iosr-JDMS   Volume-15 ~ Issue-6 ~ June-2016

Abstract: The advancement in technology, globilization,privatization and liberalization policies have significantly changed the health care scenario all over the world,Quality operation theatres (OT)are the key area which involves huge investment, it is a high priority service area from the management point of view which requires adequate attention ,willingness to improve efficiency for better return of investment. Quality is a constant concern. Surgical suite is a unique environment which is susceptible to variation and error. Six sigma can help to reduce variability and ensure that services are delivered in the safest possible manner.................

Keywords: DMAIC (Define measure analyse improve control),OT(operation theatre),Six sigma,Surgical Suite,Fish bone diagram

[1]. murphree p, vath RR,Daigle L,Sustaining Lean Six Sigma projects in health care. Physician exec 2011;37;44-8
[2]. Hurley B, Levett JM, Huber C, Taylor TL. In: Hendrickson K, Battles JB, Keyes MA, Grady ML, editors. Using Lean Six Sigma
Tools to Compare INR Measurements from Different Laboratories within a Community. Advances in Patient Safety: New
Directions and Alternative Approaches. Performance and Tools. Vol. 3. Rockville, MD: Agency for Healthcare Research and
Quality (US); 2008.
[3]. Kuo AM, Borycki E, Kushniruk A, Lee TS. A healthcare Lean Six Sigma System for postanesthesia care unit workflow
improvement. Qual Manag Health Care 2011;20:4-14.
[4]. Pocha C. Lean Six Sigma in health care and the challenge of implementation of Six Sigma methodologies at a Veterans Affairs
Medical Center. Qual Manag Health Care 2010; 19:312-8.

Abstract: In recent years there has been a great concern to introduce telemedicine into healthcare system throughout the world. This initiative can change medical education and health care delivery to a large extent. However, its use seems to be limited till date. So this study was carried out to evaluate the knowledge and perception of telemedicine among post graduate students of a tertiary hospital of West Bengal. The study was conducted among 150 PG students of NRS Medical College, Kolkata. Most of the students were male and were less than 30 years of age...........

Keywords: Telemedicine, Perception, Post graduate students, Health care services

[1]. Telemedicine opportunities and Developments in member states http://www.who.int/goe/publications/goe_telemedicine_2010.pdf accessed on 20.10.15.
[2]. What is Telemedicine? American Telemedicine Association http://www.americantelemed.org/about-telemedicine/what-is-telemedicine#.VmQt4b-Bi1s accessed on 23.10.15
[3]. Aparajita Dasgupta and Soumya Deb Telemedicine: A New Horizon in Public Health in India . Indian J Community Med. 2008 Jan; 33(1): 3–8..
[4]. Haleh Ayatollahi, Fatemeh Zahra Pourfard Sarabi, and Mostafa Langarizadeh: Clinicians' Knowledge and Perception of Telemedicine Technology. Perspectives in Health Information Management (Fall 2015): 1-15.

Abstract: Background:The diagnosis of hypertensive in an individual could be regarded as a major challenge and hence constitute a stressor. It is therefore expected that such an individual will develop some strategies of coping with such a challenge. The management outcome will be influenced by the strategies deployed by the patient in coping with the reality of such a chronic illness. This work was designed to determine the type of coping strategies employ by the subjects, the relationship with blood pressure control, and identifiable patient characteristics that my contribute to the choice of coping strategy..........

Keywords:coping strategies, hypertensive patients, tertiary health institution

[1]. Kearney PM.Global burden of hypertension: analysis of world wide data.Lancet 2005 Jan 15 – 21; 265 (9455): 217– 223Assessed
via www.ncbi.nih.gov/pubmed/15652604
[2]. Theodorc AK. Hypertension and control. Trads, Approaches, and Goals Assessed via – hyper.ahajournals.org/content/200/19.full
[3]. Ibrahim MM, Damasceno A. Hypertension in developing countries. Mlj 14(1); 2013: 23 – 38
[4]. WHO. WHO Global Report. Preventing chronic disease: a vital investment. Geneva: world Health Organization, 2005.
[5]. Ahmed MEK, El- Awad IB. Blood pressure control and target organ complications among hypertensive patients in Southern Saudi
Arabia. Eastern Mediterranean Health J. 2001;7(415): 689- 696.

