bluuebunny/crossref_metadata_2025 huggingface dataset:
MEAN PLATELET VOLUME IN INDIAN CHILDREN WITH ACUTE GASTROENTERITIS AND IT'S CORRELATION WITH C-REACTIVE PROTEIN AND TOTAL LEUCOCYTE COUNT: ORIGINAL ARTICLE
Authors: Kumar Sachin , Cynthia Sr
Published: August 2023

Introduction: Mean platelet volume (MPV) acts as an acute phase reactant- negative or positive. The aim of this study was to estimate the MPV levels in Indian children with acute gastroenteritis (AGE) and to correlate the MPV levels with C-reactive protein (CRP) and total leucocyte count (TLC). Methods: A retrospective observational study was carried out on 136 children (1 month to 16 years old) who had been hospitalized for acute gastroenteritis in paediatric department of B.C.M. Hospital, Sitapur (UP), India from April 2023 to June 2023. Mean platelet volume, C-reactive protein, and total leukocyte count of patients were recorded. Correlations between blood indices were calculated through the Pearson's correlation coefcient (r). Results: MPV levels ranged from 5.8  to 11.4 , with the average level being 8.4 , the standard deviation being 1.3. Mean platelet volume was positively correlated with C-reactive protein. Although, there was a weak correlation (r= 0.22). Mean platelet volume had a weak negative correlation with total leucocyte count (r= -0.23). Conclusion: In this study, we found MPV levels 8.4 ± 1.3  in Indian children with acute gastroenteritis. Mean platelet volume had a weak positive correlation with C-reactive protein and weak negative correlation with total leucocyte count
PREVALENCE OF DOMESTIC VIOLENCE AND ITS DETERMINANTS AMONG EVER MARRIED WOMEN IN A RURAL AREA OF TAMIL NADU - A CROSS SECTIONAL STUDY
Authors: Marimuthu Janakiram , Gauthaman Kaustav , Murugan Karthikeyan
Published: August 2023

Violence against women violates their rights and poses a public health issue with immediate and longterm consequences. 53% of Indian women nd husband's physical abuse acceptable. The study examines domestic violence prevalence and its forms among unmarried women in rural Tamil Nadu, aiming to understand the sociodemographic factors involved. Its ndings will shed light on this issue and its societal implications. This community-based cross-sectional study involved ever married women aged 15-49 years. Excluded were participants with debilitating illnesses or who did not give consent. The sample size was 503 women selected through multistage sampling. Data was collected through interviews using a pretested questionnaire, and analysis was conducted using Microsoft Excel and IBM SPSS version 17. The study found signicant associations between women's occupation and physical abuse, with unskilled workers at higher risk. Verbal abuse was linked to socio-economic status, family type, and number of children, prevalent in the middle class (32%), nuclear families (70%), and 1 to 2 children in households (76%). Higher occupational positions correlated with lower likelihood of sexual abuse. Socio-economic status also inuenced sexual abuse, with higher prevalence among upper middle-class women (34.9%). Women in nuclear families faced higher rates of social abuse (62.8%), while joint and broken families showed a decreasing trend. Alcohol consumption by husbands correlated with a higher prevalence of social abuse (71.3%). Economic abuse was more prevalent in nuclear families (64.3%), but decreasing compared to other family types. Women in a rural area have to be educated regarding the domestic violence as it is emerging as a big public health problem. Through the NGOs and from the government the women were informed about the Prevention of Domestic violence act 2005, and they were encouraged to seek the help of the police in the nearby area
A STUDY TO ASSESS THE MENTAL HEALTH AND SOCIAL SKILLS OF FIRST YEAR COLLEGE GOING STUDENTS POST COVID-19
Authors: Bobade Akshata , Barai Kajal , Barapatre Sayali , Bodule Yogeshri , Bondre Namrata , Chaudhari Ashvini , Chavhan Anirudha , Suraj Shaini
Published: August 2023

Mental health is immensely affected by the environment around us. COVID-19 pandemic had a vast global effect on about 1.6 billion students at its peak. It impacted their psychological well-being, specially the recent rst year college students, who have been at home isolated for about two years and are now coming back to their social lives. Social skills allow individual to interact inuentially and to abstain from undesirable responses. This study aimed at assessing the mental health and social skills of rst year college students. It is a descriptive study involving 200 students, age group 19 to 23 years, both male and female of different streams coming from urban and rural areas. The tools used was the Kundu's Neurotic Personality Inventory and Novotni Social Skill Checklist. The ndings show that 27% of the students have no neurotic tendencies, 42% are slightly neurotic, 26% are moderately neurotic, 6% are highly neurotic. Social skills were poor in students who were highly and moderately neurotic. Thus, lack of social skills can pose serious risks to mental health. The importance of such ndings is to facilitate policy makers to consider development programs for enhancing the social skills of students along with academic curriculum. Given the signicant impact of the COVID-19 pandemic on mental health and social relationships, it is crucial to prioritize examining these issues in research, policy, and the development of interventions to support the well-being of individuals, particularly college students, during times of crisis.
STUDY OF RELATION OF HEMORRHAGIC STROKE WITH LIPID PROFILE, SMOKING AND ALCOHOL
Authors: Waingankar Harsh , Shukla Manjari , Kejriwal Amrit
Published: August 2023

