bluuebunny/crossref_metadata_2025 huggingface dataset:
CLINICAL PROFILE AND PREDICTORS OF ATRIAL FIBRILLATION IN ACUTE MYOCARDIAL INFARCTION: AN OBSERVATIONAL STUDY IN A TERTIARY CARE HOSPITAL
Authors: Badal Nitesh , C Kalita B , Phukan Chiranjita
Published: May 2023

Background and aims: Acute myocardial infarction (AMI) frequently results in atrial brillation, which has a documented incidence ranging from 2.3 to 21%. This paper aims to evaluate the incidence of atrial brillation in a setting of myocardial infarction and the effect of this arrhythmia on the outcome. Materials and methods:This institution - based observational study was conducted on 110 patients attending the different units of Medicine Department and Cardiology Department of Gauhati Medical College and Hospital during the period from 1ST July 2021 to 30th June 2022. All patients had undergone Routine blood investigations, 12 – lead ECG, 2D ECHO, Serum Electrolytes, Cardiac Markers Results: the study showed that 9 patients out of 110 had new onset atrial brillation in the hospital course i.e. in this study overall incidence of AF in AMI is 8.18% of which, 44.4% succumbed to death. Incidence of AF in AMI in patients with age ≥60 years is 13.33%. Conclusion: The occurrence of AF in a setting of AMI is worth studying as there are numerous challenges in the management and follow up of these groups of patients. Elderly individuals, patients with tachycardia (HR>100/min), hypotension (SBP<100 mm of Hg) and heart failure with Killip class ≥3 are more prone to develop AF after AMI
REVIEW OF DECOMPRESSION ILEOSTOMY DURING LAPAROSCOPIC RECTAL CANCER SURGERY
Authors: Sankpal Jitendra , Sankpal Sushrut , Mohanraj Aishwarya
Published: May 2023

Introduction: Decompression ileostomy is always applied to avoid clinically signicant anastomotic leakage and other postoperative complications for patients receiving laparoscopic rectal cancer surgery. However, whether it is necessary to perform the ileostomy is still controversial. This analysis aims to analyse the efcacy of ileostomy on laparoscopic rectal cancer surgery. Methods: Cochrane Library, EMBASE, Web of Science, and PubMed were applied for systematic search of all relevant literature, updated to March 31, 2022. Studies compared patients with and without ileostomy for laparoscopic rectal cancer surgery. The analysis was performed using Review Manager software. The quality of the non-randomized controlled trials was assessed using the Newcastle-Ottawa scale (NOS), and the randomized studies were assessed using the Jadad scale. Results: A total of 1203 references were obtained, and 7 studies were included using the research methods. The clinically signicant anastomotic leakage rate was signicantly lower in ileostomy group (27/567, 4.76%) than that in non-ileostomy group (54/525, 10.29%) (RR = 0.47, 95% CI 0.30–0.73, P for overall effect = 0.0009, P for heterogeneity = 0.18, I2 = 32%). However, the postoperative hospital stay, reoperation, wound infection, and operation time showed no signicant difference between the ileostomy and non-ileostomy groups. Conclusion: The results demonstrated that protective ileostomy can decrease the clinically signicant anastomotic leakage rate for patients undergoing laparoscopic rectal cancer surgery. However, ileostomy has no effect on postoperative hospital stay, reoperation, wound infection, and operation time
COMPARISON OF ANTEGRADE PERCUTANEOUS VERSUS RETROGRADE URETEROSCOPIC LITHOTRIPSY FOR MANAGEMENT OF UPPER URETERIC CALCULUS.
Authors: Vijayanand Potdar Ojas , Iqbal Lone Yasir , Vikram Patkar Amrita , Mohammad Ismail Attar
Published: May 2023

Background: Technical advancements in urology have profoundly changed the management of upper ureteric calculus, however, its optimal management remains controversial. Methods: To compare antegrade percutaneous nephrolithotripsy (PCNL) and retrograde ureteroscopic lithotripsy (URSL) for management of upper ureteric calculus by measuring stone clearance rates, morbidity and complications. A prospective, observational, single centre, study including patients of either sex presenting with upper ureteric stone [size>8 mm and >800 Hounseld Unit (HU)]. Patients underwent either antegrade PCNL or retrograde ureteroscopic lithotripsy with follow up on outpatient (OPD) basis at 1 week, 1 month and 3 months post-surgery with Visual Assessment Score (VAS) and radiological investigations. Results: Stone clearance rate for antegrade PCNL was 89.1 % and 72.7% for retrograde ureteroscopic lithotripsy which is a statistically signicant difference. Incidence of pain in antegrade PCNL at 1st and 4th week follow-up was 10.9 % and 1.8% respectively compared to 5.5% and 0% for retrograde ureteroscopic lithotripsy. Two patients (1.8%) who underwent PCNL developed segmental artery pseudoaneurysm; one was managed conservatively while other required angioembolization. One patient in the antegrade PCNLgroup and two in retrograde ureteroscopic lithotripsy group had post operative urine culture proven urinary tract infection (UTI) and were treated with antibiotics. Conclusion:As compared to retrograde ureteroscopic lithotripsy, PCNLis a safer and more effective procedure with higher stone-free rates and acceptable complication rates to treat patients with large impacted upper ureteral stones.
A COMPARATIVE EVALUATION OF THE EFFICACY OF TEETH WHITENING AGENT WITH AND WITHOUT DIODE LASER: A SPLIT-MOUTH STUDY.
Authors: Lanjewar Shivani , B. Mangalekar Sachin , Vhanmane Priyanka
Published: May 2023

