Comparison of Upper Lip Bite Test with Modified Mallampati Score in Predicting Difficult Intubation

Background and Aims: Identifying a patient with a difficult airway is important in planning anaesthetic management so that endotracheal intubation can be achieved safely. This study aims to compare modified Mallampati score with Upper Lip Bite Test to predict difficult intubation using intubation difficulty scale. Materials and methods: A prospective study was carried on 104 patients, both sexes aged between 18 to 60 years scheduled for elective surgeries under general anaesthesia fulfilling inclusion and exclusion criteria. Patient airway was evaluated by MMT and ULBT preoperatively. Predictors of difficult endotracheal intubation were assigned to MMT class III and IV, ULBT class III. After premedication and induction laryngoscopy was performed. After successful intubation Intubation difficulty score was noted down based on the sum of seven assessing parameters. A score >5 was considered difficult intubation. Results: The incidence of difficult intubation in the study was 10.6% (i.e. 11 out of 104 patients). In this study ULBT had a higher sensitivity (90.9% v/s 18.20%), specificity (95.7% v/s 75.3%) PPV (71.4% v/s 8%) and NPV (98.9% v/s 88.6%) than that of MMT Conclusion: Upper lip bite test is better at predicting difficult intubation with higher accuracy when compared to Modified Mallampati test. Both the tests are good predictors of easy intubation. Keywords: Upper Lip Bite Test (ULBT), Modified Mallampati test (MMT), Intubation Difficulty scale (IDS), airway assessment. Difficult intubation prediction, Difficult airway

Determine Dietary Diversity and Its Relationship with Nutritional Status of Adolescents Studying in High Schools of Bagalkot

Introduction: Dietary diversity is defined as the number of food groups or items consumed over a reference period. A good diverse diet is necessary to furnish the daily nutritional requirements of body. Inadequate dietary diversity is one of major public health problem and can result in unhealthy physical, emotional and psychological changes among adolescents. Objective of the study was to determine dietary diversity and its relationship with nutritional status of adolescents studying in high school. Methods: A school-based cross-sectional study was conducted from March 12 to April 03, 2021, among a total of 120 adolescents, selected using the stratified random sampling technique. The study was conducted in Kalidas high school, Bagalkot. A structured and prepared questionnaire was used to collect baseline data. Dietary diversity was measured by Food and Nutrition Technical Assistance (FANTA) 2020 using the food items method. A multivariable binary logistic regression model was employed to identify the association of nutritional status and dietary diversity among adolescents. Result: Mean age of sample was 15.14 ± 0.81 years. The mean height for age was 1.63 S.D± .880 S.D. The mean BMI for age Z score was 1.73 SD ± .579 SD. The mean BMI for thinness Z score was 2.35 SD ± 1.301SD.Logistic regression analysis revealed that there was no significant association (P< 0.202) found between dietary diversity and nutritional status of adolescents. Conclusion: The findings of this study showed that only one-third of both (boys and girls) have adequate dietary diversity. Low level of dietary diversification suggested points to the need for strengthening efforts targeting to improve the healthy dietary practice of adolescents by giving due attention to poor households and undernourished adolescents. Keywords: dietary diversity, nutritional status, adolescents, High school, unhealthy dietary pattern.

The Influence of Checklist Model Documentation on the Completeness of Nursing Care Documentation at Arosuka Hospitals 2017

Background: The nursing care documentation technique that applied at Arosuka Hospital was narrative recording technique. Based on documentation evaluation of nursing care, nursing documentation at Arosuka Hospital was still not equal to documentation of nursing care. Methods: This research intends to analyze the effect of checklist documenting model to the documentation of nursing care in Arosuka Hospital. This research had been conducted since January to June 2017 and the data were collected from May to June 2017. The method of this research was quasi-experiment, pre-test and post-test group research. There were forty-five nurses taken as the samples with total sampling techniques applied. The instruments that used in this research were the forms of checklist documenting model and nursing care evaluation sheet. Result: The result of the research has shown that there is difference of the completeness of nursing care documentation before and after using the checklist model documenting format. The average number of nursing care documentation is higher with the checklist model compared to narrative model mean (40,533). This checklist documenting model is recommended to be applied in Arosuka Distric Hospital to improve the completeness of nursing care documentation in Arosuka Distric Hospital. Keywords:Checklist model, documentation, nursing care.

Extrapulmonary Tuberculosis Manifests as Middle Ear Tuberculosis: A Rare Case Report from Secondary Health Care Center at Sub-Himalayan Region

Tuberculosis of ear is a rare entity. Early diagnosis and prompt treatment can prevent many serious complications. Here we report a case of 45 year old female with middle ear tuberculosis which was cured with mastoid exploration followed by anti tubercular treatment. Keywords: Tuberculosis, TB, Extrapulmonary Tuberculosis, Middle Ear Tuberculosis, Sub-Himalayan Region

Perception of E-Learning among Physiotherapy Students

The COVID-19 pandemic has brought about a sudden drastic change in the teaching learning patterns globally. Educational institutes have shifted from the traditional classroom teaching to virtual classrooms. This transition is the need of the hour. It requires technical up gradation as well as better communication skills because the teacher and student are only interacting through a virtual platform. There are many difficulties that both teacher and students face during online teaching learning process. In this study we have tried to understand the perception of physiotherapy students towards E Learning. From the data received and analysed it was concluded that the physiotherapy students prefer traditional classroom teaching as it helps develop better hands on skills. Keywords: E-Learning, Physiotherapy Students, COVID-19 pandemic.