Abstract: Parkinson's disease (PD) is a progressive neurological disorder. While the motor symptoms predominate the clinical picture of PD and define the Parkinsonian syndrome, many patients have other complaints that are classified as non-motor. Few studies have shown that visual impairment occurs as co-morbidity in old PD patients. They are not often discernible by regular clinical tests. With the help of the electrophysiological testing method – visual evoked potentials (VEP), this study enables to find out the subclinical involvement of visual pathway in those patients and to assess the correlation of VEP changes with age and disease severity..........

Keywords: Parkinson's disease, P100 latency, VEP, Visual impairment.

[1]. Stanley Fahn, Description of Parkinson's Disease as a Clinical Syndrome, Annals of the New York Academy of Sciences,
Volume 991: 1, 2003, Proc. September 2002 conference on "Parkinson's Disease: The Life cycle of the Dopamine Neuron".
[2]. Das SK, Misra AK, Ray BK, Hazra A, Ghosal MK, Chaudhuri A, Roy T, Banerjee TK, Raut DK, Epidemiology of Parkinson
disease in the city of Kolkata, India: a community-based study. Neurology 2010 oct 12;75(15): 1362-9.
[3]. Anat Kesler and Amos D Korczyn, Visual disturbances in Parkinson's disease, Practical Neurology 2006; 6:28-33.
[4]. C. Warren Olanow, Fabrizio Stocchi and Anthony Lang, Parkinson's Disease: Non-Motor and Non-Dopaminergic Features
(Wiley 2011) 84.

Abstract: Background: Virtually all chemotherapeutic agents have the potential to initiate infusion reactions, defined in this review as unexpected reactions that cannot be explained by the known toxicity profile of the drug. The cytotoxic agents that are most commonly associated with infusion reactions are the taxanes, platinum drugs, pegylated liposomal doxorubicin, L-asparaginase, procarbazine, etoposide, bleomycin, cytarabine, and ixabepilone. While these are often referred to as "hypersensitivity reactions," many do not have an allergic component............

Keywords: Infusion reactions, taxanes, desensitization, chemotherapy, management

[1]. Markman M, Kennedy A, Webster K, Kulp B, Peterson G, Belinson J. Paclitaxel-associated hypersensitivity reactions:
experience of the gynecologic oncology program of the Cleveland Clinic Cancer Center. J Clin Oncol 2000;18:102–5.
[2]. Weiss RB. Hypersensitivity reactions. Semin Oncol 1992;19:458–77
[3]. Shepherd GM. Hypersensitivity reactions to chemotherapeutic drugs. Clin Rev Allergy Immunol 2003;24:253–62.
[4]. Sendo T, Sakai N, Itoh Y, et al. Incidence and risk factors for paclitaxel hypersensitivity during ovarian cancer chemotherapy.
Cancer Chemother Pharmacol 2005;56:91–6.
[5]. Kloover JS, den Bakker MA, Gelderblom H, van Meerbeeck JP. Fatal outcome of a hypersensitivity reaction to paclitaxel: a
critical review of premedication regimens. Br J Cancer 2004;90:304–5.

Abstract: Background: Chronic periodontitis is an inflammatory disease of tissues supporting the teeth. Salivary enzymes and inorganic ions have been most intensely studied as a potential marker for periodontal disease.This study aimed to measure sodium, potassium, magnesium and calcium ions level in saliva of patients who are smokers and non smokers with chronic periodontitis before and after non surgicalperioontal treatment...........

Keywords: Chronic periodontitis,smokers,inorganicions,atomicabsorption spectrophotometer,saliva.

