bluuebunny/crossref_metadata_2025 huggingface dataset:
PSYCHOSOCIAL ISSUES IN ADOLESCENTS WITH TYPE 1 DIABETES MELLITUS
Authors: Dabas Heena , Sarin Jyoti
Published: January 2023

ABSTRACT: Type 1 diabetes mellitus (T1DM) is a form of DM that results from autoimmune destruction of insulin producing beta cells of the pancreas. There is enough discussion about the pharmacological management of the disease but its psycho-sociological aspect has not been explored much. Patient with T1DM often experience psychological stress during the first year of diagnosis. , Approximately 36% of patients have some sort of psychiatric disorder in the first year, which may be related to both stress and treatment side effects. The lifelong administration of insulin, a restricted diet and complications from diabetes can cause great difficulties in living a normal life for patients. For optimum survival, psychological monitoring must be done along with medical treatment beginning from the diagnosis. A multidisciplinary team should be involved to assess newly diagnosed type 1 diabetes mellitus. The team should include a pediatric endocrinologist, nurse educator, dietician and mental health professional to provide specific education and support for patients. Interaction between parents, nurses, doctors and the school authority must be ensured to monitor the child\'s progress closely. Above all, proper education of self-care must be given so that the child can cope with his/her existing disease and maintain self-confidence while ensuring self-management. In addition, it is important that he/she adapts to life at large. KEYWORDS: Type 1 Diabetes mellitus, Adolescence, Psychological stress, Psychosocial issues, Self management
ASSOCIATION ENTRE SEVERITE DE LA THROMBOPENIE ET GRAVITE DE LA COVID-19 VU AU CENTRE HOSPITALIER UNIVERSITAIRE MORAFENO TOAMASINA
Authors:   Centre Hospitalier Universitaire Analankininina Toamasina., Jose Welson , Catherine Razafindrakoto Ainamalala ,   Centre Hospitalier Universitaire Morafeno Toamasina., Toky Andriamahefa Rafanomezantsoa ,   Centre Hospitalier Universitaire Analankininina Toamasina., Nirina Marie Ose Judickael Harioly ,   Centre Hospitalier Universitaire Morafeno Toamasina., Tovohery Andriambelo Rajaonera ,   Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona.
Published: January 2023

Introduction: CoViD-19 is a systemic viral infection, the 1st case of CoViD-19 in Madagascar was on March 20, 2020 and since then we have observed the association of hematological disorder including thrombocytopenia. The objective was to assess the relationship between thrombocytopenia and CoViD-19 in cases seen at the Morafeno University Hospital Center. Methodology: this is a descriptive, analytical and prospective study over a period of 4 months from November 2021 to February 2022 within the Morafeno University Hospital Center Results: We collected 90 patients with an average age of 62 years on extremes of 25 â€“ 87 years. The sex ratio was 1.25. For comorbidity (n = 68), arterial hypertension predominates at 55.88% followed by diabetes at 29.41%. For vaccination status, only 10 were vaccinated. For severity on admission, 33% was classified as severe. We had 16 (18%) thrombocytopenia with a median value of 114.12 G/L. There is a correlation between thrombocytopenia and the Neutrophil/Lymphocyte ratio (p = 0.016) (RR = 4.941) and also between the severity of thrombocytopenia and the severity of CoViD-19 (p = 0.004) Conclusion: thrombocytopenia was quite high (18%). The severity of thrombocytopenia was correlated with the severity of CoViD-19. Thus, regular monitoring of the platelet count would be necessary in order to have an adequate course of action.
FORMULATION AND EVALUATION OF TRAMADOL HYDROCHLORIDE LOADED TRANSFEROSOMAL GEL BY THIN FILM HYDRATION TECHNIQUE
Authors:   Department of Pharmaceutics, RBVRR Womens College of Pharmacy, Barkatpura, Hyderabad- 500028, India, Telangana. Affiliated to Osmania University., Amreen Amena , Ratnamala K.V. ,   Department of Pharmaceutics, RBVRR Womens College of Pharmacy, Barkatpura, Hyderabad- 500028, India, Telangana. Affiliated to Osmania University.
Published: January 2023

Objective(s): The current studys goal is to develop and test a tramadol hydrochloride transdermal gel based on vesicular drug delivery approaches. Materials and methods: Transferosomes were chosen as the colloidal carrier for tramadol hydrochloride transdermal gel preparation. Thin film hydration was used to create transferosomes. The obtained transferosomes were characterised for drug content, vesicular diameter, zeta potential, entrapment efficiency, invitro drug release studies. Results: T5 (made via thin film hydration and comprising a soya lecithin: Tween 60 ratio of 1:2.5) was deemed the best transferosome formulation due to its 274.2nm mean vesicular diameter, -29.5 mV zeta potential, 93.9% drug content, 97% entrapment efficiency, and 92.7% sustained drug release after 12 hours. The T5 formulation was included into the gel. There was a comparison between plain gel and transfersomal gel. Transfersomal gel was rated superior to the other gels due to its higher drug concentration (91%), spreadability (18.35 g.cm/sec), pH (6.9), and sustained drug release profile over 12 hours. Conclusion: By comparing transferosomal gel with plain gel transferosomal gel indicated better results than plain gel.
A STUDY TO EVALUATE THE EFFECTIVENESS OF HEIFER SKIN TAP TECHNIQUE ON PAIN ASSOCIATED WITH INTRA MUSCULAR INJECTION AMONG HOSPITALIZED ADULTS IN SELECTED HOSPITAL AT COIMBATORE
Authors: P.V Abhija
Published: January 2023

