bluuebunny/crossref_metadata_2025 huggingface dataset:
PREVENTION OF TEENAGE PREGNANCY TROUGH COMPUTER ASSISTED TEACHING PROGRAMME IN DNH
Authors: Navsariwala Mehzbeen , Varghese Achamma
Published: May 2023

A true experimental study was conducted with the aim to evaluate the effect of computer assisted teaching programme regading prevention of teenage pregnancy on level of knowledge & level of attitude among 170 adolescent girls, 13 – 15 years of age studied in selected schools of UT, Dadara & Nagar Haveli. The mean difference in level of knowledge is (21.77 ± 0.69), while in level of attitude is (75.48 ± 5.62) between pretest & posttest in experimental group which shows improve in knowledge as well as change in attitude among adolescent girls. The result concludes that there is a need to educate girls regarding teenage pregnancy to bring awareness about consequences of it and preventive measures to avoid it with the help of school teacher
STUDY OF CHANGES IN PLATELET COUNT, PROTHROMBIN TIME AND ACTIVATED PARTIAL THROMBOPLASTIN TIME IN HIV POSITIVE PATIENTS
Authors: J. Parekh Manushi , H. Bhatt Dipali , Chavda Jitendra , Shah Shaila
Published: May 2023

Aims And Objective: This study was conducted to assess % reduction in platelet count, prolongation of prothrombin time, activated partial thromboplastin time and relationship between CD4 count and changes in platelet count, prothrombin time and activated partial thromboplastin time. Material And Methods: Cross-sectional study was done on newly diagnosed HIV positive patients, attending ART center, Sir Takhtasinhji General Hospital, Bhavnagar in duration of one year from the ethics committee approval. Inclusion Criteria: Newly diagnosed HIV positive patients, age >18 years. Exclusion Criteria: All patients who have taken post-exposure prophylaxis.
Ÿ History of previous ARTtreatment.
Ÿ Drugs like aspirin, warfarin, heparin causing alteration in PTand aPTTand platelet count.
Ÿ Patient with bleeding disorder like hemophilia.
Ÿ Patient with liver disease.
Results: Out of total 244 patients, 190 patients had CD4count (<200 cells/µL) and 54 patients had CD4count (≥200 cells/µL). From the 190 patients 36.3%, 86.3% and 94.2% showed reduction of platelet count, prolongation of prothrombin time and activated partial thromboplastin time respectively. Conclusion: Thrombocytopenia, prolonged prothrombin time and activated partial thromboplastin time is present in 28.7%, 68% and 74.6% patients respectively. Regular measurements of basic coagulation parameter could help to determine which patients are at greatest risk of disease progression, allowing these patients to be identied for closer monitoring or therapeutic interventions
CORRELATION OF PROLIFERATIVE MARKER KI-67 WITH WORLD HEALTH ORGANIZATION HISTOLOGICAL CLASSIFICATION AND GRADING OF MENINGIOMAS.
Authors: Rao Akanksha , Girdhar Monika , Singh Karandeep , Baghla Aditi , Kochhar Ajay , Gupta Ritika
Published: May 2023

Background: CNS tumors are heterogenous variety of tumors and brain parenchyma is the most common site of CNS tumors, followed by meninges, sellar region and nerves. Meningiomas arise from meningothelial cells of the arachnoid and are attached with the duramater. WHO grading based on the histopathololgical features, alone has limitations in predicting the exact behavior of meningiomas. Hence, the use of immunohistochemical markers like Ki-67 helps in determining the aggressive nature of the tumor and its recurrence potential. To correlate Aim: the signicance of proliferative marker Ki-67 with histological classication and grading of meningiomas cases were taken. Material and Method: A cross-sectional study carried out in the Department of Pathology at Maharaja Agrasen Medical College Agroha, Hisar with sample size of 35 biopsies/excision specimens of meningiomas cases. In the present study, Result: female outnumbered male with female:male ratio of 1.7:1 and mean age of 48 years. Out of 35 cases, 30 cases (85.7%) were of grade I and 5 (14.3%) were of grade II. No case of grade III meningioma was recorded. Mean Ki-67 LI was 6.40±14.21 in grade I and 19.60±12.88 in grade II. So, grade II had signicantly more mean Ki-67 LI compared to grade I and was statistically signicant with p value <0.05. IHC evaluation Conclusion: with Ki-67 LI do add information to the routine histopathological evaluation of meningiomas, and helps in assessing the biological behaviour of meningiomas and in formulating the suitable treatment plan for various grades of meningiomas and follow up of cases as early as possible. So, the use of Ki-67 LI in the histomorphological study of meningiomas is a supplement in determining the histological grade, not a substitute and is of signicance for appropriate management.
HEALTHCARE NEEDS AND PERCEPTION OF HEALTH SYSTEM RESPONSIVENESS IN LGBTQIA+ COMMUNITY IN INDIA: A SURVEY BASED CROSS SECTIONAL STUDY
Authors: Naxane Ajay , Lohokare Tejaswini , Ghatkar Pranjal
Published: May 2023

