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  Subjects -> HEALTH AND SAFETY (Total: 1290 journals)
    - CIVIL DEFENSE (18 journals)
    - DRUG ABUSE AND ALCOHOLISM (86 journals)
    - HEALTH AND SAFETY (520 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (378 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (106 journals)
    - PHYSICAL FITNESS AND HYGIENE (101 journals)
    - WOMEN'S HEALTH (81 journals)

HEALTH AND SAFETY (520 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 9)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access  
Adultspan Journal     Hybrid Journal  
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 20)
African Health Sciences     Open Access   (Followers: 2)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 6)
African Journal of Health Professions Education     Open Access   (Followers: 4)
Afrimedic Journal     Open Access   (Followers: 2)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 3)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 11)
American Journal of Health Education     Hybrid Journal   (Followers: 26)
American Journal of Health Promotion     Hybrid Journal   (Followers: 22)
American Journal of Health Studies     Full-text available via subscription   (Followers: 9)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 21)
American Journal of Public Health     Full-text available via subscription   (Followers: 181)
American Journal of Public Health Research     Open Access   (Followers: 26)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 2)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 2)
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 9)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences : Interface And Interaction     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 8)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 2)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 8)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 3)
Association of Schools of Allied Health Professions     Full-text available via subscription   (Followers: 6)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 2)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 1)
Behavioral Healthcare     Full-text available via subscription   (Followers: 5)
Best Practices in Mental Health     Full-text available via subscription   (Followers: 7)
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 5)
BMC Pregnancy and Childbirth     Open Access   (Followers: 18)
BMJ Simulation & Technology Enhanced Learning     Full-text available via subscription   (Followers: 7)
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 16)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Canadian Family Physician     Partially Free   (Followers: 12)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 11)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 1)
Canadian Journal of Public Health     Full-text available via subscription   (Followers: 18)
Case Reports in Women's Health     Open Access   (Followers: 2)
Case Studies in Fire Safety     Open Access   (Followers: 12)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
Central European Journal of Public Health     Full-text available via subscription   (Followers: 4)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 11)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access  
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia y Cuidado     Open Access  
Ciencia, Tecnología y Salud     Open Access  
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 1)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 1)
Conflict and Health     Open Access   (Followers: 8)
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 1)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription  
Duazary     Open Access   (Followers: 1)
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 13)
East African Journal of Public Health     Full-text available via subscription   (Followers: 3)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 16)
EcoHealth     Hybrid Journal   (Followers: 3)
Education for Health     Open Access   (Followers: 4)
electronic Journal of Health Informatics     Open Access   (Followers: 4)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access  
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 3)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 3)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 18)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 1)
Ethiopian Journal of Health Development     Open Access   (Followers: 8)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 7)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 2)
European Medical, Health and Pharmaceutical Journal     Open Access  
Evaluation & the Health Professions     Hybrid Journal   (Followers: 9)
Evidence-based Medicine & Public Health     Open Access   (Followers: 5)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 8)
Family & Community Health     Partially Free   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 3)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 1)
Food and Public Health     Open Access   (Followers: 10)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 11)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Health : Science and Practice     Open Access   (Followers: 5)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 8)
Global Journal of Public Health     Open Access   (Followers: 10)
Global Medical & Health Communication     Open Access  
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 8)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 7)
Health and Social Work     Hybrid Journal   (Followers: 48)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 1)
Health Care Analysis     Hybrid Journal   (Followers: 12)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 11)
Health Issues     Full-text available via subscription   (Followers: 1)
Health Policy     Hybrid Journal   (Followers: 33)
Health Policy and Technology     Hybrid Journal   (Followers: 1)
Health Professional Student Journal     Open Access   (Followers: 1)
Health Promotion International     Hybrid Journal   (Followers: 21)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 10)
Health Promotion Practice     Hybrid Journal   (Followers: 15)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 46)
Health Psychology Research     Open Access   (Followers: 18)
Health Psychology Review     Hybrid Journal   (Followers: 39)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 10)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Services Insights     Open Access   (Followers: 2)
Health Systems     Hybrid Journal   (Followers: 2)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 11)
Health, Risk & Society     Hybrid Journal   (Followers: 11)
Healthcare     Open Access   (Followers: 1)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
HIV & AIDS Review     Full-text available via subscription   (Followers: 10)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 5)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 3)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 2)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Inmanencia. Revista del Hospital Interzonal General de Agudos (HIGA) Eva Perón     Open Access  
Innovative Journal of Medical and Health Sciences     Open Access  
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 6)
interactive Journal of Medical Research     Open Access  
International Health     Hybrid Journal   (Followers: 5)
International Journal for Equity in Health     Open Access   (Followers: 7)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 32)
International Journal of Applied Behavioral Sciences     Open Access   (Followers: 2)
International Journal of Behavioural and Healthcare Research     Hybrid Journal   (Followers: 7)
International Journal of Circumpolar Health     Open Access   (Followers: 1)
International Journal of Community Medicine and Public Health     Open Access   (Followers: 5)
International Journal of E-Health and Medical Communications     Full-text available via subscription   (Followers: 2)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 20)
International Journal of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8)
International Journal of Food Safety, Nutrition and Public Health     Hybrid Journal   (Followers: 14)
International Journal of Health & Allied Sciences     Open Access   (Followers: 2)
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 7)
International Journal of Health Geographics     Open Access   (Followers: 6)
International Journal of Health Policy and Management     Open Access   (Followers: 2)
International Journal of Health Professions     Open Access   (Followers: 2)
International Journal of Health Promotion and Education     Hybrid Journal   (Followers: 12)

