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Papers by GUNVANTI MEENA

Research paper thumbnail of KEYWORDSAdolescent girls, Awareness, Reproductive health, Rural, Urban, Questionnaire

Research paper thumbnail of Raloxifene in Reducing the Risk of Postmenopausal Fracture amongst Osteoporotic Subjects

International Archives of BioMedical and Clinical Research, 2018

Background: Osteoporosis is a systemic skeletal disease characterized by low bone mass and microa... more Background: Osteoporosis is a systemic skeletal disease characterized by low bone mass and microarchitectural deterioration of bone tissue, with a consequent decrease in bone mineral density (BMD) and increase in bone fragility and susceptibility to fracture. Hence; we planned the present study to assess the effect of raloxifene in reducing the risk of postmenopausal fracture amongst osteoporotic subjects. Methods: The present study included assessment of effect of raloxifene in reducing the risk of postmenopausal fracture amongst osteoporotic subjects. A total of 120 postmenopausal women were included in the present study. All the subjects were broadly divided into two broad groups with 60 subjects in each group; Group A: Subjects who were given placebo for two years Group B: Subjects who were given raloxifene 60 mg/d for 2 years. Assessment of Risk of Postmenopausal Fracture in all the subjects was done by evaluating the bone mineral density (BMD) at two years follow-up time. All ...

Research paper thumbnail of KEYWORDSHip arthroplasty, Standard incision, Mini incision, Harris hip score

Research paper thumbnail of Osteoporosis and Risk of Fracture amongst Women with Different Ethnicity: An Institutional Based Study

Journal of Medical Science And clinical Research, Aug 8, 2018

Background: Osteoporotic fractures are one of the major health burden imposed on significant worl... more Background: Osteoporotic fractures are one of the major health burden imposed on significant world's population these days. Outcome of such fracture cases is very deleterious, often resulting in significant loss of quality of life. In the field of osteoporosis, special attention has been paid in the recent past in relation to the factors that affect the bone strength. Hence; we planned the present study to assess the prevalence of low bone mineral density (BMD) and its association with fracture incidence among postmenopausal women from different ethnic groups. Materials & Methods: The present research included assessment of prevalence of low bone mineral density (BMD) and its association with fracture incidence among postmenopausal women from different ethnic groups. A pre-framed set of questionnaire was given to all the subjects in the starting of the study. A total of 100 subjects were included in the present study. Among these 100 subjects, 50 subjects were of white ethnic origin and remaining 50 subjects were of Asian ethnic origin. Complete details amount the demographic data and risk factors was obtained in all the subjects from the self-administered questionnaire. Single X-ray absorptiometry was used for assessment of bone mineral density (BMD) in all the subjects. All the results were recorded and analyzed by SPSS software. Results: Significant results were obtained while comparing the BMI distribution of subjects in between the two study groups. Significant difference was obtained while comparing the history of fracture since 45 in between the two study groups. Relative risk of fracture in White ethnic subjects was 0.96 (95% CI), while in the Asian subjects, the relative risk was found to be 0.58 (95% CI). Conclusion: In between the different ethnic groups, there is significant difference in relation to the incidence of low BMD and the risk of fracture at any given BMD.

Research paper thumbnail of Correlation between Iron Profile of Pregnant Women and Their Newborns: A Cross Sectional Study

Research paper thumbnail of Awareness of Reproductive Health in Adolescent Girls: A Comparative Study Between Rural and Urban Background

Journal of Evidence Based Medicine and Healthcare

BACKGROUND Reproductive health is an essential part of the life of each and every individual. Our... more BACKGROUND Reproductive health is an essential part of the life of each and every individual. Our adolescents particularly rural girls have poor reproductive health awareness, which leads them easy prey to disasters i.e. teenage pregnancy and STDs. OBJECTIVES To evaluate and compare the reproductive health awareness of rural and urban adolescent school girls. METHODS Total 1400 adolescent school girls (700 from rural and 700 urban girls) studying in 6 th to 12 th class were included in the study. Awareness was assessed by a questionnaire. RESULTS Only a few girls were aware about age of onset of adolescence. Term puberty was heard by 444 urban and 306 rural girls. Awareness about changes of adolescence was more for urban girls. Awareness regarding menstruation as activation of reproductive system was more in urban girls. About half girls of both background were aware regarding normal duration of menses. Only a few girls were aware about part of menstruation during which a woman has greatest chances of getting pregnant. Awareness regarding contraception and symptoms of sexual diseases was more in urban girls. Awareness regarding modes of spread of HIV was more in rural girls. CONCLUSION Awareness regarding contraceptive, menstruation, and changes of adolescence is very poor, so special attention is required for these aspects such as including these topics in educational system and there is also need to maintain and increase awareness regarding HIV/AIDS. The health system of India should bridge this huge gap of unmet need of adolescent reproductive health.

