A comparative study on effectiveness of mucosal vibration and topical anaesthetic gel in reducing pain during administration of local anaesthetic in paediatric patients.

2021 ◽  
Vol 13 ◽  
pp. 32-41
Author(s):  
Nameeda K S ◽  
Fathimath Nihala K ◽  
Anagha Saseendran ◽  
Priya Nagar ◽  
Pallavi Urs
Keyword(s):  
Comparative Study ◽  
Local Anaesthetic ◽  
Pain Perception ◽  
Rating Scale ◽  
Inferior Alveolar Nerve ◽  
Control Group ◽  
P Value ◽  
Topical Anaesthetic ◽  
Paediatric Patients ◽  
Group I

Title : A comparative study on effectiveness of mucosal vibration and topical anaesthetic gel in reducing pain during administration of local anaesthetic in paediatric patients. Introduction: Anxiety related to dentistryis not uncommon in paediatric patients. Poor pain control alongside the fear and anxiety might interfere with appropriate dental management. In this study a modified mucosal vibration device is used to modify the pain perception during LA administration. Aim: To compare the effectiveness of topical anaesthetic gel and mucosal vibration during local anaestheticadministration in children in the age group8-11 years using both subjective and objective scalescales for measuring anxiety and pain. Methodology: Thirty children who required inferior alveolar nerve blockanaesthesia for routine dental procedures were included and divided equally into 3 groups Group I- control Group II- topical anaesthetic gel Group III - Mucosal vibrator Pain perception was compared, assessed and analysed during injection using Sound, Eye, Motor (SEM) scale, Doremon cartoon modified Wong Baker Faces Pain Rating Scale, MotuPatlu cartoon modified Venham scale Results: The scores of SEM scale and Doremon pain scale when subjected to statistical analysis gave a p value <0.001. Conclusion: Mucosal vibrator is an easily availablehandyand effective chair sidedevice for pain reduction during administration of local anaesthesia for paediatric patients

A Comparative Study to verify the Efficacy of Preoperative Intravenous Tranexamic Acid in Control of Tonsillectomy Bleeding

2016 ◽  
Vol 8 (1) ◽  
pp. 22-25 ◽  
Author(s):  
KB Prashanth ◽  
S Abhilash
Keyword(s):  
Side Effects ◽  
Tranexamic Acid ◽  
Comparative Study ◽  
Intravenous Dose ◽  
Control Group ◽  
P Value ◽  
Study Group ◽  
Not Given ◽  
Single Intravenous Dose ◽  
Group I

ABSTRACT Objectives This study was conducted to assess the efficacy of the drug tranexamic acid administered preoperatively in controlling the bleeding during tonsillectomy intraoperatively. Materials and methods A total of 50 patients who underwent tonsillectomy were randomized into two groups. Group I (study group): Intravenous tranexamic acid was given with dose of 10 mg/kg. Group II (control group): Tranexamic acid injection was not given. Intraoperative amount of bleeding was assessed in each case. Results The study group had significant reduction in bleeding and the p-value was <0.05, which was statistically significant, when compared to control group. There were no side effects of the drug observed. Conclusion Single intravenous dose of tranexamic acid at a dose of 10 mg/kg preoperatively is effective in control of tonsillectomy bleeding. How to cite this article Santosh UP, Prashanth KB, Abhilash S. A Comparative Study to verify the Efficacy of Preoperative Intravenous Tranexamic Acid in Control of Tonsillectomy Bleeding. Int J Otorhinolaryngol Clin 2016;8(1):22-25.

scholarly journals Pain Perception following Administration of Propofol with 7.5 mg Ephedrine, 15 mg Ephedrine, or Lignocaine— A Comparative Study

2017 ◽  
Vol 2 (2) ◽  
pp. 58-63
Author(s):  
Harprit Kaur Madan ◽  
Indrani H Chincholi ◽  
Sonali D Patira
Keyword(s):  
Statistical Analysis ◽  
Comparative Study ◽  
Repeated Measures ◽  
Pain Perception ◽  
Rating Scale ◽  
Elective Surgery ◽  
Rapid Onset ◽  
Injection Pain ◽  
P Value ◽  
Duration Of Action

