MYOCARDIAL PERFORMANCE INDEX IN PATIENTS OF SICKLE CELL DISORDER
DOI:
https://doi.org/10.61841/7chrzg41Keywords:
Left Ventricular Dysfunction,, Myocardial performance index, , Sickle cell disorderAbstract
Sickle cell disorder is a group of diseases where shape of erythrocytes changes to sickle shape and the fragility of cell membrane increases due to deoxygenation. It is caused by a point mutation at sixth position in beta globin chain, where valine is replaced by glutamic acid. Sickle cell cardiomyopathy includes 4-chamber dilation and in some patient’s myocardial fibrosis, diastolic dysfunction, abnormal perfusion reserve and very rarely myocardial iron overload maybe present. Myocardial performance index (MPI) is a numeric value which is obtained by measuring cardiac time interval, obtained by a Doppler echocardiogram that expresses systolic and diastolic function both, and is used to investigate right and left ventricular function. Due to the geometric shape of right ventricle, its function is crucial to analyse using non-invasive methods, so it may be a specifically useful index. On extensive search, no such study has been done in India till now, that’s why we have decided to undertake this study as MPI may be a useful non-invasive and sensitive tool for assessing the subclinical cardiac LV and RV dysfunction in patients with sickle cell disorder. - To compare the myocardial performance index in sickle cell patients and age and sex matched healthy controls. To compare the myocardial performance index in sickle cell crisis v/s stable sickle cell disease patients. Prospective cross sectional study with control group was carried out at AVBRH , a tertiary care teaching hospital situated in the rural area of Wardha District. Patients ≥ 18 years of age with diagnosed/newly detected cases of sickle cell anaemia admitted in Medicine Department and those attending medicine OPD both males and females were included. Normal healthy males and females with age and sex match were taken as controls. Out of 61 cases 22.95% of patients had MPI ≤0.40 and 77.5% had MPI >0.40 whereas in control group 93.85% had MPI ≤0.40 and 6.15% had MPI >0.40. Out of 10 patients with sickle cell crisis 30% had MPI ≤0.40 and 70% had MPI >0.40 and amongst stable sickle cell disease patients 13.73% had MPI ≤0.40 and 86.27% had MPI >0.40. This Doppler echocardiographic study will be helpful to identify early abnormalities in systolic and diastolic function in Sickle cell disorder more commonly in sickle cell crisis patients.
Downloads
References
1. Ingram VM. A specific chemical difference between the globins of normal human and sickle cell anaemia haemoglobin. Nature 1956; 178:792.
2. Agarwal MB, Mehta BC. Sickle syndrome - A study of 44 cases from Bombay. Indian Paediatrics. 1980;17:793.
3. Lehman H, Catbush M. Sickle cell trait in Southern India. BMJ1952; 404.
4. Leikin SL, Gallagher D, Kinney TR, Klug P, Rida W. Mortality in children and adolescents with sickle cell disease. Paediatrics. 1989;84:500-8.
5. Bankar MP. Kate SL, Mokashi GD, Phadke MA. Distribution of sickje cell haemoglobin amongst different tribal groups in Maharashtra. Ind J Haematol. 1984; 2(4):224.
6. Shukla RM, Solanki BR. Sickle Cell Trait in India. Lancet 1985; 1: 297-298.
7. Caldas, Monica C. et al. Evaluation of 107 Patients With Sickle Cell Anemia Through Tissue Doppler and Myocardial Performance Index. Journal of the American Society of Echocardiography 2008; 21 (10
), 1163 - 1167
8. Ejim E, Oguanobi N. Left ventricular systolic function in sickle cell anaemia: an echocardiographic evaluation in adult Nigerian patients. African Health Sciences. 2016;16(3):755-765.
9. Desai AA, Patel AR, Ahmad H, et al. Mechanistic Insights and Characterization of Sickle Cell Disease Associated Cardiomyopathy. Circulation Cardiovascular imaging. 2014;7(3):430-437.
10. Sachdev V, Machado RF, Shizukuda Y, et al. Diastolic Dysfunction Is an Independent Risk Factor for Death in Patients With Sickle Cell Disease. Journal of the American College of Cardiology. 2007;49(4):472-479.