Background: Lesbian Gay Bisexual Transgender Queer Intersex Asexual+ (LGBTQIA+) community faces health disparities because of social stigma, discrimination, denial of civil and human rights. On the basis of their sexual orientation and/or gender identity, they face barriers to healthcare access. Healthcare professionals who have little knowledge about the LGBT community can lead to poor health care of the community. The discrimination faced by them increases the risk of poor mental and physical health. Thus, a 'queer-friendly healthcare for all' is the need of the hour. Objectives: The objective of this study was to evaluate distinct healthcare needs and barriers to healthcare among LGBTQIA+ community and analyse the perceived health system responsiveness in the LGBTQIA+ community. Materials and methods: Using social media, crosssectional survey was conducted. Respondents were directed to an online questionnaire-based Google form. Respondents 18 years of age or older who self-identied to belong to LGBTQIA+ community participated in this study. Results: A total of 253 participants were involved in the study. We found out barriers to come out, and unique healthcare problems affecting mental health, sexual health and physical health among LGBTQIA+ community. We also found that there were barriers to access healthcare and according to them, health system is unresponsive towards the LGBTQIA+ community and there face signicant health disparities. Conclusion: There is a need for sensitization of the healthcare providers towards the needs of LGBT community. The study also identies the rst step ( identication ) on the long path to acceptance of the diversity and variegated hues that nature has created. Progressive and inclusive realization of social rights and right to privacy embracing all and to start a dialogue is necessary for ensuring equal rights and opportunities for “less than equal” sections of the society
CORRELATION BETWEEN THE PREOPERATIVE SERUM PROSTATE SPECIFIC ANTIGEN, GLEASON SCORE AND STAGING USING MRI WITH POSTOPERATIVEHISTOPATHOLOGICAL OUTCOME FOLLOWING ROBOT ASSISTED RADICAL PROSTATECTOMY.
Authors: Sarawade Prashant , Shah Gaurang , Vijayanand Potdar Ojas , Moon Trupti , Vaidya Kaustubh , Vikram Patkar Amrita
Published: May 2023

Introduction: Prostate cancer is second most common cancer in Indian men1. Early detection may be the cause of this increasing trend in urban areas. In our study, we have tried to study correlation between preoperative serum PSA, Gleason score and staging using MRI with postoperative histopathological outcome following robot assisted radical prostatectomy (RARP). Objectives of the study: To correlate between preoperative PSA, Gleason score, and staging with MP-MRI with pathological outcome following RARP in men with clinically localized cancer prostate and assess accuracy of preoperative Gleason score and staging with MRI with post operative histopathology. Materials and Methods:Asingle center, hospital based prospective observational study of 87 patients with age > 50 years with localized prostate cancer was conducted in department of urology at tertiary care center for study period between November 2019 to November 2021. Data collected from these patients' included demographic, clinical history, physical ndings, detailed investigations, operative details, postoperative ndings and results were analyzed. Results:Atotal of 87 localized carcinoma prostate patients were enrolled into the study. It was found that in nal histopathology report post RARP, organ conned disease was seen in 52 (59.77%) patients, capsular involvement in 35(40.22%), seminal vesicle invasion seen in 14(16%) and 2 (0.25%) had positive lymph node involvement. On correlating serum PSA, biopsy Gleason score and staging with MRI with postoperative pathology, it was found that in localized carcinoma prostate on MRI with higher serum PSA, raised Gleason score and higher stage, organ conned disease decreases linearly with signicant P value of (0.005), (0.005), (0.007). Conclusion: Based on data of our study we conclude that patients with localized prostate cancer on MRI, if they have higher preoperative serum PSA, higher Gleason score, and higher stage, then they have more chances of locally advanced disease on postoperative histopathology
EXPLORING THE APPLICATIONS OF ISLANDED KEYSTONE FLAP IN THE INDIAN POPULATION
Authors: Krishnan Panchapakesan , Gopakumar Reshma , Selvaraj Angeline
Published: May 2023

This study aims to explore keystone ap for various soft tissue defect reconstruction, demonstrating its exibility, efciency, reliability and practicality in the Indian population. 30 aps were performed to cover various soft tissue defects. All aps were planned according to the original ap design and standard post-operative patient and ap care was given. All the aps were easy to perform and gave satisfactory 'like tissue' replacement for the defects. Intra-operative and post-operative period was uneventful. After being discharged with necessary advice, patients were followed up regularly for up to a period of six months. All aps settled well with tissue match in function, texture, colour and sensitivity. Hence keystone ap can be considered as a versatile and sturdy one with a short learning curve and can be useful tool for even novice surgeons.
A CROSS SECTIONAL STUDY OF ASSESSMENT OF OCULAR MANIFESTATION IN HEAD INJURY IN A TERTIARY CARE CENTRE OF NORTH-EAST INDIA
Authors: D. Boruah Bharati , Nath Pronab , Kumar Sarma Anuj , Yadav Sandhya
Published: May 2023

Introduction:The involvement of ocular damage as a result of a head injury in the development of partial or total blindness remains a major public health concern. Aim and objectives: To study the proportion and involvement of ocular manifestations in head injury patients. Materials and methods:AHospital based observational cross sectional study was conducted in a tertiary care centre of North East India for a period of one year. A total of 170 cases of Head injury with associated ocular manifestations were included in the study. Detailed history and ophthalmic examination were done. Results: Out of 170 patients,88.82% were males and most vulnerable age group for head injury was 21-30 years (42.94%). Road trafc accident was the commonest mode of injury (71.76%). Most of the cases had multiple ocular manifestations. Soft tissue injury was seen among 162 patients in which lid edema was the most frequent manifestations in 40% cases. Most common posterior segment manifestation was macular edema(4.70%). Floor of the orbit was the most common wall involved in orbital fracture (12%). Conclusion: In our study, external ocular injury constitutes the major portion of ocular manifestations. It has become necessary to investigate head injury cases in order to determine the cause, pattern, and identication of clinical features, and thus to assist in the restoration of sight through timely interventions.
A OBSERVATIONAL STUDY OF THYROID DYSFUNCTION IN THE PATIENTS OF CHRONIC KIDNEY DISEASE IN TERTIARY CARE HOSPITAL
Authors: Biya Fauzan , Soni Pravin , Soni Seema , Shah Kevin
Published: May 2023

