Δευτέρα, 5 Δεκεμβρίου 2016

ELECTRO CARDIOGRAPHIC STUDIES ON KETAMINE AND THIOPENTAL AS INDUCTION AGENTS FOR ISOFLURANE INHALATION ANAESTHESIA IN DOGS.

2016-12-05T21-26-02Z
Source: International Journal of Livestock Research
Dr. Maddimadugu Sravanti, Dr. Gireesh Kumar, Dr. K B P Raghavendar, Dr. V Purushotham.
The present clinical study was carried out on 12 dogs. These dogs were randomly divided into two groups. Six dogs of each group following premedication Ketamine and Thiopental sodium were used as induction agents. Immediately after induction, the dogs.were intubated and anaesthesia was maintained with inhalation of Isoflurane for castration and ovariohysterectomy procedures. Electro cardiography studies in the dogs of both the groups revealed no abnormalities in the sizes of P, QRS or T- waves, no changes in the cardiac axes and no arrhythmias of any kind in any dog of any of the groups. Both the anaesthetic protocols studied in the present study resulted in minimal, clinically insignificant changes in the electro cardiographic parameters.


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Therapeutic Management of Ascites in a Bitch: A case report

2016-12-05T21-26-02Z
Source: International Journal of Livestock Research
Tukheswar Chutia, Santanu Ghorai, Kalyan Sarma, Gunjan Das, Suvendu Kumar Behera, Bedanga Konwar, Fazal Ali Ahmed, K. Lalrintluanga.
Three years old crossbred bitch was presented with distended abdomen. The bitch was spayed two weeks back. Based on abdominal palpation and ultrasonography, it was diagnosed as a case of ascites. The animal was treated with a combination of Lasix, Aldactone, D10, Hermin, Dexona and Intacef upon regular monitoring assisted in successful recovery.


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Production traits optimization with polyherbal performance enhancer in layer birds

2016-12-05T20-22-43Z
Source: International Journal of Livestock Research
S. J. Manwar, D. H. Rekhate, M.V. Joshi, S. P. Waghmare, S.V. Kuralkar, M. J. Saxena, K. Ravikanth, S. Maini, A. Choudhary.
40 healthy, day old BV 300 layer chicks were randomly allotted into 2 treatment groups. Group T0 (n=20) control group birds were offered standard basal ration only from day 0 to week 38th and Group T1 (n=20) birds were offered basal feed along Xlivpro premix at 250g/tonne of feed (Excellent Performance Enhancer) (M/s Ayurvet Limited) regularly from day 0 to week 38th. Efficacy of product supplementation was evaluated on the basis of parameter viz. body weight, feed conversion ratio, hen housed egg production, age at first egg, serum biochemical parameters, egg quality traits and economics. Statistical analysis of results revealed that Xlivpro premix supplementation significantly improved the layer birds performance. Improvement in egg production and quality traits revealed beneficial effects of supplementing Xlivpro premix in treatment group over untreated control group.


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Content Validity and Test-Retest Reliability of the Gujarati Version of the Central Sensitization Inventory

2016-12-05T10-24-33Z
Source: National Journal of Integrated Research in Medicine
Bid Dibyendunarayan D*, Soni Neela C**, Rathod Priyanshu V***, A. Thangamani Ramalingam****.
Background: Central sensitization (CS) is a state of heightened sensitivity of the central nervous system to both noxious and non-noxious stimuli. The Central Sensitization Inventory (CSI) is a sound screening tool to help clinicians to detect patients with CS. To date, no Gujarati version exists. Objectives: The aim of this study was to translate and cross-culturally adapt the CSI into Gujarati, and to check content validity, face validity, internal consistency, test-retest reliability, agreement and minimum detectable change (MDC) of CSI-G in chronic low back pain (CLBP) patients. Methods: Translation and cross-cultural adaptation of the original English version of the CSI-G was performed according to published guidelines. The content validity was ascertained by 23 healthcare professionals. The internal consistency, test-retest reliability, agreement and MDC was determined on CLBP patients (n=31) with a time interval of 7-days. Results: The content validity and Face validity was found to be excellent. The internal consistency was excellent (Cronbachs α=0.914) and MDC was found to be 5.092 points. The test-retest reliability showed very high correlation in CLBP patients (ICC = 0.971). Conclusion: The original CSI was translated into Gujarati and did not pose any problems during data acquisition. The CSI-G seems to be reliable instruments to measure CS in Gujarati patients with CLBP. [Bid D NJIRM 2016; 7(5):18-24]


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Prenatal management of cystic hygroma and long term outcomes

2016-12-05T06-28-18Z
Source: Medicine Science | International Medical Journal
Ahter Tanay Tayyar, Ahmet Tayyar, Mehmet Tayyar.
Cystic hygroma is a benign congenital malformation of the lymphatic system. The rate of incidence is 1-4/1000 and it can be inherited as an autosomal recessive. There is a 35-50 % chance of chromosomal abnormalities with cystic hygroma. Also euploid fetuses have 50 % structural malformation risk. The most common malformations are cardiac malformations. Theres a 15 % chance of live births for affected fetuses. If there is neither chromosomal abnormalities nor structural malformations, a 95 % normal short-term pediatric outcome can be estimated. However, the overall prognosis in fetuses with cystic hygroma is poor, and a healthy survival rate is less than 5 %. There are prenatal, natal and postnatal treatment methods.


