EDUCATION AND TRAINING IN SPECIAL CARE DENTISTRY- A REVIEW

Everyone has an equal right to good health and wellbeing, including persons with disabilities. In almost any community it is possible to see a few individuals suffering from handicaps of varying nature. These individuals with special health care needs are at increased risk for oral diseases. There are numerous challenges in providing oral health services for people with special needs which go beyond the normal considerations of other population. One of the reasons cited by practitioners for not treating special needs patients is that they have not had adequate training. The requirement for Special Care Dentistry in the undergraduate curriculum is limited in many countries. This has resulted in a dental professional that, on the whole, feels poorly prepared to provide dental care services for people with disability. Recognition of SCD as a specialty by the profession and other dental associations and organizations is the need of the hour. This review tries to narrate the situation of special care dentistry training in various parts of the world

EFFECTIVENESS OF HEALTH EDUCATION IN TERMS OF KNOWLEDGE ACQUISITION ON FIRST-AID MEASURES AMONG SCHOOL STUDENTS OF A RURAL AREA OF WEST BENGAL

Background: Imparting school children with appropriate knowledge on the prevention, control, and management of common illnesses and injuries will play a long way in reducing the morbidity and mortality of the population of all ages and sex. Hence, any above related training is unquestionably a sound and logical investment which is the most important objective of this study. Method: About 105 students of a rural school of West Bengal were administered with a self-administered questionnaire for assessing their baseline knowledge about selected first-aid skills, followed by an on-the-spot demonstration of the skills with the help of a systematically devised teaching module on the same day. Post-intervention evaluation of their knowledge acquisition was done after 2 weeks with the same questionnaire. A scoring system was devised to quantify the knowledge of students on first aid. Results: The baseline knowledge of the study subjects were found to be inadequate, correct responses being provided by less than 50% of the subjects for most of the questions. The lowest percentage of correct responses was obtained regarding the management of choking (8.6%). Paired–t-Test was done to evaluate the effectiveness of the health education, as well as Mc Nemar’s chi-square test, was done individually for each of the questions to determine the significant improvement in post-training knowledge score. The latter was found to be significantly better than the pre-education score. Conclusion: Knowledge of school students regarding the management of common illnesses and injuries should be incorporated as a part of the school curriculum

A SAFETY AND EFFICACY OF COMBINATION THERAPY OF DEFERASIROX AND DEFEROXAMINE VERSUS DEFERASIROX FOR TREATMENT OF TRANSFUSIONAL IRON OVERLOAD IN SICKLE CELL ANEMIA IN AL-NAJAF AND BABYLON PROVINCE IN IRAQ

oai:oai.medrech.com:article/1Background:- In Sickle cell anemia, transfusions improve blood flow by reducing the proportion of red cells capable of forming sickle hemoglobin polymer. This limits hemolysis and endothelial damage and repeated blood transfusion leading to iron overload or transfusion hemosiderosis, the only way to prevent this are by long-term chelation therapy. Objectives: - The aim of this study is to assess the efficacy and safety of combination therapy in a group of patients with sickle cell anemia. Patients and method:- The prospective study was done on sixty-five patients with the sickle cell anemia, conducted to Al-Najaf and Babylon thalassemia centers, classify into two groups, those on combined therapy of Deferoxamine-Deferasirox treatment as the second group, while on Deferasirox alone as the first group and its aim to assess the safety of the combined treatment. Results: - Both regimens proved to have less adverse effects on hepatic or renal function and pellet count. The degree of reduction of serum ferritin is significantly higher with combined Deferoxamine-Deferasirox therapy. Conclusion: - combined chelating agents have a significant effect on serum ferritin, with an acceptable level of safety

ASSESSMENT OF LEFT VENTRICULAR SYSTOLIC/DIASTOLIC FUNCTION BY ECHOCARDIOGRAPHY IN SEROPOSITIVE HIV OTHERWISE ASYMPTOMATIC PATIENTS

Acquired immunodeficiency syndrome is a serious problem worldwide. Recent advances in the knowledge about human immunodeficiency virus (HIV) replication and the treatment of HIV infection has improved survival in HIV patients. Because of the longer survival in HIV patients, the more manifestations of late-stage HIV infection will be seen, including HIV-related cardiac diseases. This may take the form of either a dilated cardiomyopathy or isolated left or right ventricular dysfunction, is associated with a poor prognosis, and results in symptomatic heart failure in up to 5% of HIV patients. The precise cause of HIV-associated cardiomyopathy remains unclear but is undoubtedly complex, and most probably multifactorial. We Performed Case-Control study in 70 Seropositive asymptomatic HIV patients in SN Medical College and found LV dysfunction (diastolic and systolic dysfunction) in comparison to age and sex-matched control group. Our study aims to find the cases of undiagnosed cardiac dysfunction in asymptomatic seropositive HIV cases in the early course of illness that are not on ART at yet so that they could be further monitored for cardiac dysfunction. We found a significant difference in LVEF in cases as compared to controls