bluuebunny/crossref_metadata_2025 huggingface dataset:
Effectiveness of transdermal NSAID administration in analgesia for rib fracture patients: a comparative study with intravenous NSAID administration
Authors: Kottareddygari Vikas Sankar , C. A. Shashirekha , Baig Asadulla , N. Suryateja , P. N. Sreeramulu
Published: April 2018

Background: Simple rib fractures are the most common injuries sustained following blunt trauma chest, accounting for more than half of thoracic injuries from nonpenetrating trauma. Looking into new modalities of administration like transdermal patches helps reduce morbidity in such patients with minimal side effects. The objectives of this study were to assess the effectiveness of transdermal NSAID administration in analgesia for rib fracture patients and to compare the effectiveness with intravenous NSAID administration.Methods: A prospective study comprising of 50 rib fracture patients who presented to the Emergency Medicine Department at RL Jalappa Hospital and Research Centre, Tamaka, Kolar. Study group were administered transdermal NSAID and the control group were administered intravenous NSAID.Results: Of the 50 subjects studied, 9 were female and 41 were male. Group A in which transdermal NSAIDs were administered consisted of 2 females and 23 male subjects while Group B in which intravenous NSAIDs were administered consisted of 7 females and 18 male subjects. The comparison was made between the two groups. The study results showed that the analgesia effect with transdermal NSAID administration is slow in onset as evidenced by higher VAS readings on day 1 whereas it is comparable with analgesia effect of intravenous NSAID administration in the long run as evidenced by VAS readings on day 3.Conclusions: Transdermal NSAID administration is effective in analgesia for rib fracture cases. The analgesia effect with transdermal NSAID administration is slow in onset as evidenced by high VAS readings on day 1 whereas it is comparable with analgesia effect of intravenous NSAID administration in the long run as evidenced by VAS readings on day 3.
Clinical study and outcome of alcoholic and nonalcoholic acute pancreatitis presenting to a tertiary care center
Authors: T. Kemparaj , G. S. Mridul
Published: April 2018

Background: Acute pancreatitis is a common condition involving the pancreas. The estimated incidence is about 3% of cases presenting with pain abdomen. The study is undertaken to study the various etiological factors and clinical factors of alcoholic and nonalcoholic acute pancreatitis and to assess the prognosis, outcome, management of an alcoholic and nonalcoholic acute pancreatitis.Methods: A total of 60 cases from BMCRI hospital attached selected during the study period from November 2015 to June 2017.Results: In the present study total 60 patients with acute pancreatitis were enrolled, 55% were alcoholic and remaining 45% were nonalcoholic. The mean age of presentation in our study was 39.2 years and in alcoholic it was 39.42 years, and nonalcoholic it was 39.07 years. There was a male predominance with males accounting for 90 percent in which 61.1% are alcoholic and 38.9 percent are nonalcoholic with 9:1 male to female ratio. In our study 100 % of patients had tenderness, 3% of alcoholic and 7.4 % of nonalcoholic presented as mass abdomen, and 21.2% alcoholic and 7.4% of nonalcoholic presented as ascites. USG abdomen was diagnostic in 93.3 % of the patients in our study. All of them managed conservatively, of the 8 patients of biliary pancreatitis 7 underwent interval cholecystectomy, and 1 underwent ERCP + ES.Conclusions: Acute pancreatitis is a common cause of acute abdomen. Alcohol being the most common cause of acute pancreatitis in the present study. Nonalcoholic pancreatitis contribute to a significant proportion of etiology of pancreatitis. Prompt identification and diagnostic work up to identify the etiology of pancreatitis followed by appropriate treatment results in cure and prevention of untoward complications.
Nontoxic goiter: causes, clinical evaluation and management
Authors: Thakkar Dhaval B. , Deshmukh Satish D. , Akhtar Murtaza
Published: April 2018

Background: Thyroid diseases are the commonest endocrine disorders worldwide and India is no exception. Goiter may be generalized or localized, toxic or nontoxic. The present study is being carried out in a government notified endemic area to study the etiology and surgical management with postoperative complications in patients with nontoxic goiter.Methods: A observational study was carried out at a tertiary care academic hospital. Patients with a clinically diagnosed nontoxic goiter with normal T3, T4 and TSH values were included in the study. The study subjects underwent relevant investigations and surgical intervention. The outcome factors were histopathology of the surgically removed gland and postoperative complications.Results: A total of 67 patients of nontoxic goiter were enrolled. The mean age of the patients was 33.3±11.1 years with female preponderance. The mean duration of the thyroid swelling was 2+/- 2 years. Hemithyroidectomy was most common surgery (68.7%) carried out. A majority (88%) of resected thyroid specimens were benign histopathologically as colloid goiter. An intergroup analysis was carried out between metabolic, autoimmune and neoplastic etiologies. Neoplastic etiology was significantly associated with smooth surface and hard consistency of the gland. Autoimmune goiter had significantly less than 12 months duration and painful. The postoperative complications observed were hypothyroidism (22.4%), hypoparathyroidism (10.5%), RLN palsy (6%) and SSI (3%).  Conclusions: Benign pathology was commonly seen with nontoxic goiter. Hypothyroidism and Hypoparathyroidism were the most frequent postoperative complications.
A prospective study in esophageal atresia with tracheoesophageal fistula: Oblique versus circular anastomosis
Authors: Mujalde Vikram Singh , Barolia Dinesh Kumar , Gupta Pradeep , Mehra Sunil , Gupta Arun
Published: April 2018