ABSTRACT Introduction Propofol is the drug of choice for induction of anesthesia because of its rapid onset, easy titration, and short duration of action. However, pain on propofol injection is an unpleasant experience felt by many of our patients. Many factors have been investigated to decrease the pain on propofol injection but it is still a mystery. Aim To compare the effect of two doses of ephedrine (7.5 and 15 mg) and lignocaine on pain during injection of propofol and to compare their hemodynamic parameters and note for any complications. Materials and methods This study was a prospective, randomized, double-blinded, single-center study on 150 adult patients of both the sexes belonging to American Society of Anesthesiologists (ASA) grades I and II for elective surgery under general anesthesia. The aim was to compare the analgesic effect of lignocaine, ephedrine 7.5 and 15 mg in ameliorating propofol injection pain. About 50 patients were allocated to each of the three groups receiving lignocaine 2% (1.5 mL), ephedrine 7.5 mg, and ephedrine 15 mg intravenously admixed with propofol. The intensity of pain at the time of propofol injection was assessed using verbal rating scale (VRS) 4-point scale before the patient lost consciousness. Statistical analysis Statistical analysis was done by using Statistical Package for the Social Sciences (SPSS) version 22.0 software. The qualitative data were summarized as frequency and percentages. The Fischer exact test was used to analyze the data. The continuous data were summarized as mean and standard deviation. The group and intergroup analyses were done using repeated measures analysis of variance (ANOVA) test. A p-value <0.05 was considered significant. Results Median (interquartile range) of the pain score was 1 (2) in group E-7.5 mg, 0 (1) in group E-15 mg, and 0(1) in group L. Results were statistically significant. Conclusion Adding 15 mg ephedrine was as effective as adding lignocaine for the prevention of propofol injection pain and ephedrine had a better and stable hemodynamic profile. How to cite this article Chincholi IH, Madan HK, Patira SD. Pain Perception following Administration of Propofol with 7.5 mg Ephedrine, 15 mg Ephedrine, or Lignocaine—A Comparative Study. Res Inno in Anesth 2017;2(2):58-63.

scholarly journals Assessment of Pain Perception in Paediatric Patients on Application of Cooled and Uncooled Topical Anaesthetic Gel before Infiltration Anaesthesia - A Pilot Study

2021 ◽  
Vol 10 (23) ◽  
pp. 1751-1755
Author(s):  
Prathyusha P ◽  
Amith Adyanthaya ◽  
Marium Raheema ◽  
Swetha S. Nair ◽  
Aparna Sivaraman ◽  
...  
Keyword(s):  
Pulse Oximeter ◽  
Local Anaesthesia ◽  
Pain Perception ◽  
Rating Scale ◽  
Injection Pain ◽  
Pain Rating ◽  
Topical Anaesthetic ◽  
Paediatric Patients ◽  
Dental Procedures ◽  
Pain Rating Scale

BACKGROUND Topical anaesthesia is fundamental in enhancing pain control during the process of dental injections. The study compared the effect of cooled and uncooled topical anaesthetic gel before infiltration anaesthesia in assessing pain perception in paediatric patients undergoing dental treatment procedures. METHODS This is a split-mouth study where 16 children aged between 8 and 10 years who required bilateral local anaesthesia administration for various dental procedures were selected. Before infiltration anaesthesia, topical anaesthetic gel cooled to 40 C was applied on one side in the first visit followed by application of uncooled gel on the contralateral side in the subsequent visit. The patients were asked to individually rate their pain experience on each side using the Wong-Baker Faces Pain Rating Scale (WB-FPRS). Anxiety was assessed using pulse oximeter and FLACC scale (face, legs, activity, cry, and consolability). Data was analysed statistically using the paired ‘t’-test and a P value less than or equal to 0.05 was considered as statistically significant. RESULTS Patients reported less pain on Wong-Baker Faces Pain Rating Scale by using cooled topical anaesthetic gel. Discomfort and anxiety levels were also seen to be low when assessed using pulse oximeter and FLACC Scale for the same group (P < 0.05). CONCLUSIONS Cooling the soft tissue site with anaesthetic gel helped reduce pain perception during infiltration in children and was seen to be a more feasible technique. Hence this technique can be used as a successful adjunct to the local anaesthesia administration prior to dental procedures. KEY WORDS Anaesthesia, Cooling, Topical Gel, Injection, Pain

