To Correlate Glycemic Status in Acute Op Poisoning with Severity and Clinical Outcome
Dr. Sheshan.VS, Dr. Yaduraj. D.K, Dr. Vijay Vasudev, Dr. Madhumathi R, Dr. Kavya ST
Page Numbers : 148-153
DOI : 10.36348/sjm.2021.v06i06.007
Background: Organophosphorus (OP) poisoning, in addition to its cholinergic manifestations shows metabolic derangements leading to hyperglycaemia. The present study aims to assess the glycaemic status of OP poisoned patients and its association with severity and clinical outcome. Random blood sugar (RBS) level is an important factor influencing the severity of organophosphorus (OP) compound poisoning. RBS and its association with POP Scale can be used as a prognostic and mortality indicator in OP compound poisoning. Objectives of the study: 1. To estimate Serum Pseudocholinesterase and Random blood glucose levels in Acute OP Poisoning. 2. To correlate with the clinical criteria described by the POP scale at initial presentation and the severity of poisoning. Methods: This is a prospective study done on 90 patients above 18 years of age admitted to hospitals attached to Bangalore Medical College and Research Institute with history of Acute OP poisoning from November 2018 to May 2020. They were categorized into 3 grades-mild, moderate and severe based on the Peradeniya Organophosphorus Poisoning Scale. The routine biochemical parameters along with serum cholinesterase and Random blood glucose level were estimated in the study group. Results: Hyperglycaemia (RBS>200) was observed in 18(20%) of patients. Mean age group of patients was 32.68. Out of 90 subjects, 18 subjects had RBS levels above 200 and 72 subjects had RBS levels less than 200. Out of 18 subjects, 7 had mild POP scale, 8 had moderate POP scale and 3 had severe POP scale. Out of 18(100%) subjects having RBS scores of above 200, there were 7(38.9%) mortality noted (2-mild, 2-modertae and 3 severe POP scale). Out of 72(100%) subjects having RBS scores less than 200, there were 2(2.8%) mortality noted (1-modertae and 1 severe POP scale).Chi- square test showed significant association between POP scale and mortality in group having above 200 RBS levels(p<0.05). Conclusions: Glycemic status and POP Scale at the time of presentation in OP poisoning may play a role in predicting the need for ICU, Ventilator and Mortality in peripheral health centres in developing countries.
Original Research Article
June 24, 2021
Practice of Self-Prescribed Analgesics from the Students of Physical Therapy
Dr. Raee Saeed Alhyani, Dr. Muhamad Yaseen Mughal, Dr. Adel Alshehrani, Dr. Muhammad Asif Sheikh, Dr. Hashim Ahmed, Muhammad Jarar Abdu-ur-Rehman
Page Numbers : 154-158
DOI : 10.36348/sjm.2021.v06i06.008
Objective: Determine the Practice of self-prescribed analgesics from the students of physical therapy. Methodology: 150 students of physical therapy were selected to be a part of the study through randomized sampling. All of them were informed of the study and after taking verbal consent were asked to fill a questionnaire pertaining to self-prescription. Data was analyzed using SPSS Version 20.0.The Chi Square test was applied to determine the statistical significance which was kept at P=<0.05. Results: 77(51.3%) male candidates and 73 (48.7%) female candidates in our study of 150 physical therapy students showed that there was no significant difference in self-prescription of systemic analgesics with P=0.156. Conclusion: The prevalence of Self-prescription was found to be high among physical therapy students. Better regulation of over the counter medicines and efficient counseling is highly necessary to reduce the amount of self-medication ongoing.
Tooth brushing using toothpaste and the toothbrush remains the most common mouth cleaning method. Many dentists recommend the use of a fluoride-containing toothpaste twice daily when tooth brushing. This process retains food debris, blood, crevicular fluid, saliva, phlegm and toothpaste residues in between the bristles of the toothbrush if not thoroughly cleaned after use. These can potentially infect traumatic injuries caused by toothbrushes in the mouth and also re-infect immunocompromised persons after recovery from some illnesses or other persons when toothbrushes are shared or improperly stored. Household vectors attracted to toothpaste residues on toothbrushes can potentially infect such toothbrushes with non-endemic strains of microorganisms as well. With hundreds of millions of people around the world projected to join the class of the extremely poor by 2021 as a result of the COVID-19 pandemic, one popular professional recommendation for toothbrush hygiene- replacement every 3 or 4 months- is increasingly likely to be ignored. This paper recommends additional, cost-effective, universally adaptable ways of improving toothbrush hygiene for the removal of toothpaste residues after tooth brushing.