Background: Congenital esophageal atresia with tracheo-esophageal fistula is a common congenital anomaly facing at our centre. There is various proposed anastomotic technique to avoid post-op stricture. In this study we compare outcome of oblique and circular anastomosis technique at our centre.Methods: This study conducted in 60 cases of congenital esophageal atresia with tracheo-esophageal fistula, designed randomly in two groups. Oblique anastomosis in group A and Circular anastomosis in group B. The complications of anastomotic leaks, anastomotic narrowing with strictures and recurrent fistula were studied.Results: Anastomotic leak rate in case oblique anastomosis was 6.7% as compared to circular anastomosis was 16.7%. Stricture formation in oblique anastomosis was 13.3% in comparison to circular anastomosis there was 43.3% stricture formation. None of the cases required re-exploration in Oblique anastomosis, whereas two (6.7%) cases required re-exploration in circular anastomosis.Conclusions: Present study showed that oblique anastomotic technique is superior to circular anastomotic technique, in term of less stricture and leak rate.
Retrospective study of single dose of antibiotic in laparoscopic appendicectomy
Authors: Kotwal Shubham Ramanbhai , S. Jadav Jayeshkumar
Published: April 2018

Background: Laparoscopic appendicectomy for interval appendix is becoming popular among the surgeon. Aim of the study is whether a single dose of antibiotic in laparoscopic appendicectomy is sufficient.Methods: A case study of 30 cases of laparoscopic appendicectomy performed with the use of single dose per-operative antibiotics in Guru Gobind Singh Hospital, Jamnagar in various surgical units from year 2015-2016.Result: Wound infection is present in 10% of the cases, with none of the patients suffering Grade 3 or 4 wound infections.Conclusions: It conclude that a single dose of antibiotic is sufficient for patient undergoing laparoscopic appendicectomy interval appendix.
Evaluation of role of granulocyte macrophage colony stimulating factor (GM-CSF) in treatment of patients with perforation peritonitis: a prospective study
Authors: Chauhan Tapan Singh , Bhatia Chisel , Dalal Satish , Nara Nityasha , Chhabra Tulit
Published: April 2018

Background: GM-CSF has been demonstrated to be effective in reducing the incidence of infection in patients who receive myelosuppressive anticancer chemotherapy or patients who are neutropenic and agranulocytic. We study the role of GM-CSF in non-neutropenic patients with Systemic Inflammatory Response Syndrome (SIRS), infections and sepsis with impaired neutrophil function to access the current rationale for administering GM-CSF in addition to standard antibiotic therapy to critically ill patientsMethods: All patients undergoing surgery for peritonitis due to gastrointestinal perforations were included in this study and were divided into two groups alternatively to avoid any bias i.e. Group A 1, 3, 5 etc. and Group B 2, 4, 6 etc. Group A - all patients received GM-CSF along with standard antibiotics. Group B patients received antibiotics only. Course of patient in immediate postoperative period, time to improvement, duration of hospital stay, antibiotic therapy, rate of complications were compared.Results: Patients in group A had a lower duration of antibiotic therapy and hospital stay. Patients in group A took less time to show clinical improvement compared to patients in Group B. Group A also had a much lower rate of infectious and systemic complications compared to group B. Conclusions: Results of the present study show that GM-CSF is an important molecule when used as adjunct to antibiotics in cases of abdominal sepsis. Use of this growth factor is associated with less incidence of septic complications and morbidity, a shorter duration of antibiotic therapy and hospital stay without significantly compromising the cost. The results of present study help in identifying its role in non-neutropenic patient groups who are most likely to benefit from its administration.
Assessment of bacteriological profile and outcome of empyema thoracis in hospitalized children in a tertiary care hospital of Raipur city, Chhattisgarh, India
Authors: Toppo Aradhana , Yadu Shruti
Published: April 2018

Background: An empyema is a purulent collection in the pleural space. Empyema Thoracis is a disease that, despite centuries of study, still causes significant morbidity & mortality. It is very commonly seen in children all over the world, more frequently as a complication of pneumonic infections. Pediatric empyema has a much more favorable prognosis compared to adult cases. Empyema thoracic is a common complication of pneumonia. Children of poor socio-economic status and below 3 years of age are most commonly affected.  Methods: The present prospective observational study was conducted in Department of Surgery, Pediatric Surgery unit, Pt. J. N. M. Medical College and Dr. B. R. A. M. Hospital, Raipur (C.G.) during study period July 2011 to October 2012. This study includes 40 study subjects of the patients of empyema who were diagnosed by the aspiration of gross pus from the pleural space. Complete History was taken, and physical examination was performed in all the cases.Results: The commonest symptoms at presentation were fever seen in 40 patients (100%), cough with expectoration seen in 36 patients (50%-90%) and dyspnea seen in 32 patients (80%). Left pleura was more commonly affected than the right pleura. The most common organism isolated were Staphylococcus aureus in 28 patients (70%), followed by Klebsiella in 7 patients (17.50%), then E.coli in 3 patients (7.5%) & Streptococcal species in 2 patients (5%). The use of antibiotic therapy alone was effective in 25 patients (62.50%) Antibiotic therapy along with tube thoracostomy was required in 15 patients (37.50%). Operative intervention was required in none of the patients. Out of 40 patients, 28 (70%) had complete lung expansion, while 12 (30%) had only partial expansion. Patients with partial expansion mainly comprised of those who presented late in the course of the disease.Conclusions: It is concluded from the study that early diagnosis and management is critically important in reducing the unfavourable outcome in pediatric espuma thoracis cases.
Ileocecal lipomatosis presenting as intermittent intestinal obstruction and hematochezia: case report with literature review
Authors: Keerthi Nemalidinne , K. Mohan Kumar , Baig Asadullah , Vogu Sudeep , P. N. Sreeramulu
Published: April 2018