        1 2 3 | Last

Journal Cover Indian Journal of Health Sciences
  [2 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 2349-5006 - ISSN (Online) 2349-6681
   Published by Medknow Publishers Homepage  [355 journals]
  • Publication explosion and ethics: A cause of concern

    • Authors: Subarna Roy
      Pages: 101 - 103
      Abstract: Subarna Roy
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):101-103

      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):101-103
      PubDate: Tue,30 May 2017
      DOI: 10.4103/2349-5006.207270
      Issue No: Vol. 10, No. 2 (2017)
       
  • Utilization of janani suraksha yojana by eligible pregnant women in rural
           South India: A qualitative study

    • Authors: Biswamitra Sahu, Anita Nath, R Anil Kumar
      Pages: 104 - 109
      Abstract: Biswamitra Sahu, Anita Nath, R Anil Kumar
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):104-109
      Context: In India, the Janani Suraksha Yojana (JSY) scheme, translated as “safe motherhood scheme,” has been implemented to tackle this financial insecurity by giving cash incentives to women who give birth in public health facilities and accredited private health facilities. Although there is a reported increase in the number of institutional deliveries, there has not been much improvement in maternal or neonatal mortality rates.Objective: To explore the utilization of and barriers toward the use of JSY scheme by eligible rural pregnant women.Design: Qualitative research method in the form of in-depth interview was used for data collection and analysis.Methodology: The study was conducted in seven villages of Bellary district in Karnataka, South India. In depth interview was conducted for the study participants included twenty women who had delivered over the last 1 year and were selected by purposive sampling from antenatal registers which were available from the primary and community health centers in the district.Results: About 80% had delivered at public sector health facilities. To pay for the financial deficit to meet the pregnancy-related expenses, a large number of participants expressed to have raised money from loans, mortgage of land and house, and selling of jewelry and livestock. Many narrated their experiences with the poor quality of care at the public sector health centers. Several participants faced problems ranging from those related to opening a bank account to cumbersome procedures and logistical issues for money encashment.Conclusion: The incentive which is given under JSY does not seem adequate as, despite its availability, the family still needs to incur lofty medical expenditure. Furthermore, lack of quality care at public health facilities results in excessive out of pocket expenditure incurred at private health centers. The encashment procedure is also fraught with cumbersome procedures once again leads to loss of work time and additional economic losses.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):104-109
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_5_17
      Issue No: Vol. 10, No. 2 (2017)
       
  • Risk of depression in patients with chronic obstructive pulmonary disease
           and its determinants

    • Authors: Sujeer Khan, Bhagyashri B Patil
      Pages: 110 - 115
      Abstract: Sujeer Khan, Bhagyashri B Patil
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):110-115
      Background and Objectives: Depression is an important comorbid condition of chronic obstructive pulmonary disease (COPD). There is a risk of undertreatment for depression in patients with COPD as depressive symptoms, including suicidal tendencies, can erroneously be conceptualized as an understandable reaction to COPD and not as signs of an independent depressive disorder. The exact prevalence of depression in COPD patients among the Indian population is unknown.Aim: This study aims to know the prevalence of depression in COPD patients attending tertiary care hospital.Materials and Methods: A total of 120 COPD patients were enrolled in the study according to Global initiative for COPD (GOLD) criteria 2015. They were screened for depression as per Beck's depression score.Results: Eighteen patients in stage 1, 66 patients in stage 2, 29 patients in stage 3, and 7 patients in stage 4 of the COPD were enrolled. The prevalence of depression in the study population was 55%.Conclusion: The prevalence of depression in COPD is very high. The factors associated with depression in COPD patients were the duration of the disease, body mass index, GOLD stage, and smoking. Duration of the disease and smoking was the most significant factors associated with depression in COPD. Patients with COPD should be screened for depression and those with higher depression score should undergo further evaluation. Further studies involving larger number of subjects from several centers are required to study the prevalence of depression in Indian patients with COPD.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):110-115
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_453_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • Correlation of computed tomography and nasal endoscopic findings in
           chronic rhinosinusitis: A hospital-based study

    • Authors: Dharmistha Rajesh Kaku, Anilkumar Suryadev Harugop
      Pages: 116 - 123
      Abstract: Dharmistha Rajesh Kaku, Anilkumar Suryadev Harugop
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):116-123
      Background: Computed tomography (CT) scan is a diagnostic tool for chronic rhinosinusitis (CRS). This study was attempted to correlate preoperative CT scan and endoscopic findings in patients with CRS.Aims: This study aimed to correlate CT scan and nasal endoscopic findings in the assessment of patients with CRS.Study Design: This is a hospital-based study.Subjects and Methods: One-year observational study was conducted in the Department of Otorhinolaryngology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum. Thirty patients meeting 2007 revised criteria for CRS underwent CT scan of paranasal sinus, diagnostic nasal endoscopy, and functional endoscopic sinus surgery.Statistical Analysis: Statistical analysis was performed by Kappa's measure of agreement and P value.Results: Correlation between CT scan and endoscopy was good in cases of anterior ethmoids (right, k = 0.867; P< 0.02, left, k = 0.525, P = 0.003), concha bullosa (right, k = 0.68; P< 0.001, left, k = 0.520; P = 0.003), and maxillary sinus (right, k = 0.786; P< 0.001, left, k = 0.636; P< 0.001). Correlation was acceptable for frontal sinus (right, k = 0.488; P = 0.007, left, k = 0.493; P< 0.05), mucosal thickening (k = 0.525; P = 0.003), polypoidal changes (k = 0.457; P = 0.012), posterior ethmoids (right, k = 0.590; P = 0.04; left, k = 0.432, P = 0.015), and sphenoid sinus (right, k = 0.492; P = 0.006, left, k = 0.444; P = 0.013). Correlation was poor in cases of paradoxical middle turbinate (k = 0.384; P = 0.051) and osteomeatal complex (OMC) occlusion (right, k = 0.416; P = 0.011, left, k = 0.367; P = 0.020).Conclusions: Endoscopy was superior to CT scan in localizing pathologies such as polyp, edema, and discharge, whereas CT scan was useful for OMC assessment to visualize paranasal sinus and anatomical variations.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):116-123
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_305_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • Comparative evaluation of postoperative pain after single visit endodontic
           treatment using ProTaper Universal and ProTaper Next rotary file systems:
           A randomized clinical trial