Stroke is dened as rapidly developing clinical signs of focal (or global) disturbance of cerebral function, with symptoms lasting 24 hours or longer, or which may be fatal, with no apparent cause other than of vascular origin. Hemorrhagic stroke is attributed to rupture of a blood vessel or an abnormal vascular structure. It is associated with modiable risk factors such as dyslipidaemia, smoking and alcohol consumption which can cause haemorrhagic stroke by different mechanisms. This study was conducted to evaluate the above risk factors as a prognostic factor for mortality in hemorrhagic stroke
EFFECTIVENESS OF PSYCHOEDUCATION ON KNOWLEDGE REGARDING EARLY IDENTIFICATION OF CHILDREN WITH LEARNING DISABILITIES AMONG TEACHERS IN SELECTED PRIMARY SCHOOLS: A STUDY PROTOCOL
Authors: Nagve Amol , Makasare Prakash
Published: August 2023

Background: Learning disabilities (LD) are very big challenge for the school teachers. Teachers play a vital role in identifying children with learning disabilities. The teacher should understand that, in his earlier and younger days, he/she too was a student with several deciencies. Learning disabilities are life long, but if teachers identify them, they will be in a position to deliver specialized instructions so that the children can learn compensatory stratagems to overcome their limitations. Objectives: To evaluate the effectiveness of psychoeducation on knowledge regarding early identication of children with learning disabilities among teachers in selected primary schools. Methodology: Pre-experimental, one group Pre-test Post-test design will be used. 60 teachers will be selected by simple random sampling from selected primary schools of Nagpur, Maharashtra, India. The period of the study will be one month. The tool will consist self-structured knowledge questionnaire based on early identication of children with learning disabilities. Validity and reliability of questionnaire and intervention will be assessed by appropriate procedure & statistical methods. After pre-test and administration of psychoeducation regarding early identication of children with learning disabilities, post-test will be conducted on 7th day. Descriptive and inferential statistics will be used to analyse the collected data. Expected results: About 40 to 45 % improvement in the knowledge of primary school teachers regarding early identication of children with learning disabilities will be expected. Limitation: Selected primary schools of Nagpur city only will be included in this study. Conclusion: Psychoeducation will improve teachers' knowledge regarding identication of learning disabilities and enable them to develop positive attitude towards children with LD which in turn leads to acquiring competencies to handle the children.
THE RELATION OF BIFURCATION OF RADIAL NERVE TO LATERAL EPICONDYLE OF HUMERUS – A MORPHOLOGICAL AND MORPHOMETRIC STUDY.
Authors: G.B. Shinto , M.P Apsara
Published: August 2023

Introduction: Radial nerve is one of the major nerves in the upper extremity which is often involved in nerve damage.
Knowledge on the variations of this nerve and its relation to nearby structures during its course help to prevent iatrogenic
injuries in clinical practice. To nd out the level of bifurcation of radial Objective: nerve into supercial and deep branches with respect to lateral
epicondyle of humerus. Conducted a cross-sectional study on 74 cadaveric upper limbs in D Methods: epartment of Anatomy, Government
Medical College, Kozhikode. Radial nerve was traced from mid arm to its bifurcation into supercial branch of radial nerve and deep branch of
radial nerve. The division of radial nerve into supercial and deep branches was below the level of Result: lateral epicondyle in 63 specimens
(85.14%), above the lateral epicondyle in 8 specimens (10.81%), and at the level of lateral epicondyle in 3 specimens (4.05%).Radial nerve
divided into supercial and deep branches at a distance of 0.92±0.74 cm distal to the lateral epicondyle. The Lesions of the radial Conclusion:
nerve can present with signicant functional limitations that negatively affect the quality of life of the person. The ndings of this study would
help the clinicians in the diagnosis of radial nerve pathology and thus the execution of safe surgical procedures.
EVALUATION OF FUNCTIONAL OUTCOME OF DUAL MOBILITY CUPS IN TOTAL HIP ARTHROPLASTY IN ARTHRITIS HIP AND FEMORAL NECK FRACTURES
Authors: C. Srivastava D. , Pratap Singh Chauhan Anunaya , Aggarawal Sadakh , Pasricha Anmol , Yadav Rohit
Published: August 2023

Background- Osteoarthritis hip and femoral neck fractures in old age can be treated by total hip arthroplasty using dual mobility cup designs. The posterior approach (Kocher-Langenbeck) was used earlier however, lateral (Harding) and anterior approach (Smith-Petersen) are more often used. Evaluation of functional outcomes of total h Aim- ip arthroplasty using dual mobility cups in patients with osteoarthritis hip and femur neck fractures in terms of time of surgery, re-operation rate and mortality in 1 year, length of hospital stay and post-operative complications, using Harris Hip Score (HHS). Study Design- Hospital based prospective cohort study. Material and Methods- 40 cases were include in the study of which, 20 cases are of osteoarthritis hip and 20 cases are of femur neck fracture managed by dual mobility total hip arthroplasty. Clinical and functional outcome was graded using HHS. Anatomical reduction was assessed at 8 weeks, 3months, 6 months and 9 months. The mean HHS at 8 weeks, 3months, 6 months and 9 mont Result- hs in osteoarthritis hip was 56.40, 69.80, 80.90 and 91.50 and in femur neck fractures was 51.10, 63.50, 74.60 and 84.50, achieved. Better result was found in osteoarthritis hip. Conclusion- We concluded that using dual mobility total hip arthroplasty in osteoarthritis hip is far better than femur neck fractures due to better clinical and functional outcome, better anatomical reduction.
CLINICO PATHOLOGICAL STUDY OF INCISIONAL HERNIA : A TERTIARY HOSPITAL BASED PROSPECTIVE STUDY
Authors: Yadav GD , Verma Shraddha , Tyagi Shreshth
Published: August 2023