Lipomatosis of the ileocecal valve is defined as the submucosal infiltration or accumulation of adipose tissue in the ileocecal region, usually resulting in non-specific gastrointestinal symptoms like abdominal distension, abdominal discomfort, vomiting, alternating diarrhea and constipation and occasionally bleeding per rectum. Lipomas are the most common benign mesenchymal tumors of the gastrointestinal tract. Distribution of alimentary lipomas demonstrates a predilection for the colon, but they may originate anywhere in the gastrointestinal tract. Here, we are describing the case of an elderly male who presented with rectal bleeding. Both colonoscopy and computed tomography of the abdomen and pelvis confirmed the presence of a mass near the ileocecal valve. Because of bleeding, the patient required right hemicolectomy to resect the lesion. Both macroscopic and microscopic pathology were consistent with lipoma at the ileocecal valve. Previous cases of ileocecal valve lipomas have been reported in the literature, with the majority presenting as intussusception or volvulus. We present a rare case of an ileocecal valve lipoma with superficial ulceration presenting as lower gastrointestinal bleeding that was treated successfully with resection.
Survival abdominal gunshot injury: a rare case
Authors: Gajbhiye Ashok S. , Deshmukh M. N. , Jaipuriya Parag , Jaipuriya Parag , Mehata P. , Kumar Abhinav , Kumar Abhinav
Published: April 2018

A 55 years old male patient came to the casualty of a medical college and hospital with alleged history of assault with firearm injury on his back. Patient was conscious with GCS 15/15, his pulse rate was 133 beats per min, blood pressure was 100/60 mmHg, SpO2 was 95% and pallor was present. On local examination there was single entry wound at lower back on left side of size 1 cm X 1 cm with no exit wound. Generalized abdominal tenderness and guarding was present. Patient was immediately resuscitated. Blood grouping, cross match were sent immediately. Abdominal radiograph did not show any gas under the diaphragm but a foreign body (a bullet) was seen. Ultrasonography and computerized tomography scan of the abdomen was suggestive of hemoperitonium and a foreign body bullet in abdomen. Exploratory laparotomy showed moderate hemoperitonium of about 1000 ml which was sucked out completely. Evidence of retroperitoneal rent of size approximately 1 cm X 1 cm seen with oozing through it which was closed in layers. A bullet was seen in the anterior abdominal wall but skin was intact. Five jejunal perforations distal to 20 cm from the duodenojejunal flexure were seen and the bullet was removed from the anterior abdominal wall.  Resection of the jejunal segment with jejuno-jejunal anastomosis was done. Jejunal mesenteric rents were closed. Abdominal wall closed in layers. Post-operative recovery was uneventful. Patient was discharged on the 10th post-operative day. Early diagnosis and treatment in the golden hours can save the life of the patients. A mass education on the dangers of these guns and the harm they can cause as well as legal regulations for their restricted use seem to be necessary.
Huge right breast lump in male: a diagnostic dilemma as gynecomastia or something else?
Authors: . Krishnaprasad , Reddy Sandeep , P. N. Sreeramulu , C. A. Shashirekha , Abraham Amal , Mohan Padmalakshmi , R. Deepthi
Published: April 2018

Any lump in the male breast is considered as cancer until histologically ruled out otherwise. Breast asymmetry can result from unequal hypertrophy or neoplastic growth, leading fatty tumors to be clinically and radiographically difficult to differentiate from hypertrophy.2 Lipoma is one of the most common benign mesenchymal tumors derived from fatty tissue. Incidence ranges from 12 to 16% of all mesenchymal tumors. We present an unusual presentation of the huge right breast lump in male. A 46 years old male, painless giant sagging right breast. Underwent reduction mammoplasty. Excision biopsy revealed mature adipose tissue separated by thin fibro vascular septate with no neuronal component and malignant transformation. Huge lipoma in male are unusual, requires care evaluation for diagnosis. They associated with excellent prognosis, after successfully intervened. All surgeons should aware of this kind of presentation. To the best of our knowledge this is the first reported case of a huge lipoma of breast in a male. When considering for treatment, the challenging part is reconstruction the breast in full filling a normal symmetrical and aesthetic anatomic structure of the breast.  various literatures.
Gallbladder perforation in acute acalculous cholecystitis: an atypical manifestation of dengue fever
Authors: Deshmukh Nikhil , Rath Alok , Reddy M. Sridhar , M. Naresh
Published: April 2018

Among the atypical manifestations of dengue fever, comprising 15.8% of all cases, acalculous cholecystitis forms a small subset. Acalculous cholecystitis is managed conservatively in majority of cases and a chance of gall bladder perforation is low (2-18%). Management of gall bladder perforation in the scenario of Dengue is sometimes complicated by presence of thrombocytopenia and its complications thereof. Mortality associated with gall bladder perforation is relatively high. Gallbladder usually perforates at the fundus and is to be dealt with surgically if it doesn’t localize. Laparoscopic management of gall bladder perforation is feasible as calot’s is relatively virgin (as there is no calculous disease). Thorough peritoneal toileting is possible and a chance of intra-abdominal abscess in post-operative period is a mere speculation. Laparoscopic management results in early recovery and fewer wound complications and lesser hospital stay.
Spontaneous perforation of caecum, a rare entity: case report and review of literature
Authors: Sharma Rakesh , Padhy Biren P. , Kumar Supreet , Suchithra G. Lakshmi , Hareesh Meka
Published: April 2018

