bluuebunny/crossref_metadata_2025 huggingface dataset:
A STUDY OF SERUM URIC ACID LEVELS IN PREECLAMPSIA
Authors: Goad Sushma , Verma Anita , Chandra Subhash
Published: March 2020

Background: To Study Serum Uric Acid level elevation in Hypertensive Disorders of Pregnancy.

Methods: 50 Patients diagnosed as having Pre-eclampsia with age between 18-37 years and 50 controls with similar age group.

Results: The mean serum uric acid level in control group was 3.41 ± 0.62 and in patient 7.01 ± 0.58 which was statistically significant (p =0.001).

Conclusion: Serum uric acid levels were significantly higher in preeclampsia could be a useful indicator of fetal complication in preeclampsia patients.

Keywords: serum uric acid, preeclampsia, laboratory.
MORPHOLOGY AND MORPHOMETRY OF SCAPULAR ACROMION PROCESS SARASWATI MEDICAL COLLEGE, UNNAO
Authors: Joshi Manoj Bhavanidatta
Published: March 2020

Introduction: The shoulder joint is the most important joint in human body and limitation of this joint movements affects the quality of life. The most common problem of joint replacements is the loosening of the shoulder joint. Rotator cuff muscles, static factors of the glenohumeral ligaments, the labrum and the joint capsule play a important role in stability of the glenohumeral joint. Morphometry of the acromion process is of significant importance and is commonly involved in impingement syndrome of the shoulder joint. As during surgery on shoulder joint the variations of the acromion process must be kept in mind and shape and various distances of the acromion process might benefit the orthopaedic operations. Material and Methods: A total of 100 unpaired dry scapula were isolated from the department of Anatomy. Two groups were made according to the side of the scapula and were equally divided into 50 right and 50 left scapula each. Bones were segregated and inspected individually. The shape of the acromion process of scapulae was recorded according to the Bigliani-Morrison-April classification. Dimensions were measured, using a vernier calipers including the size of the scapula and the acromion process.

Results: Mean length of scapula on right side was 12.98±1.00 and of left side was 13.06± 1.20 cm. Mean Width of right scapulae was 9.56± 0.66 and of left was 9.78±0.59 cm. Mean length of acromion of right and left scapulae was observed as 4.01±0.52 and 4.21±0.67 cm respectively. Mean Acromiocoracoid distance on right was observed as 3.11±0.44 cm and on left side as 3.87±0.45 cm. 48 % of the acromion process of scapulae were quadrangular, 34 % were boot shaped 8% were leaf shaped and rest 10% were other various shapes. Type I scapulae were 33%, type II as 21% and 46% were type III.

Conclusion: Features and dimensions of acromion process are associated with the pathology of the rotator cuff also role in it plays a significant role in stability of the shoulder joint. These measurements are useful for orthopedicians while performing procedures on shoulder joint.

Keywords: Scapula, acromion process, shoulder joint, Morphometry
TO DETERMINE THE PREVALENCE OF RENAL DISEASES IN HIV/AIDS PATIENTS AT AIMS, DEWAS
Authors: Prajapati Kishorilal , Trivedi Aparna , Prajapati Nivedita
Published: March 2020

Method: HIV positive patients registered in ART centre of AIMS, Dewas. The study will be carried out on HIV positive patients attending ART centre, General medicine OPD, and those admitted in Medicine wards of AIMS, Dewas.

Result: Among 136 patients included in our study, 81 (59.3 %) were males and 55(40.3%) were females. Among those patients with renal dysfunction, 83.1% patients were diagnosed within past 3 years. 15.3% patients had duration of illness 3 to 6 years and only 1.6% patients had duration of illness more than 6 years. The influence of duration of illness on the risk of renal dysfunction was analyzed using One way ANOVA and Tukey pair wise analysis and found to be non significant.

Conclusion: Prevalence of renal dysfunction in our study was 14.3%. Among them, 18 patients were having acute kidney injury and recovered normal renal functions. This study shows that the risk of renal dysfunction is higher in inpatients compared to outpatients. This study shows that the risk of renal dysfunction is higher in advanced stages of the disease.

Keywords: Prevalence, Renal Diseases, HIV & AIDS.
TO STUDY THE OUTCOME OF LIFE THREATENING COMPLICATIONS IN PATIENTS WITH COMPLICATED MALARIA
Authors: Prajapati Kishorilal , Trivedi Aparna , Prajapati Ms. Nivedita
Published: March 2020

Background:

Method: This study was done at Department Of Medicine. All patients admitted with malaria in tertiary care Centre during the study period AIMS, Dewas from Sep 2018 to Aug 2019 were taken for the study after considering the inclusion and exclusion criteria. Our study is a clinical, prospective, observational and open study. Each patient was studied in detail with relevant clinical history and examination with following various investigations like peripheral smear for malarial parasite, complete blood count, renal function test , liver function test ,blood sugar level, USG abdomen ,chest x-ray , urine routine and micro and some special investigations like arterial blood gas analysis, bleeding profile.

Result: Total of 4 patients had developed hypoglycemia of which 1 had P.vivax, 1 had P.falciparum while 2 had mixed infection. Acidosis was seen in 25 patients in arterial blood gas analysis among which 21 patients had metabolic acidosis, 4 had mixed acidosis. 5 patients had developed ARDS and 5 patients had cerebral malaria.

Total 3 (6%) patient died in our study, amongst them 2 patient had mixed infection and 1 had complicated P.falciparum. The cause of death was cerebral malaria in all the case and MODS with ARDS. The entire patient died had multiple complications no mortality was there in patient with single complication. 

Conclusion: Early detection of complications causing organ dysfunction utilizing Serum Creatinine >3mg/dl, total bilirubin >3mg/dl and Hb<8g/dl is valuable in diagnosing complicated malaria early and starting aggressive management, thereby preventing further morbidity and mortality.