11. 11. Tei C, Ling LH, Hodge DO, et al. New index of combined systolic and diastolic myocardial performance: a simple and reproducible measure of cardiac function—a study in normals and dilated cardiomyopathy. J Cardiol. 1995;357–366.
12. 12.Wasnik, Rina Raibhan, and Nilkanth Ramji Akarte. “Evaluation of Serum Zinc and Antioxidant Vitamins in Adolescent Homozygous Sickle Cell Patients in Wardha, District of Central India.” JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH 11, no. 8 (August 2017): BC1–3.
https://doi.org/10.7860/JCDR/2017/30855.10320
13. 13. Chhabra, K.G., A. Sharma, C. Chhabra, J.J. Reddy, S.G. Deolia, and Y. Mittal. “Knowledge, Attitude, and Practices Regarding Pharmacovigilance and Adverse Drug Reaction Reporting among Dental Students in a Teaching Hospital, Jodhpur, India: A Cross-Sectional Study.” Journal of Contemporary Dental Practice 18, no. 10 (2017): 964–69. https://doi.org/10.5005/jp-journals-10024-2157.
14. Choudhari, M.S., N. Charan, M.I. Sonkusale, and R.A. Deshpande. “Inadvertent Diversion of Inferior Vena Cava to Left Atrium after Repair of Atrial Septal Defect - Early Diagnosis and Correction of Error: Role of Intraoperative Transesophageal Echocardiography.” Annals of Cardiac Anaesthesia 20, no. 4 (2017): 481–82. https://doi.org/10.4103/aca.ACA_83_17.
15. Cladius, S., U. Jadhav, B. Ghewade, S. Ali, and T. Dhamgaye. “Study of Diabetes Mellitus in Association with Tuberculosis.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 2 (2017): 143–47. https://doi.org/10.4103/jdmimsu.jdmimsu_62_17.
16. Dangore-Khasbage, S. “Clinical Aspects of Oral Cancer: A Case Report Series.” Dental and Medical Problems 54, no. 1 (2017): 85–89. https://doi.org/10.17219/dmp/67499.
17. Dhamgaye, T.M., and D.S. Bhaskaran. “An Unusual Pulmonary Metastatic Manifestation of Gestational Choriocarcinoma: A Diagnostic Dilemma.” Lung India 34, no. 5 (2017): 490–91. https://doi.org/10.4103/lungindia.lungindia_77_14.
18. Dhote, V.S., N.R. Thosar, S.M. Baliga, P. Dharnadhikari, P. Bhatiya, and P. Fulzele. “Surgical Management of Large Radicular Cyst Associated with Mandibular Deciduous Molar Using Platelet-Rich Fibrin Augmentation: A Rare Case Report.” Contemporary Clinical Dentistry 8, no. 4 (2017): 647–49. https://doi.org/10.4103/ccd.ccd_370_17.
19. Fande, P.Z., S.K. Patil, A.R. Gadbail, D.D. Ghatage, A.H. Hande, M.N. Gawande, and M.S. Chaudhary. “Neurovascular Hamartoma of Face: An Unusual Clinical Presentation.” World Journal of Dentistry 8, no. 2 (2017): 151–54. https://doi.org/10.5005/jp-journals-10015-1429.
20. Gadbail, A.R., M. Chaudhary, M. Gawande, A. Hande, S. Sarode, S.A. Tekade, S. Korde, et al. “Oral Squamous Cell Carcinoma in the Background of Oral Submucous Fibrosis Is a Distinct Clinicopathological Entity with Better Prognosis.” Journal of Oral Pathology and Medicine 46, no. 6 (2017): 448–53. https://doi.org/10.1111/jop.12553.
21. Gadbail, A.R., M.S. Chaudhary, S.C. Sarode, M. Gawande, S. Korde, S.A. Tekade, S. Gondivkar, A. Hande, and R. Maladhari. “Ki67, CD105, and α-SMA Expressions Better Relate the Binary Oral Epithelial Dysplasia Grading System of World Health Organization.” Journal of Oral Pathology and Medicine 46, no. 10 (2017): 921–27. https://doi.org/10.1111/jop.12612.
