bluuebunny/crossref_metadata_2025 huggingface dataset:
EVALUATION OF CLINICAL AND RADIOLOGICAL OUTCOME OF INTERTROCHANTERIC FRACTURES OF FEMUR TREATED WITH PROXIMAL FEMORAL NAIL : A PROSPECTIVE STUDY
Authors: Saini Sumitra , Singh Varun , Gupta Anil , Kumar Yadav Sunil , Washim khan Mohammed , Bishnoi Deepika
Published: May 2023

Background: With purpose to evaluate the outcome of proximal femur nail procedure ,we carried out a prospective observational study in which 40 patients, underwent Proximal Femoral nailing for intertrochanteric fracture femur at Govt. R.D.B.P Jaipuria Hospital, Jaipur, Rajasthan. Materials and Methods: Patients were included as per the inclusion and exclusion criteria in the study. All patients were followed up at 4 weeks, 6 weeks, 8 weeks, 12 weeks, 16weeks and 24 weeks and later depending on the fracture healing status. X ray of the operated hip with femur –anteroposterior and lateral views were taken during follow up. Kyle's criteria and Harris hip score was measured at 6 months follow up. Results:The Kyle's criteria was Excellent in 22 patients (55%), Good in 13 patients (32.5%), Fair in 4 patients (10%) and poor in 1 patient (2.5%) Conclusion: proximal femoral nail (PFN) is a good minimally invasive implant for stable and unstable proximal femoral fractures. It's particularly benecial in elderly and osteoporotic population. Adequate fracture reduction is critical in management of the intertrochanteric fractures. Achieving good anatomical reduction and maintaining the tip apex distance less than 25mm will avoid the implant related complications
HISTOPATHOLOGICAL SPECTRUM OF CNS TUMOURS IN A TERTIARY CARE CENTRE
Authors: Barman Bandana , Sharma Adity
Published: May 2023

Background: CNS tumours are one of the most dreaded types of cancers. They constitute a total of 2% of all tumours. These tumours show a high rate of mortality and morbidity. This study was carried out in the Department Materials And Methodology: of Pathology, AMCH from January 2021 to January 2022. A total of 22 Neurosurgical biopsies were received, which were processed and stained with H&E stain. The histopathological spectrum of the CNS tumours was observed and studied according to WHO classications. Out of the 22 cases, 14 were meningioma, 2 Results: were Glioblastoma, 1 was Choroid Plexus Papilloma, 1 was Oligodendroglioma, 1 was Ependymoma and 2 were astrocytoma and 1 was Medulloblastoma. The information obtained from the study is useful in determining t Conclusion: he disease burden. Despite the use of modern imaging techniques that helps in provisional diagnosis, histopathological diagnosis is the gold standard in the diagnosis of the varied types
OUTCOME OF PATHOLOGICAL FRACTURES OF PAEDIATRIC FEMUR FOLLOWING CHRONIC OSTEOMYELITIS TREATED WITH ILIZAROV METHOD
Authors: Prakash Baruah Jishnu , Kar Ujjal , Gogoi Abhinab
Published: May 2023

Background: Pathological fracture of the paediatric femur after chronic osteomyelitis presents a challenging situation. It is complicated by the need for radical debridement, often leaving a wide bone gap and instability that is difcult to be managed by the traditional methods. The Ilizarov method due to its versatility is a potential treatment option for this condition. 19 children with pathological femur Materials and methods: fractures following chronic Osteomyelitis were treated with Ilizarov methods. 3 children were excluded, and the nal outcome was measured in 16 children. The mean age of the patients was 6.76±1.93 years, with 12 males (63.15%) and 7 females (36.84%). The Beit cure classication of childhood chronic osteomyelitis was used. The mean follow up after ring removal was 26.06±5.07 months. NEER's criteria was used to assess the radiological and functional outcomes. With a mean union time of 10.94±3.93 weeks, 100% union Results: was achieved in all of the 16 cases. The mean external xator period was 14.25±4.94 weeks. The infection was fully eradicated in all of the cases, except 1 (6.25%) child diagnosed with tubercular osteomyelitis is still having the active infection. According to NEER's functional and anatomical grading, excellent results were found in 6 (37.5%) cases, satisfactory in 8 (50%), and unsatisfactory in 2 (12.5%) cases. Pin tract infection was found in 10 (62.5%) children, axial deformity after ring removal in one (6.25%), and knee stiffness in 2(12.5%) children. In children w Conclusion: ith pathological femur fractures caused by chronic osteomyelitis, the Ilizarov method can be a viable treatment option. It helps to eradicate infection, promotes fracture healing, and produces satisfactory to excellent results.
HISTOMORPHOLOGY AND CLINICOPATHOLOGICAL STUDY OF OVARIAN NEOPLASM IN TERTIARY CARE HOSPITAL.
Authors: Parsana Riddhi , Pokar Reeti
Published: May 2023

Background: Ovarian tumor is third leading cause of mortality in female. The spectrum of ovarian neoplasm has wild variety of lesions including benign and malignant tumors. Aims & Objective: To study histomorphology of various ovarian neoplasms. Material and Method: This is a retrospective study of 105 cases of ovarian neoplasm done at tertiary care hospital between February 2022 to January 2023. Result:Total 105 cases were included in this study in which majority of cases was benign (80 cases) followed by malignant (22 cases) and borderline tumors (3 cases). Most common clinical presentation was pain in abdomen and age ranged between 21 to78 year. Consistency of benign tumor was cystic (84.7%) and solid in malignant tumors (90.5% ) in majority of cases. Among the cystic lesions most common retrieved uid was serous followed by mucinous and pulteceous. In histological variants, surface epithelial tumors seen in 81 cases, germ cell tumors seen in 20 cases, Sex-Cord stromal tumors seen in 3 cases and metastatic tumor seen in 01 case. Conclusion: Both neoplastic and non-neoplastic ovarian lesions generally present with similar clinical and radiological features. So, histopathological diagnosis is essential to differentiate various ovarian lesions and prediction of prognosis
AGE WISE SPECTRUM OF HISTOMORPHOLOGICAL INTERPRETATION OF STOMACH LESIONS WITH ENDOSCOPIC CORRELATION IN A TERTIARY CARE HOSPITAL IN ASSAM FOR A PERIOD OF 1 YEAR
Authors: Mohan Bhargav , Duara Luckymoni , Konwar Uttam
Published: May 2023