Early detection of malaria and institution of prompt antimalarial can help to prevent complication of malaria. Early diagnosis of prompt complication and proper referral of patient to tertiary health care center can help to reduce the mortality and morbidity of the patient and gives a favorable outcome.

Keywords: Outcome, Complications, Malaria & Life.
ADULT ACNE: A CLINICAL STUDY WITH SPECIAL REFERENCE TO POLYCYSTIC OVARY SYNDROME
Authors: Yadav Shivani , Tripathi Srishti , Agarwal Soumya , Hans Titiksha , Choudhary Anshul , Wadhwa Aditi
Published: March 2020

Background: According to Global Burden of Skin Disease study data, 2013, Acne affects nearly 85% of adolescents and young adults in the age group 12-25 years.1 traditionally it was considered to be a transitory disease of teenagers and young adults; however recent study reports indicate it to be a disease affecting all age groups in adults.

Aims: To study the clinical profile of adult acne, grade the severity using global acne grading system (GAGS) and to determine the proportion of Polycystic Ovary Syndrome (PCOS) in women with adult acne.

Material and Methods: Patients with acne in the age group of 25-60 years were included in the study. A detailed examination of clinical profile of acne was done along with grading of severity of acne using GAGS. Also, documentation of hyperandrogenism using Ferriman Gallwey score for hirsutism and diagnosis of PCOS using Rotterdam criteria was done in all female patients of acne.

Results: A total of 105 patients were included in the study. Among these, 82.9% were women and 17.1% were men. The mean age of the patients was 28.04±3.60 years. Persistent acne was observed in 85.7%, while late onset in 14.3%. Most common site of involvement was cheek (98%), followed by chin (76%), and forehead (64.7%). Mild grade acne was observed in 93.3% patients. Hyperpigmentation was seen in 78.1% while scarring was observed in 52.4% patients. A total of 8% female patients had PCOS according to Rotterdam criteria.

Conclusion: We found a predominance of females and persistent acne. Although the prevalence of PCOS was low in adult female acne patients, they were affected by more severe grades of acne and risk of hyperpigmentation and scarring was higher as compared to non-PCOS patients.
An AN OBSERVATIONAL STUDY OF SLN MAPPING IN PATIENTS OF LOCALLY ADVANCED BREAST CANCER FOLLOWING NCT
Authors: Garg Ankur , Kathpalia Udbhav , Bansal Shweta , Andley Manoj , Saha Sudipta
Published: March 2020

Background : Locally advanced breast carcinoma (LABC) includes a wide range of clinical scenarios- advanced primary tumors (T4), advanced nodal disease and inflammatory carcinomas(1). Traditionally, treatment of LABC included a combination of Chemotherapy, Radiation and Surgery(2). However, there has been a shift to Neoadjuvant Chemotherapy in recent times.(3)

Histological status and the number of axillary lymph nodes with metastasis is one of the most important prognostic factors and most powerful predictor of recurrence and survival in patients of breast carcinoma and remains so, even after neo-adjuvant chemotherapy. (3) Information derived from the sentinel lymph node is considered valuable, with less discomfort to the patient when compared with axillary dissection.(4) However, its role in detecting nodal metastasis after neo-adjuvant chemotherapy in LABC is still debatable and definitive studies to evaluate its role are still evolving. (5)

Materials and Methods: Patients of LABC were evaluated using ultrasonography (USG) of axilla. Neo-adjuvant chemotherapy (NACT) was administered and patients were reassessed by USG of axilla. Thirty patients with node negative axillary status were subjected to Sentinel lymph node mapping using isosulfan blue followed by Modified Radical Mastectomy and Axillary Lymph Node Dissection. Histopathological evaluation of stained and unstained lymph nodes done and the data, thus obtained, was statistically analysed.

 

Results: Sentinel lymph node biopsy performed using Isosulfan Blue dye alone, after neo-adjuvant chemotherapy predicts the status of axillary lymph nodes with low accuracy.

 

Conclusions: Further studies would be required to establish the role of sentinel lymph node biopsy in patients with LABC after NACT.
TO FIND THE INCIDENCE OF TYPE OF POST OPERATIVE WOUND INFECTION IN UNCOMPLICATED ACUTE APPENDICITIS CASES USING PROPHYLACTIC POST OPERATIVE ANTIBIOTICS
Authors: Prashar Vishal , Singh Shamsher
Published: March 2020

Background: The efficacy of antibiotic prophylaxis in patients undergoing appendectomy has been examined in several randomized and observational studies showing that appropriate use of antibiotics reduces the risk of SSI following appendectomy by 40-60%. These antibiotics are continued in postoperative period with different courses and combinations according to each case.

Methods: This randomized control prospective study was conducted in IGMC SHIMLA from August 2017 to July 2018. Cases of uncomplicated acute appendicitis undergoing emergency open appendectomy were included in this study.

Results: All the 9 patients who had wound infection developed superficial surgical site infection. None of the patients developed deep surgical site or intra abdominal infections in either of the two groups.

Conclusion: Frequency of post operative wound infection is generally very low in uncomplicated appendicitis. The prolonged use of antibiotics post operatively is unnecessary, can increase antibiotic resistance, can produce side effects and increase cost of treatment.