scholarly journals Effect of acupuncture TENS versus conventional TENS on post cesarean section incision pain

2018 ◽  
Vol 7 (9) ◽  
pp. 3738
Author(s):  
Priti A. Mehendale ◽  
Mayur T. Revadkar
Keyword(s):  
Pain Intensity ◽  
Rating Scale ◽  
Control Group ◽  
P Value ◽  
Random Allocation ◽  
Lower Segment Caesarean Section ◽  
Post Operative Pain ◽  
Group A ◽  
Group B ◽  
Pain Rating Scale

Background: There is evidence regarding beneficial use of Transcutaneous Electrical Nerve Stimulation (TENS) on post Lower Segment Caesarean Section (LSCS) incision pain. However, efficacy of different types of TENS following C section pain has not yet been explored adequately.Methods: 96 women who had recently undergone LSCS were included for the study. The subjects were in the age group of 20 to 40 years (25.84±3.96); having pain intensity 4 or more on Numerical Pain Rating Scale (NPRS). They were divided into three groups by random allocation method; namely Group A: Acupuncture (Low/Motor) TENS, Group B: Conventional (High/Sensory) TENS and Group C: Control group. Group A and B received specific type of TENS twice a day for 15 minutes. Control group C did not receive any TENS intervention. All subjects received standard post-operative medications and physiotherapy. Pain intensity was recorded on NPRS pre and post intervention.Results: Both Acupuncture TENS and Conventional TENS significantly decreased post-operative pain intensity as compared to control group (p value <0.0001).Conclusions: Both, acupuncture and conventional TENS are equally effective in reducing post LSCS incision pain at a strong and non-painful intensity.

scholarly journals A Comparative Study of Lipid Profile in Obese and Nonobese Men attending Master Health Checkup

2017 ◽  
Vol 21 (2) ◽  
pp. 73-75
Author(s):  
S Vinod Babu ◽  
Anusha R Jagadeesan ◽  
Jothimalar Ramalingam
Keyword(s):  
Comparative Study ◽  
Lipid Profile ◽  
Total Cholesterol ◽  
Ldl Cholesterol ◽  
Density Lipoprotein ◽  
Hdl Cholesterol ◽  
P Value ◽  
Health Checkup ◽  
Group I ◽  
Significant Difference

ABSTRACT Introduction Obesity is emerging as an epidemic worldwide. Obesity is associated with a number of comorbid conditions, such as diabetes mellitus, hypertension, cancer, dyslipidemia, cardiovascular abnormalities, anemia, obstructive sleep apnea, and psychosocial abnormalities. Aim This study aims at comparing the lipid profile levels of obese and nonobese men. Materials and methods This was a case—control study conducted at a tertiary care center. Totally, 80 men in the age group of 20 to 47 years attending the master health checkup were included in the study, out of which 40 men with normal body mass index (BMI) of 18 to 25 belonged to group I and 40 men with increased BMI of 30 and above belonged to group II. Lipid profile parameters, such as triglycerides (TGLs), total cholesterol, high-density lipoprotein (HDL) cholesterol, and low-density lipoprotein (LDL) cholesterol were estimated in them. The data were statistically analyzed using Statistical Package for the Social Sciences (SPSS) software version 15.0. Results Statistically significant difference was found in the total cholesterol levels with a p-value of 0.040 while the difference in LDL cholesterol was statistically highly significant with a p-value of 0.040. Conclusion Among lipid profile parameters, only total cholesterol and LDL cholesterol showed significant difference between the obese and nonobese individuals. However, the other parameters like HDL cholesterol and TGLs did not show any significant difference. How to cite this article Babu SV, Jagadeesan AR, Ramalingam J. A Comparative Study of Lipid Profile in Obese and Nonobese Men attending Master Health Checkup. Indian J Med Biochem 2017;21(2):73-75.

