Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411618EnglishN2024September25Life Sciences A Study to Evaluate the Knowledge, Attitude and Practices Regarding Oral Hygiene Practices and Barriers to Access Oral Health Care Among the Auto Rickshaw Drivers in Mysore, Karnataka English0106Archika DwivediEnglish Kumar SumitEnglish Akanksha SinghEnglish Introduction: Oral hygiene is keeping one’s mouth clean and free of diseases and other problems by regularly brushing the teeth. Most oral diseases can be prevented if proper education and awareness regarding oral hygiene are provided to all classes of society. Aim & Objectives: The study aims to assess the knowledge, attitude, and practices regarding oral hygiene practices and barriers to accessing oral health care among auto-rickshaw drivers in Mysore City, Karnataka. Methods: A cross-sectional study was conducted among 214 auto-rickshaw drivers of Mysore, whose ages ranged from 18 to 60 years. Face-to-face interviews were conducted using a validated questionnaire. Results: Out of the total participants, 74.3% fall under the primary level of education. A good level of knowledge regarding oral hygiene was observed among 92.5% of the participants, while 66.8% showed a negative attitude toward oral hygiene. Good oral hygiene practices were followed by 59.8% of the participants. The study observed a significant association between age and attitude towards oral hygiene and between previous dental visits and the practice of oral hygiene. The barrier behind not visiting a dentist was said to be the high cost and uncertainty of the dentist’s availability at the clinic. Conclusion: The present study found good knowledge regarding oral hygiene, and their oral hygiene practice seemed to be satisfactory, but most participants reflected a negative attitude toward oral hygiene. EnglishAttitude, Barriers, Dental services, Knowledge, Practices, Mysorehttp://ijcrr.com/abstract.php?article_id=4820http://ijcrr.com/article_html.php?did=4820 1. Oral health [Internet]. Who.int. [cited 2024 Feb 11]. Available from: https://www.who.int/health-topics/oral-health Fdiworlddental. org. [cited 2024 Feb 11]. Available from: https://www.fdiworlddental.org/ 2. Sukumaran A, Diwakar MK, Shastry S. An assessment of oral health status and treatment needs of professional bus drivers in Chennai. International Journal of Community Dentistry (JOHCD)[Internet]. 2018;6(2):45. Available from: http://dx.doi. org/10.4103/ijcd.ijcd_8_18 3. Srivastava A, Sabharwal H, Kumar PN. Prevalence of Oral Mucosal Lesions among Auto drivers of Varanasi city: A Cross- Sectional Study. Journal of Advanced Medical and Dental Science Research (JAMDSR) 2018;6(5):68-71. Available from: http://jamdsr.com/uploadfiles/16prevalancestudyomlVol6issue5 pp68-71.20190309063831.pdf 4. Gambhir RS, Brar P, Singh G, Sofat A, Kakar H. Utilization of dental care: An Indian outlook. J Nat Sc Biol Med.[Internet]. 2013;4(2):292–7. Available from: http://dx.doi.org/10.4103/0976-9668.116972 5. Dey A, Santanu SR, Jana D. Evaluation of oral hygiene knowledge, attitude, and behaviour among local auto-rickshaw drivers in Sodepur, Kolkata, India. Int. J. Sci. Res. 2020;9(12) Available from: https://www.worldwidejournals.com/ international-journal-of-scientific-research-(IJSR)/fileview/ evaluation-of-oral-hygiene-knowledge-attitude-and-behaviouramong- local-autorickshaw-drivers-in-sodepur-kolkata-india_ December_2020_6749101610_5019137.pdf 6. Anjum S, Kopula Y, Mocherrla M, Peddireddy P, Hameed I, Pandit M. Attitudes of auto-rickshaw drivers towards oral health care, barriers of dental service utilization in vikarabad, Telangana, India. Journal of Oral Health and Community Dentistry (JOHCD) [Internet]. 2018;12(3):79–84. Available from: http:// dx.doi.org/10.5005/jp-journals-10062-0031 7. Ganesh A, Ramkumar S, Rajkumar M, Bhavyaa R, Ramkumar L, Balaji SK. Oral health-related knowledge, attitude, and practices among auto drivers in South Chennai. J. Indian Assoc. Public Health Dent. [Internet]. 