Introduction: Hospitalized adults undergoing intramuscular injection have pain. In this context, complementary therapy like Heifer skin tap technique has its own significance, thus enhancing the scope of nursing. Objective: To evaluate the effectiveness of Heifer skin tap technique on pain associated with intramuscular injection. Design: A quantitative approach using pre experimental one group pre and post test design. Participants: 100 hospitalized adults undergoing intramuscular injection have pain using non-probability convenient sampling techniques from Nataraj hospital. Intervention: Heifer skin tap technique is administered 3 times before inserting the needle and 3 times after removing the needle. TOOLS: Standardized MCAFFERY 0-10 numerical pain scale to assess the level of pain associated with intramuscular injection. Results: Analysis among Experimental group by using paired t test found significant value 54.02 at p<0.05 level. Conclusion: Heifer skin tap technique is effective on pain associated with intramuscular injection among hospitalized adults.
INFORMATION AND COMMUNICATION TECHNOLOGY COORDINATORS COMPETENCY SKILLS AND CLIENTS SATISFACTION
Authors:   Faculty Member of Bachelor of Science in Business Administration, Biliran Province State University, Naval, Biliran, Philippines., Q. Solteo Jr. Vicente , R. Baribe Jean ,   Teacher III of Department of Education, Caibiran Districts, Caibiran, Biliran, Philippines.
Published: January 2023

Information and communication technology (ICT) undoubtedly changes the lives of people, especially in this time of pandemics. Almost all the communications strategies of the different agencies have adopted the technology. ICT has posed a lot of benefits from making communication faster and circulating information. ICT brings impact to the educational field through rapid development and positive changes. The Department of Education designated ICT Coordinators to oversee the duties and functions of technological assistance in the school.This study determined the Information and Communication Technology Coordinators competency skills and clients satisfaction involving a total of 297 respondents including the ICT coordinators of each school.Employing the descriptive correlational research design, this study had utilize a researcher developed questionnaire to gather the data from the ICT coordinators and teachers from the elementary schools in the Division of Biliran. The results found that the ages of the respondents have ranged from 22 to 45 years, most of them are female, married, Masters Degree holders, mostly 10 to 14 years in the service, and have attended local training and seminars. The level of competency skills of ICT coordinators in terms of computer system servicing was moderately competent, and in terms of preventive maintenance was highly competent.Therewas a high level of clients satisfaction. The sex and number of years in the service have a significant relationship to clients satisfaction, while the age, educational attainment, and training and seminars attended have no significant relationship to clients satisfaction. There was also significant relationship between the competency skills of ICT coordinators and clients satisfaction.Moreover, results also indicated that ICT coordinators have encountered problems while rendering their services to their clients such as: no available funds allocated for the maintenance of the computers due to limited allocation of Maintenance and Other Operating Expenses (MOOE) ICT Coordinators were assigned to various school activities and under regular teaching hours and some computer units were no longer functional.The school administrators shall conduct training and workshops which should focused on computer servicing to enhance the level of competency skills of ICT coordinators andfund may also be allocated for the maintenance of computer units and to upgrade the internet connectivity to improve the level of clients satisfaction.
LACTIC ACIDOSIS IN TYPE 2DIABETES PATIENT WITH AND WITHOUT RENAL IMPAIRMENT TREATED WITH METFORMIN
Authors: B. Niranjan
Published: January 2023

Metformin is a widely used antihyperglycemic agent recommended by both the American Diabetes Association and the European Association for the Study of Diabetes as the first-line type 2 diabetes treatment in all patients receiving a new diagnosis, regardless of age Lactic acidosis (LA) is a rare event, with an estimated incidence of 4.3 cases per 100,000 person-years in metformin users LA is caused by the buildup of lactic acid in the bloodstream. It is characterized by an arterial lactate level ?5 mmol/L and a blood pH ?7.35, and occurs when oxygen levels in the body drop (hypoxia). The occurrence of LA in type 2 diabetes is of great concern because the mortality rate of LA can be as high as 50% .To determine whether the use of metformin in type 2 diabetic patients with various kidney functions is associated with an increased risk of lactic acidosis (LA). Lactic acidosis occurs in patients taking metformin who have renal failure. In our study, metformin was used in CKD stage 1 to 3b patients. Most of them were in stage 3. There is statistically significant association between stages of kidney disease and serum lactate level(P<0.05) .There Is statistically significant association between stages of kidney disease and arterial blood gas analysis.
TO EVALUATE THE UTILITY OF DIABETES IN PREGNANCY STUDY GROUP INDIA(DIPSI) CRITERIA FOR SCREENING OF GESTATIONAL DIABETES MELLITUS
Authors: Arun Gavhane Shruti , Chaudhari S.N. , Hol Kishor , Shastri Shraddha
Published: January 2023

