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1.
Indian J Exp Biol ; 2019 Oct; 57(10): 733-740
Artigo | IMSEAR (Sudeste Asiático), GHL | ID: sea-191515

RESUMO

Physiological and biochemical changes in response to deficit irrigation (drought stress) were studied at three moisture regimes based on available soil moisture (ASM) and four commercial sugarcane varieties differing in their maturity i.e. CoS 767 (Mid late), CoH128 (Mid late), CoJ 64 (Early) and Co 0238 (Early) Plant water status was affected significantly with duration and severity of stress with maximum reduction at 30% ASM level at 90 DAP. The water potential (from -0.62 to -1.16 MPa), osmotic potential (from -0.88 to -1.77 MPa) and relative water content (from 87.59 to 65.51%) decreased significantly at 30% ASM level than at 50% ASM in all the varieties. After stress revival, a remarkable recovery was recorded in all the varieties at all the ASM levels with maximum recovery in varieties Co 0238 and CoS 767. Higher membrane injury was recorded in CoJ 64 followed by CoH 128, Co 0238 and CoS 767at 30% ASM at 60 and 90 DAP. Remarkable decrease were observed in gaseous exchange parameters in leaves viz. photosynthetic rate, transpiration rate and stomatal conductance at 30 and 40% ASM levels in all the varieties. Significant reduction was also recorded in chlorophyll fluorescence (Fv/Fm). Severe stress conditions of 30% ASM led to approx. two fold increase in total soluble carbohydrates, four folds in proline and two fold increase in lipid peroxidation. ASM levels of 40% and 30% also significantly reduced total chlorophyll content. From the results, it can be concluded that varieties Co 0238 and CoS 767 are relatively more tolerant at moderate stress to severe stress than CoH 128 and CoJ 64.

2.
Artigo | IMSEAR (Sudeste Asiático), GHL | ID: sea-189096

RESUMO

Acute colonic pseudo obstruction or Ogilvie’s syndrome is a rare entity that is characterized by acute dilatation of the colon without any mechanical obstruction. It is usually associated with medical disease or surgery and rarely occurs spontaneously. If not diagnosed early, Ogilvie’s syndrome may cause bowel ischemia and perforation. Its early diagnosis and prompt treatment are the keystones to avoid any subsequent fatal complications. We report a case of acute intestinal pseudo obstruction causing post-operative wound dehiscence in a patient who underwent colostomy reversal following a Hartman’s procedure for a rectal carcinoma. We also review the clinical characteristics, diagnostic methods, and management of Ogilvie’s syndrome with reference to literature.

3.
Artigo | IMSEAR (Sudeste Asiático), GHL | ID: sea-189095

RESUMO

Current evidence on the efficacy and safety of Laparoscopic Radical Hysterectomy for early stage cervical cancer is adequate to support the use of this procedure provided that normal arrangements are in place for clinical governance, consent and audit. This study aims to present our single unit experience of Laparoscopic Radical Hysterectomy performed for early stage cervical cancers. Methods: 74 laparoscopic radical hysterectomies performed for early stage cervical cancers from 2012 to 2017 were reviewed. Results: Key efficacyoutcomes evaluated were completing the procedure without conversion to open surgery ( conversion rate – 3/74),the mean operating time (144 mts), intra operative complications ( rectal injury 2/74, primary hemorrhage 1/74), post operative complications ( ureteric fistula 2/74, vescico vaginal fistula 1/74 , port site hernia 1/74), number of LN removed ( mean - 14 LN on each side), recovery time (6 hrs on average ) and length of hospital stay (average – 5days); lone term outcomes viz recurrence rate and % year survival are under study. Conclusion: Our initial experience indicate that laparoscopic radical hysterectomy is safe ,feasible and effective with low morbidity and with comparable outcome to open approach; It does not compromise oncological radicality of resection; short term results are promising; long term results are awaited.

