bluuebunny/crossref_metadata_2025_split huggingface dataset:
Report of a Sporadic Caudal Regression Syndrome With Cleft Lip and Palate
Authors: Shenoy Rathika D. , Rao Swathi Sunil , Shenoy Vijaya D. , Shetty Vikram 
Published: April 2020

AbstractCaudal regression syndrome is a rare congenital malformation and can be associated with lower limb and renal anomalies. However caudal regression syndrome and cleft lip and palate (CLP) rarely occur together, the prevalence of sacral anomalies in children with CLP being 0.1%. We hereby report an eighteen month old male child with sporadic lumbosacral agenesis type III with tethered cord, hypospadias, unilateral renal agenesis and CLP for its rarity.
Incidence and Etiology of Mid-facial Fractures: A 10 Year Retrospective Institutional Study
Authors: Arvind Karikal , V. Kotecha Priyank 
Published: April 2020

AbstractThe aim of this study is to collect retrospective data regarding the patients reporting with midfacial fractures over the past 10 years and analyze the data, the results of which can be of further assistance in future clinical and research areas. The hospital records of 507 patients treated for maxillofacial trauma from January 2005 to December 2014, were obtained from the medical records department and dental records department and were reviewed and analyzed.Male: Female ratio of 6.5:1 was noted. Dentoalveolar fracture was found to be present in 80 case (15.8%). Nasal bone fracture in 146 cases (28.8%). ZMC fracture in 212 cases (41.8%). Maxillary sinus wall fracture 186 cases (36.7%) Lefort I fracture 29 case (5.7%) Lefort II fracture in 6 case (1.2%) Isolated lefort III fracture in only a single case (0.2%). Fracture involving both ZMC and orbit were noted in 20 cases (3.9%) while 24 cases (4.7%) of orbital floor fracture were noted. RTA & Fall were two most common etiology.The present study supports that regular epidemiologic evaluations of maxillofacial fractures allow a detailed analysis of these lesions, providing support to install clinical and research priorities, since risk factors and patterns of presentation can be identified.
Effectiveness of Vestibular Rehabilitation Exercises On Dizziness-Handicap among Patients with Vertigo Attending ENT OPD at A Selected Hospital
Authors: Malathi Thota , Seethalakshmi A. , Akila P. 
Published: April 2020

Abstract
Objective: The current research aims to identify the effect of Vestibular rehabilitation exercises on the dizziness-handicap among patients with vertigo.
Methods: The research design adopted is a pretest-posttest design. 30 patients with vertigo attending the ENT out Patient Department (OPD) who fulfilled the inclusion criteria were selected randomly by lottery method, 15 were assigned to the study and 15 to the control group respectively. Vestibular rehabilitation exercises which include eye, head, sitting, standing & st walking exercises were demonstrated to the study group patients on 1st consultation using a booklet for 20 minutes along with return demonstration. The patients were reinforced to perform the exercises twice daily for 7th days following which the posttest was carried out on the th 7 day. The control group received routine care.
Results: The results showed that in the study group 86.7% had severe level of dizzinesshandicap during the pretest which was reduced after practicing vestibular rehabilitation to 13.3% during the posttest, whereas in the control group it was 66.7% and 73.3% who had severe level of dizziness-handicap during the pretest and the posttest respectively. The mean for dizziness handicap for the study group at pretest was 66.3±14.03 and at posttest it was 31.07 ±18.94. The control group showed that at pretest the mean was 61.33±15.24 and at posttest it was 63.87±22.35. This was found to be significant at p=0.0005.
Conclusion: The study supported the hypothesis that vestibular rehabilitation exercises had an impact on the dizziness handicap.
Steroid Cell Tumour - A Rare Cause of Hirsuitism in a Female
Authors: Kumar Sruthi M. , Rajesh Aparna , Shetty Harish 
Published: April 2020

