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Volume-16 (2017);
No. 1 (January-March)
Published on May 15, 2017
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2017;1:1
Original Article |
Banumathe KR, Sharma PSVN, Binu VS, Guruprasad V.
Relationship between Visual Motor Integration and Academic Performance in Elementary School Children. |
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Abstract: Objective: To assess the relationship between visual motor integration and academic performance in elementary school children. Method: A cross sectional study was undertaken on 208 children who were in second standard from government, government aided and private schools. The screening tools for excluding children with visual and auditory deficit, Attention Deficit Hyperactivity Disorder, Childhood psychiatric symptoms, learning disabilities, below average intelligence were administered. The primary measure of visual motor integration was obtained using Beery-Buktenica Developmental Test of Visual-Motor Integration (VMI). The academic performance was calculated from the mean of all the subject marks scored in two consecutive exams and on teacher’s perception on academic performance using a 100-point rating scale. Results & Conclusion: Pearson product-moment correlation coefficient test was used to analyze the correlation. It has shown that there is weak positive correlation found between visual motor integration and academic performance which would recommend the need for longitudinal study.
Key words: Visual motor integration, academic performance, elementary school children |
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2017;1:2
Original Article |
Chandiok K, Mondal PR, Yadav S, Saraswathy KN.
Significant Association of History of Miscarriage with Obesity Among Indian Women of Childbearing Age. |
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Abstract: The aim of the present study was to understand the effect of history of miscarriage and still birth on the risk for cardio-metabolic risk factors among women from an endogamous population after controlling for potential confounders. A total of 562 premenopausal women (out of a total of 1014 women) were considered for the present cross sectional study. They were categorized into three groups based on their reproductive history that is as those with miscarriages, still birth and controls (women with successful pregnancy without any complications). Somatometric measurements, biochemical profiles and blood pressure were measured using standard techniques. Binary logistic regression analysis revealed that women with history of miscarriages had two fold significantly increased risk for overweight/abdominal obesity after controlling for potential confounder. It becomes equitable to argue that women with history of miscarriage have an increased risk for cardio-metabolic risk factors later in life. Therefore, utilization of adverse pregnancy outcome as an early intervention marker is needed to mitigate the further escalation of cardiovascular diseases later in life that may occur due to age or menopause.
Key words: Pregnancy, Miscarriages, Obesity, Still birth, Premenopausal |
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2017;1:3
Original Article |
Mashkina EV, Dolgopolova AV, Hukazova SA, Dolgopolova OG, Derevyanchuk EG, Belovolova RA, Shkurat TP.
The association analysis of immune system genes allelic variants with embryonic infection of newborns. |
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Abstract: To investigate the association of marker genes and their polymorphisms with increased risk of embryonic infection (EI) of the fetus and of the nervous system lesions development of different severity. Methods: The TLR2, TLR6, IL1ß, TNFa, IL10 genotypes and alleles frequencies were studied in three groups of infants of Rostov region with EI followed by hypoxic lesions of the central nervous system. Results: In our study the allelic variants of IL1ß and TNFa genes are characterized by a high level of expression, while the allelic variant of the IL10 gene results in a decrease in the corresponding mRNA level. Conclusion: The importance of the Ser249Pro (TLR6), -308G/A (TNFa) and -31C/T (IL1ß) interactions in changing the risk of the EI development was established.
Key words: Intrauterine infection, Central nervous system (CNS) abnormalities, TLR 2, TLR 6, IL 1ß, TNF a, IL10, Polymorphism. |
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2017;1:4
Original Article |
Talwar P, Othman MK, Ghan KA, Wah TK, Aman S, Yusoff NFM.
The Role of Social Support in Mediating Stress and Depression. |
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Abstract: As important as it is to fully comprehend the relationship between stress and depression among university students, it is also vital to ascertain the role of perceived social support as an essential psychosocial factor for effectively delimiting the deleterious impact of stress exposure. As such, the current study aimed to examine whether perceived social support functioned as a mediating factor in the relationship between stress and depression among university students. Data was collected from undergraduate students of a public university in Sarawak, Malaysia. Information on demographics, depression, stress and perceived social support were collated through self-report questionnaires. Results revealed significant gender differences for perceived social support, wherein female students reported lower levels of social support compared to their counterparts. Mediation analysis portrayed that the association between stress and depression was partially accounted for, by the mediating role of perceived social support.
Key words: Stress, Depression, Social Support, Students |
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2017;1:5
Original Article |
Dkhar W, Pradhan A, Shajan M.
Measurement of Different Dimension of Maxillary and Frontal Sinus Through Computed Tomography. |
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Abstract: The objective of the study was to estimate the normal upper and lower limit cut-off value of the different dimensions of maxillary and frontal sinuses, and also to determine the influence of gender on the obtained variables and to observe the effect of nasal septal deviation on maxillary sinus. The observational study was carried out and a total of 60 samples were collected from both males and females with the age group range from 20-50 years. Different dimensions of maxillary and frontal sinuses were measured and the volume was calculated. The mean of all the measured parameters in right and left maxillary sinus and frontal sinus shows the higher value in males as compared to females. The volumes of maxillary and frontal sinuses of both sides were significantly greater in males than females. All the measured dimensions were larger in males and also the volume of maxillary sinus was found to be larger in males. This study also showed that there was no effect of nasal septal deviation on the volume of maxillary sinus.
