bluuebunny/crossref_metadata_2025 huggingface dataset:
“Evaluate the Effectiveness of Perineal Care on Episiotomy Pain and Wound Healing among Postpartum Women”
Authors: Namrata Limbachiya  , Neha Parmar
Published: November 2022

Introduction: Over 85% of women having a vaginal birth suffers perineal trauma. The rate of episiotomy was determined as 93.3% in primipara women and as 30.2% in multipara women. One of the most important aspects of perineal care is checking for signs of infection. Most women have some degree of discomfort during the first few postpartum days. One of the common causes of discomfort is episiotomy. These include swelling, lesions, rashes, sores and boils. Proper care of perineum after childbirth is very important in order to avoid infection and speed healing of rectal and pelvic muscles. The Objectives are 1. To assess the episiotomy wound healing and pain among post partum women in experimental and control group . 2. To evaluate the effectiveness of perineal care among post partum women 3. To compare the Episiotomy pain and wound healing among post partum women between experimental and control group.4. To determine the association between Episiotomy pain level and wound healing among postpartum women with their demographic variable.Material & Methods: The Quasi Experimental post-test only control group design was adopted. With 60 postpartum women’s were selected by non-probability convenient sampling technique. The prior consent was taken. Tool for data collection for Assessment of Episiotomy wound healing by REEDA scale and Numerical pain rating Scale for Episiotomy Pain.Results: The Results of the study revealed that statistically significant reduction in the level of perineal pain at 6, 24, & 48 hours and three days postpartum between the two groupsA highly statistical significant difference between groups in relation to the interference of pain with walking, sitting, and urination at 24 & 48 hours, and at three days postpartum. Reduction in the REEDA scores of wound healing in experimental group as compared to control group. The current study concluded that, women who received perineal care on episiotomy pain and wound healing during postpartum period have, lower the level of postpartum episiotomy pain scores, decrease pain related to perineal episiotomy which interfere with women’s daily activities postpartum, such as walking, sitting, urination and defecation, and better wound healing progress. On the light of the study findings it is recommended that self perineal pain instruction can be introduced to the women antenatal and then it can be used postnatal, the nursing students should be taught the importance of relieving episiotomy pain and enhancing wound healing in postnatal mothers, and there is a need for extensive and intensive research in this area.
PSYCHOLOGICAL TRANSFORMATION OF WOMEN: ALIENATION, ASSIMILATION IN SELECT WORKS OF BHARATI MUKHERJEE AND JHUMPA LAHIRI
Authors: Sona Susan Jacob  , Kapinesh.G
Published: November 2022

Diaspora writing occupies an important place in Post-modern literature. Indian immigrant writers contributed hugely and shaped South Asian Diaspora into a much recognised branch of literature. Indian diaspora writers Bharati Mukherjee and Jhumpa Lahiri have skillfully narrated the issues of Indian immigrants in Canada and America. Bharati Mukherjee’s The Tiger’s Daughter (1971), Wife (1975), and Jasmine (1989) and Jhumpa Lahiri’s The Lowland (2013) are examined for diasporic perspectives in the present paper. Both writers deal with the diasporic issues of expatriate sensibility, nostalgia, identity crisis, multiculturalism, and assimilation in their novels.
Comparative Evaluation of Effect of Different Varnishes (MI Varnish, Clinpro Varnish and Fluor Protector Varnish) on Candida albicans Count and Salivary pH in Children aged 6-12 years – A Randomized Control Trial
Authors: Dr. Ramya JR  , Dr. Nidhi Gupta  , Dr. Natasha Gambhir  , Dr. Rashi Singh  , Dr.Neeti Mittal  , Dr. Divya Singh
Published: November 2022

PURPOSE: Candida albicans one of the commensal organisms in the oral cavity, causes fermentation of the dietary carbohydrates leading to the formation of organic acids, which contributes to the development of dental caries. The aim of the study was to evaluate and compare the efficacy of 3 different fluoride varnishes against Candida albicans in the prevention of dental caries before and immediately after fluoride varnish application and also over a period of 1 week, 1 month and 3 months. METHODOLOGY: A sample size of 60 children’s aged between 6-12 years were randomly selected by block randomization and divided into 3 groups: Group 1 MI Varnish, Group 2 Clinpro XT varnish and Group 3 Flour Protector varnish. Unstimulated saliva samples were collected before and after the application of fluoride varnishes (collected immediately after application, after 1 week, 1 month and 3 months) and were sent for microbiological analysis. The pH of the samples were evaluated by Indikrom paper strips. The results obtained were statistically analysed by mean, standard deviation and One way ANOVA. RESULTS: MI varnish showed a significant drop in Candida albicans followed by Clinpro XT varnish and Fluor Protector Varnish whereas no significant difference were seen in pH. CONCLUSION: The results of the study shows that MI Varnish, Clinpro XT Varnish and Fluor Protector Varnish have antifungal effect on Candida albicans. MI Varnish showed its more profound effect.
Management of Parasymphysis Fracture in a Young Child using Arch Bar Fixation: A Case Report.
Authors: Dr. Divya Singh  , Dr. Carrolene  , Dr. Neeti Mittal  , Dr. Nidhi Gupta  , Dr. Natasha Gambhir  , Dr. Rashi Singh
Published: November 2022