22. Gade, S.A., S.N. Chari, and A. Chalak. “Use of Mini-CEX as a Teaching Learning Method in Physiology for Undergraduate Medical Students.” National Journal of Physiology, Pharmacy and Pharmacology 7, no. 5 (2017): 482–85. https://doi.org/10.5455/njppp.2017.7.1029720122016.
23. Gaikwad, K.B., N.G. Joshi, and S.P. Selkar. “Study of Nitrosative Stress in ‘Pregnancy Induced Hypertension.’” Journal of Clinical and Diagnostic Research 11, no. 3 (2017): BC06–8. https://doi.org/10.7860/JCDR/2017/23960.9396.
24. Gaikwad, R., R. Bhowate, P. Bajad, A.R. Gadbail, S. Gondivkar, S.C. Sarode, G.S. Sarode, and S. Patil. “Potential Predictor of Tobacco Cessation among Factory Workers: A Baseline Data of Worksite Tobacco Cessation Programs in the Central Part of India.” Journal of Contemporary Dental Practice 18, no. 11 (2017): 1071–77. https://doi.org/10.5005/jp-journals-10024-2178.
25. Garg, S., A. Chakravarti, R. Singh, N.R.R. Masthi, R.C. Goyal, G.R. Jammy, E. Ganguly, et al. “Dengue Serotype-Specific Seroprevalence among 5- to 10-Year-Old Children in India: A Community-Based Cross-Sectional Study.” International Journal of Infectious Diseases 54 (2017): 25–30. https://doi.org/10.1016/j.ijid.2016.10.030.
26. Ghangurde, A.A., K.K. Ganji, M.L. Bhongade, and B. Sehdev. “Role of Chemically Modified Tetracyclines in the Management of Periodontal Diseases: A Review.” Drug Research 67, no. 5 (2017): 258–65. https://doi.org/10.1055/s-0043-100633.
27. Gupta, K., C. Mahakalkar, M. Kaple, S. Deshpande, P. Ladhha, and N. Jain. “A Comparative Study of Cilostazol and Pentoxifylline in Intermittent Claudication in Peripheral Arterial Disease.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 1 (2017): 11–16. https://doi.org/10.4103/jdmimsu.jdmimsu_13_17.
28. Gupta, M., S. Samal, D. Shrivastava, N. Bagde, N. Mishra, and S. Gupta. “The Study of Ovulatory Pattern Following Use of Clomiphene Citrate and Anastrozole in Infertile Women with Ovulatory Dysfunction: A Comparative Study.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 1 (2017): 17–20. https://doi.org/10.4103/jdmimsu.jdmimsu_14_17.
29. Gupta, R., S. Das, K. Gujar, K. Mishra, N. Gaur, and A. Majid. “Clinical Practice Guidelines for Sleep Disorders.” Indian Journal of Psychiatry 59, no. 5 (2017): S116–38. https://doi.org/10.4103/0019- 5545.196978.
30. Gupta, V., and A. Bhake. “Clinical and Cytological Features in Diagnosis of Peripheral Tubercular Lymphadenitis – A Hospital-Based Study from Central India.” Indian Journal of Tuberculosis 64, no. 4 (2017): 309–13. https://doi.org/10.1016/j.ijtb.2016.11.032.
31. “Diagnosis of Clinically Suspected and Unsuspected Tubercular Lymphadenopathy by Cytology, Culture, and Smear Microscopy.” Indian Journal of Tuberculosis 64, no. 4 (2017): 314–17. https://doi.org/10.1016/j.ijtb.2016.11.014.
32. “Molecular Diagnosis of Tubercular Lymphadenopathy from Fine-Needle Aspirates in Pediatric Patients.” Acta Cytologica 61, no. 3 (2017): 173–78. https://doi.org/10.1159/000475832.
33. Hande, A., V. Lohe, M. Chaudhary, M. Gawande, S. Patil, and P. Zade. “Impact of Virtual Microscopy with Conventional Microscopy on Student Learning in Dental Histology.” Dental Research Journal 14, no. 2 (2017): 111–16. https://doi.org/10.4103/1735-3327.205788.
