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Original article:-Nursing
Radhamaniamma Jayasree(M Phil(N),MSN,RN/RM)
Senior Teacher, Salalah Nursing Institute, Sultanate of Oman.
Abstract:- Within nursing, the development and utilization of nursing model is an area of constant growth. The purpose of this article is to describe a detailed case application of Roy’s adaptation model (RAM) in the nursing care of patients with Rheumatoid arthritis (RA). The assessment and interventions are guided by RAM. An assessment tool for RA patient was prepared by the author and administered it to patients. A case study is presented to demonstrate how RAM can be used to guide nursing care of RA patients.
Key Words:- Adaptation, Assessment, Nursing Interventions, Rheumatoid arthritis, Roy’s adaptation model (RAM).
References:-
1.Smith M C. The distinctiveness of nursing knowledge. Nurs Sci Quart 1992; 5:148-9.
2.Kim HS. The nature of theoretical thinking in nursing. Norwalk, Connecticut: Appleton-Century Croft; 1983.
3.Phillip K. Sister Callista Roy adaptation model, In A. Tomey and M. Alligood (Eds). Nursing theorists and their work. 6th ed. St. Louis: Mosby; 2006.
4.Hanna D, Roy C. Roy adaptation model and perspectives on family. Nurs Sci Quart. 2001; 14: 9-13.
5.Fawcett J. The nurse theorists: 21st century updates-Callista Roy. Nurs Sci Quart. 2002; 15: 308-10.
6.Cobb S., Warren JE, Merchant WR, Thompson DJ. An estimate of the prevalence of rheumatoid arthritis. J Chron Dis 1957; 5: 636-43.
7.Laine VAI. Rheumatic complaints in an urban population in Finland. Acta Rheum Scand 1962; 8: 81-8.
8.Wood PHN, Badley EM. Epidemiology of individual rheumatic disorders. In Scott JT, editor. Copeman’s Textbook of rheumatic diseases. 6th ed. Edinburgh: Churchil- Livingstone; 1986.
9.Heiberg T, Uhlig T, Kvin TK. Seven year changes in health status and priorities for improvement of health in patients with rheumatoid arthritis. Ann Rheu Dis 2005; 64(2): 191-5.
10.Riehl J, Roy C. Conceptual models for nursing practice. New York: Appleton- Century – Crofts; 1980.
11.Roy C. Adaptation: implication for curriculum change. Nursing outlook. 1973; 21(3): 163-8.
12.Roy C. The Roy adaptation model, 3rd ed. Upper Saddle River, NJ: Prentice Hall Health; 2009.
13.Roy C, Corliss. The Roy adaptation model: Theoretical update and knowledge for practice, New York: National League for Nursing; 1993.
14.Andrews HA, Roy C. Essentials of the Roy adaptation model. Norwalk, CT: Appleton-Century- Crofts; 1986.
15.Fawcett J. Analysis and evaluation of conceptual model of nursing. 3rd ed, Philadelphia: F.A Davis company; 1995.FraiserM. Conceptual nursing in practice (Lippincott nursing series). London: Harper & Row; 1990.
16.Keen M, Breckenridge D, Frauman AC, Hartigan MF, Smith L, Butera E. Nursing assessment and intervention for adult hemodialysis patients: Application of Roy’s adaptation model. ANNA Journal 1998; 25(3), 311- 9.
17.Andrews H A, Roy C. The nursing process according to the Roy adaptation model. Norwalk, CT: Appleton-Century- Crofts; 1991b. 18.George JB. Nursing theories: The base for professional nursing practice, 3rd ed. Connecticut: Appleton &Lange; 1995.
19.Giger JA, Bower CA,Miller SW. Roy adaptation model: ICU application. Dimensions of critical care nursing. 1987; 6(4), 215-24.
20.Carpenito L. Nursing diagnosis: Application to clinical practice, Philadelphia: J B Lippincott; 1983.
21.Smettzer S C, Bare BG, Hinkle JL, Cheever KH. Brunner and Suddarth’s text book of medical surgical nursing, Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins; 2010.
22.Akinsanya J, Cox G, Crouch C, Fletcher L. The Roy adaptation model in action, London; The Macmillan press Ltd; 1994.
23.Fraser M. Using conceptual nursing in practice (Lippincott nursing series, London: Harper & Row;1990.
Copyright © 2013 Radhamaniamma Jayasree 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.
Research article:-Medical Biochemistry
Oseni, O. A1* & Okoye, V. I2.
