DocumentsDate added
Original article
Sendhil Coumary1*,Seethesh Ghose2
Affiliation:-
1Associate Professor, Obstetrics and Gynaecology, Mahatma Gandhi Medical College and Research Institute , Puducherry, India.
2Professor, Obstetrics and Gynaecology, Mahatma Gandhi Medical College and Research Institute , Puducherry, India.
The name of the Department and Institution to which the work should be attributed:-
Department of Obstetrics & Gynaecology, Mahatma Gandhi Medical College and Research Institute , Puducherry, India.
Author contributions:
All the authors equally to this paper
Core Idea:
Maternal request caesarean delivery has sizeably added to the rising caesarean section rates of the present decade. Today’s women knowing their rights well demand caesarean delivery. The present study was aimed to know the attitude of obstetricians when they encountered such a situation.
*Correspondence to:
Dr.Sendhil Coumary
Associate Professor, Obstetrics and Gynaecology,
Mahatma Gandhi Medical College and Research Institute , Puducherry, India.
Abstract:
The aim of the study was to explore the attitude among obstetricians practising in South India to perform a caesarean section based only on maternal request. It was a cross-sectional study done among practising obstetricians with at least one year of experience following post graduate training. They were asked to reply to a pre-validated questionnaire with two imaginary case scenarios and their replies were analysed. The replies in both the scenarios were varying, as they tried to opt what they think is best for their patient and themselves. It showed that only a very small proportion of obstetricians were willing to perform a caesarean section based only on maternal request. The issue of caesarean section by maternal request remains a grey zone requiring more clarifications.
Key words: Caesarean section; Maternal request, Obstetrician’s attitude.
REFERENCES
1. Gabbe, Niebyl, Simpson Obstetrics normal and problem pregnancies 5th edition pg 486-517
2.Halvorsen L, Nerum H, Sørlie T, Oian P Halvorsen L, Nerum H, Sørlie T, Oian P Does counsellor's attitude influence change in a request for a caesarean in women with fear of birth? Midwifery.2010 Feb;26(1):45-52. Epub 2008 Jul 14 PMID: 18621452
3.Harris LH. Counselling women about choice. Best Pract Res ClinObstetGynaecol. 2001 Feb;15(1):93-107 PMID: 11359317
4. Habiba M, Kaminski M, Da Fre` M, Marsal K, Bleker O, Librero J, Grandjean H, Gratia P, Guaschino S, Heyl W, Taylor D, Cuttini M Caesarean section on request: a comparison of obstetricians’ attitudes in eight European countries. BJOG 2006; 113:647–656.
5.Ghetti C, Chan BK, Guise JM. Physicians' responses to patient requested caesarean delivery.Birth. 2004 Dec;31(4):280-4 PMID: 15566340
6.Advice on offering caesarean section in specific situations http://pathways.nice.org.uk/pathways/caesarean-section Pathway last updated: November 2012.
Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Source of support: Nil
Copyright © 2013 Coumary Sendhil,Ghose Seethesh. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Article citation:-
Coumary Sendhil,Ghose Seethesh. Maternal request caesarean delivery and the obstetrician’s attitude – A study. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci.) 2013 October; 35(35): 1840-1843. Available at http: //www.jpbms.info.
Original article
Debasis Das1,Kanti Bhushan Choudhury2,Sita Chattapadhyay3, Sougata Kumar Burman*4,Maitreyi Bandyopadhyay5, Abhijit Bhakta6
Affiliation:-
1Associate Professor, Community Medicine, Malda Medical College, Malda, West bengal,India.
2Assistant Professor, Community Medicine, Calcutta National Medical College, Kolkata,India.
3Associate Professor, Community Medicine, I.P.G.M.E.& R, Kolkata, India
4Clinical Tutor, Department of Obstetrics & Gynaecology, College of Medicine & J N M Hospital, WBUHS, Kalyani, Nadia, India.
5Assistant Professor, Department of Microbiology, R G Kar Medical College, Kolkata,India
6Associate Professor, Department of Anatomy R S Medical College, Kolkata, India
The name of the Department and Institution to which the work should be attributed:-
I C T C Centre
I P G M E & R
Kolkata
Author contributions:
All the authors equally to this paper.