scholarly journals THE EFFECT OF ACUPRESSURE AND EFFLEURAGE ON PAIN RELIEF IN THE ACTIVE PHASE OF THE FIRST STAGE OF LABOR IN THE COMMUNITY HEALTH CENTER OF KAWUNGANTEN, CILACAP, INDONESIA

2017 ◽  
Vol 3 (5) ◽  
pp. 508-514
Author(s):  
Yuli Sya’baniah Khomsah ◽  
Agus Suwandono ◽  
Ida Ariyanti
Keyword(s):  
Community Health ◽  
Health Center ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Community Health Center ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
P Value ◽  
First Stage Of Labor

Background: Pain during pregnancy and childbirth is a physiological process, but it leads to discomfort without pain management. Acupressure and effleurage are considered to be effective in reducing labor pain.Objective: To examine the effect of acupressure and effleurage in reducing pain during in the active phase of the first stage of labor in the community health center of Kawunganten, Cilacap regency.Methods: This was a quasi-experimental study with pretest-posttest control group design. There were 33 respondents recruited using simple random sampling. Numerical rating scale was used to measure labor pain. Data were analyzed using one way anova, Post hoc anova and repeated anova for normal data distribution. Kruskal Wallis was also used for non-normal data distribution.Results: There was a statistically significant mean difference of pain scale before and after given acupressure and effleurage (p-value <0.05). However, acupressure treatment had a greater effect  in reducing pain compared with effleurage.Conclusion: Acupressure and efflurage had a significant effect in reducing pain in mothers in the active phase of the first stage of labor. The results of this study are expected to enrich and contribute to the development of science in the field of health promotion, and  serve as an additional input for midwives in order to carry out the care of mother during labor.

scholarly journals Comparative Effectiveness of Papaya Leaf Stew (Carica Papaya Linn) With Turmeric Acid (Curcuma Domestica Val-Tamarindus Indica) Against Primary Dysmenorrhea

2018 ◽  
Vol 1 (2) ◽  
pp. 120-127
Author(s):  
Yunita Liana
Keyword(s):  
Young Women ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Average Score ◽  
Control Group ◽  
P Value ◽  
Primary Dysmenorrhea ◽  
Control Group Design ◽  
Before And After ◽  
The Mean

Young women often feel primary dysmenorrhoea because the hormonal cycles experienced are not stable, this can disrupt the concentration and activity of young women. The principle of back to nature is increasingly popular today, the side effects of chemical drugs can cause new problems, it is one of the driving force of the development of traditional medicine. Papaya leaves contain Vitamin E which can reduce dysmenorrhea. In addition, turmeric acids also contain curcumine and anthocyanins that inhibit cyclooxygenase, thereby reducing the occurrence of inflammation during uterine contractions. The aim of this research is to know the effectiveness of papaya leaf stew with acidic turmeric to primary dysmenorrhea. Type of Research is an experimental study with a Pretest-Posttest Control Group Design design. The sample is 30 people. The research was conducted on December 27, 2017 s.d February 24, 2018 at SMP Negeri 46 Palembang. Instrument to measure pain Numeric Rating Scale. The statistical test used by Wilcoxon and Mann Whitney U. Average score of pain before papaya leaves stem 5.40 ± 0.73 while the mean score of pain after given turmeric acid 5.33 ± 0.61 The mean score of pain after being given papaya leaves stew 3.60 ± 0.91 while the mean score of pain after given turmeric acid 4.06 ± 0.79. There was a difference of mean score of dysmenorrhea pain before and after given papaya leaf stem p value = 0.000. There is difference of mean score of dysmenorrhea pain before and after given turmeric acid p value = 0,002. There was no difference of mean score of dysmenorrhea pain before and after given papaya leaf sting and turmeric acid p value = 0,217. The decoction of papaya leaf and turmeric acid have the same effectiveness in reducing primary dysmenorrhea pain.