The burden of Gastrointestinal tract lesions is high in every medical or surgical OPD. Endoscopic biopsy of GI tract is the most useful investigation performed in hospital for a variety of benign and malignant lesions. While Histopathology is the gold standard for diagnosing the endoscopically detected lesions. A total of 60 endoscopic biopsies were studied prospectivel Methods: y from 1st June 2021 to 31st May 2022 in department of Pathology, Assam Medical College. Out of 60 cases, most of the cases a Results: re adult population (15-59 yrs.) (86.67%). There is male predominance in our study with male :female ratio of 1.72:1.Among the adult population, the most common age group belong to 3rd decade 18(30%). The most common diagnosis on Histopathology observed were Chronic Gastritis 39 (65%) mostly seen below 60 years, while among geriatric population (>60 years) maximum were Adenocarcinoma 3 (5%). Endoscopic examinat Conclusion: ion and biopsy is a convenient procedure and is insufcient for accurate objective assessment and management of gastrointestinal tract disease.
CHANGING TRENDS OF PATIENTS' PROFILE ATTENDING TO TERTIARY HOSPITAL FOR MENTAL CARE - A CASE REGISTRY BASED STUDY.
Authors: A Nandini , Rufus Ephraim Y. , Reddy P Lokeswara
Published: May 2023

Background: Mental disorders constitute a major health problem and contribute to 13% of global burden of disease, measured as disability adjusted life years. Mental disorder ranging anxiety, mood disorders to psychotic illness like schizophrenia. Aims: To study the clinical and sociodemographic proles of patients attending the tertiary care mental hospital during 2011 and 2021, and to observe the changing trends of patients' prole over the decade. Methods:This was a descriptive, cross sectional study. All case records of patients attending hospital during 2011 and 2021 were collected manually, analysis of the data was done by using SPSS software. Results:Atotal of 5496 and 5976 patients were collected from 2011 and 2021 respectively. Sample consist of equal male and female patients and also include children below 18years of age. Majority of patients belonged to rural, Hindu, married, self-employed. In year 2011, most of the patients were mentally retarded visited to hospital for disability certicate. In year 2021, all types of mental illness are reported. Conclusion: The study showed change in the trend of clinical prole of patients attending tertiary mental care hospital. Better results would have obtained if all the case proles were collected without any missed data and if a prospective follow-up study had done.
A STUDY ON TRANS URETHRAL RESECTION OF PROSTATE FOR SYMPTOMATIC BPH PRESENTING IN A TERTIARY CARE HOSPITAL
Authors: Kant Kumar Surya , Mehta Vikram , Sarwar Md Faizan
Published: May 2023

Introduction: Benign prostatic hyperplasia (BPH) is a common chronic progressive disease resulting in urinary obstruction in aging men. It is a pathologic process that consists of androgen-dependent increases in the number of epithelial and stromal cells in the periurethral area of the prostate. BPH contributes to, but is not the sole cause of, lower urinary tract symptoms in aging men. Many patients require surgical treatment and presently TURP (Trans Urethral Resection of Prostate) is considered the gold standard in surgical management of BPH. Aim: To observe and assess the outcome of TURP being done in Narayan Medical College and Hospital Sasaram, Bihar. Materials and Methods: The records of patients who presented to the surgical OPD with LUTS and were assessed to undergo TURP for prostatic hyperplasia. We present our experience with series of 47 patients and can say that TURP can be used for most patients presenting with BPH in peripheral areas. Result: In the study period 47 TURP procedures were performed for BPH. The mean age of the cohort was 67.9 years;( ranging from 56 to 84 years). The mean prostatic volume was 44.06 grams (range 32 to 76 grams) and mean operating time was 48 minutes (range 29 to 85 minutes). Blood transfusion was required in 3 patients (6.3%). No patients required open intervention and there were no mortalities. The common complications were bleeding (12%), UTI and clot retention. Conclusions: TURPis not available to majority of rural population having symptomatic benign prostatic hyperplasia (BPH) due to lack of facility but remains the treatment of choice provided trained surgeons and facilities are there. The overall cost of TURP is marginally higher for an average rural patient as compared to open surgery but is worthwhile in view of its inherent minimal trauma, short hospital stays and early recovery and huge cost advantage over newer therapies like HoLEPor PVP
AN OBSERVATIONAL STUDY TO ASSESS THE CLINICAL PROFILE AND OUTCOMES OF DIABETIC FOOT ULCER AT A TERTIARY CARE HOSPITAL IN JAIPUR
Authors: D S Shreyas , Chandra Sharma Dinesh , Mandia Rajendra
Published: May 2023