Canavan Disease - A Rare Case Report

Canavan disease is a rare autosomal recessive disorder characterized by progressive leukodystrophy involving white matter of the brain. Disease leads to severe psychomotor retardation, seizures and premature death. More prevalent among Jewish population. Among non-Jewish population incidence is approximately 1:100000. Prognosis is guarded with current management only symptomatic and supportive. There is no effective treatment, however early gene therapy has improved the quality of life of patients. Furthermore, Lithium citrate has also shown certain positive results in experimental models using rats. Even few human studies have also been done, however promising results require larger controlled trials. Keywords: MRI: Magnetic Resonance and Imaging, EEG: Electro Encephalogram, CD: Canavan Disease, ASPA: acetyl aspartate, LUCS: Lower Uterine Cesarean Section, OFC: Occipito Frontal Circumference, NAA: N-acetyl aspartate

Perceived Parental Expectations and Level of Stress among Adolescents: A Cross Sectional Study at Bagalkot

Background: Parental support is needed for every school student to achieve their academics and career expectations. However, when parents have high expectations rather than support, it would reflect in academics and career expectations of their children. When they could not achieve their parents’ expectations, it prompts stress and impacts their academic achievement and career expectations. Aims: The aim of the study was to find out the correlation between perceived parental expectations and level of stress among adolescents and its association with their socio-demographic variables. Methodology: A structured questionnaire was developed to collect the demographic information, perceived parental expectations among adolescents was measured using structured rating scale and level of stress of adolescents was measured using Modified dave smith’s stress scale from a sample of 100 adolescents who are studying in 8th, 9th and 10th standards of Shri B.V.V sangha`s English Medium High School, Vidyagiri at Bagalkot in Karnataka state India, were selected by disproportionate stratified random sampling technique. Data were analyzed using descriptive and inferential statistics. Findings: Majority (48%) of parental expectations of adolescents had high expectations and majority (53%) of adolescents had moderate stress. A positive correlation (r=0.296) found between parental expectations and stress among adolescents. A significant association was found between the perceived parental expectations and birth order (χ2= 13.079; P<0.05) and number of siblings (χ2= 24.637; P<0.05) and a significant association was found between level of stress and family income (χ2= 14.710; P<0.05) and birth order (χ2= 15.416; P<0.05). Conclusion: The overall findings of the study revealed that, there was a positive correlation found between the perceived parental expectations and level of stress among adolescents. Keywords: Perceived parental expectations, stress and adolescents.

Smartphone Usage: Reasons among Gender in University of Cyberjaya, Selangor, Malaysia

Smartphones have been an essential device in most of our daily activities. However, there is not much information regarding the difference of smartphone usage between gender among medical students. Therefore, this study aims to determine the prevalence of smartphone usage and the reasons of its usage among medical students by gender. A cross-sectional study was done, using self-administered questionnaires given to 300 medical students in University of Cyberjaya. The students were selected using stratified and simple random sampling methods. All respondents were using smartphone with majority from age of 18-21 years old (55.3%), female (67.7%), Malay (85%) and studying in 1st year (24.7%). The most popular reason of smartphone usage for male and female was entertainment mainly leisure activity (91.8% and 93.6%, respectively). There was no significant difference between gender and reasons of smartphone usage among medical students. Regardless, time must be managed wisely to avoid overuse of smartphones that can disrupt relationships with others. Keywords: smartphone, reason, medical student, gender, Selangor.

Diagnostic Characterization of Powdered Herbal Drugs for their Identification & Authentification in Classical Unani Formulations

Diagnostic characters of seven powdered herbal drugs namely Anab-us Salab (fruit), Bekh-e-Sausan (root), Kaifal (stem bark), Kalijiri (fruit), Nankhwah (fruit), Tukhm-e-Khurfa (seed) and Turbud (Root) have been discussed in detail for their identification and authentification in classical unani formulations. The investigation includes correct botanical and vernacular names, family name, organoleptic studies, therapeutic uses, unani formulations containing these drugs, besides their microscopical studies that includes identification of various cells/tissues/cell contents along with their measurements. All these studies will serve as a reference standard to the academicians, researchers, plant chemists, TM students, health professionals and plant base pharmaceutical industries. Keywords: Diagnostic characterization, identification, authentification, powdered herbal drugs.

Manual Therapy Interventions for Adhesive Capsulitis: A Review

Adhesive Capsulitis is a debilitating condition which causes the capsule of the Gleno-humeral joint to get thickened and contracted progressively. The prevalence of the disease is much higher in the middle aged and elderly community. It is characterized by pain in the shoulder, and advance towards the restriction of the active and passive glenohumeral motions and thereby obstructing the overall functional activities of the daily living. The effectiveness of various non-operative methods in the treatment of Adhesive Capsulitis has been demonstrated in the literature. Corticosteroid injections and the oral medications are known to be alleviating the pain levels and the inflammatory reactions but not the mobility of the affected joint. Joint mobilization techniques, electrotherapeutic modalities and other manual treatment methods are also found to be effective. In summary, this review focuses on the pathophysiology of the adhesive capsulitis, stages of the condition progress and various manual therapy interventions. Keywords: Gleno-humeral joint, frozen shoulder, rehabilitation, active and passive movements, functional activities.