Background:The optimal strategy for screening and diagnosis of Gestational DiabetesMellitus (GDM) is still elusive. There is possibility of difference infetaland maternaloutcome depending on the diagnostic method used. This study highlights on the efficacy of two tests 100-gram oral glucose tolerance test with Carpenter Coustan Criteria and Diabetes in Pregnancy Study Group India and to find the prevalence of GDM using DIPSI criteria and to compare the screening outcomes between DIPSI and ACOG guidelines. Methods: This study is a prospective cohort study done at tertiary care center 200 patientswhere enrolled in study between 12-16 weeks of gestation. exclusion criteria were History of GDM in previous pregnancy, known case of GDM and history of macrosomic baby. Women between 12-16 weeks of gestational age were subjected to screening for GDM by DIPSI criteria. Values more than 140 mg/dl were labelled as DIPSI positive. Positive cases were further subjected to 100gm of oral glucose tolerance test (OGTT) by Carpenter Coustan criteria at 12-16 weeks of gestation. All OGTT (Carpenter Coustan criteria) negative patients underwent repeat OGTT at 24-28 weeks of gestation. All DIPSI negative cases also underwent repeat DIPSI test at 24-28 weeks of gestation.OGTT (Carpenter-Coustan) positive cases were diagnosed as GDM and will be subjected to appropriate management. Results: The prevalence of GDM by the DIPSI test was 16% and by the Carpenter and Coustan test was 12.5%. Maximum no. cases of GDM 20 i.e. 80 % where in age group of 21-25 . 76%-19 cases of GDM where having BMI of 18.5 to 24.99 kg/m2. 14 i.e 56% GDM cases where multigravida and 11(44%) were primigravida.The sensitivity ,specificity, positive predictive value and negative predictive value were 1005,96%78.12% and100% respectively. Conclusion: DIPSI offers feasibility, convenience, simplicity and repeatability, while economizing universal screening and diagnosis of GDM .
SYNERGISTIC RECYCLING OF DETERIORATED LATERITE SOIL AND FLY ASH AS GEOPOLYMER PRECURSORS: UPSCALING FROM BINDERS TO SUSTAINABLE BRICKS
Authors:   AssistantProfessor,CivilEngineeringDepartment,SSIT,Tumakuru-572105,India., G.D Shivaraju ,   ResearchScholar(VTU),CivilEngineeringDepartment, BMSCollegeofEngineering,Bangalore -560019,India., K. Asha ,   AssistantProfessor,CivilEngineeringDepartment,BMSCollegeofEngineering,Bangalore-560019,India.
Published: January 2023

Globallysustainabilityisthemajorchallengeforamaterialconstructionindustryin termsofmeetingecofriendlydemands.Similarly relevant provocation is expected in anthropogenic activitieslike waste management in thermal power plants. In this study, in thelight of industrial conversation appeal, two wastes, namely laterite soiland fly ash, generated through intensive and prolonged weathering ofthe underlying parent rock and operation of thermal power plant, wereused in a synergistic way in the preparation of sustainable geopolymerbinders. In order to assure a productive balance between the variousperiodicalevolutionofbuildingmaterialsdemandandwastesproduction, sustainable bricks have been regarded as optimum potentialapproach. In this regard, mix proportions and curing conditions wereinitiallyoptimized.Particularly,geopolymerisationkineticswereevaluated by varying the molarities of sodium hydroxide (NaOH) andsodiumsilicate(Na2SiO3)asfunctionofcuringperiod.Themechanical, durability and microstructural characterization of binderswere assessed to identify the influence of curing conditions (Elevatedtemperature) and mix proportions on the engineering performance and,afterwards,the productwasupscaled toatypical building brick.
AIRWAY MANAGEMENT OF A VALLECULAR CYST EXCISION-A NIGHTMARE TO ANAESTHETISTS
Authors: Elangobaalan Surentharraj , Madhanagopal Kishorekumar , M. Vigneshwaran , V.K Mohan
Published: January 2023

Vallecular cysts are mucus retention cyst of salivary gland and might be a cause ofobstructing the laryngeal inlet posing a threat to anaesthetist for airway management(1).We present the airway management of an adult patient with difficult airway with a large vallecular cyst. A16 year old female patient with a vallecular cyst posted for robotic assisted vallecular cyst excision under general anaesthesia. After induction of general anaesthesia, laryngoscopy was attempted with C-mac blade size-3 and no laryngeal structures were seen except the epiglottis. We were unable to lift the epiglottis to visualise the vocal cords since the cyst was present in the space between base of tongue and epiglottis. An immediate plan of fibreoptic bronchoscopy guided intubation was planned. In the meantime, patient was being ventilated by bag and mask ventilation. After placing the Fibreopticbronchoscope in the trachea just above the carina, railroading of the endotracheal tube was difficult.Hence,we decided to introduce the Video laryngoscope to visualise the passage of the endotracheal tube which was being guided by fibreopticbronchoscope. The main aim is to prevent damage to the vallecular cyst and to ensure safe placement of endotracheal tube and adequate ventilation of the patient to prevent potential airway related complications.
UNE TAMPONNADE REVELANT UN KYSTE HYDATIQUE CARDIO-PERICARDIQUE: A PROPOS DUN CAS
Authors:   Service De Chirurgie Cardio-Vasculaire, CHU Hassan II, Fes, Maroc., Elouardi Assia ,   Faculte De Medecine Et De Pharmacie, Universite Sidi Mohammed Ben Abdellah, Fes, Maroc., Kibassim Emmanuel ,   Service De Chirurgie Cardio-Vasculaire, CHU Hassan II, Fes, Maroc.,   Faculte De Medecine Et De Pharmacie, Universite Sidi Mohammed Ben Abdellah, Fes, Maroc., Elhafidi Anas ,   Service De Chirurgie Cardio-Vasculaire, CHU Hassan II, Fes, Maroc.,   Faculte De Medecine Et De Pharmacie, Universite Sidi Mohammed Ben Abdellah, Fes, Maroc., Eddine Boulmakoul Salah ,   Service De Chirurgie Cardio-Vasculaire, CHU Hassan II, Fes, Maroc.,   Faculte De Medecine Et De Pharmacie, Universite Sidi Mohammed Ben Abdellah, Fes, Maroc., Majdoub Amine ,   Service De Chirurgie Cardio-Vasculaire, CHU Hassan II, Fes, Maroc.,   Faculte De Medecine Et De Pharmacie, Universite Sidi Mohammed Ben Abdellah, Fes, Maroc., Messouak Mohammed ,   Service De Chirurgie Cardio-Vasculaire, CHU Hassan II, Fes, Maroc.,   Faculte De Medecine Et De Pharmacie, Universite Sidi Mohammed Ben Abdellah, Fes, Maroc.
Published: January 2023