4.
Artigo | IMSEAR (Sudeste Asiático), GHL | ID: sea-183635

RESUMO

Introduction: Diabetes mellitus frequently leads to development of peripheral neuropathies in almost 30-50% of patients and the most common type of neuropathy associated with this condition is Distal Symmetric Sensorimotor Polyneuropathy (DSPN). Gabapentin and Amitriptyline are two drugs frequently used for the treatment of neuropathic pain associated with type 2 diabetes. Aim of the study: The aim of this study was to compare efficacy and safety of Gabapentin and Amitriptyline in subjects of Type 2 diabetes mellitus with peripheral neuropathic pain. Material and Methods: A prospective, open, randomized, parallel group, comparative study was conducted in 60 patients coming to Department of Medicine, Rajindra Hospital attached to Government Medical College Patiala, to evaluate the efficacy and safety of Gabapentin and Amitriptyline in patients with diabetic peripheral neuropathic pain. The patients fulfilling the inclusion criteria were included in the study after taking written informed consent. The patients were divided into two groups of 30 cases each by simple randomization. Group I patients received Gabapentin 300 mg HS by oral route. Group II patients received Amitriptyline 25 mg HS by oral route. Therapeutic efficacy of both drugs, by using Michigan Neuropathy Screening Instrument (MNSI) was compared at the baseline and at the end of 4 months. Any adverse drug reactions of the respective drug observed in patient were also noted. All the observations thus made were statistically analysed using appropriate tests. Results: Baseline characteristics of the patients in two groups such as age, sex, duration of diabetes were similar (p>0.05). The mean age in group I and group II were 53.40±8.41 years and 57.17±8.55 years, respectively. There was statistically significant reduction in mean MNSI scores in questionnaire part and physical examination part in both the groups. Also, there was statistically significant difference between the two drugs in reducing mean MNSI score. Mean difference between two drugs in reducing MNSI score in history part (0.77±0.16, p<0.01) and physical examination part (0.75±0.19, p<0.01) favoured Gabapentin. No. of adverse drug reactions reported were significantly higher in Amitriptyline group, p value (<0.05) for the difference in ADRs between two drugs was statistically significant. Conclusion: In this study, we concluded that both drugs lead to improvement in signs and symptoms of diabetic neuropathy. Gabapentin was proved to be more efficacious than Amitriptyline. Gabapentin treated patient’s mean MNSI score at the study end point was significantly lower as compared to the Amitriptyline treated patient’s end-point score. Adverse drug reactions reported in our study were mild in both the groups and a significantly higher number of adverse effects were reported in the amitriptyline group. Dizziness and somnolence were two most commonly reported adverse drug reactions.

5.
Artigo | IMSEAR (Sudeste Asiático), GHL | ID: sea-183573

RESUMO

Introduction: Diabetes mellitus frequently leads to development of peripheral neuropathies in almost 30-50% of patients and the most common type of neuropathy associated with this condition is Distal Symmetric Sensorimotor Polyneuropathy (DSPN). Gabapentin and Amitriptyline are two drugs frequently used for the treatment of neuropathic pain associated with type 2 diabetes. Aim of the study: The aim of this study was to compare efficacy and safety of Gabapentin and Amitriptyline in subjects of Type 2 diabetes mellitus with peripheral neuropathic pain. Material and Methods: A prospective, open, randomized, parallel group, comparative study was conducted in 60 patients coming to Department of Medicine, Rajindra Hospital attached to Government Medical College Patiala, to evaluate the efficacy and safety of Gabapentin and Amitriptyline in patients with diabetic peripheral neuropathic pain. The patients fulfilling the inclusion criteria were included in the study after taking written informed consent. The patients were divided into two groups of 30 cases each by simple randomization. Group I patients received Gabapentin 300 mg HS by oral route. Group II patients received Amitriptyline 25 mg HS by oral route. Therapeutic efficacy of both drugs, by using Michigan Neuropathy Screening Instrument (MNSI) was compared at the baseline and at the end of 4 months. Any adverse drug reactions of the respective drug observed in patient were also noted. All the observations thus made were statistically analysed using appropriate tests. Results: Baseline characteristics of the patients in two groups such as age, sex, duration of diabetes were similar (p>0.05). The mean age in group I and group II were 53.40±8.41 years and 57.17±8.55 years, respectively. There was statistically significant reduction in mean MNSI scores in questionnaire part and physical examination part in both the groups. Also, there was statistically significant difference between the two drugs in reducing mean MNSI score. Mean difference between two drugs in reducing MNSI score in history part (0.77±0.16, p<0.01) and physical examination part (0.75±0.19, p<0.01) favoured Gabapentin. No. of adverse drug reactions reported were significantly higher in Amitriptyline group, p value (<0.05) for the difference in ADRs between two drugs was statistically significant. Conclusion: In this study, we concluded that both drugs lead to improvement in signs and symptoms of diabetic neuropathy. Gabapentin was proved to be more efficacious than Amitriptyline. Gabapentin treated patient’s mean MNSI score at the study end point was significantly lower as compared to the Amitriptyline treated patient’s end-point score. Adverse drug reactions reported in our study were mild in both the groups and a significantly higher number of adverse effects were reported in the amitriptyline group. Dizziness and somnolence were two most commonly reported adverse drug reactions.