Any type of facial bone fracture creates a lot of discomfort for the child as well as a lot of stress for the parent or caregiver. The most common facial injury in early childhood is a fracture of mandible, which occurs in the sequence of condylar fracture, symphysis/parasymphysis fracture, and fracture of the mandibular body. Depending on the severity of the injury, the symphysis/parasymphysis fracture of the jaw can be mildly displaced or substantially displaced. This case study demonstrates how arch bar stabilisation can be a simple and effective way to treat a minimally displaced fracture under general anaesthesia.
Anxiety and Depression among Men Undergoing Treatment for Infertility - A Clinic Based Study
Authors: Dr Anand Mohan  , Dr Alpana Agrawal  , Dr Rani Srivastava  , Dr Abdul Salam
Published: November 2022

Background: Anxiety and depression are major psychological issues that infertile couples face. Most of the studies on this subject have been done with reference to women. Objectives: To study whether the male partners in infertile couples suffer from anxiety and depression. Methods: Cross-sectional study of 253 men of couples undergoing infertility treatment in Pattambi, Kerala. Socio demographic data Sheet, Sinha Anxiety Scale and becks depression inventory are used as measures. Results: Depression - 5.5% severe, 9.1% moderate, 15.8% mild and 69.6% minimal. Age, education status, economic activity (occupation), duration of married life, infertility factor (Male, Female, Combined and unexplained) and religion do not show any correlation with the level of Depression. Anxiety - 0.4% show high level, 26.5% medium level. 73.1% low level. Age, occupation (economic activity), duration of married life, infertility factors or religion don’t show any relationship with anxiety.Educational levels influence the level of anxiety. Lower educational levels result in higher levels of anxiety. Anxiety and Depression levels show a direct positive correlation. Conclusion: Psycho socially infertility affects not only women but men also. This study shows that among infertile couples men also suffer from anxiety and depression.
Oxi-Inflammatory Stress and Biomolecular Deterioration: A Mysterious Convergence in Post COVID Patients
Authors: Rahul Saxena  , Suyash Saxena  , Ajit Pal Singh  , Vandana Singh  , Babita  , Jyoti Batra
Published: November 2022

Background: Despite several scientific efforts against COVID 19, conundrum of biomolecular deterioration in Post COVID syndrome patients are still in dark at an unprecedented scale globally and affected the patient’s health multidimensionally. It is conceivable that patients recovered from COVID-19 after second wave are at enhanced risk of secondary complications.Aim: The present study was carried out to estimate the serum vitamin D and total antioxidant activity (TAC) along withmarkers of oxi-inflammatory stress in post COVID patients diagnosed RT-PCR negative after second wave of COVID-19 andto determine their role in predicting secondary complications.Methodology: 50 subjects (30-55 years) of Delhi-NCR region were recruited and categorized into two groups (n=25 in each group; on the basis of their history of COVID infection). By using standard methods, study group parameters were estimated in Post COVID patients and statistically compared it with that of 25 non affected healthy controls by using student’s t-test.Result: Serum CRP, TNF-α, MDA and uric acid levels were significantly high (p<0.05) in Post COVID patients as compared to healthy controls. Conversely, serum vitamin D and TAC levels along with SOD activities were found to be significantly low (P<0.001) in Post COVID patients as compared healthy controls. However, ceruloplasmin level was altered insignificantly (p<0.1) with respect to Group I subjects. Vitamin D levels were positively correlated with TAC and SOD activity (P<0.001) and negatively correlated with MDA, CRP, TNF-α and uric acid levels in post COVID patients.Conclusion: Therefore, the present study emphasizes the dire need of special attention to Post COVID population by providingvitamin D supplementation, antioxidant and mineral rich diet along with adoption of regular aerobic exercise not only to rejuvenate the biomolecular homeostasis but also to reduce oxi-inflammatory stress mediated future complications.
Generation of Reactive Oxygen Species and its Defense Mechanism during Aflatoxin B1 Contamination: An Overview
Authors: Sivanesan Dhandayuthapani  , Anitha Chidambaram  , Malarvili Thekkumalai  , Jyoti Batra
Published: November 2022

Aflatoxins (AFs), the poly-substituted bi-furanocoumarins, are the secondary metabolites of parasiticus/flavus group of Aspergillus genus. AFs including aflatoxin B1 (AFB1) have been classified under Class I Human Carcinogen by the International Agency for Research on Cancer (IARC) based on its potential hepatotoxic, nephrotoxic, mutagenic, genotoxic and immunotoxic nature. Cell injury caused by AFB1 are associated with consequences of the lipid peroxidation due to the release of free radicals and thereby damaging the biological systems. It is evident that since all the cell membranes are highly rich in polyunsaturated fatty acids (PUFAs) that could act as the substrates for such reactions. The most vital among such reactions is the AFB1-induced oxidative stress and its consequent generation og reactive oxygen species (ROS) and the oxidative DNA damage. Normally AFB metabolites produced under phase 1 metabolism would pass through the Phase 2 metabolism via., glutathione-S-transferase (GST) enzymatic processes allowing further detoxification and elimination of the toxin from the human system. This review is mainly to focus the role of antioxidants in metabolizing the AFB1 and thereby preventing the free radical induced peroxidation to prevent the predisposition of normal hepatocytes into malignant.
Morphometric study of facial index in north indian population
Authors: Benazeer Zohra  , Durga Paswan  , Pratishtha Potdar  , Jyotsna Sharma
Published: November 2022