Keywords:  Wound infection, Antibiotic, Acute appendicitis.
STUDIES ON APOLIPOPROTEINS (APO A1 & APO B) AND LIPOPROTEIN (A) ALONG WITH LIPID PROFILE IN THE PATIENTS OF TYPE II DIABETES MELLITUS AND METABOLIC SYNDROME
Authors: Rohit Arpita , Haridas N.
Published: March 2020

Patients with Type II diabetes mellitus or the metabolic syndrome have unique dyslipidemia characterized by hypertriglyceridemia; elevated blood levels of apolipoprotein B; small, dense low-density lipoprotein (LDL) cholesterol; and low levels of high-density lipoprotein (HDL) cholesterol. Treatment of dyslipidemia associated with these disorders should focus on correcting the abnormal lipoprotein levels as well as LDL and HDL heterogeneity. Statins and fibrates are useful for treating elevated LDL in patients with and without diabetes or the metabolic syndrome. There are few researches on Apolipoprotein A and Apolipoprotein B, Lipoprotein (a) in India, in comparison to foreign countries. So this study is aimed to evaluate Apo lipoproteins (Apo A1 & Apo B) and Lipoprotein (a) levels along with Lipid profile in Type II Diabetes Mellitus and in patients with Metabolic Syndrome which can be correlated with the risk of cardiovascular disease.

Conclusion: Apo lipoprotein A1, Apolipoprotein B and Lipoprotein (a) can be important marker for the risk developing of heart disease. Statistical relationships between LDL and HDL and their respective Apo lipoproteins, Apo B and Apo A-1, in diabetic and metabolic syndrome can be established.

Keywords:  Lipid profile, Type II Diabetes Mellitus, Apo lipoproteins (Apo A & Apo B), Lipoprotein (a) and Metabolic Syndrome.
TO COMPARE THE EFFECTIVENESS OF EXTRA-AMNIOTIC SALINE INSTILLATION THROUGH FOLEY CATHETER PRIOR TO ORAL MISOPROSTOL WITH ORAL MISOPROSTOL ALONE IN INDUCING LABOUR IN PREGNANCIES >28 WEEKS WITH INTRAUTERINE FOETAL DEATH- A RANDOMIZED CONTROLLED TRIAL AT TE
Authors: Yadav Kamlesh , Singh Shilpee
Published: March 2020

Background: The present study aims to compare the results of EASI followed by oral misoprostol and oral misoprostol alone for induction of labour in pregnancies of more than 28 weeks with intrauterine foetal death.

Methods: The present observational and prospective study is an attempt to compare the efficacy of extra-amniotic saline instillation with Foley catheter prior to oral misoprostol and oral misoprostol alone in induction of labour of pregnancies more than 28 weeks with intrauterine fetal death.

Results: Most of the cases delivered vaginally in both study groups. The mean induction delivery time in group I was higher than group II and the results were statistically significant on comparing both groups. In group I, 78% cases were delivered within 24 hours whereas in group II 96% cases delivered within 24 hours of induction. There was no significant difference in the mean number of required misoprostol in both groups (p>0.05). Need of supplementation with oxytocin was more in group I as compared to group II and the p value is significant (p<0.01). Mean birth weight in group I was 2.25±0.75 kg and in group II was 2.27±0.77 kg. Maximum number of babies had birth weight between 1.52-2.50 kg with 44% in group I and 40% in group II (p>0.05). Only 4 cases had uterine tachysystole and only 1case had postpartum pyrexia. Very few complications were recorded in both the study groups (p>0.05).

Conclusion: We concluded that oral misoprostol tablet alone is more effective at inducing and setting up the active labour in pregnancies of >28 weeks with intrauterine foetal death than EASI followed by oral misoprostol. It is inexpensive, has a long shelf life, can be easily stored at room temperature and patient remains ambulatory after induction with oral misoprostol. Oral misoprostol alone seems to have an edge over extra-amniotic saline instillation followed by oral misoprostol in all aspects.

Keywords: Misoprostol, Extra-amniotic saline, Induction of labour.
TO STUDY THE USE OF DISULFIRAM IN ALCOHOL DEPENDENCE SYNDROME (ICD 10/DSM IV CRITERIA) AT SECONDARY CARE SETTING
Authors: Thakur Anita , Dhiman Shallu , Sharma Jyoti
Published: March 2020

Background: Disulfiram blocks the enzyme aldehyde dehydrogenase (ALDH). If alcohol is present, acetaldehyde accumulates usually resulting in an unpleasant reaction, the disulfiram-ethanol reaction (DER), consisting primarily of tachycardia, flushing, nausea, and vomiting.

Methods: A consecutive sampling method was used (meeting inclusion criteria and willing to participate in  study) twelve -month follow-up study was conducted in which 75 patients visiting Outpatient department in secondary care setting  with diagnosis Alcohol dependence Syndrome (ICD 10/DSM IV criteria) received 250 mg disulfiram after consent from both patient and caregiver.

Results: Out of 75 patients 13(17.4%) patients completed one year of supervised disulfiram treatment and remained abstinent. Out of 62 remained abstinent, 22(29.4%) of remained abstinent and on regular treatment for 6 months. 19 (25.4%) patients relapsed after 3 months of treatment. 17  (22.4%)patients relapsed within  2 week to 2 months of treatment. Unwanted effects due to disulfiram and no response at 500 mg  in one patient led to stopping of treatment in 4(5.4%) patients.

Conclusion: The study concludes with the role of disulfiram in the present day and long-term pharmacotherapy of alcohol dependence along with future research needs in this area.