6.
Artigo | IMSEAR (Sudeste Asiático), GHL | ID: sea-191972

RESUMO

Choking or acute airway obstruction is the emergency condition which is usually first dealt by general public and only then by health professionals. It has been documented in literature that educating the public about choking hazards and its management can positively affect the incidence of choking events and mortality. (1) In the developed countries, Basic Life Support (BLS) courses and First Aid courses are routinely done by public and are aggressively pursued by government and health care givers but in India there is no such uniform program. Indian Society of Anesthesiologists (ISA) has developed indigenous CPR guidelines and they are also organizing affordable nationwide CPR training modules, at present their program does not deal with the choking, but hopefully as their program will gain more acceptance, they will also incorporate choking modules. (2)

7.
Artigo | IMSEAR (Sudeste Asiático), GHL | ID: sea-189232

RESUMO

The efficiency of 0.75% Ropivacaine as a single shot epidural anaesthetic in comparison to 0.5% Bupivacaine is less studied. Our study focuses on comparing the efficiency of sensory block between 0.75% ropivacaine and 0.5% bupivacaine for epidural anaesthesia. Methods: The study was done with 0.75% Ropivacaine and 0.5% Bupivacaine in epidural anaesthesia in orthopedic hip surgeries given as a single shot technique for which 60 patients of ASA I/II each were chosen and 15ml of the drug was given. Onset of the sensory sensations at T12 and regression at the same level were measured with the aid of response to pin prick and thus duration of epidural anaesthesia was calculated individually in group B and group R respectively. Results: Onset of sensory block was faster in group R than in group B and regression was slower in group R than in group B. Conclusion: It can be concluded that duration of epidural anaesthesia was prolonged and longer with 0.75% Ropivacaine than 0.5% Bupivacaine.

8.
Artigo | IMSEAR (Sudeste Asiático), GHL | ID: sea-188754

RESUMO

Chronic Hepatitis C virus (HCV) infection is a major public health problem. It is a major cause for cirrhosis and hepatocellular carcinoma worldwide. HCV infection is recognized now days as a disease of global importance. It is considered a major health and economic burden in adults as well as children in both developing and developed countries. Objectives: To study the Clinical presentation, biochemical profile and risk factor of chronic hepatitis C virus infected patients. Methods: This prospective observational study was carried out in the Department of Medicine at STH, Haldwani, from August 2016 to July 2018.During these study period 110 patients with Chronic HCV infection were analyzed. Results: Out of 110 patients 60 (54.54%) were male and 50(45.45%) were female. Injection drug use (IDU) was the most common risk factor of HCV infection (20.90%). The abdominal discomfort symptoms seen in majority of patients (70%) followed by a fatigue (62.72%).and fever (60.90%). Males exhibiting more symptoms in comparison to females. Conclusion: Viral hepatitis is an important heath care problem in India as it occurs epidemically and sporadically. The variability in nature of the disease regarding its onset, presenting symptoms, clinical course and development of complications are important aspects. So, it is very essential for health care professionals to be aware of all aspects of it so that it is detected and treated early.