Effects of Garcinia Cambogia on the Weights of Normal Albino Mice

2021 ◽  
Vol 15 (11) ◽  
pp. 2956-2957
Author(s):  
Gul Afshan ◽  
Ponum Mirani ◽  
Imtiaz Aslam ◽  
Sobia Ibrahim
Keyword(s):  
Control Group ◽  
P Value ◽  
Distilled Water ◽  
Garcinia Cambogia ◽  
Group Iii ◽  
Smart Drugs ◽  
Group I ◽  
Final Weight ◽  
Albino Mice ◽  
Experimental Group

Aim: Effects of available weight reducing drugs on the weights of a normal albino mice. Methodology: In this study, total 39 adult albino mice were used and were divided in three groups containing 13 animals in each. Group I served as control and was given 1 ml of distilled water once a day for 8 weeks. Group II and Group III served as experimental group and mice in these groups were given 0.5 mg of Slim Smart and Ultra Slim Plus drugs dissolved in 1 ml of distilled water respectively once a day for 8 weeks. To support these results weights of kidneys were also measured and relative tissue width index was calculated and compared with control group. Results: The weight of the animals increased in the experimental groups as compared to the control group. The overall difference for final weight among three groups was highly significant with p-value <0.01. When final weight compared group wise, the experimental groups had significantly higher weight as compared to control with p-values <0.01and 0.028 Conclusion: Both Ultra Slim Plus and Slim Smart drugs cause weight to increase in the individuals who are not obese and have BMI in normal range Keywords: Weight loss, Garcinia Cambodia, kidney, Albino mice

scholarly journals Aprendizagem Assistida por Pares: Uma Alternativa Pedagógica no Ensino de Competências a Estudantes de Medicina

2020 ◽  
Vol 33 (11) ◽  
pp. 742
Author(s):  
Joana Fernandes Ribeiro ◽  
Manuel Rosete ◽  
Andreia Teixeira ◽  
Hugo Conceição ◽  
Lèlita Santos
Keyword(s):  
Medical Students ◽  
Rating Scale ◽  
Technical Skills ◽  
Surgical Skills ◽  
Global Rating Scale ◽  
Control Group ◽  
P Value ◽  
Global Rating ◽  
Learning Program ◽  
Peer Assisted Learning

Introduction: Technical skills training is fundamental for clinical practice although poorly emphasised in undergraduate medical curricula. In these circumstances, Peer Assisted Learning methodology has emerged as a valid alternative to overcome this insufficiency. The purpose of this study is to evaluate the impact on students of a Peer Assisted Learning program in basic surgical skills, regarding technical competences and knowledge improvement.Material and Methods: A total of 104 randomly selected third year medical students participated in a workshop delivered by fifth year students. From that total, 34 students were assessed before and after the workshop, using the Objective Structured Assessment of Technical Skills instrument, that consists of a global rating scale and a procedure-specific checklist. Sixth year students (control group) were also assessed in their performance without participating in the workshop. Before workshop versus after workshop Objective Structured Assessment of Technical Skills results were compared using Wilcoxon and McNemar tests. After workshop versus control group Objective Structured Assessment of Technical Skills results were compared using Mann-Whitney, qui-squared test and Fisher’s exact test.Results: For the global rating scale, students obtained an after the workshop score (29.5) that was significantly higher than the before the workshop score (15.5; p-value < 0.001), but no significant differences were found between after the workshop and control group scores (p-value = 0.167). For the procedure-specific checklist, 3rd year students had a substantial positive evolution in all parameters and obtained higher rates of correct achievements compared to the control group.Discussion: The final outcomes demonstrated a significant qualitative and quantitative improvement of knowledge and technical skills, which is in accordance with other literature.Conclusion: This Peer Assisted Learning program revealed promising results concerning improvement of surgical skills in medical students, with little staff faculty contribution and extension to a much broader number of students.