*Correspondence to:
Dr Sougata Kumar Burman
Clinical Tutor
Obstetrics & Gynaecology.
College of Medicine & J N M Hospital,WBUHS.
Kalyni, West Bengal,.India.
Mobile: 09475943811
Abstract:
Objective: Recording the profile & queries of the clients attending Integrated Counselling & Testing Centre so that this information can be used for developing preparedness of the counsellor to handle questions of the clients in clinic. Design: It is a type of cross-sectional need assessment study. Setting: Counselling centre set-up of Institute of Post Graduate Medical Education & Research, Kolkata, West Bengal. Method: All the 259 clients attending the ICTC centre during March – May’2011 were listened passively during group counselling followed by collection of selected client variable from the client records were done. Results: Among total 259 clients 36.68% were rural residents, others semi-urban or urban dwellers, 82.63% came referred from antenatal clinic & 13.51% from obstetrics & gynaecology clinic, mostly female, 97.37% in reproductive age group, mean age being 28.11±18.18 years, 7.45% illiterate & 97.3% married, 97.68% heterosexual, others being student and/or unmarried. No other risk factor like homosexuality, history of blood transfusion, history of use of infected syringe and needle in health facility found among any client. All clients are counselled, found HIV negative, 2.7% spouse tested. There are 75 different types of questions asked by 195 clients on general aspect of HIV /AIDS, transmission, prevention, treatment, tests and some unrelated areas. Among those who asked questions, 90.77percent able to comprehend the answer given by the counsellor, 58.97% found satisfied. Conclusion: To develop preparedness of the counsellor in ICTC, recording client queries is valuable.
Key words: Client, Queries; ICTC; India.
REFERENCES:
1.Operational Guidelines for Integrated Counselling and Testing Centres: National AIDS Control Organization. Ministry of Health & Family Welfare, Government of India, July 2007.
2.Olanrewjiu A M, Ola F A, Akintunde A E, Ibrahim B & Ibiyemi F. HIV voluntary counselling and testing of pregnant women in primary health care centres in Ilesa, Nigeria. The Internet Journal of Third World Medicine, 2007. Vol. 6 No. 1.
3.Pool R, Nyanzi S, Whitworth J A. Attitudes to voluntary counselling and testing for HIV among pregnant women in rural south-west Uganda. AIDS Care, 2001Oct; 13(5):605-15.
Article citation:-
Das Debasis et al. Queries of clients in integrated counselling & testing centre of a tertiary care hospital of West Bengal, India. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci.) 2013 October; 35(35): 1826-1829. Available at http: //www.jpbms.info.
Copyright © 2013 Das Debasis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Case report
Sandeep A. Lawande1* MDS, FICOI(USA), FICD, FPFA & Gayatri S. Lawande2 MDS
Affiliation:-
1Assistant Professor, Department of Periodontics,
Goa Dental College & Hospital, Bambolim, Goa, India – 403202
2Consultant Periodontist & Director,
Sai Multispecialty Dental Clinic & Research Centre,
Porvorim, Goa, India- 403521
Author’s contributions- Both the authors contributed equally to this paper
Corresponding author:-
Dr. Sandeep A. Lawande.
H.No. 874/5, Saideep, New Pundalik Nagar, Alto-Betim, Porvorim, Goa, India- 403521
Abstract:
The management of furcation-involved teeth often poses a challenge to the clinician. With the advancement in the field of dentistry and the increase in the expectations of patients to maintain their dentition, it becomes necessary to evaluate the strategic potential for managing teeth with furcation involvement. Hemisection is a treatment procedure involving removal of the involved tooth root and its associated crown portion, which is done with the purpose of preserving as much tooth structure as possible rather than sacrificing the whole tooth. This treatment can produce predictable results as long as proper diagnostic, endodontic, surgical, prosthetic and maintenance procedures are performed.
Key words: Hemisection; root resection; furcation involvement; mandibular molar.
REFERENCES
1.Nasr AMSD, Nasr H. Root resection revisited. Periodontal Abstracts 2001; 49(3): 69-74.