9.
Tropical Biomedicine ; : 367-372, 2019.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-777840

RESUMO

@#The Livestock Sector of India plays an important role in livelihood security and socioeconomic development of rural households. Leptospirosis is an important zoonotic disease responsible for septicaemia, interstitial nephritis, jaundice, abortion, reproductive problem in most of the animal species. Reproductive disturbances in bovine population is most often restricted to investigation of brucellosis, however apart from brucellosis, there are many undiagnosed diseases like leptospirosis that takes a toll in the reproductive anomalies of cattle and buffalo. Hence, the present study was elucidated to screen the seroprevalence of Leptospira in cattle and buffalo in various hamlets of North India using a user friendly screening test i.e. LipL32 latex agglutination test. The overall seropositivity was found to be 26.01% (230/884) in case of bovine in this study and the LipL32 LAT showed a profound sensitivity and specificity with level of 94.97% and 99.53% respectively.

10.
Indian J Exp Biol ; 2018 Feb; 56(2): 129-135
Artigo | IMSEAR (Sudeste Asiático), GHL | ID: sea-190919

RESUMO

Microbes that colonize internal tissues of plants are called endophytes, andare known for their functional role against biotic/abiotic stress and growth promotion activity in plants. The ascomyceteous fungus Trichoderma spp. (Teleomorph: Hypocrea) are well known antagonists cum biocontrol agents. In this study, a total of five Trichoderma isolates from two different species viz., T. asperellum (TaR1, TaR2 and TaR3) and T. asperelloides (TaR4 and TaR5) collected from different agro-climatic zones in Rajasthan, India were evaluated for their endophytism in rice variety Pusa Basmati-1 (PB-1) through soil and seed treatment. An attempt was made to re-isolate the fungus from rice roots (seed and soil treated) and further subjected to microscopic and molecular analysis. Re-isolation results revealed that culture growth of Trichoderma spp. isolated was similar to that of the inoculated ones. The microscopic analysis (light and scanning electron microscopy) results also confirmed that the re-isolated endophytic fungus were identical to the inoculated ones. These results were further confirmed by polymerase chain reaction (PCR) amplification of the rDNA region (18SrRNA, ITS1, 5.8SrRNA, ITS2 and 28SrRNA) and translation elongation factor 1 (Tef1) with the re-isolated Trichoderma asperellum and T. asperelloides isolates. In this study, it has been confirmed that Trichoderma asperellum and T. asperelloides turns endophytic in rice after introduction through seed and soil treatment.

11.
Artigo | IMSEAR (Sudeste Asiático), GHL | ID: sea-183587

RESUMO

Background: The axis vertebra, exhibits complex and extensive variability in the morphology and there are vital neurovascular structures in its proximity. Knowledge of this variability is important for neurosurgeons, orthopaedicians, otorhynologists and other physicians who in everyday practice are in contact with disorders of the spine and their consequences. Objective: The aim was to evaluate various morphometric dimensions of axis vertebrae and to compare with the available data. Material and Methods: 50 dried human axis vertebrae of Indian origin, available in the Department of Anatomy, Dayanand Medical College and Hospital, Ludhiana were studied. Various dimensions were taken with vernier calipers, metric scale and graph paper. The dimensions were measured in millimetres and statistically analysed with paired t-test. Results: The mean of maximum anteroposterior diameter (max.APD) and maximum transverse diameter (max.TD) of Superior Articular Facet (SAF) was measured as 17.42mm±1.73 and 15.31mm±1.44 on the right side, 17.64mm±1.51 and 15.17mm±1.48 on left side. The mean Distance from Lateral most edge of SAF to Midline was measured as 22.56mm ± 2.37 and 22.40mm ± 2.16 on the right and left sides, respectively. The mean Distance from Tip of Transverse Process to Midline was 26.45mm ± 2.85 on the right and 26.03mm ± 2.64 on the left side. The mean Height of Dens was measured as 13.83mm ± 1.52, mean Width of Dens as 9.57mm ± 0.85. Width of Pedicle was measured as 10.52mm ± 1.99 and 10.61mm ± 1.67on right and left sides, respectively. Conclusion: The knowledge of these dimensions can provide useful information for safe planning of osseous fixation.