    • Authors: Neha Arora, Sonal Bakul Joshi
      Pages: 124 - 130
      Abstract: Neha Arora, Sonal Bakul Joshi
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):124-130
      Introduction: Root canal preparation may cause inadvertent apical extrusion of debris causing postoperative pain. This debris varies with the instrumentation technique and design characteristics. One of the major revolutions in the design of the instruments is the introduction of files with an offset center of mass or/and rotation, which causes asymmetric rotary motion in the canal. An example is the ProTaper Next (PTN) rotary file system. In vitro studies have shown that this system extrudes lesser debris than more commonly used ProTaper Universal (PTU). However, in clinical circumstances, periapical tissues may act as a natural barrier and host immune response may affect the response. Hence, the aim of the present study was to evaluate and compare the postoperative pain after single visit endodontic treatment using PTU and PTN rotary file systems.Study Design: A total of 80 patients were assigned to two groups according to the root canal instrumentation technique used, PTU or PTN. Root canal treatment was carried out in a single appointment, and the severity of postoperative pain was assessed using visual analog scale score after 6, 24, 48, and 72 h. The association of variables (age and sex) and root canal preparation time were also evaluated and compared between the groups.Results: Postoperative pain was significantly higher in PTU group than PTN group. The highest pain was observed at 6 h interval which reduced with each time with no pain at 72 h interval in both the groups. Significantly, more amount of time was involved with PTU as compared to PTN. A significantly higher pain was observed with advancing age and in females.Conclusion: The postoperative pain was significantly higher in patients undergoing canal instrumentation with PTU rotary instruments as compared to the PTN rotary instruments.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):124-130
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_427_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • Effect of denture adhesive and its forms on microbial colonization in
           diabetic and nondiabetic complete denture wearers: An in vivo study

    • Authors: Ruta Jadhav, Sounyala Rayannavar, Raghunath Patil, Vinuta Hiremath, Sumati A Hogade
      Pages: 131 - 137
      Abstract: Ruta Jadhav, Sounyala Rayannavar, Raghunath Patil, Vinuta Hiremath, Sumati A Hogade
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):131-137
      Problem: Denture adhesives are known to enhance the retention and stability in denture wearers, especially in patients with resorbed ridges. However, dentists hesitate to prescribe them fearing denture adhesive-induced oral microbial infections or hyperplasia in the oral cavity.Aim: The aim of this was to evaluate and compare the effect of denture adhesives and its forms on the microbial colonization of diabetic and nondiabetic edentulous patients using complete dentures.Methodology: Forty subjects were included in the study (Group A: 20 diabetics and Group B: 20 nondiabetics). After 2 weeks of complete denture insertion, samples were collected from the hard palate and buccal shelf areas for baseline microbiological analysis. Colony forming unit (CFU) counts were calculated on blood agar after 48 h of incubation. Ten subjects per group were prescribed with denture adhesive powder form and other 10 subjects with paste form, which was used for 1 month. After 1 month, subjects were recalled and CFU were evaluated.Results: The difference obtained between the CFU counts for T0 and T1 of both the groups; Group A and Group B showed no significant difference. As shown by the dependent t-test, there was a slight increase in the CFU counts of palatal area as compared to the buccal shelf area and increased counts for the paste form of denture adhesive as compared to the powder form of denture adhesive. However, these differences were statistically insignificant (P > 0.05).Conclusions: Microbial colonization of diabetic patients was far more than the nondiabetic patients. Denture adhesives had no effect on the microbial colonization when used for 1 month for both the groups. Furthermore, the microbial colonies were found to be slightly increased for hard palate and for the paste form of denture adhesive, however, statistically not significant.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):131-137
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_436_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • Determination of minimum instrumentation size for penetration of diode
           laser against Enterococcus faecalis in root canals using scanning electron
           microscope: An in vitro study

    • Authors: Niraj Jayant Godbole, Preeti K Dodwad, Kishore Bhat, Anand Patil
      Pages: 138 - 144
      Abstract: Niraj Jayant Godbole, Preeti K Dodwad, Kishore Bhat, Anand Patil
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):138-144
      Aim: The aim of this study was to determine minimum instrumentation size for penetration of diode laser against Enterococcus faecalis in root canals using scanning electron microscope (SEM).Methodology: Fifty-five single-rooted human permanent maxillary anterior teeth were selected. The sterilized specimens were inoculated with 5 μl E. faecalis culture grown in diluted brain–heart infusion broth and incubated at 37°C for 4 weeks. After 4 weeks, 5 samples were selected as baseline group to evaluate the depth of penetration of E. faecalis. Remaining 50 samples were divided into 5 groups based on the apical enlargement size using ProTaper file system: Group 1 – canal preparation done till #F1 size file; Group 2 – canal preparation done till #F2 size file; Group 3– canal preparation done till #F3 size file; Group 4 – canal preparation done till #F4 size file; Group 5 – canal preparation done till #F5 size file. The canals were prepared and then irradiated with 940 nm diode laser at a power setting of 1.5W for 5 s. The procedure was repeated 4 times with intervals of 10 s between each one. All the samples were then transversely sectioned at 2 mm and 5 mm from the apex. Each section was then examined under a SEM to evaluate the depth of penetration of E. faecalis in the baseline group and depth of penetration of diode laser in the experimental groups. The results were analyzed using the two-way ANOVA and Tukey's multiple post hoc test.Results: Depth of penetration of laser was highest in Group 3 in apical third region and was statistically significant when compared to Group 1 and Group 2 in the middle and apical third regions. However, no statistically significant difference was noted between Group 3, Group 4, and Group 5.Conclusion: It can be concluded that the apical instrumentation to a size F3 using ProTaper file system along with irradiation using a diode laser showed a greater depth of penetration into dentin and thus reducing residual microorganisms. Furthermore, conserving as much tooth structure as possible, thereby increasing the predictability of success.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):138-144
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_429_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • The visual outcome after cataract surgery with multifocal intraocular
           lenses and monofocal intraocular lenses at tertiary care hospital: A
           prospective observational study