Over the decades, the demand for teeth whitening has increased which has prompted the creation of numerous novel bleaching products. A teethwhitening product called Synergy gel makes claim to cause no signicant sensitivity, is highly effective, has ease of handling, and is used without a gingival barrier. Hence, this study is to evaluate the efcacy of teeth-whitening agents with and without the use of a diode laser. The teeth Method: in this split-mouth design were grouped into group A (Novo Synergy tooth whitening with an 810nm diode laser) and group B (Only Novo Synergy tooth whitening). There is a signicant difference between both groups at imme Result: diate and 15 days. But, there is no signicant difference between both groups at 3 months. The use of diode lasers (810nm) to enhance bleaching ha Conclusion: s signicant efcacy to that of the synergy gel bleaching but for a shorter period of time.
A COMPARATIVE STUDY BETWEEN ISS AND NISS IN TRAUMA PATIENTS ATTENDING SURGERY DEPARTMENT OF RIMS RANCHI
Authors: Sinha Nayan , Kujur Anmol , Shavik Kumar
Published: May 2023

Trauma is one of the most common cause of mortality in developing nation. Trauma patients are increasing day by day which is attributed to increase in number of motor vehicles. Various trauma scores have been developed to predict the mortality and outcome in trauma patients. Hence this study was done to test the accuracies of ISS & NISS for predicting mortality and outcome in chest and abdominal trauma patients. ATertiary centre hospital based prospective & observational Study was conducted from June 2021 to September 2022 in Rajendra Institute of Medical Sciences, Ranchi. A total of 204 patients were included in my study who presented with chest and abdominal trauma and fullled my inclusion criteria. Athorough clinical examination was performed, followed by necessary interventions, primary management and radiological investigation which were done as per patient's requirement. After that Trauma scores were computed and recorded. Data was further analysed using SPSS software
"STUDY TO DETERMINE USEFULNESS OF RDWI IN DIAGNOSIS OF IRON DEFICIENCY ANAEMIA."
Authors: R Patel Dhara , Chavda Jitendra
Published: May 2023

Introduction Iron deciency is the most common nutritional deciency in both developing and developeds countries. In era of rising cost consciousness, efcient diagnostic approaches, which can rule in or rule out diseases with sufcient accuracy so testing is minimized. RDWI has more specicity for IDAthan RDW. So it can rule out IDAbetter than RDW. RDWI appears to be a reliable and useful index for initial screening of microcytic hypochromic anemia and is better than RDW in differentiating iron deciency anemia and beta thalassemia trait. Material And Methods Total 400 patients were included who were suspected for anemia during OPD visit. We have calculated RDWI of all patients using automated hematology analyzer using blood collection in EDTA vacutainer. Serum ferritin levels were also estimated using automated biochemistry using ELISA as principle method Result: There was total 66 patients having <220 RDWI and 7 patients of these 66 patients were having <15 ng/ml serum ferritin. Sensitivity of RDWI to diagnose IDAwas as good as 92.78 % in this study. The specicity and positive predictive value were 19.47% and 26.94% respectively. Negative Predictive Value (NPV) of RDWI to diagnose IDAwas 89.39 %.were having S.ferritin <15 ng/ml.
STRONGYLOIDIASIS: A DREADED YET A NEGLECTED HELMINTHIC INFECTION
Authors: Acharya Alisha , Kumar Bhattacharyya Tapas , Chattopadhyay Shubhra , Sengupta Abhishek , Ghosh Tapashi
Published: May 2023

Context: Distinctive characteristics of intestinal Strongyloides infection are its ability to persist within hosts for decades and its potential to cause life-threatening infections in immunocompromised hosts, thereby prompting a careful analysis of such cases. Analysis of trend of Aims: Strongyloides stercoralis infection among patients in stool samples by standard protocol. Settings and Design: A hospital based retrospective crosssectional study was conducted at Calcutta School of Tropical Medicine, Kolkata, from January 2012 to June 2022. Stool Methods and Material: samples received in the aforesaid centre were examined by standard protocol and data were analyzed. Out of 5678 samples received, Results: 151(2.66%) were found to be positive for larvae of Strongyloides, among which 57(37.7%) cases belonged to immunocompromised hosts. Conclusions: Strongyloidiasis is a major global health challenge that is underestimated in many countries. A careful analysis of such infections is needed for prevention and treatment of such.
BACTERIOLOGICAL PROFILE & ANTIMICROBIAL SUSCEPTIBILITY PATTERN OF THE ISOLATES FROM CASES OF CATHETER ASSOCIATED URINARY TRACT INFECTIONS IN ADULT PATIENTS OF INTENSIVE CARE UNIT FROM A TERTIARY CARE HOSPITAL, VADODARA, GUJARAT.
Authors: Pandya Ahuti , Rajyaguru Bhoomika
Published: May 2023

Introduction: Catheter associated urinary tract infection (CAUTI) is an important healthcare associated infection. More than 80% of nosocomial UTIs are catheter- associated. Patients in intensive care unit have more risk of acquiring CAUTI. Objectives: To determine the incidence rate of CAUTI in ICU set-up, to isolate the organisms, to determine the antimicrobial sensitivity pattern and the association of symptomatic CAUTI in relation to high risk factors. Materials & Methods: A total of 150 symptomatic catheterized patients admitted in medical and surgical ICU were included. The urine samples were subjected for bacteriological analysis. Results: Total 59 patients developed Symptomatic CAUTI, incidence being39.3%. Escherichia coli was the most common isolate (37.9%) followed by Klebsiella species (16.7%), Enterococcus species (15.2%), Pseudomonas aeroginosa (10.6%), Candida spp. (13.6%),Acinetobacter species (4.5%) and Staphylococcus aureus(1.5%).. The bacterial isolates were more sensitive to piperacillin-tazobactam and Nitrofurantoin. Conclusion: To prevent CAUTI, emphasis should be placed on good catheter management and reducing the duration of catheterization to reduce its incidence. Knowledge of resistant pattern can help in implementing proper antibiotic therapy and infection control policy
HEALTH POLICY EVALUATION OF TAMIL NADU DOORSTEP HEALTHCARE SCHEME (MAKKALAI THEDI MARUTHUVAM) BY KINGDON'S MULTIPLE STREAMS FRAMEWORK
Authors: Mohamed Ismail Bismi , A J Austoria , Mohamed Aazmi , A P Xavier
Published: May 2023