Keywords: Disulfiram; Alcohol Dependence; Alcohol; Deterrent; Pharmacotherapy.
MECHANISM ACTION AND RESISTANCE STYLE OF ANTIBIOTICS
Authors: Hashim Saba T. , Saleh Tahreer H. , Abdul Fatima R. , Rubaii Bahaa Abdullah Laftaah AL-
Published: March 2020

Antibiotics are the natural, synthetic or semi synthetic compound .For decades it used as weapon in the battle against pathogens (bacteria, fungi, parasite, etc.) that attach the life of agriculture and animal husbandry. For that, the antimicrobial agents used in therapeutic and prophylactic purpose. Unfortunately, the microbes have become resistant to different antibiotics by development of their mechanism action. The lists of infectious diseases were grown due to increase of resistance at an alarming rate and the then antibiotics are less effective. High morbidity and mortality ratio come from wrong diagnosis of pathogen that lead to wrong treated by antibiotics because appeared new strains called multidrug-resistant bacteria .The aim of this review is to explore the Mechanism action and resistance style of antibiotics

Keywords: β-lactam, Cephalosporins, Aminoglycosides, Macrolide, Quinolones
AN EPIDEMIOLOGICAL STUDY OF VARICOCELE
Authors: Dadhich Anil Kumar , Meena Ramgopal
Published: March 2020

Background: Varicocele, an abnormal dilatation and tortuosity of the pampiniform plexus of veins is found in about 15% of the general population with a marked left sided predominance. However this incidence rises to 35% in men with primary infertility and 70 to 80% in men with secondary infertility.

Methods: Hospital based prospective study conducted on 100 cases reporting to General surgery department within the study duration and eligible as per inclusion criteria was included in study.

Results: In our study out of Out of 100 patients maximum 42.00% patients were farmer followed by 22.00% patients were Coolies and Rickshaw Pullers, 17.00% patients were students, 10.00% were laborer and 9.00% were policemen.

Conclusion: It conclude that Varicocele epidemiology remains incompletely understood. We need well‑designed, large‑scale studies that include evaluation of important clinical factors to comprehend fully the epidemiological aspects of this condition.
EVALUATION OF MODIFIED ALVARADO SCORE IN DIAGNOSIS OF ACUTE APPENDICITIS AT TERTIARY CARE HOSPITAL IN WESTERN RAJASTHAN
Authors: Dadhich Anil Kumar , Sharma Atul Kumar
Published: March 2020

Background: Acute abdominal pain is a common complaint among emergency department patients.

Methods:  A 100 consecutive patients suspected of acute appendicitis who were admitted in department of surgery. They were prospectively evaluated using the modified Alvarado scoring (MAS) to determine whether or not they had acute appendicitis.

Result: In present study, out of total 100 patients 78(78%) were have MAS score 7-9, 20% were have 5-6 and 2% have MAS score 1-4.

Conclusion: The study shows that use of MASS in patients suspected to have acute appendicitis provides a high degree of diagnostic accuracy.

Keywords: Modified Alvarado Score (MAS), acute appendicitis, Patients.
EFFECT OF OM MANTRA CHANTING DURING EXAMINATION STRESS IN STUDENTS
Authors: Surlya Bittoo Kumar , Jain Manila , Priyamvada Richa , Chandel M. S. , Chalak Shivaji
Published: March 2020

I express my experience and importance of OM mantra chanting through this Paper, its methods and benefits of chanting in stress. I was relatively surprised at how easy and natural it felt to participate in chanting and make happy and relax. The method share with medical students for relieve from high stress which is due to academic, and for get better result without stress. Though, the sound of Om evolves on its own, so it is seen as the sound of the universe, made up of all that it is. As Maharshi Yoganand put it, to chant Om is “to represent all of consciousness.”

Keywords: Chant Om Mantra, Yoga.
RESPIRATORY MORBIDITY AND VENTILATORY FUNCTION IMPAIRMENT AMONG CEMENT FACTORY EMPLOYEES
Authors: S Giridharan , S Shankar
Published: March 2020

Background: Cement is one of the most important building materials of the world. More than 250 000 people work in concrete manufacturing. Cement factory workers are exposed to dust during various manufacturing and production process, such as quarrying and handling of raw materials.

Methods: This cross sectional study aims at determining the prevalence of respiratory morbidity and ventilatory function impairment among the cement factory employees and the use of personal protective equipment (PPE).

Results: The mean age was 33.8±11.4 and most of them belonged to 21-30 age groups. The major respiratory symptoms were shortness of breath (18%), coughing out phlegm (22%), coughing that wakes up in the morning (14%) and wheezing (6%).Though study had its focus on respiratory morbidity, a significant proportion of the workers had other chronic non communicable diseases including diabetes (37%), blood pressure (10%) and cardio-vascular diseases/symptoms (26.6%). Conclusion: Though everyone was aware about the PPE some lacked the use of it due to discomfort leading to lung function impairment. The percentage predicted lung volumes and the respiratory symptoms helped to create awareness about the use of PPE and using proper ventilation systems, to protect the workers from developing chronic respiratory diseases in future.

Keywords: Cement factory workers, respiration, morbidity
USE OF AVERSION THERAPY IN DISSOCIATIVE PSEUDO-SEIZURE PATIENTS
Authors: Paswan Rakesh Kumar , Aswal Siddharth , Pushp Brajesh , Motwani Yogesh , Salvi Indra Pal
Published: March 2020

Background: psychological methods are less commonly used in treatment of psychiatric illnesses in hospital setup. In some psychiatric illnesses drug use has limiting effect in full cure of illness due to psychosocial dynamics associated with those illnesses.

Aim: In dissociative conversion disorder one theory states that primary gain is conversion of mental or emotional feeling into physical symptoms and secondary gain is any other external benefit from physical symptom occurred in primary gain. Like in a disturbed marital conflict wife develops episodic unresponsiveness (pseudo seizures) as primary gain and revived attention and care of husband due to this episodic unresponsiveness (pseudo seizures) as secondary gain. It is hypothesized that dissociative conversion reaction develops and become resistant by getting these two primary and secondary gains. Our study aim at providing unpleasant mild aversive electric current to the subjects along with standard pharmacotherapy to make patient condition to this painful stimulus and end their maladaptive behavior. 

Material and Methods: Structured Clinical Interview for DSM-5 was used for making diagnosis and Dissociative Experiences Scale and Global Assessment of Functioning (GAF) for evaluating the response of treatment. Mild electric current (30 mili columb) was used in test group along with standard treatment group.

