Compliance, Oral hygiene, Randomized clinical trial, Text message
DOI: 10.5005/jp-journals-10082-03125 |
Open Access |
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How to cite this article:
Ismail N, Jayavarma A, Yashwant A. Influence of Reminders on Oral Hygiene Status in Patients Undergoing Fixed Orthodontic Treatment: A Double-blinded, Clinical Randomized Controlled Trial. 2021; 4 (3):59-62.
Aim: To investigate whether weekly text message reminders have an effect on improvement in oral hygiene status of the orthodontic patients undergoing fixed appliance.
Materials and methods: In this randomized controlled clinical trial, 30 orthodontic patients were randomly allocated to either text message group or control group. Patients in the text message group received text messages once weekly for 3 months. Plaque index (PI) and gingival index (GI) were measured on Ramfjord index teeth at baseline (T0), 1 month (T1), 2 months (T2), and 3 months after baseline (T3).
Results: PI and GI scores were significantly lower in the text message group as compared with the control group (p <0.05).
Conclusion: This study demonstrates that text message reminders were effective in improving oral hygiene compliance in orthodontic patients.
Clinical significance: Text messages can be sent to the orthodontic patients as a reminder therapy, which will improve the oral hygiene status of the patients.
Adolescence is a period of physiological, psychological, and social transition between childhood and adulthood. On average, women spend 3000 days of their life menstruating.5 Most adolescent girls in India have little knowledge on menstruation, reproduction, and sexuality.15 As menstruation remains a taboo, several misconceptions and restrictions are followed in the community. During menstruation, poor personal hygiene and unsafe sanitary conditions increase susceptibility to reproductive tract infections and gynecological problems. A multilevel approach at the national, state, community, school, and family level including men and boys is warranted for effective menstrual hygiene management.
Accurate estimation of fetal gestational age is important for the appropriate management of pregnancy. Gestational age is usually calculated from the last menstrual period or fetal biometrics like crown-rump length and femur length. Both these methods are relatively inaccurate. Placental thickness has long been looked at as a maternofetal parameter for estimating gestational age primarily because it does not rely on either menstrual history or fetal measurements affected by anomalies or inconsistent measurements as the gestational advances. The purpose of this study was to review the role of placental thickness in estimating fetal gestational age. It was found that placental thickness increased linearly with the increase in gestational age and thus is a function of gestational age. Most of the studies agreed that this relationship can be exploited to predict gestational age when it is unknown. Along with other already established parameters, the placental thickness may help to give a more accurate estimate of gestational age and consequently help to identify premature babies that require specialized care. This would go a long way in reducing perinatal mortality rates due to prematurity and better fetal outcomes.
Key Message: Placental thickness correlates well with fetal gestational age and can be used as a potential new parameter for estimating fetal gestational age to guide appropriate pregnancy management. This will result in better fetal outcomes with decreased mortality statistics.
Due to the global pandemic, this face-to-face physical engagement is not possible; therefore, we are able to recreate a similar environment with the advent of online teaching methods and the use of social media for the same. Distant education can ensure real-time face-to-face online studies with the aid of chat rooms while keeping at bay the real-time interaction. Teaching and assessment in classrooms have now been completely replaced by virtual classrooms.
Mohan R Kumar,
Machireddy R Sekharreddy,
“Eight-and-a-half syndrome” is a rare entity comprising conjugate horizontal gaze palsy, ipsilateral internuclear ophthalmoplegia (INO), and ipsilateral lower motor neuron type of facial palsy, arising due to a lesion affecting the paramedian pontine reticular formation (PPRF), medial longitudinal fasciculus (MLF), and the ipsilateral facial nerve. Dr. Fischer first described the “one and a half syndrome,” which is much more common in occurrence. It is due to a lesion involving the same side of PPRF, abducent nerve nucleus, and the MLF. Since the motor division of the seventh nerve nucleus winds around the motor nucleus of the sixth nerve at the level of the pons, slightly more extensive lesions in the form of infarct and hemorrhage may involve the seventh nerve also leading to this rare entity called the “eight-and-a-half syndrome.”
BEST practices constitute a key indicator prescribed by the National Assessment and Accreditation Council (NAAC) for accreditation of Higher Education Institutes (HEIs) in India. NAAC has prescribed six metrics for assessing and rating BEST practices across the board. These templates are essential, but not adequate for telling the complete story about the success or the lessons learned. In response to this, the author has proposed a simpler and user-friendly template called “BEST template” to represent the four developmental stages of any innovation or BEST practice: Beginning, expansion, success, and take home. A narrative based on these four components can be effectively used by the HEIs for self-evaluation as well as for motivating others to initiate similar efforts. A suggestive checklist has been provided to objectivize the process of narration. Guidelines have been given for the effective implementation of the template.