Background: Diabetes mellitus (DM) is one of the main problems in health systems and a global public health threat that has increased dramatically over the past 2 decades [2, 3]. According to epidemiological studies, the number of patients with DM is estimated to be more than 360 million people by 2030 [4, 5]. DFU is considered as a major source of morbidity and a leading cause of hospitalization in patients with diabetes. In view of this, the present study was undertaken to address the demographics, clinical prole, and outcomes of diabetic foot ulcer at a tertiary care hospital in Jaipur. A hospital based prospective observational study The mea Methods: Observations: n age of the study participants was found to be 56.33 + 12.637. 61.8% of the study participants were found to have pure neuropathic type of ulcer with 24.3% having neuro-ischemic type of ulcer. 13.9% of the study participants had pure ischemic type of ulcer. 37.5% of the study participants underwent wound debridement. 3.5% of the study participants underwent SSG,59% of the study participants underwent amputations. The mean HbA1c of the study participants was found to be 8.951 + 1.6008. The mean duration of stay at hospital of the study participants was found to be 5.73 + 2.025. Mortality of the study population was 3.5%. Majority of the patients underwent multiple toe amputations, there w Conclusion: as a signicant statistical association between the Wagner's grade and the mode of intervention performed, . Adequate glycaemic control, periodic screening for diabetic foot neuropathy, preventive foot care and education programs should be made available, particularly in primary and secondary health care settings to tackle the DFU disease which is a contributor to signicant morbidity among diabetics
SEROPOSITIVITY OF HEPATITIS C VIRUS INFECTION AMONG BLOOD DONORS AT A TERTIARY CARE CENTER IN WESTERN RAJASTHAN
Authors: Chand Meena Trilok , L Mahawar N , Bharti Arun , Joshi Ishan
Published: May 2023

Background & Objectives: The HCV epidemic is one of the largest public health crises of the 21st century, which has evolved from a mysterious illness to a global pandemic in less than 20 years. The purpose of this study is to estimate the seropositivity of HCVinfection among blood donors at our blood centre in Western Rajasthan. Methods: ARetrospective study of all donations from January 2022 to November 2022 was conducted for the seropositivity of HCV among the blood donors. A total of 41167 donations were analyzed for seropositivity, data were collected in Excel data sheet and analyzed using statistical calculations by IBM SPSS statistical software platform version 26. Seropositivity rate was calculated, chi square test was applied to test the signicance. Results: Out of the total 41167 donors tested for HCV infection, 91(0.22%) were found to be HCV seropositive. Conclusion: Strict blood donor screening, encouraging people to donate blood freely at regular intervals and widespread Hepatitis C immunization are always to reduce the occurrence of transfusion-transmitted infections. Although it will be challenging, we can still achieve our goal of having all blood donations in India.
A SILENT CASE OF SICKLE CELL DISEASE: A SERENDIPITOUS DISCOVERY
Authors: Sen Susruta , Pathak Indrani , Kumar Shit Soumok , Pal Debnath , Choudhuri Sharmistha
Published: May 2023

We present here a 4-year-old male child who came to hematology out-patient department for follow up for anemia which had required blood transfusion one and half year back. On clinical examination child was found to neither have pallor nor icterus. Blood was sent for complete hemogram. The hemogram showed a total hemoglobin of 8.4 gm%. Other RBC indices and WBC and platelet counts were within normal expectations. The reticulocyte count however was raised to 11%. Based on such a hemogram, on a high index of suspicion of a chronic hemolytic condition, despite clinical absence of any hemolytic features, a hemoglobin HPLC was performed in the Biochemistry laboratory. The HPLC revealed a percentage of HbS compatible with a HBS homozygous state. Based on this nding, the routine hemograms of both the parents were performed. These were found to be within normal limits. However, HPLC analyses for hemoglobin variants revealed HbS percentages compatible with HbS carrier i.e., heterozygous states. We thus provisionally concluded that this child was a case of Sickle cell homozygous, but atypical as because there was no history or clinical evidence of sickle cell disease symptomatology.
SOMATO-SENSORY EVOKED POTENTIAL AS A PROGNOSTIC MARKER IN CERVICAL SPONDYLOTIC MYELOPATHY.
Authors: Bhosle Sunil , Ariwala Dipen , Surushe Amit , Seshadri Harini
Published: May 2023

Objective: Methods: To study the use SSEP for predicting surgical outcome of cervical myelopathy.Goals of the study. Cervical spondylosis is a
common cause of cervical myelopathy in patients over the age of 50, and its incidence increases with age. Clinical signs and radiological ndings
aid in the diagnosis of cervical spondylotic myelopathy. In some cases where clinical presentations are unclear, neurophysiological investigations
such as somatosensory-evoked potentials (SSEPs) may be useful for establishing a clinical diagnosis. However, the prognostic value of these
investigations is not well-established Single center, retrospective study wherein forty nine patients (mean age of participants was 39.63 years with
standard deviation ± 5.75) who had cervical spine surgery for cervical spondylotic myelopathy with documented preoperative time required for
somatosensory-evoked potentials (SSEP) were followed for 12 weeks postoperatively. We evaluated the N17 time, P19 time for right and left
median nerve and P47 time of right and left tibial nerve and compared it with the MJOA score recovery rate for each period. Methods used to
achieve the study goals. It was found that improvement in the SSEP during the e Result: arly decompression period and a good surgical outcome at
12 weeks postoperatively was signicant statistically. Somatosensory e Conclusion: voked potential of median nerve is useful in determining the
functional abnormality of the spinal cord. Results/ndings of the study. Conclusions dra Results: Conclusions: wn from the work. Abstracts for
reviews, technical notes, and historical vignettes do not need to be separated into sections. They should begin with a clear statement of the paper's
purpose followed by appropriate details that support the authors' conclusion(s).
A STUDY OF FUNGAL ETIOLOGY OF CHRONIC SUPPURATIVE OTITIS MEDIA IN TERTIARY CARE HOSPITAL, BARABANKI, U.P.
Authors: Kawatra Rahul , Pandey Shivendra , Agarwal Anjali , Tholia Jagriti
Published: May 2023