Research paper thumbnail of Comparison of Results of Total Hip Arthroplasty Done with Mini Incision (Posterior Modified) and Traditional Posterior Approach

Journal of Evidence Based Medicine and Healthcare

BACKGROUND Total hip arthroplasty is one of the most successful procedures introduced in twentiet... more BACKGROUND Total hip arthroplasty is one of the most successful procedures introduced in twentieth century. In this study, we compared total hip arthroplasty with mini incision (modified posterior) and standard posterior approach. MATERIALS AND METHODS Total of 96 hips were studied, 48 hips in mini incision group and 48 hips in control group. 84 patients were selected with primary total hip arthroplasty performed on a total of 96 hips during a period of June 2012 to September 2014. Out of 96 hips, 66 hips were avascular necrosis of head of femur, 3 rheumatoid arthritis, 9 ankylosing spondylitis, 3 central dislocation, 3 fracture neck of femur with broken SP nail. 48 hips were operated with mini incision and 48 hips operated with standard incision. Average age of the patients is 56 years in standard incision group and 47 years in mini incision group. Harris hip evaluation (modified) was used for recording the status of hip before surgery and postoperative results. The patients were compared with respect to the length of incision, surgical time, blood loss, acetabular cup placement, femoral stem placement, and complications. Radiological parameters included were abduction angle, stem alignment, and quality of cement mantle. Average follow up was 12 months. Patients were followed up in OPD for regular examination in three monthly intervals and functional assessment of the hip was done using the Harris hip score (modified). RESULTS Thinner, healthier, and younger patient were included in mini incision group as compared to the control group. The final outcome was to be statistically insignificant expect surgical time and blood loss and cosmetically. 95% of the patients had excellent to good functional result in mini incision group and 100% had good result in standard incision group. In our series, 6 patients had intraoperative hypotension in standard group due to excessive blood loss. 3 patient had stitch abscess, which healed during subsequent dressing, 3 patient had peroneal nerve palsy, and 6 patients had dislocation in mini incision group.

Research paper thumbnail of KEYWORDSAdolescent girls, Awareness, Reproductive health, Rural, Urban, Questionnaire

Research paper thumbnail of Raloxifene in Reducing the Risk of Postmenopausal Fracture amongst Osteoporotic Subjects

International Archives of BioMedical and Clinical Research, 2018

Background: Osteoporosis is a systemic skeletal disease characterized by low bone mass and microa... more Background: Osteoporosis is a systemic skeletal disease characterized by low bone mass and microarchitectural deterioration of bone tissue, with a consequent decrease in bone mineral density (BMD) and increase in bone fragility and susceptibility to fracture. Hence; we planned the present study to assess the effect of raloxifene in reducing the risk of postmenopausal fracture amongst osteoporotic subjects. Methods: The present study included assessment of effect of raloxifene in reducing the risk of postmenopausal fracture amongst osteoporotic subjects. A total of 120 postmenopausal women were included in the present study. All the subjects were broadly divided into two broad groups with 60 subjects in each group; Group A: Subjects who were given placebo for two years Group B: Subjects who were given raloxifene 60 mg/d for 2 years. Assessment of Risk of Postmenopausal Fracture in all the subjects was done by evaluating the bone mineral density (BMD) at two years follow-up time. All ...

Research paper thumbnail of KEYWORDSHip arthroplasty, Standard incision, Mini incision, Harris hip score

Research paper thumbnail of Osteoporosis and Risk of Fracture amongst Women with Different Ethnicity: An Institutional Based Study

