ORCID Profile
0000-0003-1907-8708
Current Organisations
University of Adelaide
,
Amrita Vishwa Vidyapeetham University
,
American Board of Dental Public Health
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Publisher: Elsevier BV
Date: 10-2019
Publisher: Elsevier BV
Date: 02-2008
DOI: 10.1111/J.1875-595X.2008.TB00176.X
Abstract: Any waste generated consequent to health care activity including any from a home environment is health care waste. Dental practices generate large amounts of waste cotton, plastic, latex, glass and other materials much of which may be contaminated with body fluids. To assess the knowledge, attitude and behaviour of private dental practitioners on health care waste management in Bangalore City. A cross-sectional study of 432 private dental practitioners in Bangalore City using a self-administered questionnaire. 389 dentists responded 64.3% do not segregate waste before disposal and 47.6% hand over health care waste to street garbage collectors 42.1% felt that there was a lack of waste management agency services and 16.9% felt that a lack of knowledge were the main hurdles. Dentists need education regarding health care waste disposal methods to improve their knowledge. A large proportion of the dentists are not practising proper methods of health care waste disposal. The existence of legislation governing healthcare waste disposal is not sufficient alone to motivate many practitioners to comply with guidelines.
Publisher: Elsevier BV
Date: 09-2019
Publisher: Medknow
Date: 2015
Publisher: Public Library of Science (PLoS)
Date: 26-09-2023
Publisher: Medknow
Date: 2020
Publisher: Elsevier BV
Date: 07-2021
Publisher: Institute of Medico-legal Publications Private Limited
Date: 12-2019
Publisher: Medknow
Date: 2013
Publisher: Institute of Medico-legal Publications Private Limited
Date: 12-2019
Publisher: Everant Journals
Date: 22-12-2022
DOI: 10.47191/IJMSCRS/V2-I12-30
Abstract: Background: Adolescence is a critical and formative period in which in iduals begin their transition from childhood to adulthood and the presence of psychiatric disorders such as depression and anxiety at this stage of life is a matter of concern. Half of all mental health conditions start at 14 years of age but most cases are undetected and untreated. Objectives: To assess the prevalence of depression and anxiety among adolescents and to assess the factors associated with depression and anxiety among adolescents. Methods: Data were collected from a s le of 620 adolescents of ages 14 to 16 years studying through the multistage cluster s ling method. Depression, Anxiety and Stress Scale-21, a pre-tested questionnaire for sociodemographic details were used. Statistical analysis was done using SPSS 20 version. Pearson’s chi-square test and logistic regression were applied to find the association between categorical variables where appropriate. Conclusion: Out of 620 adolescents, 64.5% were female and 35.5% were male, 41.3% of the study population were 14 years old, 43.1% of 15 years old and 15.6% were 16 years old respectively. Prevalence of depression and anxiety among adolescents were found to be 50.32% and 62.74% respectively. Depression and play hours outside the house were significantly associated anxiety and age, duration in present school, number of people at home, working people in the family were found to be statistically associated.
Publisher: MDPI AG
Date: 11-05-2021
DOI: 10.3390/MPS4020030
Abstract: Introduction: Silver Diammine Fluoride (SDF) is an emerging caries preventive treatment option that is inexpensive, safe, and easily accessible. The evidence is clear that the use of SDF at concentrations of 38% is effective for arresting caries in primary teeth. However, the determination of an optimal SDF application frequency for a cavitated lesion in pragmatic settings is warranted especially among high dental caries risk groups. Hence, the primary objective of this clinical trial is to compare the effectiveness of annual, bi-annual, and four times a year application of 38% SDF application in arresting active coronal dentinal carious lesions on primary teeth among tribal preschool children aged 2–6 years. Methods and Analysis: This study is designed as a randomized, controlled trial consisting of three parallel arms with an allocation ratio of 1:1:1. The trial will enroll 480 preschool tribal children with a cavitated carious lesion (2–6 years) attending a primary health care Centre in Wayanad district, India. Each arm will receive 38% SDF application on an annual (baseline), bi-annual (baseline and 6 months), and four times a year (baseline, 2nd, 4th, and 8th week), respectively. The analysis will be performed both at the tooth- and person-level. Ethics and Dissemination: This trial will be conducted following the principles of the Declaration of Helsinki and local guidelines (Indian Council of Medical Research). The protocol has been approved by Institutional Review Committee (IRB). This trial has been registered prospectively with the Clinical Trial Registry of India [Registration No: CTRI/2020/03/024265].