Hydatid disease is a parasitic infestation caused by Echinococcus granulosus larvae. It is endemic in subtropical and tropical regions, such as the Mediterranean, the Middle East, South America, Africa and Australia. The liver and lungs are the most often affected organes. Cardiac involvement is very uncommon. We report a case of a 60-year-old patient with cardiac hydatid cyst that presented as acute cardiac tamponade. The patient subsequently underwent pericystectomy through median sternotomy under cardiopulmonary bypass. The postoperative course was uneventful. The patient received postoperative albendazole treatment with favorable clinical course.
GAMIFIED APP THAT MAPS COLLECTION POINTS AND PLACES OF ACCUMULATING SOLID WASTE IN THE URBAN ENVIRONMENT OF THE CITY OF MANAUS (AMAZONAS)
Authors: Guedes Da Silva Leonardo , Otavio Pereira Da Silva Luiz , Mark Lobo De Oliveira Jean , Vieira Da Silva Guilherme
Published: January 2023

This article discusses as the main theme the environmental awareness applied to technological advent through the implementation of the prototype of an app (mobile application), we used a study based on solid waste, gamification and technology. Solid residues present great concentration when accumulating rapidly in the urban environment due to population growth, its incorrect disposal causes several problems both for nature and for humans immediately. Fulfilling the objective of the study with the aid of a mobile application, it was identified a viable possibility of gradually circumventing and reducing this problem, presenting an opportunity to implement a technological solution with free or low cost tools, but that fulfills the proposal to organize the collection, routes and map the points destined to the correct disposal of these residues. Due to the lack of applications for this purpose, the feasibility becomes more evident with gamification, because it generates more user engagement through the differential in offering rewards that can be redeemed within the platform, thus positively influencing its use by benefiting users by contributing to a cleaner and more pleasant city, watching over the environment and boosting other sectors present in the city of Manaus, Amazonas (Brazil).
A STUDY OF CORRELATION BETWEEN THYROID FUNCTION TEST ABNORMALITIES AND TYPES OF VITILIGO
Authors:   Assistant Professor. Dept of Dermatology, Venereology and Leprosy, Dr M K Shah Medical College, Ahmedabad., J. Patel Dharaben , T. Solanki Nehabahen ,   Senior Resident. Dept of Dermatology, Venereology and Leprosy, Dr M K Shah Medical College, Ahmedabad., R. Makwana Dhwaniben ,   Senior Resident. Dept of Dermatology, Venereology and Leprosy, Dr M K Shah Medical College, Ahmedabad., S. Parmar Kirti ,   Professor and Head.Dept of Dermatology, Venereology and Leprosy, Dr M K Shah Medical College, Ahmedabad.
Published: January 2023

Background: Vitiligo is a chronic depigmenting disorder of skin and mucosal membrane which can be associated with many autoimmune cutaneous as well as systemic disorders. Association of vitiligo with various thyroid disorders has been implicated in various studies. Objectives: To evaluate the correlation of thyroid function test abnormalities in various types of vitiligo. Method: This is a case control study in which 82 cases of vitiligo and same number of age group and gender matched controls were enrolled. All patients including cases and controls were subjected to thyroid function tests (T3, T4, TSH), thyroid peroxidase (TPO) antibody test. The results were analyzed using chi square test. Results: Vitiligo cases had M:F ratio of 1:1.93, with the most commonly affected age group was 21-30 years consisting of 51.21% of total cases. The most common subtype of vitiligo was vitiligo vulgaris in 37.80% cases followed by Focal vitiligo in 28.04 % cases. The least common type was Lip-tip vitiligo seen in 2.44% cases. 31.70% cases and 2.44 % controls had TFT abnormalities. On interpretation the most common thyroid disorder found both in cases and controls was subclinical hypothyroidism. Conclusion: Thyroid abnormality is significantly associated with cases of Vitiligo than control. All the patients of diagnosed as vitiligo should undergo TFT and thyroid antibody evaluation on baseline and periodically.
FUTSAL AND SOCIETY GAME CONTROL SYSTEM
Authors: Paraiso Ferreira Odem , Silva De Souza Pinheiro Jaqueline
Published: January 2023

This work presents a small desktop system, which contributes to game management, on a multi-sport court or even in a synthetic field. The system was made in java, and will have many features, but having as main to organize the sequence of teams that will play, based on order of arrival, wins, draws, losses and give-ups. According to (Raphael Pires,2019) With a good time control it is possible to eliminate distractionsand increase your productivity.
GC-MS PROFILING OF PHYTOCHEMICALS OF AN AYURVEDIC ANTI-HYPOTHYROID POLYHERBAL FORMULATION
Authors:   PhD Scholar Department of Kayachikitsa, Parul Institute of Ayurveda and Research, Parul University, Vadodara, Gujarat-391760., P.K.V Anand
Published: January 2023