Introduction: The pathophysiological processes that make up chronic kidney disease are diverse, and they are all characterised by glomerular ltration rate declines and reduced kidney function. To determine the level of thyroi Aims and objectives: d hormones in CKD patients and to estimate the prevalence of thyroid dysfunction and correlate between thyroid dysfunction with severity of renal disease. This is a Methodology: hospital based cross sectional study conducted in Department of Medicine (Medicine wards, Nephrology unit and OPD) in Tertiary Care Hospital, on 150 patients with or without CKD. Low T3 syndrome, Sub-clinical hypothyroidism and Hypot Results: hyroidism was found in 21.33%, 13.33% and 42.66% cases respectively. High T4 was found in 2.66% patients and high T3 was found in 2.66% patients. Early Conclusion: diagnosis and treatment of these thyroid abnormalities may change the course of the condition and lower the morbidity rate in CKD patients.
STUDY OF RELATIONSHIP BETWEEN CAROTID INTIMA -MEDIA THICKNESS AND SYNTAX SCORE IN PATIENTS WITH ACUTE CORONARY WITH EMPHASIZING ON SHORT TREATMENT OUTCOMES
Authors: Jammula Geethiikha , Arun Kumar B. , Chandramouli C. , Reshma V.
Published: May 2023

80 patients of age group 21 to 80 were studied for various traditional risk factors such as Hypertension, Diabetes, Dyslipidaemia, Post –Menopausal, Family History of CAD, Smoking and Alcoholism were noted. Majority patients have systemic hypertension followed smoking and alcoholism. According to classication of ACS based on ECG and Troponin, STEMI was present in 55 patients, NSTEMI in 15 patients and 10 patients reported unstable angina .Based on the coronary angiogram right dominant circulation was more. Majority of patients had 1 or more coronary arteries followed by Thrombus containing lesion, Long lesion Based on the syntax score majority reported <23. There is a positive correlation between syntax score and carotid intima-media thickness which is statistically signicantly. Mortality was seen in intermediate and high syntax score group.
RETROAORTIC LEFT RENAL VEIN OR POSTERIOR NUTCRACKER SYNDROME: A RARE ANOMALY
Authors: Vijay Kotawadekar Prathamesh , Babita Goud Bandi , Magdum Abhijit , S. Patil Pradeep
Published: May 2023

The term "Retroaortic Left Renal Vein" refers to a left renal vein that passes behind the abdominal aorta, and this anomaly is a rather unusual occurrence. It has been suggested that retroaortic left renal vein may cause symptoms such as haematuria and abdominal or ank pain. Urological symptoms are likely due to increased pressure in the left renal vein secondary to the posterior nutcracker phenomenon. We describe a highly uncommon case of a 35 year old woman who was admitted via the emergency department due to left sided ank pain for several days. A thorough examination with Contrast-enhanced CT revealed left renal vein compressed in between abdominal aorta and anterior margin of L1 lumbar vertebral body causing severe compression and mild proximal dilatation of left renal vein, with multiple venous collaterals majorly draining into the hemiazygos vein and the rest in inferior vena cava. The left gonadal vein appeared dilatated. These features were suggestive of posterior nutcracker syndrome
A COMPARISON OF SKIN STAPLES AND CONVENTIONAL SUTURING IN CLOSURE OF ABDOMINAL SKIN INCISIONS
Authors: Kishore Babu A. , Govindu Naik Meghavathu , Gadgil Shreyas , G. Devendra
Published: May 2023

Skin staples are being commonly used for incision wound closure worldwide, there is a need to validate their efcacy in closure and hence this study was done to compare the outcome of using conventional suturing and skin staplers for closing abdominal skin incisions. The randomised controlled study was done under the Department of General Surgery at Government General Hospital, Vijayawada over a period of 8 months. A total of 80 patients between the age of 18 and 60 years that underwent elective abdominal surgery were included and were randomly divided into two groups - suture and staples group based on the technique of wound closure used. The intraoperative time for closure in minutes was recorded. The post-operative wound assessment on 3rd and 7th post-operative day using Southampton grading was noted. On analysis, it was found that the mean time taken for closure using conventional sutures is signicantly longer when compared to skin staples. There is better wound healing and a decreased incidence of wound infections in the staples group was observed. We concluded that the use of staples resulted in a substantial saving of time for wound closure and are a good are an alternative to regular suturing
COMPARISON OF INDIGENOUS SPUTUM TRUNAT WITH THE WIDELY IMPLEMENTED GENEXPERT IN DIAGNOSIS OF PULMONARY TB PATIENTS
Authors: S Abirami. , Rajadurai. V Deepak
Published: May 2023

Introduction: Eight countries reported the two thirds of the global burden, with India having 26% of the total cases in the world. Case detection remains the crucial factor in control of infection of Tuberculosis. Under RNTCP, three tests are incorporated for the diagnosis of TB (sputum smear microscopy, chest X -ray, and the CB-NAAT test). Both CB-NAAT and TruNAT, not only diagnose tuberculosis accurately, but also identify rifampicin resistance. Objectives: To compare sensitivity and specicity of indigenous TruNAT to the widely used CBNAAT test in detection of mycobacterium tuberculosis and presence of rifampicin resistance in suspected PTB patients. Methodology:This is a Diagnostic Validation Study done among 54 patients with ndings of pulmonary TB, attending OPD of Department of Respiratory Medicine and ENT. Data was obtained on presence of MTB and rifampicin resistance. Results: TruNAT positivity testing had a sensitivity, specicity, PPV value, NPV, and diagnostic accuracy of 98.11%, 100%, 100%, 50%, and 98.15% respectively. TruNAT for identication of rifampicin resistance had a sensitivity, specicity, PPV, NPV, and diagnostic accuracy of 98.11%, 100%, 100%, 50%, and 98.15% respectively. Conclusion: This study conrms that TruNAT has a good diagnostic accuracy rate with good sensitivity, specicity, positive predictive value, and diagnostic accuracy. With other additional advantages of speedy results and idea on rifampicin resistance (compared to sputum microscopy), lower cost, Portable, battery operated and not requiring temperature ceiling (Compared to CBNAAT) makes TruNAT, a comprehensive choice of diagnostic test and identication of Rifampicin resistance in TB cases.
TO TEST THE EFFICACY OF HARMONIC SCALPEL IN LAPAROSCOPIC APPENDECTOMY FOR SEALING THE BASE OF APPENDIX
Authors: D. Yadav G. , Shukla Priyesh , Verma Ramji
Published: May 2023