The present study was conducted in Department of Anatomy, NIIMS and SMSR, Greater Noida out of which 200 subjects (100 males and 100 females) between age group of 18-35 years. Two measurements, the facial length, Facial breadth were taken by using Digital Vernier caliper. To calculate the facial Index in Males and Females & measure the facial length and facial breadth of the subject. It was concluded that the Percentage of Very long face Shape (43%) is larger than long face shape (24%), Round face shape (23%), Broad face shape (10%) & Very broad face shape (2%) in females. In males the Percentage of Very long face Shape (41%) is also larger than long face shape (36%), Round face shape (16%), Broad face shape (9%) and Very broad shape (2%).
Impact of Corporate Culture on the Commitment to the Organization of Employees Working in Enterprises in the Mekong Delta, Vietnam
Authors: Dr. Nguyen Giac Tri  , Dr. Nguyen Viet Thanh
Published: November 2022

In the context of increasingly clear competition between businesses today, building and promoting the positive effects of corporate culture to develop human resources as well as keep well-qualified employees is considered one of the priorities businesses should conduct. Research in businesses in the Mekong Delta provides evidence that several aspects of corporate culture have positive impacts on employee commitment to the organization. It means that these factors are predictive and can improve engagement.
A competitive study of topical sucralfate and ordinary saline for diabetic ulcer dressing
Authors: Dr. Advait Bhatmule  , Dr H B Janugade  , Dr Nitin Nangare
Published: November 2022

Aim: The aim of this study to compare the topical sucralfate and ordinary saline for diabetic ulcer dressing.Materials and method: Of the 100 patients, 50 received traditional normal saline dressings and the other 50 received sucralfate dressings. Both groups used pressure relief from the affected area but no antibiotics. Both groups received once-daily dressings. The patients were followed up on a daily basis for 3 weeks in both groups. Results: Thirty percent of the patients had ulcers on the dorsal surface of the forefoot, and ten percent had ulcers on the medial malleoli. In conventional normal saline dressings, about 50% of the patients had ulcers on the plantar aspect and about 10% on the lateral malleoli, and 28% of the patients had ulcers on the dorsal surface of the forefoot and 20% had ulcers on the medial malleoli. In Sucralfate dressing, approximately 46% of the plantar aspect and approximately 6% of the lateral malleoli are affected. Dressing with sucralfate. In the Sucralfate dressing, 88% of patients had a negative culture. whereas 98% of patients receiving conventional normal saline dressings had a positive culture. Diabetic ulcers in the Sucralfate dressing had a better mean percentage reduction of area of 43.59±7.81 when compared to the Conventional normal saline dressings, which had a mean percentage reduction of area of 21.85±5.84 when the two groups were studied using an independent sample. The T-test was found to be statistically significant (P 0.0001). Conclusion: Sucralfate dressing is an efficient modality for facilitating wound area reduction in diabetic foot ulcer patients, and it can be used as an adjunct to conventional treatment (conventional dressings and debridement) for faster and better healing of diabetic ulcers. The wounds in the sucralfate dressing group contracted more than the wounds in the ordinary saline group
ADDICTION OF SMARTPHONE AMONG UNDERGRADUATES
Authors: Parvathy Prasad  , Ajit AnandraoPawar  , Sangeeta S. Patil  , Mahadeo Shinde  , Linu K Babu  , Anjana J
Published: November 2022

Background: Globally maximum student are using smartphone and it’s popular to use it. Smartphone addiction will give wrong impact on their life. Few previously conducted researches say that smartphone addiction can have effect on academics, psychology, physiology etc.Objective: Present study is having objective of assessing smartphone addiction among undergraduate students.Methodology: Research design used for study was cross sectional research design. 100 samples were selected by non-probability convenient sampling method from undergraduates nursing students of Krishna Institute of Nursing Sciences, Karad to identify smartphone addiction among undergraduate nursing student which was assessed by smartphone addiction scale and calculated by descriptive and inferential statistic. Result: 1(1%) sample is severely addicted, 23(23%) sample were mildly addicted and 76(76%) sample is moderately addicted.bConclusion: Research finding revels that undergraduate are moderately addicted to smartphone and some planning with implementation should done to have result of smartphone deaddiction.
“Effectiveness of self-instructional module on level of knowledge on reduction of social anxiety among first year nursing students in Covid-19 Pandemic”
Authors: Aiswarya B. Nair  , Sangeeta Patil  , Namarata Mohite  , Ahila Saji Sajeev  , Akhila Mohan  , Aksa Mol Lal
Published: November 2022