34. Jadhav, V.D., B.K. Motwani, J. Shinde, and P. Adhapure. “Comparative Evaluation of Conventional and Accelerated Castings on Marginal Fit and Surface Roughness.” Contemporary Clinical Dentistry 8, no. 3 (2017): 405–10. https://doi.org/10.4103/ccd.ccd_51_17.
35. Jagzape, A., T. Jagzape, and V. Deshpande. “Simple Visual Reaction Time in Sickle Cell Disease Patients of Pediatric Age Group.” National Journal of Physiology, Pharmacy and Pharmacology 7, no. 12 (2017): 1368–70. https://doi.org/10.5455/njppp.2017.7.0832731082017.
36. Jagzape, A., T. Jagzape, and S. Pathak. “Medical Education Terminologies: Do These Really Percolate to the Level of Medical Students? A Survey.” Journal of Clinical and Diagnostic Research 11, no. 9 (2017): JC01–5. https://doi.org/10.7860/JCDR/2017/26582.10631.
37. Jagzape, A.T., T. Jagzape, and A. Rawekar. “Patient-Based Integrated Teaching Program with the Inclusion of Psychomotor and Affective Domains.” National Journal of Physiology, Pharmacy and Pharmacology 7, no. 8 (2017): 788–92. https://doi.org/10.5455/njppp.2017.7.0306802042017.
38. Jain, S., and S.K. Sharma. “Challenges & Options in Dengue Prevention & Control: A Perspective from the 2015 Outbreak.” Indian Journal of Medical Research 145, no. June (2017): 718–21. https://doi.org/10.4103/ijmr.IJMR_1325_16.
39. Jaipuriya, P., M.Y. Pate, S. Iratwar, C.C. Mahakalkar, and A. Chandankhede. “Clinical Study, Evaluation, and Management of Cases of Intracranial Tumors Admitted at Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe).” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 1 (2017): 26–
31. https://doi.org/10.4103/jdmimsu.jdmimsu_17_17.
40. Jaiswal, P.G., S.S. Puri, and M.L. Bhongade. “Evaluation of Effectiveness of Subepithelial Connective Tissue Graft in Combination with Coronally Positioned Flap in the Treatment of Isolated Gingival Recession in Esthetic Areas by Using Surgical Microscope.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 1 (2017): 79–84. https://doi.org/10.4103/jdmimsu.jdmimsu_27_17.
41. Jham, R., S. Shukla, S. Acharya, S. Dhote, A. Tamhane, and A. Bhake. “Correlation of the Proliferative Markers (AgNOR and Ki-67) with the Histological Grading of the Glial Tumors.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 3 (2017): 211–17. https://doi.org/10.4103/jdmimsu.jdmimsu_10_17.
42. Jyoti, J., V. Nitin, B. Shashank, and D. Pradeep. “Gamma Glutamyl Transferase Levels in Patients with Acute Coronary Syndrome: A Cross-Sectional Study.” Journal of Cardiovascular Disease Research 8, no. 4 (2017): 121–25. https://doi.org/10.5530/jcdr.2017.4.28.
43. Kadashetti, V., K. Shivakumar, M. Chaudhary, S. Patil, M. Gawande, and A. Hande. “Influence of Risk Factors on Patients Suffering from Potentially Malignant Disorders and Oral Cancer: A Case-Control Study.” Journal of Oral and Maxillofacial Pathology 21, no. 3 (2017): 455–56. https://doi.org/10.4103/jomfp.JOMFP_236_14.
44. Kalucha, S., K.K. Mishra, and S.R. Gedam. “Noncompliance in Psychosis.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 1 (2017): 61–65. https://doi.org/10.4103/jdmimsu.jdmimsu_28_17.
45. Kapse, S., S. Surana, and A.K. Shastri. “Transpalatal Wiring for the Management of Sagittal Fracture of the Maxilla/Palate.” International Journal of Oral and Maxillofacial Surgery 46, no. 8 (2017): 1059–60. https://doi.org/10.1016/j.ijom.2017.02.1271.