2.DeSanctis M, Murphy KG. The role of resective periodontal surgery in the treatment of furcation defects. Periodontology 2000 2000; 22: 154-68.
3.Vandersall DC, Detamore RJ. The mandibular molar class III furcation invasion. A review of treatment options. JADA 2002; 133: 55-60.
4.Basaraba N. Root Amputation and tooth hemisection. Dent Clin of N Amer 1969; 13: 121- 32.
5.American Academy of Periodontology ‘Glossary of periodontal terms’, 1992; 3rd ed. Chicago, Illinois.
6.Al-Shammari KF, Kazor CE, Wang H-L. Molar root anatomy and management of furcation defects. J Clin Periodontol 2001; 28: 730-40.
7.Weine FS. Root amputations. Endodontic therapy. 5th ed. St. Louis: C.V.Mosby Co., 1996, 606-39.
8.Kurtzman GM, Silverstein LH, Shatz PC. Hemisection as an alternative treatment for vertically fractured mandibular molars. Compend Contin Educ Dent 2006; 27(2):126-29.
9.Bühler H. Survival rates of hemisected teeth: an attempt to compare them with survival rates of alloplastic implants. Int J Periodont Rest Dent 1994; 14(6):536-43.
10.Saad MN, Moreno J, Crawford C. Hemisection as an alternative treatment for decayed multirooted terminal abutment: A case report. J Can Dent Assoc 2009; 75 (5):387-390.
11.Newell DH. The diagnosis and treatment of molar furcation invasions. Dent Clin N Amer 1998; 42: 301-37.
12.Basten CH, Ammons W, Persson R. Long-term evaluation of root-resected molars: a retrospective study. Int J Periodont Rest Dent 1996; 16(3):207-11.
13.Hamp SE, Nyman S, Lindhe J. Periodontal treatment of multirooted teeth. Results after 5 years. J Clin Periodontol 1975; 2: 126-35.
14.Carnevale G, Pontoriero R, Di febo G. Long term effect of root resective therapy in furcation involved molars-a 10 year longitudinal study. J Clin Periodontol 1998; 25: 209-14.
15.Langer B, Stein SD, Wagenburg B. An evaluation of root resection. A ten-year study. J Periodontol 1981; 52:719-22.
Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Source of support: Nil
Article citation:-
Sandeep A. Lawande & Gayatri S. Lawande. Hemisection as a viable treatment option for furcation-involved mandibular molar. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci.) 2013 October 35(35): 1830-1833. Available at www.jpbms.info.
Copyright © 2013 Sandeep A. Lawande & Gayatri S. Lawande. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article
Lisha Jenny John1*, M.D., Jayakumary Muttappallymyalil2, M.D., Elsheba Mathew2, M.D, M.Phil, Jayadevan Sreedharan3,PhD, Jenny John Cheriathu4,D.N.B.,
Masarat Mehboob5,M.D. & Annamma Mathew6, BPT
Affiliation:
1Department of Pharmacology, 2Department of Community Medicine, 3Statistical Support Facility, CABRI, Gulf Medical University, Ajman, UAE
4Department of Pediatrics, 5Department of Internal Medicine, Department of Allied Health Science, Gulf Medical College Hospital, Ajman, UAE.
Author’s contributions:
Lisha Jenny John contributed in study design, literature search, manuscript writing and editing.
Jayakumary Muttappallymyalil contributed in study design, manuscript editing, and review
Elsheba Mathew contributed towards concept and study design, manuscript review.
Jayadevan Sreedharan contributed in data management and statistical analysis, manuscript review.
Jenny John Cheriathu, Masarat Mehboob & Annamma Mathew contributed in data acquisition.
*Correspondence to:
Dr. Lisha Jenny John.
Department of Pharmacology, Gulf Medical University, Ajman, UAE
Ph: +97167431333
Fax No: +97167431222
Core tip:
With the widespread use of Complementary and alternative medicine for various illnesses, it has been increasingly accepted and integrated into conventional medicine by health care providers. This study explored the acceptability and utilization of CAM therapies among health care providers.