Background of the study: All over the globe anxiety was present among young adolescence. They are fear of infection and away from real education and fewer confidants to manage Covid pandemic situation.Objectives: Study investigated to assess the pre and posttest level of knowledge on social anxiety among First year nursing students in Covid -19 pandemic.Material and Methods: Experimental study done to assess the effectiveness of level of knowledge on reduction of social anxiety among first year nursing students in Covid-19 Pandemic among 100 Basic BSc 1st year nursing students. Self-prepared questionnaire selected as a tool for pre and post intervention which was validated by the expert .Ethical permission taken before conduction of study .samples chosen as per inclusion criteria of the study. Samples were explained well the purpose of the study .Pre taken with help of questionnaire and after seven days post taken and data analyzed as per objectives of the study.(Level of knowledge score was good8-29 ,average 4-7and poor 0-3 )Results: In this study pretest knowledge score was 16%, 72% and 12% as poor, average and good knowledge .post-test knowledge score was 0 %, 16% and 84% as poor, average and good knowledge. Pretest test SD1.565 and posttest SD 1.1.69 which was extremely significant.(p<0.ooo1)Conclusion: Finding of the study shows that self-instructional module was effective to increase the level of knowledge among the 1st year Basic B.Sc. student in covid-19 Pandemic.
QUALITY OF SLEEP AMONG OLD AGE PATIENTS
Authors: Ombale Sneha  , Ajit Anandrao Pawar  , Sangeeta S. Patil  , Mahadeo Shinde  , Hulwan Dhanshri  , Kumbhar Udaykumar
Published: November 2022

Background: In old age having poor quality of sleep is a common problem due to work and way of living life. As age grows it increases and it effect on wellbeing in all way. Objectives: research has conducted with objective of assessment of quality of sleep among old age.Methodology: Cross sectional research was conducted with 50 sample size which was selected by non probablity convenient sampling method in tertiary care hospital karad to determine quality of sleep among old age people with PSQI and statistic were calculated by descriptive and inferential statistic. Result: 11 (22%) sample were having good quality sleep and 39 (78%) sample were having poor quality sleepConclusion: Based on research finding result reveals that maximum population is having poor quality sleep and majors should be taken to improve quality of sleep.
DEXTROMETHORPHAN- AN EMERGING DRUG OF ABUSE
Authors: Mayank David Raiborde  , Gaurav Kumar  , Pratik Singh  , Spriha Sharma
Published: November 2022

Dextromethorphan or DXM is an effective and harmless cough and cold suppressant available in many cold and cough preparations. At maximum dosage, it mimics hallucinogenic and psychoactive effects in human body and hence it is appealing for abuse. In this work, a detailed study of an antitussive agent i.e. Dextromethorphan which is a semi-synthetic opioid and a replacement of codeine and pholcodine in various cough linctuses has been described extensively. This review also revolves around the structured detailing of Dextromethorphan, its physical and chemical properties as well its pharmacokinetics in human body and also its effect on human brain and its relationship with NMDA receptors. This study also focuses on the emergence of Dextromethorphan as new drug of abuse due to its easy availability and as it possesses similar effects with LSD and other hallucinogens when taken in overdose in addition with the Toxicological analysis of Dextromethorphan from biological matrices using respective analytical methods.
PHYTOCHEMICAL ANALYSIS, SENSORY EVALUATION AND ACCEPTABILITY OF PLANT LEAVES FOR HERBAL TEA: TOWARDS INTELLECTUAL PROPERTY ASSET
Authors: MARNIE B. SAZON
Published: November 2022

The study was conducted in Iloilo City in order to determine the organoleptic and phytochemical results of the herbal tea from three different species of plants. The experiment involved three factors such as plant species, levels of maturity and amount of ground leaves. This was a 3 * 3 * 3 factorial experiment in CRD. The study consisted of organoleptic and phytochemical evaluation. The data gathered were subjected to both descriptive and inferential statistics with the results of the latter interpreted at the alpha level of 0.05. The study revealed the the sensory evaluation revealed that the factor such as plant species and amount of ground leaves significantly affected the aroma of herbal tea. Significantly best tea was obtained from malunggay at 4 g and 6 g. The rest of the factors and the interactions did not significantly affect the aroma of herbal tea. However, generally the four sensory attributes were verbally described as excellent and were not significantly affected by maturity of the leaves. The factor such as plant species also significantly affected the color, flavor and general acceptability of herbal tea. The rest of the factors and the interactions did not significantly affect the color, flavor and general acceptability of herbal tea. The different formulations of tea powder were generally positive in phytochemicals. Malunggay herbal tea had significantly the best color, flavor and general acceptability among the plant species. The panelists rated the color, flavor, aroma and general acceptability of the three plant species, three levels of maturity and three amounts all as excellent. The phytochemical analysis of the three plant species differed in terms of reducing sugars where guava and malunggay was positive while guyabano was negative. The rest of the phytochemicals were mostly present in the three species. Alkaloids and flavonoids were present in considerable amounts in the three plant species namely guava, guyabano and malunggay. Glycosides, sponins, coumarin and betacyanin were present in the three plant species. Anthraquinones were present in guava and malunggay and considerable amounts were found in guyabano. Reducing sugars were present in guava and malunggay but not in guyabano. Terpenoids and emodins were found in considerable amounts in guava and malunggay but present in lesser amounts in guyabano. The sensory attributes differed significantly in the three plant species in terms of color, flavor and general acceptability. The aroma significantly differed by plant species and amounts of ground leaves per sachet.
Assessment of clinical profile of patients with thrombocytopenia
Authors: Dr. Saubhagya chhotaray  , Dr. Bijan kumar panda  , Dr.Sailendra Nayak  , Dr. Desabandhu Behera
Published: November 2022

