1.Emphysematous pyelonephritis in a diabetic leading to renaldestruction: pathological aspects of a rare case
Archana Shetty ; Vijaya C ; Geethamani V ; Savitha Anil Kumar
The Malaysian Journal of Pathology 2013;35(1):103-106
Emphysematous pyelonephritis is a severe, potentially fatal necrotizing pyelonephritis with a
variable clinical presentation, ranging from mild abdominal pain to septic shock. The majority
of cases occur in diabetics with poor glycemic control, while a small percentage may be due to
urinary tract obstruction. We present a case of a 57 year old male patient, diabetic on treatment,
presenting with left fl ank pain and poor stream of urine since one week. Laboratory tests revealed
that the patient had electrolyte imbalance, ketoacidosis and high blood sugar. Urine culture was
positive for Escherichia coli with a signifi cant colony count. Radiological examination gave a
diagnosis of Left Type 1 Emphysematous Pyelonephritis. Inspite of giving vigorous resuscitation
and antibiotics with nephrostomy, the patient had to undergo nephrectomy due to extensive renal
parenchymal destruction.
The nephrectomy specimen was studied in detail to know the histopathological fi ndings in a case
of diabetic patient with emphysematous pyelonephritis. We present this case not only because of
it being a rare complication of diabetes, but also to focus on the histopathological fi ndings of the
same, documentation of which is limited in literature.
2.Relationship of periodontal status and dental caries status with oral health knowledge, attitude and behavior among professional students in India.
Archana J SHARDA ; Srinath SHETTY
International Journal of Oral Science 2009;1(4):196-206
AIMTo find the relationship of periodontal status and dental caries status with oral health knowledge, attitude, behavior, among professional students in India.
METHODOLOGYIn a cross sectional study, a total of 825 students (males: 577, females: 248) from six professions were surveyed using a self administered structured questionnaire including 41 multiple choice questions and the WHO Oral Health Assessment Form (1997). The data was analyzed using the SPSS version 13.0 to perform the Student's t-test, ANOVA test, Scheffe's test and Chi-square test, linear regression analysis.
RESULTSThe mean percentage scores of the students for knowledge were 53.25 +/- 15.05; for attitude 74.97 +/- 20.48; and for behavior 59.09 +/- 18.77. The percentage of students with calculus score was found to be significantly high (43.8%). The percentage of professional students with DMFT >4 was 14.1% and the percentage of students with decayed teeth was 46.2%. The regression analysis showed that the oral health behavior of the students was dependent on the attitude (P < 0.001), but showed no significant linear relation with the knowledge. Also, that the mean DMFT score was dependent on the oral health behavior (P < 0.05), but showed no significant relationship with the knowledge and attitude of the students. The periodontal status was independent on the knowledge, but showed a significant relationship with attitude and behavior of the students.
CONCLUSIONA positive attitude and adherence to good oral hygiene behaviors is associated with better oral health.
Attitude to Health ; Cross-Sectional Studies ; DMF Index ; Dental Calculus ; epidemiology ; Dental Caries ; epidemiology ; Education, Professional ; statistics & numerical data ; Epidemiologic Studies ; Female ; Health Behavior ; Health Education, Dental ; Health Knowledge, Attitudes, Practice ; Humans ; India ; epidemiology ; Male ; Oral Health ; Oral Hygiene ; statistics & numerical data ; Periodontal Diseases ; epidemiology ; Periodontal Index ; Students ; statistics & numerical data ; Students, Health Occupations ; statistics & numerical data ; Surveys and Questionnaires ; Young Adult