Aim: Methods: The present study was aimed to speculate the etiological fungal ora responsible for the cases of CSOM among patients. A total of
400 patients clinically diagnosed with CSOM were interviewed &middle-ear effusion samples were collected using sterile swabs. All fungal
isolates were identied by conventional mycobiology methods- KOH mount and Sabouraud’s dextrose agar. 61 were fungal positive Results:
and 339 fungal negative. The frequency of occurrence of fungal infections in CSOM in our study was 15.25%. The 339 fungal negative where
having bacterial culture positive 254 (63.5%). A denite search for fungal etiology is de Conclusion: sirable in all cases of CSOM. Prolonged use of
topical antibiotics or antibiotics-steroids ear drops may cause suppression of bacterial ora and the subsequent emergence of fungal ora. This
probably increases the incidence of fungal superinfection. Otologists should suspect mycotic otitis media in patients with continuous otorrhea and
who do not respond to the antibacterial treatment
TO KNOW THE ASSOCIATION OF PLATELET ACTIVITY ON GLYCEMIC STATUS AND VASCULAR COMPLICATIONS IN DIABETES MELLITUS
Authors: Rasheeda Rasheeda , Patil Renuka , Upadhyaya Krishnaraj
Published: May 2023

Background: Diabetes mellitus is a global pandemic disease. Hyperglycemia contributes to greater platelet reactivity through direct effects and by promoting glycation of proteins. Mean platelet volume(MPV) and Mean platelet count(MPC) is an indicator of average size and activity of the platelets and is high in diabetes mellitus. Objectives: 1) To nd the association between MPC and MPVwith HBA1C in diabetic patients. 2) To nd the association of MPC and MPV with vascular complications in diabetic patients. Methodology: A retrospective study conducted in the Department of Pathology from January 2021 to June 2021. Data was collected from backbone stored in digital form. Sample size : 92 diabetic patients and are divided into 2 groups. 1) Group 1: HbA1c <7. 2) Group 2: HbA1C ≥7. Platelet count, MPV, HbA1c values and vascular complications were analyzed. Results: Out of 92 diabetic patients 74 had vascular complications. MPC in group 1 and group 2 was found to be 231.727 and 312.346 respectively with signicant p value of 0.036 and mean difference of -80.6184. MPV in group 1 and group 2 was found to be 10.200 and 9.999 respectively which showed no signicant correlation with p value of 0.528 and mean difference of 0.2012. The MPC and MPV in diabetic patients with complications were 332.056 and 10.239 respectively showing no signicant correlation. Conclusion: MPC and MPV were found to be raised in group 2. MPC between the 2 groups showed statiscally signicant difference. However MPV does not show any signicance between the two groups. Though there was no signicant difference between Platelet count and vascular complication, MPVwas higher in patients with complications. Diabetic patients suffer mostly from vascular complications, therefore platelet count and HbA1c can be a useful prognostic marker of vascular complications in diabetics.
DIAGNOSTIC UTILITY OF BREAST FNAC IN THE EVALUATION OF PALPABLE MASSES - A TERTIARY CENTRE STUDY
Authors: S. Sai Sri Ram Rao K. , Amel Ivan Erli , Kumar R Madhu , V Saikumar G , P Sirisha
Published: May 2023

Background: The purpose of the study was to evaluate the cytological features of palpable breast masses and to advocate the utility of breast FNAC . Material And Methods: Aretrospective study of one and a half years duration was conducted in the Department of Pathology of a tertiary care hospital which included 110 patients with palpable breast masses. Histopathological correlation in 110 cases was obtained and diagnostic efcacy calculated by sensitivity, specicity, poisitive predictive value (PPV) and negative predictive values (NPV). Results: Cytological diagnosis was rendered in 110 patients with age group ranging from 15 to 68 years. Breast lesions commonly presented in upper inner quadrant (48%) of both breasts. Aspirates were diagnosed as non-neoplastic in 15 lesions (13.6%) and neoplastic in 95 lesions (86.36%) [benign 65.45%, and malignant 20.9%]. There were two false positives and one false negative, with 96.83% specicity, 97.87% sensitivity, PPV 95.83%, NPV 98.39%, and diagnostic efcacy of 97.27% for the palpable breast lesions respectively. Conclusion: FNAC is a rapid and economical procedure with high accuracy for cytological diagnoses of breast masses and helps the surgeon to plan for further treatment.
A COMPARATIVE STUDY OF CONVENTIONAL INCISION AND DRAINAGE VERSUS INCISION AND DRAINAGE WITH PRIMARY CLOSURE OF THE WOUND IN ACUTE ABSCESS
Authors: Durga Prasad N. , Yaswanth Gavara , Madhav Jatavallabhula
Published: May 2023

Acute soft tissue abscesses are common conditions in our environment. For the treatment of skin and soft tissue abscesses, options include repeated aspiration, incision and drainage, incision and drainage with primary closure and conservatively treated by giving antibiotics. The established principle of surgical management of abscesses has been incision and free drainage; this permits healing by secondary intention or treatment by secondary closure. This modality of treatment has been challenged with the introduction of antibiotics. Ellis taught that the abscess wall prevented access of blood-borne antibiotics to the abscess cavity and that if this wall was curetted away the cavity could ll with antibiotic-laden blood clot, permitting safe primary closure. The primary closure technique is supported by many surgeons who showed its effectiveness in the treatment of breast, anorectal, axillary abscesses. Advantages of primary closure technique include faster healing rate, less hospital stay and early return to work, no greater recurrence than the conventional method, better scar formation and reduced cost of labour and material. It may be recommended as an alternative treatment that is superior to the orthodox technique
FACTORS ASSOCIATED WITH BODY IMAGE PERCEPTION AMONG LATE ADOLESCENT FEMALE STUDENTS IN A SOUTHERN COASTAL DISTRICT OF ANDHRA PRADESH - A CROSS-SECTIONAL STUDY.
Authors: Smyrna Joy Tsapa , Paruvu Kranthi , Madhavi Bhimarasetty Devi
Published: May 2023