Background: Thrombocytopenia is characterized as platelet tally less than 1,50,000/μL. This is because of diminished creation, expanded obliteration, and expanded sequestration in spleen. The present study was conducted to assess clinical profile of patients with thrombocytopenia.Materials & Methods: 94 patients of fever with thrombocytopenia of both genders were included. In patients with bleeding complications, platelet transfusions were done if platelet count was <20,000/μL. Etiologic and clinical data of all the patients was recorded.Results: Out of 94 patients, males were 50 and females were 44. Etiology was malaria in 19, viral fever in 33, dengue fever in 25, scrub typhus in 11 and septicaemia in 6 cases. Clinical symptoms were cough seen in 30, fever in 94, headache in 57, pallor in 35, chills & rigors in 38, rashes in 56, jaundice in 15 and bleeding in 2 patients. In fifty seven percent of the cases, platelet count was between 100000 to 150000 per cubic mm.Conclusion: Infectious diseases accounts for most of the cases of febrile thrombocytopenia. Most common cause was malaria, viral fever , dengue fever, scrub typhus, septicaemia and leptospirosis.
Assessment of open versus closed method of pneumoperitoneum creation in laparoscopic surgery
Authors: Dr. Alapati Yaswanth Roy Chowdary  , Dr H B Janugade  , Dr. R. G. Naniwadekar
Published: November 2022

Background: The concept of open laparoscopy is to eliminate the risks associated with blind insertion of the Veress needle and trocar. The present study was conducted to assess open versus closed method of pneumoperitoneum creation in laparoscopic surgery.Materials & Methods: 74 patients who underwent operative procedure for laparoscopysurgery of both genderswere divided into 2 groups based on method used. Group I patients were of open laparoscopy (Hasson technique) and group II were of Veress needle (closed method). Per operative findings like method of pneumoperitoneum creation and its duration, multiple attempts, incision size, extraperitoneal insufflation, port site bleeding, gas leak, total gas used were recorded. Results: out of 74 patients, males were 46 and females were 28. In group I and group II, the mean size of incision (mm) was 11.2 and 10.4, duration of pneumoperitonium creation (Sec) was 104.2 and 138.4, multiple attempts were seen in 9 and 4, gas leak at port site in 7and 3, port site bleeding in 5 and 2, pre peritoneal insufflation in 0 and 1 and wound infection in 1 and 2 respectively. The difference was significant (P< 0.05).Conclusion: Both methods were comparable interms of time taken to complete the operation and major and minor complications. Thus, open and closed methods of creating pneumoperitoneum in laparoscopic surgery are safe to perform.
Assessment of surgical management of diabetic limb complications among patients
Authors: Dr Adwita Narayan  , Dr S J Bhosale  , Dr Nimesh Srivastava
Published: November 2022

Background: Diabetes has proved itself to be a silent killer disease. It has been estimated that there are more than two hundred million diabetics in the world. The present study was conducted to assess surgical management of diabetic limb complications among patients.Materials & Methods: 62 cases of diabetic limb of both genders were enrolled. Parameters such as causes of diabetic limb, family history, type of bone involvement, type of lesions, and treatment modalities were recorded.Results: Out of 62 patients, males were 38 and females were 24. Precipitating causes were trauma in 18, infected nail bed/Fissure in 8, spontaneous in 36. In 22 cases, there was bone involvement, type of lesions was septic in 46 and ischaemic in 16. Site was leg in 20, thigh in 10 and foot in 32. Appearancewas ulcer in 30, abscess in 14, cellulitisin 8 and gangrene in 10 cases. The difference was significant (P< 0.05). Treatment modality used was incision &drainage in 12, debridement in 26, above knee amputation in 5, below knee amputation in 4, disarticulation of the toes in 6 and grafting in 9 cases. The difference was significant (P< 0.05).Conclusion: Most common appearance of diabetic limb was ulcer and the most commonly involved site was foot. Precipitating causes were trauma, infected nail bed/Fissure and spontaneous.
To Evaluate the Effect of Collagen Dressing in Diabetic Foot Ulcer Patients
Authors: Dr. Saurabh Tukaram Gondil  , Dr. H B Janugade  , Dr. Aakash Katkar
Published: November 2022

Aim: To assess the outcome of collagen dressing in the treatment of diabetic foot ulcers.Materials & methods: 100 patients who presented with diabetic foot ulcers were included as study group. Patients with diabetic foot ulcers who were known cases of carcinomas and connective tissue disorders were excluded from the present study. Pre-treatment dimensions were recorded. Collagen dressing was applied at regular follow-ups and subsequent examination of the lesion was done.Results: Mean wound area before dressing as 41.3 mm2, while mean wound area second weak after dressing was 18.9 mm2. Significant results were obtained while comparing the mean wound area before dressing and second week after dressing.Conclusion: Diabetic foot ulcers treated with collagen dressing are efficacious in terms of reduction in wound area resulting in early wound healing. Collagen-based wound dressings can be an effective tool in the healing of diabetic foot wounds.
A study on clinical presentation of umbilical and paraumbilical hernia in adults
Authors: Dr. Burhanuddin K. Bhindarwala  , Dr A Y Kshirsagar  , Dr. Aakash Katkar
Published: November 2022