1Department of Medical Biochemistry, College of Medicine, Ekiti State University, Ado-Ekiti, Nigeria.
2Department of Chemical Sciences, Achievers University, Owo, Ondo State, Nigeria.
Abstract: The present study was undertaken to investigate the medicinal effect of the fruit of watermelon (Citrullus lanatus, family Cucurbitaceae). The fruit was obtained from Owo market in Ondo State and analyzed qualitatively and quantitatively for some basic phytochemicals of antioxidant importance in the various parts of the fruit using standard methods. The results of the antioxidant properties showed that the highest dose of 200µL possessed higher concentrations of flavonoids and total phenol in all extracts of the various parts investigated while lower dose of 50µL produced the highest percentage of iron chelation ability in all the parts investigated. Similarly, in this study it was also confirmed that the fruit possess the ability to scavenge free radicals and reactive oxygen species with the seed possessing the highest ability against DPPH at the least concentration of 150µL from the range of (150 – 500) µL investigated. The results obtained from this study however indicate the possibility of utilizing the fruit as neutraceutics or functional food to prevent or manage some critical diseases of man through scavenging or inhibition of some destructive species or radicals.
Key words: Diseases, antioxidant, concentration, consequence, medicine.
Copyright © 2013 Oseni, O. A & Okoye, V. I. 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.
Review article:-Periodontics,
Sandeep A. Lawande MDS, FICOI(USA), FICD, FPFA.
Assistant Professor,Department of Periodontics, Goa Dental College & Hospital, Bambolim, Goa, India – 403202.
Abstract:- Turmeric (Curcuma longa) is a dietary spice with curcumin as its most active ingredient, widely used as a traditional medicine in Asian countries. Curcumin has been demonstrated to possess many beneficial properties including anti-inflammatory, antioxidant, chemopreventive and chemotherapeutic activities, which have paved the way for ongoing human clinical trials. Curcumin shows great promise as a therapeutic agent. This article explores its therapeutic applications in the field of dentistry.
Key words:- Turmeric, Curcuma longa, Curcumin, dentistry.
Copyright © 2013 Sandeep A. 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.
Research article:-
G. Sucilathangam, M.D1*, S. Niranjan,M.B.B.S1, G. Velvizhi, M.D1., N. Palaniappan, M.D1 & T.Anna,M.V.Sc.Ph.D2.
1Tirunelveli Medical College, Tirunelveli - 627 011, Tamil Nadu, India.
2Veterinary College and Research Institute,Namakkal-637001,TamilNadu,India.
Abstract:-
Staphylococcus aureus is one of the most common causes of nosocomial or community-based infections that were resistant to β-lactam antibiotics due to production of ß-lactamase and presence of mecA gene. Most laboratories use disk diffusion method and MIC for detection of methicillin resistance in S. aureus. The latex agglutination test is an alternative to PCR for rapid detection of mecA gene.The aim of the study is to detect and differentiate BORSA(Borderline Oxacillin Resistant Staphylococcus aureus)from MRSA(Methicillin Resistant Staphylococcus aureus) and to compare MRSA latex agglutination test with standard susceptibility testing methods viz., oxacillin agar screen, Cefoxitin disc diffusion test and MIC.
Materials and methods: After obtaining approval from Institutional Scientific and Ethics Committee, clinical samples were processed over a period of two months at Tirunelveli Medical College Hospital by following the standard protocols. Resistant strains of S. aureus were subjected to the following phenotypic methods to screen and confirm MRSA viz., Oxacillin screen agar and Cefoxitin disc diffusion test and also were tested for detection and differentiation of BORSA from MRSA by Minimum inhibitory concentration (MIC) of Oxacillin by Broth Macrodilution method.PBP 2a encoded mecA gene was detected by rapid MRSA Latex Agglutination Test (Slidex MRSA Detection kit, Biomeriux,France).
Results: Nineteen strains were classified as borderline according to oxacillin MIC, resistant by oxacillin disk and sensitive to Cefoxitin and 33 strains were classified as MRSA resistant by oxacillin and Cefoxitin disk methods. The three strains that were classified as resistant by the oxacillin disk and Broth macrodilution methods were also resistant by the oxacillin agar screening agar whereas sixteen strains were susceptible. The sensitivity and specificity of the oxacillin agar screen test were 81.81 and 84.21%, respectively. MRSA-Screen detects the PBP2a antigen in all 33 MRSA strains and all 19 BORSA strains were mecA negative. The sensitivity, specificity, PPV and NPV are 100%.The MRSA latex agglutination test is also correlated with the cefoxitin disc diffusion test and the oxacillin MIC for detection of MRSA. Conclusion: The MRSA-Screen Latex Agglutination Test for detection of PBP2a is a rapid, easy to perform, and accurate method for the detection of MRSA. This test provides an alternative to the detection of the mecA gene by PCR in clinical laboratories when this technique is unavailable.