Results: In test group improvement in terms of Dissociative Experiences Scale and Global Assessment of Functioning (GAF) and number of episodes of unresponsiveness was better.

Conclusion: Use of mild electric current as aversive stimulus as compared to standard treatment group was found more affective mode of treatment

Keywords: dissociative, conversion, aversion therapy, pseudo seizures, electric current
ROLE OF IMAGING IN PRIMARY AMENORRHEA- A PROSPECTIVE STUDY.
Authors: Posh Sheema , Rafiq Suhail , Bashir Iqbal , Aslam Rassieq , Hakeem Aijaz
Published: March 2020

Background: Amenorrhea is the sixth major cause of female infertility affecting 2–5% of women in reproductive age. Primary amenorrhea affects 2–5% of adolescent girls. Early diagnosis and treatment is necessary to prevent complications and social consequences.  Imaging plays a vital role in etiology of primary amenorrhea.  Ultrasound is the first line investigation while Magnetic resonance imaging is important for accurate diagnosis and surgical planning.

Aim and Objective: Determine etiology of primary amenorrhea in Kashmiri tertiary care centre and assess role of imaging (USG, CT, MRI) in determining its etiology.

Materials and Methods: This was a hospital based prospective study done by departments of Gynaecology and Obstetrics and Radiodiagnosis and Imaging done in SKIMS hospital from Febuary to December 2019. 46 adolescent girls with primary complain of primary amenorrhea visited hospital’s out patient department.

Results: Eugonadism was the most common cause of primary amenorrhea in our study accounting for 60.8% cases followed by Hypogonadotropic hypogonadism in 28.2% cases and hypergonadotropic hypogonadism in 10.8% cases. Mayer-Rokitansky-Kuster-Hauser syndrome was the most common cause of primary amenorrhea accounting for 21.7% cases followed by constitutional delay in 17.3% cases and polycystic ovarian disease in 13% cases.

Radiological investigations primarily ultrasound and magnetic resonance imaging were directly or indirectly involved in diagnosing 65.5% cases of primary amenorrhea. Radiological Imaging was least useful in patients with constitutional delay.

Conclusion: Radiology should be the first referral department in primary amenorrhea patients. Imaging is helpful in identifying cause of primary amenorrhea in majority of patients. Other modalities like karyotyping, laboratory investigations, clinical examination etc are helpful as well in addition to imaging.

Keywords: Primary Amenorrhea, ultrasound(USG), Magnetic resonance Imaging(MRI), Computerized tomography(CT), Mayer-Rokitansky-Kuster-Hauser (MRKH).
INDIVIDUALIZED HOMOEOPATHIC TREATMENT OF CONTACT DERMATITIS: A CASE REPORT
Authors: Shah Indrajeet
Published: March 2020

Contact dermatitis is a type of skin eruption. It is caused by chemical or physical substance comes in contact with skin that causes allergic reaction. Contact dermatitis can be caused by different compound in home or work.  It is chronic or continuous, non-contagious in nature. Here, a18 year’s old girl presented with a popular eruption over flexor aspect of wrist joint and over both ear lobes over last 3 to 4 years. It was a diagnosed case of contact dermatitis. She was successfully treated by individualized Homoeopathic treatment with single medicine Calcarea Carb over 4 to 5 months. She initially did not show stable improvement on homoeopathic medicine selected on the basis of symptoms. On changing the medicine considering mental symptoms and physical general, she gradually showed good improvement and reached remission by 3 months. Remission maintained without any recurrence over the next 2 years. It shows positive role of Homoeopathic treatment in contact dermatitis in a young woman.

Keywords: Homoeopathy, Dermatitis, Contact, Treatment.
USE OF CORROSION CASTS OF RENAL VASCULATURE FOR UG TEACHING
Authors: Shrivastava Tripti , Subhash B , Banerjee A
Published: March 2020

Introduction: The internal three-dimensional structure of organs and patterns of blood vessels is complex and it is often difficult for medical students to visualize and interpret them. The corrosion cast technique is used to study the vascular patterns in kidney as it is one of the powerful tools with anatomical accuracy and durability.

Aim: Preparation of corrosion casts of kidney using CAB (cellulose acetyl butyrate) granules for greater understanding of the spatial relationship of renal vasculature  

Objectives

To accelerate knowledge acquisition

To determine student’s perception to the utility of corrosion casts of kidney  in UG teaching

Methodology: Corrosion cast technique involves injection of the cast material (CAB granules) dissolved in acetone into the renal vessels. Gradually, the volatile solvent evaporates and the solute solidifies inside the vessel forming solid permanent cast. The unwanted tissues are then washed away using corrosive agents like conc HCl resulting in three-dimensional representation of blood vessels.  

The UG students were divided in 2 groups randomly having 50 students each. Half of the total participants received teaching lessons through a lecture discussing renal blood supply using corrosion casts while the rest with 2D images. The other aspects of teaching session, including content, teaching slides were kept identical in both batches. Crossing over was done.

Results & Conclusion: Post session questionnaires were applied to assess knowledge acquisition and learner satisfaction.  Feedback was taken of student’s perception on the utility of corrosion casts as an effective teaching – learning method. Analysis of feedback was done. Corrosion casts enhance the student’s skills in spatial visualisation of complex vascular relationships. This can be used for other topics as well.

