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A study of serum testosterone as a prognostic indicator in patients with respiratory failure on mechanical ventilation
Get PDFPatients on mechanical ventilation tend to have a multitude of biochemical changes, many due to adrenal suppression or functional adrenal insufficiency Abnormal levels of gonadal steroids poses significant physiologic effects in critically ill patients. Hypotestosteronemia, defined as a serum total testosterone level <250 ng/dL (<8.7 nmol/L) or free testosterone level <0.75 ng/dL (<0.03 nmol/L), is a common finding among male patients with critical illness. In this this study we determine if serum testosterone can be used as a prognostic indicator in patients with respiratory failure, on mechanical ventilation. This is a prospective observational study done over a period of 18 months at a tertiary care canter in Mysore. Study participants included male patients admitted to ICU of JSS Hospital with documented acute respiratory failure on arterial blood gas analysis (ABG), who were mechanically ventilated for more than 24 hours. Blood sample was collected at 24 hours and 72 hours post intubation and serum testosterone levels were estimated using Electro Chemiluminescence assay. Our results indicate 90.5% of the patients had low testosterone levels at 24 hours, whereas 97.1% of the patients had hypotestosteronemia at 72 hours post intubation
The effect of chemical fertilization and foliar spraying with gibberellic acid and benzyl adenine in the growth and flowering of rose plants
Get PDFThis experiment was carried out in a plastic house belonging to the olive nursery, the Department of Gardens and Afforestation, Amanat Baghdad for the agricultural season 2020 /2021 to study the effect of chemical fertilization (NPK) equivalent to four concentrations (0,50,100,150)mg.l-1 and foliar spray gibberellic acid (0,100,200)mg.l-1 and Benzyl Adenine (0,100,200)mg.l-1 in the growth and flowering of Angelina-class shrub flower plants. The plants were fertilized with NPK compound fertilizer equivalent to irrigation water throughout the trial period as needed, while the foliar spraying of plants by growth regulators gibberellic acid and benzyl adenine was done in succession, where the first spray was dated 1/12/2020 and the second spray age dated 5/1/2020 and the third workshop dated 3/2/2020. The experiment was carried out according to the Randomized Complete Block Design (R.C.B.D.) with three replications and the averages were compared using Duncan's multiple ranges test at a probability level of 5%
Immediate restorative rehabilitation of fractured tooth by fragment reattachment: A case report
Get PDFDental trauma commonly leads to fracture of anterior teeth which affects the aesthetics and even has a psychological impact on the patient. Management of crown fractures depends on multiple factors like extent, pattern and the restorability of fracture to maintain the occlusion, aesthetics, and prognosis. If the fractured fragment is available, re-attachment is the most feasible option which is simple and economic providing good and long-lasting aesthetics, maintaining the original morphology and colour. This case report shows management of complex coronal tooth fracture by tooth fragment reattachment using metal post
Comparison of the Airtraq video laryngoscope versus Macintosh laryngoscope for tracheal intubation in the pediatric patients: A prospective randomized controlled trial
Get PDFSecuring a patent airway in patients undergoing general anesthesia is routinely done using gold standard methods of direct laryngoscopy with a Macintosh or Miller laryngoscope blade in children. However, this technique has several limitations. Video laryngoscopes provide the user with a better view of the larynx. We undertook this prospective, randomized, controlled trial to determine the intubation time of Airtraq compared with Macintosh laryngoscope in pediatric patients, number of intubation attempts, quality of visualization, optimization maneuvers, easiness of intubation, and cardiovascular changes during intubation. A total of 80 pediatric patients of either sex, between ages three to twelve years, belonging to American Society of Anesthesiologists (ASA) status I and II, who were divided equally into two groups using the sealed envelope technique. Patients were randomly assigned to be intubated with either Airtraq (Group A) or Macintosh laryngoscope (Group M). The difference between the time required for intubation within the two groups was significant (p < 0.05), optimization maneuvers were more required for Group M than Group A (p < 0.01). Quality of visualization was better in Group A compared with patients in Group M (p < 0.05)
Soft teeth and their role in the development of periodontal disease
Get PDFThis article provides a broad and detailed description of the soft teeth and their role in the development of periodontal disease, as well as the prophylactic aspects that should be taken by physicians in the treatment of this disease. When orthopedic dentists grind teeth, especially when the adjacent sides are separated, the interdental sutures are cut, the tissue bleeds, and the wound is injured. If the patient is not instructed to follow the oral cavity in the orthodontic treatment of defects in the dentition, the retention of food debris in the orthodontic appliances and in uneven rows of teeth can lead to the appearance of dentures
Clinical and radiological assessment of adjacent segment degenerative changes in cervical spine after instrumentation in indian scenerio
