The objective of the present study was to determine if there existed any difference between the attitudes and behaviour apart from dental caries status among health professional and other ...professional college students and to investigate the association of oral health attitudes and behaviour with dental caries.
The Hiroshima University-Dental Behaviour Inventory (HU-DBI) questionnaire was used to survey 1824 young student population of Udaipur, India. Dental caries status was evaluated using the World Health Organization caries diagnostic criteria for decayed, missing and filled teeth and surfaces (DMFT and DMFS, respectively).
There was a significant difference (P < 0.05) between the health professional and other professional college students for various components of DMFT and DMFS. Moreover, health professional students reported significantly higher HU-DBI scores (better oral health attitudes and behaviour) than their comparative group. Untreated dental caries played a major contribution to the total DMFT scores in both the groups, with 0.23 and 0.28 mean decayed teeth reported among health professional and other professional students, respectively. Decayed and missing teeth components exhibited a significant negative correlation with HU-DBI scores, whereas a positive correlation existed with the filled teeth component.
A difference existed between the health professional and other professional students with regard to caries experience, oral health attitudes and behaviour. DMF indices and their components were related to most of the oral health attitudes and behaviours. Decayed and missing teeth components were negatively related while filled component was positively related to HU-DBI score.
The government has implemented various laws to regulate medical practice and improve the quality of health care services. This study evaluated the general population's awareness of various ...medicolegal aspects related to the medical profession. Methods: A cross-sectional study was conducted. Knowledge of laws and ethics related to medical practice was assessed based on a well-structured questionnaire including 25 items. Women were categorized based on their score into low (below 50th percentile), medium (50th -75th percentile), and high (above 75th percentile) awareness. Results: A total of 334 women were recruited. The mean age of the women in the study was 30.29±6.58 SD years; most women were between 20-30 (56.28%). Most women were graduates (33.23%), followed by postgraduates (29.04%). The majority of women were unemployed (housewives: 64.67%, students: 4.49%), followed by skilled workers (22.75%), semi-professional, and professionals (8.08%). High awareness about the various medicolegal aspects was seen in 25.1% of women, while 29.04% had medium awareness and 45.80% had low awareness. It was also seen that the women with higher education(p=0.002) and those employed (0.001) had better knowledge. Further, graduate housewives had better awareness than non-graduate housewives. Conclusion: Education and self-independence significantly affected awareness of medicolegal issues among our women. Assuring the right to education and empowering women with self-independence will go a long way in ensuring active participation in medical decision-making.
Abstract Purpose To compare the efficacy of topical umbilical cord serum drops (UCS) and amniotic membrane transplantation (AMT) in acute ocular chemical burns. Design Randomized Controlled Trial ...Methods Setting: Tertiary care hospital. Study Population: 45 eyes with acute chemical burns of grade III, IV and V (Dua’s classification) presenting within the first week of injury were randomized into 3 groups (15 each). Patients with perforation/impending corneal perforation were excluded from the study. Intervention: Group1, 2 and 3 received UCS with medical therapy (MT), AMT with MT and MT alone respectively. Main Outcome Measure: Time to complete epithelialization. Results The mean time to complete epithelialization was 56.7 ± 14.9, 22.0 ± 10.2, and 22.9 ± 10.1 days in MT, AMT, and UCS groups respectively, with a significant difference between MT and AMT (p= 0.001); between MT and UCS (p=0.001), but not between UCS and AMT (p=0.9). Improvement in pain score was better with UCS than AMT (p value; 0.012, 0.002, and 0.012 on day 7, 14, and 21 respectively). Corneal clarity was better in the UCS group at 21 (p=0.008) and 30 days (p=0.002), but not at 3 months (p=0.9). By month 3,visual outcome, symblepharon, tear film status and lid abnormalities were comparable between the 3 groups. Conclusions UCS and AMT, as an adjuvant to standard medical therapy in acute chemical injury, are equally efficacious. UCS has the advantage of faster improvement in corneal clarity, better pain control and avoidance of surgery in an inflamed eye.
Abstract Objective To evaluate the efficacy of the levonorgestrel-releasing intrauterine system (LNG-IUS) in reducing menstrual blood loss (MBL) in myoma-related menorrhagia and to assess the effect ...of the LNG-IUS on uterine and leiomyoma volume. Methods A prospective comparative study investigated the effect of LNG-IUS use in women with myoma-related menorrhagia (n = 54) and women with idiopathic menorrhagia (n = 50). The outcome was assessed in terms of reductions in MBL and in myoma and uterine volume. Results Within 1 month of LNG-IUS insertion, the Pictorial Blood Loss Assessment Chart score in the myoma group fell by 86.8% ( P < 0.0001). At 3, 12, 24, 36, and 48 months, the MBL was reduced by 92.1%, 97.4%, 97.4%, 99.5%, and 99.5%, respectively, similar to the effect seen in the idiopathic menorrhagia group. The mean uterine volume was significantly reduced in both groups, but the reduction was greater in the group with leiomyomas (idiopathic menorrhagia, P = 0.038; myoma-related menorrhagia, P = 0.012). There was no statistically significant reduction in the myoma volume ( P = 0.409). Conclusion Use of the LNG-IUS appears to lead to a significant reduction in the uterine volume of women with menorrhagia, as well as reducing the MBL in women with uterine leiomyomas.
To study the efficacy, safety, and functional outcomes of laparoscopic-assisted uterovaginal anastomosis with placement of a silicone tube as stent in congenital cervical atresia.
Descriptive study ...(Canadian Task Force classification II-3).
Tertiary care referral hospital.
Fourteen consecutive patients (mean SD age, 15.2 2.0 years) with congenital absence of a uterine cervix, associated with partial or complete vaginal aplasia.
Laparoscopic-assisted uterovaginal anastomosis with placement of a silicone stent was performed to treat cervical agenesis. In cases with associated vaginal aplasia, modified McIndoe vaginoplasty was performed concomitantly. Follow-up assessment was performed at 1, 3, and 6 months, and then yearly.
Of 14 patients with congenital cervical anomalies, cervical dysgenesis was observed in 5 (35.7%), and cervical agenesis in 9 (64.2%). All patients with cervical agenesis also had a partial or complete noncanalized vagina. The procedure was successfully completed in all patients. Main outcome measures were functional capability and postoperative complications. Mean (SD) follow-up after surgery was 3.8 (1.2) years. Postoperatively, all but 1 patient (92.8%) experienced regular menses, with complete relief of cyclical abdominal pain. One patient underwent hysterectomy because of genital infection and re-stenosis. Concomitant vaginoplasty was performed in 9 patients (64.2%) with associated vaginal aplasia, and vaginal length was 6.5 (1.2) cm at 6-month follow-up. Five patients (35.7%) are sexually active, and report it to be satisfactory. Pregnancy has been achieved in 3 of the 5 patients (60%).
Laparoscopic-assisted uterovaginal anastomosis may be considered the treatment of choice in patients with cervical agenesis, and radical treatment such as hysterectomy can be averted. The procedure is successful insofar as resumption of menstrual function. However, long-term reproductive outcome in these young girls will require further follow-up.