The therapeutic efficacy of Ayurveda medicine is time tested. Exploring the chemical composition of the formulations not only throws light into probable mode of action but may also lead the way to further drug discovery. Hence with the above objective an Ayurveda herbal composition effective in managing hypothyroidism was selected for GCMS to elucidate the phytochemicals present in it the formulation to gain insight into the probable bioactive principles. The methanolic extract of the Ayurveda formulation was subjected to mass spectrometry and the compounds were identified after comparing the spectral configurations obtained with that of available mass spectral database (NIST -08 SPECTRAL DATA). The results of GCMS revealed compounds that could have direct relation to medicinal properties attributed to the formulation. There lies a future scope for studies to explore the molecular mechanisms of these compounds.
MELANOME ACRAL: DU DIAGNOSTIC AU TRAITEMENT
Authors:   Department of Plastic and Maxillofacial Surgery, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco., Moujahid A. , Mokfi MI. ,   Department of Plastic and Maxillofacial Surgery, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco., MFa SK. ,   Department of Plastic and Maxillofacial Surgery, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco., Ouardi A. ,   Department of Plastic and Maxillofacial Surgery, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco., Badaoui Z. ,   Department of Plastic and Maxillofacial Surgery, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco., Ribag Y. ,   Department of Plastic and Maxillofacial Surgery, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco., Khales A. ,   Department of Plastic and Maxillofacial Surgery, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco., Sabani H. ,   Department of Plastic and Maxillofacial Surgery, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco., Khalfi L. ,   Department of Plastic and Maxillofacial Surgery, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco., Achbouk A. ,   Department of Plastic and Maxillofacial Surgery, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco., Hamama J. ,   Department of Plastic and Maxillofacial Surgery, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco., Ababou K. ,   Department of Plastic and Maxillofacial Surgery, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco., Khatib K. El ,   Department of Plastic and Maxillofacial Surgery, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco.
Published: January 2023

Acro-lentiginous melanoma, a pigmented lesion of the extremities, especially the palms and soles, is defined by a malignant tumor proliferation with high metastatic potential, which develops at the expense of melanocytes. Its incidence is constantly increasing and varies according to country and ethnicity. Its diagnosis is primarily histopathological, and its management remains multidisciplinary, where surgery and the plastic surgeon occupy a very important place. Our study consists of a retrospective descriptive study of 25 cases of acro-lentiginous melanoma. The average age of our patients is 60 years, with a male predominance. Plantar localization is predominant. All patients underwent extension workup and management consisted of surgical resection with safety margins followed by additional lymph node dissection and coverage of the resulting tissue loss. Through this study, we highlight the aggressive nature of acro-lentiginous melanoma as well as the importance of protocolized management of these melanomas.
A STUDY TO ASSESS THE LEVEL OF STRESS AMONG THE PATIENTS WITH CHRONIC DIABETES MELLITUS ADMITTED IN SELECTED HOSPITALS
Authors:   College of Nursing, AIIMS, Patna., K. Sathiyakala , V. Tamilpulavendran ,   SMVNC, Puducherry.
Published: January 2023

Introduction: Diabetes mellitus is a disease which must be controlled over the lifetime of a patient. The diagnosis and presence of a chronic disease may be considered a difficult and stressful situation in life, a situation in which coping mechanisms are psychological processes developed at a conscious level to manage these situations. Methodology: Quantitative Research Approach and Descriptive Research Design were adopted for this study. The setting of the study was Sri ManakulaVinayagar Medical College and Hospital at Puducherry. Totally 200 Chronic Diabetes Mellitus Patients who were attending Medical and Surgical OPD and Inpatients department in selected hospital were selected as sample. Purposive Sampling technique was used to select the samples for this study. Results: Regarding level of stress majority of them 168(84%) were in severe stress, 24(12%) were in moderate stress level, Only 6(3%) of them are having extremely severe stress and only one (0.5%) of them were in normal and mild level of stress. There is significant different between level of stress with selected demographic variable such as religion. There is no significant difference between level of stress with selected clinical variables. There is significant difference between the level of stress with psychosocial variable such as type of diet, socio economic status and nature of work. Conclusion: The results of the present study highlights the majority of diabetes patients had severe stress.
A RARE CASE REPORT OF OHVIRA SYNDROME IN A MENTALLY RETARDED GIRL
Authors:   Department of Obstetrics and Gynaecology, Kurnool Medical College, Kurnool., Maheshwari Mochi Uma , Ala Manasa ,   Department of Obstetrics and Gynaecology, Kurnool Medical College, Kurnool., a Vijayalakshmi ,   Department of Obstetrics and Gynaecology, Kurnool Medical College, Kurnool.
Published: January 2023