    • Authors: Anjal M Shah, Umesh U Harakuni
      Pages: 145 - 154
      Abstract: Anjal M Shah, Umesh U Harakuni
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):145-154
      Background: The crystalline lens is part of the optical system of the eye that focuses rays of light on the retina. Apart from contributing to the optical power of the eye as a whole, the crystalline lens can dynamically change the optical power of the system by the process of accommodation for younger eyes. During life the ability of the crystalline lens to change in shape decreases, leading to presbyopia. For optimal visual performance, crystalline lens should be transparent. Cataract describes the pathological opacification of the crystalline lens. Removal of the crystalline lens followed by implantation of an artificial intraocular lens (IOL) in the capsular bag of the eye, as practiced in cataract surgery, offers an opportunity to address refractive anomalies in patients who are ametropic due to the removal of cataract. Implantation of an IOL with a fixed focal point (monofocal IOL) will render a patient at best emmetropic for a single fixed working distance only, leading to a postoperative result comparable to presbyopia in an emmetropic subject; pseudoaccommodation can play a role in increasing the depth of field but spectacle independence for a range of working distances is not be expected after implantation of a monofocal IOL. To restore the missing accommodation, we can implant multifocal IOLs. Multifocal IOLs, on the other hand, are designed to have two or more fixed focal points, thus, facilitating a sharp retinal image of objects at multiple working distances resulting in increased spectacle independence, but these lenses can cause a reduction in contrast sensitivity and higher incidence of photic phenomena such as halos, flare, and glare.Aim of The Study: The study was carried out with the aim of comparing the visual outcome after cataract surgery with multifocal IOLs and monofocal IOLs in respect to distant visual acuity, near visual acuity, contrast sensitivity, subjective symptoms, and to assess functional status and quality of life.Materials and Methods: A prospective observational study was conducted in the Department of Ophthalmology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi on patients undergoing cataract surgery during January 1, 2015–December 31, 2015. The study was approved by the Ethical and Research Committee of Jawaharlal Nehru Medical College, Belagavi. Forty eyes of forty patients who undergone phacoemulsification surgery with IOL implantation under LA. Choice of IOL inserted given according to their desire for spectacle independency. Monofocal group was taken as control. Both groups were evaluated postoperatively after 3 weeks and 6 weeks for distant vision, near vision, contrast sensitivity for distance, subjective satisfaction by standard questionnaire method and subjective symptoms such as glare and halos and difficulty in night driving. Data were analyzed by Chi-square test (P < 0.05%).Results: Distant visual acuity was 6/6–6/9 in 80% and 75% of the patients of multifocal and monofocal groups, respectively, remaining patients had 6/12–6/18 vision. 85% of multifocal group had N6–N8 vision (P < 0.0001). High contrast sensitivity for distance was almost similar in both groups, but low contrast was significantly reduced in multifocal group as compared to monofocal group (P = 0.0023). Fifteen percent of multifocal group had complained of glare and halos compared to monofocal group who never had these visual sensations. About 5% of patients in multifocal group had difficulty with nighttime driving. Nearly, 80% of patients in multifocal group and 40% of patients in monofocal group had become spectacles independent.Interpretation and Conclusion: Multifocal IOL group experienced reduced spectacle dependency for near vision and a high level of patient satisfaction despite some reports of halos, glare, and difficulty in night driving. Monofocal IOL group experienced spectacle dependency for near vision. Overall, multifocal IOLs offer best near vision acuity, good distance visual acuity, less limitation in visual function in selected and motivated individuals.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):145-154
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_451_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • “Comparative evaluation of intranasal dexmedetomidine and intranasal
           midazolam for premedication in children undergoing anesthesia”: A
           1-year double-blind randomized controlled trial