Abstract:
Acceptability, utilization pattern and reasons for opting CAM among health care providers in a tertiary care centre in Ajman, UAE was assessed in the study. A sample of thirty six health care providers filled in the self-administered questionnaire after giving consent. The questionnaire included socio-demographic characteristics, practice and attitude towards CAM, and reasons for self use. Descriptive statistics and Chi-square test were performed using PASW 18 version and p value <0.05 considered statistically significant.
The respondents were multinationals, age ranging from 26-70 years, 39% of the health care providers themselves used CAM, joint pain was the most common clinical condition, common forms of CAM practiced were Ayurveda and homeopathy (35.7% each), and the outcome of CAM use was good for majority of the health care providers. Family history of CAM use was noted in 78.6% respondents. Based on personal experience with CAM, 30.6% recommended CAM to others. The chief reason for self-use and recommending CAM is its fewer side effects. Around 69% did not use or recommend CAM, and the reason quoted was CAM is not scientific. The primary reason for practice and recommendation of CAM is fewer adverse effects while the lack of scientific evidence is the reason for others not to favor CAM.
Key Words: Acceptability; practice; complementary medicine, health care providers; UAE.
References
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Article citation:-
Lisha Jenny John,Jayakumary Muttappallymyalil, Elsheba Mathew,Jayadevan Sreedharan,Jenny John Cheriathu, Masarat Mehboob et al. Acceptability and utilization of complementary medicine among health care providers: A pilot study. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci.) 2013 October; 35(35): 1727-1731.
Copyright © 2013 Lisha Jenny John, Jayakumary Muttappallymyalil, Elsheba Mathew, Jayadevan Sreedharan, Jenny John Cheriathu, Masarat Mehboob et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article:
S. I. Abbas1*; Harbi1, M.S.M.A and Gameel2, A.A
Affiliation:-
1Veterinary Research Institute, Animal Resources Research Corporation, P. O. Box 8067 (El Amarat), Khartoum, Sudan
2Faculty of Veterinary Pathology, Faculty of Veterinary Medicine University of Khartoum P.O.Box.32 Shambat, Khartoum North, Sudan
Author’s contributions- All authors contributed equally to this paper.
*Correspondence to:-
S. I. Abbas.
Veterinary Research Institute, Animal Resources Research Corporation, P. O. Box 8067 (El Amarat), Khartoum, Sudan.
Core idea : Contagious caprine pleuropneumonia (CCPP), caused by M.capricolum subsp. capri pneumoniae (Mccp; cF 38) is a fatal disease of goats in Sudan and other African, Middle Eastern and Asian countries. Beside goats, the disease constitutes a potential threat to wild ruminants in areas where it is enzootic in presence of chronic carriers. Symptoms and lesions of the disease may be confused with those seen in other mycoplasmosis of small ruminants. Diagnosis can be tentatively established from typical symptoms and necropsy findings and confirmed by identification of the causative organisms. Isolation of Mccp by conventional bacteriological methods is not always possible and more specific methods (i.e. PCR) can be used.
Abstract:
In this study 18 mycoplasma isolates were recovered from 249 samples consisted of 180 pneumonic lungs and 69 pleural fluids. The samples were collected from veterinary clinics in 6 different areas in the Sudan. With the use of biological, biochemical & serological tests the 18 isolates were completely identified to species level and accordingly catagorized to 4 different groups.
The first group consisted of two isolates of M. capricolum subsp. capricolum (Mccp), they were both recovered from the lung and pleural fluid of the same animal, the second group included 3 isolates of M. mycoides subsp. mycoides (LC type), the third group included 6 isolates of M. ovipneumoniae and the fourth group included 7 isolates of M. arginini. All lungs from which these isolates were recovered had been studied grossly and histopathologically.
Key words: Caprine-Pleuropneumonia-Mycoplasma-pathology.
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Article citation:-
S.I.Abbas, Harbi & Gameel. First reported case of pathological manifestations of natural cases of Contagious Caprine Pleuropneumonia in the Sudan from which M.capricolum subsp.capripneumoniae; M. mycoides subsp. mycoides (LC type); M. ovipneumoniae & M. arginini were isolated. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci.) 2013 October;35(35):1739-1746. Available at http: //www.jpbms.info