Spontaneous perforation of caecum is a rare entity. Here we present a case of 72-year-old male who had presented with pain, distension of abdomen with tense pneumo-peritonium and peritonitis. Exploratory laparotomy showed caecal perforation without any obvious cause.  Various theories have been proposed regarding the pathology but still its etiology remains a dilemma. Though it is not a common entity, it weighs a high importance in case of diagnosis and prompt intervention due to its high mortality from peritonitis and septicaemia.
Diagnostic dilemma in skin adnexa malignancy: a rare case report with review of literature
Authors: C. A. Shashirekha , . Krishnaprasad , Reddy Sandeep , P. N. Sreeramulu , T. Pramod , Kiran Ravi , R. Deepthi
Published: April 2018

Apocrine malignancies are rare to occur. Axilla and the anogenital skin are the most common sites of primary tumour. Apocrine malignancy carries high risk of lymphatic and vascular spreading to lung, liver and bone. A 40 years old painter, presents with diffuse swelling and pain in the left lower limb up to left inguinal region since 5 to 6 months. With generalised lymphadenopathy. On evaluation, revealed adenocarcinoma of apocrine, skin adnexa in the extremities of the limb with extensive distant metastasis. Apart from Dermatologists other board specialty consultant should be aware of the possibility of apocrine adenocarcinoma while differentiating cutaneous tumor located in the extremities. Apocrine malignancy should be treated aggressively with wide local excision or amputation the involved part for improving the life expectancy. Since prevalence of apocrine malignancy are rare, and it is associated with increased mortality, it provoke us the field of research for discovering other modalities of treatment.
A case of third branchial cleft cyst
Authors: Prasad G. Raghavendra , Rao J. V. Subba , Khan Bushra , Aziz Amtul
Published: April 2018

Branchial cyst or congenital cystic lesions of neck originate from branchial clefts, the 2nd branchial cleft cyst being the most common and 3rd and 4th being missed. Hence, they are often misdiagnosed as lymph nodal masses, cold abscess. We are reporting a case of 3rd Branchial cleft cyst, of a 12-year-old boy who presented with left sided recurrent painful cystic mass at the level of hyoid bone going down to the level of pyriform fossa. All the tests for tuberculosis were negative. USG neck revealed loculated thick walled cyst from SCM to lateral part of pharynx. CECT revealed a thick-walled cyst extending from the anterior border of the sternocleidomastoid going down obliquely below the level of thyrohyoid membrane to pyriform fossa. Exploration revealed a thick walled infected cyst, pushing left upper pole of thyroid medially and anterior to left sided superior laryngeal nerve. The cyst was going downwards medially below the level of thyrohyoid membrane. The cyst was excised completely. Histopathology revealed the findings of squamous epithelial lining of cyst wall and cholesterol crystals within. Detailed anatomy on CECT, surgery and histopathology confirmed 3rd arch Branchial cyst.
Porcelain gall bladder: a case report
Authors: Murugesan Sowmya , R. Chandru , Ramakrishnan Ramya , Raj Rajiv , G. Kishore Kumar
Published: April 2018

Porcelain gall bladder is a rare entity and a morphological variant of chronic cholecystitis. Dystrophic calcification along with inflammatory scarring of the wall gives the porcelain nature to the gall bladder. Patients are mostly asymptomatic and incidentally diagnosed on X-ray, ultrasound or CT abdomen. In the early stages they can be a surprise as only a histopathological diagnosis. Prophylactic cholecystectomy is recommended in view of high risk of malignancy.
Study to estimate the prevalence of risk factors of chronic disease among a fishing community in Tamil Nadu
Authors: Seenivasan P. , Caroline Priya K. , Siddharth Raghul , Devanand S. , Siva Surya A. , Sarath G. , Kavin Chander M. , Sivasharan K. , Raj Kumar H.
Published: April 2018

Background: Studies have shown that fishermen have a higher mortality from cardiovascular disease, cancer and accident. Despite existing knowledge regarding the high morbidity and mortality rates associated with fishing, there has been little research on the effect of working conditions on the health of fishermen, especially in the developing world. To estimate the prevalence of risk factors of chronic disease among the fishing community in Pulicat village and to find the association among various risk factors.Methods: This cross-sectional study was carried out from March 2016 to September 2016, among the residents of Pulicat village, a fishing community to the north of Chennai. The core items in of the WHO steps instrument were used, the questionnaire also included data on demographics and socio-economic variables.Results: Fruit consumption was low among the study population only 15.11% and 12.44% consumed fruits and vegetables daily, 25% of the population were involved in vigorous activity daily, 4.44% of the population was smokers, 18.67% of them consumed alcohol, 31.11% of them were hypertensive, 12.81% were diabetic. BMI calculations showed that 37.33% were above the normal range and 52.44% had waist circumference above the normal range.Conclusions: Health promotion and education initiatives should be conducted in the fishing community to increase the awareness of the risk for developing chronic diseases which may permanently incapacitate them and force them to quit their profession. They should be encouraged to avoid alcohol, smoke less, eat more fruits and vegetables especially at sea, increase physical activity, and monitor regularly their weight, abdominal circumference and blood pressure.
Socio-demographic determinants of morbidities in infancy: a cross sectional study in urban field practice area of MRMC, Kalaburagi
Authors: Naaz Faraha , Nigudgi S. R. , Ghooli Shreeshail
Published: April 2018