46. Karia, H., S. Shrivastav, and A.K. Karia. “Three-Dimensional Evaluation of the Airway Spaces in Patients with and without Cleft Lip and Palate: A Digital Volume Tomographic Study.” American Journal of Orthodontics and Dentofacial Orthopedics 152, no. 3 (2017): 371–81. https://doi.org/10.1016/j.ajodo.2016.12.026.
47. Kashikar, S.V. “Congenital Unilateral Infiltrating Facial Lipomatosis.” West Indian Medical Journal 66, no. 1 (2017): 189–90. https://doi.org/10.7727/wimj.2014.250.
48. Khan, K.I., P.D. Jalgaonkar, and S. Agrawal. “A Case of Phenytoin Induced Multiple Toxicities.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 2 (2017): 157–58. https://doi.org/10.4103/jdmimsu.jdmimsu_50_17.
49. Khatib, M.N., R. Kirubakaran, S. Gaidhane, A.H. Shankar, and Z. Quazi Syed. “Yoga for Improving Functional Capacity, Quality of Life and Cardiovascular Outcomes in People with Heart Failure.” Cochrane Database of Systematic Reviews 2017, no. 7 (2017). https://doi.org/10.1002/14651858.CD012015.pub2.
50. Singhania, S., A. Singhania, S. Khan, V. Kumar, and P. Singhania. “Prenatal Diagnosis of Cross-Fused Renal Ectopia: Still a Dilemma.” Donald School Journal of Ultrasound in Obstetrics and Gynecology 11, no. 3 (2017): 225–26. https://doi.org/10.5005/jp-journals-10009_1526.
51. Sune, R.V., A.D. Indurkar, R.R. Bhowate, S.S. Degwekar, and V.K. Lohe. “An Evaluation of Field Cancerization in Patients with Oral Cancer by ‘Mirror Image’ Biopsy.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 2 (2017): 148–53. https://doi.org/10.4103/jdmimsu.jdmimsu_63_17.
52. Suryavanshi, P.P., P.V. Dhadse, and M.L. Bhongade. “Comparative Evaluation of Effectiveness of Surgical Blade, Electrosurgery, Free Gingival Graft, and Diode Laser for the Management of Gingival Hyperpigmentation.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 2 (2017): 133–37. https://doi.org/10.4103/jdmimsu.jdmimsu_60_17.
53. Swarnkar, M., and A. Agrawal. “Kimura’s Disease: A Case Report and Review of Literature.” Journal of Krishna Institute of Medical Sciences University 6, no. 3 (2017): 118–20.
54. Swarnkar, M., and S.C. Jain. “Heterotopic Subserosal Pancreatic Tissue in Jejunum-an Incidental Rare Finding.” Journal of Krishna Institute of Medical Sciences University 6, no. 4 (2017): 105–8.
55. ———. “Web Space Lipoma Causing Separation of Toes - a Rare Case Report with Review of Literature.” Journal of Krishna Institute of Medical Sciences University 6, no. 2 (2017): 107–10.
56. Taksande, A., R. Meshram, and A. Lohakare. “A Rare Presentation of Isolated Oculomotor Nerve Palsy Due to Multiple Sclerosis in a Child.” International Journal of Pediatrics 5, no. 8 (2017): 5525–29. https://doi.org/10.22038/ijp.2017.24602.2075.
57. Taksande, A., R. Meshram, P. Yadav, S. Borkar, A. Lohkare, and P. Banode. “A Rare Case of Budd Chiari Syndrome in a Child.” International Journal of Pediatrics 5, no. 10 (2017): 5809–12. https://doi.org/10.22038/ijp.2017.25157.2131.
58. Taksande, A., R. Meshram, P. Yadav, and A. Lohakare. “Rare Presentation of Cerebral Venous Sinus Thrombosis in a Child.” Journal of Pediatric Neurosciences 12, no. 4 (2017): 389–92. https://doi.org/10.4103/JPN.JPN_109_17.
59. Taksande, A.B., A.T. Jagzape, and V.K. Deshpande. “Study of Motor Nerve Conduction Velocity in Patients of Thyroid Dysfunction in Central India.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 4 (2017): 229–33. https://doi.org/10.4103/jdmimsu.jdmimsu_100_17.