12.
Artigo | IMSEAR (Sudeste Asiático), GHL | ID: sea-183525

RESUMO

Background: The axis vertebra, exhibits complex and extensive variability in the morphology and there are vital neurovascular structures in its proximity. Knowledge of this variability is important for neurosurgeons, orthopaedicians, otorhynologists and other physicians who in everyday practice are in contact with disorders of the spine and their consequences. Objective: The aim was to evaluate various morphometric dimensions of axis vertebrae and to compare with the available data. Material and Methods: 50 dried human axis vertebrae of Indian origin, available in the Department of Anatomy, Dayanand Medical College and Hospital, Ludhiana were studied. Various dimensions were taken with vernier calipers, metric scale and graph paper. The dimensions were measured in millimetres and statistically analysed with paired t-test. Results: The mean of maximum anteroposterior diameter (max.APD) and maximum transverse diameter (max.TD) of Superior Articular Facet (SAF) was measured as 17.42mm±1.73 and 15.31mm±1.44 on the right side, 17.64mm±1.51 and 15.17mm±1.48 on left side. The mean Distance from Lateral most edge of SAF to Midline was measured as 22.56mm ± 2.37 and 22.40mm ± 2.16 on the right and left sides, respectively. The mean Distance from Tip of Transverse Process to Midline was 26.45mm ± 2.85 on the right and 26.03mm ± 2.64 on the left side. The mean Height of Dens was measured as 13.83mm ± 1.52, mean Width of Dens as 9.57mm ± 0.85. Width of Pedicle was measured as 10.52mm ± 1.99 and 10.61mm ± 1.67on right and left sides, respectively. Conclusion: The knowledge of these dimensions can provide useful information for safe planning of osseous fixation.

13.
Artigo | IMSEAR (Sudeste Asiático), GHL | ID: sea-186070

RESUMO

Coagulase negative Staphylococci (CoNS) are increasingly being recognized as significant nosocomial pathogens, partly due to the growing appreciation of this group of organisms as opportunistic pathogens or due to increase in the use of transient or permanent medical devices in seriously ill and immunocompromised patients. Aims and Objectives 1) Isolation of CoNS from exudates and body fluids. 2) Biochemical characterization of CoNS. 3) Antibiotic susceptibility pattern of CoNS. Method 180CoNS isolated from various exudates and body fluids such as pus, wound swabs, endotracheal secretions, sputum, branchialaspitate, and central lining tube were collected. All the CoNS isolates were processed in the Microbiology Laboratory and identified by colony morphology, gram staining, catalase, slide, tube coagulase test, anaerobic acid from mannitol, and deoxyribonuclease. Bacitracin (0.04 U) and furazolidone (100 μg) susceptibilities were done to exclude Micrococcus and Stomatococcus spp. The following biochemical tests were done for the speciation of the CoNS: urease test, phosphatase test, polymyxin B disc test, novobiocin disk test, ornithine decorboxylase test, mannitol to acid, Voges-Proskauertest, mannose fermentation, trehalose fermentation and antibiotic susceptibility testing. Result Out of 180 isolates, 78 are Staphylococcus epidermidis (43.3%), 63 are Staphylococcus hemolyticus (35%), 21 are Staphylococcus hominis (11.6%), and 18 are Staphylococcus lugdunensis (10.0%). Maximum number of CoNS were isolated from pus specimens (58.33%), followed by wound swabs (18.33%). A total of 164out of 180 strains were negative for both bound and free coagulase. A total of 60 strains were bound coagulase slow positive and free coagulase negative. S. epidermidis was the most frequent isolate and 68 S. epidermidis isolates were identified if ornithine decorboxylase was considered positive, while negative 10 S. epidermidis isolates required inclusion of trehalose and mannitol for speciation. Antibiotic susceptibility testing showed maximum resistance to penicillin (78.3) followed by chloramphenicol (41.6%). No resistance to vancomycin was seen. Conclusion: The study revealed S. epidermidis is the predominant CoNS from endotracheal secretions and also pus samples. S. hemolyticus was isolated from pus and central lining tubes, S. hominis and S. lugdunensis were isolated mainly from wound swabs. The present study suggests if coagulase-ve Staphylococci are repeatedly isolated from patients with infection they should be taken seriously and ABST done on these isolates for proper diagnosis and treatment especially in nosocomial infections.