Background: The first few years of life is the most crucial period of life as this age is known for accelerated growth and development. Various studies in India have shown that respiratory and gastrointestinal tract infections are the leading cause of morbidity in infants. These infectious diseases are affected by several sociodemographic factors such as birth weight, gestational age, birth order, immunization status, day care attendance and socio-economic status of the family.Methods: A cross sectional study was conducted in the urban field practice area of department of community medicine MRMC, Kalaburagi from June 2016-October 2016. House to house survey using pre-structured and pretested questionnaire method was done.Results: Out of 104 infants in the present study it was found that majority 53% were females and 49% were males. Majority 61.5% of the infants belonged to low socioeconomic class and majority 54.8% of them were from nuclear families, most 62.5% of the infants had 1-2 siblings in the family and 34.6% had no siblings, 51% of the mothers were illiterate and majority 54.8% of the fathers were literate. Among all the morbidities majority 36.50% had fever. No significant association was found between various social factors.Conclusions: Though no significant association was found between morbidity and socio-demographic factors, but the socio demographic factors which showed more prevalence of morbidity among infants were females, number of siblings in the family and lower socio economic class. As these infants are the future citizens of the country hence their health should be the utmost priority for us and their health needs should be properly addressed.
Is stress an important co morbid factor for hypertension among legal professionals
Authors: Kannan L. , P. Praveena
Published: April 2018

Background: Stress is a mental, physical and emotional response to life demands. Long hours of work, client demands, changing laws- creates stress and eventually hypertension among advocates. Well-being of the advocates are being questioned. Hence the main objective of the study is to evaluate the relationship between stress and hypertension among practising advocates.Methods: A cross-sectional study was conducted in a sample of 300 practising advocates at Madurai district court for a period of 1 year by simple random sampling method.Results: Around 133 (44.33%) and 167 (55.66%) of study participants were in level of high stress and low stress respectively. Among high stressed participants, a majority of 113 (84.96%) were found to be hypertensives and among the low stressed participants only 10 (5.98%) were hypertensives. The difference of observation was found to be statistically significant (p=0.0000).Conclusions: In conclusion the study explains that practising advocates with high perceived stress 113 (84.96%) were found to be hypertensives. Stress has a significant association with hypertension. The right way to manage stress is to implement coping strategies.
Anxiety and depression among caregivers of inpatients suffering from chronic debilitating and terminal illnesses
Authors: Anandi Basavakumar S. , Dhadave Meenakshi M.
Published: April 2018

Background: Depression and anxiety are the priority conditions covered by WHO’s Mental Health Gap Action Programme. Depression is a common illness worldwide, despite effective treatments available, fewer than half of those affected receive such treatments. Caregivers of the patients, attributed to bear higher burden of personal, financial, family, and social problems are expected to be predisposed to psychological illness. Thus this study was undertaken with following objectives; i) to estimate prevalence of anxiety and depression and ii) to find associated factors for anxiety and depression among in-patient care givers of a tertiary care hospital.Methods: An observational study was undertaken in the cardio, neuro, medical and cancer in-patient setting, in a tertiary care hospital, of Kalaburagi district. Study was undertaken for 2 months from Dec-2017 to Jan-2018. Care-givers of all, receiving in-patient care were included in the study. The anxiety and depression levels were assessed using GAD-7 & PHQ-9 questionnaires respectively.Results: All in-patient care-givers had some degree of anxiety of which majority of them had severe level of anxiety (50%). Likewise, 96% of the subjects had some degree of depression, of which 40% of them had moderately severe level of depression. Severe levels of anxiety and depression were found to be high among 30-40 years age group.Conclusions: It is crucial to screen the care givers, especially females, for presence of anxiety and depression. This approach will help timely identification and proper management of these individuals.
A study of profile of information sought through RTI act protocols in tertiary care hospital
Authors: Kore Maruti R. , Masare Monika S. , Shinde R. R. , Bansode-Gokhe Seema S.
Published: April 2018

Background: This article attempts to study the profile of information seeks through RTI (right to information act) protocols in a tertiary care hospital of a metropolitan city.Methods: This hospital record –based cross sectional study was carried out in a tertiary care hospital in Metropolitan city during the period of one year.Results: Total 819 applications were received in the study period of 3 years out of which 30% (273) of applications were randomly selected for study using simple random sampling method. Analysis matrix was designed as per content mentioned in RTI applications and was modified. Data was collected by scrutiny of application received and was analyzed. There were total 273 applications filed by various profile of applicants out of which 56.8% resolved within 30 days, 2.2% within 35 days, 1.1% within 40 days, 2.9% within 45 days while 30% were pending/unresolved and 7% withdrawal by applicant itself. Most of the queries were personal (35.5%) followed by demanding type (24.9%), social type (19.8%), information queries (18.7%), private type (0.7%) and lastly of grievances type (0.4%).Conclusions: Encouraging accessibility to information is one of the major changes for the people, as it may; significantly shift the act from the “official secrets act” mindset to the “right to information act” mindset.
Study of prevalence of hypertension in an adult population of age group 40 to 60 years in an urban slum of Mumbai, Maharashtra, India
Authors: Rathod Neeta Dilip , Lilare Rushali Rajan
Published: April 2018