Publisher: EpiSmart Science Vector Ltd
Date: 10-2021
Publisher: Jaypee Brothers Medical Publishing
Date: 23-05-2023
Publisher: Elsevier BV
Date: 02-2021
Publisher: Springer Science and Business Media LLC
Date: 31-08-2023
DOI: 10.1186/S12955-023-02170-6
Abstract: This review assessed the impact of oral conditions on Oral Health Related Quality of Life among Indians. Databases, including PubMed and Scopus, CINAHL, Web of Science, PsycInfo were systematically searched for English Language studies conducted among Indians up to July 2022. Two independent reviewers assessed studies selected for retrieval for methodological quality using standardised quality assessment instruments for analytical cross-sectional studies in JBI SUMARI. Fourty one publications were included in this review ( N = 23,090). Studies includes both cross sectional study and Randomized Controlled Trials. Based on the JBI critical appraisal tools, the quality of the included studies was low to high. Twenty-six studies were considered for the meta-analysis. In iduals with dental caries [OR: 3.54 (95% CI 2.24- 5.60), ten studies, 4945 participants] and malocclusion [ OR: 5.44 (95% CI 1.61, 18.39), six studies, 3720 participants] had poor OHRQoL compared to in iduals without oral conditions. Despite the various definitions of the exposures and instruments used to assess Oral Health-Related Quality of Life, our review found that people with dental caries and malocclusion have a significantly higher experience of poor quality of life. CRD42021277874.
Publisher: JCDR Research and Publications
Date: 2018
Publisher: JCDR Research and Publications
Date: 2016
Publisher: EManuscript Technologies
Date: 2017
Publisher: Elsevier BV
Date: 10-2004
DOI: 10.1111/J.1875-595X.2004.TB00287.X
Abstract: To assess the prevalence and severity of dental fluorosis and its relationship with fluoride levels in drinking water. Twelve villages with similar climate, diet, socioeconomic conditions and altitudes were selected from rural areas of Davangere district, Karnataka, India. The fluoride concentration in drinking water was estimated by the Ion Selective Electrode Method. Dean's Index was used to assess the dental fluorosis. Karl-Pearson coefficient for correlation and simple regression analysis were used to evaluate the association between the water fluoride levels and the community fluorosis index (CFI). The study group consisted of 1,131, 12-15-year-old school children. The fluoride levels in drinking water of selected villages were in the range of 0.22-3.41ppm. A stepwise increase in the prevalence of dental fluorosis with corresponding increase in water fluoride content, 13.2% at 0.22ppm F to 100% at 3.41 ppm F, was found. There was a significant positive linear correlation (r=0.99) between CFI and water fluoride level. Dental fluorosis is a major dental public health problem among children in Davangere district and is related to drinking water with 0.74ppm fluoride or above.
