SBV Journal of Basic Clinical and Applied Health Science https://www.jbcahs.org/journal <p>SBV Journal of Basic, Clinical and Applied Health Science seeks to promote and disseminate the knowledge by publishing original research findings, review articles, empirical investigations, theoretical papers, case <em>studies</em> and short communications in the field of <em>health sciences</em> including anatomy, physiology, biochemistry, pharmacology, pathology, microbiology, social and preventive medicine; medicine, surgery, paediatrics, dentistry, nursing, obstetrics, gynaecology, pulmonary medicine, etc</p> en-US editor@jbcahs.org (Adithan Chandrasekaran) tech.editor@jbcahs.org (Dr Jagan Mohan R) Mon, 17 Sep 2018 00:00:00 +0530 OJS 3.1.1.2 http://blogs.law.harvard.edu/tech/rss 60 Dental Research in India https://www.jbcahs.org/journal/article/view/113 <p>Editorial</p> Saravana Kumar R ##submission.copyrightStatement## https://www.jbcahs.org/journal/article/view/113 Tue, 25 Sep 2018 00:00:00 +0530 Insights into the human gut microbiome - A review https://www.jbcahs.org/journal/article/view/114 <p>Various microbial communities and their genes collectively known as microbiome exist throughout the human body. The microbiome endows us with physiologic capacities that we have not had to evolve on our own and thus is both a manifestation of who we are genetically and metabolically, and a reflection of our state of well-being. Our distal gut is the known ecosystem with highest density of microbial population and the most comprehensively surveyed to date. The gut microbiome is a complex ecosystem that affects the development, immunological responses and nutritional status of the host. This review briefly discusses the significance of the gut microbiome in human health and wellness.</p> Balanehru Subramanian, Sundarakrishnan Balakrishnan, Krishna G Seshadri, Frederick A Valeriote ##submission.copyrightStatement## https://www.jbcahs.org/journal/article/view/114 Tue, 25 Sep 2018 00:00:00 +0530 Evaluation of tensile strength of surgical absorbable and non-absorbable suture materials-An invitro study https://www.jbcahs.org/journal/article/view/66 <p>Aim: The aim of the study was to evaluate the tensile strength of surgical Absorbable and Non-absorbable suture materials.</p> <p>Materials and Methods: A total of 360 samples of absorbable and non absorbable suture materials were tested for tensile strength in a simulated oral environment using INSTRON machine on 1<sup>st</sup>, 7th and 14<sup>th</sup> day. Absorbable suture materials Trugut (Catgut), Truglyde (Polyglycolic Acid), PD Synth (Polydioxanone), and non-absorbable sutures Trusilk(Silk), Trubond (Polyester),Trulene (Polyproplene) of three different dimensions (3-0,4-0,5-0 respectively) were used.</p> <p>Statistical analysis: Mean and standard deviations were obtained by using Descriptive statistical method. Repeated measure by ANOVA and Man Whiney U test were used to compare the degradation of tensile strength.</p> <p>Results: Among absorbable sutures, Catgut 5-0 showed maximum deterioration of tensile strength with a P value of 0.043 and Polyglycolic acid 3-0 showed minimum deterioration with a P value of 0.050 whereas among non-absorbable sutures Silk 4-0 showed maximum deterioration of tensile strength with a P value of 0.005 and Polypropylene 3-0 showed minimum deterioration with a P value of 0.041.</p> <p>Conclusions: In this study, Truglyde 3-0(absorbable sutures) and Trulene (non-absorbable suture) 3-0 will be the preferred material for the periodontal surgeries where sutures need to be retained for longer periods. Trugut 5-0 (absorbable sutures) and Trusilk 4-0 (non-absorbable sutures) can be used in minor surgical procedures since there is significant deterioration in tensile strength in 7 days.</p> <p>Key-words: Suture materials, absorbable suture materials, non-absorbable suture materials, tensile strength.</p> Minu P Mathew, Saravana kumar R, Pratebha B, Karthikeyan I, Vineela Katam Reddy, Sakthi Devi S ##submission.copyrightStatement## https://www.jbcahs.org/journal/article/view/66 Tue, 25 Sep 2018 00:00:00 +0530 Effect of adjuvant yoga therapy on pulmonary function and quality of life among patients with chronic obstructive pulmonary disease (COPD) : A randomized control trial https://www.jbcahs.org/journal/article/view/112 <p><strong>Introduction:</strong> Previous studies have suggested that yoga may have a positive impact on lung function and quality of life (QoL) and hence the present prospective two-arm single-blinded controlled study evaluated effect of adjuvant yoga therapy on pulmonary function and QoL of patients with Chronic Obstructive Pulmonary Disease (COPD).