Obstructed Hemi vagina & Ipsilateral renal agenesis or Herlyn werner Wunderlitch syndrome is a rare Mullerian duct anomaly with uterus didelphys, Unilateral Obstructed Hemi vagina & Ipsilateral renal agenesis. Patients can usually presents soon after menarche and mayshow non - specific and variable symptoms with resultant delay in diagnosis. The most common presentation is dysmenorrhoea , abdominal mass in the lower abdomen secondary to hematocolpos and or haematometra. Here presenting a case of 14 years old mentally retarded female presented with pain abdomen & mass per abdomen and was diagnosed as OHVIRA syndrome based on Ultrasonography & MRI pelvis. She was treated with hemi vaginal septal resection and was under follow up.
ANALYSE DE LA CHAINE DE VALEUR DES PALMES DE HYPHAENE THEBAICA(L. MART.) DELA VALLEE DE GOULBI NKABA DANS LA REGION DE MARADI AU NIGER
Authors:   Faculte dAgronomie et des Sciences de lEnvironnement. UMR : Developpement Durables, Societes et Adaptation aux Changements Climatiques. Universite Dan Dicko Dankoulodo de Maradi, BP 465 Maradi - Niger., Kona Kassimou Abdou , Sitou Lawali ,   Faculte dAgronomie et des Sciences de lEnvironnement. UMR : Developpement Durables, Societes et Adaptation aux Changements Climatiques. Universite Dan Dicko Dankoulodo de Maradi, BP 465 Maradi - Niger., Abdou Matsalabi Ado ,   Faculte dAgronomie et des Sciences de lEnvironnement. UMR : Developpement Durables, Societes et Adaptation aux Changements Climatiques. Universite Dan Dicko Dankoulodo de Maradi, BP 465 Maradi - Niger., Bawa Maman Bachir Boukary ,   Faculte dAgronomie et des Sciences de lEnvironnement. UMR : Developpement Durables, Societes et Adaptation aux Changements Climatiques. Universite Dan Dicko Dankoulodo de Maradi, BP 465 Maradi - Niger.
Published: January 2023

Faced with the effects of drought and human pressure, rural households have developed a coping strategy by exploiting and marketing palms. This study, conducted in the Maradi region, aims to analyze the palm value chain in order to assess the contribution of palm exploitation to community resilience. The methodology used is based on individual surveys in which 580 actors were interviewed and focus groups involving 6 palms counter management committees. This work revealed the presence of a diversity actors includingharvestors, processors, traders (semi-wholesalers and wholesalers) and consumers who work for the regular functioning of the palm value chain through the established of palms counters. It also emerges from this value chain analysis that each socio-professional group benefits according to its level of involvement and the scale at which it operates. In total, 40,826,460 FCFA are derived from the sale of palms and their by-products per operating season for all the actors surveyed, i.e. an average of 70,390 FCFA per season and per actor. The palms counters have an annual turnover of 278,824,927 FCFA for the five years of activity, i.e. 9,294,164.26 FCFA per counter per year. The revenues and taxes collected allow communities to strengthen their resilience to poverty and food insecurity.
ANESTHETIC CHALLENGES AND SUCCESSFUL MANAGEMENT OF UNCORRECTED TETRALOGY OF FALLOT (TOF)IN PREGNANCY
Authors: Gunasekaran Adethen , Priyanka Andal , Elangobaalan Surentharraj , Arulprakasam Santhosh
Published: January 2023

Cardiac diseases and pregnancy are always a nightmare to the anaesthesiologists as it involves multiple challenges without imparing the wellness of mother and child. TOF routinely gets manifested in pediatric age groups, but in some patients, it gets manifested in late stages due to the compensatory mechanisms. Uncorrected TOF in pregnancy and its successful management is briefly described in this case report.
ASSESS THE KNOWLEDGE AND ATTITUDE ON PREVENTION OF DENGUE AMONG THE PATIENTS ATTENDANTS
Authors:   Professor Cum Principal (Ag), College of Nursing, JIPMER, Puducherry-605 006., M.J Kumari , P. Abinaya ,   College of Nursing, JIPMER, Puducherry-605 006., M. Agila ,   College of Nursing, JIPMER, Puducherry-605 006., M.Y Al Shajiya ,   College of Nursing, JIPMER, Puducherry-605 006., P. Amisha ,   College of Nursing, JIPMER, Puducherry-605 006., a Amitkumar ,   College of Nursing, JIPMER, Puducherry-605 006., Masih Anubhav ,   College of Nursing, JIPMER, Puducherry-605 006., G. Archana ,   College of Nursing, JIPMER, Puducherry-605 006., P. Adhilakshmi ,   College of Nursing, JIPMER, Puducherry-605 006., K. Akalya ,   College of Nursing, JIPMER, Puducherry-605 006., S. Bavithra ,   College of Nursing, JIPMER, Puducherry-605 006.
Published: January 2023

Objectives: Dengue infection is increasingly recognized as one of the worlds emerging infection disease. Lack of knowledge and unfavourable attitude regarding preventive measure of dengue among public is leading to outbreak of dengue in many parts of India. The aim of the study was to assess the level of knowledge and attitude on prevention of dengue among the patients attendants in Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry. Settings and Design: Descriptive cross-sectional study design. The study setting was Medical Record Department, JIPMER where patients came for the registration for the purpose of seeking treatment. Methods: The sample size was 176. The sampling technique used for the study was consecutive sampling who were satisfied with inclusion technique. The data collected with the help of questionnaire by face to face interview method. Statistical analysis used: All the categorical data were presented on frequencies, percentages, mean standard deviation, chi-square and correlation coefficient used to find the correlation of knowledge and attitude on dengue fever. Results: The study finding reported that 117(66.5%) of the participants had moderately adequate knowledge and 93 (52.8) moderately favorable attitude on prevention of dengue fever, at the same time adequate knowledge and most favorable attitude was not satisfactory level. Conclusions: It shows that public needs more educational intervention to improve their health practice against dengue by the health care provider.
TRADITIONAL HISTORY OF PALM TREE AND PALM MANUSCRIPTS
Authors:   Assistant Professor T.D.M.N.S. College, T. Kallikulam., Shoba C.
Published: January 2023