Publisher: Wiley
Date: 30-10-2017
DOI: 10.1111/JPHD.12254
Abstract: To examine the political priority of oral health in India and to understand the underlying reasons for the political support oral health receives. The analysis is based on the political power framework developed by Shiffman and Smith and modified by Benzian et al. to examine the factors that contribute to the political priority of oral health in India. The framework comprises four main analysis categories, further sub ided into 11 dimensions. Based on the set of criteria, each dimension was analyzed and rated by assigning a score to assess to what extend the criteria were met. There is a good understanding on what defines an oral health problem, however, there is no consolidated and comprehensive approach to address oral diseases. Despite India's efforts to improve oral health-related research, its poor utilization in terms of public health and population-based approaches is apparent. The absence of a national surveillance system for oral health masks the severity and extent of the oral disease burden and limits the basis for advocacy on improving oral health to health decision makers. The fragmentation of actors and institutions and the absence of leaders uniting various actors in oral public health impede changes toward improving the oral health status of the population. Limited accessibility to oral health care, poor portrayals of the severity and extent of the burden, and inertia to address-related challenges are important factors contributing to the low political priority of oral health.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 24-08-2023
Abstract: The objective of the review is to identify and explore the perceived sociocultural factors leading to smokeless tobacco initiation among the adolescent population. Smokeless tobacco use is associated with oral cancer and premalignant lesions. The initiation of smokeless tobacco often occurs in adolescence, with multiple sociocultural factors facilitating the commencement of this habit. An in-depth understanding of the factors influencing smokeless tobacco uptake can assist policymakers and tobacco-control units in establishing global policies and implementing control strategies to prevent adolescents’ taking up smokeless tobacco. This review will consider qualitative studies conducted within the last 20 years on adolescent smokeless tobacco users, focusing on sociocultural factors influencing smokeless tobacco initiation. Studies involving cigarette smoking, other alternative forms of smoking, and any form of tobacco cessation intervention will be excluded. A systematic search will be conducted in MEDLINE, Scopus, CINAHL, Embase, PsycINFO, and the Cochrane CENTRAL databases, using a 3-step search process. ProQuest Dissertations and Theses, OAIster, and Google will be searched for unpublished studies. Only studies published from January 2002 until the present and in English will be considered. Study screening, extraction, and critical appraisal will be performed by 2 independent reviewers using the standardized JBI qualitative appraisal and data extraction tools. Data synthesis will involve aggregation of the review findings to generate a set of statements based on similarity of meaning. PROSPERO CRD42021240588
Publisher: JMIR Publications Inc.
Date: 24-12-2021
DOI: 10.2196/33104
Abstract: Loss of teeth or occlusal imbalance is one of the proposed dental risk factors for temporomandibular disorders (TMDs). Losing some non–free-end teeth cause the original occluding tooth/teeth to supraerupt from the original upright position and causes neighboring tooth/teeth to shift in an angle, causing biomechanical imbalance on the mandible. Based on these sequelae, rehabilitation of missing teeth is the first step in managing TMD in edentulous patients. Even though the prevalence of TMD in association with edentulism and in rehabilitated patients has been increasing, proper guidelines for the management of such cases have not been established. This study describes the protocol to analyze the effect of prosthetic rehabilitation on patients with TMD. This study aims to determine the effectiveness of prosthetic rehabilitation in the reduction of pain in edentulous patients with TMD and to determine the effect of the span of edentulism, the number of quadrants involved, pathological migration, the type of Kennedy classification, and the prosthetic status on temporomandibular joint dysfunction signs and symptoms. In this randomized controlled trial, 300 patients diagnosed with TMD will be grouped into one of the three interventional groups based on the type of their edentulous state. The interventional groups are (1) partially edentulous arch: Kennedy Class I and II (prosthetic rehabilitation without splint) (2) partially edentulous arch: Kennedy Class III and IV (prosthetic rehabilitation with a splint) and (3) completely edentulous arches (prosthetic rehabilitation without splint). All three of the mentioned