Medico Research Chronicles
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COMPARISON OF THE EFFECT OF PATIENT-CENTERED AND FAMILY-CENTERED EDUCATION ON QUALITY OF LIFE IN PATIENTS WITH RHEUMATOID ARTHRITIS REFERRED TO RHEUMATOLOGIC CLINICS OF EDUCATIONAL CENTERS AFFILIATED TO SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCES, TEHR
Introduction: Rheumatoid Arthritis Chronic illness with various degrees of inflammation, swelling and pain in the joints. Because the disease is associated with impotence, the family plays an important role in the care of these patients. The aim of this study was to determine the relationship between familycentered education and quality of life in a patient with rheumatoid arthritis.
Methods & Material: In this research, a clinical trial study was performed on 96 patients with rheumatoid arthritis in Shahid Beheshti University hospitals. Patients in 6 groups of 16 patients, each group in 3 sessions, each session, 45-30 minutes, for 3 weeks with the presence of a patient and a family member in the family and patient group, with the presence of the patient in the patient group and with the presence of only one family member In the family group. Then they took part in the training classes. The first session, familiarity with the patients and about the disease of rheumatoid arthritis and drugs for patients by the researcher was given and the demographic questionnaire and the questionnaire sf-36 were completed. In the second session, a proper diet was prescribed and in the third session, appropriate exercises were trained. At the end of each session, the educational booklet was provided to the patients. Four weeks after the completion of the classes, the quality of life questionnaire (36sf) was completed by the patients.
Results: The quality of life before education in the family and patient group is 26 and in the group 35 and in the group is only 34. The quality of life after education in the family and patient group is 74 and in the patient group are 57 and in the group are only 38 families. The findings showed that before the intervention, the quality of life score was low in all three groups, but after intervention, the mean scores of quality of life in two groups of the family, patient and patient group were significantly higher than the pre-intervention group, and in the group only the family There was no significant difference between the scores of the three groups of the family and the patient and the patient group and the family group in the quality of life score, and the quality of life in the family and patient group was much higher than that of the patient group and the family group. And the quality of life score later the intervention in the patient group was much more than the family group.Downloaded from Medico Research Chronicles “Comparison of the effect of patient-centered and family-centered education on quality of life in patients with rheumatoid arthritis referred to rheumatologic clinics of educational centers affiliated to Shahid Beheshti University of Medical Sciences, Tehran†Ghadi S. R. et al., Med. Res. Chron., 2018, 5 (1), 101-109 Medico Research Chronicles, 2018 102
Conclusion: The role of the family with the patient has been emphasized on improving the quality of life. Based on this research, family planning nursing interventions and family members\u27 participation with the patient are recommended for the care of a patient with rheumatoid arthritis
USE OF LASER IN THE TREATMENT OF COMMON ORAL PREMALIGNANT LESIONS AND CONDITIONS - A REVIEW
Various procedures are performed for the treatment of oral pre-malignant lesions. These include surgical excision, electrocoagulation, cryosurgery, laser surgery, the local use of corticoids and administration of vitamin A. The introduction of lasers to the biomedical field has truly given a technological boost to the way clinicians perform a number of procedures. Soft tissue lasers have become popular among the clinicians due to their potential value in surgical procedures providing surface sterilization, dry surgical field, and increased patient acceptance. Management of premalignant lesions of the oral cavity such as leukoplakia and erythroplakia is challenging. They have a potential for malignant transformation. Management of such lesions includes observation, excision, ablation, or topical medical therapies. The gold standard for management of the clinically evident high-grade premalignant disease is excision or laser ablation. Laser treatment has been a well-established modality for management of premalignant lesions and has potential advantages over surgical excision. This article presents a review on the use of lasers in the management of oral premalignant lesions
SMOKE TOXICITY AS A SPECIAL DEVELOPING CONDITION IN A MASS FIRE EVENT
We present the case of a mass fire event into enclosed space in Bucharest, generating a smoke explosion. We analyzed patient’s lesions and evolution, aiming to appreciate the keystones, key points to learn, and golden standards to establish for fire management, highlighting by molecular docking technique the toxicity of gas resulting from combustion of polymers. Several important lessons were clearly learned from the case, being now constitutive parts of a new concept of intervention, designing and realizing exercises for responders, and ministries with responsibilities to preplan emergency support and evacuation for victims resulting from close space fire events with smoke inhalation, severe poisoning, and extensive burns