Background: The incisional hernia is the result of failure of lines of closure of the abdominal wall following open / laparoscopic surgeries, the approximated tissues are separate and abdominal organs mainly Bowel , bulges through the gap which is covered from inside out with the peritoneum, scar tissue and skin. Aim and Objective: The aim of our study is to understand the relative importance of various factors predisposing to incisional hernia in a tertiary care hospital . All patients presenting with Methods: unsightly bulge in the operative scar registered in the department of general surgery GSVM medical college Kanpur between 2020-2022 were identied. Data on incisional hernia were obtained from outpatient follow up , aged below 70 years , consenting individuals. Both males and females below the age 70 were selected for study .Patients who came for follow up post operative were also included in study . Anaemia was dened at 12.0 g/ dl . Obesity was dened at BMI >30 . Wound dehiscence was dened as total or partial separation of previously approximated edges. Diabetic patients were dened as those with HbA1c >6.5. Results: 1. There was female preponderance with Male to female ratio being 1: 2.09 Incisional hernia occurred commonly in female patients of 31 to 40 years(27.5%) age group. while in males it was 41-50 years age group(13.8%). 2. Majority of the incisional hernia(75.8%) became evident within 6 months of previous surgery. 3. All patients presented with bulge in the anterior abdominal wall, in 44.82% patients pain was prominent symptom with skin ulceration in 3.43% of the cases. 4. Incisional hernia commonly occurred in obese (45%) females. More than half (62%) of the patients had poor muscle tone. Anaemia was present in 31% of cases. 5. Prominent risk factors which lead to occurrence of incisional hernia were infection and lax abdomen with poor muscle tone (62%), followed by obesity (45%), postoperative cough (41.2%), postoperative distension (41%), anaemia (31%), burst abdomen (24%), diabetes (17.2%), and re-laparotomy in (10.3%) cases
COMPARATIVE ANALYSIS OF HAEMATOLOGICAL PARAMETERS AMONG INFREQUENT AND REGULAR REPEAT WHOLE BLOOD DONORS IN A TERTIARY CARE CENTRE-A PILOT STUDY
Authors: Mohan P Parvathy , A P Poornima , Devi S Maya
Published: August 2023

Blood transfusion service is a vital part of our health care system. Stringent blood donor screening and medical
examination plays a vital role in maintaining the quality and safety of blood components. Voluntary non-remunerated
blood donors form the backbone of blood transfusion services. However, regular donation by such voluntary donors may cause signicant
depletion of iron stores in the body. This has the potential to adversely affect the donor's health, and also to lower the quality of blood being
collected subsequently. Even though a pre-donation hemoglobin estimation is routinely done in blood centres, it may fail to recognize subclinical
iron store depletion. Testing Ferritin level of all donors is not cost effective and practical in resource limited centres. This study was aimed to
identify any signicant changes in hematological parameters over repeated blood donations, that may point towards a potential Iron deciency in
an otherwise healthy donor. This was a cross sectional study involving 138 whole blood donors who had attended the blood centre, Department
of Transfusion Medicine, Government Medical college, Thiruvananthapuram. The study subjects were categorized into 2 groups based on the
number of donations and a Complete blood count (CBC) was done for each group. Data was analyzed using SPSS software, quantitative
variables expressed as Mean and Standard Deviation, p value <0.05 was considered statistically signicant. Results were analysed by
Independent Samples T test. Statistically signicant variables were further analysed using Kruskal-Wallis test. Second time blood donors
constituted major part of sample size (20/138). Mean Hemoglobin value showed no signicant change among the two donor categories. Mean
corpuscular volume (MCV) of repeat whole blood donors is signicantly lower than infrequent donors independent samples T test, tvalue=3.309. (p-value=0.001). Donors were further subdivided into 5 groups in the order of increasing number of donations and signicant
difference was observed in MCV and proved by Kruskal-Wallis test(H=19.1344) As per our study, a signicant reduction in MCV among repeat
donors with a normal hemoglobin value compared to infrequent donors. This might point towards an impending Iron deciency anemia in near
future. A prompt detection of subclinical iron deciency in voluntary blood donors is the need of the hour since it can cause adverse
consequences in donor health and can considerably lower the donor availability as well. Blood centres should take measures like routine Iron
stores evaluation of regular repeat donors, educating donors regarding the importance of maintaing a healthy diet, Iron tablet supplementation to
prevent donor Iron deciency anemia (IDA) etc.
BACTERIOLOGICAL PROFILE AND ANTIMICROBIAL SUSCEPTIBILITY PATTERN OF BURN WOUND ISOLATES: A STUDY FROM TERTIARY CARE CENTRE OF THE SUB-HIMALAYAN REGION OF INDIA.
Authors: Kumar Manisha , Chand Jaryal Subhash , Sood Anuradha , Kaur Isampreet , Rana Aditya
Published: August 2023

Background: Burn injuries to the skin and other tissues are caused by heat, radiation, electricity, friction, or contact with
chemicals, leading to loss of skin integrity and dysbiosis of the immune system. This makes the burn wound the most
common site for the origin of sepsis in these patients. Therefore, it is important to determine the causative organism and its antimicrobial
susceptibility pattern. This study is a retrospective analysis of the bac Material and Method: teriological prole and antimicrobial susceptibility
of the organisms isolated from burn wounds over a period of 3 years i.e. from January 2020 to December 2022. All samples were processed as per
standard Microbiological guidelines. Antimicrobial susceptibility was done by the Kirby Bauer disk diffusion method as per CLSI guidelines.
Results: Out of 66 samples received, bacterial culture positivity was 61(92.42%). Male to female ratio was 1.4:1. Gram-negative bacteria were
more predominant 90(93.75%), than Gram-positive bacteria 6(6.25%). Among gram-negative bacteria maximum susceptibility was seen to
Imipenem (72.2%) followed by Gentamicin (57.7%) and the least susceptibility was seen for Ceftazidime (31.1%). Among gram-positive
isolates maximum susceptibility was seen to Vancomycin (100%) followed by Clindamycin (83.4%) and the least susceptibility was seen for
Penicillin (16.7%). This study highlights drug resistance patterns in burn wound patients Discussion & Conclusion: in this region of North India.
This pattern will be instrumental in the formation of hospital antibiotic policy and the initiation of appropriate empirical therapy for better
outcomes of burn patients
TO DETERMINE FETOMATERNAL OUTCOME IN RH NEGATIVE PREGNANCY
Authors: Chaurasia Amrita , Rai Ritika , Sachan Nidhi
Published: August 2023