interventional groups have corresponding control groups that will receive symptomatic treatment and comprehensive counseling. The measured primary outcomes are pain and electromyogram, and the secondary outcomes include pain drawing, Graded Chronic Pain Scale, Jaw Functional Limitation Scale, Oral Behaviours Checklist, depression, physical symptoms, and anxiety. The outcome measurements will be recorded at baseline and at the end of 24 hours, 7 days, 28 days, and 3 months. Ethical approval was obtained from the Institutional Review Board of Amrita Institute of Medical Sciences, Kochi, India. Study participants’ recruitment began in May 2021 and is expected to conclude in March 2023. This clinical trial protocol was developed based on the SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) 2013 Statement. The purpose of this study is to gather data on prosthetic rehabilitation as a treatment for TMD. Obtaining this goal will aid in the development of evidence-based therapy protocols for prosthetic rehabilitation in TMD management. Clinical Trials Registry - India CTRI/2020/06/026169 ctri.nic.in/Clinicaltrials df_generate.php?trialid=42381 DERR1-10.2196/33104
Publisher: S. Karger AG
Date: 2022
DOI: 10.1159/000524189
Publisher: BMJ
Date: 02-2023
DOI: 10.1136/BMJOPEN-2022-069877
Abstract: Children’s learning abilities suffer when their oral health is compromised. Inadequate oral health can harm children’s quality of life, academic performance, and future success and achievements. Oral health problems may result in appetite loss, depression, increased inattentiveness, and distractibility from play and schoolwork, all of which can lower self-esteem and contribute to academic failure. An oral health curriculum, in addition to the standard school curriculum, may instil preventive oral hygiene behaviour in school students, enabling them to retain good oral health for the rest of their lives. Because most children attend school, the school setting is the most effective for promoting behavioural change in children. A ‘health-promoting school’ actively promotes health by enhancing its ability to serve as a healthy place to live, learn and work, bringing health and education together. Making every school a health-promoting school is one of the joint objectives of the WHO and UNICEF. The primary objective of this proposed study is to assess the effectiveness of an oral health curriculum intervention in reducing dental caries incidence and improving oral hygiene behaviour among high school children in grades 8–10 of the Ernakulam district in Kerala, India. If found to be effective in changing children’s behaviour in a positive way, an oral health curriculum may eventually be incorporated into the school health curriculum in the future. Classroom interventions can serve as a cost-effective tool to increase children’s oral health awareness. This protocol presents a cluster randomised trial design. It is a parallel-group comparative trial with two arms having a 1:1 distribution—groups A and B with oral health curriculum intervention from a dental professional and a schoolteacher, respectively. High schools (grades 8–10) will be selected as clusters for the trial. The minimum cluster size is 20 students per school. The total s le size is 2000 high school children. Data will be collected at three time points, including baseline, after 1 year (mid-term) and 2 years (final), respectively. The outcome measures are Decayed, Missing and Filled Teeth Index Oral Hygiene Index-Simplified and knowledge, attitude and behaviour. Data collection will be done by clinical oral examination and questionnaire involving oral health-related knowledge, attitude and behaviour items. Ethical approval was obtained from the Institutional Ethics Committee of Amrita Institute of Medical Sciences and Research Centre (dated 19 July 2022, no: IEC-AIMS-2022-ASD-179). Clinical Trial Registry of India (CTRI/2022/09/045410).
Publisher: Medknow
Date: 2019
Publisher: Diva Enterprises Private Limited
Date: 2019
Publisher: Elsevier BV
Date: 10-2020
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 24-03-2023
Abstract: The objective of this review is to summarize the evidence on the effectiveness of oral appliance therapy compared with other therapeutic approaches (continuous positive airway pressure, maxillomandibular and upper airway surgeries, behavioral techniques) for the management of obstructive sleep apnea in adults. For primary snoring, mild to moderate obstructive sleep apnea, and patients with a severe condition who are intolerant of continuous positive airway pressure therapy, an oral appliance is the treatment of choice among conservative procedures. The effectiveness of these appliances is largely determined by a variety of parameters, including the severity of sleep apnea (mild, moderate, severe), materials and methods used to fabricate the appliance, and the degree of mandibular protrusion. Thus, it is important to evaluate the effectiveness of oral appliances