[1]. Carranza A. Fermin, Michael G. Newman, Henry H. Takei, Perry R. Klokkevold. Carranza's Clinical Periodontology. 11thedition.
2012.
[2]. Tatyana Todorovic, Ivan Dozie, Mario Vincente, BesirLjuskovic, JankoPejovicMarjan Mound Milan K. Salivary enzymes and
periodontal disease. Med PralPatol oral Cir Bucal 2006; 11: E 115-9.
[3]. Ahmadi MF, Davoodi P, Dalband M, Hendi SS. Saliva as a mirror of the body health. DJH 2010; 1(2): 1-15.
[4]. Sewon L, Lsin M, Karjalainen S, Poeoguins-Kaia A, Helenius H, Kiss E, Lethonen M. Effect of age on flow rate, protein of
electrolytes compositions of stimulated whole saliva in healthy, non-smoking pregnant women. Open Dent J 2008; 29: 289-92.
[5]. Miller C S and King C P et al. Salivary biomarkers of existing periodontal disease. JADA 2006; 137(3):322- 9.

Abstract: Background: Dilated Cardioyopathy (Dcm) is the commonest form of myocardial disease seen in children. It represents a common expression of myocardial damage that has been produced by a variety of yet un established myocardial insults. It is important to realize that the prognosis of children with untreatable cardiomyopathies is dismal in our country where cardiac transplantation and palliative procedures are not routinely available...........

Keywords: Biochemical changes,Ceruloplasmin (Cp), Dilated cardiomyopathy (DCM), Lactic dehydrogenase (LDH), Malondialdehyde (MDH)

[1]. WyneJ.Braunwald E The Cardiomyopathy and Myocardities ToxicChemical, and Physical Damage to the Heart in the Heart Diseases
[2]. Ed.Braunwald E. A Txt book of Cardiovascular medicine. Philedelphia.W.B.Saunders 1992 1394
[3]. Packer, L and Glazer A.N. 1986 Oxygen Radicals in biological SystemMethods in Enzymol. 186: 113
[4]. Mahlouz,Z(1986),serum MDA Levels in myocardial infarction and chronic renal failure.I R C S .Sci Med14;110

Abstract: The term acute abdomen refers to signs and symptoms of abdominal pain and tenderness, a clinical presentation that often requires emergency surgical therapy.1 This challenging clinical scenario requires a thorough and expeditious workup to determine the need for operative intervention and initiate appropriate therapy. The most difficult challenge is making a timely diagnosis so that treatment can be initiated and morbidity preserved. The total and differential leukocyte counts are being used as an adjunct to clinical and radiological signs and CRP levels as prognostic indicators in patients with acute abdomen..........

Keywords: Acute abdomen, Morbidity, Total Leucocyte Count, CRP level, plasma Procalcitonin Corresponding Author- Dr. Rajesh K.N., e mail: rajeshkn_7@yahoo.co.in

[1]. Kamin RA, Nowicki TA, Courtney DS, Powers RD. Pearls and pitfalls in the emergency department evaluation of abdominal pain.
Emerg Med Clin North Am. 2003; 21(1):61–72. vi.
[2]. Ng CS, Watson CJE, Palmer CR, See TC, Beharry NA, Housdon BA et al. Evaluation of early abdominopelvic computed
tomography in patients with acute abdominal pain of unknown cause: prospective randomised study. BMJ 2002; 325: 1387.
[3]. Rosen MP, Sands DZ, Reynolds KF, Wagner M, Raptopoulos V. Impact of abdominal CT on the management of patients
presenting to the emergency department with acute abdominal pain. AJR Am J Roentgenol 2000; 174: 1391–6.
[4]. Siewert B, Raptopoulos V, Mueller MF, Rosen MP, Steer M. Impact of CT on diagnosis and management of acute abdomen in
patients initially treated without surgery. AJR Am J Roentgenol 1997; 168: 173–8.

Abstract: 1-To evaluate the effect of nutrition interventional measures on nutritional status of children. 2-To ascertain the awareness and knowledge amongst mothers/parents of the admitted children regarding the practices followed at MTCs at the end of their stay at the center. Method:- The present study was conducted from July 2014 to June 2015 , 90 children admitted to MTC of paediatric department of S.M.S. medical college Jaipur, were observed during their stay at MTC, to analyze the effect of interventional measures on selected anthropometric indicators. Mothers of the children were interviewed on health issues and therapeutic feeding practices at the MTC using a predesigned and pretested interview schedule............

Keywords:- Malnutrition treatment center, severe acute malnutrition, nutritional education,knowledge attitude and practice(KAP).

