scholarly journals Root morphology of maxillary 1st premolar teeth in orthodontic extraction cases presenting in a tertiary care hospital: Taxilla Cantt.

2021 ◽  
Vol 28 (7) ◽  
pp. 1013-1017
Author(s):  
Maimoona Siddiq ◽  
◽  
Junaid Shakeel ◽  
Bushra Naeem Khan ◽  
Syed Zuhair Mehdi ◽  
...  

Objective: To observe pattern and variation of root morphology of maxillary 1st premolar teeth in orthodontic extraction cases among local population. Study Design: Prospective Observational study. Setting: Dental College-HITEC Institute of Medical Sciences-Taxilla Cantt. Period: 1st January 2017 to 31st December 2019. Material & Methods: A total of 120 patients and 320 maxillary 1st premolars were studied clinically for gross root morphology after orthodontic tooth extraction, variation of gross root morphology was studied among extracted teeth, frequency distribution was observed on basis of gender and both quadrants in each patient, a critical analysis is also made about variation of root morphology among various populations across the world. Result: Out of 160 patients, 49 were males and 111 were females. 151 patients had bilateral similar root morphology, out of 320 clinically examined teeth 206 had two roots, and 123 teeth had fused root morphology, 83 teeth had two bifurcated (separate) roots while 114 teeth were single rooted. Conclusion: Maxillary 1st premolar is unique in terms of wide variation in root morphology which is evident among various population studies. Two roots with fused root morphology is most prevalent in Pakistani population.

2013 ◽  
Vol 20 (06) ◽  
pp. 951-955
Author(s):  
SHAEEB MUSTAFA ◽  
SHABEER AHMAD WANI ◽  
ASIYA WALI

Introduction: Antimicrobial resistance is a global problem and awareness of hospital staff to it is limited. Objective: Tostudy the awareness among hospital staff at a tertiary care health facility regarding knowledge of antimicrobial resistance. Study Design:It is a prospective observational study. Setting: Sheri Kashmir institute of medical sciences which is a tertiary care medical centre in Indianpart of Kashmir. Period: Study was done over 6 month period from January 2011 to june 2011. Materials and Methods: A study wasconducted in a tertiary care hospital among the hospital staff through a personal interview regarding their knowledge about antimicrobialresistance. Results: 86% of the hospital staff interviewed considered antimicrobial resistance is a significant national problem but only52% considered it a problem in their own hospital. Clinicians considered that antimicrobial resistance is a problem more than otherprofessionals. Majority of health professionals including clinician’s rating of the knowledge of awareness of antimicrobial resistance wasaverage or low. The most important force/factor to prescribe any antibiotic was patient’s condition, while clinician’s profit interest ishaving the least influence. Conclusions: This study concluded that the knowledge of awareness of antimicrobial resistance among healthcare professionals indicate that it is a national problem but far less a problem at their own hospital. The in-service education regardingantimicrobial resistance among the hospital staff was not up to the mark.


Author(s):  
Vijoy S. Kairi ◽  
Pinaki Chakravarty ◽  
Arun Kumar Sipani

Background: The mainstay of treatment of Rheumatoid Arthritis (RA) is the use of the disease-modifying anti-rheumatic drugs (DMARDs). Methotrexate, sulfasalazine and hydroxychloroquine are some of the DMARDs which are used in combination for the treatment of RA. The current study was undertaken to assess the adverse drug reactions (ADRs) of DMARDs that are commonly encountered with the treatment of RA.Methods: The present study was designed as a prospective, observational study on newly diagnosed patients with RA. Patients diagnosed with RA above 18 years (excluding pregnant women) of either sex who were prescribed DMARDs in combination were included. ADRs reported spontaneously by the patients and also responses obtained in a questionnaire related to likely ADRs from the patients was recorded in the case record form. Statistical analysis was done using graph pad and p value <0.05 was considered to be statistically significant.Results: A total of 47 patients attending the Outpatient Department of Orthopaedics, Silchar Medical College and Hospital, Silchar, Assam, India were screened for the study. ADRs were monitored up to the last visit on 41 patients excluding the patients who were lost and who were not able to adhere to the treatment. A total of 27 ADRs were reported from 19 ADR forms. Gastrointestinal manifestations were the most common adverse effects of combination DMARDs seen in 10 patients (24.39%). Severity assessment done using modified Hartwig and Siegel scale that showed majority of the ADRs were mild (74.07%).Conclusions: Present study showed that DMARDs are well-tolerated and have an acceptable toxicity profile as majority of ADRs seen were mild. It was however difficult to prevent the occurrence of ADRs. Proper monitoring of therapy is needed for early recognition of ADRs.


2016 ◽  
Vol 5 (17) ◽  
pp. 822-827
Author(s):  
Rakesh Kumar Patel ◽  
Anil Kumar Gupta ◽  
Santosh Kumar Singh ◽  
Harleen Chhachhi ◽  
Pawan Kumar Patel ◽  
...  

2008 ◽  
Vol 38 (4) ◽  
pp. 233-235 ◽  
Author(s):  
Shabina Habibi ◽  
Naveet Wig ◽  
Sunil Agarwal ◽  
Surendra K Sharma ◽  
Rakesh Lodha ◽  
...  

This prospective observational study describes the rates of nosocomial infections (NI), the sites of infection, the pathogens involved, their antibiogram and the risk factors at a tertiary care hospital in northern India. In 62 of the 182 enrolled patients 95 episodes of NI were recorded (incidence rate 28.6/1000 person days): pneumonia (77%); urinary tract infection (24%) and blood stream infection (24%). All isolates of Acinetobacter, Pseudomonas and Klebsiella and 83.3% of Escherichia coli were resistant to the third generation cephalosporins. An increased duration of the time spent in intensive care units and days of intervention were associated with incident NI.


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