14.
Indian J Med Microbiol ; 2016 Oct-Dec; 34(4): 553-557
Artigo em Inglês | IMSEAR (Sudeste Asiático), GHL | ID: sea-181139

RESUMO

A 5‑year‑old female child presented with fever of 1‑week duration after visiting a malaria endemic zone without antimalarial prophylaxis. The patient presented with respiratory distress, decreased level of consciousness and high‑grade fever. An elevated parasitaemia reaching 800,000/μl was observed. Antimalarial therapy was initiated with artesunate being administered intravenous (IV) along with IV clindamycin. Contrary to the expectations, there was no resolution of fever. Following a week of unresolved fever, the drug therapy was revised and altered to IV quinine dihydrochloride and IV clindamycin. Emergence of non‑responsiveness to artesunate in Saudi Arabia is an alarming sign and requires revision of management protocols.

15.
Artigo em Inglês | IMSEAR (Sudeste Asiático), GHL | ID: sea-178262

RESUMO

Dentistry has become more sophisticated and complex thus requiring precised motor skills and visual acuity. Optical magnification has expanded the horizons of dentistry. During past decades, dentistry has not only evolved clinically but the histological aspects has also played an important part in the development of new materials as well as helped in better evaluation of treatment procedures. Hence this review article details about the possible alternatives of magnification such as magnifying glasses, dental loupes, optical microscopes, electron microscopes, surgical operating microscopes, endoscopes, and orascopes.

16.
Indian J Med Microbiol ; 2016 July-Sept; 34(3): 328-334
Artigo em Inglês | IMSEAR (Sudeste Asiático), GHL | ID: sea-176669

RESUMO

Purpose: Cervical cancer is the most common cancer among women in developing nations. Nearly 90% of the cases have been linked to the presence of high-risk human papillomavirus (hrHPV) types 16 and 18. The risk of cervical cancer may be high in female sex workers (FSWs) due to multiple sexual partners. This study aimed to determine the prevalence of cytological abnormalities and hrHPV types 16 and 18 in FSWs in Chandigarh, North India using the liquid-based cytology (LBC) approach. Materials and Methods: The cervical brush samples were collected from 120 FSW and 98 age-matched healthy controls (HCs). These were subjected to pap smear using conventional method, LBC and the detection of hrHPV types 16 and 18 was carried out using polymerase chain reaction. Results: The LBC samples showed better cytological details and also reduced the number of unsatisfactory smears from 11% in Pap to 1.5% in the LBC. A significantly higher number of inflammatory smears were reported in FSWs (51.7% vs. 34.7%, P = 0.01). The hrHPV types 16/18 were detected in 33/120 (27.5%) FSW versus 23/98 (23.5%) HCs. The risk of acquiring hrHPV was higher in FSWs, who had age at first sex ≤25 years, higher income and the habit of smoking. Conclusion: The high prevalence of hrHPV among FSWs and HCs suggests the need for the implementation of effective National Screening Programme for early detection of hrHPV types to decrease the burden of cervical cancer, especially in high-risk population.