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A cross sectional study on evaluation of satisfaction level of TB patients enrolled for directly observed treatment, short course chemotherapy in a district of Central India

2016-12-05T05-14-15Z
Source: International Journal of Community Medicine and Public Health
Neeraj Rai, S. P. Singh, S. S. Kushwah, Deepak Dubey.
Background: DOTS therapy has been recognized as the best cost effective approach to tuberculosis control. It is also a key strategy of Indias Revised National Tuberculosis Control Programme. Evaluating patients satisfaction is an important method of measuring the quality of health services. Satisfied patients are more likely to utilize health services and comply with medical treatment thus patients satisfaction is a key determinant in treatment success. Whereas there is a paucity of data regarding patients satisfaction with tuberculosis treatment services provided at different DMC cum DOTS centers in district Rewa. Thus present study is a small attempt to assess patients satisfaction level with DOTS services. Methods: A cross sectional study was carried out at 15 DMC cum DOTS Centers of Rewa district, Madhya Pradesh from 1st July 2007 to 30th June 2008. These centers were selected by simple random sampling. All patients who were registered from July to September 2007 and also receiving DOTS therapy at these DMC cum DOTS Centers were included in this study. Results: In the study, of all 337 patients, 241 (71.5%) were fully satisfied and remaining 96 (28.5%) were satisfied somewhat with the health services. majority of the patients expressed satisfaction with timing of DOTS Centres (93.17%) including waiting time for medical care (86.05%) as well as behavior of staff (90.20%). While most of the patients were dissatisfied due to frequent visits to DOTS centers (37.1%) and total duration of DOTS therapy (29.1%). Conclusions: In the study overall satisfaction with TB services is good. However there is some dissatisfaction particularly with frequent visits to DOTS centers and total duration of DOTS therapy. So there is an urgent need to address these issues by the concerned authorities.


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Prevalence of peripheral vascular disease in high risk population using non-invasive techniques

2016-12-05T02-04-11Z
Source: International Journal of Advances in Medicine
Manan Anand, Maxima Anand.
Background: The term peripheral arterial disease (PAD) generally refers to a disorder that obtained the blood supply to lower or upper extremities. It is frequently associated with cerebral and coronary atherosclerosis. Methods: 200 patients coming to OPD and IPD in age group of 20-65 years with risk factors of HT, DM known CAD, known PAD, smokings were worked up. Results: Steep increase in prevalence of clinical PAD was found in 50 years or above, males predominated only slightly 32% than females 27.7% in clinical PAD. Every one patient was either hypertensive or diabetic, one-third had both Diabetes and hypertension, one third was dyslipidemic, and one fifth had CAD. CAD was more prevalent in patients with clinical PAD 40% than without PAD 11.4%. Elevated triglyceride levels >150 mg/dl was more in patients clinical PAD 33.3% than without PAD 14.2%. Elevated total cholesterol levels >200 mg/dl was more in patients with clinical PAD 26.6% than without PAD 20%. 80% of patients with clinical PAD had ABI


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Observation on relationship of hepatic and renal dysfunction with haemorrheological parameters in plasmodium falciparum malaria in Kosi region, Bihar, India