Body image perception is the way a person feels about his/her body and it is ever-changing, and inuenced by various factors. Adolescent girls try to lose or gain weight to attain the "ideal body". Body image perception is still naive, and this research is taken up to understand these unexplored areas. Materials and Methods: A cross sectional study was done among female students of degree college in Kakinada District during December 2022. Informed consent and ethical approval was taken. 100 Students were selected by simple random sampling and a semi-structured questionnaire was used to collect data on various factors associated with body image dissatisfaction. Body mass index (BMI) of the participants was calculated. Results: The mean (Standard deviation) age of students was 18.6 ± 2.02. As per WHO BMI criteria for adolescents (18-19 yrs), 21% of girls were thin. Majority (71%) of students perceived their body image as normal. Approximately 35% of the students had wrong perceptions regarding their body image. Body image dissatisfaction was there among 36% of the girls. It was found that factors such as higher BMI, Internalization of thin body image ideals, media inuence, appearance related pressures from peers, family were all signicantly associated with body image dissatisfaction. Conclusions: This study establishes the fact that body image dissatisfaction affects adolescent girls to a great extent. Holistic strategies are needed for promoting the acceptance of the real body image.
ASSESSMENT OF EFFICACY OF PRE-OPERATIVE TRANSDERMAL FENTANYL PATCH IN POST -OPERATIVE ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES UNDER GENERALANAESTHESIA – A PROSPECTIVE RANDOMISED CONTROLLED STUDY
Authors: Prasath D Arun , Kamal Rohith , Amutha Selvaraju Vaishali , N Girimurugan , Ramakrishnan Lakshmi
Published: May 2023

Abdominal surgeries done under general anaesthesia is associated with severe pain in the post-operative period. There are many drugs that can be administered to alleviate post-operative pain. Opioids are an essential to the mitigation of visceral pain associated with abdominal surgeries. Apart from needles and epidural catheters which are invasive, transdermal drug delivery systems are novel, non-invasive, and is associated with increased patient comfort. Among drugs that can be delivered by transdermal route fentanyl is an effective opioid analgesic that has a high potency and high lipid solubility making it suitable for transdermal delivery1. This study attempts at the evaluation of the analgesic efcacy of fentanyl patch applied pre-operatively in alleviation of post-operative pain in patients undergoing abdominal surgeries under general anaesthesia
DIFFICULTIES AND COMPLICATIONS IN LAPAROSCOPIC CHOLECYSTECTOMY IN OBESE AND NON-OBESE PATIENTS: A COMPARATIVE STUDY
Authors: Dagar Abhishek , Singh Goel Kanwar , Hurria Naman , Goel Nikhil , Sachdeva Kanika
Published: May 2023

Introduction: Obesity is currently a worldwide lifestyle disease and is considered one of the contributing factors to cholelithiasis. For patients having symptoms of gallstone disease, in the case of acute or chronic cholecystitis and for obese people, laparoscopic cholecystectomy is considered as gold standard management. Reasons for higher conversion rate in the obese population undergoing laparoscopic cholecystectomy include difculty in cannula insertion, obscured anatomy of Calot's triangle because of excessive intraperitoneal fat, inadequate space to retract the liver, and difculty with instrument handling in an excessively thick abdominal wall. Methodology: This prospective observational study was conducted on fty patients (25 patients in each group) with prior written and informed consent. Patients aged above 18 years presenting with cholelithiasis were included in this study, over a period of 18 months. Laparoscopic cholecystectomy was done in all patients by an experienced laparoscopic surgeon. Patients were allocated into two groups based on BMI (body mass index) which was calculated using the Quetelet Index. Difculties and complications were compared between two groups in intraoperative and postoperative period. Results: Intraoperatively, obese patients were more likely to have impacted stones in hartmann's pouch (36% vs 20%, p<0.007), when compared to non-obese patients. There is a signicant difference in difculty in creating pneumoperitoneum between non-obese vs obese patients (0% vs 8%; p<0.049). Acomparison of the rest of the intraoperative and postoperative ndings was insignicant between the two groups. Postoperatively, none of the ndings were signicant between the two groups in terms of postoperative stay, average pain score, and surgical site infection. Conclusion: This study has shown that laparoscopic cholecystectomy can be performed safely in the obese patients and with favourable outcomes as seen in those patients with a normal body-mass index.
EFFECTIVENESS OF ONE MINUTE PRECEPTOR MODELAND SNAPPS MODELAS CLINICAL TOOLS FOR POSTGRADUATE TEACHING - A COMPARATIVE STUDY
Authors: Gopinath Dhwani , Narayan Ram
Published: May 2023

Introduction: One minute preceptor (OMP) and SNAPPS are two newer assessment methods that also can be used as teaching learning methods to impart better clinical reasoning and critical thinking among residents. Here in this study an attempt was made to compare them with one another and collect the student's perception towards these two methods. Methods: The study was conducted in thirty eight postgraduate students. After the introduction class each student was made to discuss eight simulated cases each in OMP and SNAPPS formats from different areas of clinical medicine over the period of seven months. These encounters were assessed with various predetermined parameters to compare performance of students in OMPand SNAPPS formats. Following the last encounter feedbacks were collected from all students in a Likert's scale format regarding their perception towards both the methods and that was also analyzed in detail. Results: Students could present cases more easily and could bring up uncertainties and learning points about the cases. Students could come up with signicantly more differential diagnoses with justications, narrate more realistic and appropriate management plans with the SNAPPS method compared to OMP. The participating students rated both OMP and SNAPPS as very helpful methods for teaching and learning with the latter method considered better of two. Conclusion: Both OMP and SNAPPS methods had shown to improve critical thinking and clinical reasoning of a postgraduate along with boosting their condence levels and making case presentations easier. SNAPPS was found to be a better clinical tool than OMP.
CORRELATION OF PRE OPERATIVE AND INTRA OPERATIVE FINDINGS IN GALL STONE DISEASE
Authors: J Kumar Selwyn , Ajin Manovah J. , Ajin Daniel P. , Rajarajan T.
Published: May 2023

