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    RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,

    BANGALORE, KARNATAKA.

    ANNEXURE - II

    PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION

    1. Name of the Candidate and

    Address (in block letters)

    Dr. SHEREEF YAHIYA. !

    "#S$%RAD&A$E IN E.N.$!

    DE"AR$EN$ #F E.N.$!

    S. NI'AIN%A""A EDICA C#E%E

    H. S. * H#S"I$A RESEARCH

    CEN$RE! NA+ANA%AR! ,A%A*#$ -

    /0123! *ARNA$A*A.

    2. Name of the Instit4tion S. NI'AIN%A""A EDICA C#E%E

    H. S. * H#S"I$A RESEARCH

    CEN$RE! NA+ANA%AR! ,A%A*#$ -

    /0123! *ARNA$A*A.

    3. Co4rse of St4d5 and S4b6ect .S. (E.N.$) 78 YEARS9

    4. Date of Admission to Co4rse 81:2:3211.

    . $itle of the $o;ic RANDOMI!ED COMPARATIVE STUDY

    TO EVALUATE EFFICACY OF

    HYPERTONIC SALINE AGAINST

    ISOTONIC SALINE IN THE

    TREATMENT OF CHRONIC SINUSITIS

    IN H. S. K HOSPITAL " RESEARCH

    CENTRE , BAGALKOT.

    #. B$%&' R&()*& +' & I&/&/ 0+$

    #.1 N&&/ '+$ & ()/

    1

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    Chronic sin4sitis has a hi

    e;idemioloork or school >ith the associated decrease in ;rod4cti=it5. If all the

    costs >ere meas4red! chronic sin4sitis costs in h4orld>ide are hied interest in de=elo;in< and

    doc4mentin< efficacio4s ancillar5 thera;ies that co4ld s4;;lement or abrohich >ill

    affect their o=erall sense of >ellBbein

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    Nasal irriith isotonic or h5;ertonic saline can im;ro=e

    m4cociliar5 clearance time in =ario4s nasal ;atholoe=er contro=ers5

    e?ists re of this! since no st4d5 of s4ch kind is done in ,aill be 4ndertaken for the first time in o4r instit4tion!

    S. Ni6alineeks and noticed a com;liance of

    //.3. Discontin4ation of the treatment >as d4e to b4rnin< sensation in the

    nose and throat in /./3 of h5;ertonic saline

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    saline treatment ed siice dail5 for 8 to >eeks. "atients rated nasal disease

    s;ecific s5m;toms and com;leted a selfBadministered 4alit5 of >ell beinB4;. 0 of ;atients re;orted

    s5m;tomatic im;ro=ement and 3 re;orted ad=erse side effects or no

    beneficial effects from nasal irrias 3 amonho came for follo>B4;.

    St4d5 cond4cted b5 Homer '' et al. of &* in December 3222

    e=al4ated the effect of the tonicit5 of saline nasal do4chin< sol4tions on

    m4cociliar5 clearance in order to ascertain >hether h5;ertonicit5 conferred

    an5 ad=antaere 4sed and

    m4cociliar5 clearance >ere meas4red b5 the saccharin clearance time (SC$).

    $he res4ltant SC$ after administration of saline >as si

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    St4d5 cond4cted b5 Da=iskas E et al. of S5dne5! A4stralia in 3223 Fall

    sho>ed that lonith h5;ertonic saline(HS) or mannitol ma5

    benefit ;atients >ith m4cociliar5 d5sf4nction.

    abnitK DA! ormald "' of Adelaide! So4th A4stralia in a5 322

    cond4cted st4d5 on /2 health5 =ol4nteers and the5 >ere randomiKed to recei=e

    2. saline s;ra5 to one nostril and 8.2 saline s;ra5 to the other. $he5

    collected ciliated cells and Ciliar5 ,eat Fre4enc5 >as calc4lated 4sinith 2. saline! 12.1 HK

    >ith 8.2 saline. (" M .2).0

    4ltimethod st4d5 b5 Raba

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    rhinosin4sitis b5 Ha4;tman %! R5an of $e?as! &SA in No=ember 3220

    com;ared the effect of t>o saline nasal s;ra5s on nasal ;atenc5 and

    m4cociliar5 clearance. Nasal ;atenc5 and m4cociliar5 clearance meas4rements

    >ere taken before and after the treatment. ,oth sol4tions im;ro=ed saccharine

    clearance times (" M 2.2221). ,4ffered ;h5siolo

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    to de=elo; a ;rotocol for standardiKed 4se of saline sol4tion irriB4; till 81st'an4ar5 3218 >ill be incl4ded in the

    st4d5. Detailed clinical histor5 >ill be obtained follo>ed b5 clinical

    e?amination. Data >ill be anal5Ked from findin

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    Anal5sis of data >ill take 3 months! $5;in< and ;rintin< >ill also take 3

    months. So! total d4ration of st4d5 >ill take 10 months.

    Informed consent >ill be obtained from the ;atients

    A= I9;)(%+ 9$%&$%6

    1. All cases of chronic sin4sitis in the aill be incl4ded.

    B= E>9;)(%+ 9$%&$%6

    1. "atients >ith kno>n anatomical defect that obstr4cts the sin4ses.

    3. "atients >ith ;ol5; and m4cocele that obstr4cts the sin4ses.

    S6*

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    Cases of chronic sin4sitis >ill be treated >ith isotonic saline nasal

    dro;s for one

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    $reatment >ith h5;ertonic saline =ers4s normal saline nasal >ash of ;ediatric

    chronic sin4sitis. ' Aller

    of nasal irriith m4cociliar5 d5sf4nction. ' Aerosol ed

    3223 FallO 1(8) 881B1.

    0. abnitK DA! ormald "'. A blinded! randomiKed! controlled st4d5 on the

    effect of b4ffered 2. and 8 sodi4m chloride intranasal s;ra5s on ciliar5

    beat fre4enc5. ar5nn@s

    otorhinolar5n

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    "R#FESS#R AND HEAD!

    DE"AR$EN$ #F E.N.$!

    S. NI'AIN%A""A EDICA C#E%E!

    ,A%A*#$.

    11.2 Si

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    B. V. V. S6?6(

    S. NIJALINGAPPA MEDICAL COLLEGE " H. S. K HOSPITAL " RESEARCH CENTRE,

    NAVANAGAR, BAGALKOT :12, KARNATAKA.

    D&