Original Research Article
June 18, 2021
Oral Symptoms and Oral Health Related Quality of Life in Patients with Grinspan’s Syndrome: A Questionnaire Based Cross-Sectional Study
Dr. Ranjitkumar Patil, Dr. Akhilanand Chaurasia, Saman Ishrat, Rini Tiwari
Page Numbers : 137-142
DOI : 10.36348/sjm.2021.v06i06.005
Introduction: Grinspan syndrome is a triad of erosive form of oral lichen planus (OLP), diabetes mellitus (DM) and arterial hypertension. The objective of present study is to evaluate the oral health and oral symptoms in patients with Grinspan’s syndrome and also an emphasis on evaluating the level of awareness about oral health in patients of this disease complex. Methods: The study subjects with Grinspan’s syndrome are included in the study while the rest were excluded along with those who are on medications for other conditions. A self-administered structured questionnaire is used as the survey instrument. After collecting all the responses from patients, it is analyzed statistically using IBM SPSS® Software (21.v). Results: The most common oral symptom found in Grinspan’s syndrome is Glossodynia (92.1%). The high arched palate (35.6%) and temporomandibular joint disorders (35.6%) are least associated with this syndrome. Glossodynia was most prevalent (91.4% and 93% respectively) and their association with gender was highly significant (p value<.001) however the association of all other oral symptoms with gender was statistically non significant (P>.001). Among the different age groups, the presentation of oral symptoms was highly variable but the association between oral symptoms and age group was statistically highly significant (P<.001). Conclusions: Glossodynia is the most common oral symptom found in Grinspan’s syndrome whereas high arched palate and temporomandibular joint disorders (35.6%) are the least associated with this syndrome, in our study. The presentation of oral symptoms depends on and varies according to the age group of patients.
June 14, 2021
Challenges and Limitations during Management of Surgical Patients via Telemedicine during COVID-19 Pandemic
Dr. Satya Prakash Meena, Dr. Manisha Jhirwal, Dr. Mayank Badkur, Dr. Mahendra Lodha
Page Numbers : 132-136
DOI : 10.36348/sjm.2021.v06i06.004
COVID 19 disease was declared as a pandemic by the World Health Organization (WHO) in March 2020. Telemedicine facilities become a spine for health care system in developing countries for managing communicable disease as well as surgical patients. Most of the hospitals have newer experience with these organized telemedicine facilities. This comprehensive review has done with a search engine on PubMed, Google scholar with keywords like telemedicine in India, telemedicine in COVID 19, COVID 19, telemedicine guidelines, telemedicine consultation and chronic disease. In Indian scenarios, this newer modality of treatment for surgical patients has fewer limitations due to slower adaptability and lack of psychological support. The health care system required proper training for the improvement of this virtual model of consultation and examination. A hybrid form of management can bridge between telemedicine and physical consultation to provide good and adequate surgical care. A multispecialty virtual meeting may provide adequate and satisfactory telemedicine consultation for high-risk, comorbid, palliative surgical patients. Fewer limitations are needs to reconsider for a safe, assessable, adequate and convenient virtual platform like lack of good hospitality infrastructures, proper guidelines, medical education, clinical training and adaptability. Surgical and oncological society guidelines may help to triage and smooth management of COVID and Non-COVID patients. Triage of surgical patients in telemedicine OPD has a positive impact on the overall prognosis of patients with an acceptable risk of disease.
June 6, 2021
Post-Epileptic Aphasia Revealing LANDAU- KLEFNER Syndrome in a Child
Najoua Belhaj, Razika Bencheikh, Lina EL Messouadi, Ahmed Ould mohammed, Mhammed Azedine, Ngouya Koumba Hernandez Vasthi, Mohammed Anass Benbouzid, Leila Essakalli Houssyni
Page Numbers : 122-125
DOI : 10.36348/sjm.2021.v06i06.002
Aphasia in children is generally still little explored because it is rare. Landau-Kleffner syndrome (LKS) is rare and causes specific difficulties in children with it. Among the neuropsychological difficulties (cognitive and attentional), we find a significant initially receptive aphasia. We report in this work the observation of a 13-year-old child seen in consultation for aphasia at the age of 07 years post epileptic seizure. In this patient the diagnosis of LKS was retained after the etiological assessment and the complementary examinations carried out.
Original Research Article
June 6, 2021
Association of Lipids with Hemorrhagic Stroke: A study in a Tertiary Care Hospital
Malik SS, Khan MM, Emran MM, Monsur ATMS, Faisel M
Page Numbers : 126-131
DOI : 10.36348/sjm.2021.v06i06.003
Introduction: Hemorrhagic stroke is rupture of blood vessel in focal region of the brain and spills of blood in surrounding area of brain parenchyma. The low- and middle-income countries experience 80% mortality rate among all hemorrhagic stroke. Although the association of Hemorrhagic Stroke with Hypertension, Smoking and Alcohol consumption are well establish, the association between lipids and hemorrhagic stroke has not been well investigated so far. Aim of the study: The aim of the study was to investigate the association of Serum lipids levels with hemorrhagic stroke in a tertiary care hospital of Bangladesh. Materials & Methodology: This cross-sectional study was conducted in the department of neurology in Enam medical college hospital, Dhaka, Bangladesh. Data was collected between April 2019 and May 2020. Seventy two cases with hemorrhagic stroke were randomly included. Appropriate statistical methods were used to analyze the results. Data were analyzed using SPSS 20.0 version (Chicago, Inc., USA) software and MsExcel-2016 version. Result: From 72 study people we found highest 22(30.6%) in the range of 60-69 years. There were 46(63.9%) males and 26(36.1%) females were enrolled in this study. Hypertension was found in 80.6% study people. The univariate analysis was done to see the association of lipids with Hemorrhagic Stroke. It has been obsereved that, the Total cholesterol and Serum Triglyceride level were low among the cases of hemorrhagic stroke. We found strong association in hemorrhagic stroke with Total cholesterol and Serum Triglyceride of serum lipids. Conclusion: 60-69 age ranges people had faced this stroke the most and males are predominant. The low level of serum total cholesterol and triglycerides may intensify the of risk hemorrhagic stroke.