Background: The present study was conducted to determine the fetomaternal outcome among Rh-negative pregnancies
presenting to a secondary care hospital of North India. A prospective observational de Methods: sign was carried out
among Rh negative mothers presenting to the Department of Obstetrics and Gynecology of Swaroop Rani Hospital, Prayagraj, from December
2021 to July 2022. On admission each mother was interviewed using a questionnaire. ABO/Rh grouping of the mothers as well as their
husbands/partners were done. Rh antibody titers of the patients were done at rst visit and repeated at 28 and 32 weeks respectively. The labor of
each of the mothers was monitored carefully, with the mode of delivery and outcome of labor being recorded in the proforma. For the Rh typing of
the neonate, cord blood was collected after delivery and sent for ABO/Rh grouping. Both the mother and the neonate were followed up till their
discharge/death, and any adverse maternal or neonatal outcome in this period were noted. During the study period, 46 mothers were Results:
assessed. The mean age was 23.9±1.4 years. Most of the mothers were multipara. 4.4% of them had a raised Rh antibody titer. Of the mothers,
13% delivered preterm and most required lower segment cesarean section (56.5%). 93.5% of the deliveries resulted in live births. The incidence
of Rh incompatibility among the Rh-negative mothers was 83.7%. The mean birth weight was 2.8±0.4 kgs, with most of the babies being male
(60.5%). The most common complications developing in the neonates was anemia (21%) and neonatal hyperbilirubinemia (9.3%). Only one
(2.3%) of the neonates born to the mothers died due to post-birth complications. Rh incompat Conclusions: ibility was observed to be high among the mothers assessed in the study, with 4.4% having raised anti-D titers. Anemia and neonatal hyperbilirubinemia were found to be the most common problems associated with such pregnancies.
METFORMIN INDUCED ENCEPHALOPATHY IN PATIENT WITH END STAGE RENAL DISEASE
Authors: Moahmmed Raza Adoor Raza , Shenoy Pradeep
Published: August 2023

Glucose lowering biguanides were discovered in the 1920s. Due to the association of phenformin and buformin with lactic
acidosis, they were withdrawn from the market, but metformin was continued to be used as there was lesser incidence of
latic acidosis when compared to Phenformin and buformin , and in fact, it is considered as the rst-line drug of choice for type 2 diabetes mellitus
(DM) especially in those with normal renal function. It is contraindicated in patients suffering from chronic kidney disease, liver disease, renal
failure as there is increase chance of lactic acidosis. It can also rarely induce encephalopathy through lactic acidosis, hypoglycemia, renal
impairment, and liver failure. There are only few case reports of metformin encephalopathy in end-stage renal disease (ESRD). we report one such
case in a patient with end-stage renal failure undergoing maintenance hemodialysis.
DELAYED COMPLICATIONS OF MODIFIED RADICAL MASTECTOMY: A CROSS SECTIONAL TERTIARY CARE CENTER STUDY
Authors: Aziz Bismi , S Yadukrishna
Published: August 2023

Breast cancer continues to be the most common cancer among Indian women, accounting for 160000 new cases and 87000 fatalities per year. The most typical treatment for breast cancer is a modied radical mastectomy (MRM). Early complications of MRM are those that develop within the rst four weeks after surgery, while late complications appear after that time. Common late consequences include pain, lymphoedema, shoulder immobility, and scar hypertrophy. In this cross-sectional study, 84 cases of pathologically proved stage 2 and stage 3 carcinoma breast after 4 weeks who have undergone modied radical mastectomy were included. A structured questionnaire was made & the collected data were tabulated and analysed using statistical software. The participants' average age was 58. (14.23). 96.3 percent of the patients had invasive breast cancer. When undergoing surgery over half of the patients (48.8%) were in Stage IIA. The majority of patients (40.3%) rst experienced pain 5–6 months ago. 83.3% of them experienced radiating discomfort. After shoulder overabduction, 66.1% of people reported worsening pain, while 61.1% reported pain relief by medications. Following MRM, shoulder movement was restricted in 72.6% of cases. Chest wall tension increased in 52% of people during shoulder internal rotation, and it was relieved in 61.9% of cases after shoulder immobilisation. Oedema was experienced by about 18% of the patients after MRM. Oedema grew worse during hard lifting in 80% of cases. Exercise relieved 73% of the oedema. After MRM, 86% of patients had hypertrophic scarring at the incision site. Most common delayed complication after modied radical mastectomy was pain and shoulder mobility restriction while hypertrophic scar, chest wall tightness and oedema occur in few patients after MRM in fewer patients
ASSESSMENT OF DEPRESSION AND ANXIETY AMONG CAREGIVERS OF PSYCHIATRIC PATIENTS.
Authors: Choudhary Isha , Singh Harful , Mahajan Aditi
Published: August 2023