2016-12-05T02-04-11Z
Source: International Journal of Advances in Medicine
Md. Habibur Rahman, Pramod Kumar Agrawal.
Background: Malaria contribute to be one of the major public health problem in around 1.5 million contribute per year, of which about 52% due to Plasmodium falciparum. The study was designed to assess hepatic and renal dysfunction in plasmodium falciparum malaria, and evaluate if such abnormalities had any bearing with the haemorrheological dysfunction. Methods: Group A comprising 30 cases of plasmodium falciparum positive cases with jaundice or renal failure or both and Group B Comprising 30 cases of falciparum malaria and have no complication. Laboratory investigation was done for liver and renal function test, complete blood count and coagulation profile. The data collected was analysed to inter-correlate parameters of hepatic, renal and haemorrheological dysfunction. Results: Fever was the predominant feature in our study, present in 100% patient followed by chill and rigors which was present in 90% cases of both groups. Hepatomegaly was present in 53.33% cases in group A and 16.67% in group B, whereas spleenomegaly was present in 43.33% cases in group A and 26.67% in group B. Most common complication in group A was jaundice present in 100% cases followed by renal failure present in 53.33% cases. Overt bleeding was present in only 3.33% cases with complicated falciparum malaria. Anemia was present in 73.33% cases of group A and 50% cases in group B. Thrombocytopenia was present in 50% patient in group A and 23.33% in group B. Bleeding time, clotting time, PT with INR, APTT, FDP and LDH was much higher in group A than group B in our study. The biochemical parameters (serum urea, creatinine, bilirubin, AST, ALT, ALP) in both groups differed significantly. In group A Haemoglobin and platelet count significantly negatively correlated with hepatic and renal parameters where as FDP and LDH significantly positively correlated with all the hepatic and renal parameters. In group B the correlation between hematological and biochemical (hepatic and renal) parameters was not found to be statistically significant. Conclusions: Patients of complicated falciparum malaria have significant subclinical haemorrheological disorders even if they do not manifest as clinically overt DIC.


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Effect of Recasting of Ni-Cr Base Metal Dental Casting Alloys on the Corrosion Rate, Compositional Changes and Ion Release in Artificial Saliva and Saline Solution

2016-12-05T01-18-27Z
Source: International Journal of Health and Rehabilitation Sciences (IJHRS)
K Jayaprakash, K Harish Kumar Shetty, A Nityananda Shetty, Bantarahalli Thopegowda Nandish, Sowmya Rao.
Background: Environmental concerns are increasing rapidly, and the industry and public are more concerned about natural resources and recycling. Today, it is equally important to take into account cost, ecological factors in production and recycling of materials used in various fields. Purpose: The aim of this study was to evaluate corrosion rate, compositional changes and ion release of recasted Ni-Cr dental casting alloy Materials and Methods: Commercially available Ni -Cr alloy (Bellabond) was used in the study. The recasting was done without any addition of new alloys and recasted up to six times. Corrosion rate was determined by Tafel extrapolation method in artificial saliva in pH 2.3, 6.7 and in 0.9% saline solution at pH 7.3. The compositional changes were studied by Inductively coupled Plasma Atomic emission Spectroscopy (ICP-AES) method. Ion release during storage in artificial saliva and saline solution for one week and four weeks was detected by using atomic absorption spectroscopy (AAS). Results: The corrosion rate was found slightly increased with recasting numbers up to six times. The quantities of ions released increased as the recasting number increases. These changes were not clinically significant. During recasting procedure, there was a change in their alloy compositions, which increases the corrosion rate in recasted alloys. Conclusion: The recasting technique can be accepted in dental practices. This study showed the possibilities of safe usage of recasted alloys up to certain generations in dentistry and in later stages if it is not suitable for dentistry it can be directed to other fields of industries, where the biocompatibility is not a major requirement. This lowers the environmental burden, health hazards and protects imbalance of natural resources


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Clinical profile and etiological spectrum of fever of unknown origin in children aged 2 months to 12 years

2016-12-05T00-44-32Z
Source: International Journal of Contemporary Pediatrics
Santhosh Govindarajulu, Kumarasamy Kalyanasundaram, Karamath S. Pyarejan, Seenivasan Venkatasamy.
Background: Fever of unknown origin is one of the leading etiologies for morbidity and mortality among children worldwide and their spectrum keeps changing constantly from time to time. The objective of this study was to study the clinical profile and etiological spectrum of fever beyond 2 weeks duration in children aged 2 months to 12 years admitted in a tertiary care hospital. Methods: A prospective observational study, done in tertiary care centre over six month period (May 2016 to October 2016). Children aged 2 months to 12 years presenting with fever beyond 2 weeks duration fulfilling the inclusion criteria were included in the study and evaluated further. Initial investigations include complete blood count including peripheral smear for MP/malignancy, urine routine, chest X-ray, mantoux, CRP, blood and urine cultures were done followed by specific serology tests and further relevant investigations. The etiological outcomes were mainly analysed. Results: The etiological outcomes of the study were classified into 5 groups as infections, malignancies, connective tissue disorder, miscellaneous and undiagnosed. Among the study population, infection emerged as the major etiological outcome constituting 69.1% followed by malignancies (16.7%), connective tissue disorder (5%), miscellaneous (5.8%) and undiagnosed (3.4%). Conclusions: Infections, especially enteric fever still remains the leading etiology of fever beyond 2 weeks duration or FUO in children aged 2months to 12 years. Irrational usage of antibiotics has been highlighted in general practice which needs to be amended by periodic discussions and epidemiological surveys to prevent the emergence of drug resistance.


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