Annals of Geriatric Education and Medical Sciences

33-37

Authors: Anand Ambali.

The end of life concept need to be thought by the family members on the day the family member is diagnosed with dementia. The progress of dementia is unpredictable, hence one need not wait for the dementia to progress and wait until last stage sets in. The concept of end of life care that it should begin during terminal stage will not hold true in person with dementia as it is true in people living with cancer. The care givers being Nurses should insist the person with dementia to share their wishes and any specific needs to be met. The end of life care begins from the day of diagnosis of dementia and continues even after death of person, involving care givers. This article discuss on the issues related to person with dementia and the care giver who happen to be a Nurse. This relation need to be coordinated, emphasized, the issues need to be addressed and provide comfort to both.

41-44

Authors: Sukhpal Kaur, Riponjot Singh, Vikas Garg, Maninderdeep Kaur.

Functional appliances are passive appliances, which make use of the natural forces generated by the orofacial & masticatory muscles and the forces of occlusion to bring about changes in dento alveolar & craniofacial structures. These appliances alter neuromuscular environment of orofacial region to improve occlusal development and craniofacial skeletal growth. In this article we will discuss effects of two functional appliances that are activator and bionator.

50-53

Authors: Anuj Varma, Anil Wanjari, Arjun Deshmukh, Sourya Acharya

Aim: Assessment of left ventricular diastolic function by transmitral doppler and Left atrial volume estimation. Materials and Method: This perspective cross sectional study was conducted at AVBRH, JNMC, Sawangi, Wardha, which is an 850 Bedded hospital with facilities for tertiary care. The study was carried out in 200 patients (100 cases and 100 controls) Study Group comprised of patients with risk factors like diabetes mellitus, hypertension and ischemic heart disease. Control group were devoid of any risk factors. Results: In our study we found that mean e/a ratio in the study group was 0.93 ± 0.13 while that in the control group is 1.14 ± 0.11. The difference was statistically significant. (p = 0.0001), Mean e wave deceleration time (DT) in the study group was 150.26 ± 13.88 while that in the control group is 138.71± 13.79 and the difference between these two groups was statistically significant. (p = 0.000), and Mean isovolumetric relaxation time (IVRT) in the study group was 95.44 ± 9.74 while that in the control group is 86.50 ± 8.90 and the difference between these two groups was statistically significant. ( p = 0.000), Mean left atrial (LA) volume in the study group was 29.38 ± 2.34 while that in the control group was 26.01 ± 1.41 and the difference between these two groups was statistically significant. Conclusion: The study of transmitral Doppler and 2 D echo variables revealed that, e/a ratio, e wave DT, IVRT, LA volume demonstrated significant change towards abnormal in subjects with presence of risk factors i.e. HT, DM, IHD either single or multiple. As regards the two modalities (Transmitral doppler and 2 D Echo) it was observed that both are equally effective in detecting LV diastolic function abnormalities.

56-57

Authors: Anand Dutta, Nirbhaibie Singh, Sahil Mashal, Devika, Gaurav Sharma, Parneet.

Brooke-Spiegler syndrome (BSS) was reported for the first time in 1842 by Ancell.(1) It is an autosomal dominantly inherited syndrome, characterised by multiple skin appendageal tumors especially trichoepitheliomas and cylindromas and occasionally spiradenomas which usually appears in the second or third decade of life.(2) With just 60 cases of Brooke-Spiegler syndrome reported in the literature so far across the globe, the entity is considered very rare. Herein, we are reporting a case of Brooke-Spiegler Syndrome in 35 years old female.

61-62

Authors: NS Neki, Jaswinder Singh, Parminder Singh, Riponjot Singh.

Scrofuloderma is a common form of cutaneous tuberculosis, which commonly involves parotid, submandibular, subclavicular regions and the lateral neck. They are often misdiagnosed as cold abscess. Diagnosis is made by clinical examination, mantoux test, acid fast bascilli (AFB) culture, fine needle aspiration cytology (FNAC) or biopsy or polymerase chain reaction (PCR). We report a case of 19 year old male presenting with painful swelling on neck. He was successfully managed with antitubercular (ATT) therapy for 6 months.

1-4

Authors: Anand P. Ambali, Sadashiv Choudari.

The elderly (>60 years) now constitute 9% of total population in India as per 2011 census. According to World Health Organisation (2015), 47.5 million people have dementia and there are 7.7 million new cases every year worldwide. It estimates that elderly who lives with dementia spend 11.2% of years living with disability that is significantly more than stroke, cardiovascular disease, and cancer. The prevalence of dementia in urban India as a whole is 1.83%, while in urban south India it is 3.6%. The family members in rural areas opt to take care of the person with dementia voluntarily by sacrificing their job. In urban area, families who can afford for a care giver are looking for a care provider. The first preference of care giver will be a nurse. The number of people with dementia requiring acute care and hospitalisation is on rise as they live for long years with co morbidities. So the requirement of a trained nurse in dementia care is not only required in a hospital but also to meet social demands. The nurse when trained in dementia care will be in high demand and they too feel different from others, which gives them professional satisfaction.

9-11

Authors: Riponjot Singh, Jaswinder Singh, Sargun Singh Walia.

Cysticercosis is caused by the tapeworm, Taenia solium. It is a common disease of developing world. Larvae of this parasite can be found in the muscles of pig, which is the intermediate host of this disease. Humans are generally the definitive host and infection occurs with ingestion of undercooked pork containing cysticerci, but they can also serve as the intermediate host if eggs of T. solium are ingested accidently by them. Larvae can lodge in any part of the body including subcutaneous tissue, brain, muscle, liver, lungs, heart or eye. They are generally asymptomatic, except when ocular region or brain is involved. Oral cysticercosis is a rare occurrence, which presents as a firm nodule clinically. Radiological tests and immunological investigations can help in making diagnosis of this disease, but for definitive diagnosis histopathological examination is required. Surgical excision of the lesion is generally done for treatment and prognosis is good for these cases. Improvement of sanitary conditions is very important for stopping propagation of this disease.

18-21

Authors: Sukhpal Kaur, Sanjeev Soni, Riponjot Singh.

Candida albicans is ubiquitous, dimorphic yeast which resides in oral cavity as commensal. But it also acts as pathogen under certain specific circumstances and causing most common infection of oral cavity called oral thrush. An extensive review is made to discuss various forms of candida infection, predisposing factors and management of candidal infection.

29-30

Authors: Sukhpal Kaur, Riponjot Singh, Sanjeev Soni, Anil Prashar.

When the incisors do not erupt at normal time, it becomes mandatory to find the cause behind their eruption failure and formulate an appropriate treatment plan. Impaction of maxillary permanent incisors is uncommon, but its treatment is challenging because these teeth play an important role in smile and facial esthetics of an individual. In this article we are presenting a case with impacted permanent maxillary central incisor.