Palms are one of the best known and most widely planted tree families. They have held an important role for humans throughout much of history. Many common products and foods come from palms. The palm branch was a symbol of triumph and victory in Roman times. The Romans rewarded champions of the games and celebrated success in war with palm branches. The palm has many meanings in both ancient and modern eastern religion.
REPRESENTATIONS OF IRAQ IN AMERICAN SNIPER
Authors:   Doctoral Candidate Sultan Moulay Slimane University Faculty of Arts and Humanities Department of English Studies Beni Mellal., Ennaciri Mohamed , Jebbar Abdelhak ,   Professor Sultan Moulay Slimane University Faculty of Arts and Humanities Department of English Studies Beni Mellal.
Published: January 2023

This study investigates representations of Iraq in the film American Sniper(2014). The film encapsulates Hollywoods anti-Muslim discourse post 9/11, which wasparticularly designed to shape public opinion and lay the groundwork for policies that encroach upon civil liberties.To legitimize the draconian, unprecedented measures the Bush Administration introduced in the tumultuous aftermath of the 9/11 terrorist attacks, the filmdoes not only reinforce the perception of Muslims as primitive savages deserving of every cruelty inflicted on them, but also creates a narrative that conflates patriotism with unequivocalsupport for the governments heavy-handed response. As a point of departure, this thesis draws on a litany of assertions Edward Said made regarding Orientalism, especially his contention that when the United States emerged as a dominant superpower in the aftermath of World War II, supplanting the once mighty and far-flung French and British empires, it inherited a vast repertory of derogatory stereotypes and essentialist tropes about the Islamic Orient. The film, American Sniper,abounds with familiar Orientalist imagery about Muslims, which aim to lock the public in a perpetual state of patriotic hysteria and lend credence to an imperialist discursive tradition that has for long presented the Orient as an inferior, benighted savage that needs to be kept at bay at all costs.
KNOWLEDGE, ATTITUDE AND PRACTICE ABOUT CAR SEATBELT AMONG DRIVING WOMEN IN SAUDI ARABIA 2019
Authors: Omar Hazazi Yahya , Wejdan Hlel S. Alatawi , Shabib Alqahatani Abdulhadi , Najm S. Alotaibi Sahar , Abdulrahman Alwarthan Afnan , Ali Murshed Alanazi Rehab , Ahmad Sharahili Abeer , Alrabiah Bader , Saleh Alsalmi Bodour , Khaleel Alenazy Rehab
Published: January 2023

Background: The purpose of this study is to conduct an assessment of knowledge, attitude and practice of car seatbelt among driving women in Saudi Arabia since women now are allowed to obtain a driving license in Saudi Arabia. The lack of this kind of study which assesses diving women in Saudi we were motivated to conduct this study. We want to know the KAP of female drivers in Saudi Arabia and also the association between the sociodemographic and the KAP regarding car seatbelt. General objective: To assess Saudi women drivers knowledge, attitude and practice of using seatbelt while driving. Methods: A cross sectional study targeting all driving women who will respond self-administered online questionnaire, will be distributed through social media in Saudi Arabia from 12, Jan to 20, Jan ,2019. Conclusion: The perception of participants about using safety seat belt was 97%, the percentage of using seat belt during driving in city 65% while 81% using seat belt during driving in highway They represent 58% and the second most common restriction of movement represent 29.8most common barrier among driver women is forgetting using seat belt.
Maralixibat is an alternative to liver transplantation in children with Alagille syndrome
Authors: Degtyareva A. V. , Savelyeva E. I. , Filippova E. A. , Dokshukina A. A. , Isaeva M. Kh. , Zubkov V. V. , Albegova M. B.
Published: January 2023

Alagille syndrome is a genetic multisystem disease in which one of the key symptoms that significantly impairs quality of life is cholestatic pruritus. Until recently the only treatment opportunity was liver transplantation. In 2021 the new drug maralixibat (Marixibat) was approved and registered in the United States. This article presents the first experience of using this medication in Russia. The patient stopped itching, significantly reduced the serum bile acids and also improved physical development within 7 months of therapy. Our first experience of using maralixibat in Russia, as well as the available literature data indicates a significant improvement in the quality of life of patients and allows us to consider this drug as an alternative to liver transplantation.
COVID-19 coronavirus infection in children: Clinical presentation, diagnosis, vaccination, and treatment
Authors: Rykov M. Yu. , Dolgopolov I. S.
Published: January 2023

In late 2019, a new subtype of coronavirus named Severe Acute Respiratory Syndrome Coronavirus 2 (COVID-19 SARS-CoV-2) rapidly spread around the world, causing a global pandemic. Initially, the proportion of confirmed cases among children was relatively small, and it was believed that children were rarely infected. Subsequent observations have shown that in children and adolescents, the infection is either asymptomatic or paucisymptomatic, and therefore the true incidence is underestimated due to the lack of testing. The article systematizes the results of studies on the prevalence, diagnosis, clinical features, vaccination, and treatment of children with a new coronavirus infection COVID-19 SARS-CoV-2. The SARS-CoV-2 positivity rate throughout the peak of the pandemic in children was low compared to adults. Children are not only less likely to become infected with the virus, but they also endure the infection more easily than adults. The mortality rate in children with COVID-19 was <0.5%. In most children, infection is either asymptomatic or paucisymptomatic. Vaccination of children and adolescents is recommended mainly to achieve herd immunity in all age groups. However, there are no convincing data on the duration of the immune response, the level of the required protective antibody titer, as well as on the long-term side effects of vaccination due to the insufficient follow-up period and the uncertainty of the immune response criteria. As information is accumulated on the viral load of children and adolescents, their role in the transmission of the virus, diagnostic approaches in this age group are optimized. The effectiveness of the treatment was tested on patients admitted to the hospital, and recommendations for treatment were developed. Currently, global research efforts are focused on the protection of particularly vulnerable children, the prospects for total childhood vaccination, its effectiveness and safety.
Allergic diseases in children in the age of the COVID-19 pandemic
Authors: Sulaimanov Sh. A.
Published: January 2023