The rising burden of non-communicable diseases and the number of people with non-Communicable diseases (NCDs) missing out on regular care due to the fear of contracting COVID-19 paved way for a new health policy called Tamil Nadu Doorstep Healthcare Scheme (Makkalai Thedi Maruthuvam) in 2021. Though the process of policy making has been described through various frameworks, Kingdon's multi stream policy is a dynamic model that explains political agenda setting for specic health issues. Kingdon suggests that public policy comprises of three independent streams namely problem stream, policy stream and political stream.
THE OUTCOME OF IRREDUCIBLE PULSELESS SUPRACONDYLAR FRACTURE OF HUMERUS TREATED VIA ANTERIOR APPROACH – A CASE SERIES
Authors: Parveez Islam Zaheer , Prakash Baruah Jishnu , Protim Borah Bashab , Madhurya Pratim Kumar , Pandey Devesh
Published: May 2023

Background: Treatment of a pulseless pediatric supracondylar humeral fracture is controversial and varies from closed reduction percutaneous pinning to Surgical Exploration. Present study aimed to analyze outcome of Irreducible pulseless supracondylar fractures treated with Open reduction and exploration via anterior approach. in this prospective study of 7 patients Method: with pulseless Supracondylar fracture, 2 were treated by Close reduction percutaneous pinning and the other 5, irreducible on table by Open intervention. The later 5 cases were followed up at 3 weeks, 6 weeks, and 3 months and functionally assessed using MEPS. 3 cases Results: showed immediate return of pulse, 2 recovered within 6 hours. All cases at 3 months showed MEPS >90. Anterior approach is excellent Conclusion: for surgical decompression of the neurovascular bundle.
RECURRENT EPISCLERITIS - A RARE PRESENTATION OF MIXED CONNECTIVE TISSUE DISEASE.
Authors: Karan Siddharth , Mohammed Arshia , Fatima Sana
Published: May 2023

Episcleritis refers to inammation of the loose connective tissue between the sclera and the conjunctiva. The majority of episcleritis cases are idiopathic, but 26% to 36% of patients have an associated systemic disorder that is responsible for the pathological process and development of episcleritis. It is also well established that the incidence and prevalence of episcleritis are higher in populations with systemic collagen-vascular disease and autoimmune diseases. However recurrent episcleritis in Mixed Connective Tissue Disease has not been reported before in literature Here we are reporting a case of recurrent bilateral nodular episcleritis as a rare presentation of MCTD.
DIFFERENTIAL DIAGNOSIS OF RIGHT ILIAC FOSSA MASS AND THEIR MANAGEMENT
Authors: Pal Singh Vinay , Suklabaidya Ashutosh
Published: May 2023

Background: Right iliac fossa mass is a common clinical entity encountered in routine surgical practice. The mass arises from different anatomical structures with varied aetiologies that require a high clinical suspicion in its management. The reason being that the mass may range from being benign to most aggressively malignant lesion which encompasses various specialities of surgery like genitourinary, vascular, gynaecological and colorectal surgery. This was a prospective observational study conducted betw Methods: een October 2021 and September 2022 in Silchar Medical College and Hospital, Silchar, Assam. 45 cases were studied after detailed history and physical examination, relevant investigations were done, and different surgical procedures done were noted and histopathological examination of resected specimens was done. In this series Results: out of 45 patients studied, 35 patients (77.5%) were diagnosed to have appendicular mass, 05 cases (11%) appendicular abscess, 02 cases (4.5%) ileocaecal TB, 02 cases (4.5%) psoas abscess, 01 cases (2.5%) Ca Caecum. Most commonly encountered in 3rd decade followed by 4th decade of life with male predominance. RIF mass is a challenging clinical sce Conclusions: nario for the surgeons. Keeping in mind the various differential diagnosis with good clinical acumen supported by appropriate investigations, patients with RIF mass can be managed appropriately either by conservative or surgical management.
CAROTID BODY TUMOR: OUR EXPERIENCE
Authors: Ramchandrappa Krishnappa , Shah Rahulkumar
Published: May 2023

Carotid body tumors are paraganglia arising at carotid bifurcation and commonly presents as painless slow growing mass with characteristic MRI nding – salt and pepper appearance and lyre sign – splaying of external and internal carotid artery. Surgical management is treatment of choice and radiotherapy reserved for inoperable case.
IMPROVING NEONATAL OUTCOME BY STUDYING THE INCIDENCE OF MATERNAL GROUP B STREPTOCOCCUS (GBS) COLONIZATION AMONGST PREGNANT WOMEN: A PROSPECTIVE OBSERVATIONAL STUDY
Authors: Rajan Priyank , Sanklecha Mukesh , Sanklecha Nupur , Shelke Omkar , Singh Vaishali , Banerjee Saswat
Published: May 2023