AbstractSteroid cell tumours of the ovary account for &lt; 0.1 % of all the ovarian tumours. It is a functioning sex cord stromal tumour. Previously designated as lipoid cell tumours, one-third of these tumours are considered malignant with the mean age of presentation at around 40 years. We present a case of 20 year old unmarried girl with regular cycles who came with sudden onset amenorrhea, hirsuitism, abdominal distension and signs of virilizationof 5 month duration and recent onset of dyspnea to Obstetrics and Gynaecology outpatient department. Moderate ascites was present. Clinical and radiological evaluation revealed a right adnexal mass with elevated serum testosterone. She was diagnosed with right ovarian benign functioning tumour and underwent right sapling oophorectomy. Histopathology confirmed the diagnosis. 2 weeks post operatively her testosterone levels decreased. Surgery is the treatment of steroid cell tumours although medical therapy using Gonadotrophin Releasing Hormone [GnRH] analogues has been tried recently in recurrent or inoperable cases.
A Survey To Evaluate The Nasolabial Angle (Nla) In Indian Population
Authors: Bhat Vinaya , Hegde Chethan , Raj Varun 
Published: April 2020

AbstractEsthetics is an important factor in self-esteem of a person. Nasolabial angle is a key determinant in the fullness of the upper lip and it has been utilized to assess the esthetics while restoring upper anterior teeth. In the present study, the average nasolabial angle of the Indian population was assessed and identified which could be used as a guideline while replacing an edentulous patient with prosthesis.
Behaviour specific cognition and affect for performing exercise among institutionalized elderly
Authors: K. Rohisha I. , M. Andrade , S. Nayak B. 
Published: April 2020

AbstractExercise is proved to have physical, psychological, and social benefit on health. This study explores the perceptions of the elderly for performing exercise. The study aimed to enhance the quality of life of the institutionalized elderly. The outcome of the study can be utilized to plan and implement effective intervention to promote health of the elderly population. The objective of the study is to describe the behaviour specific cognition and affect (factors) for performing exercise among institutionalized elderly. The conceptual framework for the study is based on Pender's Health Promotion Model. The study was conducted in selected old age homes of Udupi and South Canara district (n=29). Tool to assess the behaviour specific cognition and affect for the performance of exercise in old age was prepared by the researcher which include 33 items and was administered by self rated questionnaire. The analysis of the findings was done using descriptive statistics; frequency and percentage. Each item of the tool was analyzed separately using frequency and percentage. Majority of the participants found perceived benefit as it will improve mental health (93.1%) and will reduce stress (86.2%) and perceived barrier as difficulty to perform in old age (69%) and lack of information (55.2%). Perceived self-efficacy for performing exercise was feeling confidence (79.3%), and self-worthy (82.8%) to perform exercise. Activity related effect for performing exercise was that performing exercise will not make them sad. Motivation by the care givers (93.1%) to perform exercise, lack of awareness of the benefits of exercise from media (65.5%) were the interpersonal influences. Considering the situational influences 86.2% subjects felt the lack of facilities to perform exercise, 28 (96.6%) subjects felt there was no supervisor or trainer for exercise. The study explored various perceptions of elderly on performing exercise. Based on the factors health professionals and caregivers can plan and modify the interventions. This will help the nurse to promote independence and sense of achievement among the elderly and these measures help the elderly in preserving and promoting function rather than contributing to a decline in their status.
Effectiveness of an Intervention Program to Improve Compliance with Hand Hygiene among Health Staff in NAFH
Authors: Harrabi Imed , Al-Ghamdi Saad , Cubelo Paolo 
Published: April 2020