EFFECTS OF PSYCHONEUROBICS ON MENTAL AND PHYSICAL HEALTH
This report condenses the present proof on the effects of Psychoneurobics mediations on different parts of mental and physical health, by focussing on the proof portrayed in survey articles. Altogether, these audits recommend various regions where Psychoneurobics likely could be useful, however more research is required for essentially every one of them to immovably set up such advantages. The heterogeneity among intercessions and conditions considered has hampered the utilization of meta-examination as a fitting instrument for abridging the present writing. By the by, there are some meta-investigations which show gainful effects of Psychoneurobics mediations, and there are a few randomized clinical preliminaries (RCT\u27s) of generally top notch demonstrating valuable effects of Psychoneurobics for agony related inability and emotional wellness. Psychoneurobics likely could be powerful as a steady subordinate to moderate some restorative conditions, however not yet a demonstrated independent, healing treatment
STUDY ON THE TYPES OF INNER BODY CHAKRA SYSTEM MERIDIANS IN PSYCHONEUROBICS
The purpose of this investigation is to analyze and investigate Psycho neurobics and how it identifies with a practice comprising of singer-accommodating yoga stances, how these stances may profit the singer\u27s psychological and physical health, and how these techniques identify with assigned research. The examination additionally explores yogic breathing techniques and how these activities identify with chosen inquire about. In conclusion, the paper inspects how the voice understudy and expert singer may reduce nervousness by presenting a practice of day by day yogic intervention of mudra and mantra techniques, and how voice educators may better comprehend and assist their students with stage execution uneasiness
PREVALENCE OF TMJ DISORDERS AMONG THE GENERAL POPULATION IN SOUTHERN REGION OF KINGDOM OF SAUDI ARABIA- A SURVEY REPORT FROM DENTAL CENTRE OF AFHSR
Objective: Temporomandibular joint disorder is a broad term used to describe many conditions with various etiologies. The aim of this study was to evaluate the prevalence, severity and sex distribution with the signs and symptoms of TMJ disorders in the patients who attended the Dental Centre of AFHSR Khamis Mushait KSA. The main objective of this study was to pay deeper attention to TMD in the region.
Introduction: The prevalence of temporomandibular joint and muscle disorder, in general, is usually between 2% to 5% unusual for chronic pain conditions as per various studies, it has been found by various studies that the prevalence rates of TMJ disorders are higher among younger persons. TMJ disorders are at least twice as prevalent in women as men. As many patients ignore this type of pain and function, so our aim during this study was too aware the patient regarding this problem and provoke them that there is a proper treatment for the same.
Materials and Methods: Study design: - This study was conducted at Dental Centre of Armed Force Hospital Southern Region Khamis Mushait Kingdom of Saudi Arabia. A total number of 400 patients with the age group of 21-55 years. Among them 37% were males and 63% were females. A questionnaire was designed which include all the demographic information of the patient and these patients were screened for symptoms. Data were collected from December 2016 to December 2017. Patients were given no time limit to fill questionnaire so as to reduce error in answering the questionnaire. The researchers did a clinical examination of the survived population under the supervision of two investigators to minimize the error. Ethical Committee clearance was obtained from the Academic Department of AFHSR. The patients who were included in this study were not having any history of orthodontic treatment, and have not undergone any TMJ surgical procedure for any underlying disease. Initially, proper instructions were given to the participants about the goal and benefits of this study. The descriptive static analysis was done for the results.
Result: Among the 400 patients screened 148 (37%) were males and 252 (63%) were females. Among 400 patients 160 (40%) patients were asymptomatic and were free from any TMJ disorders symptoms and 240 (60%) patients have clicking, pain or deviation.
Conclusion: A high prevalence was found in the female population, average cases were mild and gender severity was statistically significant. Despite suffering from TMJ disorders, the average population was not aware. So it is important for the dental practitioner to seldom examine TMJ during a routine examination. Try to identify any underlying asymptomatic disorder and educate the sequences of the cause and its ill effect. So that the patient can take early treatment to prevent the severity of the disorder
EARLY STAGE OF FIBROMYALGIC PAIN IN ADULTS TREATED WITH GABAPENTIN AT KOSHI ZONAL HOSPITAL
Introduction: Early stage of fibromyalgia (FM) is characterized by generalized body ache, fatigue, restlessness sleep, impaired cognitive and anxiety with unknown etiology. The definite diagnosis and treatment for fibromyalgia are not clear, but medications and alternative treatment can help to alleviate or cure early stage of fibromyalgia, among the medications one is gabapentin.
