Atharva Scientific Publications (E-Jounals)
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Imbursement Array in Dental Practice Management A Review
Full text linkDentistry is a dignified healthcare profession but due to transient transformation in dental practice, dentistry has reached to its peak level. The main barrier to cater the dental services throughout all area including rural and urban is financial which has to be removed. Thus, to maintain the glory of the profession and to reach the people at their doorsteps, proper practice management of finance in terms of payment is very important. We present a review on imbursement array in dental practice management which was obtained from the literature search of published articles, online manuals and books
Adaptation of Different Compomers to Primary Teeth Cavities
Full text linkBackground: Compomers remain the material of choice for restoration of primary teeth as they combine the best of GIC and composites. However, as it is a resinous material, attentionis focused on polymerization shrinkage causing gaps at restoration cavity interface. Gaps represent decreased efficacy of adaptation. Aim: To evaluate the marginal adaptation of compomers (Dyract, Compoglass, and F-2000) in class I and V cavities in primary molars. Materials and methods: Sixty noncarious primary molars were divided for three compomers (20), which were subdivided to two groups. Standard class I and V cavities (10 each) were prepared and restored. The cavity interface was examined and observations analyzed. The cavities were etched prior to restoration and margins were exposed. The cavosurface margins were inspected under stereomicroscope for surface gaps. Then buccolingually sectioned, they were examined for marginal gaps. Two specimens each were selected for SEM. Chi-square test was used to determine statistical significance (p < 0.05). Results: All compomers showed good adaptation at cavosurface, with class I better than V. Compoglass and Dyract were better adapted to cavity walls than F-2000. SEM revealed close interlaced adaptation of filling material to etched cavity. Conclusion: This study has shown that compomers provide good adaptation at cavity margins with compules (Compoglass and Dyract) being a better mode of dispensing than syringe tubes (F-2000). SEM showed gaps and pooling of adhesive and air in few samples. 
Etiological study of bone marrow aspiration cytology in children in a tertiary care government hospital in India with a special focus on adolescent females
Full text linkBackground: Bone marrow aspiration (BMA) cytology is a common and cheap technique which reveals the marrow cellularity, its structure, and stages of differentiation of different blood cells. Objectives: The objectives of the study were to study the etiology and the common presentation in patients undergoing BMA in pediatric age group with special focus on the adolescent females. Materials and Methods: This cross-sectional descriptive study was carried out in the Department of Pediatrics and Pathology of a Medical College Hospital of Bihar, India. The study was done from May 1, 2018, to April 31, 2019, on 259 cases. BMA was carried out and relevant clinical history, physical examination, and laboratory data were retrieved. Results: Out of 259 cases, 1 case was excluded from the final analysis due to inadequate marrow. Male-to-female ratio was 1.16:1. The most common indication was unexplained anemia (46.5%) and pancytopenia (26.7%). The most common etiological diagnosis was nutritional anemia (27.5%) followed by hypoplastic anemia (22%). Among adolescents (>11–18 years), male:female ratio decreased to 1:1 where nutritional anemia was the most common cause followed by hypoplastic anemia. Conclusion: The common hematological disorders prevailing in our community in pediatric age group are nutritional anemia, hypoplastic anemia, and acute leukemia
Does Fear of Giving Birth Impact the Self-Efficacy Perceptions of a Pregnant Woman?
Full text linkBackground: The fear of death during delivery develops before pregnancy; it is called "tokophobia". Aim: To compare the self-efficacy perceptions of pregnant women based on the degree of their fear of giving birth and to determine the relationship between the two considerations. Methods: This study was conducted with a descriptive and corelational design between January 2 and October 31, 2014 in a maternity hospital in Eastern Turkey. Women in their 28th–40th gestational week, visiting the hospital were included in the study. Version A of the Wijma delivery expectancy/experience scale and the short version of the birth self-efficacy inventory were used to collect the data. Results: Among the pregnant women with low fear of giving birth, the mean scores were 61.88±13.35 for Wijma and 217.50±40.31 for the self-efficacy scale. For the pregnant women with high fear of giving birth, Wijma scores were 115.98±15.92 and self-efficacy scale was 169.57±44.26. Conclusion: This study emphasize that pregnant women with low fear of giving birth had higher levels of self-efficacy perception compared to those with high fear of giving birth
Prevalence of Palatogingival Grooves in a Libyan Population and Their Relationship with Periodontal Diseases
Full text linkAim: The aim of the present study was to evaluate the prevalence of palatogingival grooves and its correlation to the periodontal health in maxillary incisors. Materials and methods: The 200 individuals, aged between 18 and 60 years, were examined for the presence of the palatogingival grooves in the four maxillary incisor teeth. Plaque index (PLI), gingival index (GI) and periodontal disease index (PDI) were used to evaluate the health of the periodontal tissues on the lingual surfaces of the maxillary incisor teeth. Results: The prevalence of palatogingival grooves in the study sample was 7.5% with no significant gender difference. The lateral incisors had the greatest prevalence of palatogingival grooves (1.68%). There were significant differences in periodontal health between teeth with and without palatogingival grooves. Conclusion: This study shows significant association between palatogingival grooves and periodontal disease. 