[1]. Pelletier DL, Frongillo EA jr, Schroeder DG, Habichtjp. The effect of malnutrition on child mortality in developing countries.
Bull world health organ 1995;73:443-448.
[2]. National family health survey-3(2005-06).
[3]. Bal Shakti Yojna. Govt of Madhya Pradesh, Innovative Schemes and Programme Interventions under NRHM, Department of
Public Health and Family Welfare, Bhopal. Available from: http://www.mp.gov. in/health/nrhm/Innovative-nrhm.pdf. (Accessed
on: 20/08/09).
[4]. Acute malnutrition situational analysis in the state of Rajasthan and Madhya Pradesh, India, December 2010.
[5]. A. Rey et al. / Cognition 74 (2000).

Abstract: The most challenging part of infant mortality is large proportion of new born deaths, contributing to an estimated 64% of all infant deaths, mostly in the first week of life. Major causes of neonatal mortality are diseases associated with low birth weight babies (LBW). To determine the utility of using foot length as a screening tool to identify Low Birth weight babies in need of extra care..........

Keywords: Neonatal Mortality, Preterm, Low birth Weight, Foot Length

[1]. UNICEF. State of the World's Children 2005.New York: UNICEF, 2004.
[2]. Bang A, Reddy MH,Deshmukh MD. Child mortality in Maharastra. Economic Political Weekly 2002;37:4947-65.
[3]. Estimates of Birth Rate, Death Rate, Natural Growth Rate, Infant Mortality Rate and Total Fertility Rate by Residence, 1972-2013. SRS, Registrar General, Vol.48No.2 September, 2013, India & SRS-2012 (Sept., 13).Available from:
http://planningcommission.nic.in/data/ datatable/1203/table_182.pdf. Accessed February 17, 2015.
[4]. Thacker N. Integrated management of neonatal and childhood illness: A new hope for child survival. President's Page. Indian Paediatrics 2007;44:169-71.

Abstract: Primary thyroid lymphoma is a very rare disease. It presents with rapidly growing mass in elderly patients. In this report we present a case of primary lymphoma of the thyroid gland in a 55 year old male. Fine Needle Aspiration Cytology (FNAC) was used as the first line of investigation in the diagnosis. Prognosis of thyroid lymphoma is excellent and chemotherapy for widespread lymphomas and radiotherapy with or without adjuvant chemotherapy for tumors localized to the gland, are the treatment of choice

Keywords: ...........

[1]. Ansell SM, Grant CS, Habermann TM. Primary thyroid lymphoma. Semin Oncol. 1999;26:316–23.[PubMed]
[2]. Compagno J, Oertel JE. Malignant lymphoma and other lymphoproliferative disorders of the thyroid gland. A clinicopathologic
study of 245 cases. Am J Clin Pathol. 1980;74:1–11. [PubMed]
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lymphomas. Danish LYFO Study Group. Eur J Cancer. 1991;27:1201–8. [PubMed]
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cases. Am J Surg Pathol. 2000;24:623–39. [PubMed]
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Pathol. 1988;19:1315–26. [PubMed]

Abstract: Aim:To review about the Chlorhexidine as Mouth Wash. Also to review about the mechanism of Chlorhexidine. Background:Chlorhexidine is one of the most commonly used antiseptic agent.It has long lasting antibacterial activity with a broad spectrum of action. It is used to reduce bleeding,gingival inflammation and plaque. CHX is available as mouthwash,gel,aerosol,spray. Chlorhexidine is antimicrobial agent. It is cationic bisbiguanide with broad antibacterial activity,low mammalian toxicity and strong for binding to skin and mucous membranes........