</p> <p><strong>Material and methods:</strong>In this interdisciplinary collaborative work, 72 COPD patients were recruited after obtaining informed consent and randomized to yoga group (22 M and 14 F) who received adjuvant yoga therapyin addition to standard medical management and control group (20 M and 16 F) who received only medical management. Yoga therapy protocol validated by CYTER was used and this included loosening exercises, postures (asanas), vitalising breathing techniques (pranayama) and relaxation. Forced vital capacity (FVC), forced expiratory volume in first second (FEV<sub>1</sub>) and FEV<sub>1</sub>/FVCwere measured using standard computerized pulmonary function test ‘Trueflow (ndd)’ before and after study period of 4 weeks. Saint George Respiratory Questionnaire (SGRQ) was used to asses QoL. Changes in pulmonary function parameters were correlated with QoL (symptoms, activity, impacts and quality) scores. Intra-group comparisons were done using Student’s paired ‘t’ test and intergroup comparisons using unpaired ‘t’ test.&nbsp;</p> <p><strong>Results:</strong>There was significant improvement (p &lt; 0.01) in body weight, BMI, FVC and FEV<sub>1</sub> after four weeks of adjuvant yoga therapy while controls showedsignificant decline in all parameters. There were improvements in all QoL scores, namely symptoms score (p&lt;0.001) and activity score (p&lt;0.05), impacts score (p&lt;0.01) and quality score (p&lt;0.001)in yoga group while no significant changes in controls.Significant correlation was found between pulmonary function and QoL in Yoga group.</p> <p><strong>Discussion:</strong>Significant improvements of lung function with adjuvant yoga therapy can be attributed to comprehensive yoga therapy package administered to participants. This may be due to with decreased airway resistance and better lung compliance attributed to nonspecific broncho-protective or broncho-relaxing effect. Significant improvement in QoL scores implies patients were able to participate in more activities than earlier, and this can be attributed to improved vital capacity as well as enhanced self-confidence /self-reliance.&nbsp; Our results are consistent with previous such studies and we conclude that yoga has a positive and additive role as an adjuvant therapy along with standard medical management of COPD.</p> Soccalingam Artchoudane, Pajanivel Ranganadin, Ananda Balayogi Bhavanani, Meena Ramanathan, Madanmohan Trakroo ##submission.copyrightStatement## https://www.jbcahs.org/journal/article/view/112 Tue, 25 Sep 2018 00:00:00 +0530 Learner reactions and responses to individualized coaching on communication skills for treating completely edentulous patients https://www.jbcahs.org/journal/article/view/86 <p><strong>&nbsp;Purpose: </strong>Communication skills (CS) of each doctor vary as individual approach is &nbsp;unique. Assessment of particular skills they apply and what they lack in, permits us to individualize CS training i.e.dentist specific communication skill (DSCS). This study was designed to assess individual prosthodontic resident’s skills while treating real patients and to subsequently plan individualized coaching to strengthen the deficiencies identified.<strong> Methods: </strong>Videorecordings were done during treatment for 50 complete denture patients treated by six prosthodontic residents in a dental institution. The videointeractions were analyzed to identify their individual strengths and weakness and an individualized coaching was planned .Post training the residents were observed while treating another set of 50 edentulous patients.<strong> Results: </strong>It was found that each resident had an ‘individual pattern’ (IP) in practicing some skills as showing care and concern, empathy etc and were lacking in certain other skills e.g. consideration of psychosocial aspects etc. <strong>Conclusion: </strong>Individual feedback and personalized coaching were very well appreciated by the prosthodontic residents and a change in their attitude and patient-centered approach were apparent.