in the reduction of sleep apnea. This review will include systematic reviews of quantitative studies reporting on the effectiveness of oral appliances for the treatment of obstructive sleep apnea of any severity, confirmed using polysomnography. The primary outcome will be measured by reduction in the apnea–hypopnea index. A search will be conducted of MEDLINE, Cochrane Database of Systematic Reviews, Scopus, Web of Science, CINAHL, Epistemonikos, Embase, ProQuest Dissertations and Theses, and Shodhganga Dissertations and Theses from database inception until the present, with no language restrictions. Google Scholar will be searched manually. Two independent reviewers will screen titles, abstracts, and full-text articles and perform data extraction. Quality assessment will be conducted using the standard JBI critical appraisal tool. Data will be extracted from systematic reviews and a synthesis of the findings will be presented. The certainty will be assessed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE). PROSPERO CRD42021258515
Publisher: Elsevier BV
Date: 2022
Publisher: Elsevier BV
Date: 04-2021
Publisher: Wiley
Date: 04-11-2010
DOI: 10.1111/J.1600-0528.2010.00564.X
Abstract: Dental fluorosis is a major public health problem in 17 states of India. Earlier studies have reported that Jowar (a type of millet) consumption interacts with fluoride (F) in the body and enhances fluorosis. We conducted this study to determine the association between jowar consumption and severity of dental fluorosis. A community based case control study was carried out in villages having different F levels (low, medium, and high) in drinking water in North Karnataka, India. 352 school Children (12-15 years, male 58%) with severe dental fluorosis classified by Thylstrup & Fejerskov Index (1988) were selected as cases. 428 school children (12-15 years, male 48.8%) with no dental fluorosis were selected randomly from the same area as controls. Exposure ascertainment of jowar consumption was done by 24-h diet recall and food frequency questionnaire. Ion selective electrode method was used to estimate the F level in spot urine s les of subjects and in drinking water. Multiple logistic regression analysis was done using SPSS V. 11.01 Children who consumed jowar had 2.67 times more chance of getting severe dental fluorosis compared to those who did not [Odds Ratio (OR) 2.67, CI 1.98-3.62]. Children from high F level villages (OR 1.91, CI 1.27-2.85) had higher odds of severe dental fluorosis compared to children from medium and low F level villages. Daily jowar consumers (OR 2.14, CI 1.64-3.09) and weekly consumers (OR 1.68, CI 1.31-3.45) had higher risk for dental fluorosis compared to non jowar consumers. Children who started consuming jowar before 8 years of age had significantly higher proportion of severe dental fluorosis compared to their counterparts. Urinary F excretion among jowar consumers was significantly lower than non-jowar consumers. Jowar consumption was positively associated with severity of dental fluorosis in this population.
Publisher: S. Karger AG
Date: 2021
DOI: 10.1159/000514625
Publisher: Wiley
Date: 25-08-2020
DOI: 10.1111/PRD.12337
Publisher: MDPI AG
Date: 26-10-2022
DOI: 10.3390/MPS5060087
Abstract: Dental caries in the adult population that require preventive and therapeutic treatment are generally neglected in rural communities. The determination of the effectiveness of the application of 38% silver diamine fluoride (SDF) in arresting caries lesions when combined with atraumatic restorative treatment (ART) is very important, as it serves as a preventive and restorative procedure to regain the function of the permanent dentition. The assessment of optimal SDF application with ART, in comparison with ART alone, in managing cavitated carious lesions in a pragmatic setting, is the need of the hour to recommend optimal dental care, especially in rural settings which have minimal access to comprehensive dental care. The clinical trial will enrol 220 adults (18-65 years) with cavitated carious lesions attending the Amrita School of Dentistry in the Ernakulam district, India. This study is a randomized, controlled trial with a 1:1 allocation ratio in two parallel groups. Study arm 1 will receive 38% SDF application and ART, and study arm 2 will receive ART only. A digital radiograph will be taken immediately after restoration (baseline) as well as at the end of the 6th month for evaluation of caries arrest. The assessment of the survival of the restoration will be done on the 7th day, 30th day, and at the end of the 6th month. The final analysis would include both the tooth and person levels. This trial adheres to the principles of the Declaration of Helsinki and the guidelines of the Indian Council of Medical Research (ICMR). This study protocol has been approved by the Institutional Review Board. This trial has been registered prospectively with the Clinical Trial Registry of India (Registration No: CTRI/2021/12/038816).