60. Taksande, K., M. Chatterjee, and V. Jain. “A Case Report of Prolonged Apnea during Electroconvulsive Therapy in a Patient with Suicidal Attempt by Organophosphorus Poison.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 3 (2017): 223–25. https://doi.org/10.4103/jdmimsu.jdmimsu_103_17.
61. Tandon, S., A. Venkiteswaran, S.M. Baliga, and U.A. Nayak. “Recent Research Trends in Dentistry.” Journal of Indian Society of Pedodontics and Preventive Dentistry 35, no. 2 (2017): 102–5. https://doi.org/10.4103/0970-4388.206038.
62. Taneja, S., V. Pande, H. Kumar, and S. Agarkhedkar. “Correlation of Various Maternal Factors with Exaggerated Hyperbilirubinemia of the Newborn.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 3 (2017): 218–22. https://doi.org/10.4103/jdmimsu.jdmimsu_9_17.
63. Taware, M., M. Sonkusale, and R. Deshpande. “Ultra-Fast-Tracking in Cardiac Anesthesia ‘Our Experience’ in a Rural Setup.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 2 (2017): 110–14. https://doi.org/10.4103/jdmimsu.jdmimsu_56_17.
64. Tekade, S.A., M.S. Chaudhary, S.S. Tekade, S.C. Sarode, S.P. Wanjari, A.R. Gadbail, P.V. Wanjari, M.N. Gawande, S. Korde-Choudhari, and P. Zade. “Early Stage Oral Submucous Fibrosis Is Characterized by Increased Vascularity as Opposed to Advanced Stages.” Journal of Clinical and Diagnostic Research 11, no. 5 (2017): ZC92–96. https://doi.org/10.7860/JCDR/2017/25800.9948.
65. Tendolkar, V.D., P. Behere, Z. Quazi, and A. Gaidhane. “Heterogeneous Group Discussion to Improve Reliability and Validity of Data Tool: A Global Mental Health Assessment Tool – Primary Care Version Study.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 1 (2017): 45–50. https://doi.org/10.4103/jdmimsu.jdmimsu_22_17.
66. Tendolkar, V.D., and B.D. Kulkani. “Physical Abuse, a Harsh Way to Discipline Children: A Survey Report from Rural Wardha.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 4 (2017): 253–60. https://doi.org/10.4103/jdmimsu.jdmimsu_17_18.
67. Tendulkar, M.P., and S.S. Ninave. “Prospective Comparison of Pressor and Airway Responses to IV Esmolol and IV Dexmedetomidine during Emergence from General Anaesthesia and Extubation.” Journal of Krishna Institute of Medical Sciences University 6, no. 1 (2017): 49–56.
68. Thosar, N., P. Murarka, S. Baliga, and N. Rathi. “Assessment of Maxillary Labial Frenum Morphology in Primary, Mixed, and Permanent Dentitions in Wardha District.” European Journal of General Dentistry 6, no. 1 (2017): 14–17. https://doi.org/10.4103/2278-9626.198601.
69. Thote, A.M., K. Sharma, R.V. Uddanwadiker, and S. Shrivastava. “Optimum Pure Intrusion of a Mandibular Canine with the Segmented Arch in Lingual Orthodontics.” Bio-Medical Materials and Engineering 28, no. 3 (2017): 247–56. https://doi.org/10.3233/BME-171671.
70. Thote, A.M., R.V. Uddanwadiker, K. Sharma, and S. Shrivastava. “Optimum En-Masse Retraction of Six Maxillary Anterior Teeth in Lingual Orthodontics: A Numerical Investigation with 3-Dimensional Finite Element Analysis.” MCB Molecular and Cellular Biomechanics 14, no. 1 (2017): 1–17.
71. Thow, A.M., S. Karn, M.D. Devkota, S. Rasheed, S. Roy, Y. Suleman, T. Hazir, et al. “Opportunities for Strengthening Infant and Young Child Feeding Policies in South Asia: Insights from the SAIFRN Policy Analysis Project.” BMC Public Health 17 (2017). https://doi.org/10.1186/s12889-017-4336-2.
72. Tidake, P., and S. Sharma. “Profile and Management of Primary Open-Angle Glaucoma Patients above
40 Years: A Rural Hospital-Based Study.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 1 (2017): 1–6. https://doi.org/10.4103/jdmimsu.jdmimsu_18_17.
