Within the limitations of this study it can be concluded that use of platelet rich fibrin is more effective than open flap debridement alone in the management of infrabony periodontal defects.
In this paper we attempt to explore the meaning, understanding, usefulness and reality of multidisciplinary research in primary care and provide examples. We debate the issues around roles of people in multidisciplinary research, the value of such research and its application to patient care. We also discuss the perceived threats and opportunities to multidisciplinary research, possible reasons for such perceptions, funding, and research governance, education and training issues. We then go on to consider the emerging relationship between primary care organizations (PCOs) and primary care research teams. We specifically address the activities of research general practices and their implications in terms of contributing to multidisciplinary research and training. We question the traditional model of academic research; raise awareness and need for grassroots primary care research and the importance of capacity building through a multidisciplinary model. We have tried to suggest examples and models of multidisciplinary research that can be seamless, include a range of practices and health professionals, and performs research that is contextual, pragmatic and directly beneficial to patients. We feel that for a successful multidisciplinary research workforce in primary care to become a reality, several key areas need to be addressed. Perhaps the most important of these may involve a conceptual change in thinking by all concerned in that we believe that research in primary care should become an integral part of routine primary care in the same way as health professionals routinely see patients or conduct audits. This could, however, only happen if there is commitment, support and a vision for the future of primary care research from decision makers. Local research networks and PCOs need to work closely together in identifying, nurturing and maintaining multidisciplinary research interest.
Introduction: An integrated strategy for blood safety is required for the provision of safe and adequate blood. Recruiting a sufficient number of safe blood donors is an emerging challenge. The shortage of blood in India is due to an increase in the demand, with fewer voluntary blood donors. A study on the knowledge, attitude and the practice of donors may prove to be useful in the successful implementation of the blood donation programme. Our aim was to find the level of the knowledge, attitude and practice of blood donation among voluntary blood donors. Material and Methods:A structured questionnaire was given to 530 voluntary blood donors to assess their knowledge, attitude and practice with respect to blood donations. The statistical analyses were done by using the SPSS software. The associations between the demographic factors were analysed by using the Chi square test.Results: Among the 530 donors, 436 (93%) were males and 36 (7%) were female donors. 273 (51.2%) donors knew about the interval of the donation and 421 (79.4%) donors knew about the age limit for the donation. 305 (57%) donors felt that creating an opportunity for the donation was an important factor for motivating the blood donation and 292 (55%) donors felt that the fear of pain was the main reason for the hesitation of the donors in coming forward to donate blood. Conclusion:A majority of the donors were willing to be regular donors. The donors showed positive effects like a sense of satisfaction after the donation. Creating an opportunity for blood donation by conducting many blood donation camps may increase the voluntary blood donations.
Background: Schizophrenia, a chronic psychiatric disorder, can affect one's productivity and psychosocial functioning. In Indian context, the responsibility of caring persons with schizophrenia is increasingly on their spouses. Spousal caregiver experience and its relation with disability in schizophrenia need to be studied. Materials and Methods: We conducted a cross-sectional study among 52 outpatients with schizophrenia and their spouses attending a tertiary psychiatric center. The objectives were: (a) to explore spousal caregiver burden in schizophrenia and (b) to assess the relation between disability and spousal caregiver burden. The study adopted recommended ethical principles. Scales such as Burden Assessment Schedule, Indian Disability Evaluation and Assessment Scale (IDEAS), and Positive and Negative Syndrome Scale were used to collect appropriate data. Descriptive analysis, bivariate analysis, and multivariate analysis were done in SPSS software version 16.0. Results: The mean spousal caregiver burden score was 73.5 (standard deviation: 14.0). In bivariate analysis, disability, duration of schizophrenia, severity of schizophrenia, place of residence, and socioeconomic status had statistically significant relation with spousal caregiver burden. Adjusted for spouses’ age, gender, and other significant factors in bivariate analysis, the IDEAS global disability score (2.6, [confidence interval 0.5–3.8, P = 0.013]) retained statistically significant association with spousal caregiver burden. Conclusion: Spouses of persons with schizophrenia experience significant caregiver burden. Disability was found to be the most powerful determinant of spousal caregiver burden in the sample. Focus on disability alleviation in the management of schizophrenia may help reduce spousal caregiver burden.
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