Publisher: Springer Science and Business Media LLC
Date: 08-2018
Publisher: Informa UK Limited
Date: 07-11-2015
DOI: 10.1080/08989621.2015.1114887
Abstract: To assess the existence, structure, and functioning of Institutional Ethics Committees (IECs) in dental teaching institutions in Kerala. A cross-sectional questionnaire-based survey was conducted by personally approaching Heads of Institutions/Ethics Committee (EC) in-charge of all dental colleges (23) in Kerala. The validated questionnaire consisted of two parts. The first part pertained to details of institutions, and the second part assessed the structure and functioning of the IEC. The data obtained was tabulated and analyzed using descriptive statistics. Of the participating 17 colleges, 13 colleges had a functioning IEC. Only four of these IECs were accredited to a central agency. Only one among the 12 colleges completely adhered to recommended structure. Regarding the functioning of IECs, 69% of the IECs had neither a separate application form for ethical review of proposals nor a proforma for its evaluation. On average, more than ten proposals were reviewed in a single EC meeting in 54% of the colleges. Nearly 40% of the IECs had no representation of a lay person. The absence of IEC in four colleges and non-accreditation to a central agency was a matter of concern. Enforced accreditation is the need of the hour to ensure ethical protection to human participants.
Publisher: JMIR Publications Inc.
Date: 02-09-2021
Abstract: oss of teeth or occlusal imbalance is one of the proposed dental risk factors for temporomandibular disorders (TMDs). Losing some non–free-end teeth cause the original occluding tooth/teeth to supraerupt from the original upright position and causes neighboring tooth/teeth to shift in an angle, causing biomechanical imbalance on the mandible. Based on these sequelae, rehabilitation of missing teeth is the first step in managing TMD in edentulous patients. Even though the prevalence of TMD in association with edentulism and in rehabilitated patients has been increasing, proper guidelines for the management of such cases have not been established. This study describes the protocol to analyze the effect of prosthetic rehabilitation on patients with TMD. his study aims to determine the effectiveness of prosthetic rehabilitation in the reduction of pain in edentulous patients with TMD and to determine the effect of the span of edentulism, the number of quadrants involved, pathological migration, the type of Kennedy classification, and the prosthetic status on temporomandibular joint dysfunction signs and symptoms. n this randomized controlled trial, 300 patients diagnosed with TMD will be grouped into one of the three interventional groups based on the type of their edentulous state. The interventional groups are (1) partially edentulous arch: Kennedy Class I and II (prosthetic rehabilitation without splint) (2) partially edentulous arch: Kennedy Class III and IV (prosthetic rehabilitation with a splint) and (3) completely edentulous arches (prosthetic rehabilitation without splint). All three of the mentioned interventional groups have corresponding control groups that will receive symptomatic treatment and comprehensive counseling. The measured primary outcomes are pain and electromyogram, and the secondary outcomes include pain drawing, Graded Chronic Pain Scale, Jaw Functional Limitation Scale, Oral Behaviours Checklist, depression, physical symptoms, and anxiety. The outcome measurements will be recorded at baseline and at the end of 24 hours, 7 days, 28 days, and 3 months. thical approval was obtained from the Institutional Review Board of Amrita Institute of Medical Sciences, Kochi, India. Study participants’ recruitment began in May 2021 and is expected to conclude in March 2023. This clinical trial protocol was developed based on the SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) 2013 Statement. he purpose of this study is to gather data on prosthetic rehabilitation as a treatment for TMD. Obtaining this goal will aid in the development of evidence-based therapy protocols for prosthetic rehabilitation in TMD management. linical Trials Registry - India CTRI/2020/06/026169 ctri.nic.in/Clinicaltrials df_generate.php?trialid=42381 ERR1-10.2196/33104
Publisher: Wiley
Date: 07-03-2017
DOI: 10.1111/CDOE.12272
Publisher: Diva Enterprises Private Limited
Date: 2019
Publisher: Oxford University Press (OUP)
Date: 30-06-2022
Abstract: Studies have suggested a association between serum cholesterol values and severity of envenoming. The objective of the study was to correlate the serum cholesterol levels with severity of envenoming in victims of snakebite, across snake species in our patient population. Retrospective secondary data analysis of health records of a cohort of snakebite victims treated at Little Flower Hospital, Angamaly, Kerala during June 2006-January 2008 was performed. The cholesterol values were assessed in 205 consecutive patients admitted with snakebite envenoming, within 24 h of admission and 10 h of overnight fasting. Lipid fractions were estimated from fasting serum through the standard CHOD-PAP method on a Hitachi analyzer. The cholesterol level was compared between victims with mild and serious envenoming to assess the proportion among each category with a low cholesterol (defined as ≤150 mg/dl as per institutional criteria). In addition, low cholesterol as a marker of severity was compared with other laboratory parameters suggesting severe envenoming such as low fibrinogen, low platelet count, neutrophilia, elevated creatinine, d-dimer, hepatic transaminases and albuminuria. Of the 146 victims with serious degree of snakebite envenoming 116 (79%) had low cholesterol values ≤150 mg%, while 30 (21%) had values >150 mg%. Of the patients with low cholesterol, 116 (78%) had serious envenoming, while 22% had mild envenoming. By contrast, 30 patients (21%) had values >150 mg%. The risk of moderate-severe envenoming with low cholesterol was 2.7 times (170%) that of victims with normal or high cholesterol on admission. A low cholesterol on admission in victims of snake envenoming suggested a more severe degree of envenoming and likelihood of complications.