73. Uddin, S., H. Mahmood, U. Senarath, Q. Zahiruddin, S. Karn, S. Rasheed, and M. Dibley. “Analysis of Stakeholders Networks of Infant and Young Child Nutrition Programmes in Sri Lanka, India, Nepal, Bangladesh and Pakistan.” BMC Public Health 17 (2017). https://doi.org/10.1186/s12889-017-4337-1.
74. Varghese, L.A., and K. Taksande. “A Comparison between Intrathecal Dexmedetomidine with Hyperbaric Bupivacaine and Intrathecal Fentanyl with Hyperbaric Bupivacaine in Lower Abdominal Surgeries: A Prospective Double-Blinded Study.” Journal of Datta Meghe Institute of Medical Sciences University 12, no. 2 (2017): 99–109. https://doi.org/10.4103/jdmimsu.jdmimsu_55_17.
75. Wasnik, R.R., and N.R. Akarte. “Evaluation of Serum Zinc and Antioxidant Vitamins in Adolescent Homozygous Sickle Cell Patients in Wardha, District of Central India.” Journal of Clinical and Diagnostic Research 11, no. 8 (2017): BC01–3. https://doi.org/10.7860/JCDR/2017/30855.10320.
76. Yunati, M.S., V. Deshpande, A.H. Yuwanate, S.R. Sorte, and S.S. Sirsam. “Sahaja Yoga Meditation as a Tool to Enhance Aging Pulmonary Functions.” National Journal of Physiology, Pharmacy and Pharmacology 7, no. 3 (2017): 333–38. https://doi.org/10.5455/njppp.2017.7.0000216082015.
77. Acharya, N., A. Gadge, M. Agrawal, and M. Singh. “Mechanical Cervical Ripening with Foley Catheter Balloon: Rekindling a Forgotten Art.” Journal of SAFOG 10, no. 1 (2018): 1–4. https://doi.org/10.5005/jp- journals-10006-1548.
78. Acharya, S., and S. Shukla. “Metabolic Healthy Obesity-a Paradoxical Fallacy?” Journal of Clinical and Diagnostic Research 12, no. 10 (2018): OE07-OE10. https://doi.org/10.7860/JCDR/2018/36809.12165.
79. Anjankar, S. “Askin’s Tumor in Adult: A Rare Clinical Entity.” Journal of Datta Meghe Institute of Medical Sciences University 13, no. 1 (2018): 54–57. https://doi.org/10.4103/jdmimsu.jdmimsu_36_18.
80. Anjankar, S.D. “Urethral Protrusion of the Distal End of Shunt.” Journal of Pediatric Neurosciences 13, no. 3 (2018): 371–72. https://doi.org/10.4103/JPN.JPN_54_18.
81. Bagri-Manjrekar, K., M. Chaudhary, G. Sridharan, S. Tekade, A. Gadbail, and K. Khot. “In Vivo Autofluorescence of Oral Squamous Cell Carcinoma Correlated to Cell Proliferation Rate.” Journal of Cancer Research and Therapeutics 14, no. 3 (2018): 553–58. https://doi.org/10.4103/0973-1482.172710.
82. Baliga, S. “A Vision for Pediatric and Preventive Dentistry Oral Health Policy in India.” Journal of Indian Society of Pedodontics and Preventive Dentistry 36, no. 3 (2018): 223–24. https://doi.org/10.4103/JISPPD.JISPPD_250_18.
83. “Emerging Trends in Pediatric Dentistry.” Journal of Indian Society of Pedodontics and Preventive Dentistry 36, no. 2 (2018): 107. https://doi.org/10.4103/JISPPD.JISPPD_171_18.
84. “Pedodontist at Play-"Say Ahh" WHO Campaign.” Journal of Indian Society of Pedodontics and Preventive Dentistry 36, no. 1 (2018): 1. https://doi.org/10.4103/JISPPD.JISPPD_38_18.
