Browsing by Author "Ratan Srivastava"

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Efficacy of Ayurvedic drugs as compared to chlorhexidine in management of chronic periodontitis: A randomized controlled clinical study
(Medknow Publications, 2018) Neelam Mittal; Vinod Joshi; Ratan Srivastava; Shri Singh
Background: In India, Ayurveda is considered to be more effective and cheaper than modern medicine. Ayurvedic literature shows its use in treating oral diseases also. However, their effectiveness, in comparison with the allopathic mode of management, has not been assessed previously. The aim of this randomized controlled clinical trial was to compare the efficacy of ayurvedic drugs over chlorhexidine in treating chronic periodontitis. Materials and Methods: Four hundred and eight participants, in the age group 20-49 years, suffering from mild-to-moderate chronic periodontitis were included in this study. Community periodontal index for treatment needs (CPITN) score was recorded, and oral prophylaxis was done for each patient. They were then randomly divided into 6 groups: control group (I), chlorhexidine (II), Khadiradi vati (III), Dashansanskar churana (IV), Neem (V), and Apamarga (VI); based on the drugs used by patients for the maintenance of oral hygiene after oral prophylaxis. Patients were recalled at 1 week, 1 month, and 3 months after oral prophylaxis. CPITN score was re-recorded for each patient at each follow-up. Reduction in CPITN score indicated improvement in the periodontal health. Observations were statistically analyzed using univariate ANOVA and P value was set at <0.5. Results: Improvement in CPITN scores in 6 groups was as follows: I -42.0%, II -76.37%, III -82.03%, IV -83.46%, V -78.8%, and VI -29.9%. Higher mean percentage improvement was seen when patients used these drugs for 3 months as compared to 1 month. Conclusion: Dashansanskar churana and Khadiradi vati showed better results than chlorhexidine and were found to be superior in managing mild-to-moderate cases of chronic periodontitis. © 2018 Indian Society of Periodontology.
IAPSM declaration 2018: Definition, role, scope of community medicine and functions of community medicine specialists
(Medknow Publications, 2018) Abraham Joseph; A. Kadri; Anand Krishnan; Bishan Garg; F. Ahmed; Pradeep Kumar; Rajesh Kumar; Ratan Srivastava; V. Srivastava
[No abstract available]
Maternal mortality in rural Varanasi: Delays, causes, and contributing factors
(Wolters Kluwer Medknow Publications, 2019) Kalpana Kumari; Ratan Srivastava; Manushi Srivastava; Neeti Purwar
Background: Pregnancy and motherhood are natural processes and considered to be full of positive experiences. However, for various reasons many women end up dying during pregnancy, childbirth, and the postpartum period. Improving maternal health and reducing maternal mortality have been prioritized in several international declarations and national policies. Objectives: The objective of the study is to assess delays, cause, and its contributing factors related to maternal deaths in rural Varanasi. Methodology: Verbal and Social Autopsy have been done for each maternal death occurred between April 2015 and March 2016 in four randomly selected blocks of rural Varanasi. The '3 Delay Model' and 'Pathway analysis' concept was used in collection and analysis of data through in-depth interview of three people (family member, neighbor, and a health worker) for each maternal death. Cause of death and delays was identified by two reviewers (obstetrician) independently. Results: In almost half of the autopsied cases two different delays were found, and in one-third case, only one delay was found. Direct obstetric cause found in more than half (54%) cases. Hemorrhage and anemia were found major direct and indirect obstetric cause, respectively. Other causes identified were sepsis (direct), jaundice, and meningitis. A number of social, behavioral, and cultural factors were identified, that had been contributed to different delays related to the maternal deaths. Conclusions: First delay was present in most of (90%) cases. Nonbiological (social, behavioral, and cultural) and health service factors were also identified in this study. © 2019 Indian Journal of Community Medicine.
Students' feedback concerning the IMNCI strategy
(2009) Mamta Rani; Abhay Kavishvar; Ratan Srivastava
[No abstract available]