Background: To study clinical presentation of umbilical and paraumbilical hernia in adults. Materials & methods: A total of 150 subjects were enrolled. The age group included was 26- 50 years. 100 subjects were female and 50 were male. Complete medical history was taken. Patients with umbilical and paraumbilical hernia were taken under consideration. Data was collected and analysed. Results were assessed using SPSS software.Results: A total of 150 patients were enrolled. Clinically, the sites of hernia studied were the umbilical and paraumbilical hernia. The most common is the paraumbilical with frequency of 98 (65.4%) and umbilical hernia with 52 (34.7%). The size of hernia was small with 112 and moderate or huge with 38 cases.Conclusion: From the above results, the authors conclude that small Paraumbilical hernia are more common in comparison to umbilical hernia.
Promenade to enhanced aesthetics: Gingival recession coverage in combination of modified coronally advanced tunnel technique with T-PRF, A case report
Authors: Sameer Ahmed  , Surbhi Yadav  , Mrinalini agarwal  , Mayur Kaushik
Published: November 2022

A dentist's top priority is aesthetics, and one of the primary interest in aesthetic dentistry is recession coverage. A unique therapy option for a variety of mucogingival abnormalities with variable results is platelet rich fibrin membrane. Due to rising cosmetic demand, treating gingival recession has become a significant therapeutic issue. There have been several surgical procedures designed to achieve consistent cosmetic root coverage. In more detail, the purpose of periodontal regeneration surgery is to complete wound healing and periodontal unit regeneration Recent advancements in dentistry include the preparation and use of a concentrated solution of the growth factors found in platelets is termed platelet-rich fibrin (PRF). These growth factors contribute to Postulated as promoters of tissue regeneration and wound healing.
Why Research Matter?: An Evaluative Study of Research Productivity Performance of the Faculty Members of the Polytechnic University of the Philippines
Authors: Melcah P. Monsura  , Ricardo L. Dizon  , Celso G. Tan Jr.  , Anna Ruby P. Gapasin  , Tomas O. Testor
Published: November 2022

This study evaluates the research capability of the Polytechnic University of the Philippines (PUP) in realizing a Research University status through faculty productivity in research activities such as production, presentation, and publication. Using the data collected from Quarterly Accomplishment Report (QAR) submitted by the faculty members, the participation rate and compliance rate of the faculty in research activities were computed to measure their research productivity. Specifically, participation rate was used to determine the rate of engagement of faculty in research activities while compliance rate was utilized to identify if the faculty involvement in research was based on their required mimimum role in each research activity and their academic rank. The results show that the average participation rate of the faculty in the three research activities was below 26 percent wherein almost three-fourths (75%) of the faculty did not at all participate in any of the research activities. Among the three research activities, faculty were more engaged in research production. Accordingly, the average compliance rate of the faculty members in research in each of the research activities was no more than 20%. Specifically, faculty with ranks of Associate Professor and Professor were more involved in research activities than those with ranks of Instructor and Assistant Professor. Because of these results, the University’s interventions to enhance research productivity were crucial. These interventions include research capability programs, development of culture of research which may result in research collaborations and linkages, and policy creation considering research productivity as a factor of job promotion.
Adopting Design and Development Research (DDR) Approach in Framing the ESL Preservice Teachers’ Roles and Responsibilities to Teach Writing Skills
Authors: Mohd Amir Izuddin Mohamad Ghazali  , Zuraina Ali  , Azwin Arif Abdul Rahim
Published: November 2022

This For English as Second Language (ESL) preservice teachers (PSTs), practicum has a pivotal role in their teacher training program. Evidence suggests that practicum is among the important components of assessments for ESL PSTs. During the practicum stint, they will encounter a series of challenges which include anxiety, low teaching performance, and lack of experience and skill to teach. One of the concerns is that they do not have clear understanding of their roles and responsibilities to teach the four language skills namely speaking, listening, reading, and writing skills. In relation to the writing skills, a growing body of literature recognized that it is one of the most challenging skills to be taught to the second language (L2) students. Combining the lack of understanding on roles and responsibilities to teach and the challenging aspect of teaching writing skills, this can affect the PSTs teaching performance. Due to that, this paper proposes to adopt Design and Development Research (DDR) approach to develop a framework of ESL PSTs’ roles and responsibilities to teach writing skills. Following the DDR steps, there are three phases to be carried out which include needs analysis in the first phase, followed by the design and development of framework, and finally, the evaluation of the framework. Each phase will utilize and employ different type of participants, procedures, and analysis. Altogether, the framework is hoped to benefit the ESL PSTs’ teaching performance when conducting writing instruction during their practicum stint in schools.
Comparative study of vestibular rehabilitation vs sensorimotor training
Authors: Subha. S  , Dr.Sugasri Sureshkumar  , SHENBAGA SUNDARAM SUBRAMANIAN
Published: November 2022

Ageing is the basic process that occurs in all the systems of human body at cellular level. Falls are a major problem pertaining to the geriatric population. Falls lead to decrease in the level of independence among them. It can result in serious trauma and accounts for increase in mortality rate among the elderly. Thus falls becomes a major community health issue. Incidence of fall among elderly is 28-34%. On an average 30% of falls need medical care and 10% end up in fracture.
The Effects of stretching exercises and walking in premenstrual syndrome
Authors: Karthika. S. R  , Dr.Sugasri Sureshkumar
Published: November 2022