Key Words:- Borderline Oxacillin Resistant Staphylococcus aureus (BORSA), Methicillin Resistant Staphylococcus aureus (MRSA), Oxacillin agar screen, Cefoxitin disc diffusion test, MIC, MRSA Latex Agglutination Test.
References:-
1.Montanari MP, Tonin E, Biavasco F et al. Further characterization of borderline methicillin-resistant Staphylococcus aureus and analysis of penicillin-binding proteins. Antimicrob Agents Chemother 1990; 34:911–13.
2.De Lencastre H, Sa Figueiredo AM, Urban C et al. Multiple mechanisms of methicillin resistance and improved methods for detection in clinical isolates of Staphylococcus aureus. Antimicrob Agents Chemotherapy 1991; 35:632–9.
3.Chambers HF, Archer G, Matsuhashi M. Low-level methicillin resistance in strains of Staphylococcus aureus. Antimicrob Agents Chemother 1989; 33: 424–8.19.
4.McDougal LK, Thornsberry C. The role of b-lactamase in staphylococcal resistance to penicillinase-resistant penicillins and cephalosporins. J Clin Microbiol 1986; 23: 832–9.
5.Tomasz A, Drugeon HB, De Lancastre HM, Jabes D, McDougall L, and Bille J. New mechanism for methicillin resistance in Staphylococcus aureus: clinical isolates that lack the PBP2a gene and contain normal Penicillin-binding proteins with modified penicillin-binding capacity. Antimicrob. Agents Chemother. 1989; 33:1869-74.
6.Massanari RM, Pfaller MA, Wakesfield DS, Hammons GT, McNut LA, Woolson RF, and Helms CM. Implications of acquired oxacillin resistance in the management and control of Staphylococcus aureus infections. J. Infect. Dis. 1988; 158: 702-9.
7.Balslev U, Bremmelgard A, Svejgaard E,Havstreym J, Westh H. An outbreak of oxacillin-resistant Staphylococcus aureus (BORSA) in a dermatological unit. Microbe. Drug. Resist.2005; 11: 78-81.
8.Brown DFJ. Detection of methicillin/oxacillin resistance in staphylococci. J Antimicrob Chemother 2001; 48:65-70.
9.Louie L, Matsumura SO, Choi E, Louie M, Simor AE.Evaluation of three rapid methods for detection of methicillin resistance in Staphylococcus aureus. J Clin Microbiol 2000; 38: 2170-3.
10.Brown D, Edddwards DI, Hawkey PM, Morrison D,Ridgway GL. Guidelines for the laboratory diagnosis of and susceptibility testing of methicillin-resistant Staphylococcus aureus (MRSA) J Antimicrob Chemothe 2005; 56:1000-18
11.Van Griethuysen, A., M. Pouw, N. van Leeuwen, M. Heck, P. Willemse, A. Buiting, and J. Kluytmans. 1999. Rapid slide latex agglutination test for detection of methicillin resistance in Staphylococcus aureus. J. Clin.Microbiol.37:2789–92.
12.Hartman BJ, Tomasz A. Low-affinity penicillin-binding protein associated with β-lactam resistance in Staphylococcus aureus. J Bacteriol 1984; 158: 513–6.
13.Chambers, H.F. 1997. Methicillin resistance in Staphylococci: molecular and biochemical basis and clinical implications. Ch. Microbiol. Rev. 10:78 1-791.
14. Hussain FM, Boyle-Vavra S, Bethel CD, Daum RS.Current trends in community-acquired methicillin-resistant Staphylococcus aureus at a tertiary care pediatric facility. Pediatr Infect Dis J 2000;19: 1163-6.
15. Arbique J, Forward K, Haldane D, Davidson R. Comparison of the Velogene Rapid MRSA Identification Assay, Denka MRSA- Screen Assay, and BBL Crystal MRSA ID System for rapid identification of methicillin-resistant Staphylococcus aureus. Diagn Microbiol Infect Dis 2001; 40: 5-10.