Journal of Medical Science And clinical Research, Aug 8, 2018

Background: Osteoporotic fractures are one of the major health burden imposed on significant worl... more Background: Osteoporotic fractures are one of the major health burden imposed on significant world's population these days. Outcome of such fracture cases is very deleterious, often resulting in significant loss of quality of life. In the field of osteoporosis, special attention has been paid in the recent past in relation to the factors that affect the bone strength. Hence; we planned the present study to assess the prevalence of low bone mineral density (BMD) and its association with fracture incidence among postmenopausal women from different ethnic groups. Materials & Methods: The present research included assessment of prevalence of low bone mineral density (BMD) and its association with fracture incidence among postmenopausal women from different ethnic groups. A pre-framed set of questionnaire was given to all the subjects in the starting of the study. A total of 100 subjects were included in the present study. Among these 100 subjects, 50 subjects were of white ethnic origin and remaining 50 subjects were of Asian ethnic origin. Complete details amount the demographic data and risk factors was obtained in all the subjects from the self-administered questionnaire. Single X-ray absorptiometry was used for assessment of bone mineral density (BMD) in all the subjects. All the results were recorded and analyzed by SPSS software. Results: Significant results were obtained while comparing the BMI distribution of subjects in between the two study groups. Significant difference was obtained while comparing the history of fracture since 45 in between the two study groups. Relative risk of fracture in White ethnic subjects was 0.96 (95% CI), while in the Asian subjects, the relative risk was found to be 0.58 (95% CI). Conclusion: In between the different ethnic groups, there is significant difference in relation to the incidence of low BMD and the risk of fracture at any given BMD.

Research paper thumbnail of Correlation between Iron Profile of Pregnant Women and Their Newborns: A Cross Sectional Study

Research paper thumbnail of Awareness of Reproductive Health in Adolescent Girls: A Comparative Study Between Rural and Urban Background

Journal of Evidence Based Medicine and Healthcare

BACKGROUND Reproductive health is an essential part of the life of each and every individual. Our... more BACKGROUND Reproductive health is an essential part of the life of each and every individual. Our adolescents particularly rural girls have poor reproductive health awareness, which leads them easy prey to disasters i.e. teenage pregnancy and STDs. OBJECTIVES To evaluate and compare the reproductive health awareness of rural and urban adolescent school girls. METHODS Total 1400 adolescent school girls (700 from rural and 700 urban girls) studying in 6 th to 12 th class were included in the study. Awareness was assessed by a questionnaire. RESULTS Only a few girls were aware about age of onset of adolescence. Term puberty was heard by 444 urban and 306 rural girls. Awareness about changes of adolescence was more for urban girls. Awareness regarding menstruation as activation of reproductive system was more in urban girls. About half girls of both background were aware regarding normal duration of menses. Only a few girls were aware about part of menstruation during which a woman has greatest chances of getting pregnant. Awareness regarding contraception and symptoms of sexual diseases was more in urban girls. Awareness regarding modes of spread of HIV was more in rural girls. CONCLUSION Awareness regarding contraceptive, menstruation, and changes of adolescence is very poor, so special attention is required for these aspects such as including these topics in educational system and there is also need to maintain and increase awareness regarding HIV/AIDS. The health system of India should bridge this huge gap of unmet need of adolescent reproductive health.

Research paper thumbnail of Comparison of Results of Total Hip Arthroplasty Done with Mini Incision (Posterior Modified) and Traditional Posterior Approach

Journal of Evidence Based Medicine and Healthcare

BACKGROUND Total hip arthroplasty is one of the most successful procedures introduced in twentiet... more BACKGROUND Total hip arthroplasty is one of the most successful procedures introduced in twentieth century. In this study, we compared total hip arthroplasty with mini incision (modified posterior) and standard posterior approach. MATERIALS AND METHODS Total of 96 hips were studied, 48 hips in mini incision group and 48 hips in control group. 84 patients were selected with primary total hip arthroplasty performed on a total of 96 hips during a period of June 2012 to September 2014. Out of 96 hips, 66 hips were avascular necrosis of head of femur, 3 rheumatoid arthritis, 9 ankylosing spondylitis, 3 central dislocation, 3 fracture neck of femur with broken SP nail. 48 hips were operated with mini incision and 48 hips operated with standard incision. Average age of the patients is 56 years in standard incision group and 47 years in mini incision group. Harris hip evaluation (modified) was used for recording the status of hip before surgery and postoperative results. The patients were compared with respect to the length of incision, surgical time, blood loss, acetabular cup placement, femoral stem placement, and complications. Radiological parameters included were abduction angle, stem alignment, and quality of cement mantle. Average follow up was 12 months. Patients were followed up in OPD for regular examination in three monthly intervals and functional assessment of the hip was done using the Harris hip score (modified). RESULTS Thinner, healthier, and younger patient were included in mini incision group as compared to the control group. The final outcome was to be statistically insignificant expect surgical time and blood loss and cosmetically. 95% of the patients had excellent to good functional result in mini incision group and 100% had good result in standard incision group. In our series, 6 patients had intraoperative hypotension in standard group due to excessive blood loss. 3 patient had stitch abscess, which healed during subsequent dressing, 3 patient had peroneal nerve palsy, and 6 patients had dislocation in mini incision group.