Introduction: Premenstrual syndrome is a collection of symptoms characterized by the onset of lower abdominal pain, back pain, breast pain, depression, anxiety with limitation in participation in daily activities of women. Different treatment approaches have been followed to treat Premenstrual syndrome, but to treat precisely few exercises have been included. Thus, the study aims to find the effectiveness of stretching exercise and walking in treating Premenstrual syndrome.Subject: 25 women who are diagnosed to have Premenstrual syndrome.Methodology: 25 women with the age group of 14-30 years, diagnosed with Premenstrual syndrome were selected, they were given stretching exercises and walking for 3 months, a week before the onset of the menstrual cycle. The premenstrual syndrome questionnaire has been given before starting the treatment and again filled out after 3 months of treatment.Results: Statistical analysis was done using paired T-test. The outcome measures were physical and mental health. The Statistical analysis showed a significant difference after the treatment of 3 months period.Conclusion: Stretching exercises and walking decreases the premenstrual symptoms and improves the physical and mental health of women.
INNOVATION IN THE COVID-19 PANDEMIC USING THE INQUIRY-BASED LEARNING APPROACH TO IMPROVE ACTIVE LEARNING, CONFIDENCE, AND CRITICAL THINKING OF NURSING STUDENTS
Authors: Simarjeet Kaur  , Dr.Kamaljeet Kaur  , Aprajita  , Rohan Verma  , Pangkaj
Published: November 2022

The use of social media has grown significantly in the last few years. Social media refers to "the websites and online tools that facilitate interactions between users by providing them opportunities to share information, opinions, and interest" (Swar and Hameed, 2017, p. 141). Adolescents have been found to be more vulnerable to addiction and crimes related to social media. Hence, the study has tried to understand the association of social media with the well being of adolescents. The first part of the paper deals with the role and relevance of social media.Further, the literature review depicts a strong connection between social media and individuals' well-being. For the quantitative analysis, various statistical techniques are used. In order to evaluate the association between variables, the composite index has been prepared. Further, the ranking has been given to reflect social media's impact on adolescents' well-being. Lastly, a few recommendations have been made for the state government regarding the well being of the adolescents.
To evaluate the outcome of varicose vein surgery with and without venous stripping
Authors: Dr. Aditya D Patel  , Dr Nitin Nangare  , Dr. Aakash Katkar
Published: November 2022

Aim: The aim of this study to evaluate the outcome of varicose vein surgery with and without venous stripping.Material and methods: This research covered 100 varicose vein operations across all surgical units. This research included all varicose vein patients between the ages of 18 and 70 who also had incompetent perforators and the saphenofemoral valve. The research excluded individuals with age extremes between 18 to 70, deep vein thrombosis, concomitant short saphenous vein varicosity, venous ulcer or other skin abnormalities, and recurring varicosity.Results: The left leg was more commonly involved than the right side. The left limb was involved in 64% and the right limb was involved in 36% of patients in group 1 and 70% and 30% in group 2. 30% of patients who had venous stripping experienced hematoma development in the thigh, compared to 6% of patients who received the Trendelenburg operation alone without venous stripping. 18% of patients had haemorrhage. Due to the tissue stress that occurs during venous stripping, there is an increased risk of hematoma development in the thigh in individuals who undergo stripping. The ineffective perforators in the legs of both groups were accessed by making a transverse incision at the preoperatively indicated spot under Doppler guidance. In the days after the operation, these wounds were checked. In each group, 6% of patients had slower wound healing. On the first post-operative day, when patients were urged to walk, 70% of those who had had stripping and 90% of those who had undergone ligation alone were able to do so comfortably. It was discovered that there was increased discomfort, tissue stress, hematoma development, and bruising in the case of venous stripping.Conclusion: There is no noticeable difference between the two processes with regards to wound healing, hospital stay, or pain treatment. It would seem that the Trendelen burg technique with incompetent perforator’s ligation without venous stripping is preferable to the Trendelenburg method with incompetent perforator’s ligation with venous stripping, based on the observed characteristics.
ANALYTICAL METHOD DEVELOPMENT AND VALIDATION FOR SIMULTANEOUS ESTIMATION OF DIPHENHYDRAMINE AND NAPROXEN IN PHARMACEUTICAL DOSAGE FORMS
Authors: Paul Richards M  , Vasanth Kumar PM  , V Kiran Kumar  , Deepak Kumar
Published: November 2022