Background- Appendicitis is a perception that urgent operation is essential to prevent the increased morbidity and mortality of peritonitis. In our study, laparoscopic appendectomy was done via conventional method except Harmonic Scalpel was used to coagulate the mesoappendix. Base of the appendix was sealed via harmonic scalpel in a stepwise manner at the setting of minimum just to occlude the lumen and just distil to previous site till the appendix is divided. The purpose of this study was to test the efcacy of harmonic scalpel in laparoscopic appendectomy for sealing the base of appendix. Total 54 appendectomies were performed by harmonic during this period out Methodology- of which 44 were done as elective and 10 were done as emergencies case. Statistical analysis was done by Chi-square test with Yates correction. The mean age and standard Resultsdeviation (SD) were 31.22SD13.35 years. Maximum number of patients belonged to age group 21-40 years. Mean operative time for 54 appendectomies by harmonics was 28.463SD7.19 min and maximum and minimum time taken was 48 min and 17 minute. ConclusionTechniques of the appendicular stump closure by harmonic scalpel is effective and safe. Postoperative complications following appendicectomy are relatively uncommon and it is recommended as the approach of choice in the management of appendicitis. There was no mortality occurred in this study
ROLE OF COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE IMAGING IN ORBITAL PATHOLOGIES
Authors: Chandra Adurti Ramesh , Kumar Sunka Anvesh
Published: May 2023

“Eyes are the windows of brain'' through which one recognizes the
world.
Ÿ Throughout the medical history afictions of eye have been noted
for more than any other tissue space appendage or organ of
comparable size.
Ÿ Diagnosis of orbital disease is often not clear even after a thorough
clinical examination. In earlier era this dilemma would necessitate
on exploratory orbitotomy in order to determine diagnosis. With
advent of CT & MRI, they have become the procedure of choice in
arriving at a diagnosis for orbital lesions.
Ÿ The clarity of orbital structures on MRI & CT has prompted
investigations into detailed multiplanar anatomy of orbit. Tumor
margins and inammatory processes are so clearly dened that
one can place the lesion in specic compartments and accurately
determine the extent of disease processes3
UTILITY OF MODIFIED SHOCK INDEX IN EVALUATION OF SEVERITY OF SEPSIS
Authors: Kumar Borah Prince , Kumar Sarma Dipak
Published: May 2023

Background- Sepsis is a major cause of morbidity and mortality worldwide, with increased burden in low and middle resource settings. To improve outcomes for patients who present to hospital with suspected sepsis, it is necessary to accurately identify those at high risk of adverse outcomes. Modied shock index is a feasible marker which is calculated by dividing heart rate by mean arterial pressure and can be used easily in emergency. Although shock index, national early warning score,SIRS, qSOFAare used for triage screening in ED, we evaluated if modied shock index can be used for screening patients with fever for diagnosis and grading of sepsis.Objective- To evaluate the utility of Modied shock index in identifying and grading the severity of sepsis. Design- Prospective observational study. Duration-January 2022 to June 2022 Setting- Patients presenting to Emergency Department, GMCH Materials And Methods- The patients presenting to emergency department who are febrile with a temperature of 380C or more were assessed for heart rate and mean arterial pressure and modied shock index was calculated. The patients were followed up and assessed for whether modied shock index could identify patients with sepsis and determine its severity. Outcome MeasuresSepsis and sepsis-related outcomes such as hyperlactatemia, ICU admission, and in hospital mortality Sample Size- 100 Results- 100 patients met our inclusion/exclusion criteria. Of the 100 patients, 57 patients (57%) were septic, 57 patients (57%) had hyperlactatemia, 20 patients admitted to the ICU, and 6 patients died during hospital stay. We have noted signicant association of MSI cut off values of 1.22, 1.49, 1.75 with sepsis, ICU admission and in hospital mortality. Conclusion: MSI was found to be promising predictor in triaging febrile patients. However no single cut-off values of MSI was found to have an optimal accuracy for prediction of sepsis and sepsis-related outcomes. Further studies are required to assess the incorporation of MSI in a multi-item scaling system for the prediction of sepsis and its related outcomes.Limitation: Small single center study and the results may not be generalizable.
COMPARATIVE ANALYSIS OF SERUM MAGNESIUM & ZINC LEVELS AND THEIR ASSOCIATIONS WITH PRETERM LABOUR
Authors: Alima Parveen Shaik , Srujan Kolli , V.Leela K.
Published: May 2023

Background: Preterm is dened as babies born alive before 37 weeks of pregnanc, it occurs when there is a regular contraction of uterus which results in opening of cervix after 20 weeks and before 37 weeks of gestation. preterm labour is spontaneous but it can also be due to a biochemical changes in body functions at the cellular level of trace elements such as magnesium and zinc. The main objective of this study is to nd the association of hypomagnesaemia and low zinc levels in preterm delivered women and to compare the maternal serum magnesium and zinc levels between Preterm and Term delivered mothers. Methods: A Comparative study was done in the Department of Biochemistry, Andhra Medical College, Visakhapatnam. Atotal of 126 women who were admitted to the labour room at Department of Obstetrics and gynaecology, King George Hospital, Visakhapatnam were selected for this study. All the subjects were divided into two groups as Preterm Consists of 63 women with spontaneous preterm labour delivered between 28- 37 weeks and Term Consists of 63 Women with Term labour after 37 weeks. Results: Women with Preterm labour had a signicantly low serum magnesium level with a mean serum magnesium level of 1.8 mg/dl with SD of 0.38 whereas the patients with Term labour had a mean serum magnesium level of 2.09 mg/dl with SD of 0.50 and also low zinc levels in Preterm labour with mean zinc levels of 51.28 µg/dl with SD 10.9 whereas patients with Term labour had mean serum zinc levels of 56.5 µg/dl with SD 9.7. The difference of serum magnesium and zinc levels observed between the study population and control population is independent of factors like maternal age, parity, gestational age, Blood pressure and socioeconomic status. In this study there is non signicant weak correlation was found between Demographic data and parametric data. Conclusions:Serum magnesium and zinc levels can be used as predictors for preterm labour. Spontaneous preterm delivery can be avoided by early assessment of maternal magnesium and zinc status and also by simple oral supplementation of magnesium and zinc which might provide an easy and inexpensive means to decrease the problems related to preterm labour. There is a further scope for research on serum magnesium and zinc levels based on gestational age.
A CASE REPORT OF ASYMMETRIC BRACHIAL PLEXUS INVOLVEMENT IN LEPROSY NEUROPATHY DEMONSTRATED BY MAGNETIC RESONANCE IMAGING
Authors: Sathyasree M.
Published: May 2023