Get PDFOBJECTIVE: Over the last 50 years many authors have used cervical spine fusion as a treatment for degenerative spondylotic conditions, and it has become the standard of care for numerous pathologic conditions of the spine. However, since over the past two decades spinal fusion has been performed on younger patients and the rates of cervical spine surgery have increased. Here we have studied the incidence of the adjacent segment disease and the radiological changes of cervical cord at the level of previous operation and at the adjacent segment. METHODS: Non randomised, open level study done at territory care centre for a period of three years a total 51 operated cervical spine patients were studied. MRI of cervical spine was done in symptomatic patients. All the patients were followed up clinically and radiologically. RESULTS: Fifty one patients were followed up for minimum of 2 years (average 72.82 months) after cervical spine instrumentation. 23 patients had single or multiple co- morbidities. 29 (56.86%) patients developed adjacent segment degeneration following the primary surgery. Rate of re- surgery for the symptomatic ASD was 9.8% , Development of radiological or clinical ASD 54.9%
An overview on medication errors and its management
Get PDFObjective: The main point of this current review was to know about medication errors and overcomes. Methods: The review article was illustrated by surveys from published article papers of medication errors by various medical specialists and how to avoid those errors. Reports: According to this article reports pertaining to literature survey, on medication errors and way of reductions available information were collected from web sources and different published papers. Conclusion: The current review determines the critical social imbalance in medication error on pediatrics and medical staffs, particularly nursing, pharmacists or self-administration of drugs. which were more compromised comparable to the examined factors. This information was truly collected and summarizes the health errors and meditational errors
Socio-economic Condition of Brick Kiln workers in Ahmednagar District, Maharashtra
Get PDFA research on brick kiln workers was conducted in Ahmednagar district of Maharashtra to understand their general status. In all 120 workers were interviewed and their information was obtained by adapting the schedule of questionnaire. It is found that, the general status of brick kiln workers is not good. It is concluded that, the low income level of the workers leads to their substandard living. Malnutrition, addiction and low levels of education are the common problems among the workers. Provision of technical assistance, strengthening of infrastructural facilities and improvement of their income levels may enhance the general status of brick kiln workers
Standardization of Siddha Herbo mineral formulation Chanthirothaya tablet (CHTM) for Rheumatoid Arthritis (RA)
Get PDFIntroduction: Siddha System of Medicine is one of the traditional systems of Indian Medicine. The usage of herbal and mineral medicinal preparations is increasing each day for treating various diseases. Although there are many NSAIDs available nowadays to treat Rheumatoid Arthritis (RA) clinically, the usage of herbomineral formulations comes into existence only after testing the drug for physiochemical and phytochemical analysis inorder to treat RA. Objective: The objective was to analyse Siddha Herbomineral formulation Chanthirothaya Tablet for Rheumatoid Arthritis by screening the physico chemical, phytochemical properties and its organoleptic characters of the tablet. Materials and methods: Chanthirothaya Tablet was prepared as per GMP Guidelines and subjected to analysis for physico chemical, phytochemical screening and its organoleptic characters at Noble research solutions, Chennai as per Pharmacopoeial laboratory for Indian Medicine (PLIM) Guidelines of AYUSH (Ayurveda, yoga, Unani, Siddha, Homeopathy) health system. Result: Physico chemical analysis report showed loss on drying at 105°C is 0.6533±0.293, total ash value 2.933±0.4726, acid insoluble ash 0.4133± 0.05033, water soluble extractive 14.3±1.311and acid soluble extractive 6.667±1.457, while screening of Phytochemicals showed the presence of alkaloid, Coumarin, Saponins, Tanins, Glycosides, phenolic compounds, steroids, triterpenoids and carbohydrates
A study to evaluate the effectiveness of selected nursing interventions on control of anemia and worm infestation among male adolescents at Madurai
Get PDFThe main objective of the study was to evaluate the effectiveness of selected nursing interventions on control of anemia and worm infestations among male adolescents at Madurai. This study was employed at true experimental research design. Totally 60 male adolescents were included in the study. The study result showed that control group pretest mean hemoglobin value was 9.86 and standard deviation 0.54. Posttest meanhemoglobin 9.84 and standard deviation 0.60. Difference in mean percentage was 0.02. Worm infection status was same (46.7 % no worm and 53.3% worm infestation) in pretest and posttest without any change. Among experimental group pretest mean hemoglobin value was 10.30 and standard deviation 0.78. Posttest mean 12.23 and standard deviation 1.05. Difference in mean percentage was 1.93. Worm infection status of pretest showed that 60% of the participants had worm load and 40 % no worm infection but in posttestall participants of experimental group were free from worm infection. The t value was 9.09 and p value of the study was less than 0.001