2017;15(4):392. Available from: http://dx.doi.org/10.4103/jiaphd.jiaphd_97_17 8. Padmaja S, Sumalatha S, Mahesh PC, Raju R, Saheer A. Assessment of oral health-related knowledge, attitude, and practice among the auto-rickshaw drivers in Davangere city- A cross-sectionalstudy. Asian Journal of science and Technology (AJST) [Internet].2019; 09(06):9747-9750. Available https://www. journalajst.com/assessement-oral-health-related-knowledgeattitude- and-practice-among-autorikshaw-drivers-davengere 9. John JR, Rajendran G, Kesavan P, Sridharan P. Evaluation of oral health status among road transport drivers in Erode district of Tamil Nadu. Journal of Oral Health and Community Dentistry (JOHCD) [Internet]. 2016;10(2):35–9. Available from: http:// dx.doi.org/10.5005/johcd-10-2-35

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411618EnglishN2024September25Life Sciences Difficulties in Managing Multifactorial Osteoporosis in an Adolescent with Demyelinating Neuropathy       English0709Elhem JbebliEnglish Samar RhayemEnglish Amdouni RimEnglish Faten FedhilaEnglish Monia KhemiriEnglish Introduction: Secondary osteoporosis is rare in children/adolescents. Delays in the specific management of risk factors for bone fragility can lead to a silent loss of bone mass and an increased risk of early osteoporosis. We reported a case of a teenage girl with multifactorial bone fragility complicating a chronic neuropathy treated between 2021 and 2024. Case Report: A 15-year-old girl patient has been under observation for demyelinating sensorimotor neuropathy since the neonatal period. The condition was complicated by multiple skeletal deformities that have required surgical treatment. Bone fragility was noted intraoperatively. The etiologic diagnosis favored a multifactorial origin, including neurological, endocrine, nutritional, and mechanical factors. Treatment of the offending factors was inadequate. Osteoporosis was diagnosed in the presence of a z-score for bone densitometry below -2 standard deviation and multiple long bone fractures. The specific treatment of osteoporosis was limited by the lack of pediatric approval for most molecules. After a two-year course of symptomatic then specific treatment, there was a favorable clinical response and partial improvement in osteodensitometry. Conclusion: This clinical case illustrates the difficulty of managing multifactorial bone fragility leading to osteoporosis in a girl with chronic neuropathy, in terms of managing the incriminating factors and prescribing bisphosphonates. EnglishBone fragility, Child, Multifactorial causality, Osteoporosis, Fracture, Treatmenthttp://ijcrr.com/abstract.php?article_id=4821http://ijcrr.com/article_html.php?did=4821 1. Binkley N, Bilezikian JP, Kendler DL, Leib ES, Lewiecki EM, Petak SM. Official Positions of the International Society for Clinical Densitometry and executive summary of the 2007 ISCD Pediatric Position Development Conference. J Clin Densitom. 2008;11(1):6-21. 2. Clark EM, Tobias JH, Ness AR. Association between bone density and fractures in children: a systematic review and metaanalysis. Pediatrics. 2006;117(2):e291-7. 3. Bianchi ML. Osteoporosis in children and adolescents. Bone. 2007;41(4):486-95. 4. Bachrach LK. Consensus and controversy regarding osteoporosis in the pediatric population. EndocrPract. 2007;13(5):513-20. 5. Lewiecki E. Osteoporosis. Ann Intern Med. 2017;166:818-39. 6. Misra M, Prabhakaran R, Miller K, Goldstein M, Mickley D, Clauss L, et al. Prognostic indicators of changes in bone density measures in adolescent girls with anorexia nervosa-II. J Clin Endocrinol Metab. 2008;93(4):1292-7. 7. Ciancia S, Högler W, Sakkers B. Osteoporosis in children and adolescents: how to treat and monitor? Eur J Pediatr. 2023;182:501-11. 8. Tosun A, Erisen Karaca S, Unuvar T, Yurekli Y, Yenisey C, Omurlu IK. Bone mineral density and vitamin D status in children with epilepsy, cerebral palsy, and cerebral palsy with epilepsy. Childs Nerv Syst. 2017;33:153-8.