COVID-19 coronavirus infection caused by the SARS-CoV-2 virus has become a real disaster for all of humanity. Today, issues related to diagnostics, clinical presentations, treatment of the complications, preventive measures, including vaccination for a new coronavirus infection, are relevant. It is also important to identify risk factors for a severe course of the disease, features of the development of infection against the background of comorbid conditions and different immunological reactivity of the human body. The comorbidity of allergic and infectious diseases is based on the common humoral and cellular mechanisms of the immune response. The trigger for the development of allergic diseases is often the viruses of measles and chickenpox, influenza, parainfluenza, rhinoviruses, enteroviruses, respiratory syncytial viruses, coronaviruses, and others. Most allergic patients are predisposed to acute respiratory viral infections. COVID-19 occurs in 0.39–12.3% of children. Children tend to have milder disease than adults and have low mortality rates. At the same time, one should not forget about the adequate support for patients with chronic diseases, especially children with allergic diseases. Viruses and preventive hygiene measures associated with a pandemic are triggers of an exacerbation of bronchial asthma and atopic dermatitis. Early diagnosis, adequate treatment of allergic diseases in children, and provision of doctors with information are also problematic. It is important to understand which patients with bronchial asthma are at particular risk and how inhaled glucocorticosteroids may influence the course and outcome of COVID-19. International associations and societies have developed guidelines for the management of children with allergies during the COVID-19 pandemic. Inhaled glucocorticosteroids for bronchial asthma reduce the expression of genes of the main target receptors for the SARS-CoV-2 virus. Anti-inflammatory therapy for asthma, primarily inhaled glucocorticosteroids, should be continued until asthma control is achieved, which will help reduce the risk of an unfavorable course of COVID-19.
Treatment potential of normobaric hypoxic therapy in therapeutic and pediatric practice
Authors: Ignatenko G. A. , Dubovaya A. V. , Naumenko Yu. V.
Published: January 2023

Normobaric hypoxic therapy is a therapeutic or prophylactic use of gas hypoxic mixture containing 10% oxygen and 90% nitrogen, alternating with breathing atmospheric air at normal barometric pressure. The use of normobaric hypoxic therapy allows activating and using genetically programmed mechanisms aimed at increasing the nonspecific resistance of the body. The history data, pathogenesis of normobaric hypoxic therapy, the procedure and its effect on the cardiovascular system are described.
Follow-up of children and adolescents with congenital anomalies of the kidneys and urinary tract, associated with rare hereditary syndromes
Authors: Kutyrlo I. E. , Leviashvili Zh. G. , Batrakov D. D. , Savenkova N. D.
Published: January 2023

The purpose of the study was to evaluate the course and outcome in chronic kidney disease of congenital anomalies of the kidneys and urinary tract (CAKUT) associated with rare hereditary syndromes in children and adolescents, and to compare the results with literature data. The results of a follow-up study of the course and outcome in chronic kidney disease with syndromal congenital anomalies of the kidneys and urinary tract in rare hereditary syndromes (Pierson, Fraser 1 type, Renal hypodysplasia/ aplasia 3 type, Schuurs– Hoeómakers, CHARGE, Lowe, Renal-Coloboma, VACTERL association) and chromosomal abnormalities (Shereshevsky—Terner monosomia 45) are presented. In 4 out of 9 children and adolescents with congenital anomalies of the kidneys and urinary tract with rare hereditary syndromes, the formation of chronic kidney disease was established.
A modern approach to the morphological assessment of nephritis in Henoch–Schonlein purpura (IgA-vasculitis)
Authors: Proskura M. V. , Petrosyan E. K. , Povilaitite P. E. , Kushnir B. L.
Published: January 2023

The authors analyzed clinical and morphological correlations between the manifestations and outcome in nephritis with Henoch– Schönlein purpura and assessed the effect of morphological data on achieving remission as per ISKDC, SQC, MEST-C classification.Patients and methods. 32 patients with nephritis in Henoch–Schönlein purpura (15 girls and 17 boys) were enrolled into retrospective longitudinal single-center study, median of primary admission to the nephrological department was 9.0 y. o. [5; 12 y.]. Clinical features of the onset (age, form of onset, glomerular filtration rate, daily proteinuria, hematuria, serum IgA level) and the course of the disease were analyzed in all children. The morphological data were assessed using such morphological classifications as ISKDC, SQC, MEST-C. A search for statistically significant relationships between clinical and morphological data and a comparative analysis of the influence of each morphological classification on the achievement of remission were carried out.Results. The sum of the SQC scores had a statistically significant effect on the outcome (p=0.006): in patients with complete remission, on average, 4 points were obtained, patients who did not achieve remission had 2 points more. When assessing the likelihood of detecting remission depending on the total score of the Oxford scale using the ROC-analysis, a statistically significant model was obtained (p=0.012). If the total MEST-C score was less than or equal to 3, remission was predicted (=0.032). The sensitivity and specificity of the method were both 75%.Conclusions. The practical application of the Oxford MEST-C classification and the new semi-quantitative SQC classification in comparison with the ISKDC classification for children with nephritis in Henoch–Schönlein purpura is promising for predicting an unfavorable renal outcome.