Background: Gallstone disease (GD) is a chronic recurrent hepatobiliary disease, the basis for which is the impaired metabolism of cholesterol, bilirubin and bile acids which is characterized by the formation of gallstones in the hepatic bile duct, common bile duct or gallbladder. GD is one of the most prevalent gastrointestinal diseases with a substantial burden to health care systems. GD can result in serious outcomes such as acute gallstone pancreatitis and gallbladder cancer. The epidemiology, correlation with USG ndings and anatomical variants encountered during cholecystectomy are discussed in this study. To compare preoperative and intraope Aims and objectives: rative ndings of gall stone disease in patients who underwent cholecystectomy. 104 patients who underwent cholecystect Materials and methods: omy in Kanyakumari Government Medical College from January 2019 to December 2022. Majority of the patients were Results: in age group between 19 to 78 years of age with a mean age of 42.5. Female predominance was reported in our study comprising 65% of total study participants. The study identied a sensitivity of 0.84 and a specicity of 1 for ultrasound in the identication of gallstones.10 % of the study population had different anatomical variants which were encountered during cholecystectomy. <4% of study population was intraoperatively converted from laparoscopic to open cholecystectomy. 78% of stones are pigment stones based on dry weight analysis. Reproductive Age and fe Summary: male sex are profoundly associated with the incidence of gallstone disease. This study suggests that despite an evolution in the resolution of ultrasound imaging, there has not been a corresponding improvement in sensitivity. Knowledge of Variation in cystic duct anatomy is important to avoid inadvertent injury to the biliary tree during Cholecystectomy. The study population have a predominance of pigment stones based on dry weight analysis
Health Education on Mother’s Baby Massage Skill
Authors: Silitonga Intan Renata , Rahayu Sarah Sri
Published: May 2023

Baby massage has a lot of health benefits for infants and mothers, but the lack of mothers’ skills makes them not doing baby massage. This study aimed to know the effect of health education on the mother’s baby's massage skills. The method was quasi-experimental design, a one-group pre-test-post test, purposive sampling, and the total sample was 53 subjects. The study was located in Cihanjuang Rahayu Village Parongpong District in July 2021. Inclusion criteria were a mother with a baby aged 3-12 months old that stayed at Cihanjuang Rahayu Village area, with a healthy baby, and a term birth history. Exclusion criteria were the mother that refused to join the study and the mother absent during the study. The result was an increment of skill average after health education that was 82,98%, with a p-value=0,000 using paired sample t-test. The conclusion of this study is that there were significant effects of health education on the increment of mothers’ baby massage skills.
Penyesuaian Diri Remaja Awal yang Tinggal di Pondok Pesantren
Authors: Fauzia Wilatus , Devina Rahmadiani Nixie
Published: May 2023

Abstrak. Penyesuaian diri merupakan proses yang dialami seseorang yang berhubungan dengan tuntutan lingkungan terhadap sikap, prilaku dnan emosi individu dengan keyakinan bahwa diri mampu, remaja akan terdorong untuk memanfaatkan kemampuannyadan mampu mengembangkan diri dilingkungannya. Babby Hasmayni, 2014(dalam Ghifani, 2004),

Penelitian ini bertujuan untuk mengetahui bagaimana penyesuaian diri remaja yang tinggal di pondok pesantren An Nur 1 Putri Bululawang-Malang, disamping itu juga penelitian ini bertujuan untuk mengetahui Faktor-faktor yang mempengaruhi proses perilaku penyesuaian diri remaja yang tinggal di pondok pesantren. Penelitian ini berfokus kepada bagaimana penyesuaian diri remaja yang baru menempuh pendidikan di pondok pesantren An Nur 1 Putri Bululawang-Malang yang sebelumnya menempuh pendidikan di sekolah umum biasa dimana terdapat perbedaan yang signifikan diantara karakteristik, kondisi dan lingkungan.

5 faktor penyesuaian diri yang dikemukakan oleh Schneiders (1964), yaitu kondisi fisik, kepribadian, edukasi atau pendidikan, lingkungan, agama dan budaya. Peneliti melakukan penelitian di Pondok Pesantren An Nur 1 Putri Bululawang-Malang, untuk mengetahui penyesuaian diri remaja yang tinggal di Pondok Pesantren An Nur 1 Putri Bululwang-Malang. Teknik pengumpulan data dilakukan dengan cara wawancara. Alat pengumpul data yang digunakan adalah alat perekam digital. Analisis data wawancara digunakan dengan teknik non propablying sampling. Berdasarkan beberapa faktor tersebut membuat ketiga subjek memiliki perbedaan dalam menyesuaikan diri di pondok pesantren, terdapat faktor internal dan faktor eksternal yaitu, subjek memiliki kepribadian yang dimana selalu mengikuti apapun yang terjadi dalam kehidupannya ingin melakukan apa dan menjadi apa subjek tipe kepribadian yang sangat tidak suka di atur akan tetapi ia selalu menyelesaikan masalahnya sendiri dan bergaul dengan baik. Sedangkan subjek yang memiliki kepribadian yang dimana subjek telah mampu mandiri dan menempatkan diri pada segala situasi.