Background And Objectives: Group B streptococcus (GBS) colonization during pregnancy can lead to invasive infections in neonates including meningitis or sepsis. The major risk factor for the neonatal disease is the rectovaginal colonization of GBS during pregnancy and delivery. The objectives of this study were as follows: 1) To screen antenatal patients at 35-37 weeks of gestation for GBS colonization. 2) To determine the prevalence of GBS among pregnant women. 3) To formulate an antibiotic policy with respect to antepartum antibiotic prophylaxis and empiric choice of antibiotics for early-onset neonatal sepsis. 4) To ascertain the maternal and neonatal outcomes in pregnant women with GBS colonization. Methods: A prospective observational study was conducted among 50 obstetric patients at 35-37 weeks of gestation attending the outpatient and inpatient departments of a tertiary care hospital. High vaginal and rectal swabs were collected and sent for culture and sensitivity testing using the standard culture methods. The incidence of positive cultures was noted and was taken up as a reference for statistical calculations. Results: Out of the 50 vaginal samples, 1 sample showed GBS positivity having a prevalence of 2%. Rectal swabs did not grow GBS for all samples. The mother and the newborn did not show any symptoms or signs due to GBS. GBS grown in vaginal culture was highly sensitive to Penicillin's, Cephalosporins, Clindamycin, Daptomycin, Vancomycin, Meropenem, and Linezolid. Conclusion:Based on our ndings, screening patients with routine rectovaginal swabs may not be necessary for our population. Also, empiric treatment with antibiotics for GBS in symptomatic mothers cannot be justied and hence GBS should be considered an insignicant pathogen
PATHOLOGICAL EVALUATION OF BONE MARROW BIOPSY IN PANCYTOPENIA CASES WITH SPECIAL REFERENCE TO BONE MARROW IMPRINT CYTOLOGY: A HOSPITAL BASED STUDY
Authors: Engti Harbamon , Dutta Aparna , Kumar Dutta Pranjal , Bordoloi Samrat
Published: May 2023

Introduction: Pancytopenia is an important clinico-hematological condition and mainly presents in the form of anemia, leucopenia and
thrombocytopenia. There are varying trends in its clinical patterns, treatment modalities and outcome. A hospital-based Materials and Methods:
observational study was done in the department of Pathology, AMCH, Dibrugarh, Assam, from June 2021-May 2022 in patients above 12 years
admitted in Medicine ward fullling the inclusion criteria were included in this study. All the participants underwent detailed clinical examinations
and baseline investigations followed by bone marrow examinations. Out of 72 participa Results: nts, 41 were males and 31 were females with male
to female ratio of 1.32:1. Mean age was 45.39 ± 15.49 years. Megaloblastic anemia was the commonest cause that was observed in 30.5% (22)
cases followed by Aplastic anemia 18% (13) and MDS 16.7% (12). Anisocytosis, reticulocytosis and hypercellular marrow were the most common
hematological picture. The severity of pancytopenia and underlying pathology determines Conclusion: the management and prognosis. Thus,
comprehensive clinical and hematological evaluation of pancytopenia cases is utmost necessary to identify the correct cause
A CLINICAL STUDY OF SOLITARY THYROID NODULE
Authors: Naresh Kumar M.S P. , Sai Lakshmi Mullapudi , Sri Raasi Duvvuri
Published: May 2023

Solitary thyroid nodule is dened as a discrete swelling in an otherwise impalpable gland with prevalence of 4-7% in adult population with female preponderance. Importance of solitary thyroid nodule lies in its risk of malignancy compared with other thyroid swellings (10-20% are malignant). Conditions that present with solitary thyroid nodule are dominant nodule of multinodular goiter, follicular adenoma, thyroid cyst, thyroid carcinoma, localized form of thyroiditis and colloid goiter. FNAC is the single most useful investigation which can detect most of these conditions. Surgery is the mainstay of treatment after optimizing the patients to euthyroid state. Patients were taken to surgery of which hemi-thyroidectomy,total thyroidectomy and completion thyroidectomy were done depending upon pre-operative FNAC and post-operative HPE.
ROLE OF IRON SUCROSE INFUSION IN THE IMPROVEMENT OF HAEMOGLOBIN LEVEL IN PREGNANT WOMEN IN A RURALAREA OF CHENGALPATTU DISTRICT-TAMILNADU.
Authors: Sharon Philip , Shivani Ravichandran , Pradeep Kumar , Niranjan Rajasekar , Samundeshwari Gopinathan , Velavan Anandan , M Manikandan
Published: May 2023

Introduction: Anaemia is a serious public health problem which is prevalent among young children and pregnant women. WHO denes anaemia as haemoglobin (Hb) <11 g %1 In India, the ICMR classication of iron deciency anaemia is: 8-11 g% as mild, 5-8 g % as moderate and <5 g% as severe anaemia. This study is mainly to assess the effect of Iron sucrose infusion in the improvement of hemoglobin level in pregnant women in a eld practice area of rural Block PHC- Chunampet, Tamilnadu.Methodology: Government Block Rural PHC-Chunampet is the only Government health facility in that area, surrounding 15 km. In Government Block Rural PHC-Chunampet, they are regularly monitoring haemoglobin level to rule out anaemia and providing iron sucrose infusion depending upon the hemoglobin level for improvement of anaemia. We have reviewed the data from January-2021 to December-2021. All Pregnant women who visited Government Block Rural PHC-Chunampet during the study period, (from January-2021 to December-2021) were included in the study. We entered the data in excel sheet and analyzed using SPSS version 21.0. Results: Among the 143 study participants, 67 (47.9%) participants belonged to the age group 21-25 years and 52 participants (36.4%) belonged to the age group 26 - 30 years Before Iron sucrose Intervention, the mean Hb level was 9.023 (+ 0.77). After Iron sucrose Intervention, the mean Hb level was 9.755 (+ 0.79). Conclusion: The study has shown that iron sucrose injection has been effective in increasing the Hb levels in all gestational ages of pregnancy. The intervention proved to be most effective in primi gravida women, reducing the number of women with Hb less than 10g/dl by 37.1% from 96.6% to 58.6% after administration of iron sucrose.
CLINICAL STUDY OF PREVALENCE OF HUMAN PAPILLOMA VIRUS (HPV) BY ELISA METHOD IN FEMALES ATTENDING GYNAECOLOGY OPD
Authors: Haldar Jaydeb , Turbadkar Dilip , Baveja Sujata , Shubhra Das Shanta
Published: May 2023