Background: Hypertension is one of the commonest health related risk factor in India, with the largest contribution to burden of disease and mortality. Awareness of hypertension in India is low while appropriate treatment and control among those with hypertension is even lower. This mainly effects the middle age adult populations especially in urban slum area are more vulnerable for hypertension as they are so busy with their job responsibilities, family commitments, economic stress etc. If hypertension is detected early it is possible to minimize the risk of heart attack, heart failure, and stroke and kidney failure. An estimated 18 per cent of men and 13 per cent of women with high blood pressure are not receiving treatment that could protect them from an early death. So it is necessary to study the prevalence of hypertension in adult population of 40 to 60 years in an urban slum and to study the socio- demographic profile of this population.Methods: A cross-sectional study was carried out in the field practice area of the T. N. Medical College, Mumbai during the period of July 2015 to June 2016. A total 350 participants in the age group of 40 to 60 years using systematic sampling technique from urban slum area were interviewed and examined. A pre-tested interview tool was used to collect necessary information. Blood pressure <120/80 mmHg (normal), 120/80 to 139/89 mmHg (pre hypertension) and >140/90 mmHg (hypertension).Results: Out of the 350 participants, 148 (42.3%) participants had normal blood pressure and 81 (23.1%) participants had pre-hypertension, 79 (22.6%) participants had stage I hypertension and 42 (12.0%) participants had stage II hypertension.Conclusions: Prevalence of hypertension and pre-hypertension was 34.5% and 23.1% respectively. Various factors like gender, increasing age, low physical activity (exercise), high BMI, history of addiction, history of extra salt intake and family history of hypertension was associated with hypertension.
Identification of an anthropometric surrogate to low birth weight in newborns: a hospital based cross sectional study
Authors: Neeluri Rajesh , Pamarthi Kiran
Published: April 2018

Background: Low birth weight babies have less chances of survival during first year of life.Appropriate and timely care of a newborn especially if he is born with low birth weight is important but this is difficult in developing countries. There is a need to develop simple, inexpensive and practical methods to identify low birth weight newborns soon after birth.Methods: A hospital based Cross sectional study was carried out on 965 live born neonates who were born during one year period. All the anthropometric measurements are taken within 24 hours of birth. Pearson’s correlation was done to assess correlation of various anthropometric parameters with birth weight.Results: Out of 965 live born neonates, 510 (52.8%) were male babies and 455 (47.2%) were female babies. 289 (29.9%) babies had birth weight less than 2500 gms. The highest correlation among all measurements was observed between birth weight and mid arm circumference while the least correlation was between birth weight and crown heel length. AUC value for ROC curves is highest for Mid arm circumference (0.917) which shows that it is a better surrogate predictor of low birth weight (<2500 gms) in our study as compared to other anthropometric parameters.Conclusions: Measurement of mid arm circumference is easier, convenient and statistically superior to other anthropometrical parameters in detection of low birth weight newborn babies.
Awareness of cervical and breast cancer among women attending OBG out-patient department of a medical college hospital, Bangalore
Authors: Srikanth Jayanthi , Upadhya Kavya G. , Kumar Pankaj
Published: April 2018

Background: Cancers of the cervix and breast are common among Indian women. Majority of the women are not aware of the symptoms or screening methods and report late. Hence the current study was done to assess their knowledge and provide information regarding early detection.Methods: A cross-sectional study was done in the OBG out-patient department of Kempegowda Institute of Medical Science Hospital, Bangalore over a period of 3 months and 205 women aged 18 years and above were the study subjects. The awareness of the study subjects regarding cervical and breast cancer was assessed using a pre-tested semi-structured proforma. The data was analyzed using descriptive and inferential statistics.Results: Among 205 study subjects interviewed, the study subjects who had heard about cervical cancer were 173 (84.4%) and those who had heard about breast cancer were 202 (98.5%). Out of 173 subjects who had heard about cervical cancer, 139 (80.3%) had good knowledge regarding the symptoms and 102 (58.9%) knew about the risk factors. The fact that cervical cancer could be detected early was known to 113 (65.3%) subjects but only 57 (32.9%) were aware of a pap smear. Out of 202 subjects who had heard about breast cancer, 159 (78.7%) had good knowledge regarding the symptoms and 74 (36.6%) knew about the risk factors. The fact that breast cancer could be detected early was known to 143 (70.8%) subjects but only 42 (20.8%) were aware of mammogram.Conclusions: Majority of the study subjects had reasonable knowledge of the symptoms and risk factors of cervical and breast cancer but the knowledge regarding screening test for early detection of these cancers was poor.
Supporting the development of wisdom: The dialogical perspective
Authors: Borawski Dominik
Published: April 2018

The article presents internal dialogical activity as one of the possible ways of developing wisdom, understood here primarily in terms of dialectical thinking. The author explains the relationships between internal dialogical activity and dialectical thinking and describes the cognitive processes that accompany inner dialogs, related to imaginative thinking, attention management, metacognition, and the use of conceptual knowledge with ambiguous contents. The active involvement of these processes seems indispensable for achieving dialectic effects through dialogical activity, including the acceptance of contradictions and the integration of different viewpoints. The final part of the article discusses practical methods of supporting wisdom based on three manifestations of inner dialogical activity: identity dialogs, temporal dialogs, and dialogs simulating social interactions.
Does power corrupt or does it facilitate goal attainment? Dominance and functionalist perspectives in psychological models of power
Authors: Ziemiański Paweł
Published: April 2018