    • Authors: Narendra Malineni, Manjunath C Patil
      Pages: 155 - 159
      Abstract: Narendra Malineni, Manjunath C Patil
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):155-159
      Introduction: Children undergoing surgical procedures can experience significant anxiety and distress during perioperative period. Use of sedative premedication helps to reduce anxiety and facilitate a smooth induction of anesthesia. Midazolam is the most commonly used premedication agent with adverse effects such as behavioral changes, hiccups, and paradoxical hyperactive reactions. Dexmedetomidine, a highly selective α-2 agonist, has sedative properties.Aims and Objectives: The aim and objective of this study was to compare the efficacy of intranasal dexmedetomidine and intranasal midazolam for premedication in pediatric age group for parental separation anxiety and acceptance of anesthesia mask.Materials and Methods: This study included 60 American Society of Anesthesiologists I–II patients aged 1–10 years undergoing lower abdominal and lower limb surgeries under caudal epidural anesthesia. Ethical committee's clearance and informed consent were obtained. Patients were allocated into two groups by a computer-generated randomization table to receive 0.2 mg/kg intranasal midazolam in Group M and 1 μg/kg dexmedetomidine in Group D intranasally using 1 ml tuberculin syringe. The Parental Separation Anxiety Scale (PSAS) and Mask Acceptance Scale (MAS) were assessed by an anesthesiologist blinded to the drug given. Heart rate and oxygen saturation were monitored till the end of the procedure.Results: Demographic data were comparable in both groups (P > 0.05). Mean PSAS was 1.2 ± 0.40 in dexmedetomidine group and 1.6 ± 0.56 in midazolam group (P = 0.003). Mean mask acceptance score (MAS) at the time of induction was 1.7 ± 0.59 in dexmedetomidine group and 2.1 ± 0.58 in midazolam group (P = 0.02).Conclusion: Intranasal dexmedetomidine 1 μg/kg is an effective alternative for premedication in children undergoing anesthesia and it results in better parent separation and better mask acceptance at the time of induction when compared to intranasal midazolam 0.2 mg/kg without much side effects or complications.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):155-159
      PubDate: Tue,30 May 2017
      DOI: 10.4103/2349-5006.207264
      Issue No: Vol. 10, No. 2 (2017)
       
  • Comparison and assessment of the oral hygiene status and user satisfaction
           of a novel toothbrush and a regular commercial toothbrush: A questionnaire
           study

    • Authors: Rishi Ashok Bhimani, Shaila Veerappa Kothiwale
      Pages: 160 - 166
      Abstract: Rishi Ashok Bhimani, Shaila Veerappa Kothiwale
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):160-166
      Background: Periodontal disease is the most prevalent diseases of the oral cavity. Etiology of periodontal diseases has been related to the dental plaque biofilm. Therefore, regular removal of dental plaque and prevention of its formation is essential to maintain optimum oral health. Plaque control measures have been broadly classified into - mechanical and chemical plaque control. Mechanical plaque control is a simple and effective tool for oral prophylaxis. Particularly, the daily use of a manual toothbrush with a toothpaste prevents oral diseases. A variety of toothbrush designs and configurations have been manufactured and evaluated for their efficacyAims: To design an ergonomic novel toothbrush and compare its efficacy of oral hygiene with a standard commercial toothbrush and to assess and compare the satisfaction and comfort of the toothbrushes among the study subjects, through a self-constructed questionnaire.Settings and Design: Questionnaire study.Materials and Methods: A total of 60 subjects, 18-25 years of age who reported to the Department of Periodontics, KLE's V.K Institute of Dental Sciences were selected, as per inclusion and exclusion criteria for the study. The toothbrushes were provided and were asked to use each toothbrush for 15 days. At the end of the study, subjects were asked to fill a self-constructed questionnaire consisting of 8 closed-ended questions pertaining to the comfort, grip, head design, bristle design, accessibility and cleaning efficiency of the toothbrushes.Statistical Analysis: Chi-square test.Results: Questionnaire revealed 92% favoured for neck design and flexibility, 77.18% better accessibility to posterior teeth, 70.18% bristle design, 75.44% improved removal lodged food and 71.93% preferred TB2 over TB1 for overall comfort and brushing experience.Conclusion: The responses of the questionnaire revealed better satisfaction, comfort and oral hygiene with novel toothbrush compared to the standard commercial toothbrush.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):160-166
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_397_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • “Evaluation of wound healing and bone regeneration using autologous
           platelet-rich plasma and platelet-rich fibrin postextractions”: A
           comparative study

    • Authors: Niyati Satish Balse, Shridhar Baliga
      Pages: 167 - 172
      Abstract: Niyati Satish Balse, Shridhar Baliga
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):167-172
      Introduction: It has already been established in the past that platelets play a major role in wound healing. Platelet- rich plasma (PRP) and Platelet- rich fibrin (PRF) are autologous concentrates of platelets in a relatively small volume of plasma and they enable delivery of growth factors in increased amounts to surgical sites to promote wound healing.Aims and Objectives: This study focuses on comparing the two platelet concentrates – platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) as graft materials in extraction sockets and their efficacy in wound healing and bone regeneration.Materials and Methods: Sixty patients requiring extraction of unilateral third molars were considered. Computer-generated random allocation of subjects was done.
      Group A: PRP was used as the graft material in the third molar extraction socket
      Group B: PRF was used as the graft material in the third molar extraction socket
      Group C: No material was used as graft in the third molar extraction socket.Soft tissue healing and bone healing were assessed in the postoperative follow up visits.Results: We observed that Group B showed significantly improved soft tissue healing and a faster bone healing as compared to Group A. Both Group A and Group B showed significantly better healing in terms of soft tissue and bone as compared to Group C.Conclusion: PRF shows better results in terms of soft tissue and bone healing as compared to PRP. The method of procuring PRF is easy as compared to that of procuring PRP.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):167-172
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_395_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • Assessment of static and dynamic balance in overweight and obese children
           with and without flatfoot: A cross-sectional study