Abstract
Background: Hand Hygiene, either by hand washing or hand disinfection, remains the single most important measure to prevent nosocomal infections.
Objective: To increase Hand Hygiene compliance to at least 10% among health care staffs in female and medical wards after six months of a pilot intervention program.
Methods: It was a pre-post intervention study in Najran Armed forces Hospital during the year 2015. knowledge was assessed using WHO's hand hygiene questionnaire Measurement of attitude was done on the basis of 13 questions where the subjects had to give their opinion on a 1 to 5 point Liker Scale ranging from strongly disagree to strongly agree. Compliance was measured and directly observed by experienced infection control linkers.
Results: the results of our study showed a positive effect of the pilot intervention program on knowledge, attitude and compliance on hand hygiene. An increase in compliance of 6.44% and 7.56% were observed in Female Ward and Male Ward respectively in post-intervention.
Conclusions: All should be done to maintain the positive trend of hand hygiene compliance. The infection control team should be encouraged to maintain a continuous monitoring of hand hygiene compliance and have a positive interaction with the health staff.
Nursing Strategies on the Prevention of Ocular Complications Among Patients with Altered Level of Consciousness
Authors: Seethalakshmi A. , Porkodi A. ,   Vijayaraj
Published: April 2020

Abstract
Background: Ocular trauma is the cause of blindness in more than half a million people worldwide. A lack of attention to the eye or poor eye care can lead to cross infection and may cause damage to the eye. This investigation aimed to determine the effectiveness of nursing strategies on prevention of ocular complications among patients with altered level of consciousness (GCS <8) and associate the occurrence of ocular complications with clinical variables.
Method: The research design adopted for this study was true experimental. A pilot study was initially under taken. Eight samples, four in each group were selected. The main study was conducted for over a period of 4 weeks. A total of 40 samples were selected, 20 in each group. Ocular complication assessment scale developed by the author was used to assess the effectiveness of nursing strategies on prevention of ocular complication.
Results: There was a significant difference in the ocular complication prevention in the study group patients who received planned sequential eye care as compared to that of the control group patients who received the routine eye care.
Discussion: Increasing the frequency of eye care Q4th hourly from routine eye care was found to be effective in reducing the ocular complications among the patients with altered level of consciousness.
Salivary Nitric Oxide Levels and Buccal Epithelial Cell DNA Damage in Oral Cancer - A Biochemical Study
Authors: A. Fazil K. , Castelino Renita Lorina , Babu Subhas G. , Kumari Suchetha , Balan Preethi , Shetty Shishir Ram , Madi Medhini 
Published: April 2020

Abstract
Background: Cancer is the one of the common cause of mortality in developed and developing countries. Tobacco in any form is found to induce cancer formation. Oral cancer is a multistage process with progressive changes occurring in genetic and cellular morphology as the disease progresses from the normal to premalignant state and then to malignant state. Recent studies have emphasised that nitric oxide is a highly reactive molecule that interacts with DNA resulting in DNA damage.The objective of the present study was to evaluate the nitric oxide levels in the saliva and buccal epithelial cell DNA damage in patients with oral cancer.
Material and methods: In this study nitric oxide levels in saliva and buccal epithelial cell DNA damage were estimated in 20 healthy individuals without oral lesions and 20 patients with oral cancer.
Results: The mean values of salivary nitric oxide levels were significantly greater in oral cancer patients (126.2155+/- 2.7587) when compared to that of controls (76.111+/-μM/L). Similarly the extent of DNA damage was higher in subjects with oral cancer (28.099+/- 1.2696) than in controls (9.15+/- 0.9131). Pearson's correlation between nitric oxide levels in saliva and extent of DNA damage were found to be moderately correlated in controlsr=0.491 (p<0.01) and in oral cancer patientsr=0.428 (p<0.01).
Conclusion: The results of present study illustrate an active involvement of nitric oxide which is derived from tobacco and its related products in the initiation of DNA damage and subsequent formation of oral cancer.
A Study on Awareness, Attitude and Myths Regarding Swine Flu Pandemic in Rural Communities of Coastal Karnataka: A Cross- Sectional Study
Authors: E. Vinu , Kini Sanjay , Badiger Sanjeev , Kiran N. Udaya 
Published: April 2020