Background: Women with normal cervical cytology, who are infected with high-risk HPV type, have an approximately 100-fold increased risk of developing cervical cancer compared with uninfected women. Present study was conducted to study seroprevalence of Human Papilloma Virus by ELISA method in female patients attending in Gynecology OPD of in a tertiary care hospital. Present study was cross- Material and Methods: sectional study, observational study, conducted female patients clinically suspected of having HPV infections like bleeding per vagina, irregular menstruation, pain in lower abdomen or post-coital bleeding or had any abnormal ndings on per vaginal examination. Among 160 Results: patients, majority of were from age group 31-40 years (39.38%), married (88.75 %), married at 18-20 years age (54.36 %), had parity of 2-4 (83.75%). All females had gynecological problems followed by women who were smoker ( 33.13 %), suffering from STD's (29.37 %), had alcohol drinking habit (25 %), had multiple sexual partner (5 %) and family history of cervical cancer (2.5 %). The patients who used homemade napkins had a highest seroprevalence of HPV 68.18% followed by patients who are suffering from STD's (63.83 %), had a family history of cervical cancer (50 %), women who used to smoke (37.7 %), drink (25 %), had multiple sex partners (25 %) and the least number seropositivity was among patient who had gynecological problems 23.12%. The sero-prevalence among patients for HPV was 23.12%. Conclusion: The prevalence increased with early marriages, high parity, and middle socio-economic status group. So, our study will guide for planning and implementation of governmental HPV infection control measures and the consequences of infection around the world. ELISA method is an important diagnostic method in future in HPV infection detection as it has several advantages over other existing diagnostic methods in respect of early detection, reliability, cost effectiveness and patients compliance as blood can be easily accessible.
EFFECT OF MICROSURGICAL SUBINGUINAL REPAIR ON TESTOSTERONE LEVEL IN INFERTILE MEN WITH VARICOCELE
Authors: Shekhar Chandra , Chaudhary Gordhan , Garg Pulkit , Gehlot Himanshu , Yadav Anurag
Published: May 2023

Background: The detrimental effect on spermatogenesis by varicocele is well documented. However varicocele presents a pantesticular insult,
leydig cell dysfunction is now a recognized potential consequence of varicocele. the benecial effect of varicocele repair on testosterone
production have been proposed for decades. To evaluate the Effect of microsurgical s Objective: ubinguinal repair on testosterone level in infertile
men with clinical signicant varicocele. This study included 30 patient Patients and Methods: s presented to urology outdoor of dr s n medical
college jodhpur with clinical varicocele for primary infertility. The study was conducted during the period between 1st April 2021 and December
2021. Microsurgical subinguinal varicocele repair was associated with a si Results: gnicant improvements of testosterone levels at 6 months after
surgery as compared to the preoperative levels (P < 0.001). however the percent of improvement was more among hypogonadal compared to
euogonadal Varicocelectomy was demonstrated to signicantly improve serum te Conclusion: stosterone in infertile men, especially in cases with
hypogonadism
PREVALENCE OF MEIBOMIAN GLAND DYSFUNCTION IN PATIENTS UNDERGOING CATARACT SURGERY IN A TERTIARY CARE CENTER IN BARABANKI
Authors: Mittal Bharat , Sharma Kumudini , Kumar Singh Arun , Gupta Alka
Published: May 2023

Introduction- Modern cataract surgery despite having favourable outcome in most of the aspects, comes with an unavoidable complication i.e. dry eye. Dry eye syndrome is an ocular surface disease either due to lacrimal undersecretion or overevaporation. Obstructive meibomian gland dysfunction (MGD) is the most common cause of evaporative dry eye disease, characterized by stagnation of meibomian gland lipids with or without qualitative/quantitative changes in meibum. Hyposecretion of lipids may result in tear lm instability, ocular irritation, and ultimately ocular surface disease. To study the prevalence of meibomian gland dysfunction in pa Aim: tients undergoing cataract surgery in A Tertiary Care Center in Barabanki. The present study was Cross sectional and was conducted from Materials and method: September 2021 to November 2022. It included 130 patients presented to ophthalmology department with the chief complaint of diminution of vision and was evaluated thoroughly under slit lamp for cataract and MGD and underwent a series of tests like Schirmer's Test, TFBUT, Ocular Protection index, MGD grading and DEQS. After examining 130 patients with varying cataract status, MGD (Dry Result: eye) was found to have a prevalence of 49.2% (59 out of 120). The mean age of the study participants was 57.54 (7.67) years. Among the patients, 30 (25.0%) were of aged 40-50 years, 45 (37.5%) were aged 51- 60 years, 43 (35.8%) were aged 61-70 years and rest 2 (1.7%) were of aged more than 70 years. Among the study participants, 65 (54.2%) were males and 55 (45.8%) were females. Addressing MGD and DED before cataract sur Conclusion: gery is important to achieving the best visual outcomes.To achieve optimum patient compliance and quality of life post-operatively, screening for dry eye should be made part of the protocol for pre-operative evaluations
SUCCORING ROLE OF RADIOGRAPHS IN PERIODONTICS
Authors: Radha Anu , Sharma Manik , Goutam Tania
Published: May 2023