Background- Patients with psychiatric illnesses require support from family, peers, and care-givers to overcome the difculties and manage their health. Caregivers are hence at a risk themselves to develop anxiety and depression, or related symptoms, due to the emotionally challenging and draining experience. To eva Aim – luate and assess anxiety and depression of caregivers to the patients admitted to the Psychiatry department of a tertiary care centre located in Rajasthan. Our Materials and Methodsassessment relied on data collection that followed cross-sectional observational analysis. We performed the study post approval of the ethical clearance by the respective committee at the university and an informed decision was consented to in written by 50 caregivers taking part in the study. These included caregivers to 25 patients with disorders due to substance use (Group A) and 25 patients with other psychiatric diagnosis (Group B). We also lled in socio-demographic details and performed scoring as administered by the HAM-D and HAM-A scales. Results Group A comprised of more females (64%) than males in contrast to Group B participants. HAM-D score analysis showed that depression was present in Group A (52%) as compared to Group B participants (40%). HAM-A analysis of score showed anxiety in 34% of caregivers and was higher among Group A participants and among female caregivers. The results of the s Conclusions- tudy can be used to plan for early interventions, to reduce stress among caregivers of patients with psychiatric illness.
STUDY OF AWARENESS ON PUBLIC ANNOUNCEMENTS AND NOTICES ON COVID19 IN PUBLIC AND PRIVATE OFFICES OF TIRUPATI.
Authors: Kondeti Madhavi , Anuswaru M. , Sathyam Durgam , Lalitha Tejaswini. C.
Published: August 2023

Introduction: COVID 19 was declared as a pandemic on 11 March 2020. During pandemics and epidemics, a gap in the knowledge about the emerging disease can cause chaos and panic among public. The distribution of proper information can only guide society through such events. Employees and workers in government and private Material & Methods: offices / workplaces were selected randomly who can understand local language i.e., Telugu and English and registered for the study with their demographic details. A questionnaire was prepared on symptoms, preventive and safety measures of COVID 19 as per ICMR guidelines. Each question was given points that correspond to the level of awareness. Results: Mean percentage of awareness among the total study population by all the sources other than Government issued notices and announcements of information is 77.43%. The percentage of awareness by public announcements and notices on COVID-19 is 46.26%. In this study, the percentage of awareness created by public Conclusion: announcements and notices on COVID 19 is very less. The correct information which is distributed by public announcements and notices is not reaching the public. Measures to be taken to improve the public announcements and notices regarding COVID 19. This prevents the panic which is created by inappropriate information spread by other informal sources
STUDY OF INSOMNIA IN HOSPITALIZED COVID-19 PATIENTS IN A TERTIARY CARE HOSPITAL OF CENTRAL GUJARAT
Authors: Shah Drashti , Desai Nimisha , N Shah Saurabh , H. Shah Sandip
Published: August 2023

Background: Targeting underlying psychological issues and insomnia in hospitalized COVID-19 patients would contribute to early recovery of patient. So, this study aimed to assess insomnia and psychological stress. Methods: Prospective Longitudinal quantitative study was conducted during the first wave of COVID-19 pandemic in all the patients admitted in general COVID-19 ward over a period of 3 months. Two stage cross sectional assessment was done using a semi Structured interview schedule via telephonic mode which include socio-demographic profile, illness history and stressors if any on Day one and day 10 of hospitalization. Insomnia Severity Index and Patient Health Questionnaire-4 was utilized for assessing insomnia and psychological stress. Appropriate statistical analysis was done using MS excel software. Total 194 patients (mean age= 55 years, 58% Males) completed both assessme Results: nts on Day 1 and Day 10 of hospitalization. Prevalence of Insomnia was 24% and 9% on Day 1 and 10 respectively and reduction was statistically significant (p< 0.001).Prevalence of psychological stress based on PHQ-4 was 8% on day of admission and 5% on day 10. The mean duration of hospitalization was 4.7 days. A moderate to weak correlation was found in between insomnia and psychological stress (r=0.45). patients <30years of age had higher insomnia levels during both interviews that is 37% and 18% in 1st and 2nd interview while the psychological stress in the same age group was 19% in both the interviews. The patients who were admitted in the general ward had insomnia and psycholog Conclusion: ical stress during early phase of illness and in majority of them insomnia was self-remitting.
STUDY OF ROLE OF CT SCAN IN THE EVALUATION OF PERIAMPULLARY CANCER
Authors: Bajaj Srushti , Dahiphale Devidas , Nagapurkar Abhijeet
Published: August 2023

Introduction: Imaging in pancreatic diseases is challenging because anatomic location of pancreas in the retroperitoneum and relationship with major blood vessels and bowel. Computed tomography (CT) has been the first imaging modality of choice in case of evaluation of pancreatic pathology. CT as a diagnostic modality is widely used in the staging of pancreatic and periampullary malignancy. However, its accuracy in assessment of extra regional lymph nodes is still unclear. Present study was conducted to evaluate the diagnostic accuracy of CT in assessment of periampullary carcinoma and also in predicting pancreatic tumours resectability Materials and Methods: 15 Patients between age group 30 to 75 years with clinical and laboratory findings of pancreatic mass or those came for follow-up & referred to the CT Unit of our hospital were enrolled. After obtaining data on detailed relevant history, general and abdominal examination findings,laboratory and serological examinations results,all the patients were subjected to CT scan.It was performed using a 128 slice CT machine (Toshiba).With multislice CT of pancreas thin slice thickness (1 mm) or less than that acquired during short time of single breath hold. Following findings were taken as CT signs of unresectability: liver metas- tases, ascites, local extension (except duodenum), arterial encasement, venous occlusion, and lymph node enlargement outside the field Observations and Results:9 (60 %) cases margin were ill defined & in 6 (40 %) it was well defined. Hypodense cases were 4 (27 %), hyperdense were 3 (20 %) & mixed were 8 (53 %).8 (53 %) cases showed homogenous enhancement & 7 (47 %) showed heterogenous. Calcification was present in only 1 (7 %) case. In 3 (20 %) cases lesion was resectable Conclusion: In conclusion, CT have a fair diagnostic accuracy in the assessment of pancreatic tumours resectability with sensitivity (100 %), specificity (92.31 %), PPV (66.67 %) and NPV (100 %)
CLINICAL, RADIOGRAPHIC AND ESTHETIC EVALUATION OF IMMEDIATE IMPLANT PLACEMENT WITH BUCCAL DEHISCENCE IN THE ANTERIOR MAXILLA USING AN OSSIFYING SCAFFOLD
Authors: Mahesh Lanka , Paliwal Tanvi , Yadav Saroj
Published: August 2023

