Indian Journal of Public Health Research & Development

Rasika Panse ¹, ², ³

Affiliations
1 Assistant Professor, Department of Physiotherapy Tilak Maharashtra Vidyapeeth, Pune, IN
2 Associate Professor and Principal, Department of Physiotherapy Tilak Maharashtra Vidyapeeth, Pune, IN
3 Student, Department of Physiotherapy Tilak Maharashtra Vidyapeeth, Pune, IN

Abstract

Background: Diabetic patients are considered to be more prone to develop cognitive dysfunction and further leading to dementia, hence systematic assessment and identification of risk factors plays a key role. Aim and Objectives: To study cognitive impairments and its associated risk factors among patients with diabetes mellitus. Settings and Design: A hospital-based Multicentre cross-sectional study was conducted. Methods and Material: In this study 245 individual medically diagnosed to have diabetes mellitus were recruited according to inclusion and exclusion criteria. Demographic data included age gender and duration of diabetes smoking, BMI, Family history of diabetes and Hypertension HbA1c was noted. Cognitive assessment was done using Modified Mini Mental Scale (3MS). Data was collected and subjected to statistical analysis. Results: The result shows about 22% had moderate cognitive impairment and associated risk factors can be medications, age, glycaemic control, Hypertension, family history. There is no correlation of Cognition and duration since diagnosed to be diabetic and BSL whereas weak linear relationships exist between cognition and Age and HbA1c and strong linear relationship between cognition and BMI in Patients with diabetes. Conclusions: Diabetic patients do exhibit Mild cognitive dysfunction with various associated risk factors.

Keywords

Diabetes, Smoking, Duration of Dabetes, Obesity, Hypertension, Cognitive impairment, HbA1c, Modified Mini Mental Scale.

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V. Vikram ¹, ², Narayana Reddy ³

Affiliations
1 Senior Lecturer, Department of Prosthodontics, Sree Balaji Dental College & Hospitals, Chennai, IN
2 Head of Department, Department of Prosthodontics, Sree Balaji Dental College & Hospitals, Chennai, IN
3 Professor, Department of Prosthodontics, Sree Balaji Dental College & Hospitals, Chennai, IN

Abstract

The aim of this study is to evaluate the compressive strength of metal and zirconia cores and also the point of chipping of the veneered porcelain to both the core materials. For the present study, full coverage crowns were fabricated for mandibular molar. The crowns were divided into two groups. First group is five samples of metal ceramic crowns and second group is five samples of zirconia ceramic crowns. These crowns were subjected to static compression loading in a universal testing machine until the fracture of the veneering porcelain. The compressive load was recorded in newton. Data were subjected to student t test analysis. Mean compressive strength for group 1 metal ceramic crowns was 2587.80N and the mean compressive strength for group 2 zirconia ceramic crowns was 1361.00N. The compressive strength of metal when being used as a core material is significantly higher than zirconia. Under static compressive loading, the point of fracture of the veneered porcelains occurred at significantly lower values for the zirconia based restorations when compared to that of metal ceramic restorations.

Keywords

Zirconia, Metal Ceramic, Compressive Strength, Chipping.

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Hayinah Ipmawati ¹, ²

Affiliations
1 Student, Psychology Department, Universitas Muhammadiyah Surakarta, ID
2 Lecturer, Psychology Department, Universitas Muhammadiyah Surakarta, ID

Abstract

This literature review was conducted to identify that instagram’s like affected teenager self-worth. We know that instagram has become a phenomenal social platform with 800 million user around the world. While, Indonesia has become the big 3 instagram’s user, after America and Brazil with about 60 million user. Instagram was super phenomenal among teenager, like every teenager are active instagram users, and while teenage is an age to search identity, so it’s so much important to know that teenage self is worth it. Well we know that instagram provides picture, followers, comments, likes, direct message etc. which make people get in touch easily with other people, building a good relationship, make us feel happy while receiving likes, comments and other responses from others. Besides that, there are a pressure for someone to get likes, some comments and followers that can produce a high anxiety, social pressure and it can make our selffeel unworthy. These phenomena correlated with a part of self esteem, called self-worth. Self-worth is how someone see their own value or worth as a person. While knowing source of self-worth, achieve something, approval and acceptance from others, virtue or one’s judgment of moral adequacy are sources of self-worth which can easily gained by instagram’s like, means that we can also get self-worth by instagram’s like. The result of this study found that, instagram’s like is affected self-worth.