    • Authors: Pallavi Sharma, Deepa Metgud
      Pages: 173 - 177
      Abstract: Pallavi Sharma, Deepa Metgud
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):173-177
      Background: Childhood obesity and overweight have been referred by health organization as serious epidemic and global problems that are on the rise. The consequence of being overweight in children is the greater impairment of mobility which may result in several orthopedic conditions. The foot dimensions of overweight children and obese children will be larger than those of normal weight children. Balance is defined as an ability to maintain the center of mass over base of support. Balance as a sensorimotor ability helps in maintaining static and dynamic equilibrium. The presence of abnormalities in the foot structures may affect the displacement of the body, function in static, and dynamic position.Methodology: This was a cross-sectional study done in overweight and obese children with and without flatfoot. A total of 1165 children were screened out of which 87 were found to have obesity between the age group of 6–12 years from 11 schools. Static balance of children was measured using balance error scoring system (BESS) and stork balance stand test (SBST), and dynamic balance was measured using four square step test (FSST) and modified bass test of dynamic balance (MBTDB).Results: The static balance was significantly affected in obese children with and without flatfoot and also in overweight children with flatfoot whereas dynamic balance was affected in obese children with flatfoot. BESS (P = 0.001), MBTDB (P = 0.006), and FSST (P = 0.001) were statistically significant. There was no significant difference found on SBST (P = 0.0657) when compared within and between the groups.Conclusion: Obese children with flatfoot had poor static and dynamic balance compared to overweight children with flatfoot when it was tested on BESS and MBTDB and FSST.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):173-177
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_71_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • A study of clinical profile in different serological diagnostic parameters
           of dengue fever

    • Authors: Rohit Morlawar, VA Kothiwale
      Pages: 178 - 182
      Abstract: Rohit Morlawar, VA Kothiwale
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):178-182
      Background and Objectives: Dengue fever a mosquito borne viral infection poses an serious situation due to lack of antiviral drugs or vaccine.[1] Worldwide, an estimated 2.5 billion people are at risk of infection.[2] It is estimated that more than 50 million infections occur each year, of which 500,000 hospitalizations are of dengue haemorrhagic fever with the case fatality rate exceeding 5% in some areas. The objective of this research was to study the clinical profile in different serological diagnostic parameters of dengue fever.Methodology: The present study was conducted in Department of Medicine, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum In patients with dengue fever from January 2014 to December 2014.The study design was one year cross-sectional study. A total of 180 dengue fever patients were studied.Results:
      Out of 180 patients 72.22% of the patients were males and male to female ratio was 2.6: 1
      In the study all the patients presented with fever (100%).
      In this study 127 (70.56%) patients presented with melaena, the p value was 0.025
      In the present study 113 (62.78%) patients presented with rash. p = 0.045.
      Platelet count of 20000 to 49999/cumm was in 51 patients (28.33%) with a p = 0.010.
      In this study serum creatinine levels were raised in 15% of the patients and the value was p = 0.029Conclusion and Interpretation: The findings of this study highlight that clinical profile of dengue fever based on clinical features viz. rash, and laboratory parameters that is, platelet count, serum creatinine which showed significant variations in different dengue serological tests.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):178-182
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_73_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • A comparative evaluation of different compensating curves and power arm
           length during retraction of maxillary anterior teeth: A finite element
           study

    • Authors: Dhvani Sumatichandra Doshi, Tejashri Mirji Pradhan
      Pages: 183 - 189
      Abstract: Dhvani Sumatichandra Doshi, Tejashri Mirji Pradhan
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):183-189
      Introduction: The strategic design of an appliance for anterior retraction by using orthodontic mini-implant anchorage and sliding mechanics must take into account the height of the power arm and compensating curve in archwire. This study was conducted to analyze the change in maxillary anterior teeth displacement and stress distribution using different compensating curves in the arch wire and varying power arm length in first premolar extraction case during sliding mechanics.Materials and Methods: 6 geometric models were created using ANSYS software. This geometric model was converted into a finite element model with the help of software HYPERMESH 11.0. Bilaterally mini-implants were placed in the bone between the roots of maxillary second premolar and first molar. Power arms were placed at two heights – 3 mm and 5.5mm. Compensatory curves were placed in the archwire (0, 3mm or 5mm) and a force of 150 gms was applied using NiTi coil springs bilaterally. Stresses in bone and tooth displacements were analyzed. Results: There was more bodily movement of the teeth using the longer power arms. Incorporating a compensatory curve further helped to reduce tipping. The tooth that showed most bodily movement was the lateral incisor followed by central incisor and least by the canine. There was increased intrusion of the incisors and extrusion of canine with increase in power arm height.Conclusion: Increase in power arm height causes an increased intrusive tendency and increased bodily movement during en masse retraction of anterior teeth using mini- implant anchorage. Incorporation of a 5mm compensatory curve further helps reduce the tipping tendency of the anterior teeth.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):183-189
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_392_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • Correlation of serum ferritin levels, in female patients with chronic
           diffuse hair loss: A cross sectional study

    • Authors: Sridevi Ramachandra Raichur, AM Pandit, Anil Malleshappa
      Pages: 190 - 195
      Abstract: Sridevi Ramachandra Raichur, AM Pandit, Anil Malleshappa
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):190-195
      Context: Iron is involved in critical physiological processes within the hair follicle, suggesting that iron deficiency (ID) could disrupt hair synthesis. The relationship between body iron status and hair loss has been investigated in a number of studies, however, with relatively discrepant findings.Aim: The aim of this study is to evaluate whether chronic telogen effluvium (CTE) and female pattern hair loss (FPHL) in patients were associated with decreased tissue iron stores, as measured by serum ferritin levels.Setting and Design: This was a cross-sectional study, conducted in a teaching hospital.Materials and Methods: Forty female patients aged between 15 and 45 years, having chronic diffuse hair loss, were recruited.Statistical Analysis Used: Statistical analysis used in this study was Mean ± standard deviation, Pearson's correlation coefficient, and one-sample t-test.Results: The mean serum ferritin levels in all participants, CTE, and FPHL were 18.6 μg/L, 16 μg/L, and 36.64 μg/L, respectively. Almost 57.5% of participants had serum ferritin levels
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):190-195
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_312_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • Comparative evaluation of the effect of commercially available two
           different forms of denture cleansers on denture biofilm in diabetic and
           nondiabetic individuals: An in vivo study