16. Sakoulas G, Gold HS, Venkataraman L, DeGirolami PC, Eliopoulos GM, Qian Q. Methicillin-resistant Staphylococcus aureus: comparison of susceptibility testing methods and analysis of mecA-positive susceptible strains. J Clin Microbiol 2001; 39: 3946-51.
17. Dominguez MA, Linares J, Martin R. Molecular mechanisms of methicillin resistance in Staphylococcus aureus. Microbiologia 1997; 13: 301-8.
18. Araj GF, Talhouk RS, Simaan CJ, Maasad MJ. Discrepancies between mecA PCR and conventional tests used for detection of methicillin resistant Staphylococcus aureus. Int J Antimicrob Agents 1999; 11:47-52.
19. Liu H, Lewis N. 1992. Cornparison of arnpicillin/sulbactam and amoxicillin/c1avulanicacid for detection of borderline oxacillin-resistant Staphylococcus aureus. Eur J Clin Microbiol Infect Dis. 11(1):47-51.
20. Unal S, Werner K, DeGirolami P, Barsanti F, Eliopoulos G. Comparison of tests for detection of methicillin- resistant Staphylococcus aureus in a clinical microbiology laboratory. Antimicrob Agents Chemother 1994; 38: 345-7.
21. Udo EE, Mokadas EM, Al-Haddad A, Mathew B, Jacob LE, Sanyal SC. Rapid detection of methicillin resistance in staphylococci using a slide latex agglutination kit. Int J Antimicrob Agents 2000; 15: 19-24.
22.Cavassini M, Wenger A, Jaton K, Blanc DS, Bille J.Evaluation of MRSA Screen, a simple anti-PBP 2a slide latex agglutination kit, for rapid detection of methicillin resistance in Staphylococcus aureus. J Clin Microbiol 1999; 37: 1591-4.
23. Chariya C, Taweeporn S, Kunyaluk C, Temduang L, Chaisiri W, Wiboonchai Y. Evaluation of polymerase chain reaction, conventional and MRSA screen latex agglutination methods for detection of methicillin-resistant,-borderline and -susceptible staphylococcus aureus. Southeast Asian J Trop Med Public Health 2004 ;35:879-5.
24. Jafri AK, Reisner BS, Woods GL. Evaluation of a latex agglutination assay for rapid detection of oxacillin resistant Staphylococcus aureus. Diagn Microbiol Infect Dis 2000; 36: 57-9.
25.Henze, U.U., M. Roos, B. Berger-Bachi. 1996. Effects of penicillin-binding protein 4 overproduction in Staphylacoccus aureus- Microbial Dmg Resistance. 2: 193-9.
26.Gerberding, J.L., C. Miick, H.H. Liu, and H.F. Chambers. 1991. Comparison of conventional susceptibility tests with direct detection of penicllin-binding protein 2a in borderline oxacillin-resistant strains of Staphylococcus aureus. Antimicro. Agents Chemother. 35:2574-9.
Copyright © 2013 Sucilathangam G 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:-Orthodontics
Prabhuraj B. Kambalyal1, Ronak Maniar2*, Promod Shetty3 & Sudhanshu Sanadhya4.
1Professor,2Post graduate student, 3Head,Department of Orthodontics,4Post graduate student, Department of community Dentistry, Pacific Dental College and Hospital, Udaipur, Rajasthan, India.
Abstract:-
A 12 year old male with Class II div 1 subdivision and increased overjet and overbite was treated with modified nance appliance and implant supported niti coil spring distalization . Treatment resulted in Class I occlusion , ideal overjet , overbite , incisor andualation and matching midlines, total treatment duration was 1 year 4 months. Modified nance design with aniti coilspring and implants is an effective method to correct a Class II occlusion with minimal mandibular crowding.
Key Words:- Modified nance , Unilateral Molar distalization, Implant, Class II malocclusion.
References:
1.Blechman AM, Smiley H. Magnetic force in orthodontics. Am J Orthod 1978; 74:435–43.
2.Blechman AM. Magnetic force systems in orthodontics. Clinical results of a pilot study.Am J Orthod 1985; 87:201–10.
3.Basdra EK, Huber H, Komposch G. A clinical report for distalizing maxillary molars by usingsuper-elastic wire. Orofac Orthop/Fortschritte der Keieferorthopadie 1996; 57:118–23.