This article describes how psychological models of power adopt the dominance and functionalist perspective in examining the influence of power on power holders. According to the dominance perspective, power leads to a desire to increase dominance over others and has a negative and corruptive influence on the person holding it, whereas the functionalist perspective puts emphasis on how power aids the attainment of the power holder’s and the group’s goals and should therefore trigger processes helpful in goal attainment. The main object of analysis is the assumptions about how power influences social perception.
Władza deprawuje czy pozwala realizować cele? O perspektywach dominacji i funkcjonalności w psychologicznych koncepcjach władzy
Authors: Ziemiański Paweł
Published: April 2018

This article describes how psychological models of power adopt the dominance and functionalist perspective in examining the influence of power on power holders. According to the dominance perspective, power leads to a desire to increase dominance over others and has a negative and corruptive influence on the person holding it, whereas the functionalist perspective puts emphasis on how power aids the attainment of the power holder’s and the group’s goals and should therefore trigger processes helpful in goal attainment. The main object of analysis is the assumptions about how power influences social perception.
Agricultura orgânica e convencional em Santa Catarina: Análise comparativa dos produtores
Authors: Gazzola Rosaura , Gomes Eliane Gonçalves , Souza Geraldo Da Silva e , Wander Alcido Elenor
Published: April 2018

Objetivou-se descrever os estabelecimentos agropecuários de produção orgânica em comparação com os estabelecimentos convencionais no estado de Santa Catarina, Brasil. A comparação foi feita utilizando-se os microdados do Censo Agropecuário de 2006. A análise de qui-quadrado efetuada com os dados mostra que somente num parâmetro não há diferença entre agricultores convencionais e orgânicos. O tamanho da família com até 2 pessoas é igual entre convencionais e orgânicos. Encontraram-se diferenças estatísticas dentre convencionais e orgânicos nos seguintes parâmetros: sexo, domicílio, renda média mensal, propriedade da terra, uso do crédito agrícola, associação a cooperativas, uso da área pelos estabelecimentos, escolaridade e anos de experiência.
Santral venöz portların çıkarılma nedenleri: Ardışık 154 hastadan edinilen deneyim
Authors: UZUNKAYA Fatih , SOYLU Ayşegül İdil , BELET Ümit , TERZİ Özlem , AKAN Hüseyin
Published: April 2018

Amaç: Bu çalışmanın amacı, tek merkezde santral venöz
portların çıkarılma nedenlerinin sıklıklarını tespit etmek, port kaynaklı enfeksiyon
ile ilişkili risk faktörlerini ve portların açık kaldığı süreyi etkileyen
faktörleri belirlemektir.

Gereç ve Yöntem: Ocak 2005 -
Mayıs 2017 tarihleri arasında port çıkarma işlemi yapılmış 154 hasta çalışmaya
dahil edildi. Hastaların yaş ve cinsiyetleri, klinik tanıları, portlarının
çıkarılma nedenleri, mikrobiyolojik test sonuçları ve portlarının açık kaldığı
süreler retrospektif olarak araştırıldı. Port kaynaklı enfeksiyon ile ilişkili
risk faktörlerini karşılaştırmak için Ki-kare testi, portların açık kaldığı
süreyi etkileyen faktörleri karşılaştırmak için ise Mann-Whitney U testi
kullanıldı. 

Bulgular: Hastaların %51.3’ü kadın, %48.7’si erkekti (yaş ortalaması, 55.1±15).
Portların en sık (%53.2) enfeksiyon gerekçesiyle çıkarıldığı tespit edildi. Cinsiyetin,
yaşın, malignite tipinin ve sindirim kanalı kanserine sahip olmanın enfeksiyon
sıklığını anlamlı derecede etkilemediği belirlendi. Enfeksiyon gelişen
hastaların kültürlerinde en sık (%20.9) izole edilen patojenin Staphylococcus aureus olduğu görüldü.
Cinsiyetin, yaşın, malignite tipinin ve sindirim kanalı kanserine sahip olmanın
portların açık kaldığı süreyi anlamlı derecede etkilemediği, buna karşın
enfeksiyonun bu süreyi önemli ölçüde kısalttığı tespit edildi.

Sonuç: Kanser hastalarının yarısından fazlasının portu enfeksiyon nedeniyle
çıkarılmaktadır. Enfeksiyon, portların açık kaldığı süreyi önemli ölçüde
kısaltmaktadır.
The role of active ingredients nanopowder Stichopus hermanii gel to bone resorption in tension area of orthodontic tooth movement
Authors: Prameswari Noengki , Brahmanta Arya
Published: April 2018

Background: Orthodontic tooth movement is a continual and balanced process between bone deposition and bone resorption in pressure and tension sites. Stichopus hermanii is one of the best fishery commodities in Indonesia. It is natural and contains various active ingredients such as hyaluronic acid, chondroitin sulphate, cell growth factor, eicosa pentaenoic acid (EPA) docosa hexaenoic acid (DHA) and flavonoid that potentially play a role in orthodontic tooth movement. Purpose: The aim of this study was to investigate the active ingredients of nanopowder Stichopus hermanii promoting bone resorption in tension area orthodontic tooth movement. Methods: A quantitative test for active ingredients of stichopus hermanii was conducted. Thirty two male Cavia cobaya were divisibled became four groups. K (–) groups as a negative control group (without treatment), K (+) groups as a positive control group which were provided with a separator rubber for orthodontic tooth movement, and P1, P2 groups, which were treated with 3% and 3.5% stichopus hermanii for orthodontic tooth movement. After treatment the cavia cobaya were sacrificed. TRAP-6 expression as a osteoclast marker was examined by means of an immunohistochemistry method. Results: A one-way Anova test confirmed that TRAP-6 expression was significantly increased with p = 0.00 (p≤0,05) in P2 compared to K (+). P2 to K (–), P2 to P1 and P1 to K (+) had no significant differences Conclusion: Nanopowder Stichopus hermanii 3.5% has an active ingredient that could increase osteoclast activity to resorb periodontal ligament and alveolar bone in tension areas of orthodontic tooth movement.
Efek Pemberian Decanter Solid terhadap Pertumbuhan Bibit Kelapa Sawit (Elaeis guineensis Jacq) dengan Media Tanah Bekas Lahan Tambang Batu Bara di Pembibitan Utama
Authors: Maryani Anis Tatik
Published: April 2018