Key words: Para nasal sinus, FESS, Computed tomography |
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2017;1:6
Original Article |
Vinodhini P, Bhat S, Sree Ram MN.
Anatomical Variations of the Nose and Paranasal Sinuses in Palakkad Population Using CT Scan - A Case Control Study. |
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Abstract: Background and Objectives: Chronic sinusitis is repeated spells of acute infection or persistent inflammation of the sinuses. Computerized tomographic imaging provides a complete anatomical examination of the paranasal region. Methods: A case-control pilot study was carried out on 60 patients with a clinical diagnosis of chronic rhinosinusitis. The control group comprising of 60 are from ENT clinic patients with diagnoses other than sinusitis. Results: 73.3% of the males in the cases group had mucosal thickening of maxillary sinus. 60% of the females in the posterior ethmoidal complex. The most commonly encountered anatomical variations was deviated nasal septum being 70.0% of the left side for males in the cases group and 56.7% of the right side in the females cases group. Then, 53.3% in the right side for males and 53.3% for left side for females in the control group. Conclusion: Precise knowledge of the anatomy of the paranasal sinuses is essential for the clinician to plan the outcome of any treatment procedures. The underlying anatomical variations could possibly be the causative factor for persistent sinusitis.
Key words: Computerised tomography scan, chronic rhino sinusitis, paranasal sinuses, anatomical variations |
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2017;1:7
Original Article |
Salati SA, Arrowaili AI.
Laparoscopic Sleeve Gastrectomy – An Experience. |
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Abstract: Obesity has emerged as a serious health care problem globally in recent decades. Various surgical options have been tried in recent years and Laparoscopic Sleeve gastrectomy (LSG) is one such options. This article presents a retrospective analysis of 47 patients who underwent this operation over a period of 18 months from January 2013 and June 2015. All the patients achieved a significant weight loss with no adverse effects, thereby showing this modality to be safe and effective single surgical intervention for body weight reduction in morbidly obese.
Key words: Morbid Obesity, Laparoscopic sleeve gastrectomy (LSG), Body Mass Index (BMI) |
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2017;1:8
Original Article |
Nigam R, Alaparthi GK, Krishnan SK, Zulfeequer CP.
Physiotherapy Practice Patterns for Acute Respiratory Distress Syndrome in Intensive Care Unit in India – A Survey. |
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Abstract: Aim: Objective: To determine the practice patterns of physiotherapists for acute respiratory distress syndrome (ARDS) in the Intensive care unit in India. Materials and methods: A cross sectional survey was conducted across India, in which 600 questionnaires were sent via email to cardio-pulmonary physiotherapists. The questionnaire addressed assessment and treatment techniques of ventilated and non-ventilated ARDS patients. Results: A total of 252 completed questionnaires were returned with a response rate of 42%. The assessment and treatment techniques used were almost similar for ventilated and non-ventilated patients. More than 75% of the responders monitored vital and ventilatory parameters and respiratory impairments for both ventilated and non-ventilated patients. An objective measure of dyspnea was taken by less than 70% responders with minimal attention given to functional exercise capacity, measures of function and health related quality of life measures. Supine Positioning (81.7%) was used more in ventilated patients whereas upright position (75%) was used more in non-ventilated patients. 75% of responders use secretion clearance and manual techniques for both ventilated and non-ventilated patients. In non-ventilated patients, breathing strategies were used by 85% responders, 86.1% performed ambulation and more than 60% physiotherapists used strength training. Conclusion:Assessment predominately focuses on monitoring vital signs and ventilator parameters, and taking impairment measures for ventilated and non-ventilated patients, with little attention given to functional exercise capacity, measures of function and health related quality of life measures. Treatment predominately focuses on body positioning, airway clearance techniques, manual techniques and range of motion exercises for ventilated patients and in addition to all aforementioned breathing strategies and functional training for non-ventilated patients.
Key words: Acute respiratory distress syndrome, Intensive care unit, Physiotherapy, Survey |
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2017;1:9
Original Article |
Lestari E, Yuliyanti S, Rosdiana I, Surani E, Luailiyah A.
Contributing Factors of Acceptance and Rejection to Interprofessional Education: Undergraduate Students’ Perception. |
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Abstract: Interprofessional education (IPE) is considered to be a way to introduce health profession students on the importance of teamwork in providing excellent healthcare services. There has been no report that explores students’ perception toward IPE before implementation of the program. This study aimed to examine the factors that might affect students’ attitude towards IPE and explore the underlying reasons of their attitude. The population of this study was students of final year of preclinical program of Medicine, nursing, dentistry and midwifery of Sultan Agung Islamic University (Unissula) Indonesia. Attitudes towards IPE were collected by questionnaire adapted from RIPL which has been validated with alpha Cronbach 0.885. The quantitative data were analyzed using multivariate logistic regression. Uni-profession FGs were conducted to explore the underlying reason of students’ attitude toward IPE. Qualitative data were evaluated by two experts in medical education with the help of ATLAS Ti software. The data were evaluated from 389 students. Of this total, 210 (52.8 %) of them had RIPL score low–moderate. Students’ health professional program (RR=15.99 CI95%=6.18-41.43,p= 0.000 ) and GPA (RR=2.76 CI95%= 1.54-4.92 p=0.001) were the most dominant variable of the readiness to IPE. Qualitative data revealed that motivation to enhance knowledge and clinical skills and desire to discuss the roles and responsibilities of each profession were the main reasons for students’ approval to IPE. Conversely a lack of confidence and role blurring were the reasons for rejecting IPE program.