Objectives: To evaluate the clinical, radiographic and esthetic outcomes of immediate implant placement with buccal
bone dehiscence in the anterior maxilla using Ossix Volumax. In this case series, implants were in Methods: serted
immediately after tooth extraction in sockets with buccal bone dehiscence. AN OSSIFYING SCAFOLD ( VOLUMAX,
DENTSPLY SIRONA was placed over the defect sites. The following outcome variables were measured. probing depth,
bleeding on probing, Pink Esthetic Score (PES), marginal bone loss and thickness of buccal bone plate (TBP).
THE IMPACT OF THE GROWING REACH OF MASS COMMUNICATION HAS ITS ADVANTAGES AND DISADVANTAGES: AN IN-DEPTH ANALYSIS.
Authors: Jashnani Namesha
Published: August 2023

An attempt has been made to understand both the advantages and the disadvantages of the immense spread of information that has been spurted since the beginning of the twenty-first century. This is still growing and has been aided by technology, reducing the cost of spreading information and the instruments on which people can view it. There are checks that each country imposes concerning this medium to keep the negative effect minimum. The advantages are tremendous, but as in every situation, the negative impact has to be minimised. An attempt will be Research Question: made to understand the impact of the growing influence of mass communication on all sections of society. The phenomenal speed at which the internet is now available has led to the increasing influence of such types of communication. This is felt throughout the country, both urban and rural. How far it benefits its users is a question that will be researched in this paper. There are apparent disadvantages to this spread.
LOCAL ADMINISTRATION OF TRAMADOL AND ITS EFFECT ON POSTOPERATIVE PAIN AFTER
MANDIBULAR THIRD MOLAR EXTRACTION- A COMPARATIVE STUDY
Authors: Sameera Panthagada Venu , Kavya Swetha Giri , Sujatha D Naga , Chaitanya Ghanta , Kavya Kumari Rapeti , Paulraj Ishwarya
Published: August 2023

Mandibular Third molar extraction is one of the most common minor dental surgical procedures, often associated with
severe postoperative pain and swelling.This study aimed to evaluate the effectiveness of the submucosal application of
tramadol, for acute postoperative pain, following the transalveolar extraction of impacted third molars. It is a
prospective, randomized placebo-controlled study of 40 patients who underwent impacted third molar surgery.The 40
patients were divided into two groups;group T who were given (1 mg/kg tramadol) and group S were given (2 mL saline)
submucosally.Postoperative Pain was evaluated using a visual analog scale (VAS) at 4,8,24,48,and 72h postoperatively.
The time at which the first analgesic drug was taken, the total no of analgesics used within 72 hours dose, and adverse
effects such as nausea, vomiting, headache, and dizziness were evaluated. In group T, postoperative VAS scores were
significantly lower compared to that in group S (p < 0.05). This study demonstrated that post-operative submucosal
application of tramadol is an effective method for reducing acute post-operative pain after impacted third molar surgery.
A STUDY ON DIFFERENCE IN SORT TERM MEMORY CAPACITY BY VISUAL TASK IN HALTHY YOUNG FMALES AND MALES
Authors: Kanwar Shweta , Bafna Garima , Gogania Poonam , Maan Bharti
Published: August 2023

short-term memory has a duration of about half a minute and a limited capacity of approximately 5 to 10 items.Short term
memory is highly vulnerable to distraction, requiring attention and vigilance to maintain the content.It is often tested at
the bedside by asking the patient to recall several digits forward and backward. Materials and Method: Fifty (50)
young healthy adults age group of 17 to 24 years in Ajmer were randomly selected for this study (50 males and 50
females). Our study we have used free recall tasks of Alphabets and Digits.We have asked the subjects to recall the
displayed Alphabets and digits.Number of correct items were measured.Descriptive statistics included computation of
percentages,means and standard deviations.Level of significance was set at P≤0.05.Results:The result of present study
suggests that statistically decrease in short term memory status in higher tasks of test. Short term memory status for
Numerical test was significantly greater than Alphabetical test.Statistically significant gender difference was observed
in Alphabetical test and numerical test in which female having better short term memory. There was significant
improvement in memory status after applying of memory enhancing methods in all subjects and more so in females.
Conclusion:In present study progressive decrease in memory status in higher tasks of Alphabetical and numerical test
is due to increase in number of items more than seven as an individual can hold 7+2 bits of information.IN our study were
have observed that females are having more short term memory for Alphabetical and numerical test due to high
attention, participation in tasks. Short term memory for Numerical test was significantly higher than Alphabetical test
which may be due to numbers are commonly used like phone no.Birthday Etc.
ADMINISTRATIVE EXPERIENCES AND LEADERSHIP SKILLS OF THE PRINCIPALS: - A DISCUSSION
Authors: Sheth Angshuman
Published: August 2023