Leprosy is a is a chronic granulomatous disease primarily affects the peripheral nerves and skin .Sometimes, the disease has an unusual presentation, crippling complications, and can be contagious, so its timely diagnosis and management are extremely important. In this case report 29-years-old male a case of biopsy proven Hansens disease-borderline tuberculoid type on MDT. Patient with complains of weakness of left upper limb and pain in the neck radiating to left upper limb since 1 month . MRI is commonly used for evaluating the plexus,brain and spinal cord Brachial plexus involvement is commonly seen in borderline tuberculoid variant .Thickening may be due to cell mediated immune response. A possibility of drug resistant leprosy was considered and adviced to continue MDT.Patient was treated as a case of bilateral brachial plexitis and transverse myelitis secondary to IRIS .Patient was managed with medication then improved
NODULAR RHINOPHYMA TREATED WITH EXCISION AND DERMABRASION - A CASE REPORT
Authors: K. Senthilkumaran K. , Swaminathan Ashok
Published: May 2023

A55-year-old man presented with an unusually severe nodular type of rhinophyma. The nodular masses were excised and dermabrasion was done with micro burr to debulk and sculpt the tissues. The technique of using micro burr is straightforward and demands no additional training . It enables the surgeon to rapidly and accurately sculpt the nose to achieve an excellent aesthetic result
A HISTOPATHOLOGICAL STUDY OF GASTROINTESTINAL TRACT LESION IN SPECIMENS RECEIVED FROM TERTIARY CARE HOSPITAL BHAVNAGAR
Authors: Pachauri Prashant , Puri Goswami Alpesh , Chaudhary Kirti
Published: May 2023

Background: Gastrointestinal tumors make a large proportion of the neoplasms. The histological types of tumor at different gastrointestinal site also differ by incidence and prognosis. Cancer is a major cause of morbidity and mortality, with approximately 18 million new cases and 9.5 million cancer related deaths in 2018. Histopathology is the gold standard for the diagnosis and early diagnosis leads to good prognosis. Material and Method: The present study was conducted in Histopathology section, Pathology department, Government Medical College, Bhavnagar after getting approval from Scientic research committee and Ethical committee. Received specimen were studied grossly and after tissue processing microscopic examination was noted from the slides prepared. Data was recorded and analysis was done using Epi info software. 111 Result: specimens were studied. Out of which, maximum cases were in the age group of 21-40 years(29.73%). Majority were females (69.37%). The most common were non-neoplastic lesions (91.29%) and among them appendicitis was most common (55.86%). Malignancy was found in 4.50% and adenocarcinoma was the most common diagnosis. The most common lesion in our s Conclusion: tudy was non-neoplastic lesion.Acute appendicitis was found to be the most common non-neoplastic lesion and among malignant lesion, most common was adenocarcinoma. Early detection of suspected lesions by biopsy for histopathological examination is helpful for timely diagnosis, better management and good prognosis.
HIDDEN HURT – UNTOLD STORY OF A WOMB. A STUDY ON PREVELANCE OF DOMESTIC VIOLENCE IN PREGNANCY IN A RURAL MEDICAL COLLEGE, KARNATAKA.
Authors: G Mahendra , K R Bharathi , S Monitha B
Published: May 2023

Domestic violence is threatening behaviour, violence, or abuse between adults who are, or have been, intimate partners or family members. Such abuse may take various forms, including physical violence, sexual violence, emotionally abusive behaviours, economic restrictions, and other controlling behaviours. Domestic violence is a common worldwide phenomenon. We conducted this study with the aims 1. To know the prevalence of domestic violence in pregnancy. 2. To know the type of domestic violence in pregnancy. 3. To know the perpetrator of domestic violence in pregnancy. This is a cross-sectional, questionnaire based study conducted in the setting of a medical college and hospital predominantly catering the health needs of the rural population. Pregnant women attending antenatal clinic, who were willing to participate were included in the study. Condentiality and modesty of participants were maintained throughout the study. Data was collected from the participants in a private counseling room. Data thus obtained was analyzed using descriptive statistics. This study had 200 participants, Out of which 12 (6%) participants reported to have experienced violence. 10 (5%) participants experienced physical violence, 9 (4.5%) participants experiences psychological violence, 1 ( 0.5%) experienced sexual violence. 9 (4.5%) of our participants experienced violence from husband and 3 (1.5%) experience violence from mother in law. We concluded that domestic violence in pregnancy is still prevalent in the modern era. Any type of violence in pregnancy should alert clinician and stake holders to take necessary action in prevention of the same. Psychological counselling should be a part of antenatal care.
SUBCUTANEOUS ENDOMETRIOSIS: USUAL ENTITY AT AN UNUSUAL SITE
Authors: Agrawal Srushti , Bhalekar Surekha , Bhalekar Hemant
Published: May 2023