Publisher: Elsevier BV
Date: 04-2018
Publisher: Springer Science and Business Media LLC
Date: 03-2023
Publisher: Elsevier BV
Date: 03-2022
Publisher: Medknow
Date: 2023
Publisher: JCDR Research and Publications
Date: 2014
Publisher: Medknow
Date: 2022
DOI: 10.4103/IJPH.IJPH_1078_22
Abstract: This review was designed to assess the pooled prevalence of early childhood caries (ECC) in India. An electronic data search was done in PubMed/MEDLINE and Scopus databases in October 2020. Epidemiological surveys assessing the prevalence of ECC were included, and data on gender, geographic region, s ling strategy, feeding habits, and dmft values were extracted. The risk of bias was assessed, and a meta-analysis was performed for pooled prevalence and mean dmft values. The selection of articles, data extraction, and validity assessment were done independently by the two reviewers (ID and RV). A third reviewer (CJ) resolved any conflict between these two reviewers. A total of seventy-one studies were included for quantitative analysis. The pooled prevalence of ECC estimated from 71 studies with 69,330 participants is 46.9% (confidence interval [CI] 46.5-47.2). Males had a higher prevalence of ECC (47%, CI: 46.4-47.6,40 studies, 26,840 participants) than females (43.8%, CI: 43.2-44.2,40 studies, 24,389 participants). Region-wise analysis showed the highest number of studies (44) in southern India, with a s le size of 35,988 with a pooled prevalence of 44.6% (CI: 44-45.1). The pooled mean dmft (random effect) is 2.23 (1.97-2.48), with males having a higher proportion of 2.26 compared to 2.23 in females. The pooled prevalence of ECC was 46.9%, and the pooled mean was 2.23. The results from this study state that one in every two children in India is suffering from ECC, reflecting its public health relevance.
Publisher: JCDR Research and Publications
Date: 2018
Publisher: JCDR Research and Publications
Date: 2018
Publisher: Medicina Oral, S.L.
Date: 2020
DOI: 10.4317/JCED.55747
Publisher: EpiSmart Science Vector Ltd
Date: 10-2019
Publisher: JCDR Research and Publications
Date: 2016
Publisher: Elsevier BV
Date: 11-2022
Publisher: Informa UK Limited
Date: 09-10-2015
DOI: 10.1080/08989621.2015.1100540
Abstract: To study the proportion of articles reporting ethical review board (ERB) approval and informed consent process (ICP) in articles published in dental journals in India. A descriptive study was designed, and ten Indian dental journals published by different dental specialty professional associations were selected. Among 702 retrieved articles, from 40 issues of the 10 selected journals published in 2008 and 2011, 428 meet the inclusion criteria, and they were analyzed. The entire text of the articles was manually searched for statements for ICP and ERB approval. The data was retrieved independently by two observers using an ad hoc developed template. 10.3% (44) of authors stated ICP, while 9.8 % (42) reported ERB approval in their articles 6.1% (26) articles reported both the ICP and ERB. There are 21 times more chances that authors who report the ERB will also report ICP in their articles when compared to authors who report either ICP or ERB only (OR 21.3, 95% CI 8.5-52.8). Seven journals stated the ethical process reporting in the instructions for authors. Overall, 15.7% articles declared the conflicts of interests. The low compliance of reporting ethical protection measures in dental research among Indian dental journals is of high concern.