Periodontal disease is amongst the most prevalent diseases worldwide. Also its chronic and inammatory nature has proved a signicant relation with overall systemic health of an individual. So it's very crucial to diagnose its presence and severity at very early stage to protect periodontal health as well as overall wellbeing of a person. Modern technologies have provided clinicians with automated probes but the major drawback is their cost and technique sensitivity. Owing to these limitations of new diagnostic tools, the conventional tools of diagnosis such as clinical examination and radiographic evaluation (in combination) still got the upper hand. In this review article, we will discuss about basic consideration and new developments in radiographic evaluation in periodontal disease.
A PROSPECTIVE COMPARATIVE STUDY TO ASSESS THE EFFECT OF TRANEXAMIC ACID IN PATIENTS UNDERGOING CEPHALOMEDULLARY NAILING FOR HIP FRACTURES
Authors: Dharanish Dharanish
Published: May 2023

Background: The main objective of the present study was to assess the effect of TXAin patients undergoing cephalomedullary nailing xation of
hip fractures in comparison with patients not receiving TXA. Methods: This is a prospective comparative study done with eligible in-patients
(n=71) with hip fractures, planned for cephalomedullary nailing in Department of Orthopaedics and Traumatology, Meenakshi Mission Hospital
and Research Centre, Tertiary Health Care Centre, Madurai, Tamilnadu. All eligible patients were divided into two groups viz. Group T and Group
S. For Group T (TXA Group), intravenous infusion of TXA at the dose level of 15 mg/kg was given at the time of inducing anaesthesia i.e., 15
minutes before skin incision in surgery. For Group S (Saline Group) intravenous infusion of normal saline at the dose level of 15 mg/kg was given at
the time of inducing anaesthesia i.e., 15 minutes before skin incision in surgery. Group T and Group S were compared and evaluated for blood loss
and requirement of whole blood transfusion. Results: Majority of the study subjects i.e., 80% had Intertrochanteric femur fracture and majority of
the study subjects i.e., 68.60% underwent closed reduction and internal xation with long Proximal Femoral Nail (PFN). Furthermore, our study
ndings delineated that study subjects who received TXA had 79.8 mL lesser peri- operative blood loss as compared to control subjects and this
difference was statistically signicant (p = 0.002) between the groups. In addition, number of study subjects who required blood transfusion was
higher (44.44%) among Group S as compared to Group T (20.00%) and this difference was also statistically signicant (p<0.05) between the
groups. Conclusion: Tranexamic acid play a signicant role in reducing postoperative blood loss and blood transfusion when used intravenously in patients undergoing cephalomedullary nailing xation of hip fractures.
DENTINOGENESIS IMPERFECTA: A CLINICAL CASE REPORT ANTERIOR MOUTH REHABILITATION AND PUBLIC HEALTH ASPECT
Authors: Sharma Jyoti , Sharma Deepanshu
Published: May 2023

The size, shape, number, and tissue structure of teeth in human dentition varies greatly. Dental conditions can run in families. Tooth discoloration caused by DI conditions can range from milky blue-gray to dark tan. Due to the weakening of the dentin structure, DI patients frequently experience severe dentition wear, missing tooth structure, missing teeth, and missing vertical occlusal dimensions. A female patient, age 39, was seen with brown tooth discoloration and wear on all of her front teeth. The patient claimed that her mother was to blame for her dental issue
CLINICAL PROFILE AND TREATMENT OUTCOME IN SCRUB TYPHUS PATIENTS IN UDAIPUR
Authors: Prajapati Anand , Ghodasara Shiv , B. Patel Meera
Published: May 2023

Background: Scrub typhus is a zoonotic disease caused by Orientia tsutsugamushi, an obligate intracellular gram-negative bacterium. It is transmitted via the larval stage of trombiculid mites (chigger, a primary reservoir). It is prevalent across southern and eastern India including Rajasthan. Therefore present research was carried out with an objective to study the clinical prole and treatment outcome in scrub typhus patients in Udaipur. Method: In this study, total 100 patients with an acute febrile illness diagnosed as scrub typhus by positive IgM antibodies against O. tsutsugamushi were enrolled, over a period of two months (August to October 2022). All relevant data were recorded and analyzed. Results: Among 100 cases, 52% patients reported from urban area and 48% patients from rural area. The mean age of patients was 43.75±16.82 years, ranged from 12-83 years with female predominance (male: female-1:1.37). Fever (100%), cough (40%) breathlessness (40%), altered sensorium (13%) and headache (11%) were the predominant clinical features. Eschar was seen in 33 patients. Renal (63%) and hepatic dysfunction (58%) was the commonest followed by respiratory dysfunction (49%). All patients (except pregnant patients) were treated with oral or inj.doxycycline. Seventeen patients needed mechanical ventilation and ve patients required dialysis. Total 24 patients died during the study period. Conclusion: Scrub typhus has become a leading infectious disease causing acute febrile illness. It should be considered as a differential diagnosis with high index of suspicion for acute febrile illness in patients from this region, as early diagnosis and intervention may reduce mortality.
A PROSPECTIVE STUDY IN EXTENDED TOTAL EXTRAPERITONEAL REPAIR IN UMBILICAL HERNIA.
Authors: Kavitake Omkar , Jatkar Girish , Potey Vijay , Deshpande Amol
Published: May 2023