The leadership skills of a principal perform a very important role in the administration of a college. The progress of a college heavily depends on the leadership skills of the principal. The present paper is being aimed to measure the administrative quality of the principal of various colleges in West Bengal. The study was conducted on a sample of 326 Principal randomly selected from the 18 districts of West Bengal. A tool with 77 items was mead to complete this research. There were eight types of dimension of leadership skills in this tool. These are 1. Dealing with student's 2.Time table 3.Class allotment 4.Dealing with non-teaching staff 5.Incidental issues 6.Administrative work and 7.Academic calendar 8.Dealing with teachers. These study emphases on the above mention eight dimensions of leadership skills
AWARENESS, PERCEPTIONS, GAPS OF MATERNITY BENEFITS OF WORKING MOTHERS
IN MEDIA, IT AND AVIATION SECTORS: AN OPINION BASED STUDY IN KOLKATA
Authors: Mukherjee Paromita , Saha Sanchita
Published: August 2023

Pregnancy and maternity both phases are very susceptible for working mothers and also their families. Special care and
precaution is always required for nursing and expecting mothers for not only protecting their own health but also the health of their newborns. Adequate rest pre and post-delivery need to be provided so that they can take care of themselves and their baby. Health of working mothers is always a concern for society as it has a social interest that leads to enactment of various legislation regarding maternity benefits everywhere across all countries. On the other hand, simultaneously they need protection regarding job retention during motherhood phase. Thus, working mothers availing maternity benefits, both their health and job need to be taken care of by the government and also the organization so that they can raise their child stress-free. Work environment devoid of discrimination, equal opportunity and treatment without any gender biases will help to motivate them to join workforce. No doubt from earlier women workforce participation rate has increased but not remarkably, only change has been noticed in urban area. The present study is based on primary data collected from 300 respondents from Kolkata. For this purpose, 300 working mothers from three sectors like IT, Media and Aviation, were interviewed personally and responses were recorded. The aim of the study is to find out whether all respondents has received amended maternity benefits as per government regulations in 2017 such as paid maternity leave, work from home, crèche facility and equal treatment post maternity. In addition, we tried to understand whether there is any correlation between respondents' work experience, level of education with their awareness regarding amended maternity benefits as per government norms. Finally, we attempted to uphold our observations regarding whether implementation of maternity benefits is actually enhancing working mothers' work performance or not.
A CROSS- SECTIONAL STUDY REGARDING ASSESSMENT OF MICROVASCULAR
COMPLICATIONS AMONG TYPE 2 DIABETES MELLITUS PATIENTS AT ONE OF THE TERTIARY
CARE HOSPITALS IN NORTHERN INDIA.
Authors: Singh Sunil , Singh Vikram , Chaudhary Ena , Hassan Shakeel Mohd
Published: August 2023

Background:Microvascular Complication of Diabetes are Retinopathy,Nephropathy and Neurology.Their association
with gender, duration and family history are unknown. This study was aimed to find prevalence of microvascular
complications of Diabetes and its correlation with other selected variables. Material and Methods: A hospital based
cross-sectional study was conducted for 18 months at our hospital by calculating appropriate sample size. Ethical
clearance from Institute and informed consents from the patients were taken prior to starting of the study. Results:
Duration of diabetes and BMI is directly proportional to these complications. Family history of diabetes influence the
micro vascular complications.Prevalence was found significantly higher in patients whose both parents and sibling are
suffering from diabetes. Retinopathy and neuropathy were the most prevalent microvascular complication in type 2
diabetic population. The mean age of patients was 50.86 ± 15.91 years. Conclusion: Majority of males were having
microvascular complications and duration of diabetes was found statistically associated with prevalence of
microvascular complications.
Il Centro nazionale per lo studio del manoscritto verso una nuova dimensione: dai microfilm al digitale grazie ai fondi del PNRR
Authors: Cappa Andrea
Published: August 2023

La Biblioteca nazionale centrale di Roma è destinataria di un finanziamento pari a 9.2 milioni di euro stanziati dal Ministero della Cultura nell’ambito del Piano Nazionale di Ripresa e Resilienza (PNRR), Missione 1 “Digitalizzazione, Innovazione, Competitività, Cultura e Turismo”, Componente 3 “Turismo e Cultura 4.0”, investimento 1.1 “Strategia digitale e piattaforme per il patrimonio culturale”. Attraverso l’attuazione del sub-investimento M1C3 1.1.5 “Digitalizzazione del patrimonio culturale” è stata finanziata la digitalizzazione dell’intero corpus di microfilm di manoscritti conservati presso il Centro nazionale per lo studio del manoscritto (CNSM) istituito nel 1989 presso la Biblioteca nazionale centrale di Roma (BNCR), a sua volta erede del Centro di Documentazione istituito nel 1957 presso l’Istituto di Patologia del libro L’operazione prevede la digitalizzazione di oltre 105.000 singoli microfilm realizzati, per la maggior parte, nella seconda metà del secolo scorso, grazie a imponenti finanziamenti pubblici. I microfilm riproducono circa 111.000 manoscritti, i cui originali sono conservati in 186 biblioteche italiane distribuite su tutto il territorio nazionale e in dieci istituzioni straniere. Il risultato atteso è la digitalizzazione di circa 23 milioni di fotogrammi (contenenti ciascuno un verso e il successivo recto) che saranno convertiti in circa 46 milioni di risorse digitali, da pubblicare nella costituenda Digital Library nazionale. Il progetto, che costituisce uno degli interventi più significativi mai condotti prima con l’obiettivo di mettere a disposizione della collettività per mezzo di riproduzioni digitali il patrimonio manoscritto delle biblioteche italiane, oltre a favorire le attività di fruizione, studio e ricerca, permette anche di realizzare una fondamentale operazione di tutela su un vasto materiale soggetto a progressivo e inesorabile deperimento.
L’infrastruttura software per il patrimonio culturale (ISPC) come abilitatore di un Ecosistema digitale nazionale del patrimonio culturale
Authors: Cerullo Luigi , Negri Antonella
Published: August 2023