Publisher: Springer Science and Business Media LLC
Date: 11-02-2020
DOI: 10.1186/S12906-020-2812-1
Abstract: Despite the large number of trials conducted using herbal oral care products for the reduction of dental plaque or gingivitis, results are conflicting and inconclusive. To assess the effectiveness of herbal oral care products compared to conventional products in reducing dental plaque and gingivitis adults. We searched the following databases for Randomised controlled trials (RCTs): MEDLINE Ovid, EMBASE Ovid etc. which yielded 493 trails. Of which 24 RCTs comparing herbal toothpaste or mouth rinse with over the counter toothpaste or mouth rinse in adults aged 18 to 65 years were included. Two authors extracted information and assessed the methodological quality of the included studies using Risk of Bias. Meta-analyses using the random-effects model were conducted for four outcomes for tooth paste and mouth rinse respectively. Mean difference (MD) or standardized mean difference (SMD) were used to estimate the effect, with 95% confidence intervals. A total of 1597 adults participated in 24 RCT studies. These were classified as herbal toothpaste (HTP) (15 trials, 899 participants) and herbal mouth rinse (HMR) (9 trials, 698 participants) compared with non-herbal toothpaste (NHTP) or non-herbal mouth rinse (NHMR). We found that HTP was superior over NHTP (SMD 1.95, 95% CI (0.97–2.93)) in plaque reduction. The long-term use of NHMR was superior in reduction of dental plaque over HMR (SMD -2.61, 95% (CI 4.42–0.80)). From subgroup analysis it showed that HTP was not superior over fluoride toothpaste (SMD 0.99, 95% CI (0.14–2.13)) in reducing dental plaque. However, HTP was favoured over non-fluoride toothpaste (SMD 4.64, 95% CI (2.23–7.05)). For short-term reduction in dental plaque, current evidence suggests that HTP is as effective as compared to NHTP however, evidence is from low quality studies.
Publisher: Forum for Medical Ethics Society
Date: 21-04-2021
Publisher: EManuscript Technologies
Date: 2018
Publisher: Research Square Platform LLC
Date: 05-04-2023
DOI: 10.21203/RS.3.RS-2775084/V2
Abstract: Objective: The goal of this scoping review is to identify tobacco control interventions and to cover all aspects of tobacco control strategies in the Indian context. Introduction: Tobacco use and its dependence are now treated as global epidemics and are a significant public health problem in India. Tobacco control is a top priority, both in terms of public health and poverty alleviation. Despite tobacco control policies, various tobacco products are still used in India. Previous studies lacked data on aspects of bidi smoking and smokeless tobacco (SLT) use that are more relevant in the Indian context. Inclusion criteria: This review will consider all peer-reviewed articles and grey literature published in English language across all age groups, any form of tobacco use, and intervention related tobacco control focused on India. Methods : The JBI methodology for scoping reviews will be used for this scoping review. Cochrane Central (Wiley), MEDLINE (PubMed), SCOPUS (Elsevier), Embase (Elsevier), Web of Science (Clarivate), PyscINFO (EBSCO), Ovid (MEDLINE) and Web of Science (Clarivate), will be systematically searched, and a search strategy from PubMed (MEDLINE) is presented in Appendix I. The titles and abstracts of peer-reviewed and grey literature will be screened by two independent reviewers. After the final selection, the full-text screening will also be done by the reviewers. A data extraction sheet will be created using the standardised data extraction tools in JBI SUMARI and presented in Appendix II. Findings will be provided as a narrative summary with supporting tables and diagrams, on tobacco control interventions in India.
Publisher: Elsevier BV
Date: 2022
Publisher: Medknow
Date: 2022
Publisher: E.U. European Publishing
Date: 26-04-2023
Location: United States of America
No related grants have been discovered for Chandrashekar Janakiram.