17.
Indian J Med Microbiol ; 2016 Apr-June; 34(2): 260-261
Artigo em Inglês | IMSEAR (Sudeste Asiático), GHL | ID: sea-176612
18.
Artigo em Inglês | IMSEAR (Sudeste Asiático), GHL | ID: sea-175476

RESUMO

Background: Pedicle screw fixation has become an increasingly popular technique of instrumentation to treat spinal disorders by providing stable fixation in the treatment for degenerative diseases, trauma, deformities, and tumours of the spine. This method provides rigid support that allows surgeons to limit instrumentation to one or two motion segments, thus preserving maximum motion. This study was conducted to record the surgically relevant parameters of transverse pedicle isthmus width, transverse pedicle angle, spinal canal diameters and the approximate screw path length and to compare the results between male and female vertebrae and with those of similar studies in literature. Methods: 295 lumbar vertebrae in 61patients were analyzed based on transverse pedicle isthmus width, transverse pedicle angles, AP and transverse spinal canal diameters and approximate screw path length. The screw path length was measured in 184 vertebrae from 37 patients. The measurements were processed using SPSS v.15 software and analysed. Results: The mean transverse pedicle isthmus width was the least at L1 level (8.1 mm) and highest at L5 level (16.5mm). There was a significant difference between male and female vertebral diameters. Of the pedicles at L1, over 9% had a diameter of less than or equal to 5 mm, 15% had a diameter of less than or equal to 6 mm. The mean transverse pedicle angle was maximum at L5 level (26.80). The canal diameters are significantly lower than that of the western population. There was a change in pedicle angle and diameter in the same vertebra between right and left pedicles. Female vertebrae had a smaller pedicle diameter and screw path length but had a similar spinal canal diameter as compared to a male vertebrae. Conclusions: Significant differences in the morphometric parameters existed between genders and even between individuals of same gender. It is suggested that preoperative computed tomography scans of the patients must be evaluated to choose the appropriately sized implant and avoid inadvertent complications.

19.
Artigo | IMSEAR (Sudeste Asiático), GHL | ID: sea-186380

RESUMO

Background: Obesity has become one of the major health issues in India. WHO defines obesity as “A condition with excessive fat accumulation in the body to the extent that the health and wellbeing are adversely affected”. Obesity results from a complex interaction of genetic, behavioral, environmental and socioeconomic factors causing an imbalance in energy production and expenditure. Peak expiratory flow rate is the maximum rate of airflow that can be generated during forced expiratory manoeuvre starting from total lung capacity. The simplicity of the method is its main advantage. It is measured by using a standard Wright Peak Flow Meter or mini Wright Meter. Aim: The aim of the study is to see the effect of body mass index on Peak Expiratory Flow Rate values in young adults. Materials and methods: A correlational study was done 40 healthy individuals with age of 18-35 year old. Subjects having cardio or pulmonary condition were excluded. Then according to body mass index (BMI) normal (group A) and obese (group B) individuals were included. Where, BMI - normal: 18.5-22.9 kg/m2 and obese: 25 kg/m2 onwards. Then in sitting position all the individuals were given three trials for PEFR and best of all was taken. Results: Group A: BMI mean -18.74±1.11and PEFR mean - 395±116.8, Group B: BMI mean - 28.7±1.12 and PEFR mean - 309±46.4. According to spearman’s correlation Group A, r= 0.456 and p=0.022 also in Group B r=0.097 and p=0.342. Conclusion: There was weak correlation in between BMI and PEFR.

20.
Artigo | IMSEAR (Sudeste Asiático), GHL | ID: sea-186364

RESUMO

Introduction: Periosteum is a highly vascular connective tissue sheath covering the external surface of all bones except sites of articulation and muscle attachment. Regenerative potential of periosteum is due to inner layer which contains mesenchymal progenitor cells. Laterally pedicle flap technique is frequently used for recession coverage in isolated, denuded roots that have adequate donor tissue laterally and vestibular depth. Pedicle flaps have been modified in past, this pilot study utilized the technique which included auto transplant of periosteum in combination with laterally positioned flap. Materials and methods: 20 teeth with gingival recession, Millers’s class 1 and 2 with ≥ 3 mm defect were included and laterally positioned flap with periosteal graft was performed. Results: After 12 months of follow up, a stable result was obtained and the pilot study revealed significant reduction in recession defect. There was a mean percentage of 95.6% for root coverage, 80% predictability for recession coverage. Conclusion: Laterally positioned flap with periosteal graft technique can successfully be clinically utilized for the treatment of gingival recession defects, with less trauma and good esthetic results.

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