Abstract
Introduction: Swine flu being a dreadful disease, without an ounce of doubt, has caused a major fear among the common people of India across various strata of the society. In global terms, India was one of the most affected countries in terms of magnitude of cases and deaths of swine flu (influenza A H1N1) during the 2009 influenza pandemic which caused a lot of public hype and panic.
Objectives: To study the awareness, attitude and myths regarding swine flu pandemic in a rural community of coastal Karnataka
Methodology: A cross sectional study was conducted in rural field practice area of the department of community medicine of K.S Hegde Medical Academy during the year 2015, using a pre-tested semi-structured questionnaire, consisting of details on socio-demographic factors, awareness and attitude about swine flu.
Results: A total of 365 subjects were interviewed using a pretested semi-structured questionnaire. 67.3 % of the subjects were aware about swine flu, tele-media being the major source of information. Among those who were aware about swine flu, 35.3% of subjects knew about the preventive measures.
Conclusion: There is a need to build strategies to create more awareness about swine flu pandemic through effective mass media which is vital for containing the pandemic.
Evaluation of the effect of smokeless tobacco on periodontal health and oral hygiene status
Authors: Ramnath Madhura , Shenoy Nina , Rao Reema M. , Jaiswal Roshni 
Published: April 2020

Abstract
Background and objectives: Studies on effects of smokeless tobacco (ST) use on the periodontium are limited and have, received less attention. The aim of the present split mouth study is to evaluate the periodontal parameters and oral hygiene status of sites associated with smokeless tobacco (ST) placement and compares the corresponding parameters on the contralateral site, where smokeless tobacco is not placed (NST).
Methods: Study population: 25 subjects were selected from A.B. Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangalore. Written informed consent was taken from all the participants. Oral cavity of each subject was divided into two sites Smokeless tobacco (ST) site and Non-smokeless tobacco (NST) site.Screening examination included: Clinical examination of ST keratosis: the location, size, and specific teeth adjacent to the ST keratosis were recorded. Simplified Oral Hygiene Index (OHI-S), Gingival Index. Periodontal parameters-Probing depth (PD), Clinical attachment level, total number of teeth present in the mouth and number of teeth with attrition were recorded.
Results: Of the 25 subjects, mean OHI-S and gingival index was 2.76 and 1.36 respectively. Mean clinical attachment level was 2.78 (p- <0.001), number of teeth with recession and attrition was 3.36 and 3.04 respectively, all in favour of the ST site.
Interpretation and Conclusion: The smokeless tobacco site showed significantly greater gingival recession, attachment loss and periodontal deterioration when compared to nonsmokeless tobacco site.
Study on Awareness about Self-Medications and it's Complications Among Homemakers
Authors: S. Suchithra B. 
Published: April 2020

AbstractSelf-medication is mostly advanced practice worldwide and often considered as a component of self-care .However, unlike other components of self-care, self-medication has the potential to do good as well as cause harm since it involves the use many kinds of drugs .The practice of selfmedication must be based on authentic medical information otherwise irrational use of drugs can cause wastage of resources, increased resistance of pathogens ,and also can lead to serious health hazards such as adverse drug reaction and prolonged morbidity
Objectives of the study
1. To assess the occurrence of self-medication among homemakers.2. To find the level of awareness and it's complications of self-medication among the homemakers.
Research methodology of the study
Research design for the present study is descriptive research design. The design was used to assess the prevalence of self-medication among homemakers and their awareness about selfmedication and its complications, at selected areas in Nitte village. The purposive sampling technique is used to select samples for the study. Sample size was about 100 homemakers and the population belonged to selected areas in Nittte village.
Coronally advanced flap as a root coverage procedure in treatment of class I gingival recession defects - A report of two cases
Authors: Punj Anahita , Ramesh Amitha 
Published: April 2020