Background: Endometriosis is dened as a chronic, oestrogen- dependent, benign inammatory disease characterized by growth of endometrial glands and/ or stroma outside the uterine cavity. 25% of women affected with endometriosis are asymptomatic, other may present with symptoms like chronic pelvic or abdominal pain and/ or infertility. Common sites or ectopic locations include primarily the pelvic peritoneum, ovaries and rectovaginal septum. We are presenting a case of 30-year-old Indian women with com Case: plains of pain in abdomen and a palpable mass in the anterior abdominal wall in right iliac fossa. Computed Tomography (CT) abdomen and pelvis (Plain and contrast) showed large well dened abnormal soft tissue density mass lesion with inhomogeneous enhancement on contrast – Favouring: ? Infective ? Neoplastic etiology. Result: Excision was done and tissue was sent for histopathology. Histopathological diagnosis was made as Endometriosis. Keeping this case Conclusion: in mind, for patients with subcutaneous mass in anterior abdominal wall and complains of abdominal pain, endometriosis should always be kept as a differential diagnosis. Histopathology stands as a gold standard for the diagnosis as CT (Plain and contrast) is insufcient in the denitive diagnosis of such lesions.
A STUDY OF THE PREVALENCE OF HELICOBACTER PYLORI INFECTION IN PATIENTS OF CHRONIC IMMUNE THROMBOCYTOPENIC PURPURA TREATED AT A TERTIARY LEVEL HOSPITAL IN COMPARISON WITH HEALTHY ADULTS OF NORTH INDIA
Authors: Malhotra Pankaj , Mohindra Ritin , Saini Manpreet , Kumar Ajay , Behera Ashish
Published: May 2023

Helicobacter pylori (H pylori), a ubiquitous Gram-negative bacteria, was initially discovered as the causative organism of peptic ulcer disease/gastritis. Various studies have pointed towards an increased prevalence of H. pylori infection in ITP and platelet recovery following H pylori eradication therapy. In our study conducted at a tertiary-level hospital in north India, 50 consecutive patients over 16 years with chronic ITP were enrolled and compared with 50 healthy adults. The prevalence of H pylori infection detected by IgG anti-H pylori antibodies was 38% (n=19). In comparison, in the control group, it was 46% (n=23), a non-signicant association between chronic ITPand H pylori infection. It was also noted that the male sex carried a signicant risk for H pylori infection. Low socio-economic status was an important risk factor for H pylori infection. In conclusion, when matched, the seroprevalence of H pylori infection in adult ITP patients is not dissimilar from that of the general population of North India
Convolutional Wavelet Neural Network Based Non-Intrusive Load Monitoring for Next Generation Shipboard Power Systems
Authors: Senemmar Soroush , Zhang Jie
Published: May 2023

In this study, a non-intrusive load monitoring (NILM) framework is developed for next generation shipboard power systems (SPS) based on a discrete wavelet transform and a convolutional neural network (CNN). We have applied the developed NILM method to a four-zone medium voltage direct current (MVDC) SPS to evaluate the effectiveness of the proposed method. Each zone of the MVDC SPS consists of multiple components, such as propulsion load, pulsed load, high ramp rate load, cooling load, and hotel load. The current signals from main generators are the main inputs to the NILM model. The current signals are first processed with a discrete wavelet transform to create a coefficient matrix that reflects the status of all the components in each zone. Then, a multi-class classification problem is formulated and solved using a CNN model to monitor the load statuses in real time. The results of case studies show that the developed NILM model can (i) accurately monitor the status of all components with a total accuracy of over 98%, (ii) identify unique pulsed loads with a total accuracy of over 99%, and (iii) sustain the functionality of load monitoring under extreme events such as cyber/physical attacks, load uncertainty, and noisy inputs.
High-Fidelity Diffusion Editor for Zero-Shot Text-Guided Video Editing
Authors: Luo Yan , Zuo Zhichao , Zhang Zhao , Zhao Zhongqiu , Zhang Haijun , Hong Richang
Published: May 2023

Text-guided image generative diffusion models achieve fast development on the generation and editing of high-quality images. To extend such success to video editing, some efforts combining image generation with video editing have been made, which however only achieve inferior performance. We attribute it to two challenges: 1) different from the static image generation, it is tricky for dynamic video information to ensure the temporal fidelity of motion consistency across different frames; 2) the randomness of the frame generation process makes it hard to continuously retain the similar spatial fidelity for the original detailed features. In this paper, we propose a new high-fidelity diffusion model-based zero-shot text-guided video editing network, called HiFiVEditor, which aims to conduct effective video editing with high fidelity of the original video’s detailed and dynamic information.  Specifically, we propose a Spatial-Temporal Fidelity Block (STFB) that enables the model to restore the spatial features by enlarging the spatial perceptual field to avoid loss of important information, and capture more dynamic information between different frames by using all frames for preserving temporal consistency to achieve better temporal fidelity. In addition, we introduce Null-Text Embedding to create a soft text embedding to optimize the noise learning process, so that the latent noise can be aligned with the prompt. Furthermore, to tune the video style and render it more realistic, we employ a Prior-Guided Perceptual Loss to constrain the prediction results to avoid deviating from the original video style. Extensive experiments demonstrate the superior video editing capability compared to existing works. 
PENINGKATAN PENGUASAAN PENYELESAIAN SOAL CERITA DALAM PEMBELAJARAN MATEMATIKA MELALUI METODE BELAJAR COOPERATIVE TIPE JIGSAW
Authors: Purnawati
Published: May 2023