4.Gianelly AA, Bednar J, Dietz VS. Japanese NiTi coils used to move molars distally. Am J OrthodDentofacial Orthop 1991; 99:564–6.
5.Jeckel N, Rakosi T. Molar distalization by intraoral force application. Eur J Orthod 1991;13: 43–6.
6.Jones RD, White JM. Rapid Class II molar correction with an open-coil jig. J Clin Orthod 1992; 26:661–4.
7.Hilgers JJ. The pendulum appliance for Class II noncompliance therapy. J Clin Orthod 1992; 26:706–14.
8.Carano A, Testa M. The distal jet for upper molar distalization. J Clin Orthod 1996; 30: 374–80.
9.Kalra V. The K-loop molar distalizing appliance. J Clin Orthod 1995;29:298–301.
10.Fortini A, Lupoli M, Parri M. The First Class Appliance for rapid molar distalization. J ClinOrthod 1999; 33:322–8.
11.Ghosh J, Nanda RS. Evaluation of an intraoral maxillary molar distalization technique. Am J Orthod Dentofacial Orthop 1996; 110:639–46.
12.Wilson WL. Modular orthodontic systems. Part1. J Clin Orthod 1978;12:259–78.
13.Locatelli R, Bednar J, Dietz VS, Gianelly AA.Molar distalization with superelastic NiTi wire. J Clin Orthod 1992; 26:277–9.
14.Gianelly AA, Vaıtas AS, Thomas WM. The use of magnets to move molars distally. Am J OrthodDentofacial Orthop 1989; 96:161–7.
15.Itoh T, Tokuda T, Kiyosue S, Hirose T, Matsumoto M, Chaconas SJ. Molar distalization with repelling magnets. J Clin Orthod 1991;25: 611–17.
16.Erverdi N, Koyuturk O, Kucukkeless N. Nickeltitanium coil springs and repelling magnets: A comparison of two different intra-oral molar distalization techniques. Br J Orthod 1997; 24: 47–53.
17.Byloff FK, Darendeliler MA. Distal molar movement using the pendulum appliance. Part I: Clinical and radiological evaluation. Angle Orthod 1997; 67:249–60.
18.Bussick TJ, McNamara JA Jr. Dentoalveolar and skeletal changes associated with the pendulum appliance. Am J Orthod Dentofacial Orthop2000; 117:333–43.
19.Torog˘lu M, Uzel I, Cam O, Hanciog˘lu Z. Cephalometric evaluation of the effects of pendulumappliance on various vertical growth patternsand of the changes during short-term stabilization. Clin Orthod Res 2001; 4:15–27.
20.Gulati S, Kharbanda OP, Parkash H. Dental andskeletal changes after intraoral molar distalization with sectional jig assembly. Am J OrthodDentofacial Orthop 1998; 114:319–27.
21.Brickman CD, Sinha PK, Nanda RS. Evaluationof the Jones Jig appliance for distal molarmovement. Am J OrthodDentofacial Orthop 2000; 118:526–34.
22.Haydar S, Uner O. Comparison of Jones jigmolar distalization appliance with extraoral traction. Am J Orthod Dentofacial Orthop 2000; 117:49–53.
23.Bolla E, Muratore F, Carano A, Bowman SJ. Evaluation of maxillary molar distalization with the distal jet: A comparison with other contemporary methods. AngleOrthod 2002; 72: 481–94.
24.Aras K. 3D Cephalometric evaluation of 3Dmaxillary distalization arches effects on dentofacial system . Hacettepe University: Ankara, 1993.
25.Muse DS, Fillman MJ, Emmerson WJ, Mitchell RD. Molar and incisor changes with Wilson rapid molar distalization. Am J Orthod Dentofacial Orthop 1993; 104:556–5.
26.Yuksel S, Guls,en A, Ucem TT. Molar distalization with modified 3D bimetric distalizationarches. Turkish J Orthod 1996; 9:229-35.
27.Ucem TT, Yuksel S, Okay C, Guls,en A. Effects of a three-dimensional bimetric maxillary distalizing arch. Eur J Orthod 2000; 22:293–8.
28.Altug AT. A comparative investigation of 3D bimetric maxillary distalization arches and servical headgear on dentofacial structures.Ankara University: Ankara, 2002.
29.Altug-Atac AT, Erdem D, Arat ZM. Three-dimensional bimetric maxillary distalization arches compared with a modified Begg intraoral distalzation system.Eur J Ortho 2008;30:73-9.
Copyright © 2013 Maniar Ronak 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.