 

Kata kunci : Penyesuaian diri, Remaja, Pondok pesantren
Perbedaan Motivasi Belajar Peserta Didik Laki-Laki Dan Perempuan
Authors: Fanani Achmad Risqi Fanani , Zuhroh Luthfiatuz
Published: May 2023

Para pengajar SLTP berpendapat prestasi belajar peserta didik perempuan lebih tinggi dibanding peserta didik laki-laki dikarenakan motivasi belajar para siswi lebih tinggi dari pada siswa. namun apakah benar demikian bahwa motivasi belajar peserta didik perempuan lebih tinggi dibanding peserta didik laki-laki. Penelitian ini bermaksud guna mengetahui tingkat perbedaan motivasi belajar peserta didik ditinjau berdasarkan gender. Menggunakan metode penelitian komparatif, uji Mann Whitney, distribusi tingkat kecendurungan dan kelas interval untuk melakukan perbandingan, manakah variabel yang labih tinggi dan lebih rendah. Pada akhirnya diperoleh sebuah konklusi tak ada perbedaan yang signifikan pada hasil penelitian motivasi belajar. Perbandingan rata-rata nilai yang didapat oleh murid laki-laki ataupun murid perempuan juga menunjukkan bahwa siswa lebih unggul hanya selisih 1 frekuensi saja. Kebanyakan tingkat motivasi belajar peserta didik berada ditingkatan menengah.
ENVIRONMENTAL MONITORING WITH MACHINE LEARNING
Authors: Shalu  , Gurjeet Singh
Published: May 2023

The term environmental monitoring refers to the practice of keeping tabs on and assessing the state of both natural and built environments. The purpose of environmental monitoring is to gather information that may be utilized to spot patterns, hazards, and improvement avenues. Because they can analyse enormous volumes of data and identify complicated patterns that may not be clearly detectable using conventional methods, machine learning techniques may be particularly successful for environmental monitoring. The lack of a reliable method to gather complete data, and the overall lack of data openness, is the main problem with the status quo. These environmental data are often collected in siloed units, requiring time and money from environmental protection agencies before they can be made public. In this study, we will look at how machine learning may be put to use in environmental surveillance. Two recent cases will be discussed briefly within the framework of our paper before we wrap things up.
PASTORAL KONSELING SEBAGAI SOLUSI MENGATASI DEPRESI
Authors: Eduardus Only Putra  , Kornelis Federiko  , Wilfridus Tali Talan  , Sabinus Dua Huar  , Debi Angelina Br Barus  , Marhisar Simatupang
Published: May 2023

Penelitian ini bertujuan untuk menggali literatur terkait pastoral konseling sebagai solusi mengatasi depresi. Pada penelitian ini metode penelitian yang digunakan adalah studi literatur, dimana bahan bacaan seperti buku, artikel jurnal menjadi kunci pada penelitian ini. Hasil penelitian ini menunjukkan bahwa pastoral konseling yang dijalankan dengan bertumpu pada empat fungsi pastoral seperti healing, sustaining, guiding dan reconciling tentu dapat membantu penderita depresi keluar dari persoalan atau masalah yang membuat ia tertekan dan depresi. Konselor dengan jabatan sebagai seorang pastor juga dapat membantu penyembuhan penderita depresi itu dengan cara mendoakannya. Lebih dari semua, hal utama yang harus diperhatikan agar pastoral konseling itu bisa berhasil adalah baik konselor maupun konseli harus menghargai prinsip-prinsip pokok dalam konseling.

This study aims to explore the literature related to pastoral counseling as a solution to overcome depression. In this study the research method used was literature study, where reading materials such as books, journal articles were the key to this study. The results of this study indicate that pastoral counseling which is carried out by relying on the four pastoral functions such as healing, sustaining, guiding and reconciling can certainly help people with depression get out of problems or problems that make them depressed and depressed. Counselors with the position of a priest can also help cure depression sufferers by praying for them. More than all, the main thing that must be considered for pastoral counseling to be successful is that both the counselor and the counselee must respect the basic principles of counseling.
Catalogue of specimens of genus Bazzania Gray (Lepidoziaceae, Jungermanniales) deposited in the State Museum of Natural History NASU, Lviv, Ukraine
Authors: Savytska Anastasia
Published: May 2023

The genus Bazzania іs the largest worldwide genus in the family Lepidoziaceae (Marchantiophyta) (Gradstein, 2017). Genus can be differentiated by a number of features such as dichotomously branched plants, long flagelliform branch arising from underleaves, 2–3-toothed leaf apex, ventralleaves arelarge,lateral leaves arranged incubous. Some of the morphological characters can be variable depending on the environment factors such as light intensity and humidity (Gradstein, 2017; Нипорко, 2004). In The Second checklist of Bryobionta of Ukraine (Boiko, 2014) genus represented by two species: B. trilobata (L.) Gray, B. tricrenata (Wahlenb.) Lindb. Mentioned from: zone of deciduous forests (nemoral zone) and Carpathian mountain region (Ivano-Frankivska, Chernivetska, Zakarpatska, Lvivska State Provinces). In the collection of the State Museum of Natural History, National Academy of Sciences of Ukraine (SMNH) are stored 61 specimens of 6 species collected in western part of Ukraine and Russia. The illustrated catalog of this species (B. trilobata (L.) Gray, B. tricrenata (Wahlenb.) Lindb, B. denudata (Lindenb. & Gottsche) Trevis., B. ovifolia (Stephani) S. Hatt., B.tridens (Reinw., Blume & Nees) Trevis., B. yoshinagana (Steph.) Yasuda) is presented below. Species redefinition was not carried out. Sample labels present in the original form. The name of the species of B. albicans Stephani is indicated as B. tridens (Reinw., Blume & Nees) Trevis. according to the accepted nomenclature (Нипорко, 2004). The findings are collected by the following collectors K.O. Ulychna, D.K. Zerov, M.P. Slobodian, Pavliv, Mryts, A. Savytska in the period of ~1930 – first half of XI century.
Catalogue of specimens of genus Leucorrhinia Brittinger, 1850 (Insecta, Odonata) deposited in the State Museum of Natural History NASU, Lviv, Ukraine
Authors: Hushtan Kateryna
Published: May 2023