AbstractGingival recession is defined as the apical migration of the gingival margin beyond the cementenamel junction (CEJ). This results in the exposure of tooth roots which is aesthetically unpleasing and can also result in tooth hypersensitivity. A number of surgical procedures have been used to obtain root coverage. The aim of the present article was to evaluate the coverage of labial gingival recession defects with coronally advanced flap procedure in two cases with labial gingival recession.Two male patients (32 year and 52 year old) were treated for root coverage with coronally advanced flap in maxillary right first molar (16), second premolar (15) and maxillary left incisor (22) and canine (23) region respectively.In both the cases, root coverage of the labial recession defects was observed.
An Unusual Presentation of Lung Cancer
Authors: Rai Likith , Amonkar Amol Dilip 
Published: April 2020

AbstractSoft-tissue metastasis refers to the growth of cancer cells originating from internal cancer in the soft tissues. In most cases, soft-tissue metastasis develops after initial diagnosis of the primary internal malignancy and late in the course of the disease. In very rare cases, they may occur at the same time or before the primary cancer has been detected. In our case, the soft-tissue metastasis and the primary lung cancer were diagnosed at the same time. To the best of our knowledge soft tissue metastasis on the anterior abdominal wall of unknown primary lung cancer is an extremely rare condition and only a handful of cases have been reported till date .We report a case of unsuspected soft tissue metastasis on the anterior abdominal wall of an unknown primary lung cancer with relevant discussion on the same.
Oral Hygiene Awareness and Effect of Orthodontic Treatment on Periodontal Health among Medical Students
Authors: Jacob Akshara Mary , Shenoy Nina , Bhandary Rahul 
Published: April 2020

Abstract
Background: Orthodontic treatment helps in improving aesthetics, oral hygiene as well as functional occlusion. Also, importance of oral hygiene in orthodontic patients is always intensified to prevent any further periodontal disease. Regular oral hygiene maintenance is important for the maintenance of gingival health during and after orthodontic therapy as it helps in preservation of the health of gingiva as well as overall oral health.
Objective: To assess the extent of oral hygiene awareness and impact of orthodontic treatment on of periodontal health, among medical students.
Method: A cross sectional survey containing 19 questions was answered by 150 medical students who had undergone fixed Orthodontic treatment from various colleges in Mangalore, Karnataka.
Results and Conclusion: The results of this survey showed that medical students have adequate knowledge of oral hygiene practices. Majority of medical students who had undergone orthodontic treatment showed increased bleeding from gums, increased sensitivity and difficulty in brushing and flossing indicating that orthodontic treatment does have impact on maintenance of oral hygiene. Thus, a thorough assessment of the periodontal health is recommended prior to orthodontic treatment. Equal emphasis should also be laid on the necessity of good oral hygiene and regular periodontal maintenance for the best outcome.
Outcome of Experienced Based Learning (Field Trip) As a Learning Technique in Gaining Knowledge among Graduate and Post Graduate Nursing Students.
Authors: G. Malarvizhi , Glory H. , Rajeswari S. , Vasanthi Bindu C 
Published: April 2020

AbstractEducation brings changes in behavior of the individual in a desirable manner. It aims at all round development of an individual to become mature, self-sufficient, intellectually, culturally refined, socially efficient and spiritually advanced. In experience- based is that the experience of the learner occupies central place in all considerations of teaching and learning. A key element of experience-based learning is that learners analyze their experience by reflecting, evaluating and reconstructing it in order to draw meaning from it in the light of prior experience. The main aim of the study is to assess the knowledge of nursing students before and after Experience based learning and to determine the attitude of EBL at the end of the field trips. A quasi Experimental research design was adopted. Sample free technique was used to select the 90 B.sc and M.sc (N) students. The data was collected by using semi structured knowledge questionnaire. Inferential and descriptive statistics was used to analyze the data. There was a significant difference in pre test and post test mean score (t= 15.98 at p<0.001). A weak positive correlation was found between post- test knowledge and attitude. There is a significant improvement in knowledge of students in various child welfare services among the present students (c =3.18±.421) than the previous year (c=2.86 ±.371).