Penelitian ini bertujuan untuk meningkatkan penguasaan penyelesaian soal cerita dalam pembelajaran matematika melalui metode belajar cooperative tipe jigsaw. Subyek penelitian ini, yaitu siswa kelas V SDN 1 Puyung. Penggunaan model penelitian tindakan kelas pada penelitian ini adalah model dari Kemmis dan Mc Taggrat. Hasil yang didapat pada pra-tes menunjukkan bahwa seluruh siswa belum mencapai nilai batas minimal yang disepakati oleh peneliti sebagai batas ketuntasan. Setelah memperoleh data awal dilakukannya tindakan siklus I. Dari hasil akhir pertemuan di siklus I diperoleh data bahwa semua subyek mengalami peningkatan yang baik. Untuk memperbaiki hasil siklus I diadakanlah siklus II. Hasil yang diperoleh semua siswa sudah mencapai batas minimum ketuntasan. Kesimpulan dari hasil penelitian ini adalah penerapan metode belajar cooperative tipe jigsaw dapat meningkatkan penguasaan penyelesaian soal cerita dalam pembelajaran matematika pada siswa kelas V SDN 1 Puyung Lombok Tengah.
HUBUNGAN PERHATIAN ORANG TUA, KOMPETENSI GURU DAN SIKAP DENGAN HASIL BELAJAR MATEMATIKA SISWA KELAS VI SDN WILAYAH GUGUS XII PALANGKA RAYA
Authors: Satiman
Published: May 2023

Tujuan penelitian ini adalah untuk mengetahui hubungan perhatian orang tua, kompetensi professional guru matematika dan sikap terhadap matematika dengan hasil belajar matematika. Penelitian dilaksanakan di SDN Gugus XII Palangka Raya. Penelitian dilakukan kepada 63 anak SD kelas VI yang dipilih secara acak. Penelitian ini menggunakan metode survey. Dengan menggunakan teknik analisis data korelasi parsial dan regresi ganda. Penelitian ini dilaksanakan di SDN Wilayah Gugus XII Palangka Raya, Kalimantan Tengah. Hasil penelitian ini menunjukkan  (1) terdapat hubungan yang positif dan signifikan antara perhatian orang tua dengan hasil belajar matematika, (2) terdapat hubungan yang positif dan signifikan antara kompetensi professional guru matematika dengan hasil belajar matematika, (3) terdapat hubungan yang positif dan signifikan antara sikap terhadap matematika dengan hasil belajar matematika, dan (4) terdapat hubungan yang positif dan signifikan antara perhatian orang tua, kompetensi professional guru matematika dan sikap terhadap matematika secara bersama-sama dengan hasil belajar matematika.
HUBUNGAN IKLIM ORGANISASI DAN EFEKTIVITAS KEPEMIMPINAN DENGAN KINERJA GURU SMP SWASTA DI KECAMATAN JONGGAT, LOMBOK TENGAH
Authors: Muhamad Suhardi
Published: May 2023

Tujuan dari penelitian ini adalah untuk mengetahui hubungan iklim organisasi dan efektivitas kepemimpinan terhadap prestasi kerja guru SMP di Kabupaten Jonggat, Jakarta Utara. Metodologi penelitian adalah survei yang dipilih dengan teknik simple random sampling. Analisis dan interpretasi data menunjukkan bahwa (1) iklim organisasi memiliki hubungan langsung positif dalam kinerja pekerjaan, (2) efektivitas memiliki efek hubungan positif dalam kinerja pekerjaan, (3) iklim organisasi memiliki hubungan langsung positif dalam kepemimpinan efektivitas.
PENGARUH METODE PEMBELAJARAN DAN BERPIKIR KRITIS TERHADAP KEMAMPUAN MENULIS ARGUMENTASI
Authors: Lalu Sulaiman
Published: May 2023

Penelitian ini bertujuan untuk mengetahui pengaruh metode pembelajaran dan berpikir kritis terhadap kemampuan menulis argumentasi. Penelitian ini dilakukan pada siswa kelas IV SD Negeri 1 Sukarara Lombok Tengah  pada tahun 2015 dengan 32 sampel. Pengambilan data diperoleh melalui tes analisis Varian (ANAVA)  dua jalur dengan desain treatmeant by level 2 x 2. Hasil penelitian menunjukkan bahwa: (1) Hasil menulis argumentasi siswa yang menggunakan metode problem based learning lebih baik dari pada siswa yang menggunakan metode resitasi. (2) Hasil menulis argumentasi siswa yang berpikir kritis tinggi dan belajar dengan metode problem based learning lebih baik dari pada metode resitasi, (3) Hasil menulis argumentasi siswa yang berpikir kritis rendah dan belajar dengan metode problem based learning lebih baik dari pada metode resitasi, (4) Tidak terdapat pengaruh interaksi anatara metode pembelajaran dengan kemampuan berpikir kritis terhadap kemampuan menulis argumentasi. Hasil penelitian ini menunjukan bahwa dengan mengintegrasikan metode problem based learning dan metode resitasi dengan mempertimbangkan kemampuan berpikir kritis siswa dapat meningkatkan kemampuan menulis argumentasi.
PEMBELAJARAN SMART CARD DI DALAM MENINGKATKAN HASIL BELAJAR SISWA KELAS X.8 MAN 1 KOTA SEMARANG
Authors: Chomsatun
Published: May 2023

Penelitian ini bertujuan untuk mengethaui keefektifan metode pembelajaran smart card di dalam meningkatkan hasil belajar siswa pada materi HAM. Subjek penelitiannya adalah peserta didik kelas X.8 MAN 1 Kota Semarang. Adapun pembelajaran PPKn materi HAM dengan menerapkan kartu sebagai media pembelajaran yang disebut dengan Smart Card memiliki dampak positif dalam meningkatkan hasil belajar peserta didik yang ditandai dengan peningkatan ketuntasan belajar dalam setiap siklus, yaitu sebelum tindakan (64.25%) ada 3 peserta didik yang sudah tuntas, Siklus I (71,87%) ada 16 peserta didik yang sudah tuntas, dan Siklus II (80.87%) ada 26 peserta didik yang sudah tuntas. Pada siklus II ketuntasan belajar secara klasikal telah tercapai 85 %. Berdasarkan temuan tersebut di atas dapat disimpulkan bahwa menggunakan Pembelajaran dengan Smart Card dapat meningkatkan pemahaman hasil belajar  peserta didik terhadap pembelajaran tentang HAM dan meningkatkan minat dan peran aktif peserta didik.
PENERAPAN METODE KOOPERATIF MODEL TGT (TEAM GAMES TOURNAMEN) UNTUK MENINGKATKAN HASIL BELAJAR PADA MATERI BILANGAN BERPANGKAT DAN BENTUK AKAR SISWA KELAS IX E MTsN 3 JEMBER
Authors: Husnul Hotimah
Published: May 2023

