Indian dental patients were in favour of chairside medical screening.

No abstract

No abstract

A bstract Background: Coronavirus disease (COVID-19) is an infectious disease caused by SARS-CoV-2, clinically presenting with common symptoms of fever, dry cough, and breathlessness within 14 days of exposure. Its severity ranges from mild to severe, latter manifesting into severe acute respiratory syndrome. As a part of multidisciplinary team, physiotherapy along with medical management was administered to patients with COVID-19 in an acute care setup. This retrospective study aims to explore various patient characteristics and will aid in identifying the impairments associated with the disease, giving a direction to the physiotherapy community in planning future management strategy to improve quality of life. Patients and methods: The present study is a unicentric study wherein prospective analysis of retrospective data of patients referred for physiotherapy from May 13 to July 31, 2020, was performed. (i) Characteristics of patients, (ii) associated comorbidities, (iii) hospital course since the time of admission to discharge, (iv) mode of oxygen delivery, (v) pre- and post-physiotherapy treatment values of oxygen saturation and heart rate, and (vi) physiotherapy treatment were recorded. The archived data were analyzed using the commercially available SPSS software version 24. Wilcoxon's matched pair test was used to compare pre- and post-treatment oxygen saturation and heart rate, and McNemar's test was used to compare mode of oxygen delivery and pre- and post-physiotherapy treatment. Results: Descriptive analysis of data showed a better outcome in terms of grade of dyspnea and rate of discharge on day 14 of physiotherapy treatment. Hence, a comparative analysis of day 1 and day 14 was performed for mode of oxygen delivery, oxygen saturation, and heart rate. A statistically significant improvement was observed in the heart rate ( p = 0.001) and oxygen delivery ( p = 0.000). However, no significant difference in the level of oxygen saturation was found ( p = 0.6433). Conclusion: Physiotherapy treatment in conjunction with medical treatment can be effectively administered in patients with COVID-19 in acute care setup taking into consideration the health status and the hemodynamic stability of the patients. It emphasizes the role of physiotherapy in the alleviation of symptoms, facilitating early weaning and recovery enabling early discharge from the hospital. How to cite this article: Verma CV, Arora RD, Mistry HM, Kubal SV, Kolwankar NS, Patil PC, et al . Changes in Mode of Oxygen Delivery and Physiological Parameters with Physiotherapy in COVID-19 Patients: A Retrospective Study. Indian J Crit Care Med 2021;25(3):317–321.

ObjectiveThis cross-sectional study set in a single school on the outskirts of a large city aimed to document the extent of double burden of malnutrition (coexistence of overnutrition and undernutrition) among Indian schoolchildren from lower socioeconomic groups, and to determine if mid-upper arm circumference (MUAC) can be used as a proxy for body mass index (BMI).SubjectsThe total number of participants was 1444, comprising 424 girls and 1020 boys belonging to playgroups and grades 1 to 7.MeasurementsAnthropometric measurements, such as participants’ MUAC, height and weight were measured using standard techniques. Descriptive statistics for BMI and MUAC were obtained based on gender; z-scores were computed using age-specific and sex-specific WHO reference data. The distribution of variables was calculated for three groups: girls, boys and all participants. Homogeneous subsets for BMI and MUAC were identified in the three groups. Age-wise comparisons of BMI and MUAC were conducted for each gender.Main outcome measures(1) To know if MUAC and BMI are correlated among boys and girls. (2) To study BMI and MUAC z-score distribution among the participants.ResultsMUAC was positively correlated with BMI in both boys and girls. The following BMI z-score distribution was observed: severe acute malnutrition (SAM), 5 (0.3%); moderate acute malnutrition (MAM), 146 (10.1%) and undernourished, at risk of MAM/SAM, 141 (9.8%); obese, 21 (1.5%); overweight, 36 (2.5%) and pre-obese, 136 (9.4%). The distribution of categories of children based on MUAC z-scores was: SAM, 7 (0.5%); MAM, 181 (12.5%) and undernourished, at risk of MAM/SAM, 181 (12.5%); obese, 19 (1.3%); overweight, 178 (12.3%) and pre-obese, 135 (9.3%).ConclusionsSAM/MAM/undernourished states and obesity/overweight/pre-obese states, indicating undernutrition more than overweight, coexist among Indian schoolchildren from lower middle/lower socioeconomic categories. BMI and MUAC were significantly correlated. MUAC identifies both undernutrition and overnutrition by early detection of aberrant growth.

No abstract

INTRODUCTIONSmoking, a uniquely human habit is indulged in, almost, all over the world, in different forms. Although the deleterious effects of cigarette smoking on the cardiovascular system have been clearly documented, the relationship between cigarette smoking and blood pressure and hypertension has not been fully characterized.1 Though it is well established that cigarette smoking causes the blood pressure to rise acutely, there does not seem to be a consensus on the role of cigarette smoking as a cause for persistent high blood pressure or hypertension.2 Some studies in fact have indicated that smokers tend to have lower blood pressure than non-smokers. 3,4 Other studies have found higher blood pressure in smokers. 5,6 Some others have found that there are no consistent independent differences in blood pressure between smokers and nonsmokers. 7 Since the results for the effect of smoking on blood pressure has shown varied results in various parts of the world the present study was planned to see if there was any relation between smoking and blood pressure in a south Indian population. METHODOLOGY STUDY DESIGN:Cross-sectional study.The study protocol was approved by the local ethics committee. Informed consent was obtained from all subjects prior to inclusion in the study. STUDY POPULATION:The employees in the factory were examined at the site allocated in the factory. A total of A B S T R A C T Study of effect of smoking on blood pressure in normotensive men.Introduction: Though smoking has been conclusively found to cause significant cardiovascular morbidity, the literature on the topic of effect of smoking on blood pressure seem to show contradictory results. Objective: The aim of this study was to find out the effect of smoking on blood pressure. Methodology: A total of 2190 workers in a factory in south India were examined. A detailed history and examination was done on all the subjects. After six months, the same subjects were examined again. The statistical analysis applied in our study design was analysis of Co-variance [ANCOVA or ANOCOVA]. Results: In the age group of 20 to 40 years, the systolic and diastolic blood pressure was highest in the heavy smokers. In the 41 to 60 year group also the systolic blood pressure was highest in the heavy smokers, but the diastolic blood pressure was highest in the non-smokers. Blood pressure was found to be high in those who consumed alcohol and lower in those who engaged in sports. Conclusions: From this study we concluded that there was a rise in systolic blood pressure in smokers as compared to non-smokers. Blood pressure was also high in those who consumed alcohol and lower in those who engaged in sports.

Background: White vaginal discharge is a physiological process in women, depicting various stages of the menstrual cycle, but when accompanied with an infection of the vagina or cervix, it can present as an abnormal, excessive discharge accompanied with odour, irritation, and a variation in colour. Certain perceptions in women and lack of their knowledge pertaining to genital hygiene play a role on their reproductive health. This study was taken up to find the influence of education (literacy) on the abnormal white discharge.Methods: Total 350 women staying in a slum of a metropolitan city were interviewed for the study. A predesigned semi structured questionnaire was prepared for all the study subjects. Voluntary consent was taken for the study in the language understood by the subjects.Results: The association between literacy (education) and abnormal white discharge was not found to be statistically significant with the p value of 0.819.Conclusions: Literacy was not found to have an influence on the abnormal white discharge in the married women of reproductive age group.