Keywords

Instagram, Teenager, Self-Worth.

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Rashmi N. C. ¹, Anupama A. ², Nikita Singh ³, ⁴, Deepak Gupta ⁵, Ankita Sharma ⁶

Affiliations
1 Reader, Dept. of Conservative Dentistry and Endodontics, Bapuji Dental College and Hospital, Davangere, IN
2 Professor, Department of Conservative Dentistry and Endodontics, SJM Dental College and Hospital, Chitradurga, Karnataka, IN
3 Senior Lecturer, Department of Conservative Dentistry and Endodontics, ITS Muradnagar, Ghaziabad, Uttar Pradesh, IN
4 Professor and Head, Department of Conservative Dentistry and Endodontics, M.M. College of Dental Sciences and Research, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, Haryana, IN
5 Reader, Dept of Oral Medicine and Radiology, M.M. College of Dental Sciences and Research, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, Haryana, IN
6 Senior Lecturer, Department of Conservative Dentistry and Endodontics, M.M. College of Dental Sciences and Research, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, Haryana, IN

Abstract

Context: The aim of this study is to compare the one year clinical performance of three bulk fill restorative materials in posterior class I occlusal restorations. 20 patients received three class I with one of three bulkfill restorative resins. Sonicfill, Tetric Evoceram and Filtek bulkfill. All restorations were evaluated at baseline, at three, six, nine months, and one year after placement. Two calibrated examiners other than the operator were evaluated each restoration. Modified USPHS criteria was used to evaluate the restorations. The results were statistically insignificant. More studies need to be carried out and for a long period of time.

Keywords

Resin Based Composites, Bulkfill Composites, Clinical Performance.

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G. M. Venkatesh ¹, ²

Affiliations
1 Assosicate Professor, Department of Community Medicine, Hassan Institute of Medical Sciences, Hassan, IN
2 Professor and Head, Department of Community Medicine, Hassan Institute of Medical Sciences, Hassan, IN

Abstract

Introduction: Health care providers, especially Public Health Nurse who come in regular contact with women, can play an important role in providing the information regarding breast cancer. Hence this study is undertaken to assess the knowledge of risk factors associated with breast cancer and screening for breast cancer among Public Health nurse practitioners. Method: This is a cross-sectional study designed to assess the Knowledge of risk factors associated with breast cancer and screening for breast cancer among Public Health nurse practitioners working in the Health centres of Dept of Community Medicine of Hassan Institute of Medical Sciences. All (30) Public Health nurse practitioners in the Seven Primary care facilities participated in the study. Results: Fourteen percent of Public Health Nurse knew that most common cancer among women was breast cancer. However, 43% were aware that the obesity increased the risk of developing breast cancer. Whereas 60% were aware that nulliparity was a risk factor for developing breast cancer and 43% said having 2 or more children decreased the risk of developing breast cancer. However, 33% knew breast feeding was protective against breast cancer. Moreover, early menstruation and late menarche were known to be risk factors by 20% each, and 33% knew physical activity could be a preventive factor for Breast cancer. 96% were aware that a lump in the breast was a sign of breast cancer and 56% said discharge from the nipple was also a sign of cancer in the breast. All 100% knew that Breast Self-Examination was a screening method and only 20% were aware that clinical examination was also a method for identification of breast cancer. Conclusion: District Health Authorities should periodically train public health nurses to improve their knowledge regarding risk factors, early signs and symptoms of breast cancer and method of cancer screening. This intern would help them to educate, suspect, and detect the breast cancer among the risk population at the earliest.

Keywords

Breast Cancer, Risk Factors, Public Health Nurse.