Land resource hoarding coal post is supporting agricultural development. Experiment on the use of the media to land former coal mines that are expected to become soil ameliorant media or media after seedlings seeds moved into the field. The purpose of this study is 1) Determining the growth of oil palm seedlings with soil medium former coal mining areas. 2) Determining the decanter solid dose of the best on the growth of oil palm seedlings on former pasture land of coal mines in the main nursery. Design of experiment was randomized block design (RBD) with 7 dose treatment levels of decanter solid, there is no decanter solid, 100, 200, 300, 400, 500, and 600 g/polybag. Each treatment was replicated four times, so there are 28 experimental units. Each experimental unit consisted of three plants and as an each of them as plant sample, thus totally there are 84 plants. Observed variables include the increase of plant height, plant diameter (cm) and leaf area (cm2) as well as the rate of plant growth and Seed Quality Index. Results of the research show that in general the administration of decanter solid on the growth of seedlings of oil palm with former land area coal mines provide better growth on the plant height, diameter, number of leaves, leaf area, increase the rate of plant growth as well as seed quality index compared to oil palm seedlings without any decanter solid. Decanter solid 400 g/polybag is the best for the growth of oil palm seedlings.
Az „írástudó” egyetemi hallgató
Authors: Koltay Tibor
Published: April 2018

A tanulmány témája az akadémiai írástudás, vagyis azok a készségek, beállítódások és ismeretek, amelyeket egy egyetemi hallgatónak el kell sajátítania annak érdekében, hogy a tág értelemben vett tudományos világ, egy-egy adott tudományos közösség elvárásainak megfelelő szövegeket tudjon olvasni, interpretálni és létrehozni. Az olyan gyakrabban tárgyalt témák, mint a szakirodalomra való hivatkozás módja és a plágium elkerülése mellett, a tanulmány szól az információkkal szembeni kritikai hozzáállás fontosságáról, az értelmezés szükségességéről, az információs túlterhelésről és az általa okozott szimptómák enyhítéséről is. Amellett érvel, hogy a hallgatókban tudatosítani kell azt, hogy az írás és az olvasás folyamata nem lineáris, mivel az olvasás, a gondolkodás, a szintézis és az írás ismétlődő lépésekből álló műveletsorozaton alapul, továbbá azt, hogy az írás nemcsak az új információ létrehozását foglalja magában, hanem információk összegyűjtését és szervezését is. Fontos ismerniük a célközönségüket is, különös tekintettel arra a tudományos közösségre, amelyhez tartoznak.
Azonosulás a dalszöveggel – egy kérdőíves vizsgálat tanulságai
Authors: Hujber Szabolcs
Published: April 2018

A fiatalok életében kiemelt fontosságúvá váló dalszövegek műfaja az érettségi követelményrendszerben is megjelent. Egyre több tudományos cikk foglalkozik dalszövegekkel, elsősorban az igényesebb költészeti alkotásokkal való összevetésben. A dalszövegek vizsgálata szempontjából hasznosnak ígérkezik a retorikai elemzés alkalmazása, többek között annak komplexitása miatt. A tanulmány alapját egy kérdőíves kutatás adja. Ennek kérdéseit a zenehallgatás retorikai szituációként való felfogása inspirálta. A kutatás a burke-i azonosulás (az elidegenedés kiküszöbölését célzó egyesítő erő) fogalmának a középpontba helyezésével azt vizsgálja, hogy a dal hatásában releváns-e maga a dalszöveg, milyen szerepet játszanak az ismétléses alakzatok, illetve a hallgatóhoz való odafordulás milyen módjai erősítik a meggyőzés sikerességérét.
Diskurzusszervező elemek a diákesszékben
Authors: Tolnai Varga Piroska
Published: April 2018

A tanulmány, amely a 2017-es Újvidéki Egyetemi Nyelvészeti Napokon elhangzott előadás szerkesztett változata, a diskurzusszervező elemek előfordulását vizsgálja egy vajdasági nyelvi gimnázium diákjainak szövegalkotási feladataiban (érettségi esszéiben). Fő kérdései: milyen funkcióban fordulnak elő ezek az elemek, illetve mit eredményez a hiányuk. Célja az elemzett példák segítségével rámutatni arra, hogy a vizsgált nyelvi elemeknek a metapragmatikai tudatosság jelölőiként fontosabb szerepet kellene betölteniük a szövegalkotás tanításában, ezzel is növelve a szöveg meggyőző erejét és fokozva a szövegalkotó tudatosságát. A tanulmány a gyakorlati alkalmazás lehetőségeit az idegennyelv-tanítás tapasztalatainak a tükrében tekinti át.