Key words: Interprofessional education (IPE), Readiness for interprofessional Learning Scale (RIPL), Learners’ background, Learners’ perceptions. |
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2017;1:10
Original Article |
Kiran S, Bellur R, Krishnan G.
Traces of Sub-Lexical Dyslexia in a Semisyllabic Orthography. |
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Abstract: Dyslexia refers to the impairment of reading ability. Different forms of dyslexia have been reported in the literature. A classic type of dyslexia in which children exhibit poor reading of non-words compared to true words is known as phonological dyslexia. From the perspectives of the prevailing models of reading aloud, this deficit is attributed to an impaired ‘sub-lexical’ route. However, phonological dyslexia is presumed to be rare in semisyllabic scripts (e.g., Indian scripts) due to the inherent transparency of the written symbols of this orthography. However, the existence of this type of dyslexia has not been empirically tested in this orthography till date. In this context, we aimed to investigate the existence of the equivalent of phonological dyslexia (i.e., sub-lexical dyslexia) in Kannada language. We administered a battery of word and non-word reading tests in a group of children studying in Kannada medium schools from I to VII Grades. Our results are suggestive of the existence of sub-lexical dyslexia in semisyllabic orthography.
Key words: Phonological skills, Sub-lexical dyslexia, Non-words, Kannada, Semisyllabic orthography. |
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2017;1:11
Case Report |
Shirazi N, Gupta NM, Jindal R, Bhardwaj N.
Hailey-Hailey Disease: An Uncommon Cause of Recurrent Axillary Sinuses. |
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Abstract: Hailey-Hailey disease is a bullous disorder characterized by the development of flexural erosions, blisters and warty papules. We report the case of a middle aged male presenting with multiple bullae all over the body with discharging sinuses in axilla. Characteristic histopathological findings with negative Immunofluorescence confirmed the diagnosis of Hailey-Hailey disease. This case merits interest because of it’s rarity and unusual presentation.
Key words: Vesiculobullous, Hereditary, Sinus, Histopathology |
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2017;1:12
Case Report |
Maity D, Saha A, Ghosh U, Mondal D, Panja S.
Emergency Laparotomy in a Case of Large Anterior Wall Subserus Uterine Fibroid Causing Strangulated Umbilical Hernia in a Primary Infertile Woman. |
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Abstract: Fibroid is the commonest benign tumour of uterus seen in women of reproductive age group. There have been case reports of pedunculated fibroid presenting as a content of hernial sac but herniation of intestinal loops through anterior abdominal wall due to pressure effect of a large fibroid resulting in strangulation and gangrene has rarely been reported. Here we report the case of a 32-year-old infertile woman, who underwent emergency Laparotomy and resection anastomosis of a strangulated small intestinal umbilical hernia which resulted due to pressure effect of a large subserous uterine fibroid.
Key words: Uterine fibroid; Small intestine; strangulated hernia; pressure effect; emergency laparotomy |
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2017;1:13
Case Report |
Nayak SB, Kumar N, Bincy M, Mishra S, Rao SS, Shetty SD, Patil J.
An Atypical “Hourglass” Stomach Due to the Presence of an Unusual Incisure at the Greater Curvature. |
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Abstract: Shape and position of the stomach can vary greatly with or without any physiological disturbances. However some of its rare shapes may result in the formation of volvulus or may increase the risk of gastric ulcer. Variant shapes of the stomach may be of congenital occurrence or are acquired later on in life. We report here an atypical form of hourglass stomach. The stomach in the present case exhibited 2 distinct pouches. The two pouches were formed due to the presence of an unusually deep notch at the greater curvature. Both the pouches communicated with the distal end of the esophagus. This variation is possibly of congenital origin and may lead to radiological misinterpretations.
Key words: Stomach, greater curvature, gastric, hourglass |
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2017;1:14
Letter |
Mani G, Danasekaran R, Annadurai K.
E-pharmacies in India: Empowerment or an Emerging Conundrum? |
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Abstract: Rapid globalization and increased connectivity led to the launch of e-pharmacies also known as online-pharmacy, internet pharmacy or mail-order pharmacy in 1990s. Despite being a boon of technology, unregulated e-pharmacies have now become an issue of major public health concern requiring international action. This paper analyses the promise and perils of this technology, discusses the measures undertaken by national and regulatory bodies and the possible solutions.
Key words: e-pharmacy, online pharmacy, SSFFC drugs. |
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