Keywords: corrosion casts, kidney, feedback
MELIOIDOSIS PRESENTING AS PAROTID ABSCESS IN AN ADULT - A CASE REPORT
Authors: Chandrasekaran Jagadeesh , Ravichandran Mathi Manoj Kumar , Paulraj Shobana , Chokkalingam Venkatakarthikeyan
Published: March 2020

Burkholderia pseudomallei, a facultative intracellular Gram-negative bacterium casuses melioidosis, a tropical disease which is more commonly reported these days. Melioidosis can present as visceral abscess, pneumonia, localized ulcers, musculoskeletal and neurological infections, even as full blown sepsis. Melioidosis presenting as parotid abscess is commonly reported among pediatric population, however in adults it is a rare entity with only very few cases being reported. There are very limited studies that have described melioidosis with abscess in unusual sites apart from liver and splenic abscess. Here we present a case of a diabetic male with left sided parotid abscess and on microbiological evaluation found to have melioidosis which was successfully treated with combined surgical and medical treatment.
A macroeconometric model for Russia
Authors: Bolatbayeva Aizhan , Tolepbergen Alisher , Abilov Nurdaulet
Published: March 2020

The paper outlines a structural macroeconometric model for the economy of Russia. The aim of the research is to analyze how the domestic economy functions, generate forecasts for important macroeconomic indicators and evaluate the responses of main endogenous variables to various shocks. The model is estimated based on quarterly data starting from 2001 to 2019. The majority of the equations are specified in error correction form due to the non-stationarity of variables. Stochastic simulation is used to solve the model for expost and ex-ante analysis. We compare forecasts of the model with forecasts generated by the VAR model. The results indicate that the present model outperforms the VAR model in terms of forecasting GDP growth, inflation rate and unemployment rate. We also evaluate the responses of main macroeconomic variables to VAT rate and world trade shocks via stochastic simulation. Finally, we generate ex-ante forecasts for the Russian economy under the baseline assumptions.
Siti Pendampingan Perencanaan Karir dalam Meningkatkan Self Efficacy Siswa SMK
Authors: Fatimah Siti
Published: March 2020

Peserta didik pada tingkatan sekolah menengah kejuruan (SMK) umumnya berada pada masa remaja dan tahap eksplorasi yaitu mulai melakukan penelaahan diri, mencoba untuk berbagi peran, serta melakukan penjelajahan untuk suatu pekerjaan atau atau jabatan. Akan tetapi, sebagai lulusan SMK menimbulkan persaingan yang semakin ketat di dunia kerja. Karenanya, banyak peserta didik yang terlihat memiliki keraguan dan merasa salah dalam memilih jurusan sehingga berdampak pada perkembangan karirnya di masa yang akan datang. Penelitian ini menggunakan metode quasi experimental design dengan desain Pretest-Posttest Design. Populasi dalam penelitian ini adalah siswa kelas XII di SMK â€œXâ€ Ciwidey, Kabupaten Bandung. Populasinya sebanyak 96 siswa. Penelitian ini menggunakan uji t-paired dan didapatkan hasil 0,000 <0,05. Hal ini menunjukkan bahwa terdapat perbedaan antara sebelum dan sesudah perlakuan dan dapat diartikan juga bahwa pendampingan perencanaan karir memiliki kontribusi yang sangat signifikan dalam meningkatkan self-efficacy yaitu sebesar 83,8% sedangkan sisanya 16,2% berkorelasi dengan variabel lain.

Kata Kunci: Pendampingan Perencanaan Karir, Self Efficacy, SMK.

Students at the vocational high school (SMK) are generally in teenage and exploratory stages that begin to learn independently, try to share roles, and explore jobs or positions. However, as vocational graduates grow increasing competition in the workplace. Therefore, many learners who seem to have doubts and feel wrong in choosing a department so that the impact on the development of his career in the future. This research uses quasi experimental design method with Pretest-Posttest Design. The population in this study is the students of class XII in SMK "X" Ciwidey, Bandung District. Population as many as 96 students. This study used t-paired test and got result 0.000 < 0,05. This indicates that there is a difference between before and after treatment and it can be interpreted also that career planning assistance has a significant contribution in improving self-efficacy is 83.8% while the remaining 16.2% correlates with other variables.

Keyword: Assistance Career Planning, Self Efficacy, SMK (Vocational High School).
PENGARUH BUDAYA REJANG TERHADAP PERENCANAAN KARIER SISWA DI SMA NEGERI 9 KOTA BENGKULU
Authors: SULUSYAWATI HENI , MELATI MELATI
Published: March 2020

This research is motivated by the discovery still rejang culture students who do not have a mature career planning, there are students who are confused rejang culture in choosing courses that will be selected to enter college. The purpose of this study was to determine the influence of culture on career planning rejang students. This research is a qualitative descriptive study, using natural setting approach. Collecting data using the technique of participant observation, unstructured interviews, and technical documentation. Analysis of data using Spradley models that domain analysis, taxonomic analysis, componential analysis, and analysis of the cultural theme. Based on the results of data analysis, then it can be explained several cultural factors that can influence student planning, namely 1) the habit of increasing decisions to improve, 2) influencing peers, 3) replacing work, 4) seeking and keeping high to advance.
Keikutsertaan Masyarakat Muslim dalam Upacara Tiwah Agama Hindu Kaharingan di Kota Palangka Raya
Authors: Helim Abdul , Syahriana Unggun Tiara
Published: March 2020

This study tries to answer on kinds of things followed by Dayak Ngaju Tribe Muslim Community Palangka Raya city in Tiwah Ceremony of Hindu Kaharingan and the reasons why they participate on the ceremony. This problem is studied by qualitative description by using cultural and religious approaches. The study results find out that most of Muslim community only participate some series of tiwah ceremony considered to be still tolerated by Islam, meanwhile for some other small parts, they still participated on them but they just do it not by full-hearted.  Their participation on the tiwah ceremony is as a honor for their parents and family having their own history in their life. The participation model of Dayak Ngaju Tribe Muslim Community which is only in still tolerated things in Islam activities can be considered as the local Islamic tradition.
Kebijakan Fiskal dalam Ekonomi Islam
Authors: Aini Ihdi
Published: March 2020