Introduction-Aminimally invasive technique, popularly known as e-TEP, to place a mesh in retro muscular space has long been under discussion between experts. Several studies have concluded that the laparoscopic approach to ventral hernia repair (LVHR) produces earlier discharge from the hospital, potentially faster recovery, and equivalent recurrence rates in comparison to open approaches. Objectives- 1. To identify the variables affecting the outcome of Extended Total Extraperitoneal Repair in Umbilical Hernia 2. To determine complications of Extended Total Extraperitoneal Repair in Umbilical Hernia. Methodology-Aprospective study was conducted on 10 patients with umbilical hernias admitted to a tertiary care hospital. All the details about age, sex, intra-operative parameters like defect width, operative time, etc. & post-operative complications were noted. Results- In our study, the mean age was 42.7±10.5yrs. Male (60%) preponderance was seen. The average defect width was 3.8±2.2cm. While the mean operative time was 97min. & mean duration of hospital stay was 3.5±0.9days. Co-morbidities were seen in 30% of patients. The mean of post-operative VAS score was 1.9±0.2 days. Out of the total of 10 patients, a single patient developed a seroma at the umbilicus. None of the patients developed any other complication. Conclusion- Our study is an addition to the evidence that Extended Total Extraperitoneal Repair improves outcomes of patients with an umbilical hernia. Precise knowledge of anatomy is inevitable for a safe and effective repair.
SPLINTS IN PROSTHODONTICS – A LITERATURE REVIEW
Authors: Atulya Kumari , Shetty Gautam , Kumari Poovani Shwetha
Published: May 2023

Occlusal splints are also called as occlusal appliances, biteguards, mouthguards, orthotics, interocclusal appliances. Occlusal splint therapy is used
as both diagnostic and treatment appliance for temporo-mandibular disorders and occlusion related disorders. The aim of this article is to provide
an insight on various types of splints being used in the eld of prosthodontics, indications and the rationale for use.
Analisis Fraud Hexagon Dalam Mendeteksi Potensi Kecurangan Laporan Keuangan Pada Perusahaan Badan Usaha Milik Negara (BUMN)
Authors: Gando Suri Atika
Published: May 2023

This study aims to obtain empirical evidence of the influence of variables in Fraud Hexagon Theory that can detect financial statement fraud. This study uses the Fraud Score Model with case studies on State-Owned Enterprises (BUMN) in 2016 – 2020. The population in this study is all state-owned companies listed on the IDX in 2016-2020 which are accessed through the idx.co.id website. The sample data used in this study was as many as 13 state-owned companies. Sampling is carried out based on the purposive sampling method. The dependent variable used in this study is financial statement fraud. The independent variables used by this study are stimulus, opportunity, capability, rationalization, ego and collusion. Data analysis in this study used multiple linear regression analysis with SPSS test tool Version 26. Based on the results of the analysis, it shows that stimulus has a significant effect on financial statement fraud, while opportunity, capability, rationalization, ego and collusion do not have a significant effect on financial statement fraud.
The Analisis Penerapan Pemeriksaan Pajak Jarak Jauh di Direktorat Jenderal Pajak
Authors: Endrawan Shopan J. , Gunadi Gunadi
Published: May 2023

Pandemi COVID-19 telah menyebabkan pemerintahan-pemerintahan di dunia termasuk Indonesia harus menerapkan kebijakan pembatasan aktivitas masyarakat. Hal ini juga menyebabkan administrasi pajak harus menutup kantor dan bekerja dari jarak jauh. Menurut penelitian yang dilakukan oleh OECD pada tahun 2021 disampaikan bahwa pengalihan proses pemeriksaan lapangan ke lingkungan virtual telah memberikan pengalaman yang menjanjikan serta memiliki potensi untuk terus dilanjutkan walaupun pandemi COVID-19 telah berakhir. Berdasarkan data dan fakta tersebut Direktorat Jenderal Pajak (DJP) telah mengeluarkan beberapa peraturan terkait seperti Surat Edaran Nomor 33 Tahun 2020 mengenai panduan umum dalam melaksanakan tugas dalam tatanan kenormalan baru dalam lingkungan DJP, kemudian ditambah dengan Surat Edaran Nomor 34 Tahun 2020 mengenai panduan teknis dalam melaksanakan tugas pada tatanan kenormalan baru dalam lingkungan DJP. Pemeriksaan jarak jauh atau pemeriksaan virtual adalah suatu mekanisme dalam melakukan pemeriksaan dari jarak jauh dengan menggunakan metode elektronik seperti telepon, surat elektronik, dan konferensi video untuk memperoleh bukti-bukti pemeriksaan, seperti dalam pemeriksaan lapangan. Tujuan dari penelitian ini adalah menganalisis penerapan pemeriksaan jarak jauh oleh DJP. Metode penelitian yang digunakan adalah pendekatan kualitatif deskriptif dengan studi kepustakaan dan wawancara. Hasil penelitian menunjukkan bahwa penerapan pemeriksaan jarak jauh oleh DJP adalah efektif, efisien, cukup, adil, responsif dan layak, walaupun belum sepenuhnya memenuhi kebutuhan pemeriksa pajak terutama terkait pemeriksaan yang membutuhkan tatap muka secara langsung dengan WP maupun kunjungan ke lapangan.
Comparative Study of Target Image Detection using Deep Learning
Authors: Vora Neha , Shekhawat Divya
Published: May 2023

The object detection and deep learning technology has certainly proven effective in surveillance systems, automated driving, and facial recognition. Today, computer vision has given an entirely new perspective. However, when it comes to targeting a particular object within a complex image or video footage, it may seem to be a major challenge. By the rapid developments in the area of computer vision, the detectors have certainly improved greatly. This study presents a comprehensive literature review of various object detection algorithms, and their challenges, including one-stage and two-stage detectors. Finally, based on the current development of target image detection, the future prospects of research have been stated.
Patient Identification Nursing Error
Authors: Ardianto Ardianto , Nasution Siti Saidah , Tarigan Mula
Published: May 2023