    • Authors: Heena Sharma, Raghunath Patil, Jyoti M Nagmoti
      Pages: 196 - 202
      Abstract: Heena Sharma, Raghunath Patil, Jyoti M Nagmoti
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):196-202
      Statement of Problem: Denture cleansers are known to decrease the microbial counts in denture wearers. In certain medical conditions such as in diabetes, achieving reduction in microbial count and maintaining proper denture hygiene is difficult. Denture cleansers are used as an aid in maintaining denture hygiene in such patients. A number of tablets, pastes, and powders are available for cleaning dentures. Although the comparison of chemical methods and brushing is relatively common, their difference in diabetic denture biofilm and nondiabetic denture biofilm has not been previously described.Purpose: The purpose of this study was to investigate the effect of commercially available two different forms of denture cleansers on the denture biofilm in diabetic and nondiabetic denture-wearing individuals.Methodology: Twenty diabetic denture and 20 nondiabetic denture wearers were randomly selected for the study. Denture biofilm was collected twice for each participant, before and after use of denture cleanser for 21-day period. For sample collection, complete dentures were rinsed with distilled water and brushed. Inoculation was done with sterile loop and cultured on blood agar and chrome agar. Blood agar plates were incubated at 370°C for 24 h and chrome agar at 290°C for 24 h. Colonies' characteristics of the Streptococcus species and Candida species were counted after the incubation period.Results: The results showed a statistically significant reduction in the colony-forming unit (CFU) counts after the usage of denture cleansers. Furthermore, the Candidal count difference obtained by the use of effervescent tablets was more than paste form.Conclusions: The present study concluded that microbial colonization count of diabetic and nondiabetic denture biofilm significantly reduced after 21 days of usage of denture cleansers, and the effervescent tablets were more effective against Candida than paste form.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):196-202
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_434_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • A cross-sectional study of p53 expression in patients with squamous cell
           carcinoma cervix: A hospital-based study

    • Authors: Niharika Singh, Hema Bannur
      Pages: 203 - 207
      Abstract: Niharika Singh, Hema Bannur
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):203-207
      Context: Cervical cancer is the second most common cancer in women in India and the fourth most common cancer in women worldwide. The p53 is a tumor suppressor gene. Overexpression of p53 is detected by immunohistochemistry (IHC) and it indicates a worsened prognosis in some malignancies.Aims: The present study was undertaken to assess the expression of p53 by IHC in normal cervical epithelium and squamous cell carcinoma (SCC) cervix. The role of p53 as a potential biomarker by correlating p53 expression with clinico-pathological parameters was also studied.Settings and Design: Cross-sectional study.Subjects and Methods: A total of 50 cases of cervical biopsy or hysterectomy specimens of SCC cervix and fifty cases of hysterectomy specimens for other gynecologic causes were included in the study. IHC was used to study the p53 expression in normal and neoplastic cervical epithelium. The p53 positivity was assessed by using a semi quantitative method in SCC cervix. The p53 expression was correlated with various clinico-pathological parameters.Statistical Analysis Used: Data collected was analyzed using appropriate statistical test.Results: All the fifty cases (100%) of SCC cervix showed positive p53 expression. The normal cervical epithelium in 90% cases was p53 negative and 10% showed basal layer positivity. A statistically significant correlation was seen between p53 score and menopausal status (P = 0.010).Conclusions: Overexpression of p53 is suggestive of high grade of tumor.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):203-207
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_495_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • Bibliometric evaluation of published Indian research on “Knowledge,
           Attitude, and Practices”

    • Authors: Sandeep Sachdeva, TR Sachdev, Ruchi Sachdeva
      Pages: 208 - 215
      Abstract: Sandeep Sachdeva, TR Sachdev, Ruchi Sachdeva
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):208-215
      Objective: Evaluation of knowledge, attitude, and practices (KAPs) based published Indian research on selected parameters.Methodology: A bibliometric analysis of Indian KAP research manuscript published in journals indexed in PubMed for the last 2 years and/or published in Indian Journal of Community Medicine (IJCM) and Indian Journal of Public Health (IJPH) for the last 15 years (year 2000–2014) was undertaken under certain criteria.Results: PubMed (n = 196) revealed maximum KAP research undertaken from the states of Karnataka (16.8%) followed by Delhi (9.6%), Maharashtra (9.1%), and more than two states (11.7%). There was poor reflection with no publication of KAP-based research from the states of Chhattisgarh, Himachal Pradesh, Jammu and Kashmir, and Rajasthan, in IJCM and IJPH journals. The geographical representation of country through published manuscript in IJCM was slightly more diverse than IJPH and more than one-fourth manuscripts in IJPH were published from West Bengal only. It was evident that IJCM (n = 71) has published more KAP manuscripts than IJPH (n = 47). Higher proportion of community-based KAP research was published in IJPH (80.8%) than IJCM (57.7%). Highest single research domain in PubMed indexed journals was those related to oral cavity (14.2%) conducted by dental professionals while rest (85.8%) could be largely ascribed to community physician/public health personnel, etc. The first research domain was followed by family planning/contraceptives (6.1%), tobacco control (5.6%), and AIDS-HIV (5.1%), for the year 2013–2014. Highest KAP-based research domain of articles published in IJCM was those related to family planning/contraceptives (10.0%) followed by AIDS-HIV (8.5%) while it was tobacco (16.6%) and AIDS-HIV (14.5%) in IJPH. Number of authors/manuscript was slightly higher in journals indexed in PubMed (4.7) than IJCM (3.8) and IJPH (3.7). The average page/manuscript was higher in PubMed (6.4) indexed journals while it was similar in both Indian journal (IJCM [3.6] and IJPH [3.8]). Approximate time incurred in decision announcement toward acceptance of KAP manuscript (2000–2014) by IJCM from the date of submission was 7 months (median) while for comparison purpose, it was 6 months (median) for a sample of articles published during 2015.Average citations per KAP document within 2 years of publication were 1.9 (IJCM) and 1.2 (IJPH), respectively, in Google scholar.Conclusion: This bibliometric study, probably first of its kind in India, provides objective snap-shot of diverse published research in the country that may also aid scholar to explore new avenues of KAP especially non-communicable diseases in future. In-addition, postgraduate training could lay emphasis on the use of bibliometrics.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):208-215
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_4_17
      Issue No: Vol. 10, No. 2 (2017)
       