Profile of dehydration fever in a medical college hospital sick newborn care unit
Full text linkBackground: Neonatal fever due to dehydration is common in warm climatic conditions. There are reports of serious complications of dehydration fever such as seizures, disseminated intravenous coagulation, acute kidney injury, multiple cerebrovascular accidents, and even fatalities. Objectives: The objectives of the study were to determine the number of newborns admitted into the sick newborn care unit (SNCU) with dehydration fever, to ascertain about other associated comorbid conditions, and to know the outcome of these newborns following treatment. Materials and Methods: Data were collected from the SNCU records of neonates admitted with fever with no evidence of infection during three summer months (April, May, and June) in the years 2018 and 2019. Status of hydration in all such babies at the time of admission was noted (as clinically evident by loss of more than 10% of birth weight, decreased urination, dryness of the oral cavity and eyes, loss of skin turgor, and sunken anterior fontanelle). The outcome of all the neonates, who were treated according to the existing protocol, were also noted. Results: Out of the total 4570 neonates admitted during the study period, 52 (1.094%) were having dehydration fever. Among them, 8 (15.38%) were preterm, 11 (21.15%) were intrauterine growth restriction, and the rest 33 (63.46%) were term, appropriate for gestation. Males were slightly more than females (29:23). Electrolyte imbalance was not seen in any of the babies. Although, initially, all the babies were lethargic, they all improved promptly following intravenous rehydration along with the maintenance of thermoneutral environment and the maximum hospital stay noted was only 3 days. Conclusion: Fever in newborn due to pure dehydration, even without electrolyte imbalance exists, and it should be considered in warm climatic condition
Profile of acute childhood poisoning at a tertiary care teaching hospital in North India
Full text linkObjective: The objective of the study was to determine the profile and outcome of children under the age of 12 years admitted with acute poisoning at a tertiary care teaching hospital in Delhi. Materials and Methods: We retrospectively reviewed case files of all patients <12 years of age admitted with poisoning at pediatric emergency from January 2016 to December 2016. All cases with definite history of poisoning were included in the study. Exclusion criteria included chronic poisonings such as lead poisoning, food poisoning, foreign body ingestion, and homeopathic drug ingestion. Baseline characteristics of patients, type of poison, signs and symptoms of poisoning, investigations, treatment, and outcome were recorded from the case files and analyzed. Results: A total of 91 patients were presented with poisoning during the study period. Almost all cases (n=89, 97.8%) were accidental, only 2.2% (n=2) cases were suicidal, and none was homicidal. The mean age of presentation of these patients was 4.08±3.11 years with males outnumbering females (M: F=1.6:1). Corrosives (n=20, 21.9%), kerosene (n=17, 18.7%), prallethrin (n=11, 12.1%), and drugs (n=7, 7.7%) were the most frequently implicated agents. 11 patients (12.1%) were completely asymptomatic, while 30.7% (n=28) patients developed serious symptoms such as breathing difficulty, altered sensorium, seizures, abnormal speech, hematemesis, nasal bleeding, and hypotonia. Gastric lavage was done in 15 cases, three patients received activated charcoal, and three patients required intubation, and one patient required an emergency tracheostomy. One patient expired and rest all survived. Conclusion: The trends of pediatric poisoning noted in our center were different from those observed in other hospital based studies. Corrosives (particularly acids) being the most common agents. Prallethrin, kerosene, and drugs were other common agents
Seroprevalence of celiac diseases in children suffering from severe acute malnutrition in age group of 1–5 years
Full text linkIntroduction: Celiac disease (CD) may be an underlying cause of malnutrition. Aim: The objective of this study was to find out the seroprevalence of CD in children suffering from severe acute malnutrition (SAM) in age group of 1–5 years. Materials and Methods: This was a prospective, observational, hospital-based study carried out at Malnutrition Treatment Centre attached with tertiary care pediatric hospital associated with the medical college of southern Rajasthan, from December 2017 to November 2018. A total of 110 children with SAM were enrolled and screened for CD on the basis of celiac serology (tissuetransglutaminase [tTg]-immunoglobulin A/G [IgA/IgG]). Results: Celiac serology was positivity in 30 (27.28%) cases; out of total 30 seropositive cases, 14 (46.66%) cases were seropositive for both tTg-IgA and IgG, while only tTg-IgA and only tTg-IgG were positive in 9 (30%) and 7 (23.33%) cases, respectively. Mean serotiter of serum tTg-IgA and IgG in seropositive cases was 134.01±198.74 and 49.05±25.74 unit/ml. Conclusions: High seroprevalence of CD in SAM should be taken as alert as CD may be an underlying cause and responsible for malnutrition. These children should be screened by celiac serology (tTg-IgA/IgG) to rule out CD
Unilateral breast abscess due to nalidixic acid resistant salmonella enteric serovar typhi
Full text linkA breast abscess is a rare complication of Salmonella bacteremia; especially, in immunocompetent patients. In the era of antimicrobial resistance, untreated or resistant Salmonella can lead to abscess formation in various organs of the body. The authors report a case of unilateral breast abscess due to Nalidixic Acid Resistant Salmonella enterica serovar Typhi (NARST) in a 30-year-old immunocompetent female. This case report highlights the importance of culture & sensitivity of breast abscesses especially in patients residing in endemic areas or those with a recent history of typhoid fever
Surface Conditioning Treatments for Improving Adhesion of Fiber Posts
Full text linkThe restoration of endodontically treated teeth has been studied extensively. Posts are widely used for the restoration of these teeth when there is insufficient coronal tooth structure to retain a core for the definitive restoration. Prefabricated postsystems have become more popular because they can provide satisfactory results with less chairside time. Bonding of fiber posts to composite materials relies only on the chemical interaction between the postsurface and the resin material used for luting or building-up the core. In an attempt to maximize resin bonding to fiber posts, several surface treatments have been recently suggested. The aim of this review is to focus on these surface treatments in detail