L’Infrastruttura Software per il Patrimonio Culturale (ISPC) rappresenta il primo spazio dati nazionale della cultura in grado di ospitare in sicurezza tutto il patrimonio digitale del Paese, consentendo agli Enti flessibilità nel modello di adesione e totale autonomia nella scelta di condivisione. Nella ISPC il patrimonio è valorizzato e arricchito per mezzo di algoritmi innovativi e tecniche di Intelligenza Artificiale e viene messo in correlazione con tutte le risorse culturali digitali presenti, sia all’interno di ciascun dominio di appartenenza (storico, artistico, archeologico, demo-etnoantropologico, archivistico, librario) sia tra domini diversi. La ISPC è una infrastruttura con una doppia anima: un sistema di servizi di cooperazione applicativa pensati per potenziare funzionalmente e tecnologicamente i sistemi informativi del Ministero della Cultura, degli enti territoriali e degli istituti culturali in generale, in un’ottica “Business-to- Institution”; un laboratorio di sviluppo per la creazione di nuovi servizi basati sui dati, pensato per sviluppatori, imprese culturali e start-up, in una prospettiva “Business-to- Business”. Con un’architettura scalabile e sicura basata su soluzioni Cloud che offrono performance e livelli di disponibilità adeguati, ISPC si candida a sostenere credibilmente il ruolo di abilitatore nell’offerta di servizi digitali per il panorama culturale italiano, anche nella dimensione europea.
Raccontare la vita delle biblioteche: il progetto L&L: Lives and libraries e la realizzazione in MOVIO
Authors: Ardolino Enrico Pio , Petrucciani Alberto
Published: August 2023

Il contributo illustra le finalità del progetto L&L: Lives and Libraries: lettori e biblioteche nell’Italia contemporanea, pensato per offrire un contributo alla storia della cultura, delle biblioteche, della biblioteconomia e della lettura. Il progetto è confluito in un sito web gestito con il kit open source MOVIO, e si propone di censire e indicizzare le testimonianze sull’uso delle biblioteche italiane in età contemporanea. Il sito raccoglie testimonianze tratte da diari, memorie, corrispondenza, biografie e autobiografie, ma anche da interviste, articoli o lettere a giornali, poesie, romanzi e testi creativi. L’articolo illustra le proprietà del sito e fornisce una guida per la consultazione delle sue sezioni.
Il fattore qualità nei progetti di digitalizzazione del patrimonio culturale: le linee guida FADGI, Metamorfoze e lo standard ISO 19264-1
Authors: Allegrezza Stefano
Published: August 2023

L'aspetto della qualità nei progetti di digitalizzazione è stato e continua ad essere trascurato, con conseguenze non marginali anche in termini economici. Nelle gare d'appalto per l'esternalizzazione dei servizi di digitalizzazione, di solito si fa riferimento ad alcuni requisiti per garantire la qualità delle immagini che verranno prodotte, come la risoluzione o la profondità di colore, ma non vengono quasi mai specificati requisiti oggettivi e misurabili, lasciando così la porta aperta alla libera interpretazione del concetto di “qualità dell'immagine”. Per questo motivo, si sono verificati casi di progetti di digitalizzazione pagati con fondi pubblici e realizzati con apparecchiature inadatte e di bassa qualità, e quindi con risultati scadenti e la necessità di dover ripetere l'intervento. Questo dimostra l'importanza di disporre di criteri misurabili per la qualità delle immagini. A tale scopo sono state proposte negli anni diverse norme e best practice, come le linee guida FADGI e Metamorfoze, e, in tempi più recenti, lo standard ISO 19264- 1 che mira ad armonizzare i diversi approcci e sviluppare dei criteri uniformi per la valutazione della qualità delle immagini acquisite nei progetti di digitalizzazione del patrimonio culturale. Il contributo vuole fornire una riflessione su questi temi sottolineandone l’importanza soprattutto in relazione ai numerosi progetti di digitalizzazione in corso in questi anni.
Il fascicolo del fabbricato e le sue interazioni con la digitalizzazione delle pratiche edilizie
Authors: Santoboni Paolo
Published: August 2023

Di fascicolo del fabbricato si discute da molto tempo: l’argomento ha registrato punti di vista alternativi, se non del tutto antitetici, procedendo tra fasi di acceso dibattito e lunghi periodi di sospensione. Recentemente, tuttavia, l’esperienza della pandemia da SARS-CoV-2 ha condotto al ripensamento delle prassi di lavoro dei soggetti pubblici e privati e stimolato alcune proficue riflessioni che, sull’onda di certe misure adottate dal legislatore, potrebbero riproporre tale dibattito in relazione al tema della digitalizzazione delle pratiche edilizie. Il contributo cerca di mostrare come le due tematiche, finora trattate in maniera autonoma, siano in realtà strettamente collegate; come esista una convenienza reale per le amministrazioni nel razionalizzare i processi di gestione documentale legati alle opere edilizie e nel produrre, in conseguenza, anche un siffatto strumento gestionale.