The aim of the present work is to develop a new simple sensitive accurate and economical analytical method and validation for the Simultaneous estimation of Diphenhydramine and Naproxen in pure and pharmaceutical Tablet dosage form by using RP-HPLC and validate the developed method in accordance with ICH guidelines for the intended analytical application i.e., to apply the proposed method for analysis of the drug in its dosage form. And also to apply the developed method for the simultaneous estimation of Diphenhydramine and Naproxen in pure and pharmaceutical tablet dosage form. System (waters 2690 usa), Pump (Analytical HPLC isocratic pump, gradient pump), Detector (waters 996 diode array detector), Software (empower 2 software), Column (Kromosil (250×4.6mm, 5μ) ODS C-18 RP-column), Injector (Rheodyne injector with 20μ capacity), Electronic balance (SHIMADZU electronic balance), Sonicator (Analytical Technologies Limited- Ultrasonic cleaner). Diphenhydramine & Naproxen peaks in the chromatogram passed the system suitability criteria %RSD of peak areas of Diphenhydramine & Naproxen was not more than 2.0% for variation in mobile phase composition. The newly developed RP-HPLC method for determination of Diphenhydramine & Naproxen in tablet dosage forms is specific, precise, accurate and rapid. The proposed method can be conveniently adopted for routine quality control analysis.
Structure, Process, and Outcome Evaluation of Hospitals about Neonatal Screening Program in Karbala in 2022
Authors: Dunia Fawaz Mohammed  , Mahdi Murshd Thuwaini  , Alaa Hussein Abed
Published: November 2022

Background: The newborn screening program has been evaluated in several parts of the world, with varying outcomes (1). In terms of incidence, severity, age of onset, and diagnostic and therapeutic techniques, they vary greatly. The program screens a group of conditions that causes major metabolic abnormalities in newborns, resulting in irreversible damage and illness. There is a treatment for some of them that, if given soon after birth, can prevent such damage. Many countries have suggested, developed, and implemented population-based newborn screening for these illnesses, although at differing rates and using various criteria(2). Materials and Methods: This evaluation study was conducted between the first of September 2021 and the end of June 2022. This research was carried out in the Holy Karbala Governorate, to assess a pilot program implemented by the Governorate Directorate of Health in Karbala Children's Teaching Hospital and Al-Hindiya General Hospital. A checklist has been used to evaluate hospitals after reviewing the “National Guideline of Newborn Screening for Care Providers in Primary Health Care Centers in Iraq”. The list was built and developed by the researchers. Results: It was documented that the program worked in only one hospital, where the trained medical staff. However, there was untrained health staff available, in addition to the lack of the program’s needs for laboratory testing follow-up, food, and milk needed for the program patients. Conclusion: Although, this program could contribute to “reducing the rate of under-five mortality by two-thirds”, the necessary tools to meet these objectives were not found in the hospitals.
THE PREVALENCE OF PROBLEMATIC INTERNET USE AMONG NURSING STUDENTS: A DESCRIPTIVE SURVEY APPROACH
Authors: Vinaya Kumary.T  , Patel Mahima  , Bariya Aastha  , Bharwad Rutvik  , Prajapati Chintan
Published: November 2022

BACKGROUND OF STUDY: Life with internet has become as easy as it keeps us updated about various information. The Internet has become an integral part of student’s life. Student nurses at the beginning of their career are so enthusiastic and curious about learning new things. They prefer browsing the internet about various procedures rather than asking professors. It is not only an integral part, but also has become a vital necessity in the daily life of people, especially students. Nevertheless, its use is also posing a threat to our belief, tending to lose the inner voice: weakening us from doing things to our fullest, which lies within our potential yet escaping to do so. It has important clinical implications, because it may be a common behavioral marker of significant mental health problems that might go understood.Aim: The aim of the study was to assess the prevalence of Problematic Internet Use among nursing students and to find out the association between Problematic Internet Use with selected socio-demographic variables.METHODS: A quantitative research approach with exploratory survey design was used to collect the data among 100 students of selected college of Vadodara. They were selected by the non-probability purposive sampling technique. Structured questionnaire was used to assess the prevalence of problematic Internet use. The collected data was analyzed and interpreted using SPSS version 25.RESULTS: The prevalence of problematic internet use among nursing students revealed that majority (58%) had moderate problematic followed by 38% had mild problematic and only 4% had no problematic internet use with median score of 62 and mean knowledge score was 59.98 with standard deviation was 15.23. The association between prevalence of problematic internet use among nursing students with their selected socio-demographic variables showed that gender of nursing students was statistically significant at p<0.05 level with prevalence of problematic internet use.
Investigate the presence of plastic particles in bottled and reused water bottles for several times and medical feeder bottles
Authors: Mustafa Dheyaa Mohamed Hadeed  , Kossay Kamalaldeen Al-Ahmady
Published: November 2022

The research results revealed the presence of microplastics in bottled water exposed to the sun. The effect of direct sunlight on standard plastic bottle samples was studied and reused to estimate microplastic particles. Samples of standard plastic bottles made of water-packed polyethylene terephthalate (bottled water) were collected and compared with plastic bottle samples packed with wastewater. The number of microplastics was estimated through the sample filtration process, and then the number of particles was calculated using a microscope. The average number of microplastics measured in standard samples of bottled bottles exposed to sunlight was 180.7 microplastics/L. While the average number of particles for water-packed plastic bottles that have been reused several times and exposed under direct sunlight and the effect of the same conditions for standard samples was 326.2 microplastics/liter, and the results proved that there were obvious differences in the number of plastic particles as the research results showed that there were clear differences in the number of plastic particles between the water bottled in the standard polyethylene terephthalate bottles exposed to sunlight and the bottles reused several times. After their laboratory observation, the results of verifying the presence of plastic particles revealed the degradation of those particles in the nutrient liquid. This may be due, among other things, to the manufacture and packaging of these canals and the bottle from which they may be produced.