  • Characteristics and anesthetic management of patients presenting for cleft
           surgery

    • Authors: Babatunde B Osinaike, Stella A Ogunmuyiwa, Olalere O Gbolahan, AA Odewabi
      Pages: 216 - 220
      Abstract: Babatunde B Osinaike, Stella A Ogunmuyiwa, Olalere O Gbolahan, AA Odewabi
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):216-220
      Background: Anesthetic management during surgery for cleft repair can be challenging due to abnormal airway anatomy and preoperative medical conditions. We sought to determine the characteristics, type, and incidence of associated medical problems, airway and other intraoperative complications in patients who presented to our facility for cleft lip and palate repair.Methodology: Fifty-six consecutive patients aged 16 years and below who had surgical repair of cleft lip or palate under general anesthesia during the study period were involved in this prospective, observational study. Routine preoperative review and anesthetic management were not altered. Preoperative medical and airway problems, associated congenital anomalies, intubation outcomes, intraoperative anesthetic complications, and postoperative airway problems were recorded by a blinded observer.Results: Forty-eight (72.7%) and 18 (27.3%) of the 56 patients had cleft lip and palate repair, respectively. Baseline packed cell volume was not significantly different. The incidence of upper respiratory tract infections (URTIs) and anemia were 33% and 0%, respectively, in the cleft palate repair group compared to 18.8% and 16.7% in the cleft lip repair group. Difficult laryngoscopy was found in 4.2% and 11.1% of patients that presented for cleft lip and palate repairs, respectively, and the overall incidence of desaturation was 7.5%. The mean blood loss was more in the cleft palate group compared to that of the cleft lip repair group (33.33 ± 37.73 versus 7.92 ± 6.51, P = 0.001).Conclusions: Cleft lip repair was most common in our review, and URTI was the predominant comorbidity in both groups. The risk of a wide range of perioperative airway complications necessitates the presence of skilled manpower during general anesthesia for cleft lip and palate surgery.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):216-220
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_504_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • Primary ureterocalicostomy in children

    • Authors: Rajendra B Nerli, Prasad V Magdum, Amey Pathade, Reddy N Mallikarjun, Nitin D Pingale, Shridhar C Ghagane, Murigendra B Hiremath
      Pages: 221 - 224
      Abstract: Rajendra B Nerli, Prasad V Magdum, Amey Pathade, Reddy N Mallikarjun, Nitin D Pingale, Shridhar C Ghagane, Murigendra B Hiremath
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):221-224
      Introduction: Ureterocalicostomy involves excision of the hydronephrotic lower renal pole parenchyma and anastomosis of the dismembered ureter directly to the lower pole calyx. Ureterocalicostomy offers distinct advantages over conventional Anderson–Hynes pyeloplasty for the primary surgical management of pelvi-ureteric junction obstruction, notably for obstruction secondary to complicating anatomical anomalies of the kidney, such as horseshoe kidney. The present study was aimed to evaluate the outcome of primary laparoscopic ureterocalicostomy as a primary procedure in children.Materials and Methods: The technique of ureterocalicostomy employed was similar in all children and comprised disconnection of the ureter from the renal pelvis and identification of the most dependent portion of the lower pole calyx by instrumentation within the collecting system.Results: Eight children (five males and three females) underwent primary ureterocalicostomy during the study period. The mean age of the children was 11.37 ± 3.67 years. Five of the eight children underwent laparoscopic ureterocalicostomy, whereas in three, it was necessary to convert to open as the dissection was difficult. The mean operating time was 134 ± 12 min, and the mean blood loss was 48 ± 7.48 cc.Conclusions: Our study shows that primary laparoscopic ureterocalicostomy for ureteropelvic junction obstruction is feasible, safe, and associated with minimal morbidity.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):221-224
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_301_16
      Issue No: Vol. 10, No. 2 (2017)
       
  • Development of mucinous adenocarcinoma in chronic fistula-in-ano: A case
           study

    • Authors: Pradeep S Shindhe, Ramesh S Killedar, Raju Y Timmapur
      Pages: 225 - 227
      Abstract: Pradeep S Shindhe, Ramesh S Killedar, Raju Y Timmapur
      Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):225-227
      Chronic perianal fistulas are a common clinical condition. However, their evolution to carcinoma is rare. We report a case of recurrent chronic perineal fistula which turned into malignant tumor. The diagnosis was established by clinical examination, repeated biopsy, and colonoscopy. Clinical examination features suggested malignancy, but initial biopsy report showed cellular atypia and colonoscopy followed with biopsy revealed as large ulcerated rectal growth suggesting Carcinoma (CA) rectum and histopathological report showed infiltrating mucinous adenocarcinoma. It is suggested that this rare complication of chronic fistula-in-ano may be prevented by prompt expert management of complex primary fistula.
      Citation: Indian Journal of Health Sciences and Biomedical Research (KLEU) 2017 10(2):225-227
      PubDate: Tue,30 May 2017
      DOI: 10.4103/kleuhsj.ijhs_277_16
      Issue No: Vol. 10, No. 2 (2017)
       
 
 
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