic/myofibroblastic tumor. It most commonly occurs in pleura and very rare in extra-pleural site such as sub-cutaneous or deep soft tissue of extremity, head and neck, mediastinum, retroperitoneum, etc. Histologically SFT show patternless hypercellular and hypocellular areas of fibroblast proliferation, collagen deposition, hemangiopericytoma like areas with myxoid change or fibrosis. This tumor needs to be differentiated from other spindle cell tumors with immunohistochemistry. It is a rare entity with only a few cases reported. We report a case of 60 years old male with well circumscribed painless, swelling dorsum foot. It was clinically diagnosed as inverted papilloma, but microscopy was consistent with typical features of SFT. This was confirmed by CD 34 & CD99 positivity. This case is being presented for its rare location.

Evaluation of governmental oral health-care infrastructure in the state of Haryana.

Health system should be organized to meet the needs of entire population of the nation. Oral diseases are the most common of the chronic diseases, but there are few efficient dental care systems to cope with these problems. The present cross-sectional study was conducted among 135 dental care units of various primary health centers, community health centers, and general hospitals existing in the state to evaluate the government oral health-care infrastructure in Haryana. Data regarding provision of water and electricity supply, dental workforce and their qualification, number and type of instruments in the dental operatory unit, etc., were collected on a structured format. There is a shortfall in infrastructure and significant problem with the adequacy of working facilities. This can prove to be a big hurdle in the provision of adequate oral health care to people with greatest health-care needs. A great deal of effort is required to harmonize the oral health-care delivery system.

Assessment of prevalence of dental caries among 5 and 12-year-old schoolchildren in Chandigarh (U.T. ), India / Avaliação da prevalência de cárie dental em crianças com idades entre 5 e 12 anos em Chandigarh (U.T. ), Índia

Objectives: To assess the prevalence of dental caries among 5 and 12-year-old schoolchildren in Chandigarhand to explore and suggest suitable preventive programmes for the prevention of dental caries in this population.Materials and methods: Twenty out of 101 schools were randomly selected for the study. A totalof 1113 subjects were examined from May 2008 to September 2009. Data regarding dental caries experienceusing dmft index for 5-year-old and DMFT index for 12-year-old school children were collected on astructured format. Results: Among the 5-year-old children examined, 46.8% (271) were females and 53.2%(308) were males. Considering the 12-year-old age group, 46.6 % (249) were females and 53.4% (285) weremales. Regarding the 5-year-old age group, 48.3% (579) of subjects were affected with dental caries, andin the 12-year-old age group, the amount was 30.52% (534). The prevalence of dental caries was more in5 years age group. Conclusion: In the present study, it was observed that 51.7% of the 5-year-old subjectswere caries free and the mean DMFT was 0.53 at 12 years of age. Hence, it may be concluded that W.H.O.global oral health goals for 5 and 12 year olds are achieved in Chandigarh. Still, as public health people, wehave to aim at achieving ‘0’ (zero) DMFT for all school going children.

Objetivos: Avaliar a prevalência de cárie dentária em crianças com idade entre 5 e 12 anos em Chandigarh,e explorar e sugerir programas para a prevenção da cárie dentária nesta população. Materiais e métodos:Vinte de 101 escolas foram selecionadas aleatoriamente para o estudo. Um total de 1.113 indivíduos foramexaminados entre maio de 2008 e setembro de 2009. Os dados referentes à experiência de cárie foram coletadosem um formato estruturado pelo índice cpo-d para 5 anos e índice CPO-D para crianças de 12 de idade.Resultados: Dentre as crianças de 5 anos examinadas, 46.8% (271) eram do gênero feminino e 53.2% (308)eram do gênero masculino. No grupo de 12 anos, 46.6% (249) eram do gênero feminino e 53.4% (285) eramdo gênero masculino. No grupo de 5 anos de idade, 48.3% (579) dos sujeitos foram afetados por cáries; já nogrupo de 12 anos de idade, o percentual foi de 30.52% (534). A prevalência de cárie foi maior no grupo de5 anos. Conclusão: No presente estudo, observou-se que 51.7% das crianças de 5 anos eram livres de cáriee a média de CPO-D foi de 0.53 para o grupo de 12 anos. Desse modo, foi possível concluir que as metas daOMS para saúde bucal para crianças de 5 e 12 anos de idade foram atingidas em Chandigarh. Porém, nacondição de pessoas de saúde pública temos que atingir o objetivo de CPOD “zero” para todas as criançasem idade escolar.