</p> Varsha Murthy, Sethuraman K.R, Sunayana Choudhury, Shakila R ##submission.copyrightStatement## https://www.jbcahs.org/journal/article/view/86 Tue, 25 Sep 2018 00:00:00 +0530 Conflict management strategies – Implications for health professions education https://www.jbcahs.org/journal/article/view/108 <p>Conflict management is an issue of perpetual interest to individuals as well as the organization. Conflicts are inevitable in health care delivery and educational institutions. If resolved tactfully and in time, conflicts have a potentiality to bring creative ways of solving problems. However, long unaddressed conflicts can demoralize individuals and weaken organization’s capacity to deliver goods. Management Gurus have identified five styles of conflict resolution used by the individuals, viz., avoiding, competing, accommodating, compromising and collaborating. There is no single best approach as each has its own strength and limitation. The ancient Indian wisdom gained from Kautilya Arthasastra describes four strategies, viz., <em>Sama, Dana, Bheda and Danda </em>to deal with conflicts.</p> <p>This article is an attempt to describe the Western&nbsp; literature in comparison with the Indian wisdom and derive educational implications for the individuals and organizations.</p> Adkoli B.V ##submission.copyrightStatement## https://www.jbcahs.org/journal/article/view/108 Tue, 25 Sep 2018 00:00:00 +0530 Barraquer Simon Syndrome- rare cause of progressive wasting in an eight year old girl https://www.jbcahs.org/journal/article/view/61 <p>The manuscript describes the case of an eight year old girl who presented with a history of progressive thinning of face (progressive facial lipoatrophy) gradually progressing to involve the body beginning from six years of age, despite adequate nutritional intake. On clinical examination, child was thin built, with thinning of the face and upper half of the body. The lower limbs were relatively spared. She was diagnosed to have partial lipodystrophy.</p> Rangan Srinivasaraghavan ##submission.copyrightStatement## https://www.jbcahs.org/journal/article/view/61 Tue, 25 Sep 2018 00:00:00 +0530 Complete root coverage in Millers class III isolated gingival recession using free gingival graft: 12 month follow up report. https://www.jbcahs.org/journal/article/view/60 <p>Gingival recession is most commonly encountered periodontal problem. It is often complicated by inadequate attached gingiva and decreased vestibular depth. Free gingival autograft is the technique of choice in such complicated situations. This case report presents a Millers Class III recession with inadequate attached gingiva treated with free gingival graft and achievement of complete root coverage</p> Jananni Muthu, Sivaramakrishnan Muthanandam, Jaideep Mahendra ##submission.copyrightStatement## https://www.jbcahs.org/journal/article/view/60 Tue, 25 Sep 2018 00:00:00 +0530 Palatal wound healing using platelet rich fibrin: a case report https://www.jbcahs.org/journal/article/view/67 <p>Wound healing, as a standard biological process in the human body, is achieved through four precisely and highly programmed phases: hemostasis, inflammation, proliferation, and remodeling. For an effective healing, all four phases must occur in the correct sequence and time frame. Many factors can interfere with one or more phases of this process causing impaired wound healing. The task of managing non-healing wounds especially in instances with bone exposure is clinically challenging, if not difficult. Platelet-rich fibrin (PRF) represents a new step in the platelet gel therapeutic concept with simplified processing minus artificial biochemical modification. This article aims to describe a case of bone exposure after subepithelial connective tissue grafting and its management with platelet rich fibrin.</p> Priyadharshini V, Neelam Khalia, Triveni MG, Mehta DS ##submission.copyrightStatement## https://www.jbcahs.org/journal/article/view/67 Tue, 25 Sep 2018 00:00:00 +0530 Rhinosporidiosis presenting as an oropharyngeal mass https://www.jbcahs.org/journal/article/view/84 <p>Rhinosporidiosis, is a chronic granulomatous disease caused by Rhinosporidium seeberi presenting as a polypoidal mass in the nasal cavity and nasopharynx and is endemic in Southern India and Sri Lanka. Diagnosis is mainly by clinical observations and is confirmed by histopathology. This is case report of atypical rhinosporidiosis that presented as an Naso-oropharyngeal mass. Hence possibility of this atypical rhinosporidiosis should be included in the clinical differential diagnosis of any posterior oral or oropharyngeal mass, particularly when managing patients from rural endemic areas.</p> Lham Dorjee ##submission.copyrightStatement## https://www.jbcahs.org/journal/article/view/84 Tue, 25 Sep 2018 00:00:00 +0530 KD Tripati Essentials of Pharmacology https://www.jbcahs.org/journal/article/view/119 <p>review written</p> sudar codi ramarajan ##submission.copyrightStatement## https://www.jbcahs.org/journal/article/view/119 Tue, 25 Sep 2018 00:00:00 +0530