Patient safety goals consist of six safety goals, one of which is the identification process. Where the patient identification process must be carried out correctly so that errors or nursing errors do not occur. The purpose of this study was to determine the relationship between the implementation of patient identification and nursing errors. This research uses associative research with a cross-research design. The sample in this study amounted to 120 people, at the Regional General Hospital Dr. RM. Djoelham Binjai used a total sampling technique. The data collection instrument was used a questionnaire. The results of the study showed that as many as 51 people (96,1%) did not carry out patient identification with a high incidence of nursing errors. Meanwhile, among nurses who carried out patient identification, there was 1 out of 68 people (1,4%) with a high incidence of nursing errors. Based on the results of data processing, it was concluded that the effect of carrying out patient identification was strong by r square=0,911, meaning that the patient identification implementation variable was used in the study. It has been able to explain the diversity of data on nursing error variables at the Regional General Hospital Dr. RM. Djoelham Binjai is 91,1%, while the remaining 8,9% is explained by other variables outside the research model.
Health Education Through Video Animation to Primigravida Mother's Readiness in Childbirth
Authors: Sutrisminah Emi , Ediyono Suryo , Susilowati Endang , Suhartinah Siti
Published: May 2023

Labor is the process of opening and thinning the cervix and the fetus descending into the birth canal. Readiness in facing labor is one of the indicators of the successful labor process. There are four things that need to be prepared before experiencing childbirth such as physical, psychological, financial, and cultural readiness. Primigravidas often have disturbing thoughts when facing labor and mostly bear difficulties in preparing for childbirth due to their lackness of birth experience. This study aimed to determine the effect of health education through audio-visual media on readiness when facing childbirth for primigravidas. This research used a pre-experimental study with one group pretest and posttest design. The research sample included 43 primigravidas in the third trimester taken by total sampling. The research instrument used was a questionnaire and analyzed by using paired t-test. This study showed that there was a significant difference in the readiness of primigravidas when facing childbirth (p-value=0,000) before and after being given health education through animated videos. Health education through animated video media for childbirth preparation is one way that can be applied to provide health education to primigravidas. Based on the results, it is recommended that health education through animated videos for childbirth preparation be used to increase the readiness of mothers in facing childbirth.
Differences in the Application of Lateral and Semi-Sitting Labor Positions for Multiparous Maternity Mothers on The Length of Stage II
Authors: Marbun Uliarta , Irnawati Irnawati
Published: May 2023

Every woman wants her labor to run smoothly and to be able to give birth under normal conditions for both the mother and the baby. However, the desire to have a normal (vaginal) delivery is not an easy thing because many pregnant women feel worried, anxious, and anxious about the delivery process. The goal of normal delivery care is to strive for survival and achieve a high degree of health for both mother and baby through integrated and complete efforts and minimal intervention so that the principles of safety and quality of service can be maintained at an optimal level. The purpose of this study was to find out the difference in the application of semi-sitting and lithotomy positions in multiparous mothers to the length of the second stage at PMB Rismawati. This research was a quantitative study using static group comparison experimental research methods The sample in this study were 30 multiparous mothers. The sampling technique used purposive sampling. The sample in this study was part of the population of multiparous mothers. The results of the man withney test obtained a p-value of 0,370, this value was greater than 0,05 so it can be concluded that there is no difference in the lateral and semi-sitting positions for the duration of the second stage of labor because each position has its own advantages when applied.
Perilaku Ikhlas Alumni Santri Siap Guna Daarut Tauhiid: Fenomenologi
Authors: Lara Ekamia Gusti , Yusuf L.N Syamsu , Budiman Nandang
Published: May 2023

Perilaku ikhlas merupakan suatu sikap yang sangat dianjurkan dalam Islam, karena dengan sikap ikhlas bernilai ibadah dan orang yang ikhlas akan dicintai oleh Allah Subhanahu Wa Ta’ala. Selain itu perilaku ikhlas dapat menjadi solusi masalah moral di indonesia. Artikel ini bertujuan untuk mengetahui bagaimana bentuk perilaku ikhlas alumni Santri Siap Guna Daarut tauhiid (SSG-DT) setelah mengikuti Pendidikan dan Latihan Santri Siap Guna Daarut Tauhiid (SSG-DT). Penelitian ini menggunakan pendekatan kualitatif dengan fenomenologi. Analisis data menggunakan analisis tematik. Data dikumpulkan melalui wawancara mendalam. Partisipan dalam penelitian ini berjumlah satu orang yaitu seorang perempuan berusia dua puluh lima tahun tahun yang merupakan alumni Santri Siap Guna Daarut Tauhiid (SSG-DT) angkatan 38.  Nama partisipan dalam penelitian ini ditulis sebagai Teh K untuk melindungi identitas pribadi partisipan. Hasil penelitian ini, diperoleh  bahwa  perilaku ikhlas alumni Santri Siap Guna Daarut Tauhiid (SSG-DT) bentuk perilaku ikhlas di lingkungan keluarga, teman sebaya, dan masyarakat. Salah satu contoh bentuk perilaku ikhlas terhadap ibu seperti setiap menerima gaji bulanan dari tempat mengajar yaitu Madrasah Ibtidaiyah (MI), membelikan sepatu kesukaan ibunya, Teh K selalu memberikan separuh gaji yang di dapat dari mengajar di Madrasah Ibtidaiyah ke ibunya. Teh K juga sering membantu ibunya berjualan di warung maupun menawarkan dagangan ibunya lewat Whatsapp.Terkadang Teh K sengaja mengajak ibunya belanja di salah satu mini market dekat rumahnya untuk membelikan keperluan di rumah seperti odol, sabun cuci, roti tawar,  susu, dll. Adapun implikasi dari perilaku ikhlas bagi alumni Santri Siap Guna Daarut Tauhiid (SSG-DT) adalah supaya santri dapat lebih mendekatkan diri kepada Allah dan menjadikan Allah sebagai satu-satunya pemberi balasan terbaik, berharap hanya kepada Allah, menolong tanpa berharap imbalan apapun dan berperilaku sebagaimana mestinya sebagai seorang santri pada umumnya.