Kebijakan fiskal berarti kebijakan untuk mengatur pendapatan dan pengeluaran negara dalam rangka menjaga stabilitas dan mendorong pertumbuhan ekonomi. Instrument kebijakan fiskal adalah penerimaan dan pengeluaran pemerintah.Literatur fiskal modern ternyata tidak satupun membicarakan masalah etika, terkecuali pada teori distribusi. Itupun sebatas teori distribusi. Di sisi lain, tidak benar mengatakan bahwa konsep ekonomi Islam yang telah ada sejak pemerintahan Islam Madinah merupakan konsep siap pakai yang tinggal dijadikan alternatif pengganti sistem fiskal modern. Penerimaan begitu saja dari konsep klasik fiskal Islam tanpa mereformulasikan dalam konteks kontemporer hanya akan memutar waktu ke zaman primitif. Bila hanya menerima zakat sebagai tulang punggung fiskal Islam, lalu menolak pajak, maka hal itu hanya akan berujung pada konsep fiskal Islam yang utopis. Hal yang perlu dilakukan untuk masing-masing sistem fiskal adalah mengambil kelebihan di masing-masing sistem, lalu mengombinasikannya. Dalam artian, fiskal modern menerima gagasan-gagasan etika dan fiskal Islam mengadopsi gagasan-gagasan teoritis dan aplikatif fiskal modern.
CONSUMERS’ ELECTRICITY CONSUMPTION BEHAVIOUR AND POWER UTILITIES’ PREFERENCES
Authors: Kaimasu Masatoshi
Published: March 2020

The electricity market in Japan was liberalized in 2016. Consequently, consumers in Japan have options to choose preferred electricity retailers. Some electricity retailers specialize for environmentally friendly renewable energy (RE).  RE is regarded as reliable and safe after the Great East Japan Earthquake in 2011. In addition, in the 5th Basic Energy Plan, the Japanese government attempts to raise RE for 22 to 24 % of all energy sources by 2030. However, supplies from RE destabilizes the grid operations. Nuclear power plays significant role in the smooth grid operations. The Japanese government regards nuclear power as one of the substantial energy sources due to Japan's energy policy. Japanese Power utilities also attempt to supply electricity from nuclear power plants. There are some benefits, economically and technologically.  However, nuclear power has negative impacts on reliable and safe. In the Analytic Hierarchy Process (AHP) survey, the respondents put reliable and safe as the highest priority. Nuclear power is not acceptable to consumers. This implies gaps between demand and supply sides. This paper examines the preferences on both sides and clarifies the gaps. In addition, some possible solutions, e.g., distributed micro-grids and batteries, could be narrow the gaps.
UNITY IN THE WORKPLACE
Authors: Suprapto Maria Helena , Verdyana Ellysa
Published: March 2020

One way to increase group cohesiveness is to provide teamwork training. This study aims to determine the effectiveness of teamwork training in improving the cohesiveness of working groups. This study used quasi-experimental with one group of pre-test-post-test design. Group cohesiveness was measured by the Group Environment Questionnaire (GEQ) questionnaire. Teamwork training was followed by 12 employees who were less able to work in groups. Research data were processed by using a paired sample t-test. The result of this study indicates that teamwork training can improve the working group cohesiveness (T = -4.114, p <0.05). Teamwork training can improve team cohesiveness.
SMALL AND MEDIUM ENTERPRISES IN THE RUSSIAN FEDERATION AND REGIONAL DEVELOPMENT
Authors: Alfiya Kuznetsova
Published: March 2020

The purpose of this article is to study the state of development of small and medium-sized businesses in the Russian Federation, to study their sectoral structure and territorial dispersion. The research methodology includes monographic, statistical, analytical research methods. The processes of territorial concentration of capital, people, and trade turnover have a significant impact on competitiveness and efficiency. Concentration under the influence of market laws leads to an increase in total social capital, contributes to increased competition. The main trends from 2008 to 2018 that we identified in the research process are: 1) a decrease in the size of medium-sized enterprises by 32.4%, 2) an increase in the number of small and micro enterprises — by 45%.  We found that the regional dispersion of small business in Russia is heterogeneous. The largest share of small enterprises is concentrated in the Central Federal District of the Russian Federation, mainly in the city of Moscow and the Moscow Region (36%), the share of people in this district is above 30%, and the turnover of trade is the highest in the country - almost 49%. The share of investments in fixed assets is also the largest in the Central Federal District (37%).
THE EFFECT OF GOOD CORPORATE GOVERNANCE AND MACROECONOMICS FACTORS TOWARDS FINANCIAL DISTRESS
Authors: Napisah Lilis Saidah
Published: March 2020

The purpose of this research is to determine the effect of Good Corporate Governance and macroeconomics factors on financial distress. This research used a descriptive verification method with a quantitative approach. The type of data that is used is secondary data from company financial reports and publication data needed to support this research. The population in this research is Retail Trade Company registered in the Indonesia Stock Exchange period 2012-2016. Analysis of data used multiple linear regression analysis. The result of this research that used multiple linear regression analysis, concluded as follows: Institutional ownership has a negative effect financial distress with a significant value of 1%, the independent commissioner has a negative effect financial distress with a significant value of 2.1% with a significant level of 5%. Good corporate governance and macroeconomics factors simultaneously affect financial distress with a significant value of 2.8%.
ÇEŞİTLİ FİNANSAL DEĞİŞKENLER İLE TÜKETİCİ GÜVEN ENDEKSİ ARASINDAKİ İLİŞKİNİN İNCELENMESİ: TÜRKİYE ÖRNEĞİ
Authors: ÖZAKARLI Hilal , KÜÇÜKSİLLE Engin
Published: March 2020