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Naseer Uddin ¹, ²

Affiliations
1 Ph.D. Scholar (Public Health Management), University of Kashmir, IN
2 Assistant Professor, Department of Management Studies, University of Kashmir, IN

Abstract

Ameliorating the mother-child health care has been a global and national priority as evidenced from persistent socio-economic and health policy interventions like National Health Mission. Despite the long standing public policy commitments and interventions to address lack of high-quality health care to scale down mother child mortality, the progress so far has been far from optimal especially during the pregnancy.This study elaborates how service quality structure-processes and the use of proficiencies typically associated with “service quality framework” can have direct application across the continuum of care architecture. This Study by design is a cross-sectional, based on mixed methodology approach. Study showed that there are lacunae and evidences of inequity, inaccessibility and exclusion in MCH service quality and delivery, we need strategies and service infusion policy interventions aimed at delivering quality health services.

Keywords

Antenatal care, Quality of care, client satisfaction, Aspirational districts.

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Mostafa Al-Bassam ¹, Hassan H. AL-Saeed ², ³

Affiliations
1 Lecturer Ph. D. Department of Pharmacy, Al-Israa University, Baghdad, IQ
2 Assist Prof. Dr. Department of Chemistry and Biochemistry, College of Medicine, Al-Nahrain University, Baghdad, IQ
3 Assist Prof. Dr. Department of Pediatric, College of Medicine, Al-Nahrain University, Baghdad, IQ

Abstract

One of the most important parameters to evaluate severity and type of cholestasis disease is gamma-glutamyl transferase and citrin protein measurements. The objective of this study was to assess the clinical value of serum citrin protein with gamma-glutamyl transferase in children with cholestasis. 60 subjects with diseases and 25 healthy subjects distributed intothree groups, citrinand gamma-glutamyl transferasewere measured for all case and control studies by enzyme linked immunosorbent Assay. The results showed serum citrin has a highly significantly decreased in an intra- and extrahepatic cholestasis groups when compared with control (P<0.001), serum gamma-glutamyl transferasehas a highly significantly elevated in an intrahepatic cholestasis group when compared with control (P<0.003). From these findings it was concluded that serum gamma-glutamyl transferase level is a good marker in determining the severity of cholestasis disease, serum citrin may be useful in future to diagnose the cholestasis caused by citrin deficiency.

Keywords

γ-Glutamyl transferase (GGT), Biliary atresia (BA), Alagille syndrome (AGS), Progressive familial intrahepatic cholestasis (PFIC), Idiopathic neonatal hepatitis (INH), Citrin deficiency (CD).

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Shachi Bhanuda ¹, Ravanagomagan ², Jagadeeswari ³, S. Sundari ⁴,

Affiliations
1 Post-Graduate, Department of Pediatrics, Sree Balaji Medical College and Hospital, Bharath Institute of Higher Education and Research, Chennai, IN
2 Assistant Professor, Department of Pediatrics, Sree Balaji Medical College and Hospital, Bharath Institute of Higher Education and Research, Chennai, IN
3 Professor, Department of Pediatrics, Sree Balaji Medical College and Hospital, Bharath Institute of Higher Education and Research, Chennai, IN
4 Head of the Department, Department of Pediatrics, Sree Balaji Medical College and Hospital, Bharath Institute of Higher Education and Research, Chennai, IN

Abstract

We report here the instance of a 4-year-old female preschooler who introduced to the division of Pediatrics, Sree Balaji Medical College and Hospital, Chennai with summed up tonic-clonic seizures and history of spewing, fractiousness and dysarthria of brief span. On assessment she was seen as responsive just to difficult upgrade, had terminal neck solidness and reciprocal extensor plantars. In perspective on her clinical introduction, an underlying determination of viral meningo-encephalitis was made in the crisis room and the youngster treated appropriately. On consequent exchange to the emergency unit), (the guardians uncovered extra history of a senior kin taking phenytoin for seizures. In this way, a doubt of intense phenytoin lethality was made and phenytoin levels sent for affirmation. Her serum phenytoin level was 80μgm/mL (typical: 10-20). The kid was overseen moderately and released following 5 days of hospitalization. We announced this case to feature the unordinary introduction of this uncommon inebriation.

Keywords

Phenytoin, Unordinary Introduction, Spewing.

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