Deepa Shivnani

Abstract

Background: Allergic rhinitis is the most common form of rhinitis, worldwide, affecting close to 10% to 30% of the global population. Heredity and environmental exposures may contribute to a predisposition to allergies. Pharmacotherapy along with effective allergen avoidance measures forms the mainstay of management of Allergic Rhinitis. The evidence indicates that intranasal corticosteroids are more efficacious than are antihistamines in the control of Allergic Rhinitis symptoms. This "superiority" is principally related to their effect on nasal obstruction. The numbers of studies done to know the efficacy of combination sprays over steroidal sprays alone are very few and provide insufficient insight. Objectives: The purpose of this study was to ascertain whether the combination nasal sprays should be prescribed as a standard medical management for allergic rhinitis or not, as to achieve better quality of life after treatment with maximum improvement in Total Nasal Symptom Score (TNSS). Materials and Methods: 100 subjects were taken up for this study, 50 in each group after fulfilling the inclusion and exclusion criteria. Subjects were allocated in two groups according to consultant’s preference. Subjects were evaluated for Total Nasal Symptom Score (TNSS) and score of Mini Rhino conjunctivitis Quality of Life Questionnaire (MiniRQLQ) before and after the treatment initiation Results:??????? The study was conducted in two groups based on drug given and both the groups were evaluated after 2 weeks and 4 weeks of medication on the basis of TNSS and MiniRQLQ score. Allergic Rhinitis was found to be more common in younger age group. Both the drugs were effective in reducing the Total nasal symptom scores (TNSS) and score of MiniRQLQ significantly (p Conclusion: Combination Nasal Sprays are highly efficacious and statistically better to steroid nasal sprays hence this study confirms the superiority of combination nasal sprays and recommends combination nasal sprays as first line of treatment for allergic rhinitis. Keywords: Allergic Rhinitis, Total Nasal Symptom Score, Intranasal corticosteroids, Intranasal Corticorsteroids with Intranasal Histamines, MiniRQLQ, Quality Of Life.

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Abstract

Background: Choanal atresia is a commonly observed congenital nasal abnormality. Incidence of choanal atresia is 1 in 7,000 live births. There are various techniques which has been described for the choanal atresia repair. Here we are sharing step by step trans-nasal technique to get good results post-operatively. Aim: The aim of this study to explain and share the technique to treat a bony choanal atresia without any stenting in the nasal cavity of a neonate. The purpose of this study to analyse the surgical outcome of single stage bony choanal atresia repair in terms of restenosis and revision surgery. Technique: We have described the step by step approach for the repair of bony choanal atresia without using any stent in the nasal cavity. Pre surgery evaluation and surgical steps have been explained with photograph to understand this technique better. Conclusion: Bony choanal atresia can be treated without any stent placement which was the most common method for the repair of congenital choanal atresia in neonates. Clinical significance: This technique will reduce the chances of complication which arises because of stenting in the nasal cavity. This technique is simple and easily reproducible in the practise. Keywords: Bony choanal atresia, Trans- nasal endoscopic approach, Stenting in choanal atresia.

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Abstract

The World Health Organization announced corona virus disease 19 (COVID 19) as a global pandemic. As the government has implemented various policies, the major challenge was to support immune system in general population who are under self-confinement. An optimal diet plan and nutritional supplements are advised to effectively boost the immune system during the COVID 19 crises. We have suggested an optimized dietary plan for an adult with adequate requirements. A balanced diet could help strengthen the immune system of individuals and prepare to fight against COVID 19. Keywords: COVID 19,Nutrition,Supplements,Protein,Vit C,Vit D,Zinc

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