Penelitian ini dilatarbelakangi oleh adanya permasalahan yaitu rendahnya hasil belajar matematika siswa kelas IXE MTs Negeri 3 Jember. Hal tersebut disebabkan oleh berbagai faktor, diantaranya guru masih menggunakan metode konvensional serta dominasi guru dalam proses pembelajaran sehingga menyebabkan proses pembelajaran menjadi pasif dan membosankan, juga menyebabkan rendahnya hasil belajar matematika siswa. Sehubungan dengan permasalahan tersebut, melalui penelitian ini diharapkan memperoleh cara yang tepat untuk meningkatkan hasil belajar siswa kelas IXE MTs Negeri 3 Jember. Penerapan model pembelajaran kooperatif model TGT (Team Games Tournament ) diharapkan dapat meningkatkan hasil belajar matematika siswa, karena dengan model pembelajaran kooperatif model TGT siswa dapat lebih aktif berpartisipasi bersama kelompok belajarnya. Pembelajaran dengan model kooperatif model TGT digunakan untuk meningkatkan hasil belajar  matematika siswa MTs Negeri 3 Jember, karena metode pembelajaran  kooperatif model TGT banyak memberikan kesempatan pada siswa untuk mampu mengeluarkan pendapat dan aktif dalam kegiatan pembelajaran. Jenis penelitian yang dilakukan adalah penelitian tindakan kelas, metode pengumpulan data yang digunakan dalam penelitian ini adalah observasi, dokumentasi, dan tes. Subyek penelitian ini adalah  siswa kelas IXE MTs Negeri 3 Jember. Berdasarkan hasil observasi dapat disimpulkan bahwa penggunaan  metode  pembelajaran kooperatif model TGT dapat meningkatkan hasil belajar matematika siswa. Dari hasil observasi yang dilakukan, didapatkan pada siklus I meningkat terdapat 15 anak atau 50% dan pada siklus II meningkat menjadi 27 anak atau 90%. Dari data tersebut dapat diketahui peningkatan hasil belajar matematika siswa secara klasikal yang diperoleh 90% yang berarti peningkatan hasil belajar matematika siswa secara klasikal sudah tercapai. Hal ini berarti penggunaan metode pembelajaran kooperatif model TGT dapat meningkatkan hasil belajar matematika siswa kelas IXE MTs Negeri 3 Jember.
KEMAMPUAN MENULIS IKLAN SISWA KELAS VIII D MTsN 8 JOMBANG TAHUN PELAJARAN 2019/2020
Authors: Khoirun Nafis A.Y
Published: May 2023

Menulis merupakan aspek keterampilan terakhir dan sulit dikuasai sehingga kegiatan menulis di sekolah masih kurang diminati oleh siswa. Berdasarkan hasil observasi, maka penulis mencoba membuat penelitian di MTsN 8 Jombang, terkhusus pada siswa kelas VIII D yang masih berkutat mempelajari teks iklan sedangkan kelas lainnya sudah memasuki materi teks eksposisi. Penelitian ini bertujuan untuk mendiskripsikan: (1) kemampuan menulis iklan berdasarkan aspek struktur teks iklan siswa kelas VIII D MTsN 8 Jombang, (2) kemampuan menulis iklan berdasarkan aspek kaidah kebahasaan teks iklan siswa kelas VIII D MTsN 8 Jombang. Pendekatan yang digunakan adalah pendekatan kuantitatif. Jenis penelitian yang digunakan adalah penelitian deskriptif. Subyek penelitian ini adalah siswa kelas VIII D MTsN 8 Jombang yang berjumlah 38 orang. Data penelitian adalah kemampuan menulis iklan siswa kelas VIII D MTsN 8 Jombang ditinjau dari dua aspek yaitu struktur dan kaidah kebahasaan teks iklan. Sumber data penelitian ini adalah hasil menulis siswa kelas VIII D MTsN 8 Jombang. Teknik pengumpulan data menggunakan teknik observasi, teknik pengukuran dan teknik dokumentasi. Instrumen penelitian berupa tes kinerja. Teknik analisis data menggunakan statistik. Hasil penelitian ini menunjukkan bahwa: (1) kemampuan menulis iklan berdasarkan aspek struktur iklan dengan nilai rata-rata 81,57 termasuk kategori mampu. (2) Kemampuan menulis iklan berdasarkan aspek kaidah kebahasaan teks iklan dengan nilai rata-rata 82 termasuk kategori mampu. Secara umum kemampuan menulis iklan siswa kelas VIII D MTsN 8 Jombang dengan nilai rata-rata 81,79 termasuk kategori mampu. Berdasarkan hasil penelitian dapat disimpulkan bahwa kualitas keterampilan menulis siswa kelas VIII D MTsN 8 Jombang berada pada kategori mampu. Saran penelitian ini adalah : (1)  agar guru MTsN 8 Jombang dapat memperbaiki penulisan iklan pada aspek pernyataan teks iklan bersifat persuasif dan aspek pilihan kata berima dan puitis. (2) Agar siswa kelas VIII D MTsN 8 Jombang dapat meningkatkan pemahamannya pada pelajaran menulis iklan. (3) Agar peneliti lain dapat menggunakan penelitian ini sebagai sumber referensi.