scholarly journals ESTUDO COMPARATIVO ENTRE O FIO DE NAILON E A LINHA DE PESCA (POLIAMIDA) E A SUA APLICABILIDADE COMO FIO CIRÚRGICO

1999 ◽  
Vol 4 (1) ◽  
Author(s):  
SHEILA CANEVESE RAHAL ◽  
MANOEL ÁLVARO GUIMARÃES ◽  
JOSÉ VICENTE FORTES ◽  
HÉLIO LANGONI ◽  
PEDRO HELIO LUCCHIARI
Keyword(s):  
Adverse Effect ◽  
Comparative Study ◽  
Physical Properties ◽  
Group Iv ◽  
Experimental Results ◽  
Control Group ◽  
Group Iii ◽  
Nylon Thread ◽  
Group I ◽  
Mucous Membranes

"Linhas de pesca"* em diâmetros de 0,15mm; 0,20mm; 0,25mm; 0,30mm foram divididas em quatro grupos, contendo dez amostras de cada diâmetro: grupo I - controle; grupo II - linhas colocadas em frasco com pastilhas de formalina; grupo III - um ciclo de autoclavagem (30 minutos à 121 C, seguido por 10 minutos de secagem à 37 C em estufa); grupo IV - dois ciclos de autoclavagens. Foram avaliadas quanto: comprimento, calibre, resistência no nó e alongamento. Comparativamente foram examinados fios de náilon cirúrgico nas numerações 0, 1-0, 2-0, 3-0, 4-0 e 5-0 (10 amostras de cada um). Pelos resultados da análise estastística, verificou-se que a esterilização pelo calor úmido exerceu um efeito adverso na resistência da "linha de pesca". Por outro lado não houve diferenças na resistência, calibre e alongamento da "linha de pesca" entre o primeiro e segundo ciclo de autoclavagem. As “linhas” mantidas em pastilhas de formalina mantiveram na sua maioria suas características originais de resistência, comprimento, diâmetro e alongamento quando comparada ao grupo controle, entretanto, cabe lembrar que o formaldeído é considerado irritante para pele e membrana mucosa. Foi possível concluir que a "linha de pesca" apresenta características semelhantes ao fio cirúrgico, podendo ser mantida em pastilhas de formalina ou esterilizada em autoclave, lembrando que a autoclavagem altera algumas de suas propriedades físicas. Abstract A comparative study has been carried out between fishing lines and nylon thread in regard to their applicability as surgical thread. Four groups of 10 fishing lines in each of the following diameters = 0.15, 0.20, 0.25 and 0.30 mm = were subjected to the following treatments: group I, control; group II sterilized with formalin tablets; group III, autoclaved 30 minutes at 121oC; group IV, autoclaved twice 30 minutes at 121oC. The following parameters were then considered: length, caliber, resistance at the knot, and elongation. Ten samples of each surgical 0, 1.0, 2.0, 3.0, 4.0 and 5.0 nylon threads were used in comparatively similar experiments as the ones carried out with the fishing lines. According to the statistical analyses of the experimental results, it has been found that the sterilization by means of the humid heat exerts an adverse effect on the resistance of the fishing line. However, no differences were found between the effect displayed by two cycles sterilization compared with the fishing lines subjected to only one cycle. The threads maintained in formalin kept the majority of their original properties of resistance, length, diameter and elongation when compared with the control group. It is known, however that formaldehyde is an irritant chemical towards the skin and the mucous membranes. It was possible to conclude: a. fishing lines display characteristics similar to that ones of the nylon surgical thread; b. they can be maintained in formalin solution; c. autoclave sterilization alters some of their physical properties.

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