[1]. Page RC,kornmal KS, Pathogenesis of human peridontis: An introduction to periodontology,2000,1997;14:9-11
[2]. Teles Rp, Teles IR. Antimicrobial agents used on control of periodontal biofilms: Effective adjuncts to mechanical plaque control?
Braz. oral Res. 2009;23(suppl.): 39-48
[3]. Kerr WJ, Kelly J, Geddes DA. The various surgace areas in the human mouth from nine years to adult hood. J Dent Res 1991;
70(12): 1528-30
[4]. Socransky SS,Haffajee AD. Periodontal microbial ecology.Periodontal 2000-2005; 38: 135-87
[5]. Jones CG, Chlorhexidine: Is it still the gold standard? Periodontology 2000.1997;15: 55-62

Abstract: Restoration of grossly decayed teeth is considered to be a challenging situation for any practitioner Inspite of the advances in material science none of the material completely simulate the physical and mechanical properties of natural tooth structure. These differences in properties can lead to failures at the tooth-restoration interface, can cause increased wear of opposing natural tooth or can lead to eventual fracture of the tooth. This case report describes a novel method of restoration of a grossly decayed mandibular first molar with a post-core and crown using the natural tooth structure derived from the mandibular third molar of the same patient while also ensuring an accurate fit.

Keywords: biological restorations, dentin post, extracted third molar, natural crown

[1]. F. Andreasen, J. Noren, J. Andreasen, S. Engelhardtsen, U. Lindh- Stromberg. Long-term survival of fragment bonding in the
treatment of fractured crowns: a multicenter clinical study. Quint Int, 26, 1995, 669-81
[2]. A. Busato, A. Loguercio, N. Barbosa, M. Sanseverino, R. Macedo, R. Baldissera. Biological restorations using tooth fragments. Am
J Dent, 11, 1998, 46-48.
[3]. A. Ramires-Romito, M. Wanderley, M. Oliveira, J. Imparato, M. Côrrea. Biologic restoration of primary anterior teeth.
Quintessence Int, 31, 2000, 405-11.
[4]. S. Olsburgh, T. Jacoby, I. Krejci. Crown fractures in the permanent dentition: pulpal and restorative considerations. Dent
Traumatol, 18, 2002, 103-15.

Abstract: Cervical cancer (CC) is the 2nd most common cause of cancer death among women globally. Worldwide, out of 7.6 million cancer deaths, 3.6% was due to CC in 2008 and out of 12.7 million new cancer cases, 4.2% were CC in 2008 and 84% of it occurs in less developed countries . Cervical cancer was the 3rd largest cause of cancer mortality in India in 2004 and related mortality rate was 15.2/100,000 women in 2008. Amongst different cities, its incidence was highest in Chennai in the year 1982 (41/100,000), 1991(33.4/100,000) and 2005(22/100,000 )..............

Keywords: ...............

[1]. "Importance of epidemiology to Public Health",gwxy.sysu.edu.cn>Home>Epidemiological Knowledge
[2]. Jacques Ferlay,Hai-Rim Shin,Freddie Bray,David Forman,Colin Mathers,Donald Maxwell Parkin,"Estimates of worldwide Burden of cancer in 2008:GLOBOCAN 2008",International Journal of cancer,Volume-127,Issue-12,pages-2893-2917,15 December-2010,Following a),b),c) are the references of the above article
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Abstract: Introduction: Ewing's sarcoma localized to foot is extremely rare. Local control is mandatory because of the aggressive nature of the tumor. Therapeutic options for these local tumors include neoadjuvant chemotherapy followed by surgery. Case Presentation: A 16-year-old male patient presented with 8-month history of progressive swelling and intermittent pain of the right great toe. Plain radiography and magnetic resonance imaging revealed an expansile mass that had originated from the proximal phalanx of the great toe and was destructing and surrounding the distal phalanx.........

Keywords: Ewing's sarcoma, foot, proximal phalanx, disarticulation.

[1]. Bernstein M, Kovar H, Paulussen M, Randall RL, Schuck A, Teot LA, et al. Ewing's sarcoma family of tumors: current management. Oncologist. 2006; 11: 503-519.
[2]. Brotzmann M, Hefti F, Baumhoer D, Krieg AH. Do malignant bone tumors of the foot have a different biological behavior than sarcomas at other skeletal sites? Sarcoma. 2013; 2013: 767960.
[3]. Rammal H, Ghanem I, Torbey PH, Dagher F, Kharrat K. Multifocal Ewing sarcoma of the foot. J Pediatr Hematol Oncol. 2008; 30: 298-300.
[4]. Widhe B, Widhe T. Initial symptoms and clinical features in osteosarcoma and Ewing sarcoma. J Bone Joint Surg Am. 2000; 82: 667-674.