Objective: Evaluation of Numerical pain rating scale (NPRS) of fibromyalgia by treating with gabapentin at Koshi Zonal Hospital from May 2016 to March 2018.
Methodology : In this cross-sectional study, 50 patients were selected who had already taken more than two times non-steroid anti-inflammatory drugs (NSAIDS) but pain was not relived and those patients were treated with gabapentin(100mg to 300mg) for eight weeks in early stage of fibromyalgia for evaluating pain score in NPRS and complications by using Microsoft Excel Programme.
Results: Out of 50 patients, 39 patients had good response, mean age 25.2 (range18-30 years), 37 female patients, mean female age 25.41 years (range 18-30 years), 13 male patients, mean male age 24.62 years (range 18-30 years), mean duration of illness 5.18 weeks ( 4-6 weeks).
Conclusion: Patients who were taking gabapentin displayed significant reduction in pain, better sleep, and less fatigue as well as fewer complications
ABNORMAL RHYTHM - A CASE REPORT
A 50 years old male with no co-morbidities presented to the emergency department with the 2days history of a productive cough and cold without fever. The patient also complained of mild chest pain which increases on deep inspiration associated with fatigue and sweating of 1-day duration. With the diagnosis of atrial flutter, he was admitted in CCU under cardiology where the rhythm changed to atrial fibrillation with the fast ventricular rate. The patient’s rhythm was reverted back to normal sinus rhythm with the Amiodarone infusion
EFFECTIVENESS OF PSYCHONEUROBICS ON THE LEVEL OF STRESS AMONG WOMEN
ct The point of this study is to discover the adequacy of psychoneurobic practice on Stress Management. The Simplest meaning of stress is a reaction to requests 1 according to Survey Report of Manovikasa Psychological Institute, India, Indian ladies are experiencing extreme stress. Consequently, this Research is engaged towards diminishing the stress level in ladies a mass through psychoneurobic practice. Psychoneurobics is an Energy Therapy. In psychoneurobic, we breathe in the Cosmic Energy through the intensity of brain and after that exchange it to our body, neuro-framework. The test approach is utilized for this pilot study and configuration was one gathering pretest and post-test for ladies aggregate matured between 20 to 50 years in a club. The ladies gather were prepared to rehearse psychoneurobics (quiet neurobics) and the neurobic machine is utilized to quantify the stress level. Combined T-Test was utilized for factual examination. The Psyconeurobic practice uncovered that there is abatement in stress level among ladies, accordingly enhancing the personal satisfaction at the beginning
INCIDENCE OF LUMBOSACRAL TRANSITIONALVERTEBRAE (LSTV) AMONGEST THE POPULATION OF UP—A MORPHOLOGICAL STUDY ON BONES
Introduction: The human vertebral column is divided into five regions viz cervical, thoracic, lumbar, sacral and coccygeal regions. The lumbar region is designed mainly to facilitate movements of the back and support the body weight. Abnormal fusion between L5 & S1 vertebrae results in Sacralisation. Lumbarization occurs when the first segment of the sacrum is not fused with rest of sacrum & remains free to move. Both these conditions are discussed under one common heading“Lumbosacral transitional vertebrae†(LSTV). The prevalence is 1-30 %. Various researchers have identified the role of LSTV in low back pain. Sacralized segment can impinge on spinal nerve roots or the cauda equina structures producing various symptoms & signs.
Aim: Knowledge of LSTV is helpful 1 to diagnose and treat patients with low back pain 2. Awareness of such congenital anomaly of the vertebral column is important before undertaking any spinal surgery.
Material & Methods: 100 dry adult sacra belonging to the dept. of anatomy SMC, Ghaziabad (UP) were used for the study. Every specimen was studied for features of: 1. Sacralization 2.Lumbarization.
Observation: LSTV was seen in 27%; four specimens showing lumbarization & 23 showing sacralization of grade IIIb (of Castellvi).
Discussion: The association between LSTV and back pain was first described in 1917 by Bertolotti. Mutations of HOX10/ HOX11 genes may play a role in the formation of LSTV. A knowledge of LSTV helps in treating low backache & diagnosis of various associated pathologies of the vertebral column