85. Baliga, S., M. Chaudhary, S. Bhat, P. Bhansali, A. Agrawal, and S. Gundawar. “Estimation of Malondialdehyde Levels in Serum and Saliva of Children Affected with Sickle Cell Anemia.” Journal of
Indian Society of Pedodontics and Preventive Dentistry 36, no. 1 (2018): 43–47. https://doi.org/10.4103/JISPPD.JISPPD_87_17.
86. Baliga, S.M. “Indian Pediatric Dentistry Blueprint for 2020.” Journal of Indian Society of Pedodontics and Preventive Dentistry 36, no. 4 (2018): 327–28. https://doi.org/10.4103/JISPPD.JISPPD_277_18.
87. Balwani, M., C. Bawankule, V. Ramteke, and A. Pasari. “Hepatitis C Virus, Directly Acting Antivirals and Guillain-Barré Syndrome.” Saudi Journal of Kidney Diseases and Transplantation : An Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia 29, no. 5 (2018): 1237–39. https://doi.org/10.4103/1319-2442.243969.
88. Balwani, M.R., C. Bawankule, P. Khetan, V. Ramteke, P. Tolani, and V. Kute. “An Uncommon Cause of Rapidly Progressive Renal Failure in a Lupus Patient: Pauci-Immune Crescentic Glomerulonephritis.” Saudi Journal of Kidney Diseases and Transplantation : An Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia 29, no. 4 (2018): 989–92. https://doi.org/10.4103/1319-
2442.239632.
89. Balwani, M.R., A. Pasari, A. Meshram, A. Jawahirani, P. Tolani, H. Laharwani, and C. Bawankule. “An Initial Evaluation of Hypokalemia Turned out Distal Renal Tubular Acidosis Secondary to Parathyroid Adenoma.” Saudi Journal of Kidney Diseases and Transplantation : An Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia 29, no. 5 (2018): 1216–19. https://doi.org/10.4103/1319-
2442.243965.
90. Bhinder, H.H.P.S., and T.K. Kamble. “The Study of Carotid Intima-Media Thickness in Prediabetes and Its Correlation with Cardiovascular Risk Factors.” Journal of Datta Meghe Institute of Medical Sciences University 13, no. 2 (2018): 79–82. https://doi.org/10.4103/jdmimsu.jdmimsu_58_18.
91. Chandak, M.G., R.R. Modi, B.J.J. Rathi, R.J. Gogiya, and P. Bhutada. “In Vitro Comparative Assessment of Diffusion of Ion from Calcium Hydroxide with Three Different Phytomedicine Pastes through Dentin.” World Journal of Dentistry 9, no. 5 (2018): 366–71. https://doi.org/10.5005/jp-journals-10015-1564.
92. Chiwhane, A., and Pradeep. “Study of Rhythm Disturbances in Acute Myocardial Infarction.” Journal of Association of Physicians of India 66, no. January (2018): 54–58.
93. Choudhari, M.S., M.I. Sonkusale, and R.A. Deshpande. “Sudden Cardiac Arrest on 5 Th Day after Coronary Artery Bypass Graft Surgery: Diagnostic Dilemma.” Annals of Cardiac Anaesthesia 21, no. 3 (2018): 341–42. https://doi.org/10.4103/aca.ACA-214-17.
94. Choudhary, S., P. Tarafdar, S. Jawade, and A. Singh. “A Point to Note in Pili Torti.” International Journal of Trichology 10, no. 2 (2018): 95–97. https://doi.org/10.4103/ijt.ijt_111_16.
95. Daigavane, S., and M. Prasad. “To Observe the Proportion of Amblyopia among Children Presenting in a Rural Hospital in Central India.” Journal of Datta Meghe Institute of Medical Sciences University 13, no. 3 (2018): 119–21. https://doi.org/10.4103/jdmimsu.jdmimsu_50_18.
96. Dande, R., A.R. Gadbail, S. Sarode, M.P.M. Gadbail, S.M. Gondivkar, M. Gawande, S.C. Sarode, G.S. Sarode, and S. Patil. “Oral Manifestations in Diabetic and Nondiabetic Chronic Renal Failure Patients Receiving Hemodialysis.” Journal of Contemporary Dental Practice 19, no. 4 (2018): 398–403. https://doi.org/10.5005/jp-journals-10024-2273.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