Abstract: Background: In the last few decades,escalating prevalence of diabetes is seen in the Asian countries can be attributed mostly to the change in lifestyle as result of rapid socio-economic growth, related to an interplay of higher rates of central obesity ,insulin resistance,genetic predisposition and /or influence of adverse intrauterine influences present among the Asian Indian Population. Aims: To study the prevalence and the influence of illness related factors in diabetes and depression............

Keywords: diabetes, depression and illness related factors.

[1]. UnwinN,Whaiting D, Gan D, Jacqmain O, Ghyoot G, editors. IDF Diabetes Atlas. 4th ed. Brussels: International diabetes Federation; 2009.
[2]. Due son LN. UN. World population prospects: the 2007 revision population database (April 10,2009)
[3]. Ramachandran A, Mary S, Yamuna A, Murugesan N, Snehalatha C. High prevalence of diabetes and cardiovascular risk factors associated with urbanization in India. Diabetes Care. 2008; 31:893-8.
[4]. Anjana RM et al. Prevalence of diabetes and prediabetes in urban and rural India: phase I results of the Indian Council of Medical Research-India DIABetes (ICMR-INDIAB) study. Diabetologia. 2011; 54:3022-7.
[5]. Greden JF: Physical symptoms of depression: unmet needs. J Clin Psychiatry. 2003; 64 (suppl 7):5-11.

Abstract: Introduction:Orthodontic treatments can improve facial esthetics. Frontal analysis using two dimensional photographic methods fail to render appropriate analysis of the facial soft tissue shape. This study analyzed the facial soft tissue shape in relation with gender and skeletal classification using Fourier analysis. Methods and materials:Photographs were taken from the frontal view of 65 adults (35 women and30 men) using stereophotography. Landmarks were identified by visual and manual examination and highlighted using a marker. All photographs were taken in NHP position..........

Keywords: Fourier analysis, soft tissue facial shape, sexual dimorphism.

[1]. Fernández‐Riveiro P, Smyth‐Chamosa E, Suárez‐Quintanilla D, Suárez‐Cunqueiro M. Angular photogrammetric analysis of the
soft tissue facial profile. The European Journal of Orthodontics. 2003;25(4):393-9.
[2]. Kuroda S, Sugahara T, Takabatake S, Taketa H, Ando R, Takano-Yamamoto T. Influence of anteroposterior mandibular
positions on facial attractiveness in Japanese adults. American Journal of Orthodontics and Dentofacial Orthopedics.
2009;135(1):73-8.
[3]. Halazonetis DJ. Morphometric evaluation of soft-tissue profile shape. American Journal of Orthodontics and Dentofacial
Orthopedics. 2007;131(4):481-9.
[4]. Ferrario VF, Sforza C. Size and shape of soft-tissue facial profile: effects of age, gender, and skeletal class. The Cleft palatecraniofacial
journal. 1997;34(6):498-504.

Abstract: Oral health of pregnant patient is considered as essential component of the overall health of both mother and her baby. The aim of this study was to know the perspective of pregnant women towards oral health care during pregnancy. A cross-sectional questionnaire-based survey was conducted amongst pregnant females at the Maharaja Yeshwantrao Hospital, Malwa region, Indore..........

Keywords: Awareness, Oral health, pregnancy, safety

[1]. Paul S. Maternal Oral Health. Dent Clin North Am 2001; 45:469-78.
[2]. Hugh Silk et al. Oral Health During Pregnancy. Am Fam Physician 2008; 77, 1139-44.
[3]. Perona G, Castillo JL. Maternal and child dental management based on scientific evidence. 1st ed. Madrid: Ripano, 2012.
[4]. Tang Y, Zhu YQ, Wang Y, He Y. A survey about knowledge, attitude, practice of oral health in pregnant women of one hospital in
Shanghai municipality. Shanghai Kou Qiang Yi Xue. 2011 Oct;20:531-4.
[5]. Abiola A, Olayinka A, Mathilda B, Ogunbiyi O, Modupe S, Olubunmi O. A survey of oral health knowledge and practices of
pregnant women in a Nigerian teaching hospital. Afr J Reprod Health 2011;15:14-19.