Dragonflies of genus Leucorrhinia is commonly called whitefaces because of their distinctive pale frons. Five species of this genus are common in Europe and Ukraine (Dijkstra, 2006). Leucorrhinia albifrons (Burmeister, 1839) in Ukraine recorded from the Volynska oblast (Pisochne Lake) (Павлюк, 1974), Kyiv (Шарлемань Артоболевський, 1915). Natural habitats this species are shrub-dominated wetlands, swamps, intermittent freshwater lakes, and freshwater marshes. Leucorrhinia caudalis (Charpentier, 1840) in Ukraine recorded from Volynska oblast (Berestechko, Lutsk, Radekhiv, Chorne and Pisochne Lakes) (Павлюк, 1974), Ivano-Frankivskska oblast (Lisova Slobidka, Verkhnii Maidan) (Dziędzielewicz, 1890, 1902, 1904, 1919), Kyiv (Шарлемань Артоболевський, 1915; Горб, 1991), Lvivska oblast (Peniaky, Drohobych, Lviv, Rava-Ruska, Ivano-Frankove, Riasne) (Dziędzielewicz, 1890, 1902, 1904, 1919), Poltavska oblast (Poltava) (Артоболевський, 1923, 1929), Rivnenska oblast (Reshutsk) (Pavlyuk, 1990), Ternopilska oblast (Bilche-Zolote), (Fudakowski), Lyshnia (Павлюк, 1990). Its natural habitats are swamps and freshwater lakes. Leucorrhinia dubia (Van der Linden, 1825) range extends from Western Europe to Japan, and it is commonly found in western, northern and eastern Europe at higher altitudes, but is rare in Southern Europe and the United Kingdom (Atlas, 2015). In Ukraine species recorded from Transcarpathia (near Hutyn Mt., Chornohora range), (Frivaldszky, 1875; Fudakowski, 1935), Kyiv (Артоболевський, 1927). Leucorrhinia pectoralis Charpentier, 1825 occurs from Western Siberia to France (Parr, 2013). In Ukraine species recorded in Polissia, Western Forest-Steppe, Transcarpathia, Zhytomyrska, Kyivska, Chernihivska, Poltavska, Kharkivska and Khersonska oblasts (Горб та ін. 2000). Leucorrhinia rubicunda (Linnaeus, 1758) in Ukraine recorded from Western Forest-Steppe zone, Ciscarpathians, Zhytomyrska, Kyivska, Chernihivska and Lvivska oblasts (Горб та ін., 2000). In the collection of the State Museum of Natural History, National Academy of Scienses of Ukraine are stored 4 species collected in Western part of Ukraine and Poland.
Catalogue of specimens of Odacantha melanura (Linnaeus, 1767) (Coleoptera, Carabidae) deposited in the State Museum of Natural History NASU, Lviv, Ukraine
Authors: Rizun Volodymyr
Published: May 2023

Tribe Odacanthini is a tribe of ground beetles in the family Carabidae subfamily Lebiinae, there are more than 43 genera and 680 described species in Odacanthini (Lorenz, 2021). Genus Odacantha includs 15 extant species known so far. European-Asian genus Odacantha, in Ukraine is represented by single species Odacantha melanura (Linnaeus, 1767). Species distributed in Western Palearctic from medle parts of Spain, Italy and Balkan Peninsula till to southern provinces of Fennoscandia, to East reached Amur River, recorded in Caucasus and Iran (Burakowski et al., 1974). Odacantha melanura (Linnaeus, 1767) is a winged, spring breeder and occurs in the Scirpus, Typha and Phragmites thicketon the banks of reservoirs and bogs (Hůrka, 1996). In Ukraine Odacantha melanura (Linnaeus, 1767) recorded in Podillia (Tovtry ridge, Pantalykhy steppe, Butsyky) (Nowicki, 1864), Horodok vicinity (Malkovychi) (Łomnicki, 1868), Butsyky (Łomnicki, 1870), banks of the Dnipro River near Kyiv (Hochhuth, 1871), Podillia (Nowicki, 1873), Ivano-Frankove (Zalissia) (Król, 1877), Lviv (Vulka near Sobka pond), Ivano-Frankove (Zalissia) (Łomnicki, 1890), Ternopil (Rybiński, 1903), up to Kharkiv and Kherson gubernias (provinces) (Якобсон, 1905), Kamianets-Podilskyi (Якубовский, 1914), Uzhhorod and all Transcarpathians lowland (Roubal, 1930), Crimea (Эйдельберг, Мальцев, Перваков, 1988), Forest (Novgorod-Siverske Polissia) and Forest-steppe zones of Left-Bank Ukraine (Kirichenko, Babko, 2004 (2005)), Mezynskyi National Nature Park (Шешурак, Назаров, 2021). In the collection of the State Museum of Natural History, National Academy of Scienses of Ukraine (SMNH) are stored 19 specimens collected in western part of Ukraine, Poland and Austria. Collection material represents the following physiographic regions: Temprate broad-leaf forests zone: Roztotsko-Opilska Upland oblast (Roztochchia district (9 specimens), Opillia district (1)), West Podillia Upland oblast (3), Ukrainian Carpathians: Ciscarpathians Upland oblast (1). The findings are collected by the following collectors M. Łomnicki, J. Mazurek, dr. Łuczakowski , A. Stöckl, H. Eder, Yu. Polianskyi, A. Winkler, V. Zanko in the period of ~1868 – first half of XX century.