Bu çalışmanın amacı, Borsa İstanbul 100 (BİST100) endeksi, döviz sepeti kuru ve vadesine iki yıl kalmış tahvil (gösterge faiz) oranları ile Tüketici Güven Endeksi (TGE) arasındaki kısa ve uzun dönem ilişkiyi incelemektir. Bu olası ilişkiyi incelemek için ARDL sınır testi uygulanmıştır. Elde edilen bulgulara göre uzun dönemde BİST 100 endeksinin Tüketici Güven Endeksini pozitif yönde, Döviz Sepeti Kurunun ise negatif yönde etkilediği tespit edilmiştir. Kısa dönemde ise Döviz Sepeti Kuru Tüketici Güven Endeksini negatif yönde etkilemektedir. Gösterge faizin kısa ve uzun dönemde Tüketici Güven Endeksi üzerinde herhangi bir etkisi olduğuna dair kanıta ulaşılamamıştır.
COMPARATIVE STUDY: FORMULA PRAKTIS ESTIMASI LAJU FILTRASI GLOMERULUS(LFG) DENGAN BIOMARKER KREATININ SERUM
Authors: Irawan Putra Adi , Farizal Jon , Febrianto Tedy
Published: March 2020

LatarBelakang: Estimasi LFG tergolong rumit membutuhkan waktu yang relatif lama, sehingga diperlukan suatu metode praktis dan efisien dengan hasil yang akurat pula. Indonesia merupakan negara dengan pasien penyakit ginjal kronik yang cukup tinggi.Data Riskesdas Kementerian Kesehatan 2013-2018 melaporkan pasien gangguan ginjal usia ?15 tahun yang kian meningkat setiap tahunnya. Dibutuhkan beberapa tes laboratorium untuk memberi gambaran yang tepat mengenai kesehatan ginjal diantaranya: LFG. Terdapat beberapa formula yang telah diteliti sebelumnya oleh para ahli diantaranya:  Formula Chronic Kidney Disease-Epidemiology Collaboration (CKD-EPI),Theisotope dilution mass spectrometry (ID-MS) Traceable Modification of Diet in Renal Disease (MDRD), dan Modification of Diet in Renal Disease (MDRD) 4 Variable.Tujuan: Mengetahui perbandingan hasil estimasi LFG berdasarkan formula CKD-EPI, ID-MS Traceable MDRD, dan MDRD 4 Variabel. Metode: Data yang digunakan dalam penelitian seperti kreatinin serum dan usia subjek diperoleh dari data sekunder sebanyak 30 orang. Nilai LFG dihitung dengan formula CKD-EPI, ID-MS Traceable MDRD, dan MDRD 4 Variable.Hasil:  Nilairerata±SD (n=30) LFG berdasarkan  formula CKD-EPI yaitu 71,36±8,77 dengan rentan nilai LFG = 50,70-89,34. Sebayak 93,30 % mengalami kerusakaan ringan (60-89) dan 6,70 % rusak sedang (59-30). Nilai rerata±SD (n=30) LFG berdasarkan  formulathe ID-MS Traceable MDRD yaitu 64,79±6,59 dengan rentan nilai LFG = 48,48-78,40. Sebayak 83,30 % mengalami kerusakaan ringan (60-89) dan 16,70 % rusak sedang (59-30). Nilai rerata±SD (n=30) LFG berdasarkan  formula MDRD 4 Variable  yaitu 68,86±7,00 dengan rentan nilai LFG = 51,53-83,33. Sebayak 93,30 % mengalami kerusakaan ringan (60-89) dan 6,70 % rusaksedang (59-30).Kesimpulan: Penggunaanketiga (3) formula tersebut dapat digunakan untuk menghitung LFG. Kendati demikian, formula CKD-EPI atau pun MDRD 4 Variabel lebih direkomendasikan.
ASUPAN ZAT GIZI DAN ANEMIA PADA REMAJA PUTRI DI SALAH SATU SLTP KOTA PEKANBARU
Authors: Ernalia Yanti , Tamba Lusiana
Published: March 2020

Anemia pada remaja putri masih menjadi masalah  gizi  yang cukup tinggi kejadiannya di Indonesia termasuk di Kota Pekanbaru Provinsi Riau Indonesia. Ada kaitan asupan zat gizi dengan kejadian anemia pada remaja putri. Penelitian ini bertujuan untuk mengetahui kejadian anemia pada siswi di salah satu sekolah Lanjutan Tingkat Pertama (SLTP), Kota Pekanbaru, serta kaitannya dengan asupan zat gizi. Penelitian ini merupakan penelitian observasional dengan rancangan cross-sectional. Penelitian di lakukan di salah satu SLTP Kota Pekanbaru dengan jumlah sampel 57 siswa berusia 11-15 tahun dengan teknik purposive sampling. Data asupan zat gizi diperoleh dengan menggunakan metode food recall 24 jam, dan data anemia remaja diperoleh dengan metode hemocue menggunakan hemoglobinometer digital. Data yang telah dikumpulkan diolah dengan cara membuat tabel distribusi frekuensi dan dilakukan analisis secara bivariat. Diperoleh hasil  11 remaja putri  (19.3 %) mengalami anemia.  Sebagian besar remaja putri memiliki kekurangan asupan protein, zat besi, asam folat, dan vitamin B12. Terdapat  perbedaan rata – rata asupan protein, zat besi, asam folat, dan vitamin B12 antara remaja putri anemia dengan tidak anemia, namun tidak bermakna secara statistik.  Hasil statistik menunjukkan ada kaitan antara asupan protein dengan anemia pada remaja putri (p = 0.041). Rendahnya asupan protein menjadi faktor resiko anemia pada remaja putri di salah satu SLTP Kota Pekanbaru. Diperlukan pemantauan status gizi (riwayat gizi) remaja putri yang termasuk kategori golongan wanita usia subur dan peningkatan asupan gizi remaja memalui komunikasi informasi, dan edukasi gizi.